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AMENDED AND RESTATED <br /> NORTH CAROLINA HEALTH INFORMATION EXCHANGE <br /> PARTICIPATION AGREEMENT <br /> THIS AMENDED AND RESTATED NORTH CAROLINA HEALTH INFORMATION <br /> EXCHANGE PARTICIPATION GREEMENT(the"Agreement's is entered into and effective <br /> this 1 5Y day of J 2013, by NORTH CAROLINA HEALTH <br /> INFORMATIONEXCHANGE,a torth Carolina nonprofit corporation("NC HIE"). <br /> RECITALS: <br /> A. NC HE has established a voluntary electronic, statewide network (the "HIE <br /> Network")to facilitate the exchange of Patient Information among Participants through the HIE <br /> Network for Permitted Purposes. <br /> B. Participants seek to ensure that appropriate care management is delivered <br /> between multi-disciplinary care teams to improve the quality and coordination of health care <br /> services through the enhanced access to Patient Information and other clinical support. <br /> C. NC HIE seeks to assist Participants in improving the quality and coordination of <br /> health care services through the enhanced access the HIE Network will provide to Patient <br /> Information and other clinical support. <br /> D. NC HIE entered into that certain North Carolina Health Information Exchange <br /> Participation Agreement dated March 20,2012 (the"Original Agreement')with North Carolina <br /> Community Care Networks, Inc. d/b/a Community Care of North Carolina, as the initial <br /> Participant party to such Agreement. <br /> E. Pursuant to Section 18 of the Original Agreement, such Original Agreement may <br /> be amended by agreement of at least two-thirds (2/3)of the Board of Directors of NC HIE. <br /> F. At least two-thirds (2/3) of the Board of Directors of NC HE has by their <br /> agreement authorized the amendment and restatement of the Original Agreement in the manner <br /> set forth in this Agreement, and NC HIE is desirous of so amending and restating the Original <br /> Agreement. <br /> NOW,THEREFORE,in accordance with Section 18 of the Original Agreement,NC HIE <br /> hereby amends and restates the Original Agreement in its entirety as follows: <br /> 1. Amendment and Restatement of Original Participation Agreement. This <br /> Agreement shall be deemed to and hereby does amend,restate, supersede and replace in full the <br /> Original Agreement. <br /> 2. Definitions. A defined term, indicated by capitalizing of the first letter(s) not <br /> otherwise set forth below or elsewhere in the Agreement shall have the meaning stated in the <br /> HIPAA Regulations or if not defined in the HIPAA Regulations, assigned by other Applicable <br /> Law. <br /> 1 <br />