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h) Facility Staff Qualifications. All fitness professionals who come in contact with Members shall be qualified for their <br /> respective positions.All group exercise instructors must 1)possess current CPR certification;2)be eighteen years of <br /> age or older; and 3) either hold a two (2) or four(4) year degree in health, exercise science, recreation or physical <br /> activity related field; or hold a current license for the following: RN, LPN, LMT, LPT, RYT; or hold a nationally <br /> recognized instructor/trainer certification that is available to the general population and requires continuing <br /> education courses and CPR certification as criteria for recertification. Each instructor teaching a SilverSneakers <br /> group format class must complete the Healthways instructor training workshop for that class prior to teaching and <br /> once every four(4)years thereafter. <br /> i) SilverSneakers Program Advisor. Facility shall designate one staff member as the SilverSneakers Program Advisor, <br /> who shall serve as a liaison to Healthways and as a resource person for SilverSneakers Members utilizing the <br /> Healthways Network,and is knowledgeable concerning all services provided by Facility to Members. <br /> j) Guest Pass Program. Facility shall provide Program services to persons presenting a Healthways guest pass. Properly <br /> documented guest visits will be counted the same as a Member visit for purposes of calculating Facility's compensation. <br /> 2. Exclusivity. City agrees to an exclusive relationship with Healthways during the Term of this Agreement for all fully <br /> subsidized Medicare memberships, programs, products, and services, and City will not contract with any health plan, <br /> insurance plan, or third party benefits administrator to provide services that may compete in any way with the services <br /> being offered by Healthways. For the purposes of this Exclusivity provision, "fully subsidized" shall mean that the <br /> Member does not provide any direct payment to City. <br /> 3. Services to Members of Sponsoring Organization. City agrees that during the Term and for a period of one(1)year after <br /> the completion or termination of this Agreement, City shall not contract to provide a fully subsidized fitness benefit to <br /> Members of the Sponsoring Organization which has contracted with Healthways to provide the Program in a geographic <br /> area proximate to Facility, or engage in any competing fully subsidized fitness network business (defined as the <br /> ownership,management,or consultation of programs or services similar to those covered by this Agreement). <br /> 4. Insurance. City shall cause American Healthways Services, LLC, to be named as an additional insured on its general <br /> liability insurance policy"for all services provided under the contract agreement between Healthways and the insured." <br /> Facility shall provide such certificate of insurance to Healthways no later than thirty(30)days after Program Ready Date <br /> and within ten(10)days of request by Healthways thereafter. <br /> 5. Medicare Compliance for Program(s)Provided to Medicare Recipients. In recognition that Sponsoring Organization and <br /> its subcontractors may be obligated to comply with all applicable federal governmental regulations regarding services to <br /> Medicare members, including the rules and regulations of the Centers for Medicare and Medicaid Services (CMS), <br /> Healthways and City mutually agree to comply with the following for services provided to Medicare members. <br /> a) Compliance with Federal and State Laws. Healthways and City acknowledge that payments made to City under this <br /> Agreement may be made from federal funds. Therefore, in connection with all services rendered under the <br /> Agreement, Healthways and City agree to comply with the requirements of the contracts between Healthways' <br /> customers and CMS (the "CMS Contracts"), and all applicable federal and state laws and regulations and CMS <br /> guidance and instructions, including,but not limited to all Medicare laws, such as the Medicare Modernization Act <br /> and the regulations contained in 42 CFR Parts 422 and 423; all applicable state and federal privacy and security <br /> requirements, including but not limited to the confidentiality, privacy and security provisions for Medicare health <br /> plans contained in the regulations found at 42 CFR 422.118 and 42 CFR 423.136; and all applicable laws, <br /> regulations and guidance designed to prevent fraud, waste or abuse of federal funds, including the False Claims Act <br /> (31 U.S.C. 3729 et seq.), the Anti-kickback statute (Social Security Act § 1128B(b)), and HIPAA administrative <br /> simplification rules(45 CFR Parts 160, 162,and 164). <br /> b) Right to Inspect. Healthways and City acknowledge and agree that the Department of Health and Human Services <br /> (HHS), the Comptroller General, or their designees, or any applicable state or federal governmental entity, or <br /> Sponsoring Organization, shall have the right to inspect, evaluate, and audit any pertinent contracts, books, <br /> documents, papers, and records involving transactions related to services provided under this Agreement to <br /> Medicare Members. Healthways and City shall maintain accurate records of compliance with this Agreement <br /> ("Records") in accordance with recognized accounting and document retention practices and in a format that shall <br /> C1A_FC_V2011-2 7 of II <br /> 386619v5 MJM NE136-111 <br />