3 (CLEAN) EXHIBIT 10 (48-5571).DOC

REVISED
Exhibit 10
Service Purchases by County or District
(Sections 6.1 and 6.2)
District Purchased Services from County (Section 6.1): For the services listed below, the District
will pay the County at the rate listed below.
Equipment Services: Same rate that County charges other County Departments for such
services
Other: At a mutually agreed upon rate.
County Purchased Services from District (Section 6.2): For Health Care Services provided by
District to MCSO and Correctional Health Patients, County TB Patients, and County Juvenile
Probation Patients (collectively “County Patients”):
1. County shall reimburse the District for Health Care Services provided to County Patients
(“Health Care Services”).
2. Minimum Purchase for Fiscal Year 2014. For fiscal year 2014, the County shall
reimburse the District for Health Care Services provided to County Patients in an
amount of at least Five Million Dollars ($5,000,000) at the AHCCCS rates as of the date
of service. In the event that more than $5,000,000 in Health Care Services are provided
in fiscal year 2014, the County will reimburse the District at a rate that will permit the
District to recover its costs of services provided to County Patients.
3. Minimum Purchase for Fiscal Year 2015. For fiscal year 2015, the County shall
reimburse the District for Health Care Services provided to County Patients in an
amount of at least Three Million Dollars ($3,000,000) at the AHCCCS rates as of the
date of service. In the event that more than $3,000,000 in Health Care Services are
provided in fiscal year 2015, the County will reimburse the District at a rate that will
permit the District to recover its costs of services provided to County Patients.
4. Minimum Purchase for Fiscal Year 2016. For fiscal year 2016, the County shall
reimburse the District for Health Care Services provided to County Patients in an
amount of at least One Million Dollars ($1,000,000) at the AHCCCS rates as of the date
of service. In the event that more than $1,000,000 in Health Care Services are provided
in fiscal year 2016, the County will reimburse the District at a rate that will permit the
District to recover its costs of services provided to County Patients.
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5. The District will bill and the County will reimburse the District at the applicable rate as
of the date of service.
6. If the County Patient has health care coverage other than through the County, the District
will first bill the County Patient’s payor for the Health Care Services provided.
7. Any payment received by the District from a County Patient’s payor during the
applicable fiscal year will be applied as a credit against the amount billed by the District
to the County.
8. In the event that the County Patient’s payor fails or refuses to make any payment to the
District or pays the District an amount less than the amount that the County has agreed
to reimburse the District according to the rates set forth in Paragraphs 2, 3, or 4 above
the County will then reimburse the District the difference between the amount that
would have been paid by AHCCCS and the amount paid by the County Patient’s payor.
The County and the District agree that the District will ultimately be paid the amount
that would have been paid by AHCCCS for the Services.
9. In addition, the total amounts received by the District from County Patients’ payors, will
be applied as a credit against the County’s reimbursement obligation for the applicable
fiscal year as set forth in Paragraphs 2, 3, or 4, above.
10. In the event that the total amount paid by the County plus the amounts paid by County
Patients’ payors up to the AHCCCS rates, during the applicable fiscal year exceeds the
amounts set forth in Paragraphs 2, 3, or 4, the billing and crediting protocol described
above will apply.
11. Notwithstanding any provision set forth above, no later than ten (10) days after the last
day of any Quarter within a fiscal year, the District will determine the amount of any
outstanding and unpaid bills for Services, notify the County of the unpaid amount and
within thirty (30) days of such notice the County will pay the District the outstanding
unpaid amount.
Other Services: At a mutually agreed upon rate
Effective Date of Exhibit #10: The Effective Date of Exhibit #10 is February 12, 2014.
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