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AMENDMENT TO THE AGREEMENT - SILVER SNEAKERSConfidential FAX TO: 602 - 391 -2138 ATTN: CONTRACTS DEPARTMENT AMENDMENT TO THE AGREEMENT BETWEEN AMERICAN HEALTHWAYS SERVICES, LLC AND CITY OF CLEARWATER EFFECTIVE JANUARY 1, 2014 This document serves as an Amendment to the Healthways Provider Agreement (the "Agreement ") between AMERICAN HEALTHWAYS SERVICES, LLC ( "Healthways "), and CITY OF CLEARWATER ("Facility "). For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereby amend the Agreement as follows. 1. The Agreement shall be amended such that USTA Masters Tennis at the Henry L. McMullen Tennis Complex shall be added as a participating location attached herein as an addition to Exhibit A, effective January 1, 2014. a) No SilverSneakers® classes shall be held at USTA Masters Tennis at the Henry L. McMullen Tennis Complex. b) There shall be no Minimum Payment Guarantee for services provided at the USTA Masters Tennis at The Henry L. McMullen Tennis Complex location. 2. Except as expressly modified by this Amendment, the Agreements and any previously signed amendments or addenda shall remain in full force and effect. 3. The individual signing below on behalf of Facility represents and warranties that he /she has all requisite corporate power and authority to enter into this Amendment on behalf of Facility. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to be effective as of January 1, 2014. AMERICAN HEALTHWAYS SERVICES, LLC CITY OF CLEARWATER a Delaware corporation 7e4 /LBO, SEE ft-rr r�,b si biwcre E V.; Signature Signature Q E+ 1 ( &) Mary Jo Ferron Vice President, Fitness Programs Printed Name Title Date Date Page 1 of 6 FL/17701/35151 — A6 Countersigned: - -ctPiorte nC, Mao George N. Cretekos Mayor Approved as to form: aura Lipowski Mahony Assistant City Attorney Confidential CITY OF CLEARWATER, FLORIDA By: IA) CJ-44.1,4.• ,' William B. Horne, II City Manager Attest: Rosemarie Call City Clerk Page 14f FL/17701/35151 —A6 FAX TO 602 - 391 -2138 ATfWN. CONTRACTS DEPART ENT The information in Facility Name: Physical Address: Phone Number: Web Site Address: ..2awn4 ii. w. EXHIBIT A -t KSTRiCrED USTA MASTERS TENNIS CLASS ONLY LOCATION INFORMATION e bor below is intended, for distribution to Members. Please confirm that it is accurate USTA Masters Tennis at The henry L. McMullen Tennis Complex 1000 Edenville Ave. Clearwater, FL 33764 (727) 669 -1919 www, rn/etene .,:tiffs nff. r.'J M Pft141;I1 I ICtI itt.. Lfi. f:Lf4 Ilk. f,..kw. , ye. ry ...,.._..... + +...:JJ.... _..... R— ....�, AmenityTPrsgram . I.. ... Offered as part of basic membership at no additional frost to Members E. Not offered as part of basic membership - additional cost to Members Cardiovascular Equipment -{ cx t!a i IA ri I Group Exerc setAerobics Arca not ava.iiab1c. Yto+ it.VCai locks i Hot Tub/whirlpool Resistance Train nl, Equipment t'1Qk vcct lable_ Stearn andlor Saunzt Vtts{ aver lib l Sr ittnning Pool — Seasonal (not available throughout the year) f to ° Vai 6 l Swirnming Pool — Year - Round no+ Oval abler Acupuncture Yin4- 0. vo.IVs64 e Child Care rssvat tai Chiropractic Services no i- [aovax t ja+n6 Group Cycling n o 4. win i Indoor Tract lox k_ Massage t't ok- o vc.' (ain te. Nutritional Services no 4i- n v ni,i, t ; Personal Training i " i - e a n > c is I i- 4y tx ' 'ri 0 in Physical Therapy Yt 04- ekvat Ledo le. Pilates .. .- , a6,i� Fax: General Ernail: Who is reSttottsible Contact Person: Contact Title: Contact Phone: Contact Fax: Contact Email. ):.'Cs)l -4'I3 r-obtrt.e. rpe.,n.4ktt.t Cr 'f rect Fax CI Need to call first M,I. er. Co^ for daily Facility operations (le, £Cec.•utive Director, Membership Director)? Robert lrct.rpery et GCrtlIAi Del So -PCYV t' — -'302 - t2. -- '-'i 3 ear et- -e a Page 2of8 Confidential /17701%35151 FAX TO: 602-391-2138 ATTN: CONTRACTS DEPARTMENT RESTRICTED USTA MASTERS TENNIS CLASS ONLY LOCATION INFORMATION (continued) Mailing Address (f not the same as Physical Address): Mailing Address: Shipping Address 0/ not the sante as Physical Addres Shipping Address: Staffed Hours of 0 ration Are Members able to access Facility during unstaffed hours? f'No 0 Yes What non-English languages does staff speak fluently? Please list: Plcase select one location type: trMen and women 0 Women only 0 Men only Page 3 of 8 Confidential FL/17701/35151 Sunday Monday Tuesday Wcdnesdav Thursday Friday , Saturday leim- 4en Open rat — A OA ... tc p riltit —10 pirt.kilAVI 1 ir kir' (opt es, ig- ripen Closed Are Members able to access Facility during unstaffed hours? f'No 0 Yes What non-English languages does staff speak fluently? Please list: Plcase select one location type: trMen and women 0 Women only 0 Men only Page 3 of 8 Confidential FL/17701/35151 FAX TO: 602 - 3911 -2183 ATTN: CONTRACTS DEPARTMENT Program Name Program Brands: PROGRAM SCHEDULE Mature Market Fully Subsidized Program SilverSneakere Fitness Program, SilverSneakers Private Brand, and other brand names for the Mature Market Fully Subsidized Program communicated to Facility by Healthways from time to time Member Type; Medicare, Group Retirees and Older Adults Program Description: The Program is offered to Members of the Sponsoring Organization. The Program includes SilverSneakers exercise classes and basic fitness membership services, which may include other Healthways services, for Members provided through a network of facilities; also included in the Program are all facets presented in the Duties and Obligations of Facility section of the Agreement. Program Duties and Obligations of Facility. In exchange for the contpe Facility shall perform the following services: a) Program Implementation Process. To prepare for Program commencement, Facility agrees to participate in the following 1) coordination with Healthways of electronic reporting containing the required data elements; 2) Healthways- scheduled and led training; and 3) Healthways' evaluation of Facility prior to the Program Ready Date to certify Facility's preparedness to provide Program. b) Staffed Hours. Facility shall be appropriately staffed in accordance with professionally - recognized standards of fitness programs a minimum of six (6) hours per day, Monday through Friday. c) Program Enrollment. Facility shall enroll Members in the Program in accordance with the protocol defined in the Reference Guide or other protocol mutually agreed between the Parties. Reporting Obligations of Facility. Facility shall report Program utilization to Healthways on a monthly basis. Program utilization reporting shall consist of all I) Program forms completed during the previous month as applicable; and 2) visits for the month. Facility shall prepare a report of daily visits and utilization from the month summarizing activity and containing the required data elements and submit it electronically to Healthways no later than the fifth (5'r') day of the following month. The required file format, data elements and submission options are defined in the Reference Guide. The Parties to this Agreement shall work cooperatively to establish correct and acceptable electronic monthly utilization data reporting; Healthways may provide technical support to Facility if necessary. SilverSneakers Classes. Facility shall provide Healthways' group exercise class, the basic, signature SilverSneakers class, a minimum of two (2) days per week on non- consecutive days. All SilverSneakers classes shall be offered during Members' primary hours of utilization. Facility agrees to add additional classes if the current classes remain at capacity for four (4) or more consecutive weeks, or as demand dictates, and will solely bear the costs of adding such classes. Facility and Healthways agree to work cooperatively to add optional SilverSneakers classes as needed. Restricted USTA Master Tennis. Facilities identified in Exhibit A as providing USTA Master Tennis, shall provide USIA Master Tennis in a group setting, a minimum of two (2) days per week on non- consecutive days. Facility shall provide USTA Master Tennis to only Healthways Members verified as eligible per the Enrollment Protocol as defined in the Reference Guide. All USTA Master Tennis shall be offered during Members` primary hours of utilization. Facility agrees to add additional classes if the current classes remain at capacity for four (4) or more consecutive weeks, or as demand dictates, and will solely bear the costs of adding such classes. Facility and Healthways agree to work cooperatively to add optional t1STit Master Tennis classes as needed. sation to be paid by Healthways, SilverSneakers Class Equipment. Healthways shall ensure sses available by the Program Ready Date, including Page 4 of 8 Confidential that Facility has all required equipment for the chairs, clastic tubing with handles, hand -held FL/I7701/35151 FAX TO 602-391-2138 A N: CONTRACTS DEPARTMENT weights, the SilverSneakers ball and appropriate music, and shall provide such equipment to Facility as necessary. Following the Program Ready Date, Facility shall be responsible for maintaining and replenishing the equipment, and shall comply with the exact specifications for this equipment as defined in the Reference Guide. h) Instructor and Facility Staff Training. Facility staff who have regular contact with Members are required to participate in Healthways training prior to commencement of the Program and as needed thereafter to account for staff turnover and to ensure proper service for Members. Healthways will hold an instructor training workshop to provide Facility instructors with the necessary guidelines to teach the SilverSneakers class according to Program specifications. Two (2) instructors from Facility will be able to attend the initial workshop at no charge; additional instructors who pre-register may attend the initial workshop for a nominal fee. i) Facility Staff Qualifications. All fitness professionals who come in contact with Members shall be qualified for their respective positions. All group exercise instructors must 1) possess current CPR certification; 2) be eighteen years of age or older; and 3) either hold a two (2) or four (4) year degree in health, exercise science, recreation or physical activity related field; or hold a current license for the following; RN, LPN, LMT, LPT, RYT; or hold a nationally recognized instructor/trainer certification that is available to the general population and requires continuing education courses and CPR certification as criteria for recertification. Each instructor teaching a SilverSneakers group format class must complete the Healthways instructor training workshop for that class prior to teaching and once every four (4) years thereafter. SilverSneakers Program Advisor. Facility shall designate one staff member as the SilverSneakers Program Advisor, who shall serve as a liaison to Healthways and as a resource person for SilverSneakers Members utilizing the Healthways Network, and is knowledgeable concerning all services provided by Facility to Members. k) Guest Pass Program. Facility shall provide Program services to persons presenting a Healthways guest pass. Properly documented guest visits will be counted the same as a Member visit for purposes of calculating Facility's compensation. Medicare Compliance for Program(s) Provided to Medicare Recipients. In recognition that Sponsoring Organization and its subcontractors may be obligated to comply with all applicable federal governrnental regulations regarding services to Medicare members, including the rules and regulations of the Centers for Medicare and Medicaid Services (CMS), Healthways and Facility mutually agree to comply with the following for services provided to Medicare members. a) Compliance with Federal and State Laws. Facility acknowledges that payments made to Facility under this Agreement may be made from federal funds. Therefore, in connection with all services rendered under the Agreement, Facility agrees to comply with the requirements of the contracts between Healthways' customers and CMS (the '`CMS Contracts"). and all applicable federal and state laws and regulations and CMS guidance and instructions, including, but not limited to alt Medicare laws, such as the Medicare Modernization Aet and the regulations contained in 42 CFR Parts 422 and 423; all applicable state and federal privacy and security requirements, including but not limited to the confidentiality, privacy and security provisions for Medicare health plans contained in the regulations found at 42 CFR 422.118 and 42 CFR 423.136; and all applicable laws, regulations and guidance designed to prevent fraud, waste or abuse of federal funds, including the False Claims Act (31 U.S.C. 3729 et seq.), the Anti-kickback statute (Social Security Act § 1128B(b)), and HIPAA administrative simplification rules (45 CFR Parts 160, 162, and 164). b) Right to Inspect. Facility acknowledges and agrees that the Departtnent of Health and Human Services (HF1S), the Comptroller General, or their designees, or any applicable state or federal governmental entity, or Sponsoring Organization, shall have the right to inspect, evaluate, and audit any pertinent contracts, books, documents, papers, and records involving transactions related to services provided under this Agreement to Medicare Members. Facility shall maintain accurate records of compliance with this Agreement ("Records") in accordance with recognized accounting and document retention practices and in a format that shall permit audit. Such Records shall be maintained by Facility for a period of ten (10) years following expiration or termination of this Agreement. This right to inspect shall extend for a period of ten Page 5 of 8 Confidential FL/17701/35151 j) FAX TO: 602 -39'0 -2138 ATTN: CONTRACTS DEPARTMENT (10) years from the termination date of the CMS Contracts (or applicable CMS Contract), or the date of completion of any audit in connection with the Medicare health plans, whichever is later. Facility will make its books and other records available in accordance with 42 CFR 422.504(0(2) and 42 CFR 423.505(•x2) and any other applicable laws and regulations. In the event Facility is unable to retain such records for ten (10) years, Facility shall provide the records to Healthways at the conclusion of this Agreement and Healthways will retain the records on behalf of Facility. External Review. Facility agrees to cooperate with all independent quality review and improvement . organization activities required by CMS and/or Sponsoring Organization pertaining to the provision of services to Sponsoring Organization Members. Privacy /Confidentiality. Facility agrees to safeguard the privacy of any information that identifies a particular Sponsoring Organization Member in accordance with federal and state laws and Sponsoring Organization policy and to maintain Sponsoring Organization Members' records in an accurate and timely manner. Non - Discrimination. Facility agrees to not discriminate against any person because of race, sex, age, marital status, national origin, religion, color, citizenship, disability, health status, health insurance coverage or veteran, status. As applicable, Facility agrees to comply with 1) Title VI of the Civil Rights Act of 1964 as implemented by regulations at 45 CFR Part 84; 2) The Age Discrimination Act of 1975 as implemented by regulations at 45 CFR Part 91; 3) The Americans With Disabilities Act; 4) The Rehabilitation At of 1973; 5) Other laws applicable to recipients of federal funds; and 6) All other applicable laws and rules. This Agreement incorporates by reference and is subject to the following regulations of the Office of Federal Contract Compliance Programs, Department of Labor: 41 C.F.R. §60- 1.4, Equal Opportunity Clause; 41 C.F.R. §60- 250.5, Equal Opportunity Clause and Affirmative Action Clause for Special Disabled Veterans and Veterans of the Vietnam Era; 41 C.F.R §60- 741.5, Equal Opportunity Clause and Affirmative Action Clause for Handicapped and Disabled Persons. Facility agrees not to discriminate against any Medicare Member on the basis of any factor that is related to health status, including, but not limited to the following: (1) medical condition, including mental as well as physical illness; (2) claims experience; (3) receipt of health care; (4) medical history; (5) genetic information; (6) evidence of insurability, including conditions arising out of acts of domestic violence; and (7) disability. f) Exclusion of Certain Persons. Facility certifies that neither it nor any of its principals (officers, directors, owners, partners, key employees, principal investigators, researchers or management or supervisory personnel) (Principals) is presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in any federal grant, benefit, contract or program (including, but not limited to, Medicare and Medicaid) by any Federal department or agency. Facility agrees to provide immediate written notice to Healthways if it learns at any time that the certification herein was erroneous when submitted or if, during the Term of this Agreement, it, or any of its Principals, is debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in any federal grant, benefit, contract or program. If subcontracting is permitted by the Agreement, Facility agrees that its subcontractors will comply th the foregoing covenant. Facility agrees that debarment, suspension, proposed debarment or suspension, ineligibility or exclusion of either party, or any of its principals or subcontractors, shall constitute cause for ediate termination of this Agreement. Facility further agrees to comply with all Federal anti- terrorism rules and regulations. Each party's signature below shall serve as certification that, to the best of the party's knowledge, the party 1) is not; 2) has not been designated as; 3) is not owned, affiliated, or controlled by; and 4) does not support, assist or aid a suspected terrorist organization or individual as defined by Federal law including, but not limited to, Executive Order 1322.4. Hold Harmless. With the exception of charges for services not covered under this Agreement, Facility shall in no event bill, charge, collect a deposit from, or hold liable for any debts of Ilealthways or Facility, Members or any applicable government agency. In the event a Member provides payment to Facility for services provided pursuant to this Agreement* Healthways retains the right to deduct an equivalent amount he compensation payable to Facility for the purpose of Member reimbursement, All obligations under this section shall survive the termination of this Agreement, regardless of the cause giving rise to such termination, including, without limitation, insolvency of either party or breach of this Agreement. K) Page 6 of 8 Confidential FL/ 17701135151' FAX TO: 602 -391- 2138 ATTN: CONTRACTS DEPARTMENT h) Mutual Waiver of Claims and Indemnity. Unless caused by the gross negligence or intentional wrongdoing of either Party, Sponsoring Organization, or any applicable government agency, the Parties hereby waive and release all claims against the other Party. Sponsoring Organization, and applicable government agency, and/or any of their respective officers, directors, shareholders, employees, or representatives, in respect of a Member participating in the Healthways Network, and Parties, Sponsoring Organization, and government agency shall not be liable for injury to person or damage to property sustained by Sponsoring Organization's Members as a result of participation in any activities which may be undertaken in or sponsored by Facility, including, but not limited, to any accident, or from any occurrence, or act, or from negligence or omission on the part of Facility or any employee or agent thereof. Each Party shall indemnify, defend, and hold harmless the other Party, Sponsoring Organization, Members, and applicable government agency and their respective ofticers, directors, shareholders, employees, and representatives, on a current basis, from any and all claims, demands, suits, liabilities, damages, obligations, and expenses (including without limitation reasonable attorneys' fees) arising out of or in any way related to any negligent act or other wrongful conduct of the indemnifying/other Party to this Agreement, except to the extent caused by the gross negligence or intentional wrongdoing of the indemnifying Party, Sponsoring Organization. or applicable government agency. Healthways and Facility agree that to the extent permitted by law, the Parties shall cooperate with one another in the defense of any claim arising from alleged tortious acts of their respective officers, shareholders, employees, or agents and to give one another written notice of any claims covered by this paragraph. All obligations under this section shall survive the termination of this Agreement, regardless of the cause giving rise to such termination, including, without limitation, insolvency of either party or breach of this Agreement. Nothing contained in the foregoing indemnification shall be construed to be a waiver of any immunity or limitation of liability the Facility may be entitled to under the doctrine of sovereign immunity or Section 768.28, Florida Statutes. Professionally - Recognized Standards. Healthways and Facility shall provide the Program to Sponsoring Organization Members in a manner consistent with quality assurance standards, the Reference Guide, and professionally-recognized standards of fitness and wellness programs. 3. Compensation. a) Program Utilization Payment. i. Program Utilization for Locations Offering Sitverrneakers Classes. Healthways shall compensate location $3.00 per Program Visit, up to a maximum of $30.00 per Program Participant per month. Program Visit shall mean one distinct occasion, recorded and reported by location in accordance with procedures specified in the Reference Guide, during which a Member enters location to enroll in or use the Program. Healthways shall not compensate location for more than one Program Visit per day. Program Participant shall mean a Member, who, after completing the Program enrollment, has used the Program at a location in the Healthways Network at least once in a given month. ii Program Utilization for Restricted USTA Master Tennis Locations. Healthways shall cotnpennsate location $3.00 per Program Visit, up to a maximum of $30.00 per Program Participant per month for all locations offering Restricted iISTA Master Tennis. Program Visit shall mean one distinct occasion; recorded and reported by location in accordance with procedures specified in the Reference Guide, during which a Member enters location to enroll in or use the Program. Healthways shall not compensate location for more than one Program Visit per day. Program Participant shall mean a Member, who, after completing the Program enrollment, has used the Program at a location in the Healthways Network at least once in a given month. Minimum Payment Guarantee. With the exception of the month in which Program Ready Date occurs, Facility is guaranteed the greater of 1) the Program Utilization Payment above; or 2) a minimum monthly payment of $250.00 per location of Facility identified in Exhibit A as Offering SilverSneakers Classes. For the month in which Program Ready Date occurs, the Minimum Payment Guarantee may, be pro -rated based on the number of days remaining in the month beginning with the Program Ready Date. Payment Schedule. Payment shall be processed for direct deposit by Healthways by the last day of the month following the month in which Program Visits occurred ( "following month "), provided Healthways receives Page7of8 Confidential FL /1770 1 /35151 ) FAX TO: 602- 391 - 2138 ATTN: CONTRACTS DEPARTMENT Facility's monthly utilization data by the fifth (5th) day of the following month. In the event utilization data is not received in a timely manner, payment may be delayed. Payment for monthly utilization received after the last day of the following month will be denied for non - timely fling and will not be eligible for reimbursement or appeal. Appeals must be brought to the attention of Healthways within thirty (30) days of receipt of payment; appeals brought at a later date will not be eligible for review. Page 8 of 8 Confidential FL117701/35151