MEDICAID ADVANTAGE MODEL CONTRACT Amendment of Agreement Between The City of New York and WellCare of New York, Inc.
Exhibit
10.1
Amendment
of Agreement Between The City of New York
and
WellCare of New York, Inc.
This
Amendment, effective April 1, 2007, amends the Medicaid Advantage Model Contract
(hereinafter referred to as the “Agreement”) made by and between the City of New
York, acting through the New York City Department of Health and Mental Hygiene
(hereinafter referred to as “LDSS” or “DOHMH”) and WellCare of New York, Inc.
(hereinafter referred to as “Contractor” or “MCO”).
WHEREAS
the parties entered into an Agreement effective April 1, 2006, amended January
1, 2007, for the purpose of providing Medicare and Medicaid Advantage Products
to eligible recipients residing in the Contractor’s Medicaid Advantage Service
Area; and
WHEREAS
the parties desire to amend said Agreement to modify certain provisions to
reflect current circumstances and intentions, and, as authorized in Section
2.1
of the Agreement, to extend the term of the Agreement until December 31,
2008;
NOW
THEREFORE, effective April 1, 2007, it is mutually agreed by the parties
to
amend this Agreement as follows:
1.
Amend Section 5.1 (a) “Eligible to Enroll in the Medicaid Advantage Program”
to read as follows:
5.1 Eligible
to Enroll in the Medicaid Advantage program
a)
Except
as specified in Section 5.2, persons meeting the following criteria shall
be
eligible to enroll in the Contractor’s Medicaid Advantage Product:
i)
Must
have full Medicaid coverage;
ii)
Must
have evidence of Medicare Part A & B coverage; or be enrolled in Medicare
Part C coverage;
iii)
Must
reside in the service area as defined in Appendix M of this
Agreement;
iv)
Must
be 18 years of age or older; and
v)
Must
enroll in the Contractor’s Medicare Advantage product as defined in Section 1
and Appendix K-1 of this Agreement.
This
Amendment is effective April 1, 2007 and the Agreement, including the
modifications made by this Amendment, shall remain in effect until December
31,
2008 or until an extension, renewal or successor Agreement is entered into
as
provided for in Section 2.1 of the Agreement.
IN
WITNESS WHEREOF, the parties have duly executed this Amendment to the Agreement
on the dates appearing below their respective signatures
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CONTRACTOR
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CITY
OF NEW YORK
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|
By:
/s/ Xxxx Xxxxx
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/s/ Xxxxxx
Xxxx
|
|
Xxxx
Xxxxx
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Xxxxxx
Xxxx
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|
Title:
President & CEO
|
COO/EDC
|
|
WellCare
of New York, Inc.
|
NYC
DOHMH
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Date:
4/5/07
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0/00/0000
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XXXXX
XX
XXXXXXX
XXXXXX
XX
XXXXXXXXXXXX
Xx
this 5 day of April, 2007, Xxxx
Xxxxx came before me, to me known and known to be the President and CEO of
WellCare of New York, Inc., who is duly authorized to execute the foregoing
instrument on behalf of said corporation and s/he acknowledged to me that
s/he
executed the same for the purpose therein mentioned.
NOTARY
PUBLIC
XXXXX
XX
XXX XXXX
XXXXXX
XX
XXX XXXX
Xx
this
16 day April, 2007, Xxxxxx Xxxx came before me, to me known and known to
be the
Executive Deputy Commissioner in the New York City Department of Health and
Mental Hygiene, who is duly authorized to execute the foregoing instrument
on
behalf of the City and s/he acknowledged to me that s/he executed the same
for
the purpose therein mentioned.
NOTARY
PUBLIC
