2. MiCTA National Healthcare Connect Fund Program

3. Program History 2000 – MiCTA develops (with its vendor partners) dial-up digitally compressed interactive video 2000 – 01 MiCTA establishes video network sites with several College and Rural Health Care members in Michigan 2002 – MiCTA sends email to Director of the USF Rural Health Care Program regarding questions related to program rules 2005 - MiCTA meets with USF Rural Health Care Director regarding rules process and procedures 2005 - MiCTA provides training on the USF Rural Health Care Program to its Michigan Rural Health Care members 2

4. Program History (cont’d) 2006-2009 MiCTA meets with several USAC Program Admin regarding rules changes to the program 2010 FCC releases NPRM relative to Rural Health Care Program rules changes 2010 MiCTA has follow-up meeting with USAC Admin regarding additional rules changes 2010-2011 MiCTA has several conference calls with FCC Staff regarding rules changes 3

5. Program History (cont’d) January 2011 MiCTA files request with FCC for listed rules changes to Rural Health Care Program October 2011 MiCTA files second expanded request with FCC for rules changes to RHC Program including expansion of “Eligible Services” June 2012 MiCTA files response with FCC regarding FCC’s Public Notice DA 12-1166 “Final Comments” 4

6. FCC Order 12-150 December 12, 2012 the FCC passes Order 12-150 creating the Healthcare Connect Fund – Creates new course for USF Health Care Funding Order includes MiCTA requests for: Upfront funding for Consortium multi-year funding requests (Must still file 462 annually) MiCTA E-Rate Evergreen MSA’s are allowed to be used in new “Fund” (members can avoid bid process) Initially 3 Maximum request funded – can extend up to 5 year maximum without bidding Must be “memorialized” in the Evergreen Contract 5

7. MiCTA Requests in FCC Order (cont’d) Expansion of Eligible Services – Mobile Health /Telemedicine/Emergency Medical Treatment Flat rate discount on all services Allowance of Urban HCP participation in Rural HCP Consortium (Must have majority Rural HCPs) HCP requirement to investigate available MSA’s to “Lease” facilities for network connectivity before asking for funding to build HCP constructed and owned facilities 6

8. Who Is Eligible to Participate Public or Non-Profit Hospitals, Rural Health Clinics, Community Health Centers, Health Centers Serving Migrants, Community Mental Health Centers, Local Health Departments or Agencies, Post-Secondary Educational Institutions/Teaching Hospitals/Medical Schools or Consortia of the above. Non-Rural HCPs May Participate if They Belong to a Consortium (Must Be a Majority of Rural HCPs) 7

9. Who Is Eligible (cont’d) Largest Non-Rural HCPs (400 +patient beds) Support Capped if Non-Rural ($30,000 annually for recurring services/$70,000 maximum over 5 year period for non-recurring Charges) Rural For-Profit HCPs can Participate in a Consortium of Majority Rural HCPs They Will Not Be Eligible for HCCF Funding But Can Take Advantage of Consortium Pricing 8

10. Key Features Covers Broadband Services Wireline/Wireless and HCP Owned Infrastructure (If most cost effective) Connections to Off-Site Admin Offices and Data Centers Covered Multi-Year Funding Commitments Available to Consortia Consortia members can be made up of participants from anywhere in the country Flat rate 65% discount funding Funding begins January 1, 2014 9

11. What is Supported Broadband Services Reasonable And Customary Installation Charges Equipment Necessary to Make Service Functional Connections to Off-Site Admin Offices/Data Centers Connections to Research/Education Networks 10

12. Skilled Nursing Facilities Pilot Program Test relative to how to support broadband connections for skilled nursing facilities Pilot will begin in 2014 Three year study Funding up to $50 million FCC will solicit input regarding design of the pilot program Participants will be required to collect data and submit reports 11

13. Application Process for MiCTA Health Care Members By FCC Commission ruling MiCTA Health Care Members Are Allowed to Avoid The Form 461 (Bidding Process) In The Process of Filing your 462(s) (request for funding) You Must Provide The Following: A Certified Copy of Your Approved MiCTA Membership (If You Didn’t Save Your Confirmation E-Mailed to You Contact The MiCTA Office if you need a copy sent) Documentation That The MiCTA Vendor Agreement You Have Signed References a MiCTA Approved Contract Under E-Rate 12

14. Application Process (cont’d) For Documentation Certifying MiCTA E-Rate Approved Vendors members should: Go To http:///www.mictatech.orghttp:///www.mictatech.org Select “Resources” On The Left Side of the page Click On “Universal Service Fund” in drop- down box On lower left side of page click on “USAC” in the white box All participating MiCTA E-Rate Vendors are listed with corresponding 470’s on bottom of new page 13 12

15. MiCTA Membership Any Non-Profit/Public HCP In The Country Can Join MiCTA No Cost for 1 st Year Membership Fee Join MiCTA at www.mictatech.orgwww.mictatech.org Curse Over to Membership Box On Left Click on “Join MiCTA” Indicate You Are a New Health Care Member Receive Email Confirmation Save confirmation for HCCF filing 14

16. Contact Information MiCTA Office – Help Desk 888- 964-2227 Gary Green – MiCTA RHC Consultant 231-881-6612 USAC/Health Care Connect Help Desk 800-229-5476 15