Superseding MOU Clause Samples

Superseding MOU. This MOU constitutes the final and entire agreement between the Parties and supersedes any and all prior oral or written agreements, negotiations, or understandings between the Parties that conflict with the provisions set forth in this MOU. It is expressly understood and agreed that any prior written or oral agreement between the Parties pertaining to the subject matter herein is hereby terminated by mutual agreement of the Parties. The Parties represent that they have authority to enter into this MOU on behalf of their respective entities and have executed this MOU as of the Effective Date. Signature:▇▇▇▇▇▇▇▇ ▇▇▇ (Jul 19, 2024 20:05 PDT)

Superseding MOU. This MOU constitutes the final and entire agreement between the Parties and supersedes any and all prior oral or written agreements, negotiations, or understandings between the Parties that conflict with the provisions set forth in this MOU. It is expressly understood and agreed that any prior written or oral agreement between the Parties pertaining to the subject matter herein is hereby terminated by mutual agreement of the Parties. The Parties represent that they have authority to enter into this MOU on behalf of their respective entities and have executed this MOU as of the Effective Date. ATTEST: ▇▇▇▇▇ ▇. ▇▇▇▇▇ County Administrative Officer/Clerk of the Board of Supervisors the County of Tulare By Deputy Clerk Approved as to Form COUNTY COUNSEL By Deputy Date: 5/14/25 Matter# 20241889 MCP-Agency Liaisons and Agency Liaisons as referenced in Sections 4.b and 5.b of this MOU MCP Responsible Person Manager, County Relations & MOU Compliance MCP Agency Liaison Service Coordination Liaison Agency Liaisons Agency Responsible Person Compliance Officer ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇▇ Agency Liaison WIC Manager Exhibit B Data Elements a. MCP and Agency must share the following data elements:

Superseding MOU. This MOU constitutes the final and entire agreement between the Parties and supersedes any and all prior oral or written agreements, negotiations, or understandings between the Parties that conflict with the provisions set forth in this MOU. It is expressly understood and agreed that any prior written or oral agreement between the Parties pertaining to the subject matter herein is hereby terminated by mutual agreement of the Parties. The Parties represent that they have authority to enter into this MOU on behalf of their respective entities and have executed this MOU as of the Effective Date. Title: Medicare and Medi-Cal President Notice Address: ▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇., ▇▇▇▇▇▇▇▇ ▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Sacramento, CA 95815 [Placeholder for exhibits to contain MCP and Regional Center Liaisons as referenced in Sections 4.b and 5.b of this MOU) ACRC Responsible Persons: Director of Intake and Clinical Services, Director of Client Services Exhibit C Data Elements a. MCP and the Regional Center must share the following data elements: i. Member demographic information (including Medi-Care ID, Medi-Care Beneficiary Identification (MBI) if applicable;

Superseding MOU. This MOU constitutes the final and entire agreement between the Parties and supersedes any and all prior oral or written agreements, negotiations, or understandings between the Parties that conflict with the provisions set forth in this MOU. It is expressly understood and agreed that any prior written or oral agreement between the Parties pertaining to the subject matter herein is hereby terminated by mutual agreement of the Parties. The Parties represent that they have authority to enter into this MOU on behalf of their respective entities and have executed this MOU as of the Effective Date. ▇▇▇▇▇▇▇▇ ▇▇▇ (Feb 14, 2025 09:54 PST) ▇▇. ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ COO Director, Health Care Agency This Exhibit A lists the MCP individuals responsible for ensuring oversight and compliance of this MOU and applicable Program Exhibits. Capitalized terms in this Exhibit A will have the meaning ascribed to them by the MOU or the respective Program Exhibit. 1. General MCP responsible individuals: a. MCP Responsible Person: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇, Population Health Management, Director II Population Health Management b. MCP-HCA Liaison: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇, Population Health Management, Director II Population Health Management 2. Exhibit C, Local Health Department MCP responsible individuals: a. MCP Responsible Person: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇, Population Health Management, Director II Population Health Management b. MCP-LHD Liaison(s) for Local Health Department Services Coordination:

Superseding MOU. This MOU constitutes the final and entire agreement between the Parties and supersedes any and all prior oral or written agreements, negotiations, or understandings between the Parties that conflict with the provisions set forth in this MOU. It is expressly understood and agreed that any prior written or oral agreement between the Parties pertaining to the subject matter herein is hereby terminated by mutual agreement of the Parties. The Parties represent that they have authority to enter into this MOU on behalf of their respective entities and have executed this MOU as of the Effective Date. ▇▇▇ ▇▇▇▇▇▇ (Sep 12, 2024 13:48 PDT) Date: Sep 12, 2024 Name: ▇▇▇ ▇▇▇▇▇▇ Title: President Name: ▇▇▇▇▇▇ ▇▇▇▇▇▇▇-▇▇▇▇ Date: Sep 9, 2024 Blue Cross of California Partnership Plan, Inc. MCP Responsible Person: Director of Program Management or Designee MCP-MHP Liaison: County Account Program Manager Health Net Community Solution, Inc. MCP Responsible Person: Manager, County Programs & MOU Compliance MCP-MHP Liaison: Service Coordination Liaison MHP Responsible Person: Mono County Behavioral Health Quality Assurance Coordinator MHP Liaison: Mono County Behavioral Health Quality Assurance Coordinator Exhibit C Data Elements a. MCPs and County must share the following data elements:

Superseding MOU. This MOU constitutes the final and entire agreement between the Parties and supersedes any and all prior oral or written agreements, negotiations, or understandings between the Parties that conflict with the provisions set forth in this MOU. It is expressly understood and agreed that any prior written or oral agreement between the Parties pertaining to the subject matter herein is hereby terminated by mutual agreement of the Parties. Docusign Envelope ID: D85E852F-3FA1-4F3C-9872-E9693CE3488A Docusign Envelope ID: 88C58D28-A927-464D-AE1D-1FD0A0AFE8F4 The Parties represent that they have authority to enter into this MOU on behalf of their respective entities and have executed this MOU as of the Effective Date. Digitally signed by ▇▇▇ ▇▇▇▇▇▇ Date: 2024.11.26 13:16:11 -08'00' Signature: Date: _11/26/2024 Signature: Date: 12/17/2024 |_12:51 PM PST Docusign Envelope ID: D85E852F-3FA1-4F3C-9872-E9693CE3488A Docusign Envelope ID: 88C58D28-A927-464D-AE1D-1FD0A0AFE8F4 MCPs-Agency Liaisons and Agency Liaisons as referenced in Sections 4.b and 5.b of this MOU Liaisons Blue Cross of California Partnership Plan, Inc. Health Net Community Solutions, Inc. ▇▇▇▇▇▇ Foundation Health Plan, Inc. MCP Responsible Person Program Director Manager, County Relations & MOU Compliance Regional Director, MOU Implementation MCP Agency Liaison Program Manager Service Coordination Liaison MOU Coordinator Liaisons The Resource Connection Responsible Person Chief Administrative Director, WIC Program Director Liaison Chief Administrative Director, WIC Program Director Docusign Envelope ID: D85E852F-3FA1-4F3C-9872-E9693CE3488A Docusign Envelope ID: 88C58D28-A927-464D-AE1D-1FD0A0AFE8F4 Exhibit C Data Elements a. MCPs and Agency must share the following data elements:

Superseding MOU. This MOU constitutes the final and entire agreement between the Parties and supersedes any and all prior oral or written agreements, negotiations, or understandings between the Parties that conflict with the provisions set forth in this MOU. It is expressly understood and agreed that any prior written or oral agreement between the Parties pertaining to the subject matter herein is hereby terminated by mutual agreement of the Parties. The Parties represent that they have authority to enter into this MOU on behalf of their respective entities and have executed this MOU as of the Effective Date. [Placeholder for exhibits to contain MCP and County Liaisons as referenced in Sections 4.b and 5.b of this MOU] Exhibit C Data Elements a. MCP and County must share the following data elements:

Superseding MOU. This MOU constitutes the final and entire agreement between the Parties and supersedes any and all prior oral or written agreements, negotiations, or understandings between the Parties that conflict with the provisions set forth in this MOU. It is expressly understood and agreed that any prior written or oral agreement between the Parties pertaining to the subject matter herein is hereby terminated by mutual agreement of the Parties. The Parties represent that they have authority to enter into this MOU on behalf of their respective entities and have executed this MOU as of the Effective Date. 11/7/2024 ▇▇▇▇▇ ▇▇▇▇ (Oct 17, 2024 10:30 PDT) Partnership Health Plan Behavioral Health Administrator/ or Designee ▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ ▇▇▇▇▇ ▇▇▇▇ Behavioral Health Director ▇▇▇▇▇.▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ (▇▇▇)▇▇▇-▇▇▇▇ Exhibit C Data Elements 1 Member Client Identification Number (CIN) Member Client Identification Number (CIN) 2 County County 3 First Name Member First Name 4 Middle Name Member Middle Name 5 Last Name Member Last Name 6 Social Security Number Social Security Number 7 Date of Birth Date of Birth 8 Race/Ethnicity Race/Ethnicity 10 ECM Provider PCP 11 N/A PCP Name 12 N/A NPI number 13 N/A Address 14 N/A Taxonomy Visit Details, all types 15 Rendering/attending provider for encounter below - only for outpatient Rendering/attending provider 16 Rendering/attending provider NPI number - NPI for org Rendering/attending provider NPI number 17 Rendering/attending provider service location Rendering/attending provider service location 18 Rendering/attending phone number Rendering/attending phone number 19 Rendering/attending provider specialty - outpatient Rendering/attending provider specialty: Mental Health and PCP SUD or MH outpatient visits from County BH Medical Out Patient Visits 20 OP MH or SUD-Date of OutPatient Visit OutPatient-Date of Visit 22 OutPatient-Office Name of Site OutPatient-Office Name of Site 23 OutPatient-Office NPI OutPatient-Office NPI 24 OutPatient-diagnosis codes OutPatient-diagnosis codes 25 OutPatient-Procedure codes OutPatient-Procedure codes ED Visits 26 N/A ED-Date of ED visit 27 N/A ED-Hospital name 28 N/A ED-NPI number 29 N/A ED-All Diagnosis code 30 N/A ED-Principle Diagnosis Codes 31 N/A ED-Main visit procedure codes 32 N/A ED-CPT code MH/SUD In Patient Admissions In Patient Admissions 34 IP-NPI number IP-NPI number 35 IP-Date of admission IP-Date of admission 37 IP-Admission Diagnosis Codes IP-Admission Diagnosis Codes 3...

Superseding MOU. This MOU constitutes the final and entire agreement between the Parties and supersedes any and all prior oral or written agreements, negotiations, or understandings between the Parties that conflict with the provisions set forth in this MOU. It is expressly understood and agreed that any prior written or oral agreement between the Parties pertaining to the subject matter herein is hereby terminated by mutual agreement of the Parties. The Parties represent that they have authority to enter into this MOU on behalf of their respective entities and have executed this MOU as of the Effective Date. Name: ▇▇▇▇▇ ▇▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇▇▇▇ Title: CEO Title: Executive Director Fairfield, CA 94534 Ukiah, CA 95482 4/23/2025 4. B ▇▇. Director of Behavioral Health or Designee ▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ 5. B ▇▇▇▇▇▇▇ Sate Executive Director ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ FIRST 5 Mendocino ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇, Suite J Ukiah, CA 95482 Examples of data elements to include in this Exhibit are: