MetroPlus Health Plan (MetroPlus) is committed to providing quality care and service. As such, it
has partnered with various entities to assist with honoring its contracts with the Centers for
Medicare and Medicaid Services (CMS) and the New York State Department of Health (DOH). Our
contractual agreement with you has identified you as a first tier entity who must comply with these
requirements. As you may subcontract with others to assist in your agreement with MetroPlus,
those providers are our downstream entities. On an ongoing and annual basis, we are required to
ensure that you, and our downstream entities, meet our compliance program requirements, as well
as all contractual obligations.