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<br /> <br /> Page 19 of 48 <br />PARTICIPATING PROVIDER AGREEMENT <br /> <br />SCHEDULE B <br />PRODUCT PARTICIPATION <br /> <br />Provider will be designated as a “Participating Provider” in the Product Attachments listed below as of the date of <br />successful completion of credentialing in accordance with this Agreement. <br /> <br />List of Product Attachments: <br /> <br />Attachment A: Medicaid <br />Attachment B: [Reserved] <br />Attachment C: [Reserved] <br /> <br />DocuSign Envelope ID: 2EC1F0FD-FAF9-4B42-B52E-D419F55A6210