Common use of BRIEF DESCRIPTION OF CONTRACT PERFORMANCE or REASON FOR AMENDMENT Clause in Contracts

BRIEF DESCRIPTION OF CONTRACT PERFORMANCE or REASON FOR AMENDMENT. (Enter the Contract title, purpose, fiscal year(s) and a detailed description of the scope of performance or what is being amended for a Contract Amendment. Attach all supporting documentation and justifications.) This Amendment 2 to the Sixth Amended and Restated MCO Contract with Boston Medical Center HealthNet Plan updates financial and other provisions and replaces certain appendices in the Contract effective January 1, 2024. ANTICIPATED START DATE: (Complete ONE option only) The Department and Contractor certify for this Contract, or Contract Amendment, that Contract obligations: 1. may be incurred as of the Effective Date (latest signature date below) and no obligations have been incurred prior to the Effective Date. 2. may be incurred as of January 1, 2024, a date LATER than the Effective Date below and no obligations have been incurred prior to the Effective Date. 3. were incurred as of , a date PRIOR to the Effective Date below, and the parties agree that payments for any obligations incurred prior to the Effective Date are authorized to be made either as settlement payments or as authorized reimbursement payments, and that the details and circumstances of all obligations under this Contract are attached and incorporated into this Contract. Acceptance of payments forever releases the Commonwealth from further claims related to these obligations.

BRIEF DESCRIPTION OF CONTRACT PERFORMANCE or REASON FOR AMENDMENT. (Enter the Contract title, purpose, fiscal year(s) and a detailed description of the scope of performance or what is being amended for a Contract Amendment. Attach all supporting documentation and justifications.) This Amendment 2 1 to the Sixth Amended and Restated MCO Contract with Boston Medical Center HealthNet Plan updates financial and other provisions deletes and replaces certain appendices in the Contract Appendix D and Attachment 1 effective January 1, 2024. ANTICIPATED START DATE: (Complete ONE option only) The Department and Contractor certify for this Contract, or Contract Amendment, that Contract obligations: 1. may be incurred as of the Effective Date (latest signature date below) and no obligations have been incurred prior to the Effective Date. 2. may be incurred as of January 1, 2024, a date LATER than the Effective Date below and no obligations have been incurred prior to the Effective Date. 3. were incurred as of _ _, a date PRIOR to the Effective Date below, and the parties agree that payments for any obligations incurred prior to the Effective Date are authorized to be made either as settlement payments or as authorized reimbursement payments, and that the details and circumstances of all obligations under this Contract are attached and incorporated into this Contract. Acceptance of payments forever releases the Commonwealth from further claims related to these obligations.

BRIEF DESCRIPTION OF CONTRACT PERFORMANCE or REASON FOR AMENDMENT. (Enter the Contract title, purpose, fiscal year(s) and a detailed description of the scope of performance or what is being amended for a Contract Amendment. Attach all supporting documentation and justifications.) This Amendment 2 to the Sixth Amended and Restated MCO Contract with Boston Medical Center HealthNet Plan Tufts Health Public Plans updates financial and other provisions and replaces certain appendices in the Contract effective January 1, 2024. ANTICIPATED START DATE: (Complete ONE option only) The Department and Contractor certify for this Contract, or Contract Amendment, that Contract obligations: 1. may be incurred as of the Effective Date (latest signature date below) and no obligations have been incurred prior to the Effective Date. 2. may be incurred as of January 1, 2024, a date LATER than the Effective Date below and no obligations have been incurred prior to the Effective Date. 3. were incurred as of , a date PRIOR to the Effective Date below, and the parties agree that payments for any obligations incurred prior to the Effective Date are authorized to be made either as settlement payments or as authorized reimbursement payments, and that the details and circumstances of all obligations under this Contract are attached and incorporated into this Contract. Acceptance of payments forever releases the Commonwealth from further claims related to these obligations.

BRIEF DESCRIPTION OF CONTRACT PERFORMANCE or REASON FOR AMENDMENT. (Enter the Contract title, purpose, fiscal year(s) and a detailed description of the scope of performance or what is being amended for a Contract Amendment. Attach all supporting documentation and justifications.) This Amendment 2 1 to the Sixth Amended and Restated MCO Contract with Boston Medical Center HealthNet Plan updates financial and other provisions Tufts Health Public Plans deletes and replaces certain appendices in the Contract Appendix D effective January 1, 2024. ANTICIPATED START DATE: (Complete ONE option only) The Department and Contractor certify for this Contract, or Contract Amendment, that Contract obligations: 1. may be incurred as of the Effective Date (latest signature date below) and no obligations have been incurred prior to the Effective Date. 2. may be incurred as of January 1, 2024, a date LATER than the Effective Date below and no obligations have been incurred prior to the Effective Date. 3. were incurred as of _ _, a date PRIOR to the Effective Date below, and the parties agree that payments for any obligations incurred prior to the Effective Date are authorized to be made either as settlement payments or as authorized reimbursement payments, and that the details and circumstances of all obligations under this Contract are attached and incorporated into this Contract. Acceptance of payments forever releases the Commonwealth from further claims related to these obligations.