MANAGEMENT BEHAVIORAL HEALTH CONTRACT CENTRAL, NORTHWEST & SOUTHEAST AREA/REGION BETWEEN THE PUERTO RICO HEALTH INSURANCE ADMINISTRATION AND

EXHIBIT 10.8

Confidential portions of this document have been omitted and filed separately
with the Commission. The omitted portions have been marked as follows:
"[**]". Portions of 1 page have been omitted.

MANAGEMENT BEHAVIORAL HEALTH CONTRACT
CENTRAL, NORTHWEST & SOUTHEAST
AREA/REGION

BETWEEN

THE PUERTO RICO HEALTH INSURANCE
ADMINISTRATION

AND

APS HEALTHCARE PUERTO RICO, INC.

OCTOBER 1, 2001

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ADMINISTRACION DE SEGUROS DE SALUD
CONTRATO NUMERO
02-033

TABLE OF CONTENTS

I Definitions 5
II Eligibility and Enrollment 12
III Right to Choose 17
IV Secondary Payor 18
V Emergencies 19
VI Access to Benefits 21
VII Contracts with All Participating Providers 24
VIII Subscription Process and Identification Cards 29
IX Plan Description Booklet 29
X Grievance Procedure 32
XI Managed Behavioral Health Organization 34
XII Guarantee of Payment 36
XIII Utilization Review and Quality Assurance 38
XIV Compliance and Agreement for Inspection of Records 42
XV Information Systems and Reporting Requirements 45
XVI Financial Requirements 53
XVII Plan Compliance Evaluation Program 54
XVIII Capitation Payments 62
XIX Actuarial Requirements 65
XX Preventive Medicine Program - ASSMCA Role 66
XXI Mental Health Program and Pharmacy Benefits Management 67
XXII Benefits 72
XXIII Transactions with the Managed Behavioral Health Organization 72
XXIV Cancellation Clause 73
XXV Applicable Law 73
XXVI Effective Date and Term 73

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XXVII Conflict of Interest 74
XXVIII Income Taxes 74
XXIX Advance Directives 74
XXX Ownership and Third Party Transactions 74
XXXI Modification of the Contract 75
XXXII Termination of Agreement 75
XXXIII Transition Clause 76
XXXIV Third Party Disclaimer 77
XXXV Penalties Sanctions Clauses 77
XXXVI Notice Requirement 80
XXXVII Hold Harmless Clause 80
XXXVIII Center of Medicare and Medicaid Services Contract 81
XXIX Force Majeure 81
XL Year 2000 Clause 81
XLI Federal Government Approval 81
XLII Entire Agreement 82

ADDENDA:

ADDENDUM I Benefits Coverage-Formulary

ADDENDUM II MANAGED BEHAVIORAL HEALTH ORGANIZATION (MBHO) Beneficiaries Manual

ADDENDUM III MANAGED BEHAVIORAL HEALTH ORGANIZATION (MBHO) Grievance Procedure

ADDENDUM IV Proposed Information Requirements and Data Format

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ADMINISTRACION DE SEGUROS DE SALUD
CONTRATO NUMERO
02-033

CONTRACT FOR MANAGED MENTAL HEALTH
AND SUBSTANCE ABUSE SERVICES

This Agreement entered into this at San Xxxx, Puerto Rico on the date next
to their signatures, by and between the PUERTO RICO HEALTH INSURANCE
ADMINISTRATION, a public instrumentality of the Commonwealth of Puerto Rico,
organized under Law 72 approved on September 7, 1993, hereinafter referred to as
the "ADMINISTRATION", represented by its Executive Director, Mr. Xxxxxxx
Xxxxxxxx Xxxxxx, the ADMINISTRATION FOR MENTAL HEALTH AND SUBSTANCE ABUSE
SERVICES, a public agency created by Public Law No. 67, of August 7, 1993
(hereinafter referred to as "ASSMCA") represented by the ADMINISTRATION; and APS
HEALTHCARE PUERTO RICO, INC., formerly AMERICAN PSYCH SYSTEM OF PUERTO RICO,
INC., a corporation duly organized and existing under the laws of the
Commonwealth of Puerto Rico, with employer social security number 00-0000000,
hereinafter referred to as the "MBHO", and represented by its President and CEO
of the Puerto Rico Division, Xxxxxxxx Xxxxxxxxx.

WITNESSETH

In consideration of the mutual covenants and agreements hereinafter set
forth, the parties, their personal representatives and successors, agree as
follows:

FIRST: ASSMCA in joint collaboration with the ADMINISTRATION has the
responsibility to seek, negotiate, and contract with the MBHO the provision of
mental health care services to all citizens that reside in the island of Puerto
Rico so that they may have access to comprehensive quality mental health care
services, regardless of their economic condition and capacity to pay.

SECOND: Under Law 72 of September 7, 1993 the legislature empowered the
ADMINISTRATION to seek, negotiate and contract health insurance programs
allowing its beneficiaries access to overall comprehensive quality health
services, in particular the medically indigent and the public employees and
pensioners of the Central Government.

THIRD: ASSMCA has been authorized and charged with promoting, monitoring,
extending and/or providing mental healthcare services to the population of
Puerto Rico, in a manner consistent with the principles and philosophy, of
preventive care, outreach, and full access embodied in the Health Reform Program
of the Commonwealth of Puerto Rico.

FOURTH: The Department of Health, "Governmental Agency" primarily responsible
for the administering the funds under the Medicaid Program and ASSMCA have
agreed with the ADMINISTRATION to conduct the procurement and monitoring of the
mental

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healthcare and substance abuse services to be provided under the Health Reform
Program of the Commonwealth of Puerto Rico through the ADMINISTRATION as their
representative, separating the provision of said services from the general
healthcare services previously provided by the Insurers. In accordance with
cooperation agreement, its charter law (Law 67 of August 7, 1993) and
superseding Law 408 of October 2, 2000, ASSMCA shall procure, oversee and
monitor the provision of mental health services programs in the diverse health
regions of Puerto Rico. The final purpose of said reorganization shall ensure
the expertise, resources, and knowledge of both the ADMINISTRATION and ASSMCA to
result in a more cost-efficient, accessible and improved quality of mental
health services for the eligible beneficiaries of the Health Reform Program.

FIFTH: ASSMCA and the ADMINISTRATION have reached an agreement to collaborate in
providing mental healthcare and substance abuse services through the present
Contract to the eligible beneficiaries of the Health Reform Program. As such,
ASSMCA and THE ADMINISTRATION have agreed that the provision, access to and
financing of coverage for mental healthcare and substance abuse services shall
be contracted directly between the ADMINISTRATION (also acting in
representation of ASSMCA) and an adequate private provider of mental health and
substances abuse services.

SIXTH: ASSMCA, as allowed by its organic charter and law 408, is authorized to
license and contract with a suitable private/public entity(ies), in the
provision of mental healthcare and substances abuse services covered by the
Health Reform Program to all eligible beneficiaries, and the ADMINISTRATION is
authorized to act as a representative of other governmental entities. Law 72 of
September 7, 199\3.

SEVENTH: ASSMCA published a Request For Proposals for the North, Metro-North,
East, Southeast, West, Southwest, San Xxxx, Northwest, Northeast and Central
Health Area/Region, seeking to provide mental health services to all eligible
beneficiaries in said health Areas/Regions, by contracting with MANAGED
BEHAVIORAL HEALTH ORGANIZATIONS.

EIGHTH: In keeping with this undertaking, the ADMINISTRATION on behalf of ASSMCA
will provide mental healthcare and substance abuse services through this
contract, subject to and in accordance with to the terms and conditions of Law
No. 72 of September 7, 1993; Law 67 of August 7, 1993; Law 408 of October 2,
2000 (Puerto Rico Mental Health Code); Law 194 of August 25, 2000 (Puerto Rico
Patient's Xxxx of Rights) and the applicable titles of XIX and XXI of the
Medicaid Program. The services included in this Contract are limited to (i) the
mental healthcare and substance abuse services contemplated under the Health
Reform Program, (ii) the medication needed for said treatment (s), and (iii) any
those other services which may, from time to time, be included in the coverage
provided to eligible beneficiaries through mutually agreed amendments to the
coverage provided in this Contract in compliance with any approved public policy
and guidelines as duly established by the Department of Health.

NINTH: The ADMINISTRATION has decided to accept the proposal of and award to the
MBHOs the Contracts to provide the mental health care and substance abuse
services to all eligible Health Reform beneficiaries in several Area/Regions of
the Commonwealth of Puerto Rico under the agreed terms and conditions contained
herein. Each Area/Region covered by this contract will be treated as subject to
a separate contractual relationship under the terms and conditions contained in
this single contract in order to avoid executing multiple contracts with exactly
the same terms and conditions, therefore each of the following Area/Regions
awarded to the MBHOs will be subject to all of the terms and conditions
contained herein, except for the monthly capitation payments provided for under
Article XVIII hereof which will be separately stated and need not be identical:

CENTRAL Area/Region composed of the municipalities of ADJUNTAS, AGUAS BUENAS,
AIBONITO, BARRANQUITAS, CAYEY, CIDRA, COMERIO, COROZAL, JAYUYA, LAS MARIAS,
MARICAO, NARANJITO, OROCOVIS, TOA ALTA, AND VILLALBA.

NORTH WEST Area/Region composed of the municipalities of AGUADA, AGUADILLA,
ANASCO, ISABELA, MOCA, RINCON AND SAN SEBASTIAN.

SOUTH EAST Area/Region composed of the municipalities of XXXXXX, COAMO, GUAYAMA,
XXXXX XXXX, MAUNABO, PATILLAS, XXXXXXX AND SANTA XXXXXX.

NOW THEREFORE, the parties agree to enter into, and duly perform their mutual
obligations under this contract, subject to the following:

TERMS AND CONDITIONS

ARTICLE I
DEFINITIONS

ACCESS: Adequate availability of all necessary mental health care and substance
abuse services included in the contract to fulfill the needs of the
beneficiaries under the Health Reform Program.

ADMINISTRATION: Puerto Rico Health Insurance Administration, normally known as
ASES (Administracion de Seguros de Salud).

ADVANCE DIRECTIVES: A written instruction such as a living will or durable power
of attorney for health care, recognized under the laws of the Commonwealth of
Puerto Rico (whether statutory or as recognized by the courts of the
Commonwealth, relating to the provision of health care when the individual is
incapacitated.

ANCILLARY SERVICES: Supplemental services, including laboratory, therapy, and or
other services which are provided in conjunction with mental health and
substance abuse services or hospital care.

ASSMCA - MENTAL HEALTH AND SUBSTANCE ABUSE ADMINISTRATION: Spanish acronym for
the Puerto Rico Mental Health and Substance Abuse Administration, the
Commonwealth agency which has the responsibility for the planning, contracting
and establishing of mental health and substance abuse policies and procedures.

BENEFICIARY: Any person that under Law 72 of September 7, 1993 is determined
eligible to receive services, is reported as such to the MBHO by the
ADMINISTRATION, and is enrolled in the plan.

CAPITATION: The compensation paid to the MBHO for all the benefits provided on
the mental health coverage to the enrolled beneficiaries under the Health Reform
Program.

CO-INSURANCE: Percentage based participation of the beneficiary on each loss or
portion of the cost of receiving a service.

CONTRACT: The present contractual relationship between ASSMCA, the
ADMINISTRATION and the MBHO, and to which, 1) Law 72 of September 7, 1993 and
other applicable laws and regulations set forth on paragraph Sixth, 2) the
Request For Proposal, 3) the MBHO's Proposal documents, 4) the representations
and assurances provided at the clarification meeting held on June 25, 2001
contained in the transcript of the meeting, and 5) all other certifications
issued by the MBHO following said clarification meeting, are herein incorporated
by reference. All of the five (5) preceding set of documents are integral parts
of this contract.

CONTRACT TERM: Period of nine (9) consecutive months beginning on the date the
contract is effective. The coverage shall end at the conclusion of the contract
term, unless extended pursuant to Article XXVI.

COVERED MENTAL HEALTH SERVICES: The services described in Addendum I.

CLIA: Clinical Laboratory improvement Act

CMS: Acronym for the Center of Medicare and Medicaid Services.

DEDUCTIBLE: A fixed amount that the beneficiary has to pay to the provider as
part of the cost of receiving any mental health care service, as provided in
Addendum I of this contract.

EMTALA: EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT.

EMERGENCY MEDICAL CONDITION: (Prudent Layperson Standard) a medical condition
presenting symptoms of sufficient severity that a person with average knowledge
of health and medicine would reasonably expect the absence of immediate medical
attention to result in (i) placing their health or the health of an unborn child
in immediate jeopardy, (ii) serious impairment of bodily functions, or (iii)
serious dysfunction of any bodily organ or part.

EMERGENCY PSYCHIATRIC CONDITION: The clinical situation characterized by an
alteration of a person's thought process, the perception of reality, feelings,
or sentiments, or in action or behavior which warrants immediate or urgent
therapeutic intervention due to the intensity of the symptoms shown, and the
possibility that said person may harm him/herself or others.

ENCOUNTER: A contact between a patient and health professional during which a
service is provided. An encounter form records selected identifying, diagnostic
and related information describing an encounter.

FAMILY CONTRACT: The benefits provided to the following eligible beneficiaries;
1) principal subscriber; and 2) his or her spouse (legally married or common
law.); and 3) his or her children (legally, adopted, xxxxxx or step children)
under 21 years old that depend on the principal subscriber for subsistence; and
4) individuals under 21 years of age who have no children and live in common law
with one of the eligible children in the same household; and 5) his or her
dependents, of any age, who are blind or permanently disabled and live in the
same household. Female beneficiaries (except spouse) covered under family
contract who become pregnant shall constitute a separate subscriber under an
individual contract as of the first day of the month the pregnancy is diagnosed
and reported to the MBHO.

HEALTH CARE ORGANIZATION / HCO: A health care entity supported by a network of
providers and which is based on a managed care system and accessed through a
primary care physician (gatekeeper). For the purpose of this contract the HCO
will be identified by its descriptive name such as Primary Care Center,
Physician Hospital Organization (PHO), Independent Practice Association (IPA),
Primary Provider Group (PPG), or any other model. The MBHO is responsible for
the availability of all necessary providers to cover all the mental health and
substance abuse services under this coverage.

HEALTH AREA/REGION: Each of the Health Area/Regions enumerated in paragraph
NINE, above.

HEDIS: Health Plan-Employer Data and Information Set.

HIPAA: The Health insurance Portability and Accountability Act is federal
legislation (Public law 104-191) approved by Congress in August 21, 1996
regulating the continuity and portability of health plans, mandating the
adoption and implementation of

administrative simplification standards to prevent, fraud, abuse, improve health
plan overall operations and guarantee the privacy and confidentiality of
individually identifiable health information.

INDIVIDUAL CONTRACT: The benefits provided to eligible subscribers that are 1)
unmarried single adults without minor dependents, or 2) married adults whose
spouse and/or dependents are not eligible for coverage under this program; or 3)
Female beneficiaries (except spouse) covered under family contract who become
pregnant as of the first day of the month the pregnancy is diagnosed and
reported to the MBHO.

INSURER: IS A PRIVATE ENTITY WHICH MEETS THE DEFINITION OF A MANAGED CARE
ORGANIZATION (MCO), PREVIOUSLY KNOWN AS A STATE DEFINED HMO, HAS A COMPREHENSIVE
RISK CONTRACT PRIMARILY FOR THE PURPOSE OF PROVIDING HEALTH CARE SERVICES,
MAKING THE SERVICES IT PROVIDES ACCESSIBLE (IN TERMS OF TIMELINESS, AMOUNT,
DURATION AND SCOPE AS THOSE SERVICES ARE TO OTHER MEDICAID RECIPIENTS WITHIN THE
AREA/REGION SERVED BY THE ENTITY UNDER THE LAW AS A STATE LICENSED RISK BEARING
ENTITY.

MANAGED BEHAVIORAL HEALTH ORGANIZATION: An entity duly organized under the laws
of Puerto Rico constituted by Mental Health Participating Providers and
organized with the purpose of negotiating contracts to provide mental health and
substance abuse services.

MCO: Managed Care Organization.

MEDICARE: Federal health insurance program for people 65 or older, people of any
age with permanent kidney failure, and certain disabled people according to
Title XVIII of the Social Security Act. Medicare has two parts: Part A and Part
B. Part A is the hospital insurance that includes inpatient hospital care and
certain follow up care. Part B is medical insurance that includes doctor
services and many other medical services and items. A Medicare recipient is a
person who has either Part A or Part A and B insurance.

MEDICARE BENEFICIARY: Any person who is a Medicare recipient of Part A or Part A
and Part B and complies with the definition of beneficiary established in this
article.

MEDICALLY NECESSARY SERVICES: shall mean services or supplies provided by an
institution, physician, psychiatrist, psychologist or other providers that are
required to identify or treat a beneficiary's mental illness, mental disorder,
mental health condition or behavioral disorders which are:

a. Consistent with the symptoms or diagnosis and treatment of the
enrollee's condition; and

b. Appropriate with regard to standards of good medical practice; and

c. Not solely for the convenience of an enrollee, physician,
psychiatrist, institution or other provider; and

d. The most appropriate supply or level of services that can safely be
provided to the enrollee. When applied to the care of an inpatient,
it further means that services for the enrollee's medical symptoms
or condition require that the services cannot be safely provided bo
the enrollee as an outpatient; and

e. When applied to enrollees under 21 years of age, services shall be
provided in accordance with the applicable state and federal
regulations as described in this contract.

MENTAL HEALTH FACILITIES: Any premises (a) owned, leased, used or operated
directly or indirectly by or for all MBHO or its affiliates for purpsoes realted
to this Agreement; or (b) maintained by a MBHO or its provider to provide mental
health services on behalf of the MBHO.

MENTAL HEALTH AND SUBSTANCE ABUSE PARTICIPATING PROVIDER: All mental health
care, behavioral and substance abuse services providers that have a contract in
effect with the MBHO/providers and who are necessary to complete and carry out
the mental health services as required by the ADMINISTRATION under this
contract.

MENTAL HEALTH AND SUBSTANCE ABUSE PROFESSIONAL TEAM: All mental health,
behavioral and substance abuse providers in different disciplines needed to
render the mental health services under this contract, including at least:
psychiatrist, psychologists, social workers, nurses and other specialized
trained personnel, which has been duly authorized to practice said profession
under applicable laws and regulations of Puerto Rico and are also under contract
with the MBHO or its providers for rendering such services.

NCQA: National Committee for Quality Assurance.

NON-PARTICIPATING PROVIDER: All mental health care, behavioral and substance
abuse services providers that do not have a contract in effect with the MBHO.
Said provider is barred from providing services under this contract.

PARTICIPATING PHYSICIAN: A doctor of medicine that is legally authorized to
practice medicine and surgery within the Commonwealth of Puerto Rico and has a
contract in effect with a contracted Managed Behavioral Health Organization
under the Health Reform.

PARTICIPATING PROVIDER: An individual or entity that is authorized under the
laws and regulations of the Commonwealth of Puerto Rico to provide mental health
care, behavioral and substance abuse services and is under contract with the
MBHO.

PARTICIPATING PSYCHIATRIST: A psychiatrist that is legally authorized to
practice psychiatric medicine within the Commonwealth of Puerto Rico and has in
effect a contract with any specific MANAGED BEHAVIORAL HEALTH ORGANIZATION.

PERSON WITH AN OWNERSHIP OR CONTROL INTEREST: A person or corporation that:
owns, directly or indirectly five percent (5%) or more of the MBHO's capital or
stock or receives five percent (5%) or more of its profits; has an interest in
any mortgage, deed of trust, note, or other obligations secured in whole or in
part by the MBHO or by its property or assets, and that interest is equal to or
exceeds five percent (5%) of the total property and assets of the MBHO; or is an
officer or director of the MBHO.

PHARMACY BENEFITS MANAGER (PBM): Private entity contracted by insurance carriers
and/or by the ADMINISTRATION under the Health Reform Program to function as
their, pharmaceutical benefit manager responsible for claims processing, drug
utilization review, disease management, formulary control and
beneficiaries-customer information services for the pharmaceutical benefits
provided by the basic, special and mental coverage of the Health Reform Program.

PLAN COMPLIANCE EVALUATION PROGRAM: A PROGRAM TO BE DEVELOPED BY THE PARTIES FOR
THIS AGREEMENT TO EVALUATE PERFORMANCE UNDER THE TERMS AND CONDITIONS OF THIS
CONTRACT REFERRED TO AS IN ARTICLE XVII.

PHYSICIAN INCENTIVE PLAN (PIP): Any compensation arrangements between the MBHO
and physician or physician groups that may directly or indirectly have the
effect of reducing or limiting services furnished to Medicaid recipients
enrolled with the MBHO.

PRE-AUTHORIZATION: A written or electronic approval by the MBHO to the
beneficiary granting authorization for a benefit to be provided under the Mental
Health Coverage of the program. Notwithstanding the aforementioned, the MBHO has
the option of not requiring pre-authorization for all services received within a
particular provider.

PER MEMBER PER MONTH RATE (PMPM): The monthly capitated payment that the
ADMINISTRATION shall pay to the MBHO as a result of having assumed the financial
risk for providing the mental health services to the enrolled beneficiaries
under the Health Reform Program.

PRIMARY CARE PHYSICIAN (PCP): A doctor of medicine legally authorized to
practice medicine and surgery within the Commonwealth of Puerto Rico, and the
Basic and Special Coverage of the Health Reform Program who initially evaluates
and provides treatment to beneficiaries. He/she is responsible for determining
the services required by the beneficiaries, provides continuity of care, and
refers the beneficiaries to specialized services if deemed medically necessary.
Primary physicians will be considered those professionals accepted as such in
the local and federal jurisdictions.

The following are considered primary care physicians: Pediatricians,
Obstetricians/Gynecologists, Family Physicians, Internists and General
Practitioners.

PRICO: Acronym for the Puerto Rico Insurance Commissioner's Office, the state
agency responsible for regulating, fiscalizing, and licensing insurance business
in Puerto Rico.

SECOND MEDICAL OPINION: A consultation with a peer requested by the beneficiary,
the Participating Psychiatrist or other Provider assess the appropriateness of a
previous recommendation for particular mental health condition and treatment.

SUBSCRIBER: The beneficiary covered under the individual contract of the plan or
the principal beneficiary who gives eligibility to all those beneficiaries
included under the family contract.

SUPPORT PARTICIPATING PROVIDERS: Health care service providers who are needed to
complement and provide support services to the MBHO contract. The following will
be considered support participating providers, among others: Pharmacies,
Hospitals, Health Related Professionals, Clinical Laboratories, Radiological
Facilities, Partial Hospital Programs (PHP), Ambulatory Intensive Outpatient
Program (IOP), Ambulatory Care and all those participating providers that may be
needed to provide mental health care, behavioral services considering the
specific mental health and substance abuse problems of the Area/Region.

QUALITY IMPROVEMENT (QI): The ongoing process of responding to data gathered
through quality monitoring efforts, in such a way as to improve the quality of
mental health care delivered to individuals. This process necessarily involves
follow-up studies of the measures taken to effect change in order to demonstrate
that the desired change has occurred.

UTILIZATION MANAGEMENT (UM): The process of evaluating necessity,
appropriateness and efficiency of mental healthcare services through the
revision of information about hospital, service or procedure from patients
and/or providers to determine whether it meets established guidelines and
criteria approved by the MBHO.

ORGANIZATION AND ADMINISTRATION

The MBHO must maintain the organizational and administrative capacity to
carry out all duties and responsibilities set forth under this contract, to wit:

1. Maintain assigned staff with the capacity to provide all services to all
Beneficiaries under this contract.

2. Maintain a local office in the service area where administrative services
are rendered. The local office must comply with the American with
Disabilities Act (ADA) requirements for public buildings.

3. Provide training and development programs to all assigned staff to ensure
they know and understand the service requirements under this contract
including the reporting requirements, the policies and procedures,
cultural and linguistic requirements and the scope of services to be
provided. The training and development plan must be submitted to THE
ADMINISTRATION.

4. Notify the ADMINISTRATION immediately and not later than (30) thirty days
after the effective date of this contract of any changes in its
organizational chart as previously submitted to the ADMINISTRATION.

5. Notify the ADMINISTRATION immediately and no later than fifteen (15)
fifteen working days of any change in regional or office managers. This
information must be updated whenever there is a significant change in
organizational structure or personnel.

ARTICLE II
ELIGIBILITY AND ENROLLMENT

1. Eligibility shall be determined according to Article VI, Section 5 of Law
72 of September 7, 1993 and the federal laws and regulations governing
eligibility requirements for the Medicaid Program Enrollment data will be
completed by insurers who will promptly transfer the enrollment data to
the MANAGED BEHAVIORAL HEALTH ORGANIZATION for the appropriate
Area/Regions.

2. The MBHO shall provide coverage for all the eligible beneficiaries as
provided in the prior section.

3. The MBHO shall inform beneficiaries, who are also Medicare recipients with
Part A or Part A and Part B, that if they choose to become beneficiaries
under the contracted health insurance, the mental health benefits provided
will be accessed exclusively through the MHBO. In this situation:

a) bad debt reimbursement, as a result of non-payment of deductibles
and/or coinsurance, for covered Part A services and Part B services
provided in hospital setting, other than physician services;

b) payment for covered Part A services;

c) payment for Part B outpatient services provided in a hospital
setting: and

d) all covered Part B services,

will continue to be recognized as a covered reimbursable Medicare Program
cost. Medicare beneficiaries with either Part A or Part A and B. can
choose to access their Part A or Part B services from the Medicare's
providers list except that in this case the MBHO will not cover the
payment of any benefits provided through this contract.

4. The MBHO represents that the capitated amount paid to each provider does
not include payment for services covered under the Medicare Federal
Program. The participating providers or any other physician contracted on
a salary basis cannot receive duplicate payments for those beneficiaries
that have Medicare Part A or Part B coverage. The MBHO further represents
that it will audit and review its billing data to avoid duplicate payment
with the Medicare Program. The MBHO shall report its findings to the
ADMINISTRATION on a quarterly basis. The ADMINISTRATION will audit and
review Medicare billing data for Part A or Part B payment for
beneficiaries eligible to said Federal Program.

5. Co-insurance and deductible for Part B services provided on an outpatient
basis to hospital clinics, other than physician services, will be
considered as a covered bad debt reimbursement item under the Medicare
program cost. In this instance, the MBHO will pay for the co-insurance and
deductibles related to the physician services provided as a Part B service
through the amount paid to the provider.

6. The MBHO guarantees to maintain adequate services for the Health
Area/Region for the prompt access of services to all eligible and enrolled
beneficiaries. The MBHO shall maintain sufficient facilities within the
Area/Region as needed.

7. The MBHO shall be responsible to provide the subscriber with specific
information allowing for the prompt access of services to all eligible
individuals.

8. The ADMINISTRATION shall notify the INSURER promptly of all beneficiaries
who have become eligible, as well as those who have ceased to be eligible,
the INSURER shall notify the MBHO promptly. Notification of eligible
persons will be made through electronic transmissions or machine readable
media by the INSURER. The INSURER will forward this data to the MBHO
through electronic transmission or machine readable-media.

9. The beneficiary becomes eligible for enrollment as of the date specified
in the ADMINISTRATION's notification to the INSURER.

10. The beneficiary ceases to be eligible as of the disenrollment date
specified in the ADMINISTRATION's notification to the INSURER. If THE
ADMINISTRATION notifies the INSURER that the beneficiary ceased to be
eligible on or before the last working day of the month in which
eligibility ceases, the disenrollment will be

effective on the first day of the following month. Disenrollment will be
effected exclusively by a notification issued by the ADMINISTRATION.

11. RESERVED.

12. Coverage under the plan shall begin the day that the enrollment process
has been completed. Payments shall be paid on a pro-rata basis as of the
date that the enrollment process was completed and the official
identification card has been issued by the INSURER contracted by the
Administration in the Region, to the end of the month.

13. In case that an individual has been certified as eligible by the
Department of Health but has not completed the enrollment process, and
he/she or his/her dependents need emergency psychiatric services, the
ADMINISTRATION shall verify the eligibility status of the individual. If
the individual is eligible as a beneficiary, emergency psychiatric
services will be provided as if the individual is a beneficiary and
arrangements for the issuance of the identification card will be made
immediately after the notification of eligibility is made by the
ADMINISTRATION to the INSURER. The capitated payment in this instance will
be paid to the MBHO on a pro-rata basis from the moment the emergency
psychiatric services needed are provided or the identification card is
issued, whichever is first. For the purpose of this situation, the
enrollment process is the process that commences at the time that the
ADMINISTRATION gives notice to the INSURER of the beneficiaries
eligibility status, and results in a letter to said beneficiary
establishing the date and location for the completion of the enrollment
documents and selection of the HCO. Said process ends when the beneficiary
has selected an HCO from those available in the INSURER's Health
Area/Region and has received an identification card.

Nothing provided in this section is intended to affect a provider's
obligation to screen and stabilize an individual arriving at its
facilities for emergency psychiatric treatment as defined by EMTALA and
the applicable Commonwealth laws.

14. Coverage shall end effective on the date of disenrollment. Capitated
payments will be paid to the MBHO until the effective date of
disenrollment. In the event of disenrollment while the beneficiary is an
inpatient of a hospital on the last day of the month of coverage, and
continues to be an inpatient of a hospital during the month following his
disenrollment, the ADMINISTRATION will cover the capitated payment for
that following month. Disenrollment will be effected exclusively by a
notification issued by the ADMINISTRATION.

15. The MBHO shall not in any way discriminate nor terminate coverage of any
beneficiary(ies) for reasons due to adverse change in recipient's health,
or based on expectations that an enrollee will require high cost care, or
need of health

services, or any reason whatsoever, except for non-payment of capitation
or fraudulent use of benefits or participation of fraudulent acts, after
prior notification and consultation with the ADMINISTRATION.

16. The MBHO agrees to maintain an Enrollment Data Base which includes each
subscriber and all beneficiaries.

17. All individually identified information of services related to
beneficiaries which is obtained by the MBHO shall be confidential and
shall be used or disclosed by the MBHO, the HCO and/or its participating
providers only for purposes directly connected with performance of all
obligations contained in this contract. Medical records and management
information data concerning any beneficiary enrolled pursuant to this
contract shall be confidential and shall be disclosed within the MBHO's
organization or to other persons, as authorized by the ADMINISTRATION,
only as necessary to provide medical care and quality, peer or grievance
review of such medical care under the terms of this contract and in
coordination with the contract subscribed by the ADMINISTRATION. The
confidentiality provisions herein contained shall survive the termination
of this contract and shall bind the MBHO, its participating providers as
long as they maintain any individually identifiable information relating
to beneficiaries as provided in the implementation of the HIPAA regulation
schedule to be set forth by the Federal Government, 45 CFR 164.102 et.
seq. Any request for information which is made by third parties not
related to this contract will be forwarded to the ADMINISTRATION for
consideration, review and decision as to the pertinence of the request and
the authorization for disclosure.

Nothing in this section shall limit or affect the ADMINISTRATION's, the
MBHO and /or providers obligations regarding protected individually
identifiable health information as provided in 45 CFR 164.102 et seq.
(HIPAA) regulations.

Disclosure of individually identifiable health information to any business
associate as defined in 45 CFR 164.504(e) of the HIPAA regulations by the
MBHO shall entail the legal obligations set forth therein.

The MBHO agrees that all clinical information concerning any member shall
be maintained confidentially and in accordance with all applicable laws
and regulations. The MBHO's shall train it's appropriate personnel
concerning the proper maintenance and confidentiality, requirements,
including any special requirements applicable to drug and alcohol
treatment records and HIV/AIDS treatment records.

No MBHO's shall make voluntary disclosure of the terms and conditions
contained in this agreement. The paragraph shall not restrict any party
from providing a copy of this Agreement to its own personnel with a need
to know the terms and conditions hereof or to Governmental authorities
and/or appropriate

regulatory bodies, or to comply with subpoenas or other mandatory
disclosures; provided however, that a party may disclose any or all of the
terms of this agreement to Governmental authorities and/or appropriate
regulatory bodies or comply with subpoenas or other mandatory disclosures.

18. The MBHO agrees to notify the ADMINISTRATION immediately of any change in
the place of residence of the subscriber or beneficiary, insofar as the
subscriber makes the change known to the MBHO.

19. The MBHO hereby commits to comply with the electronic transactions,
security and privacy requirements of the HIPAA regulations as provided in
45CFR 160 and 142 et seq. within the implementation dates set forth
therein or by subsequent regulations schedule.

20. The MBHO has a limited right for requesting that a beneficiary be
disenrolled from the MBHO without the beneficiary's consent. The
ADMINISTRATION must approve any MANAGED BEHAVIORAL HEALTH ORGANIZATION
request for disenrolling a beneficiary for cause.

21. Disenrollment of a beneficiary may be permitted under the following
circumstances:

(a) Beneficiary misuses or loans his/her membership card to another
person to obtain services.

(b) Beneficiary is disruptive, unruly, threatening or uncooperative to
the extent that beneficiary's membership seriously impairs the
MBHO's or providers ability to provide services to other
beneficiaries or to obtain new beneficiaries' and beneficiary's
behavior is not caused by a physical or other mental health
condition.

The MBHO must take reasonable measures to improve a beneficiary's behavior
prior to requesting refusal or disenrollment and must notify beneficiary
of its intent to refuse treatment or disenroll. Reasonable measure may
include providing education and counseling regarding the offensive acts or
behavior.

If the beneficiary disagrees with the decision to refuse
treatment/disenroll the beneficiary from the MBHO, the MBHO must notify
the beneficiary of the availability of the Complaint and Grievance
Procedure and of the ADMINISTRATION's Hearing process.

If the beneficiary disagrees with the decision to disenroll, the MBHO must
notify the Beneficiary of the availability of the complaint and grievance
procedure with the Hearing Process, or as provided by Law 72 of September
7, 1993, as amended

ARTICLE III
RIGHT TO CHOOSE

1. The beneficiary shall have the right to choose his or her mental health
provider from those available within the MBHO. Said right also encompasses
the change of the selected mental health provider at any time by making
the proper administrative arrangements within the MBHO in conformity with
the MBHO established policy. The selected mental health provider or the
SUBSTITUTE on-duty within the MBHO must be available on a 24-hour basis
for emergencies and/or telephone consultations. Each MANAGED BEHAVIORAL
HEALTH ORGANIZATION must have available on-call mental health providers at
all times.

2. The MBHO must be available to attend the health care needs of the
beneficiary on a twenty-four (24) hour basis, seven (7) days a week.

3. The MBHO will provide to each principal subscriber a complete list of all
participating physician psychiatrists, psychologists and participating
providers, with addresses and specialties of mental health related
services offered, in order to allow the beneficiary to choose among them:

4. The beneficiary shall also have the right to choose the pharmacy within
the network of pharmacies registered within PBM's network of pharmacy
providers. The pharmacy benefits under the mental health coverage will be
administered and managed by ADMINISTRATIONS' Pharmacy Benefits Manager
according to the guidelines established and set forth by ASSMCA and the
ADMINISTRATION's Pharmacy and Therapeutic Committee.

Any new guidelines shall become effective sixty (60) days after notice to
the MBHO. The ADMINISTRATION will determine the acceptable
pharmacy/beneficiary ratio in order to assure access to the pharmacy
benefits. The right to choose requires the availability of sufficient
number of pharmacies in each municipality of residence of the
beneficiaries.

6. The MBHO will not negotiate directly with any pharmacy for the cost of any
authorized prescriptions that should be dispensed through any of the
pharmacy network participants.

7. The MBHO will develop and effectively disseminate an education and
orientation program in order to insure that all eligible beneficiaries are
aware of their rights under this contract, including their right to choose
providers. The ADMINISTRATION reserves the right to make changes,
modifications and recommendations to said program in coordination and
agreement with the MBHO. This program shall be subject to approval by
ADMINISTRATION prior to its implementation and in compliance with the
marketing guidelines and prohibitions referred in Article IX.

8. Notwithstanding the foregoing, the ADMINISTRATION shall preserve the right
in coordination with the MBHO, to expand, limit or otherwise amend the
provision of services as provided for herein and/or to negotiate in
coordination with the MBHO, cost saving and efficiency improvement
measures. In those cases in which ADMINISTRATION acts on its own, changes
to the provision of services shall be notified to the MBHO no later than
30 days prior to implementation. Said modifications will take place after
consultation and cost negotiation with the MBHO.

ARTICLE IV
SECONDARY PAYOR

1. The MBHO shall be a secondary payor to any other party liable in any claim
for services to a beneficiary, including but not limited to: the MBHO
itself, Medicare, other MANAGED BEHAVIORAL HEALTH ORGANIZATIONS or Health
Maintenance Organizations (HMO's), non-profit MANAGED BEHAVIORAL HEALTH
ORGANIZATION operating under Law 152 approved May 9, 1942 as amended,
Teachers Association of Puerto Rico, medical plans sponsored by employee
organizations, labor unions, and any other entity that results liable for
the benefits claimed against the MBHO for coverage to beneficiaries.

2. It shall be the responsibility of the MBHO to ascertain that the
aforementioned provisions of Law 72 of September 7, 1993 are enforced and
that the MBHO acts as secondary payor to any medical insurance.

3. The MBHO will make diligent efforts to determine if beneficiaries have
third party coverage and will attempt to utilize such coverage when
applicable. The MBHO, will be permitted to retain 100% of the collections
from subrogation. The plan's experience will be credited with the amount
collected from said primary payor.

4. The MBHO must report quarterly to the ADMINISTRATION the amounts collected
from third parties for health services provided. Said reports must provide
a detailed description of the beneficiary's name, contract number, third
party payor name and address, date of service, diagnosis and provider's
name and address and identification number.

5. The MBHO must report quarterly to the ADMINISTRATION the amounts collected
from third parties for health services provided according with standard
format to be adopted by the ADMINISTRATION. Said reports must provide a
detailed description of the beneficiary's name, contract number, third
party payor name and address, date of service, diagnosis and provider's
name and address and identification number.

6. The MBHO shall develop specific procedures for the exchange of
information, collections and reporting of other primary payor sources and
is required to verify its own eligibility files for information on whether
or not the beneficiary has private health insurance.

7. The MBHO must implement and execute, an effective and diligent mechanism
in order to assure the collection from primary payors of all benefits
covered under this contract. Said program, mechanisms and method of
implementation shall be reported to the ADMINISTRATION as of the first
date of the effectiveness of this contract.

8. Failure of the MBHO to comply with this Article may, at the discretion of
the ADMINISTRATION, be cause for the application of the provisions under
Article XXXII.

ARTICLE V
EMERGENCIES

1. In cases of psychiatric emergencies or immediate need of mental health and
substance abuse care within the Commonwealth of Puerto Rico, the MBHO will
be responsible for the payment of emergency mental health service provided
to beneficiaries when the emergency or immediate need of mental health and
substance abuse care occurs within its network or outside of its network
or the geographical Area/Region of the selected mental health provider
emergency care facility. Such services must be paid by the MBHO regardless
of whether the entity that furnishes the service has contracted with the
MBHO and no prior authorization shall be required by the MBHO for the
provision of emergency services according to established medical necessity
criterion.

Such psychiatric services shall consist of whatever is necessary to
stabilize the patient's condition, unless the expected medical benefits of
a transfer outweigh the risk of not undertaking the transfer, and the
transfer conforms with all applicable requirements. The stabilization
services includes all treatment that may be necessary to assure within
reasonable medical probability, that no material or self-inflicted harm or
deterioration of the patient's condition or to other persons, is likely to
result from or occur during discharge of the patient or transfer of
patient to another facility.

In the event of a disagreement with the provider concerning whether a
patient is stable enough in order to be discharged or transferred or
whether the medical benefits outweigh the risk, the judgment of the
attending physician caring for the enrollee will prevail and oblige the
MBHO to provide such services as contemplated under this contract. Such
services shall be provided in such a manner as to allow the Beneficiary
to be stable for discharge or transfer as defined by EMTALA.

2. Since emergency care is of utmost concern to the ADMINISTRATION, the MBHO
shall require that adequate ambulance transportation and emergency medical
care are available. Each municipality shall have access to an emergency
care system composed of ground, air and maritime ambulance transportation
as necessary and emergency mental health and substance abuse care.

3. Ambulance transportation and emergency psychiatric care will be subject to
periodic reviews by applicable governmental agencies to ensure the highest
quality of services.

4. The MBHO shall provide immediate mental health and substance abuse
emergency care services to beneficiaries when medically necessary.

5. The MBHO is required to provide access to psychiatric emergency care and
ambulance transportation services within their own/or contracted mental
health facilities, through their contracted, participating providers or
through contract with third parties that guarantee said emergency care and
ambulance transportation twenty four (24) hours a day, seven (7) days a
week. In addition to these services, the MBHO shall guarantee a Patient
Liaison under necessary circumstances, where there are no present
available relatives of the beneficiary's to take immediate charge/or
respond on his/her behalf in an emergency situation.

6. The MBHO will assure the ADMINISTRATION the availability to have ambulance
services that each provider and the mental health facilities has made the
necessary arrangements to have readily available prompt and effective
ambulance transportation service.

7. The MBHO will establish Urgent Care Services within the Health
Area/Region. These include psychiatrists, psychologists, mental health
supporting providers and clinics with extended hours. These Urgent Care
Services may complement psychiatric emergency mental health care services
but at no time will they substitute the requirement to have emergency care
services and ambulance transportation available at each municipality 24
hours a day, 7 days a week and 365 days yearly.

8. The MBHO will provide beneficiaries access to a 24-hour-a-day toll-free
hotline with licensed qualified mental health professionals to help
beneficiaries with questions about particular mental health medical
conditions and to guide them to appropriate facilities (emergency rooms,
urgent care centers, among others). Notwithstanding, the aforementioned
statement, the beneficiary will have the right to choose to attend an
emergency room if he believes his condition is an emergency medical
condition, as defined in this contract, without prior need of
authorization or certification.

ARTICLE VI
ACCESS TO BENEFITS

1. The MBHO will contract sufficient participating providers that meet its
credentialing process and agree to its contractual terms, in order to
assure sufficient participating providers, to satisfy the demand of
covered services by the beneficiaries enrolled in the program. The
physician/beneficiary ratio accepted shall be established according to the
Department of Health and ASSMCA guidelines as mutually agreed upon.

2. The MBHO shall be responsible to contract mental health and substance
abuse professional team as well as participating providers to insure that
all the benefits covered under the mental health coverage of the plan are
rendered, through the MBHO's participating providers with the timeliness,
amount, duration and scope as those services are rendered to other
non-Medicaid recipients within the area/region served.

3. Contracts between the MBHO and its participating providers shall be
independent contracts specifically designed to cover all terms and
conditions contained in this contract. Coverage afforded to beneficiaries
under this contract constitutes a direct obligation on the part of the
MBHO's participating providers to comply with all terms and conditions
contained herein.

4. Adequate health care services will be those determined acceptable under
ASSMCA and the ADMINISTRATION's respective roles under Plan Compliance
Evaluation and Monitoring Program as outlined in Article XVII of this
contract.

5. The MBHO is responsible for the development and maintenance of an adequate
system for referrals of health services under this contract. It shall
audit all systems and processes related to referrals of services that the
participating providers implement. The results of said audits should be
made available to the ADMINISTRATION on request. In no way will the MBHO
or any provider's Utilization Management Program may interfere, prohibit,
or restrict any mental health and substance abuse professional's advice
within their scope of practice.

6. All referral systems must comply with timeframes established in paragraph
(23). if the system developed by the MBHO is by electronic means, it must
be installed at all providers' offices. It is unacceptable to force the
beneficiary to move to another facility to obtain referrals.

7. The MBHO assures the ADMINISTRATION and ASSMCA that no participating
providers will impose limit quotas or restrain services to subcontracted
providers for the services medically needed (e.g. laboratory, pharmacies,
or other services).

8. The MBHO shall expedite access to benefits of beneficiaries diagnosed with
conditions under the mental health coverage. The identification of these
beneficiaries will allow rapid access of the mental health and substance
abuse services covered under the contract.

9. Any refusal, unreasonable delay or rationing of services to the
beneficiaries is expressly prohibited. The MBHO shall require strict
compliance with this prohibition by its participating providers or any
other entity related to the rendering of mental health and substance abuse
services to the beneficiaries. Any action in violation of this prohibition
shall be subject to the provisions of Article VI, Section 6 of Law 72 of
September 7, 1993 and Law 408 of October 2, 2000. Furthermore, the MBHO
shall be responsible for posting information at every providers'
facilities, addressed to the beneficiaries, stating the policy that
prohibits denying, unreasonably delaying or rationing services by
participating providers or any other entity related to the rendering of
medical care services to the beneficiaries, and providing information on
procedures for filing a grievance on the subject. The MBHO shall notify
participating providers that they must comply with the policy that
prohibits the denial, the unreasonable delay or the rationing of services
by participating providers or any other entity rendering mental health and
substance abuse services to beneficiaries, and further that they must
provide information on procedures for filing a grievance. The MBHO shall
comply with the performance measures established and scheduled by
ADMINISTRATION.

10. No participating provider, or its agents, may deny a beneficiary access to
medically necessary mental health and substance abuse services, except for
the reasons specified in Article VI, section 6 of Law 72 of September
7, 1993.

11. The MBHO is responsible for having an adequate number of participating
physicians and providers to supply all the mental health benefits offered
under this contract. The benefits covered will be provided to the
beneficiaries at the location of the participating providers.

12. The MBHO is responsible to make available all participating providers
needed in order to render all the mental health and substance abuse
necessary services required to provide to the beneficiaries all the
benefits included in ADDENDUM I of this contract.

13. The MBHO agrees to require compliance by all participating psychiatrists
and providers with all provisions contained in this contract.

14. The MBHO has a continuous legal responsibility toward the ADMINISTRATION
to assure that all activities under this contract are carried out. The
MBHO will use its best efforts to prevent unauthorized actions by
participating providers.

The MBHO will take appropriate measures to ensure that all activities
under this Contract are carried out. Failure to properly discharge the
obligation to assure, by all means necessary and appropriate, full
compliance with said activities, shall result in the termination of this
contract as provided in Article XXXII hereof.

15. Pursuant to the Health Reform Concept of 1993, the MBHO shall contract as
participating providers those Commonwealth owned facilities that have been
privatized in the Health Area/Region by virtue of Laws 103 of July 12,
1985, and 190 of September 5, 1996, the 330 and 339 Projects of the Rural
Health Initiatives, those State owned facilities not privatized, as well
as the privatized or non privatized municipally owned facilities in the
different areas/regions and regions which will complement access to
covered medical services, subject to its credentialing requirements and
contractual terms.

16. The MBHO assures the ADMINISTRATION and ASSMCA that physicians and other
providers of services under this contract will provide the full range
medical counseling that is appropriate for beneficiaries' condition. In no
way will the MBHO or any of its providers interfere, prohibit, or restrict
any mental health care professional's treatment within their scope of
practice, regardless of whether a care or treatment is covered under the
contract.

17. The MBHO assures the ADMINISTRATION that its Physician Incentive Plan does
not in any way compensate directly or indirectly physicians, individual
physicians, group of physicians or mental health providers as an
inducement to reduce or limit medically necessary services furnished to
individual enrollee and that it meets the stop-loss protection and
enrollee survey and disclosure requirements under the Social Security Act.
The MBHO shall ensure that at the intermediate level all mental health
provider groups are afforded with adequate stop-loss protection within the
required thresholds under the Medicaid Program regulations.

18. If the MBHO's Physician Incentive Plan in any respect places physicians at
substantial financial risk, MBHO assures that adequate stop-loss insurance
will be maintained to protect physicians from loss beyond the risk
thresholds established under sections 42CFR 422.208. In the event, the
MBHO places physicians at substantial risk it shall conduct
enrollee/disenrollee surveys not later than one year after the effective
date of the contract and at least annually thereafter.

19. Timeframes for Access Requirements. The MBHO must have sufficient network
of providers and must establish procedures to ensure beneficiaries have
access to routine, urgent, and psychiatric emergency services; telephone
appointments; advice and beneficiaries service lines. These services must
be accessible to beneficiaries within the following timeframes:

o Urgent Care within 24 hours of request;

o Routine care within 5 days of request;

o Immediate access to detoxification services when medically
necessary;

o Immediate access to emergency services;

o Referrals: Appointments pursuant to referrals must be delivered and
notified to beneficiaries within five (5) days from the date
prescribed by the provider;

o Access to prescribed medication: within 24 hours of request;

o Obtaining prescribed medication within 24 hours of request.

ARTICLE VII
CONTRACTS WITH ALL PARTICIPATING MENTAL HEALTH PROVIDERS

1. All services necessary to provide beneficiaries the stipulated mental
health benefits shall be contracted in writing with participating mental
health providers. The MBHO will ensure that all provisions and
requirements contained in this contract are properly included in the
contracts with all participating mental health providers and that they are
carried out by said participating mental health providers. Such provisions
and requirements made part of these contracts will be properly notified to
the ADMINISTRATION. Coverage afforded to beneficiaries under this contract
constitutes a direct obligation on the part of the MBHO's participating
mental health providers to comply with all terms and conditions contained
herein.

2. The MBHO may not discriminate with respect to participation, reimbursement
or indemnification as to any provider who is acting within the scope of
the provider's license or certification under applicable Commonwealth law.

3. The MBHO agrees to draft, execute and enforce a specific contract between
the MBHO and its participating mental health providers that will include
all applicable provisions contained in this contract. The MBHO will insure
that said applicable provisions are properly complied with by the network
of participating mental health providers.

To this effect, the MBHO also agrees to certify or attest that none of its
providers of services: (1) consults, employs or procures services from any
individual that has been debarred or suspended from any federal agency or
(2) has a director, partner or employee with a beneficial ownership of
more than 5% on their

organization's equity who has been debarred or suspended by any federal
agency, or (3) procures self-referral of services to any provider in which
it may have directly or indirectly any economic or proprietary interest.

The MBHO will certify and attest that it has provided participating mental
health providers, complete written instructions describing procedures to
be used for the compliance with all duties and obligations arising under
this contract. These instructions will include the following information:
provider selection by beneficiaries, covered services, reporting
requirements, record-keeping requirements, grievance procedures,
deductibles and co-payment amounts, confidentiality, and prohibitions
against denial or rationing of services. Copy of these instructions will
be submitted to ADMINISTRATION who reserves the right to request
modifications or amendments to said instructions following consultation
with the MBHO.

4. The MBHO agrees to incorporate in its contracts with mental health
providers, the following provisions, among others, contained in this
contract:

a. A payment time schedule to pay the participating providers for
services rendered and for payment for services rendered by the
participating providers. The schedule will not exceed the time
limitation standards required by the ADMINISTRATION's guidelines
under this contract to assure prompt payments of sums due to
providers.

b. A warranty insuring that the method and system used to pay for the
services rendered by participating providers are reasonable and that
the negotiated terms do not jeopardize or infringe upon the quality
of the services provided.

c. A procedure that establishes how the participating providers can
recover from the MBHO monies owed for services rendered and not paid
by the MBHO after their participating provider has demanded payment
from the MBHO.

d. That payments received for services rendered under the mental health
benefits plan shall constitute full and complete payment except for:
(i) the deductibles contained in ADDENDUM I of this contract, and
(ii) that the benefits or services rendered is not covered. The MBHO
will insure compliance with Article XVIII, paragraphs (6) and (7) of
this contract.

e. A release clause authorizing access by the ASSMCA and/or the
ADMINISTRATION to the participating providers' Medicare billing data
for beneficiaries covered by this contract who are also Part A and
Part A and B Medicare beneficiaries, provided that such access is
authorized by CMS and other related statutory or regulatory
provisions thereof. Access by ASSMCA and by the ADMINISTRATION shall
be at all times subject to all HIPAA regulations requirements
mentioned elsewhere in this contract.

f. That MBHO will cover the payment of Medicare Part B deductibles and
coinsurance for services received by a beneficiary under Medicare
Part B,

accessed through the MBHO's providers and the participating
providers of the MBHO for the mental health and substance abuse
services covered.

g. Co-insurance and deductible for Part B services provided on an
outpatient basis by hospital clinics and other institutional care
providers, other than physician services, will be considered as a
covered bad debt reimbursement item under the Medicare program cost.
In this instance, the MBHO will pay for the co-insurance and
deductibles related to the physician services provided as a Part B
service.

h. That the only Part A deductible and co-insurance, and Part B
deductible and co-insurance for mental health outpatient services
provided in a hospital clinic and other institutional care
providers, other that physician services, will be those collected
from beneficiaries according to the plan's deductibles contained in
Addendum I and those billed to Medicare as bad debt. No other amount
will be charged to these beneficiaries. The MBHO will neither cover
the payment of Medicare Part A deductibles and coinsurance for
mental services received by a beneficiary under Medicare Part A nor
the Part B deductible and co-insurance for mental services provided
in hospital clinics, other than mental health physician services.
The MBHO will cover the deductibles and co-insurance of all Part B
services including Part B deductibles and co-insurance for physician
services provided in an outpatient basis to hospital clinics.

i. That coverage afforded to beneficiaries under this contract
constitutes a direct obligation on the part of the MBHO's
participating providers to comply with all terms and conditions
contained herein.

j. The MBHO will oversee and assure that mental health provider's
contracts abide by the established directives for psychotropic
prescription dispensing by provider's in accordance with the
applicable agreement with the Pharmacy Benefit Manager (PBM)
contracted by the ADMINISTRATION for managing the pharmacy claims
and utilization processes under this contract and pursuant to the
agreed provisions in Article XXI.

5. The MBHO agrees to provide to the ADMINISTRATION a detailed description of
the payment methodology used to pay for services rendered by its network
of providers (psychiatrists) and other participating mental health
providers. Said description of the payment methodology will also address
the methodology used in the distribution within their own group of the
capitation payments, fee for services or other basis for payment of
services to providers servicing beneficiaries. The MBHO will submit to the
ADMINISTRATION a monthly report detailing all payments made to
participating providers and to the MBHO's participating providers
classified by specialty.

6. The MBHO represents that neither the capitated payments agreed to herein
or the capitated payments with a fee-for-service component for services,
made to

participating mental health providers, does not include payment of
services covered under the Medicare Federal Program.

7. The MBHO shall provide all reasonable means necessary to ensure that the
contracting practices between its participating mental health providers
are in compliance with federal anti-fraud provisions and particularly, in
conformity with the limitations and prohibitions of the False Claims Act,
the Anti-kickback statute and regulations and Xxxxx II Law and regulations
prohibiting self-referral to designated medical services by participating
medical providers.

8. To the extent feasible within the MBHO's existing claims processing
systems, the MBHO should have a single or central address to which
providers must submit claims. If a central processing center is not
possible within the MBHO's existing claims processing system, the MBHO
must provide each network provider a complete list of all entities to whom
the providers must submit claims for processing and/or adjudication. The
list must include the name of the entity, the address to which claims must
be sent, explanation for determination of the correct claims payer based
on services rendered, and a phone number the provider may call to make
claims inquiries. The MBHO must notify providers in writing of any changes
in the claims filing list at least (30) thirty days prior to the effective
date of the change. If the MBHO is unable to provide (30) thirty days
notice, providers must be given a thirty (30) day extension on their
claims filing deadline to ensure claims are routed to correct processing
center.

9. RESERVED.

10. The ADMINISTRATION and the Department of Health Medicaid Fraud Control
Unit must be allowed to conduct private interviews of mental health
providers and the mental health providers' employees, MBHOs, and patients.
Requests for information must he complied with, in the form and language
requested. Providers and their employees and the MBHOs must cooperate
fully in making themselves available in person for interviews,
consultation, grand jury proceedings, pre-trial conference, hearings,
trial and in any other process, including investigations.

11. MENTAL HEALTH PROVIDER MANUAL AND PROVIDER TRAINING

MBHO must prepare and issue a Provider Manual(s), including any necessary
specialty manuals to the providers in the MBHO network and to newly
contracted providers in the MBHO network within five (5) working days from
inclusion of the provider into the network. The Provider Manual must
contain sections relating to special requirements.

MBHO must provide training to all network providers and their staff,
regarding the requirements of the ADMINISTRATION contract and special
needs of beneficiaries under this contract.

The MBHO training for all providers must be completed no later than 30
days after placing a newly contracted provider on active status. The MBHO
must provide on-going training to new and existing providers as required
by the ADMINISTRATION to comply with this contract.

The MBHO must maintain and make available upon request enrollment or
attendance rosters dated and signed by each attendee or other written
evidence of training of each network provider and their staff.

12. MENTAL HEALTH PROVIDER QUALIFICATIONS - GENERAL

The mental health providers in MBHO network must meet the following
qualifications:

--------------------------------------------------------------------------------
FQHC A Federally Qualified Health Center meets the standards
established by federal rules and procedures. The FQHC
must also be an eligible provider enrolled in the
Medicaid program.
--------------------------------------------------------------------------------
Physician An individual who is licensed to practice medicine as an
M.D. or a D.O. in Puerto Rico either as a primary care
provider or in the area of specialization under which
they will provide medical services under contract with
MBHO; who is a provider enrolled in the Medicaid
program; and who has a valid Drug Enforcement Agency
registration number and a Puerto Rico Controlled
Substance Certificate, if either is required in their
practice.
--------------------------------------------------------------------------------
Hospital An institution licensed as a general or special hospital
by the Puerto Rico Health Department under Chapter 241
of the Heath and Safety Code and Private Psychiatric
Hospitals under Chapter 577 of the Health and Safety
Code (or is a provider which is a component part of a
State or local government entity which does not require
a license under the laws of the Commonwealth of Puerto
Rico), which is enrolled as a provider in the Puerto
Rico Medicaid Program.
--------------------------------------------------------------------------------
Non-Physician An individual holding a license issued by the applicable
Practitioner licensing agency of the Commonwealth of Puerto Rico who
Provider is enrolled in the Puerto Rico Medicaid Program or an
individual properly trained to provide health support
services who practices under the direct supervision of
an appropriately licensed professional.
--------------------------------------------------------------------------------
Clinical An entity having a current certificate issued under the
Laboratory Federal Clinical Laboratory improvement Act (CLIA), and
enrolled in the
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Laboratory Puerto Rico Medicaid Program.
--------------------------------------------------------------------------------
Rural Health An institution which meets all of the criteria for
Clinic (RHC) designation as a rural health clinic, and enrolled in
the Puerto Rico Medicaid Program. (330, 329)
--------------------------------------------------------------------------------
Local Health A local health department established pursuant to
Department Health and Safety Code, Title 2, Local Public Health
Reorganization Act ss.121.031ff.
--------------------------------------------------------------------------------
Non-Hospital A provider of health care services which is licensed
Facility and credentialed to provide services, and enrolled in
Provider our program.
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School Based Clinics located at school campuses that provide on-site
Health Clinic primary and preventive care to children and
(SBHC) adolescents.
--------------------------------------------------------------------------------

ARTICLE VIII
SUBSCRIPTION PROCESS AND IDENTIFICATION CARDS

1. The MBHO shall provide information directing access of eligible
beneficiaries to the subscription process in coordination with the
ADMINISTRATION.

2. Beneficiaries access to mental health services shall be expedited through
the identification card issued to each enrolled beneficiary by the health
insurance carrier in the health region.

3. The MBHO shall be responsible to inform eligible beneficiaries how to
enroll and get their cards at the locations accessible to the
beneficiaries in each area/region.

ARTICLE IX
PLAN DESCRIPTION BOOKLET AND OR1ENTATION PROGRAMS MARKETING
PROVISIONS

1. The MBHO shall be responsible for the preparation, printing and
distribution, at its own cost, of booklets, in the Spanish language, that
describe the plan and the mental health plan and mental health benefits
covered therein, as well as the managed care concept. These booklets will
be delivered to each subscriber upon accessing the MBHO local offices to
select a mental health provider. The MBHO agrees to submit before the
effective date of the contract a translated copy of the beneficiaries
booklet in the English language as revised by federal authorities.

2. The booklets shall serve as guarantee of the mental health benefits to be
provided and shall contain the following information:

a) Schedule of benefits covered, all services and items that are
available and that are covered either directly or through methods of
referral and/or prior authorization, a written description of how
and where the services that are available through the plan services
may be obtained.
b) Benefit's exclusions and limitations. For benefits that enrollees
are entitled to but are not available through the MBHO, a written
description on how and where to obtain benefits; description of
procedures for requesting disenrollments/changes.
c) Beneficiary's rights and responsibilities, in accordance with
specific rights and requirements to be afforded in accordance with
Medicaid Program regulations 42 CFR 438.100 as amended; Puerto Rico
Patient Xxxx of Rights, Law 194 of August 25, 2000 as implemented by
regulation and Law 11 which creates the Office of Patients Solicitor
General of April 11, 2001 and the Puerto Rico Mental Health Code,
Law 408 October 2, 2000,

d) Instructions on how to access benefits, including a list of (1)
available participating providers and specialists (its locations and
qualifications), (2) providers from which to obtain benefits under
the Mental Health Coverage. Said list can be provided in a separate
booklet.
e) Official grievances and appeal filing procedures.
f) In the event a Physician Incentive Plan affects the use of referral
services and/or places physicians at substantial risk, the MBHO
shall provide the following information upon beneficiaries requests:
the type of incentive arrangements, whether stop-loss insurance is
provided and the survey results of any enrollee/disenrollee surveys
that will have to be conducted by MBHO.
g) Unless otherwise specified, information materials must be written at
the 4th-6th grade reading comprehension level.

3. The booklets shall be approved by the ADMINISTRATION prior to printing,
distribution, and dissemination in compliance with provisions of Article
IX.

The MBHO shall also be responsible for the preparation, printing and
distribution, at its own cost, of an Informative Bulletin, in the Spanish
language, that describes the plan, services and benefits covered therein
as well as the managed care concept. This Informative Bulletin will be
distributed among the MBHO's network of participating providers.

The MBHO shall be responsible to conduct and assure the participation of
all mental health providers under this contract to diverse seminars to be
held throughout the Health Area/Region in order to properly orient and
familiarize said providers with all aspects and requirements related to
the Benefits and Coverage

under this contract, and the Managed Care concept. Said seminars will be
organized, scheduled, conducted and offered at the expense of the MBHO.

6. During the term of the contract, all participating mental health
providers are mandatorily required to annually receive at a minimum
four (4) hours of orientation, education and familiarization with
different aspects related to this contract on/or before the
expiration of the first four and a half (4 1/2) months of the
contract term. Failure to comply with this requirement will be
sufficient grounds to exclude from the Health Insurance Program the
participating provider. If, at the expiration of the first four and
half (4 1/2) months of the contract term, the participating mental
health provider has not fully complied with this requirement, the
provider will be excluded as a participating provider for subsequent
periods of the contract or the contract term. At the discretion of
the ADMINISTRATION, and for good cause, the excluded provider may be
authorized to be contracted as a participating provider if he/she
subsequently complies with the requirement.

7. The ADMINISTRATION will monitor and evaluate all marketing
activities by the MBHO and its mental health provider of services
under this contract.

8. Any marketing material addressed to enrollees cannot contain false
or misleading information. All oral, written or audiovisual
information addressed to enrollees should be accurate and sufficient
for beneficiaries to make an informed consent decision whether or
not to enroll and will have to be pre-approved by the
ADMINISTRATION.

9. The MBHO or any providers of services must distribute the material
to its entire service area/region. In the event the MANAGED
BEHAVIORAL HEALTH ORGANIZATION or any of its mental health providers
develop new and revised materials they shall submit them to the
ADMINISTRATION for prior approval.

10. The ADMINISTRATION will appoint an Advisory Committee, with
representation of at least: a board certified physician, a
beneficiary of a consumer advocate organization that includes
Medicaid recipients, a health related professional with experience
in the medical needs of low-income population, a qualified mental
health provider, and a Director of a Welfare Department that does
not head a Medicaid agency.

11. The Advisory Committee will assist the ADMINISTRATION in the
evaluation and the review of any marketing or informational material
addressed to assist Medicaid recipients in the provision of physical
and mental health services under this contract.

All the marketing activities and the information that shall be allowed
will be limited to the following:

a) Clear description of health care benefits coverage and
exclusions to enrollees;
b) Explain how, when, where benefits are available to
enrollees;
c) Explain how to access emergency and other ancillary
services;
d) Explain any benefits enrollees are entitled to, that are
not available through the MBHO and how to obtain them;
e) Enrollees rights and responsibilities;
f) Grievance and appeal procedures.

12. The MBHO, its agents, under this contract shall not engage in cold call
marketing that is, unsolicited personal contact with potential enrollees
for the purpose of influencing them to select any of its mental health
providers. Also telephone, door-to-door or telemarketing for the same
purposes is hereby prohibited.

13. Neither the MBHO, its agent or any provider may put into effect a plan
under which compensation, reward, gift or opportunity are offered to
enrollees as an inducement to enroll other than to offer health care
benefits. The MBHO its agents or providers are prohibited from influencing
an individual enrollment/selection.

14. In the event of a final determination reached by the ADMINISTRATION that
the MBHO, its agents, any of its mental health providers has failed to
comply with any of the provisions set forth in this article, the
ADMINISTRATION in compliance with due process guarantees and remedies
available under its regulations, Law 72 of September 7,1993; the Social
Security and Balanced Budget Act, will proceed to enforce the compliance
of these provisions by pursuing within its empowered authority the
sanctions established in Article XXXV.

ARTICLE X
GRIEVANCE PROCEDURE

1. The MBHO represents that it has established an effective procedure that
assures the filing, receipt, and prompt handling and resolution of all
grievances and complaints made by the beneficiaries and the participating
mental health providers. The MBHO will prepare a grievance form that must
be approved by the ADMINISTRATION. The approved grievance form shall be
made available to all beneficiaries and MBHO's network of participating
providers. The parties will make whatever adjustments are necessary to
reconcile their grievance procedure with provisions of Law 194 of August
25, 2000 (known as "Patient Xxxx of Rights") or those contained in Law 11
of April 11, 2001 (known as "Law Creating the Office of Patient's
Solicitor General") as implemented by regulation.

2. Any written or telephone communication from a beneficiary or participating
mental health provider, which expresses dissatisfaction with an action or
decision arising under the health insurance contracted, shall be promptly
and properly handled and resolved through a routine complaint procedure to
be implemented by the MBHO, after prior approval from the ADMINISTRATION.
The MBHO shall be responsible for documenting in writing all aspects and
details of said complaints.

3. The routine complaint procedure that must be implemented by the MBHO must
provide for (i) the availability of complaint forms to document oral
complaints; (ii) for the proper handling of the complaints; and (iii) for
the disposition by notice to the complainant of the action taken. This
notice shall advise the complainant of the MBHO's official Grievance
Procedure. The MBHO will submit to the ADMINISTRATION, on a monthly basis
a written report detailing all grievances and routine complaints received,
solved and pending solution and/or copies of the complaint forms with the
notation of the action taken. All grievance files and complaint forms must
be made available to the ADMINISTRATION for auditing. All grievance
documents and related information shall be considered as containing
individually identifiable health information, and shall be treated in
accordance with the HIPAA regulations cited elsewhere.

4. The Grievance Procedure shall assure the participation of persons with
authority to require corrective action.

5. The MBHO's Grievance Procedure shall contain all the necessary provisions
that assure the affected parties right to due process of law. In the event
that changes are made to the existing Grievance Procedure, a copy of the
proposed changes will be made available to the ADMINISTRATION for approval
prior to implementation. A copy of the MBHO's Grievance Procedure is
attached hereto as ADDENDUM III and incorporated as part of this contract.
The MBHO acknowledges that the arbitration process contemplated in the
Grievance Procedure shall not be applicable to disputes between the
ADMINISTRATION and the MBHO.

6. Pursuant to Law 72 of September 7, 1993, any decision issued by the MBHO
is subject to appeal before the ADMINISTRATION. Such appeal shall be
regulated by the ADMINISTRATION's regulations and the Uniform
Administrative Procedure Act, Law 170 of August 12, 1988, as amended and
as applicable, provided however, that subscribers grievances shall be
expeditiously solved and that the MBHO shall therefore fully cooperate
with the prompt solutions of any such grievance.

7. The decision issued by the ADMINISTRATION is subject to review before the
Circuit Court of Appeals of the San Xxxx Panel of the Commonwealth of
Puerto Rico.

8. The MBHO must have written policies and procedures for receiving,
tracking, reviewing, and reporting and resolving beneficiaries complaints.
The procedures must be reviewed and approved in writing by THE
ADMINISTRATION. Any change or modification to the procedures must be
submitted to THE ADMINISTRATION for approval thirty (30) days prior to the
effective date of the amendment.

9. The MBHO must designate an officer of the MBHO who has primary
responsibility for ensuring that complaints are resolved in compliance
with written policy and within the time required. An "officer" of the MBHO
means a president, vice president, secretary, treasurer, or chairperson
of the Board of Directors of a corporation, the sole proprietor, the
managing general partner of a partnership, or a person having similar
executive authority in the organization.

10. The MBHO must have a routine process to detect patterns of complaints and
disenrollments and involve management and supervisory staff to develop
policy and procedural improvements to address the complaints. The MBHO
must cooperate with the ADMINISTRATION in beneficiaries' complaints
relating to enrollment and dis-enrollment. The MBHO's complaints
procedures must be provided to beneficiaries in writing and in alternative
communication formats. A written description of the MBHO's complaints
procedures must be in appropriate language and easy for beneficiaries to
understand. The MBHO must include a written description in the
beneficiaries Handbook. The MBHO must maintain at least one local and one
toll-free telephone number for making complaints.

11. The MBHO's process must require that every complaint received in person,
by telephone or in writing, is recorded in a written record and is logged
with the following details: date; identification of the individual filing
the complaint; identification of the individual recording the complaint;
nature of the complaint; disposition of the complaint; corrective action
required; and date resolved.

12. The MBHO Grievance Procedures must comply with the minimum standards for
prompt resolution of grievances and time frames set forth in 45 C.F.R.
438.400-424.

ARTICLE XI
MANAGED BEHAVIORAL HEALTH ORGANIZATIONS

1. The MANAGED BEHAVIORAL HEALTH ORGANIZATIONS shall have a sufficient number
of mental health providers as specified in Article VI to attend to the
mental and behavioral needs of the beneficiaries. The MBHO will make
available all specialties specified in this section. The following are
considered primary care providers:

a) Psychiatrists
b) Psychologists

2. The MBHO shall have available and under contract a sufficient number of
the following types of support participating providers to render services
to all beneficiaries:

a) Social workers

b) Nurses

c) Mental behavioral therapist

d) Clinical laboratories- (The MBHO shall insure that all laboratory
testing sites providing services under this contract have either a
clinical laboratory improvement amendment (CLIA) certificate with
the registration and (CLIA) identification number or a waiver
certification).

e) Health Related Professionals

f) Mental Health Facilities

g) RESERVED.

h) All those participating providers that may be needed to provide
services under mental health coverage considering the specific
mental health and substance abuse problems of an area/region.

3. The MBHO may not discriminate with respect to participation, reimbursement
or indemnification as to any participating provider who is acting within
the scope of the provider's license or certification under applicable
state law.

4. The MBHO shall not have, directly or indirectly, any conflict of interest
through economic participation in any participating group, its
subsidiaries, or affiliates.

5. The MBHO shall contract and have available all the participating mental
health providers required to provide to the beneficiaries, in a prompt and
efficient manner, the benefits included in the mental health coverage as
specified in Addendum I of this contract.

6. The MBHO agrees to enforce and assure compliance with all provisions
contained in this contract by its participating providers.

7. The MBHO will prepare, and provide to all mental health providers,
complete written instructions describing procedures to be used for the
compliance with all duties and obligations arising under this contract.
These instructions will cover at least the following topics: provider
selection by beneficiaries, covered services, instructions and
coordination of access to mental health services through the contract,
reporting requirements, record keeping requirements, grievance procedures,
deductibles and co-payment amounts, confidentiality, and the prohibition
against denial or rationing of services. A copy of these instructions will
be submitted to the ADMINISTRATION, who reserves the right to request
modifications or amendments to said instructions following consultation
with the MBHO.

ARTICLE XII
GUARANTEE OF PAYMENT

1. The MBHO expressly guarantees payment for all covered and duly authorized
mental health services rendered to beneficiaries by any and all
participating mental health providers.

2. The insolvency, liquidation, bankruptcy or breach of contract of the MBHO,
or of a contracted participating provider does not release the MBHO from
its obligation and guarantee to pay for all services rendered as
authorized under this mental health benefit contract.

3. The nature of the MBHO's obligations to guarantee payment to all providers
for services rendered under this mental health contract is solidary,
subject to complying with whatever established claim proceedings require.
As such, the MBHO will respond directly to the ADMINISTRATION as principal
obligor to comply in its entirety with all the contract terms.

4. The MBHO agrees to pay all monies due to participating mental health
providers according to the agreed payment schedule in the contracts with
said parties. The MBHO represents as of the date of this contract that
payment to MBHO's participating providers will be made no later than
forty-five(45) days or as provided by legislation from the date that a
full, complete and ready to process claim (clean claim) is received at the
MBHO, when received within forty-five (45) days of date of service. The
MBHO expressly commits to implement all internal systems necessary to
promptly pay mental health providers all full, complete and ready to
process claims within the term provided in this section, and to avoid
unjustifiable delay in payment by submitting said claims to audits and
evaluation of contested claims; said practice is expressly prohibited, and
may result in the remedies set forth at Article XXXV or termination as
provided in Article XXXII. A complete and ready to process claim (clean
claim) is a claim received by the MBHO for adjudication, and which
requires no further information, adjustment, or

alteration by the provider of the services in order to be processed and
paid by the MBHO.

5. In the event that, following the receipt of the claim, the same is totally
or partially contested by the MBHO, the participating provider shall be
notified in writing within thirty (30) days that the claim is contested
with the contested portion identified and provided the reasons thereof.
Upon receipt of a new or supplemented claim, the MBHO shall pay or deny
the contested claim or portion of the contested claim within thirty
(30) days so long as the claim if for duly authorized covered behavioral
health care services rendered to a covered person. Upon expiration of any
of the aforementioned periods of time, the overdue payments shall bear
interest at the prevailing rate for personal loans as determined by the
Financial Board of the Office of the Commissioner of Financial
Institutions.

6. The MBHO agrees and warrants that it will be the central payor for all
valid claims that will be generated throughout their contracted
participating provider network for the health insurance contract for the
Health Region/Area.

7. The MBHO agrees and warrants that the method and system used to pay for
the services rendered to all participating providers is reasonable and
that the amount paid does not jeopardize or infringe upon the quality of
the services provided.

8. RESERVED.

9. The guarantee of payment for covered services, contained in this article,
and the representations as to the payment schedule to participating
providers will be enforceable and not set aside or altered in the event
that the MBHO is notified of the expiration of the term of this contract
or of its termination.

10. The MBHO agrees to provide the ADMINISTRATION, on a monthly basis through
electronic transmission or in machine-readable media format, a detailed
report containing all payments made to its network of participating
providers during the month immediately preceding the report. Said report
will also include a list of all claims received on account of those
payments during the preceding month by the MBHO from its network of
participating providers as well as a detail as to all claims received but
not paid by reason of accounting or administrative objections. The MBHO
further agrees to make available to the ADMINISTRATION for auditing
purposes any and all records or financial data related for claims
submitted but not paid by reason of accounting or administrative
objections. The intention of this clause is for the ADMINISTRATION to be
able to determine on a monthly basis the amount of money paid to each
participating provider, the amount billed by and not paid to each
participating provider and the reasons for non-payment in order to keep
track of the regularity of payments of the MBHO and its compliance with
this contract. To achieve this objective, the

ADMINISTRATION will develop a universal standardized reporting format that
all the contracted MANAGED BEHAVIORAL HEALTH ORGANIZATION will comply
with throughout the Commonwealth.

11. If applicable, the MBHO also agrees to provide participating providers, on
a monthly basis, and through electronic transmission or in
machine-readable media format, a detailed report classified by
beneficiaries, by providers, by diagnosis, by procedure, by date, place of
service, and by its real cost of all payments made by the MBHO which
entails a deduction from the gross monthly payment made. Copy of said
report will be made available to the ADMINISTRATION each month.

12. If applicable, each participating provider must report each encounter to
the MBHO on a monthly basis classified by each participating provider
within the MBHO, as well as the distribution of the capitated amount. The
MBHO must submit to the ADMINISTRATION the distribution of the capitation
within each provider as established on the Actuarial Reports formats
required in the RFP.

13. In Area/Regions where transitions are occurring, it will be the
responsibility of the departing MBHO to guarantee payment for in-patient
services previously authorized until said patient is discharged. Further,
the departing MBHO will be responsible to arrange for the orderly
transition of patient care to the entering MBHO.

ARTICLE XIII
UTILIZATION REVIEW AND QUALITY ASSURANCE

1. The MBHO will establish a Quality of Care Program with the following
guidelines:

a) PHYSICIAN-CREDENTIALING: The MBHO will establish and follow strict
provider screening procedures before contracting. These procedures
should substantially conform to current NCQA (National Commission
for Quality Assurance) guidelines. In order to assure quality health
services for the medically indigent, the MBHO will follow stringent
physician selection and credentialing process for this plan as per
the MBHO's Proposal. The ADMINISTRATION may review participating
providers credentials at any time after reasonable notice and submit
its findings to the MBHO for consideration by the MBHO if
necessary. The MBHO shall notify the ADMINISTRATION quarterly of all
accepted and non-accepted providers.

b) PROVIDER CONTRACTING: The MBHO will assure that all hospitals
facilities, doctors, dentists, and all health care providers are
appropriately licensed and in good standing with all their governing
bodies and

accrediting agencies and meet all practice requirements established
by law, the Department of Health, the ASSMCA and other governing
agencies, as described in the MBHO's Proposal. The ADMINISTRAT1ON
may review participating provider credentials at any time and submit
its findings to the MBHO. The MBHO shall notify the ADMINISTRATION
quarterly of all accepted and non-accepted providers.

c) INSPECTION OF ALL FACILITIES: The MBHO will insure that all
providers' physical facilities are safe, sanitary and follow sound
operating procedures, as described in the MBHO's Proposal and that
all laboratory testing site providing services under this contract
have their duly CLIA certification along with their identification
number or waiver certificate. The ADMINISTRATION may review
participating provider facilities after a reasonable notice at any
time and submit its findings to the MBHO. The MBHO shall notify the
ADMINISTRATION quarterly of all inspections done.

d) MEDICAL RECORD REVIEW: The MBHO will establish a program to monitor
the appropriateness of mental health care being provided, the
adequacy and consistency of record keeping, and completeness of
records, as described in the MBHO's Proposal. The MBHO shall notify
the ADMINISTRATION on a quarterly basis of all findings in the
Medical Record Review Program. The ADMINISTRATION may review and/or
audit Program records and reports at any time.

e) CLINICAL DATABASE SYSTEM: The participating providers will provide
the MBHO with statistical records of utilization of medical services
by beneficiaries, as described in the MBHO's Proposal. The MBHO
shall notify the ADMINISTRATION on a quarterly basis of all findings
in the Clinical Database System. The ADMINISTRATION may review
and/or audit the Clinical Database System records and reports at any
time.

f) RETROSPECTIVE REVIEW: The MBHO will establish a Retrospective review
Program that will address quality and utilization problems that may
arise, as described in the MBHO's Proposal. The MBHO shall notify
the ADMINISTRATION on a quarterly basis of all findings in the
Retrospective Review Program. ADMINISTRATION may after reasonable
notice review and/or audit the program findings at any time.

g) OUTCOME REVIEW: The MBHO will establish an Outcome Review Program to
assess the quality of inpatient and ambulatory care management
provided by the primary health care providers, as described in the
MBHO's Proposal. The MBHO shall notify the ADMINISTRATION on a
quarterly basis of all findings in the Outcome Review Program. The

ADMINISTRATION may after reasonable notice review and/or audit the
program findings at any time.

h) QUALITY OF CARE COMMITTEE: The MBHO will establish a Quality of Care
Committee to insure participating provider's compliance with the
MBHO's quality of care program, as described in the MBHO's Proposal.
The MBHO shall submit a report to the ADMINISTRATION on a quarterly
basis of all findings in the Quality of Care Committee. The
ADMINISTRATION may after reasonable notice review and/or audit the
program findings and reports at any time.

2. The MBHO will establish cost containment and utilization review programs
as follows:

a) HOSPITAL ADMISSION AND STAY REVIEW: The MBHO will establish programs
to reduce unnecessary hospital use and to review hospital admissions
through the following programs, as described in the MBHO's Proposal:

(1) CONCURRENT REVIEW: The MBHO will establish a program to review
hospital admissions to guarantee adequacy and duration of
stay.

(2) RETROSPECTIVE REVIEW: The MBHO will establish a program to
determine medical necessity and service adequacy after the
service has been rendered or paid to participating providers
or physicians.

(3) PROSPECTIVE REVIEW: The MBHO will establish a program to
determine appropriate lengths of stay at the hospital prior to
admission for elective or non-emergency hospitalizations.

b) UTILIZATION REVIEW PROGRAM: The MBHO will establish a program to
identify patterns of medical practice and their effect in the care
being provided, as described in the MBHO's Proposal, and through the
following:

(1) PRE-PAYMENT REVIEW: The MBHO will establish a program to
prevent inappropriate billing of services prior to claims
payment and to evaluate questionable practices, problematic
coding, inappropriate level of care, excessive tests and
services.

(2) POST PAYMENT REVIEW: The MBHO will establish a program to
review service claims for purposes of creating a provider
profiling system.

The MBHO shall submit a report to the ADMINISTRATION on a quarterly
basis of all findings under the Utilization Review Programs. The
ADMINISTRATION may review and/or audit the programs' findings and
reports at any time.

c) INDIVIDUAL CASE MANAGEMENT PROGRAM: The MBHO will establish a
program to identify and manage cases that involve high mental health
care costs, as described in the MBHO's Proposal. The MBHO shall
submit a report to the ADMINISTRATION on a quarterly basis of all
findings in the Individual Case Management Program. The
ADMINISTRATION may review and/or audit the program findings and
reports at any time.

d) FRAUD AND ABUSE: The MBHO will establish a program to assure
reasonable levels of utilization and quality of care, as described
in the MBHO's Proposal. The MBHO shall submit a report to the
ADMINISTRATION on a quarterly basis of all findings in the Fraud and
Abuse Program. The Fraud and Abuse Reports must include:

(1) the number of complaints of fraud and abuse made to the
Commonwealth that warrant a preliminary investigation, and,

(2) for each case of suspected fraud and abuse warranting a
full investigation, the MBHO must report the following
information:

(i) the provider's name and number;
(ii) the source of the complaint;
(iii) the type of provider;
(iv) the nature of the complaint;
(v) the approximate range of dollars involved, and,
(vi) the legal and administrative disposition or status
of the case.

e) COORDINATION OF BENEF1TS PROGRAM: The MBHO will establish a program
to identify beneficiaries with other insurance in order to
coordinate mental health insurance benefits from other carriers, as
described in the MBHO's Proposal. The MBHO shall submit a report to
the ADMINISTRATION on a quarterly basis of all findings in the
Coordination of Benefits Program. The ADMINISTRATION may review
and/or audit the program findings and reports at any time.

3. The MBHO shall continue to submit the ADMINISTRATION on a monthly basis a
report that includes all mental health services rendered by diagnosis and
procedures identified by all specialties, by date, place of service, and
procedures

in laboratories. It will be reported beginning with the most common
diagnosis and procedures until reaching the least common. The MBHO shall
be required to provide the ADMINISTRATION on a monthly basis data in and
electronic form that includes all of the specified fields and elements
described in ADDENDUM IV, whenever said reporting system can be
implemented.

4 All services rendered shall be identified by Current Procedure
Terminology, International Classification of Diseases, and Clinical
Modifications Diagnostic Statistic Manual, as applicable.

5. The ADMINISTRATION and the MBHO will agree on the required format in order
to comply with the reporting requirements in this section and which will
be accomplished through electronic transmission or in machine-readable
media.

6. All the required programs, processes and reports heretofore referred to,
will also be an obligation on the part of the MBHO's participating
providers. The MBHO will assure compliance therewith on the part of said
MBHO's participating providers.

7. The ADMINISTRATION reserves the right to require the MBHO to implement
additional specific cost and utilization controls, subject to prior
consultation and cost negotiation with the MBHO if necessary.

ARTICLE XIV
COMPLIANCE AND AGREEMENT
FOR INSPECTION OF RECORDS

1. Since funds from the Commonwealth Plan under Title XIX of the Social
Security Act Medical Assistance Program (Medicaid) as well as from Title V
of the Social Security Act and Mental Health Block Grants are used to
finance this project in part the MBHO shall agree to comply with the
requirements and conditions of the Center of Medicare and Medicaid
Services (CMS), the Comptroller General of the United States, the
Comptroller of Puerto Rico, the ADMINISTRATION and ASSMCA, as to the
maintenance of records related to this contract and audit rights thereof,
as well as all other legal obligations attendant thereto, including, but
not limited to, non-discrimination, coverage, benefits, and eligibility as
provided by the Puerto Rico State Plan and Law 72 of 1993, anti-fraud and
anti-kickback laws, and those terms and provisions of the SSA as
applicable. All disclosure obligations and access requirements set forth
in this Article or any other Article shall be subject at all times and to
the extent mandated by law and regulation, to the HIPAA regulations
described elsewhere in this agreement.

2. The MBHO shall require all participating providers that they maintain an
appropriate record system for services rendered to beneficiaries,
including

separate medical files and records for each beneficiary as is necessary to
record all clinical information pertaining to said beneficiaries,
including notations of personal contacts, primary care visits, diagnostic
studies and all other services. The MBHO shall also maintain records to
document fiscal activities and expenditures relating to compliance under
this agreement. The MBHO and all participating providers shall preserve,
and retain in readily accessible form, the records mentioned herein during
the term of this contract and for the period of six (6) years thereafter.

3. At all times during the term of this contract and for a period of six (6)
years thereafter, the MBHO and all participating providers will provide
the ADMINISTRATION, CMS, the Comptroller of Puerto Rico, the Comptroller
General of the United States of America and/or their authorized
representatives, access to all records relating to the MBHO's compliance
under this contract for the purpose of examination, audit or copying of
such records. The audits of such records include examination and review of
the sources and applications of funds under this contract. The MBHO shall
also furnish access to and permit inspection and audit by the
ADMINISTRATION, CMS, the Comptroller of Puerto Rico, the Comptroller
General of the United States of America and/or their authorized
representatives to any financial records relating to the capacity of the
MBHO or its providers, if relevant, to bear the risk of potential
financial losses.

4. The MBHO shall ensure that all participating providers furnish to the Peer
Review Organization (PRO) or to the ADMINISTRATION on-site access to, or
copies of patient care records as needed to evaluate quality of care.

5. The ADMINISTRATION and CMS shall have the right to inspect, evaluate, copy
and audit any pertinent books, documents, papers and records of the MBHO
related to this contract and those of any participating provider in order
to evaluate the services performed, determination of amounts payable,
reconciliation of benefits, liabilities and compliance with this contract.

6. The MBHO shall provide for the review of services (including both
in-patient and out-patient services) covered by the plan for the purpose
of determining whether such services meet professional recognized
standards of mental healthcare, including whether appropriate services
have not been provided or have been provided in inappropriate settings. It
shall also provide for review, by random sampling, by the ADMINISTRATION,
of written complaints, and the results thereof, filed by beneficiaries or
their representatives as to the quality of services provided.

7. The MBHO agrees that the ADMINISTRATION and CMS may conduct inspections
and evaluations after reasonable notice, at all reasonable times, through
on-site audits, systems tests, assessments, performance review and

regular reports to assure the quality, appropriateness, timeliness and
cost of services furnished to the beneficiaries.

8. The ADMINISTRATION and CMS shall have the right to inspect all of the
MBHO's financial records related to this contract, that may be necessary
to assure that the ADMINISTRATION pays no more than its fair share of
general overhead costs as contracted. The ADMINISTRATION and CMS shall
have the right to inspect all the providers' financial records related to
this contract.

9. The MBHO agrees that the ADMINISTRATION may evaluate, through inspection
or other means, the facilities of the MBHO's and its participating
providers. All facilities shall comply with the applicable licensing and
certification requirements as established by regulations of the Department
of Health of Puerto Rico. It shall be the MBHO responsibility to take all
necessary measures to ascertain that all facilities contracting with the
MBHO comply with the required licensing and certification regulations of
the Puerto Rico Health Department, and to terminate the contract of any
facility not in compliance with said provisions.

Failure to adequately monitor the licensing and certification of the
facilities may result in the termination of this contract as provided in
Article XXXII.

10. The MBHO agrees and also will require all participating providers to agree
that the ADMINISTRATION's right to inspect, evaluate, copy and audit, will
survive the termination of this contract for a period of six (6) years
from said termination date unless:

a) The ADMINISTRATION determines there is a special need to retain a
particular record or group of records for a longer period and
notifies the MBHO at least thirty (30) days before the normal
disposition date;
b) There has been a termination, dispute, fraud, or similar fault by
the MBHO, in which case the retention may be extended to three (3)
years from the date of any resulting final settlement; or
c) The ADMINISTRATION determines that there is a reasonable possibility
of fraud, in which case it may reopen a final settlement at any
time;
d) There has been an audit intervention by CMS, the office of the
Comptroller of Puerto Rico, the Comptroller General of the United
States or the ADMINISTRATION, in which case the retention may be
extended until the conclusion of the audit and publication of the
final report.

11. MBHO agrees to require all participating providers to permit the
ASSMC/ADMINISTRATION to review and audit all aspects related to quality,
appropriateness, timeliness and cost of services rendered, and to
demonstrate that the services for which payment was made were actually
provided.

ARTICLE XV
INFORMATION SYSTEMS AND
REPORTING REQUIREMENTS

1. The MBHO, agrees to comply with the reporting and information systems
requirements as provided for in the Request for Proposals and the Proposal
submitted by the MBHO. Accordingly the MBHO must submit to the
ADMINISTRATION a detailed Systems Requirements Inventory Report which
details the following:

a) Plan's compliance with each information system requirement:
b) action plan of MBHO's response to the requirements;
c) actual date that each system requirement will be completely
operational, not to exceed the effective date of coverage under this
contract.

2. The MBHO agrees to submit to the ADMINISTRATION the System Inventory
Report for final approval no later than the date of the signing of this
contract.

3. All Management Information Systems Requirements included in the Request
for Proposal and those included in MBHO's Proposal must commence
implementation as of the date of the signing of this contract and shall be
fully operational as of the first day of coverage under this contract.
Material non-compliance with this requirement shall be enough reason to
cancel the contract herein, with prior written notification by the
ADMINISTRATION to the MBHO according to the time set in Article XXXIII.

4. RESERVED.

5. The MBHO shall be responsible for the data collection and other statistics
of all services provided including, but not limited, to encounter and real
cost of each one, claims services and any other pertinent data from all
participating mental health providers or any other entity which provide
services to beneficiaries under the program, said data to be classified by
provider, by beneficiary, by diagnosis, by procedure by location of
service, and by the date the service is rendered. The data collected must
then be forwarded to the ADMINISTRATION on a monthly basis in an
electronic or on machine readable media format. The data fields and
specific data elements required to be transmitted are contained in the
Record of Service File Layout format (Addendum IV). The ADMINISTRATION
reserves the right to modify, expand or delete the requirements contained
therein or issue new requirements, subject to consultation with the MBHO
and cost negotiation, if necessary. Failure to comply with the
requirements contained herein will be sufficient cause for the imposition
against the MBHO of the penalty provided for in Article XXXV of this
contract.

6. The MBHO agrees that all required data and information needs to be
collected and reported through electronic or machine readable media
commencing with the effective date of coverage of this contract.

7. RESERVED.

8. The MBHO shall supply to the providers with eligibility information on a
daily basis. Said information shall be secured through on-line and/or
telephonic access with the MBHO.

9. The MBHO agrees to submit to the ADMINISTRAT1ON within twenty-five (25)
days of the closing of each month, in such form and detail as indicated in
the Record of Service File Layout format and any other formats the
ADMINISTRATION requires, the following information:

a) Data pertaining to mental health claims, and encounter for all
services provided to beneficiaries;
b) Statistical data on providers, medical services and any other
services;
c) Any and all data and information as required in the Request for
Proposals and in the Proposal submitted;
d) Any other reports or data that the ADMINISTRATION may require after
consultation with the MBHO and cost negotiation, if necessary.

Failure to comply with the requirements contained herein will be
sufficient cause for the imposition against the MBHO of the penalty
provided for in Article XXXV of this contract.

10. The MBHO agrees to provide to the ADMINISTRATION, on a regular basis as
needed, any and all data, information, reports, and documentation that
will permit Governmental Agencies, the compilation of statistical data to
substantiate the need for, and the appropriate use of federal funds for
federally financed health programs.

11. The MBHO agrees to report to the ADMINISTRATION on a monthly basis all
information pertaining to subscriber or beneficiary transactions as
required by the ADMINISTRATION. All records shall be transmitted: 1)
through approved ADMINISTRATION systems; or 2) over data transmission
lines directly to the ADMINISTRATION; or 3) on machine readable media. All
machine readable media or electronic transmissions shall be consistent
with the relevant ADMINISTRATION's record layouts and specifications

12. The MBHO will submit to the ADMINISTRATION reports and data on a monthly
basis generated electronically that allows the ADMINISTRATION:

a. Evaluation of the effectiveness of the delivery of services by
mental health providers and the adequacy of these services.
b:. Monitoring and evaluation of the efficiency and propriety of the
mental health services that are being received by the beneficiaries
and their dependents.
c. Comparison of experience with that of other mental health providers.
d. Comparison of the utilization of mental health care services and the
cost tendencies within the community and the group that renders
service.
e. Demonstration of how the quality of mental health care is being
improved for the beneficiary and their dependents.
f. Comparison of the administrative measures taken by the MBHO with
reference points to be able to evaluate the progress towards
constant improvement of mental health care.
g. Compliance with the information requirements and reports of the
Federal Programs such as: Title II of the Health Insurance
Portability and Accountability Act; Title IV-B Part 1 and 2, Title
IV-E, Title V, Title XIX, Title and Title XXI of the Social Security
Act; the applicable state laws as( the Child Abuse Act, "Ley de
Maltrato de Menores" Public Law 75 of May 28,1980; the Protection
and Assistance to Victims and Witness Act, "Ley de Proteccion y
Asistencia a Victimas de Delitos y Testigos", Public Law 77 of July
9,1986), and any other information requirements which in the future
are mandated by federal and state programs.
h. Evaluation of each service provided with separate identification by
beneficiary, by provider, by diagnosis, by diagnostic code, by
procedure code, by location of service, by date and place of
service. The provider must be identified by his/her provider's
identification number or his/her social security account number.

These reporting requirements will be discontinued when the new reporting
system contained in ADDENDUM IV (to be developed) is implemented. Failure
to comply with the requirements contained herein will be sufficient cause
for the imposition against the MBHO of the penalty provided for in Article
XXXV of this contract.

13. RESERVED.

14. RESERVED.

15. The MBHO will prepare the necessary reports requested herein for the
administration of the mental health benefits contract. Daily reports are
due by the end of the following business day. Weekly reports are due on
the first business day of the following week. Monthly reports are due
twenty-five (25)

days after the end of each month. Quarterly reports are due thirty (30)
days after the end of each quarter.

16. The MBHO must inform to the Administration on a monthly basis all
cancellation and disenrollment of providers.

17. The MBHO must provide the ADMINISTRATION on a monthly basis with the
updated version of the Provider's Directory.

18. RESERVED.

19. The MBHO will assure adequate and efficient functioning for the term of
the contract that includes an insurance policy against economic loss due
to system failure or data loss, a copy of said policy should be made
available by the MBHO to the ADMINISTRATION upon request.

20. RESERVED.

21. In order to insure that all subscriber encounters are registered and
recorded, the MBHO will conduct audits of statistical samples and
unannounced personal audits of the participating mental health provider's
facilities to assure that the medical records reconcile with the encounter
reported, and corrective measures will be taken in case of any violation
of the MBHO's regulations regarding the registration and reporting of
encounters. The MBHO will provide quarterly reports to the ADMINISTRATION
covering all the findings and corrective measures, if any, taken regarding
any violation of said regulations.

22. The MBHO, as a minimum must guarantee the following:

a. The security and integrity of the information and communication
systems through:

1. Regular Backups on a daily basis
2. Controlled Access to the physical plant
3. Control logical access to information systems
4. Verification of the accuracy of the data and information

b. The continuity of services through:

1. Regular maintenance of the systems, programs and equipment
2. A staff of duly trained personnel
3. An established and proven system of Disaster Recovery
4. Cost Effective systems.

c. RESERVED.
d. Automated system of communication with statistics of the management
of calls (Occurrence of busy lines, etc.)

e. A comprehensive mental health claim processing system to handle
receiving process and payment of claims and encounters.
f. Analysis/Control of utilization (The MBHO must provide said analysis
to the ADMINISTRATION on a monthly basis in the format outlined by
the ADMINISTRATION) by:

1. patient/family
2. region, area/region town, (zip code)
3. provider (provider's identification number or social security
account numbers)
4. diagnosis
5. procedure or service
6. date of service
7. by place of service

g. RESERVED.
h. RESERVED.
i. RESERVED.
j. Financial and Actuarial reports
k. System of Control and claims payment that includes payment history.
l. Computerized pharmacy system that permits its integration to the
payment procedures to the providers.
m. Outcome Analysis
n. Electronic creation of data files related to mortality, morbidity,
and vital statistics.
o. Integration to central systems

1. Procedures and communications Protocol Compatibility;
2. Ability to transmit reports, and or files via electronic
means.

p. Electronic Handling of:

1. The process of Admission to hospitals and ambulatory services
2. Verification of eligibility and subscription to the plan.
3. Verification of benefits
4. Verification of Financial information (Deductibles,
Co-payments, etc.)
5. Verification of individual demographic data
6. Coordination of Benefits.

q. Computerized applications for general accounting.
r. As to all Participating Mental Health Providers the information
system shall provide for:

1. On line access to service history for each beneficiary.
2. Register of diagnosis and procedures for each service
rendered.
3. Complete demography on line, including the aspect of coverage
and financial responsibility of the patient.

4. Individual and family transactions
5. Annotations on line (General notes such as allergies,
reminders or other clinical aspects (free form)
6. Analysis of activity by:

a. department
b. provider
c. diagnosis
d. procedures
e. age
f. sex
g. origin
h. others, as mutually agreed upon.

7. Diagnosis history by patient with multiple codes per service.
8. AD Hoc Reports
9. Referrals Control
10. Electronic Billing
11. RESERVED.
12. Ability to handle requirements of the Medicare programs such
as RBRVS (Relative Base Relative Value System).

Failure to comply with the requirements contained herein will be
sufficient cause for the imposition against the MBHO of the penalty
provided for in Article XXXV of this contract.

23. The MBHO agrees to report all procedure and diagnostic information using
the current versions of Current Procedural Terminology, International
Classification of Diseases, Clinical Modification, Diagnostic Statistic
Manual, respectively. This does not prevent the adoption by the MBHO of
the ANSI X-12 electronic transactions for standards set forth in the HIPAA
regulations; which shall be implemented on or before October 2002, unless
modified by DHHS.

24. Non-compliance with any of the Information Systems and Reporting
Requirements; with any requirements related to the electronic standards
transactions to be implemented within the schedule set forth by the HIPAA
regulations, or with other requirements contained herein, shall be subject
to the provisions of Articles XXXII and XXXV of this contract, as well as
to Article IV, Section 2(n) of Law 72 of September 7, 1993, which provides
the right of the ADMINISTRATION to enforce compliance through the Circuit
Court of Appeal Puerto Rico, Part of San Xxxx.

25. The MBHO shall provide the ADMINISTRATION with one or more telephone
numbers of dial-in data lines, and a minimum of three user's ID's and
passwords that will allow the ADMINISTRATION's authorized personnel access
to the

MBHO's on-line computer applications. Such access will allow the
ADMINISTRATION use of the same systems and access to the same information
as used by the MBHO and enable the inquiry on beneficiaries, providers,
and statistics files related to this contract. Any request for information
must be provided in accordance with the implementation of the HIPAA
regulation schedule to be set forth by the Federal Government, 45 C.F.R.
164.102 et seq.

26. As per the MBHO's proposal, the MBHO shall provide to each network of
participating providers in the Health Area/Region, as well as to those
outside of the area/region who provide services to beneficiaries from
within the area/region, the necessary hardware and software to maintain
on-line communication with the MBHO's Information System to document all
encounters and services rendered to beneficiaries. Said hardware and
software will be provided at a reasonable cost for the implementation and
servicing.

27. The MBHO agrees to submit to the ADMINISTRAT1ON reports as to the data and
information gathered through the use of the HEDIS data.

28. The MBHO must disclose to the ADMINISTRATION the following information on
mental health provider incentive plans in sufficient detail to determine
whether their incentive plan complies with the regulatory requirements set
forth on 42 CFR 434.70(a) and 422.10:

a) Whether services not furnished by the physician or physician
group are covered by the incentive plan. If only the services
furnished by the physician or physician group are covered by
the incentive plan, disclosure of other aspects of the plan
need not be made.
b) The type of incentive arrangement (i.e., withhold, bonus,
capitation).
c) A determination on the percent of payment under the contract
that is based on the use of referral services. If the
incentive plan involves a withholding or bonus, the percent of
the withholding of bonus. If the calculated amount is 25% or
less, disclosure of the remaining elements in this list is not
required and there is no substantial risk.
d) Proof that the physician or physician group has adequate
stop-loss protection, including the amount and type of
stop-loss protection.
e) The panel size and, if patients are pooled, the method used.
f) In the case of those prepaid plans that are required to
conduct beneficiary surveys, the survey's results.

The information items (a) through (e) above, must be disclosed to the
ADMINISTRATION: (1) prior to approval of its initial contracts on
agreements, upon the contract or agreements anniversary or renewal
effective date or upon request by the Administration or CMS. The
disclosure item (f) is due 3 months after the end of the contract year or
upon request by CMS.

If the contract with the MBHO is an initial Medicaid contract, but the
MBHO has operated previously in the commercial or Medicare markets,
information on physician incentive plans for the year preceding the
initial contract period must be disclosed. If the contract is an initial
contract with the MBHO, but the MBHO has not operated previously in the
commercial or Medicare markets, the MBHO should provide assurance that the
provider agreements that they sign will meet CMS and Commonwealth
requirements (i.e. there is no Physician Incentive Plan (PIP); there is a
PIP but no Substantial Financial Risk (SFR); there is a PIP and SFR so
stop-loss and survey requirements will be met). For contracts being
renewed or extended, the MBHO must provide PIP disclosure information for
the prior contracting period's contracts.

The MBHO must update PIP disclosures annually and must disclose to
administration whether PIP arrangements have changed from the previous
year. Where arrangements have not changed, a written assurance that there
has not been a change is sufficient. This also applies when MBHO analyze
the PIP arrangements in their direct and downstream contracts to determine
which disclosure items are due from their providers. The MBHO is expected
to maintain the current written assurances and the prior periods
documentation so that the materials are available during on-site reviews.

29. MBHOs TELEPHONE ACCESS REQUIREMENTS

The MBHO must have adequately-staffed telephone lines available. Telephone
personnel must receive customer service telephone training. The MBHO must
ensure that telephone staffing is adequate to fulfill the NCQA standards.
The minimum standards are listed below:

1. 80% of all telephone calls must be answered within an
average of 30 seconds;
2. The lost (abandonment) rate must not exceed 5%;
3. The MBHO cannot impose maximum call duration limits but
must allow calls to be of sufficient length to ensure
adequate information is provided to the Beneficiaries or
Provider.

30. The MBHO shall abide with the present Information Systems and Reporting
Requirements established and shall cooperate with the Administration's
Proposed Plans to implement new and revised requirement as set forth in
ADDENDUM IV.

ARTICLE XVI
FINANCIAL REQUIREMENTS

1. The MBHO shall notify the ADMINISTRATION of any loans and other special
financial arrangements which are made between the MBHO and participating
provider or related parties. Any such loans shall strictly conform with
the legal requirements of the anti-fraud and anti-kickback laws and
regulations.

2. The MBHO shall provide to the ADMINISTRATION copies of audited financial
statements following Generally Accepted Accounting Principles (GAAP).
Unaudited GAAP financial statements for each quarter during the contract
term shall be presented to the ADMINISTRATION not later than forty five
(45) days after the closing of each quarter.

3. The MBHO will maintain adequate procedures and controls to insure that any
payments pursuant to this contract are properly made. In establishing and
maintaining such procedures the MBHO will provide for separation of the
functions of certification and disbursement.

4. The MBHO shall have the financial capacity in the judgment of the
ADMINISTRATION to be able to adequately fulfill their obligations under
this contract. To satisfy such requirement, the MBHO shall furnish the
ADMINISTRATION with a performance bond in the form prescribed by the
Administration by October 15, 2001. The bond will name the ADMINISTRATION
as obligee, securing the MBHO faithful performance of the terms and
conditions of this contract. The performance bond shall be issued in the
amount of ten percent (10%) of the total contract amount. The total
contract amount shall be calculated by determining the September 1, 2001
enrollee count for all assigned Regions of the MBHO and multiplying that
number by the number of months in the contract period. The bond shall be
issued by a surety licensed by the Commonwealth of Puerto Rico and shall
specify cash payments as the sole remedy. Performance bond requirements
under this article must comply with the applicable provisions of the
Puerto Rico Insurance Code relating to Performance and Fidelity Bonds. The
bond must be delivered to the ADMINISTRATION at the same time the signed
MBHO contract is delivered to the ADMINISTRATION.

5. The MBHO agrees to provide to the ADMINISTRATION, upon the expiration of
each period of twelve (12) consecutive months of the contract year, and
not later than ninety (90) days thereafter, audited financial statements
following Generally Accepted Accounting Principles (GAAP) which
exclusively present the operational financial situation related to the
execution of this contract. The ADMINISTRATION reserves the right to
request quarterly unaudited financial statements.

6. The MBHO agrees to provide and make available to the ADMINISTRATION or any
accounting firm contracted by the ADMINISTRATION any and all working
papers of its external auditors related to this contract.

ARTICLE XVII
PLAN COMPLIANCE EVALUATION PROGRAM

1. The ADMINISTRATION shall conduct periodical evaluations of the MBHO's
compliance with all terms and conditions of this contract including, but
not limited to, quality, appropriateness, timeliness and reasonableness of
cost and administrative expenses, said evaluation to be defined as the
Plan Compliance Evaluation Program.

2. Said program will evaluate compliance of the following aspects in each
areas/regions as follows:

The ADMINISTRATION will be responsible for contract compliance related to:

a) Eligibility
b) Reporting
c) Utilization
d) Fraud and abuse
e) Grievances and Complaint handling
f) Financial requirements
g) Cost of services
h) Information Systems
i) Services to beneficiaries and participating providers (shared
responsibility)
j) Coverage of benefits (shared responsibility)
k) Electronic standards, security and privacy compliance as provided by
HIPAA to include review of timetables for compliance and
implementation plans
l) Rules and Regulations
m) Such aspects which the ADMINISTRATION considers necessary in order
to evaluate full compliance with this contract.

ASSMCA and the ADMINISTRATION will be responsible for monitoring contract
compliance related to:

a) Clinical Management and Practice Guidelines
b) Disease Management and formulary management
c) Measuring accessibility, quality, appropriateness and timeliness of
services according to performance standards set forth and
established by the Department of Health and ASSMCA and any other
performance measures in place and followed by the Health Reform
Program
d) Services to beneficiaries and participating mental health
providers (shared responsibility)
e) Coverage of benefits (shared responsibility)

f) Adherence to mental health policies and regulations

3. The evaluation process will be performed throughout the contract year
using specific evaluating parameters. All parameters will be derived
exclusively from the Request for Proposals, the MBHO's Proposal and this
contract. Each area/region will contain several parameters with each
parameter having a specific numeric value adding up a subtotal per
area/region and a total for the aggregate of all area/regions of
evaluation. Results will be presented in a Plan Compliance Evaluation
Report. The evaluating parameters will be presented to the MBHO prior to
commencement of the evaluation process.

4. The MBHO shall comply with the penalties set for each parameter within the
range of values predetermined by the parties and applied by the
ADMINISTRATION.

5. Compliance with the Plan Compliance Evaluation Program is of essence to
this contract and will be a determining factor in the renewal of this
contract. Failure to comply with compliance requirements or parameters may
also result in the termination of the contract as provided in Article
XXXII.

6. The ADMINISTRATION agrees to furnish the MBHO with the required Plan
Performance Evaluation Program prior to its implementation.

7. The MBHO, as an additional tool to assure the evaluation of the mental
health services contract, agrees to abide, implement and develop the
Health Plan Employer Data and Information Set (Hedis), as will be revised
and recommended by NCQA and in accordance with the time schedule, work
plan and other requirements to be established in collaboration with the
Department of Health, ASSMCA and the Administration.

8. The ADMINISTRATION shall follow the DEFAULT AND REMEDIES stipulated
process established under Plan Compliance Program.

REMEDIES AVAILABLE TO ADMINISTRAT1ON UNDER THE PLAN COMPLIANCE PROGRAM FOR
MBHO'S DEFAULTS

All of the listed remedies below may be exercised by the ADMINISTRATION
under the Plan Compliance Program and in addition to all other remedies
available under this contract, by law or in equity, are joint and several,
and may be exercised concurrently or consecutively. Exercise of any remedy
in whole or in part does not limit them in exercising all or part of any
remaining remedies.

Any particular default listed under subparagraph (a) to (j) below (which
is not intended to be exhaustive) may be subject, WHEN APPLICABLE, to any
one or more of the following remedies:

- Terminate the contract if the applicable conditions set
forth in Section 10.1 are met;
- Suspend payment to the MBHO;
- Recommend to CMS that sanctions be taken against the
MBHO as set out in Section 10.7;
- Assess civil monetary penalties as set out in section
10.8; and/or;
- Withhold premium payment;
- Forfeiture of the performance bond, which will be
considered as a civil monetary penalty.

SPECIFIC DEFAULTS BY THE MBHO

a. FAILURE TO PERFORM AN ADMINISTRATIVE FUNCTION

Failure of the MBHO to perform a material administrative function is
a default under this contract. Administrative functions are any
requirements under the contract that are not direct delivery of
health care services. Administrative functions include claims
payment; encounter data submission; filing any report when due;
cooperating in good faith with the ADMINISTRATION, or any entity
acting on their behalf, or under other authorized statute or law
requiring the cooperation of the MBHO in carrying out an
administrative, investigative, or prosecutorial function of the
program; providing or producing records upon request; or entering
into contracts or implementing procedures necessary to carry out
contract obligations.

b. ADVERSE ACTION AGAINST THE MBHO BY THE DEPARTMENT OF HEALTH

Termination or suspension of the MBHO's DEPARTMENT OF HEALTH
accreditation or licensing or any adverse action taken by them that
THE ADMINISTRATION determines will affect the ability of the MBHO to
provide health care services to beneficiaries is a default under
this contract.

c. INSOLVENCY

Failure of the MBHO to comply with the ADMINISTRATION'S solvency
standards or incapacity of the MBHO to meet its financial
obligations as they come due is a default under this contract.

d. FAILURE TO COMPLY WITH FEDERAL LAWS AND REGULATIONS

Failure of the MBHO to comply with the federal requirements for
Medicaid, including, but not limited to, federal law regarding
misrepresentation, fraud, or abuse; and, by incorporation, Medicare
standards, requirements, or prohibitions, is a default under this
contract.

The following events are defaults under this contract pursuant to 42
U.S.C. 1396b(m)(5), 1396u-2(e)(1)(A):

MBHO's substantial failure to provide medically necessary items and
services that are required under this contract to be provided to
beneficiaries;

MBHO's imposition of premiums or charges on beneficiaries in excess
of the premiums or charge permitted by federal law;

MBHO's acting to discriminate among beneficiaries on the basis of
their health status or requirements for health care services,
including expulsion or refusal to enroll an individual, except as
permitted by federal law, or engaging in any practice that would
reasonably be expected to have the effect of denying or discouraging
enrollment with MBHO by eligible individuals whose medical condition
or history indicates a need for substantial future medical services;

MBHO's misrepresentation or falsification of information that is
furnished to CMS, ASSMCA, the ADMINISTRATION, a beneficiary, a
potential beneficiary, or a health care provider;

MBHO's failure to comply with the physician incentive requirements
under 42 U.S.C. 1395b(m)(2)(A)(x); or MBHO's distribution, either
directly or through any agent or independent MANAGED BEHAVIORAL
HEALTH ORGANIZAT1ON, of marketing materials that contain false or
misleading information, excluding materials previously approved by
ASSMCA and the ADMINISTRATION.

e. MISREPRESENTATION OR FRAUD

MANAGED BEHAVIORAL HEALTH ORGANIZATION (MBHO)'s misrepresentation or
fraud with respect of any provision of this contract is a default
under this contract.

f. EXCLUSION FROM PARTICIPATION IN MEDICARE OR MEDICAID

Exclusion of the MBHO or any of the managing employees or persons
with an ownership interest whose disclosure is required by Section
1124(a) of the Social Security Act (the Act) from the Medicaid or
Medicare program under the provisions of Section 1128(a) and/or (b)
of the Act is a default under this contract.

Exclusion of any provider or subcontractor or any of the managing
employees or persons with an ownership interest of the provider or
subcontractor whose disclosure is required by Section 1124(a) of the
Social Security Act (the Act) from the Medicaid or Medicare program
under the provisions of Section 1128(a)

and/or (b) of the Act is a default under this contact if the
exclusion will materially affect the MBHO's performance under this
contract.

g. FAILURE TO MAKE PAYMENTS TO PARTICIPATING PROVIDERS

The MBHO's failure to make timely (45 days) and appropriate (clean
claim) payments to participating providers is a default under this
contract.

h. FAILURE TO MONITOR AND/OR SUPERVISE ACTIVITIES OF NETWORK PROVIDERS

Failure of the MBHO to audit, monitor, supervise, or enforce
functions delegated by contract to another entity that results in a
default under this contract or constitutes a violation of state or
federal laws, rules, or regulations is a default under this
contract.

Failure of the MBHO to properly credential its providers, conduct
reasonable utilization review, or conduct quality monitoring is a
default under this contract.

Failure of the MBHO to require providers and MBHOs to provide timely
and accurate encounter, financial, statistical and utilization data
is a default under this contract.

i. PLACING THE HEALTH AND SAFETY OF BENEFICIARIES IN JEOPARDY

The MBHO's placing the health and safety of the beneficiaries in
jeopardy is a default under this contract.

j. FAILURE TO MEET ESTABLISHED BENCHMARK

Failure of the MBHO to repeatedly meet any benchmark established by
ADMINISTRATION under this contract is a default under this contract.
Benchmarks shall be developed by the ADMINISTRATION in cooperation
with the Department of Health and the MBHO.

9. NOTICE OF DEFAULT AND CURE OF DEFAULT WHEN APPLICABLE

ADMINISTRATION will provide the MBHO with written notice of default
(Notice of Default) under this contract. The Notice of Default may be
given by any means that provides verification of receipt. The Notice of
Default must contain the following information:

(i) A clear and concise statement of the circumstances or
conditions that constitute a default under this contract;

(ii) The contract provision(s) under which default is being
declared;

(iii) A clear and concise statement of how and/or whether the
default may be cured;

(iv) A clear and concise statement of the reasonable time-period
during which the MBHO, when applicable, may cure the default;

(v) The remedy or remedies ADMINISTRATION is electing to pursue
and when the remedy or remedies will take effect;

(vi) If the ADMINISTRATION is electing to impose civil monetary
penalties, the amount that THE ADMINISTRATION intends to
withhold or impose and the factual basis on which
ADMINISTRATION is imposing the chosen remedy or remedies;

(vii) Whether any part of a civil monetary penalty, if THE
ADMINISTRATION elects to pursue this remedy, may be passed
through to an individual or entity who is or may be
responsible for the act or omission for which default is
declared;

(viii) Whether failure to cure the default within the given time
period, if any, will result in THE ADMINISTRATION pursuing an
additional remedy or remedies, including, but not limited to
additional sanctions, referral for investigation or action by
another agency, and/or termination of the contract.

10. EXPLANATION OF REMEDIES

10.1 TERMINAT1ON

10.1.1 TERMINATION BY THE ADMINISTRATION

THE ADMINISTRATION may terminate this contract in accordance with Article
XXXII if:

10.1.1.1 The MBHO substantially fails or refuses to provide payment for or
access to medically necessary services and items that are required
under this contract to be provided to beneficiaries after notice and
opportunity to cure;

10.1.1.2 The MBHO substantially fails or refuses to perform administrative
functions under this contract after notice and opportunity to cure;

10.1.1.3 The MBHO materially defaults under any of the provisions of Article
XVI;

10.1.1.4 Federal or Commonwealth funds for the Medicaid program are no longer
available; or

10.1.1.5 THE ADMINISTRATION has a reasonable belief that the MBHO has placed
the health or welfare of beneficiaries in jeopardy.

10.1.2 The ADMINISTRATION must give the MBHO thirty (30) days written
notice of intent to terminate this contract if termination is the
result of the MBHO's substantial failure or refusal to perform
administrative functions or a material default as established in
Article XXXII.

10.1.3 The ADMINISTRATION may, when termination is due to the MBHO's
substantial failure or refusal to provide payment for or access to
medically necessary services and items, notify the MBHO's
beneficiaries of any hearing requested by the MBHO. Additionally, if
THE ADMINISTRATION terminates for this reason, THE ADMINISTRATION
may enroll MBHO's beneficiaries with another MANAGED BEHAVIORAL
HEALTH ORGANIZATI0N or permit MBHO's beneficiaries to receive
Medicaid-covered services from other than a MANAGED BEHAVIORAL
HEALTH ORGANIZATION.

10.1.4 The MBHO must continue to perform services under the transition plan
described in Section 10.2.1, below, if the termination is for any
reason other than THE ADMINISTRATION's reasonable belief that the
MBHO is placing the health and safety of the beneficiaries in
jeopardy. If termination is due to this reason, THE ADMINISTRATION
may prohibit the MBHO's further performance of services under the
contract.

10.1.5 If the ADMINISTRATION terminates this contract, the MBHO may appeal
the termination under Article VI Section 12 Law 72 September 7,
1993, as amended.

10.1.6 TERMINATION BY MUTUAL CONSENT

This contract may be terminated at any time by mutual consent of
both MANAGED BEHAVIORAL HEALTH ORGANIZATION (MBHO) and the
ADMINISTRATION. In such case, the MBHO is responsible for notifying
all beneficiaries of the date of termination and how beneficiaries
can continue to receive contract services and the provisions of
Article XXXIII shall apply.

10.2 DUTIES OF CONTRACTING PARTIES UPON TERMINATION BY REASON OF DEFAULT

When termination of the contract occurs by reason of default, the
ADMINISTRATION and the MBHO must meet the following obligations:

10.2.1 The ADMINISTRATION and the MBHO must prepare a transition plan,
which is acceptable to and approved by THE ADMINISTRATION, to ensure
that beneficiaries are reassigned to other plans without
interruption of services. That transition plan will be implemented
during the 90-day period between receipt of notice and the
termination date unless termination is the result of the
ADMINISTRATION's reasonable belief that the MBHO is placing the
health or welfare of beneficiaries in jeopardy.

10.2.2 The MBHO is responsible for all expenses related to giving notice to
beneficiaries; and

10.2.3 The MBHO is responsible for all expenses incurred by THE
ADMINISTRATION in implementing the transition plan.

10.5, 10.6 RESERVED

10.7 RECOMMENDATION TO CMS THAT SANCTIONS BE TAKEN AGAINST MANAGED
BEHAVIORAL HEALTH ORGANIZATION (MBHO)

10.7.1 If CMS determines that the MBHO has violated federal law or
regulations and that federal payments will be withheld, the
ADMINISTRATION will deny and withhold payments for new enrollees of
the MBHO.

10.7.2 The MBHO must be given notice and opportunity to appeal a decision
of The ADMINISTRATION and CMS pursuant to 42 C.F.R. 434.67.

10.8 CIVIL MONETARY PENALTIES

10.8.1 The Administration may impose monetary penalties according to
Article XXXV, Section 4.

10.9 FORFEITURE OF ALL OR PART OF THE PERFORMANCE BOND

The Administration may require forfeiture of all or a portion of the
face amount of the performance bond if the ADMINISTRATION determines
that an event of material default has occurred. Partial payment of
the face amount shall reduce the total bond amount available pro
rata.

10.10 REVIEW OF REMEDY OR REMEDIES TO BE IMPOSED

10.10.1 The MBHO may dispute the notice by the ADMINISTRATION that
ADMINISTRATION intends to impose any sanction under this contract.
The MBHO may notify the ADMINISTRATION of its objections by filing a
written response to the Notice of Default, clearly stating the
reason the

MBHO disputes the proposed sanction. With the written response, the
MBHO must submit to the ADMINISTRATION any documentation that
supports the MBHO's position. The MBHO must file the review within
thirty (30) days from the MBHO's receipt of the Notice of Default as
provided in Article XXXII, subparagraph 2. Filing a dispute in a
written response to the Notice of Default suspends imposition of the
proposed sanction.

10.10.2 The MBHO and THE ADMINISTRATION must attempt to informally resolve
the dispute. If the MBHO and the ADMINISTRATION are unable to
informally resolve the dispute the ADMINISTRATION will make the
remedy final, without prejudice to the MBHOs right to request review
of the ADMINISTRATION's decision by the Courts of the Commonwealth
of Puerto Rico.

ARTICLE XVIII
CAPITAT1ON PAYMENTS

1. The capitation payment for the first month of coverage for the Xxxxx Xxxx,
Xxxxx Xxxx, xxx Xxxxx Xxxx, under this contract will be made based on the
September 1, 2001 number of beneficiaries enrolled in those particular
regions upon the certification by the MBHO that it has complied with all
the terms and conditions contained in this contract as agreed upon by the
parties that have to be performed during the first fifteen (15) days of
this Contract. For all other regions, the capitation payment for the first
month of coverage under this contract will be made upon the certification
by the MBHO that it has complied with all the terms and conditions
contained in this contract as agreed upon by the parties based on the
number of enrolled beneficiaries in each Area/Region as paid to the
respective MCOs. In the event that the MCO has not submitted said
information, then the payment will be computed as provided in the
paragraph below.

For subsequent months the ADMINISTRATION shall make a payment to the MBHO
for the corresponding monthly per member per month rate within the first
fifteen (15) days of the month of coverage, upon submission by the MCO of
an invoice containing the list of the beneficiaries enrolled for the month
of the invoice. In the event or occurrence of justified delays in the
billing process not due to causes subject to the ADMINISTRATION's control,
at least 90% of the payment shall be advanced to the MBHO, based on the
previous month payment. Reconciliation of the payment amount will take
place within five (5) working days from the receipt of a valid invoice
from the MCOs.

2. The monthly capitation payments calculation for beneficiaries not enrolled
for the full month shall be determined on a pro-rata basis by dividing the
corresponding

per member per month rate amount by the number of days in the month and
multiplying the result by the number of days the beneficiary was actually
enrolled.

The capitation payments provided for below will be applicable to all
beneficiaries including all those who are sixty-five (65) years and older
who are Medicare beneficiaries with Part A or Parts A and B and those who
are sixty-five years and older who are not Medicare recipients.

3. The monthly payments per member per month rate for the months comprised
within the contract term and covered by this contract for each Area/Region
contracted by the MBHO are as follows:

a) The Per member per month rate (PMPM) (Beneficiary) for the CENTRAL
Area/Region is established at $[**].

b) The Per member per month rate (PMPM) (Beneficiary) for the NORTH
WEST Area/Region is established at $[**].

c) The Per member per month rate (PMPM) (Beneficiary) for the SOUTH
EAST Area/Region is established at $[**].

4. The per member per month rate (PMPM) herein agreed provides for

a) The billing by providers to Medicare for services rendered to
beneficiaries who are also Medicare recipients. The MBHO will not
cover deductibles or co-insurance of Part A, but will cover
deductibles and co-insurance of Part B of Medicare, except for
deductibles and co-insurance for outpatient services provided in
hospital setting, other than physician services.

b) The recognition as a covered reimbursable Medicare Program cost as
bad debts by reason of non-payment of Part A deductibles and/or
coinsurance, and for deductibles and co-insurance for outpatient
services provided in hospital setting under Medicare Part B, other
than physician services.

c) Pharmacy coverage for beneficiaries who are also Part A and Part A
and B Medicare recipients, as long as the benefits are accessed
through the MBHO's network of participating providers and the
prescription is issued by a participating provider of the MBHO.

d) All benefits included in ADDENDUM I that are not covered under
Medicare Part A or Part B.

Omitted portions are denoted by [**] and have been filed separately with the
Commission.

5. The MBHO shall not, at any time, increase the rate agreed in the contract
nor reduce the benefits agreed to as defined in ADDENDUM I of this
contract.

6. The MBHO guarantees the ADMINISTRATION that the rate and any applicable
deductibles or co-payments as set forth in ADDENDUM I constitute full
payment for the benefits contracted under the plan, and that participating
providers cannot collect any additional amount from the beneficiaries.
Balance billing is expressly prohibited.

Upon a determination made by the ADMINISTRATION that the MBHO or its
agents that the MBHO has engaged in balance billing, the ADMINISTRATION
will proceed to enforce provisions as established in Article XXXV.

7. The MBHO understands that the capitation payment by the ADMINISTRATION and
the MBHO's payments to its network of participating providers, shall be
considered as full and complete payment for all services rendered except
for the deductibles established in ADDENDUM I of the contract herein.

8. For those Medicare beneficiaries with Part A, any recovery by the
participating provider for Part A deductibles and/or co-insurance will be
made through the Medicare Part A Program as bad debts. In this instance,
beneficiaries would pay only the deductibles for rendered services to a
participating provider included in ADDENDUM I of this contract.

9. For those Medicare beneficiaries with Part B, any recovery by the
participating provider for Part B deductibles and/or co-insurance, other
than services provided on an outpatient basis to hospital clinics, will be
made through the MBHO and/or the HCOs. In this instance, beneficiaries
would pay only the deductibles for rendered services to a participating
provider included in ADDENDUM I of this contract.

10. Co-insurance and deductible for Part B services provided on an outpatient
basis to hospital clinics, other than physician services, will be
considered as a covered bad debt reimbursement item under the Medicare
program cost. In this instance, the MBHO will pay for the co-insurance and
deductibles related to the physician services provided as a Part B
service.

11. The MBHO understands that if the Federal Government submits an alternative
to the agreement hereof that is more cost effective and for the benefit of
the Government of Puerto Rico, the ADMINISTRATION along with the MBHO
shall renegotiate the coverage for Medicare beneficiaries with Part A or
Part A and B.

12. The MBHO certifies that the monthly billing submitted to the
ADMINISTRATION includes all beneficiaries, who have been issued an
identification card and for which compensation is due. The ADMINISTRATION
will not accept any new billing once the monthly billing is submitted by
the MBHO to the

ADMINISTRATION, unless there is a justifiable reason for the omission.

13. If any differences arise in the ADMINISTRATION's payment of capitation
rates to the MBHO, the pending balance to the MBHO will be paid as soon as
the billing process is completed, no later than the next payment period.

ARTICLE XIX
ACTUARIAL REQUIREMENTS

1. For the purpose of determining future capitated payments, the loss
experience of this contract shall be based exclusively on the results of
the cost of health care services provided to the beneficiaries covered
under this contract. The MBHO shall maintain all the utilization and
financial data related to this contract duty segregated from its regular
accounting system including, but not limited to the General Ledger and the
necessary Accounting Registers classified by the Area/Region subject to
this contract.

2. Administrative expenses to be included in determining the experience of
the program are those directly related to this contract. Separate
allocations of expenses from the MBHO's regular business, MBHO's related
companies, MBHO's parent company or other entities will be reflected or
made a part of the financial and accounting records described in the
preceding section.

3. Any pooling of operating expenses with other of the MBHO's groups, cost
shifting, financial consolidation or the implementation of other combined
financial measures is expressly forbidden.

4. Amounts paid for claims or encounters resulting from services determined
to be medically unnecessary by the MBHO will not be considered in the
contract's experience.

5. The MBHO shall provide the ADMINISTRATION every month with a Compensation
Capitation Disbursement Illustration. Said illustration shall present the
distribution of the capitation, claim expenses by coverage, reserves,
administrative expenses and premium distributions as referred and
contained in the RFP's Actuarial Reports formats. Failure to comply with
the requirements contained herein will be sufficient cause for the
imposition against the MBHO of the penalty provided for in Article XXXV of
this contract.

6. The determination by the MBHO as to the payment of the capitation fee and
as to any other payments by virtue of this contract will be computed on an
actuarially sound basis.

7. The MBHO will provide to the ADMINISTRATION, on a monthly basis, the
actuarial data, premium distribution, and reports as contained in the
RFP's Actuarial Report formats. Failure to comply with the requirements
contained herein will be sufficient cause for the imposition against the
MBHO of the penalty provided for in Article XXXV of this contract.

ARTICLE XX
PREVENTIVE MENTAL HEALTH PROGRAM

1. The MBHO will collaborate with the Department of Health, ASSMCA, and the
ADMINISTRATION to provide for a preventive mental health program with
primary emphasis on the provision of mental health services.

In cooperation with the MBHO, ASSMCA and the ADMINISTRATION will develop a
surveillance methodology to identify compliance with this program.

2. The MBHO will develop and effectively implement a case management system
in order to monitor high-risk mental health cases and attend to the
covered mental health care needs of the beneficiaries and dependents
within said category.

3. The MBHO will be responsible to direct to a network of other mental health
agencies and community resources serving each municipality within the
Area/Region so as to guarantee that participating providers and
beneficiaries are aware of and understand the available mental health
services in their community and the process by which to access them.

4. The responsibilities of the MBHO in the Preventive Mental Health Program
will include the following:

a) RESERVED.

b) A case management program which initially will be under the
responsibility of a licensed qualified mental health professional.
Case management will not be limited to the physician's offices or a
determined center. Coordination of the services provided is required
within the community and at the home of the beneficiary, if
necessary.

c) An outreach program shall be developed in collaboration with the
ADMINISTRATION, ASSMCA, and the Department of Health to target
specific mental health issues as identified, for those beneficiaries
who cannot access those services. The clinical standard shall
conform to the published HEDIS or other approved measures. These
measures can be modified or supplemented by the Department of
Health.

d) The MBHO will be responsible to develop and demonstrate its strategy
to meet the appropriate prevention program guidelines as required by
the ADMINISTRATION, ASSMCA, and the Department of Health.

e) The MBHO agrees to comply and assure that all participating
providers will comply with the federal and local laws referred in
Article XV paragraph (12)(g) of this contract. The MBHO will assure
the submission by the participating provider of all the protocols
and formats requested by the Department of Health, Department of the
Family, Department of Education and Department of Justice as
contained in the RFP formats.

5. The ADMINISTRATION shall evaluate these preventive programs through HEDIS
and other applicable performance standards.

6. The MBHO will provide the ADMINISTRATION quarterly reports, as mutually
agreed by the parties, needed by the Department of Health detailing
services rendered in the Preventive Program described below.

7. The ADMINISTRATION shall have the right to audit the compliance with these
requirements as needed. Non-compliance shall be a determining factor in
non-renewal of this contract or breach thereof as defined in Article
XXXII.

ARTICLE XXI
MENTAL HEALTH PROGRAM AND
PHARMACY BENEFITS MANAGEMENT

1. The ADMINISTRATION will monitor the Mental Health and Substance Abuse
Program provided through the MBHO contracted in the Health Region/Area
with sufficient specificity effectiveness in order to provide for all
mental health and substance abuse needs for all eligible beneficiaries
residing within the municipalities comprising said area.

2. The MBHO will abide with the ADMINISTRATION and ASSMCA's guidelines for
expediting access of beneficiaries to the mental health and substance
abuse benefits covered under the Health Reform Program.

3. Beginning on October 1, 2001 and running concurrently with the terms of
this contract, the MBHO agrees to work with the ADMINISTRATIONs Pharmacy
Benefit Manager as selected by the ADMINISTRATION. This will include
cooperating with the selected PBM to facilitate a transfer of claims
processing in a period specified, working with the selected PBM(s) to
specify, develop and implement the flow of information, utilization review
and customer service protocols, as well as, to cease billing and
collection of rebates from drug manufacturers by October 1, 2001. The PBM
was selected by the

ADMINISTRATION following a detailed investigation of their cost structure,
information systems, processes and past performance.

4. The ADMINISTRATION's PBM, will provide the MBHO the services set forth in
this Section and the services described in any attachment, addendum or
amendment hereto:

--------------------------------------------------------------------------------
ITEM DESCRIPTION
--------------------------------------------------------------------------------

Claims Processing - Contracting and administration of the pharmacy network.
and Administrative The PBM will create a network of Participating
Services Pharmacies, which will perform pharmacy services for
Members at specified fees and discounts
- Bi-monthly claim payments summary reports for each
payment cycle
- Notify each MANAGED BEHAVIORAL HEALTH ORGANIZATION of
the payment process, systems involved (NCPDP 2.0) and
relevant time line.
- Processing and mailing of pharmacy checks and remittance
reports
- Reconciliation of zero balance accounts
- Generate list of participating pharmacies
- Coordination of Benefits
- On-line access to current eligibility and claims history
- Plan set-up
- Develop policies and procedures for denials and
rejections
- Process reasonable denials
- Maintenance of plan
- ADJUDICATION of electronic claims. The PBM will
adjudicate claims submitted by Participating Pharmacies
to the PBM based on the participating pharmacy's
agreement with the PBM and including online edits for
preauthorization requirements and other edits that may
be deemed necessary for the accurate payment of claims
- Approval and rejection of claims consistent with plan
design and concurrent Drug Utilization Review (DUR)
- Standard electronic eligibility
- Maintain call center
- Loading of MANAGED BEHAVIORAL HEALTH ORGANIZATION
providers in network and eligible members
--------------------------------------------------------------------------------
Concurrent Fraud - Develop process for MANAGED BEHAVIORAL HEALTH
Investigations ORGANIZATIONs to notify the PBM of fraud and abuse
complaints made by their beneficiaries.
- Track and Investigate fraud and abuse allegations
- Develop remedies for addressing problems with pharmacies
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Formulary - Incorporate MANAGED BEHAVIORAL HEALTH ORGANIZATION
Management related issues, such as providing guidance into
Program development of the Preferred Drug List (PDL), into the
existing ADMINISTRATION's Pharmacy and Therapeutic
Committee.
- Develop a cross functional sub-committee tasked with
rebate maximization. The subcommittee will take
recommendations on the PDL from the P&T committee and
will ultimately create and manage the PDL.
--------------------------------------------------------------------------------
Drug Utilization, - Incorporate DUR reports and evaluation reviews into the
Review/Drug tasks of the Rebate Maximization Committee.
Utilization - Evaluate new therapeutic classes and determine if drugs
Evaluations need to be added or deleted from PDL.
- Therapeutic intervention and switching
- Develop protocols, when necessary.
--------------------------------------------------------------------------------
Reports - Meet with MANAGED BEHAVIORAL HEALTH ORGANIZATION to
determine the reports that should be the sole
responsibility of the PBM, those performed by the
MANAGED BEHAVIORAL HEALTH ORGANIZATION and those that
should be duplicated in order to cross check.
--------------------------------------------------------------------------------
Rebates and - Develop and maintain contracts with drug manufacturers
Discounts for rebates
- Utilize the Rebate Management Subcommittee to maximize
rebates
--------------------------------------------------------------------------------
Optional Services - Custom Management Reports
- Manual Claims Input
- Special Programming
--------------------------------------------------------------------------------

5. The MBHO will provide the following services set forth in this Section and
the services described in any attachment, addendum or amendment hereto:

--------------------------------------------------------------------------------
ITEM DESCRIPTION
--------------------------------------------------------------------------------

Claims Processing o Assume cost of implementing and maintaining on-line
and Administrative connections- The MBHO will be responsible for all of its
Services own costs of implementation, including but not limited
to payment processes, utilization review and approval
processes, connection and line charges, and other costs
incurred to implement the payment arrangements for
pharmacy claims.
o Maintain or improve ratio of paid claims to processed
claims- Based on past performance, ADMINISTRATION will
develop an acceptable ratio of paid claims to processed
claims for which each MANAGED BEHAVIORAL HEALTH
ORGANIZATION will be responsible for maintaining or
improving.
o Review bi-monthly claim payments summary reports for
each
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
payment cycle and approve transfer of funds
- Review denials and rejections
- Maintain call center- MANAGED BEHAVIORAL HEALTH
ORGANIZATION will operate a customer call center to
provide for preauthorization of drugs, according to its
policies and the approved formulary.
- Electronically submit a list of all MBHO providers in
network and eligible members to PBM
--------------------------------------------------------------------------------
Concurrent Fraud - Develop tracking mechanisms for fraud and abuse issues
Investigations - Forward fraud and abuse complaints from members to PBM
--------------------------------------------------------------------------------
Formulary - Select a member of the MBHO to serve on the existing PBM
Management Pharmacy and Therapeutic Committee Administration in
Program order to complete tasks such as providing guidance into
development of the Preferred Drug List.
- Select a member of the MBHO to serve on a cross
functional sub-committee tasked with rebate
maximization. The subcommittee will take recommendations
on the PDL from the P&T committee and will ultimately
create and manage the PDL.
--------------------------------------------------------------------------------
Drug Utilization - Perform drug utilization review.
Review/Drug - Develop and distribute protocols, when necessary.
Utilization - Perform utilization management functions- The MBHO will
Evaluations perform utilization review that meets the minimum
standards of ADMINISTRATION or that may be required by
the Medicaid program.
- Perform disease management functions- The MBHO will
perform disease management that meets the minimum
standards of the ADMINISTRATION or that may be required
by the Medicaid program.
--------------------------------------------------------------------------------
Reports - Meet with PBM to determine the reports that should be
the sole responsibility of the PBM, those performed by
the MBHOs and those that should be duplicated in order
to cross check.
--------------------------------------------------------------------------------

6. The MBHO will abide and comply with following payment process hereby
established:

a) THE MBHO TO PAY CLAIMS COSTS. On a semi-monthly payment cycle
to be set forth by the PBM, the PBM will provide the MBHO with
the proposed claims listing. The MBHO will promptly review the
payment listing.

b) SUBMIT FUNDS FOR CLAIMS PAYMENT TO ZERO-BALANCE ACCOUNT. The
MBHO will provide funds, wire transfers or otherwise submit

payment within two business days to a bank account established
for the payment of the claims applicable to each MANAGED
BEHAVIORAL HEALTH ORGANIZATION.

c) PAYMENT FAILURE BY MANAGED BEHAVIORAL HEALTH ORGANIZATION OR
THE ESTABLISHMENT OF A MEDICAID REBATE PROGRAM. The following
payment process will be implemented if either the MBHO fails
to make a timely or correct payment to the established
zero-balance account or if the ADMINISTRATION enters into a
Medicaid Rebate Program:

(i) The contract amounts paid to the MBHO will be
reduced by the estimated claims cost for the
succeeding month, any deficit in funds provided
versus the cash requirements for the zero-balance
account. Estimates will be made based on actual
claims experience. After a reasonable period of
time, adjustments will be made to the monthly
withholds for the actual experience of the prior
month(s) versus the estimated. A final settlement
shall be made within a specified period after the
end of the contract year.

d) PAYMENT OF PBM AND COLLECTION OF REBATES AND DISCOUNTS: The
ADMINISTRATION will collect rebates and provide for the
payment of reasonable PBM fees for defined services.

e) OTHER SAVINGS: The MBHO, ASSMCA, the ADMINISTRATION, and the
PBM shall cooperate to identify additional savings
opportunities, including special purchasing opportunities,
changes in network fees, etc. Payment to the MBHO will be
adjusted to provide the ADMINISTRATION for its share of the
incremental net savings.

7. The MANAGED BEHAVIORAL HEALTH ORGANIZATIONS are currently reviewing the
language contained in the above Article XXI. The ADMINISTRATION
anticipates a further opportunity to negotiate the PBM structure and
services. The MBHO will participate with the ADMINISTRATION in any further
negotiation with the PBM which may involve changes to the contemplated
above language, and or costs, including language to hold MANAGED
BEHAVIORAL HEALTH ORGANIZATIONS accountable for an excessive ratio of
transactions to paid claims relative to MBHO's processes and which are to
be incorporated into this contract. The payment terms and models presented
in this article may also change if the Puerto Rico Health Reform qualifies
for the Medicaid Pharmaceutical Discount Program or if discounts are
assumed under the 340 B Program.

ARTICLE XXII
BENEFITS

1. The MBHO agrees to provide to the enrolled beneficiaries the benefits
included in ADDENDUM I of this contract. The benefits to be provided under
the program are: 1) the Mental Health and substance abuse services
including preventive, Inpatient, Outpatient, Partial Therapy, Individual
and Group Therapy, Diagnostic Tests, Clinical Laboratory Tests, Emergency
Room, Ambulance, and Patient Liaison and Prescription Drug Services and
Specialized Diagnostic Tests.

2. The MBHO may not modify, change, limit, reduce, or otherwise alter said
benefits nor the agreed terms and conditions for their delivery without
the express written consent of the ADMINISTRATION.

3. The coverage for Medicare beneficiaries is established as follows:

(a) Beneficiaries with Part A of Medicare- The MBHO will pay for
all services not included in Part A of Medicare, and included
in the contract herein. The MBHO will not pay the applicable
Part A deductibles and coinsurance.

(b) Beneficiaries with Part A and Part B of Medicare- The MBHO
will pay for prescription drugs prescribed by psychiatrists.
The MBHO will not cover the payment of the applicable Part A
deductibles and coinsurance, but will cover the payment of the
applicable Part B deductible and co-insurance.

(c) Access to services contemplated herein will be through the
participating providers of the MBHO. Beneficiaries with Part A
or Part A and Part B can select from the Medicare's providers
list, in which case the benefits under this contract would not
be covered.

4. The Medicare beneficiary can select a Part A provider from the Medicare
Part A providers list, but has to select a HCO for Part B services for
beneficiaries with Part B services or Part B equivalent services for
beneficiaries without Part B of Medicare.

ARTICLE XXIII
TRANSACTIONS WITH THE MANAGED BEHAVIORAL
HEALTH ORGANIZATION (MBHO)

1. All transactions between the ADMINISTRATION and the MBHO shall be handled
according to the terms and conditions set forth in this contract.

2. The MBHO shall appoint a duly authorized Executive Officer who shall
represent the MBHO in all transactions with the ADMINISTRATION under this
Contract.

3. All eligibility transactions shall be coordinated on a daily basis.

ARTICLE XXIV
CANCELLATION CLAUSE

The MBHO may not cancel this contract, or make modifications to it for any
reason, or otherwise change, restrict or reduce the benefits, except for
non-payment of capitation. Nevertheless, either party may notify thirty (30)
days in advance its decision of not to renew this contract at the expiration
date without affecting the transition period provision.

ARTICLE XXV
APPLICABLE LAW

The Request for Proposal that originated this contract, the Proposal submitted
by the MBHO, this contract and/or any other document or provision incorporated
to it by reference, shall be interpreted and construed according to the laws of
the Commonwealth of Puerto Rico. If any controversy may arise regarding the
interpretation or performance of this contract, the parties voluntarily submit
for its resolution to the jurisdiction of the San Xxxx Superior Court of the
Commonwealth of Puerto Rico.

ARTICLE XXVI
EFFECTIVE DATE AND TERM

1. This contract shall be in effect for nine (9) months, starting at 12:01
AM, Puerto Rico time on October 1, 2001, the first day that coverage
begins and payment of the capitation is due. This contract shall be
renewable for a period of not less than twelve (12) months upon
satisfaction of the performance indicators as defined in this agreement.

2. This contract may not be assigned, transferred or pledged by the MBHO
without the express written consent of the ADMINISTRATION.

3. This contract may be extended by the ADMINISTRATION, upon acceptance by
the MBHO, for any subsequent period of time if deemed in the best interest
of the beneficiaries, ASSMCA, the ADMINISTRATION, and the Commonwealth of
Puerto Rico.

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ARTICLE XXVII
CONFLICT OF INTEREST

Any officer, director, employee or agent of ASSMCA or the ADMINISTRATION, the
Government of the Commonwealth of Puerto Rico, its municipalities or
corporations cannot be part of this contract or derive any economic benefit that
may arise from its execution.

ARTICLE XXVIII
INCOME TAXES

The MBHO certifies and guarantees that at the time of execution of this
contract, 1) it is a corporation duly authorized to conduct business in Puerto
Rico and that has filed income tax returns for the previous five (5) years; 2)
that it complied with and paid unemployment insurance tax, disability insurance
tax (Law 139), social security for drivers ("seguro social choferil"), if
applicable); 3) filed State Department reports, during the five (5) years
preceding this contract and 4) that it does not owe any kind of taxes to the
Commonwealth of Puerto Rico.

ARTICLE XXIX
ADVANCE DIRECTIVES

The MBHO agrees to enforce and require compliance by all applicable
participating providers with 42 CFR 434, Part 489, Subpart I relating to
maintaining written policies and procedures respecting advance directives. This
requirement includes provisions to inform and distribute written information to
adult individuals concerning policies on advance directives, including a
description of applicable Commonwealth law.

ARTICLE XXX
OWNERSHIP AND THIRD PARTY TRANSACTIONS

The MBHO shall report ownership, control interest, and related information to
the ADMINISTRATION, and upon request, to the Secretary of the Department of
Health and Human Services, the Inspector General of the Department of Health and
Human Services, and the Comptroller General of the United States, in accordance
with Sections 1124 and 1903(m)(4) of the Federal Social Security Act.

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ARTICLE XXXI
MODIFICATION OF CONTRACT

If the ADMINISTRATION finds that, because of amendments to Law 72 of September
7, 1993, Law 408 of October 2, 2000 or by reason of other subsequent Federal or
local legislative changes that affect this contract, or because of any reasons
deemed by the ADMINISTRATION to be in the best interest of the Government of
Puerto Rico in carrying out the provisions of Law 72 of September 7, 1993, or in
order to perform experiments and demonstration projects pursuant to legislative
enactment, modification of this contract is necessary, the ADMINISTRATION may
modify any of the requirements, terms and conditions, functions, part thereof or
any other services to be performed by the MBHO. Prior to any such modification,
the ADMINISTRATION shall afford the MBHO an opportunity to consult and
participate in planning for adjustments which might be necessary and thereafter
provide the MBHO written notice that the modification is to be made within
ninety (90) days after a date specified in the notice. Said modifications will
take place after consultation and cost negotiation with the MBHO.

ARTICLE XXXII
TERM1NATION OF AGREEMENT

1. If the ADMINISTRATION finds, after reasonable notice and opportunity for a
hearing to the MBHO the MBHO has failed substantially to carry out the
material terms and conditions of this contract, the ADMINISTRATION may
terminate this contract at anytime, as provided in Section 10.1, above.

2. In the event that there is non-compliance by the MBHO with any specific
clause of this contract, the ADMINISTRATION will notify the MBHO in
writing, indicating the aspects(s) of non-compliance. The MBHO will be
granted the opportunity to present and discuss its position regarding the
issue within thirty (30) days from the date of the notification. After
considering the allegations presented by the MBHO following adequate
hearing and the opportunity to present all necessary evidence in support
of its position, and the ADMINISTRATION formally determines that there is
a non-compliance, at the discretion of the ADMINISTRATION, this contract
may be cancelled by giving thirty (30) days prior written notice before
the effective date of cancellation.

3. In the event that the MBHO does not remedy, correct or cure the material
deficiencies noted in the Plan Compliance Evaluation Report, as provided
for in Article XVII of this contract, and following the opportunity of an
adequate hearing and the presentation of evidence in support of its
position, and the ADMINISTRATION confirms the deficiency, then at the
discretion of the ADMINISTRATION this contract may be cancelled by giving
thirty (30) days prior notice.

4. If the MBHO were to be declared insolvent, files for bankruptcy or is
placed under liquidation, the ADMINISTRAT1ON shall have the option to
cancel and immediately terminate this contract. In the event of this
happening an enrollee will not be liable for payments under this
contract.

5. In the event that this contract is terminated, the MBHO shall promptly
provide the ADMINISTRATION all necessary information for the reimbursement
of any pending and outstanding Claims. The MBHO hereby recognizes that in
the event of termination under this Article it shall be bound to provide
reasonable cooperation to the ADMINISTRATION beyond the date of
termination in order to properly effect the transition to the new MBHO
taking over the region covered by this Contract. This obligation to
reasonably cooperate shall survive the date of said effective termination,
at the ADMINISTRATION' discretion.

6. The MBHO agrees and recognizes that in the event there are not sufficient
funds designated for the payment of capitation, the ADMINISTRATION
reserves the right to terminate this contract, effective ninety (90) days
after prior written notification. Under such conditions, the MBHO may also
opt to terminate this contract with thirty (30) days notice and enter into
the sixty (60) day Transition Period.

ARTICLE XXXIII
TRANSITION CLAUSE

1. In the event that the contract is terminated, the MBHO will continue to
provide services for a reasonable term to guarantee the continuance of
services until the ADMINISTRATION has made adequate arrangements to
continue the rendering of mental health care services to beneficiaries.
The duration of such term will not exceed sixty (60) days and the PMPM
shall be agreed upon by the MBHO and the ADMINISTRATION.

2. Upon the expiration of the contract, the MBHO will provide the
ADMINISTRATION with the historical/utilization data of services rendered
to beneficiaries in the area/region, in order to prevent fraud and double
billing of services by the incoming MBHO.

3. Any MBHO phasing out of a Health Region will guarantee payment for
services rendered to beneficiaries under the previous contract. Failure to
do so, shall entail in accordance with the fair hearing process
established on Article XXXII, the retention of a determined amount from
the capitation payment of the MBHO's Health Region/Area Contract. The
amount to be retained shall be sufficient to cover the amount owed.

ARTICLE XXXIV
THIRD PARTY DISCLAIMER

1. None of the obligations, covenants, duties, and responsibilities incurred
or assumed under the present Contract, the Request For Proposal, Proposal,
the representations and assurances provided at the clarification meeting
held on June 11, 2001, by either: (i) the MBHO towards the ADMINISTRATION
and any governmental agencies, or (ii) the ADMINISTRATION towards the
MBHO, shall be deemed as the assumption by the MBHO or the ADMINISTRATION,
as the case might be, of any legal liability or responsibility towards a
third party in the event that a negligent or intentional injury,
malpractice, damage or wrongdoing, or any harm whatsoever is incurred by
or caused by the MBHO and/or the MBHO's participating providers.

ARTICLE XXXV
PENALTIES AND SANCTIONS CLAUSES

1. In the event that the MBHO does not furnish the ADMINISTRATION with any
kind of monthly reports related to the gathering and reporting of
encounter information, the ADMINISTRATION may retain one monthly
capitation for each month in default said retention to be effective for
the subsequent month after the default. Once the MBHO complies with said
requirement, the amount retained will be fully paid to the MBHO, within
five (5) days after receiving the required reports for the subsequent
month.

2. In the event that the MBHO does not comply with its obligation related to
the monthly gathering and accurate reporting of encounter information,
according to Article XV of this contract, the ADMINISTRATION may retain
one monthly capitation payable to the MBHO for each month in default,
provided:

a. the ADMINISTRATION gives, within ten (10) working days after receipt
of the monthly report, written notification by certified mail, or
personally hand delivers said notification to the MBHO of the
non-compliance and the reasons thereof; and
b. the ADMINISTRATION grants ten (10) working days for the MBHO to cure
the default; and
c. the MBHO fails to correct it within said term.

Whenever as the above events take place, the ADMINISTRATION may retain one
monthly capitation payment for each month in default. Retention will be
effective ten (10) working days after the notice of non-compliance. Once
the MBHO corrects the problem, at the satisfaction of the ADMINISTRATION
and

according to Article XV of this contract, the amount retained will be
fully paid to the MANAGED BEHAVIORAL HEALTH ORGANIZATION (MBHO), within
five days after receiving full and complete reports for the subsequent
month.

3. For the purpose of subparagraphs 1 and 2, above, default is defined as the
noncompliance by the MBHO of the reporting requirements established for
the gathering and reporting of encounter information as established in
Article XV of this contract, or when the MBHO does not submit the reports
within the established term set in this contract.

4. A. Civil Monetary Penalties: In the event that there is a
non-compliance with Article VI, XII, XVI, XVII and/or with any
specific clause of this contract or the MBHO engages in any of the
following practices:

(a) Fails to substantially provide medically necessary
services to enrollees under this contract;
(b) imposes on enrollees charges in excess of the ones
permitted under this contract;
(c) discriminates among enrollees on the basis of their
health status or requirements for health care (such as
terminating an enrollment or refusing to reenroll)
except as permitted under the Program or engages in
practices to discourage enrollment by recipients whose
medical condition or history indicates need for
substantial medical services;
(d) misrepresents or falsifies information that is furnished
to CMS, to the ADMINISTRATION, to an enrollee, potential
enrollee or provider of services;
(e) distributes, directly or indirectly through any agent,
marketing material not approved by the ADMINISTRATION,
or that contains false or misleading information;
(f) Fails to comply with the requirements for physician
incentive plans in section 1876 (i) (8) of the Social
Security Act, and at 42 CFR 417.479, or fails to submit
to the ADMINISTRATION its physician incentive plans as
requested in 42 CFR 434.70

The ADMINISTRATION will notify the MBHO in writing, the findings of the
violation and the impending intention to impose intermediate sanctions for
each violation which could consist of: monetary penalties at the
discretion of the Administration may range from five hundred dollars $500
to twenty five thousand dollars $25,000; or the resolution of the contract
and temporary management; suspension, and/or with-holding payments, which
may range from a percent amount, or more than one monthly payment. The
imposition of sanctions will depend on the extent and severity of the
actions.

At the sole discretion of the ADMINISTRATION and after affording the MBHO
due process to submit a corrective action as established in paragraph (B),
below, the ADMINISTRATION will deduct any amount it may deem adequate from
the capitation payments or any other administrative items of said
payments.

The Office of the Inspector General may impose civil money penalties of up
to $25,000.00 in addition to, or in lieu of each determination by the
ADMINISTRATION, or CMS, for non-compliance conduct as set forth on
subparagraphs (a) through (f).

The Secretary of the Department of Health and Human Services may seek the
enforcement of felony charges, for violation regarding subparagraph (b), above.

B. The MBHO will have the right to present and discuss its position
regarding the ADMINISTRATION'S finding within thirty (30) days from
the receipt of the notification. After such period expires the
Administration will issue its decision regarding the contemplated
sanctions which could be (i) let stand the initial determination,
(ii) modify the sanction or (iii) eliminate the sanction if the MBHO
has taken affirmative corrective actions. Upon notifying the MBHO of
the final decision, if in disagreement, the MBHO will have (30) days
to request a hearing before the Administration. Upon the expiration
of the thirty (30) days without invoking a formal hearing, or after
the celebration of a hearing and after issuance of findings and
recommendations of the hearing examiner, the decision will then
become final, subject to the appeal process provided in section 12,
Art. VI of Law 72, September 7,1993, as amended.

C. The ADMINISTRATION, shall appoint temporary management only if it
finds that the MBHO has egregiously or repeatedly engaged in any of
the stated practices on paragraph (A) of this article; or places a
substantial risk on the health of enrollees; or there is a need to
assure the health of an organization's enrollees during an orderly
termination, reorganization of the MBHO or while improvements are
being made to correct violations. The temporary management may not
be removed until the MBHO assures the ADMINISTRAT1ON that the
violations will not recur.

5. If a MBHO is found to be in non-compliance with the provisions on ARTICLE
VII concerning affiliation with debarred or suspended individuals, the
ADMINISTRATION:

a) Shall notify the Secretary of non-compliance;

b) May continue the existing contract with the MBHO, unless the
Secretary (in consultation with the Inspector General of the
Department of Health Services directs otherwise); and,

c) May not review or otherwise extend the duration of an existing
contract with the MBHO unless the Secretary (in consultation
with the Inspector General of the DHHS) provides to the
ADMINISTRATION and to Congress a written statement describing
compelling reasons that exist for renewing or extending the
contract.

6. Notwithstanding the provisions set in this Article, the ADMIN1STRATION
reserves the right to terminate this contract, as established in
Article XXXIII.

ARTICLE XXXVI
NOTICE REQUIREMENT

Any notices to the given by the Parties under this Agreement will be
communicated in writing by certified mail, receipt requested and addressed as
follows:

1. ADMINISTRACION DE SEGUROS DE SALLUD DE P.R.
ATTN: MR. XXXXXXX XXXXXXXX XXXXXX
EXECUTIVE DIRECTOR
P.O. BOX 9024264
SAN XXXX, P.R. 00902-4264

2. APS HEALTHCARE PUERTO RICO, INC
ATTN:XXXXXXXX XXXXXXXXX
PRESIDENT
0 XXXXXXX XXX.
ANNEX BUILDING, 2ND FLOOR
HATO REY, P.R. 00918

ARTICLE XXXVII
HOLD HARMLESS CLAUSE

1. The MBHO warrants and agrees to indemnify and save harmless the
ADMINISTRATION from and against any loss or expense by reason of any
liability imposed by law upon the ADMINISTRATION and from and against
claims against the ADMINISTRATION for damages because of bodily injuries,
including death, at any time resulting there from, accidents sustained by
any person or persons on account of damage to property arising out of or
in consequence of the performance of this contract, whether such injuries
to persons or damage to property are due or claimed to be due to any
negligence of the MBHO or the MBHO's participating providers, their
agents, servants, or employees or of any other person.

2. The MBHO warrants and agrees to purchase insurance coverage to include
Contractual Liability Coverage incorporating the obligations herein
assumed by the MBHO with limits of liability which shall not be less than
one (1) million dollars with said insurance coverage providing for the
MBHO's obligation and the insurance company of the MBHO to defend and
appear on behalf of the ADMINISTRATION in any and all claims or suits
which may be brought against the ADMINISTRATION on account of the
obligations herein assumed by the MBHO.

ARTICLE XXXVIII
CENTER OF MEDICARE AND MEDICAID SERVICES CONTRACT
REQUIREMENTS

The ADMINISTRATION and the MBHO agree and recognize that guidance and directives
from the Center of Medicare and Medicaid Services (CMS) are incorporated in
contracts subject to its approval, such as the present one, and that they
constitute binding obligations on the part of the MBHO.

ARTICLE XXXIX
FORCE MAJEURE

Whenever a period of time is herein prescribed for action to be taken by the
MBHO, the MBHO shall not be liable or responsible for, and there shall be
excluded from the computation for any such period of time, any delays due to
strikes, acts of God, shortages of labor or materials, war, terrorism,
governmental laws, regulations or restrictions or any other causes of any kind
whatsoever which are beyond the control of the MBHO.

ARTICLE XL
YEAR 2000 CLAUSE

The parties hereby assure that all hardware and software that it uses with
Agreement are Year 2000 Compliant in accordance to CMS's Year Compliance
definitions as stated in the RFP. The Parties acknowledge that the provision is
an essential condition to this Agreement.

ARTICLE XLI
FEDERAL GOVERNMENT APPROVAL

1. Inasmuch as it is a requirement that the Center of Medicare and Medicaid
Services (CMS) approves this contract in order to authorize the use of
federal funds to finance the mental health and substance abuse services
contract, the

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same may be subject to modifications in order to incorporate or modify the
terms and conditions of this contract.

2. Any provision of this contract which is in conflict with any Federal Laws,
Federal Medicaid Statutes, Health Insurance Portability and Accountability
Act, Federal Regulations, or CMS policy guidance, as applicable, is
hereby amended to conform to the provisions of those laws, regulations,
and Federal policy. Such amendment of the contract will be effective on
the effective date of the statutes or regulations necessitating it, and
will be binding on the parties even though such amendment may not have
been reduced to writing and formally agreed upon and executed by the
parties.

ARTICLE XLII
ENTIRE AGREEMENT

The parties agree that they accept, consent and promise to abide by each and
every one of the clauses contained in this contract and that the contract
contains the entire agreement between the parties and in order to acknowledge
so, they initial the margin of each of the pages and affix below their
respective signatures, in San Xxxx, Puerto Rico, THIS 10TH DAY OF OCTOBER, 2001.

/s/ Xxxxxxx Xxxxxxxx Xxxxxx
-------------------------------
XXXXXXX XXXXXXXX XXXXXX
EXECUTIVE DIRECTOR
PUERTO RICO HEALTH INSURANCE
INSURANCE ADMINISTRATION

/s/ Xxxxxxxx Xxxxxxxxx
-------------------------------
XXXXXXXX XXXXXXXXX
PRESIDENT AND CEO OF PUERTO RICO DIVISION
APS HEALTHCARE PUERTO RICO, INC.

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ADDENDUM I

BENEFITS COVERED
FORMULARY

ADDENDUM I

A. SERVICES COVERED

A. SUMMARY OF MENTAL HEALTH SERVICES COVERED:

1. Assessment, screening and treatment to individuals, couples,
families and groups.

2. Ambulatory psychiatric and psychological services and substance
abuse.

3. Partial hospitalization services.

4. 23 hour stabilization services.

5. Psychiatric hospitalization services.

6. Ambulatory and hospitalized detoxification services and treatment.

7. Detoxification services for beneficiaries intoxicated with drugs or
substances.

8: Medications long lasting clinics (prolixin, haldol, etc.)

9. Ambulance services and patient liaison when medically necessary.

10. Education and prevention services in collaboration with Department
of Health, ASSMCA and XXXXX.

00. Intensive ambulatory mental health and substance abuse services
(IOP).

12. Emergency services and crisis intervention services twenty four (24)
hours and seven (7) days a week.

13. Pharmacy coverage and medications access to prescriptions no more
than twenty (24) hours.

14. Clinical laboratories related to mental health and substance abuse
services when medically necessary.

15. Homebound services as determined appropriate by the MBHO.

B. DESCRIPTION OF MENTAL HEALTH SERVICES

The MBHO will collaborate with the Department of Health, ASSMCA, and the
ADMINISTRATION to provide for a preventive mental health program with primary
emphasis on the provision of mental health services.

In cooperation with the MBHO, ASSMCA and the ADMINISTRATION will develop a
surveillance methodology to identify compliance with this program.

1. The MBHO will develop and effectively implement a case management
system in order to monitor high-risk mental health

cases and attend to the covered mental health care needs of the
beneficiaries and dependents within said category.

2. INTENSIVE AMBULATORY MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES: For
cases referred by the participating provider who intervened in the
diagnosis and primary treatment phase, in accordance with Law 408 of
October 2, 2000 parity provisions.

3. PARTIAL HOSPITALIZATION: For cases referred by the psychiatrist who
intervened in the diagnosis and primary treatment, in accordance
with Law 408 of October 2, 200Q parity provisions.

4. HOSPITALIZATION: For cases that present mental health pathology
other than substance abuse, when referred by the psychiatrist who
intervened in the diagnosis and primary treatment phase, in
accordance with Law 408 of October 2, 2000 parity provisions.

5. SUBSTANCE ABUSER'S DETOXIFICATION, TREATMENT AND REHABILITATION
SERVICES: Includes hospitalization and partial hospitalization, in
accordance with Law 408 of October 2, 2000 parity provisions.
Diagnostic, ambulatory and maintenance services for substance
abusers are covered.

6. DETOXIFICATION: Services for the detoxification of intoxicated
beneficiaries secondary to substance abuse, may or may not be a
suicide attempt and/or accidental intoxication shall be covered
without limitations.

7. ALCOHOLISM AND DRUG ABUSE: Service for the treatment of alcoholism
and drug abuse.

8. The MBHO will ensure within the Managed Care Model the promotion,
coordination for continuance of therapeutic services that may be
needed by beneficiaries in order to prevent the remission or
reincidence of conditions such as: substance abuse problems,
suicidal attempts, alcoholism.

C. DIAGNOSTIC TESTS AND PROCEDURES

1. Clinical Laboratory Tests;

2. Electroencephalograms;

3. Clinical laboratories required to be processed out of P.R. as
medically necessary, case by case.

4. Other tests and procedures medically necessary to make an
appropriate mental health diagnosis.

D. EMERGENCY ROOM SERVICES

No pre-authorization or pre-certification will be required for the first
(24) visit hours of access services.

1. PSYCHIATRIC EVALUATIONS.

2. STABILIZATION SERVICES AND OTHER, NECESSARY DURING PSYCHIATRIC
EMERGENCIES.

4. LABORATORY TESTS AS ORDERED BY THE PSYCHIATRIC PROFESSIONAL.

5. MEDICINES AND INTRAVENOUS SO!UTICNS: Used while in the
Emergency Room.

E. PRESCRIPTION DRUGS SERVICES

The PRHIA will maintain its Pharmacy Benefits Manager and will be the only
authorized party to receive the benefits from the discounts and rebates that
result from the direct negotiations with pharmaceutical companies according to
the agreements, terms and conditions adopted with the MBHO and set forth on this
contract. The PBM on behalf of the PRHIA, will be responsible with the
Administration, ASSMCA and the MBHO to maintain an actualized formulary which
will effectively address the beneficiaries needs.

The pharmacy benefits shall be continued to be distributed in accordance with
the established distribution system, as agreed under the terms of this contract.

The proposed formulary included as part of this addendum will serve as guide in
the provision of pharmacy benefits.

Said formulary pursues as one of its main goals and objectives, the improvement,
actualization and accomplishment of cost- effective prescription utilization
program within the health reform program

PHARMACOLOGICAL AND THERAPEUTIC COMMITTEE:

The PRHIA will maintain a structure and functioning Therapeutic and
Pharmacy Committee, which will include the active participation of the
PRHIA, its PBM, ASSMCA's and the MBHO's representation. Participation of
the medical mental health community, insurance industry, providers and
mental health professionals will also be accounted. The PRHIA will
maintain and provide technical support, supervision administrative
structure and task to be

carried out by the Committee. The Committee will adopt and document the
following information:

a) Objectives and initiatives

b) Members - name, titles, affiliation, role within the committee

c) Meetings - frequency, written and dated minutes describing
Committee's decisions, actions and determinations.

d) Monthly and annual progress reports related to the
assessments, studies performed by the Committee related to the
utilization and medications.

e) Representatives appointments-MBHO's and other groups active
participation in meetings, initiatives and processes to be
performed by the Committee.

The Committee will develop:

UTILIZATION AND EVALUATION PROGRAMS OF MEDICINES ("DUE") for evaluation of
pharmacological utilization. (DUE). These programs shall be retrospective,
concurrent or prospective.

INITIATIVES FOR THE EVALUATION OF QUALITY MONITORING OF MANAGED CARE
("OUTCOMES"). The Committee will establish and account strategies and
initiatives carried out to identify, measure and evaluate the final outcomes of
managed care to beneficiaries during the use of medicines. These strategies will
pursue that medicine utilization is most effective in the treatment of chronic
or acute conditions, but also have a positive effect in improving and
maintaining, in a long term, the health and the quality of managed care of
patients.

COST-EFFECTIVE EVALUATION PROGRAM INITIATIVES. The Committee will establish
strategies and initiatives for the pharma-economic evaluation and monitoring of
medicines identified through indicators. Indicators to be considered shall
include unsuccessful therapies, unexpected readmissions, bacterial resistance to
antibiotics treatments, utilization indexes in emergency rooms, multiple
trademark prescriptions within an equivalent therapeutic type, etc.

The PRHIA will determine and establish required reports to be submitted
according with the applicable compliance guidelines and directives that
demonstrates the compliance with the accreditation requirements established by
the National Committee for Quality Assurance (NCQA) and or the Utilization
Management Accreditation Committee (URAC).

PROPOSED FORMULARY

The formulary adopted by the PRHIA shall serve as guideline for the
provision of pharmacy benefits to be rendered to the health reform plan
beneficiaries. It shall offer drugs and medications that include all
therapeutic types for mental pathologies found in patients covered under
the Puerto Rico Health Reform Plan.

a. The Administration will establish an active process for revising on
a continuous basis the medicines included on the adopted Formulary
which will be required to the selected MBHO. It will also evaluate
the future inclusion of new medicine or the remotion of medicines
from the formulary. Considering the dynamic nature of this process,
the Administration could require the inclusion or exclusion of
medicines as changes and advances affect the standard practice for
the treatment of conditions.

b. No MBHO can establish a different formulary from the one included in
this addendum nor limit in any way the drugs and medications
included in the formulary.

c. In the event patients need a drug that is not on the formulary, the
MBHO will follow the usual procedure for obtaining the drug not
included. This procedure will consider the merits on a case by case
basis and shall take in consideration the following information:

i. Drug contraindications.

ii. History of adverse reaction to the drug as appears in the
forniulary.

iii. Therapeutic failures related to available alternatives in
the formulary.

iv. Inexistence of therapeutic alternative in the formulary.

d. For acute conditions, the amount of medication to be dispensed shall
be limited to the needed therapy, but never for more than thirty
(30) days. When medically necessary, additional prescriptions are
oovered.

e. For chronic conditions (maintenance), the amount of the medication
to be dispensed will be limited to a maximum of thirty (30) days. By
prescribing physician recommendation, each prescription may be
repeated up to six (6) times. When medically necessary, additional
prescriptions are covered.

f. The indications on prescriptions issued for treatment of children
with Special Health Care Needs will indicate clearly the (30) day
coverage therapy sand that it can be repeated up to three (3) times.
When medically necessary additional prescriptions will be covered.

g. The use of bioequivalent medications and drugs approved by the FDA
and local regulations is authorized, unless contraindicated for the
beneficiary by the physician or dentist who prescribed the
medication.

h. The absence of bioequivalent medications in stock does not exonerate
the Pharmacist from dispensing the medication nor does it entail the
payment of additional surcharges by beneficiaries. Brand name drugs
will be dispensed if the bioequivalent is not available at the
pharmacy.

i. All prescriptions shall be filled and dispensed at a participating
pharmacy properly licensed under the laws of Puerto Rico freely
chosen by the beneficiary.

j. The right to choose entails availability of a determined number of
pharmacies in each county in order to be invoked and exercised.

k. All prescriptions shall be dispensed contemporaneously with the date
and hour that the beneficiary receives the prescription and requests
that it be dispensed.

F. AMBULANCE SERVICES

In emergency cases, ground, maritime and aerial ambulance services are
covered within the territorial limits of Puerto Rico. Pre-authorization or
pre-certification will be required in order to access these services.

G. OTHER SERVICES

Services to Covered Persons with Dual Medical and Psychiatric and/or
Chemical Dependency Diagnoses:

1. When a Covered Person's condition requires treatment for both
medical and mental health or substance abuse problem, MBHP shall
only be responsible for providing alcohol, drug, and mental health
services covered by the coverage plan, including provision of any
necessary psychiatric services for treatment of those mental health
and/or alcohol and drug dependency problems.

2. When a Covered Person is hospitalized, the Healthcare Refor and/or
MCO shall remain responsible for providing medical services and
supplies and shall bear the cost of such services and supplies,

When a Covered Person is. hospitalized in a medical/surgical
hospital for a medical condition and psychiatric consultation is
requested, MBHP shall be responsible only for the provision of
mental health and/or alcohol and drug dependency services.

3. When a covered Person is hospitalized in a mental health facility
and requires a medical consultation, MBHP is not responsible for the
cost of the medical consultant or any tests or therapy ordered by
the medical consultant. If the MBHP physician requests the transfer
of patient to a medical surgical facility, the concurrence of The
Healthcare Reforms Medical Director or his/her designee is required.

B. EXCLUSIONS FROM THE MENTAL HEALTH COVERAGE

a. Services rendered while the beneficiary is not covered.

b. Services which result from illnesses or injuries not covered.

c. Services resulting from automobile accidents which are' covered
by the "Administracion de Compensaciones por Accidentes de
Automoviles (ACAA)".

d. Work place accidents covered by the "Corporacion del Fondo del
Seguro del Estado".

e. Services covered by any other insurer or party that has the
primary responsibility (other party liability).

f. Services for the convenience of the patient when it is not
medically necessary.

g. Hospitalization for mental health services which can be rendered
in an ambulatory setting.

h. Expenses for services and/or materials for the comfort of the
patient, such as telephone, television, admission kit, etc.

i. Services rendered by extended family members of patient (parents,
offspring, siblings, grandparents, grandchildren, spouse, etc.).

j. Laboratories for which processing is not available in Puerto Rico
and that have to be sent outside of Puerto Rico for processing.

k. Services, diagnostic tests and/or treatments ordered and/or
provided by naturopaths, naturists, iridologists, chiropractors
and/or osteopaths.

l. Mental health treatments, diagnostic tests ordered or treated by
natural medicine professionals, iridologist or osteopaths.

m. Somnography test.

n. Services which are not reasonable nor required according to the
accepted standards of medical practice or services provided in
excess of those normally required for the prevention, diagnosis, and
treatment of mental illness and substance abuse addictions.

o. New and/or experimental procedures which have not been approved
by the ADMINISTRATION for theft inclusion as benefits in the mental
coverage of the program.

p. Expenses incurred in payments made by beneficiaries to
participating providers that according to the terms of the program,
the beneficiary was not supposed to pay.

q. Services ordered and/or rendered by non-participating providers,
except in cases of emergencies/immediate need or previously
authorized by the MBHO.

r. Mental health services received outside of the territorial limits
of the Commonwealth of Puerto Rico.

s. Expenses incurred for the treatment of mental health conditions,
resulting from procedures or benefits not covered under this
program.

t. Court ordered or voluntary evaluations for legal purposes only
are not required, unless medically necessary.

u. Psychiatric and psychological examinations, testing or treatment,
services or supplies for purposes of obtaining or maintaining
employment, disability determinations, or insurance or relating to
judicial and administrative proceedings.

v. Mental health services, which are not medically necessary or not
required in accordance with the accepted standards of medical
practice.

ADDENDUM II

MBHO BENEFICIARIES MANUAL

Xxxx xxx Xxxxxxxxxx xxx Xxxx xx Xxxxxxx xxx Xxxxxx Libre Asociado de Puerto Rico

================================================================================
?Como Recibir Servicios de Salud Mental?
================================================================================

APS Healthcare de Puerto Rico (APSH-PR) coordinara los servicios de salud mental
y abuso de sustancias para los suscriptores del Plan de Salud del Gobierno de
Puerto Rico de la Region Central, Noroeste y al area Sureste. APSH- PR ha
brindando estos servicios en Puerto Rico desde el 1999, en las Region Central y
Sureste de Puerto Rico. Usted puede recibir servicios:

[GRAPHIC o Por recomendacion de su medico primario.
OF PHONE] o Por telefono, 24 horas al dia todos los xxxx a traves del 1-
000-000-0000.

Dentro de los servicios que usted puede recibir se encuentran:

o Tratamiento de salud mental para individuos, parejas y familias.

o Hospitalizacion para casos referidos por el psiquiatra.

o Servicio de desintoxicacion, tratamiento, y rehabilitacion por abuso
de drogas.

o Tratamiento de alcoholismo.

EC
10/16/01

Xxxx xxx Xxxxxxxxxx xxx Xxxx xx Xxxxxxx xxx Xxxxxx Libre Asociado de Puerto Rico

--------------------------------------------------------------------------------
Servicios de Salud Mental
--------------------------------------------------------------------------------

o Evaluacion y tratamiento de servicios de salud mental por
profesionales en salud mental a individuos, parejas, familias y
grupos.

o Servicios psiquiatricos intensivos ambulatorios siempre que exista
necesidad medica y cuando son referidos por psiquiatras con un
diagnostico y el inicio del tratamiento para el paciente.

o Hospitalizacion parcial siempre que exista necesidad medica y cuando
es referida por un psiquiatra con un diagnostico y el inicio del
tratamiento.

o Hospitalizacion para casos que presenten patologia mental no
relacionada con el abuso a las sustancias, cuando son referidos por
un psiquiatra con un diagnostico y el inicio del tratamiento del
paciente.

o El tratamiento y la rehabilitacion relacionada con el abuso a las
sustancias. El diagnostico y el seguimiento son cubiertos, siempre
que exista necesidad medica. Un maximo de 30 xxxx por ano. Un (1)
dia de hospitalizacion es equivalente a tres (3) xxxx de
hospitalizacion parcial.

o Desintoxificacion para suscriptores con intoxificacion secundaria
por abuso de sustancias e intentos de suicidio o envenenamiento
accidental: No tiene limitaciones.

o APS Healthcare de PR sera responsable del tratamiento de alcoholismo
y adiccion a drogas secundario a problemas de salud fisica.

Otros Servicios

o Laboratorios asociados con salud mental y abuso de sustancias cuando
se prescribe por un psiquiatra y exista necesidad medica.

o Servicios de ambulancias para condiciones causadas por el
alcoholismo y adiccion a drogas.

EC
10/16/01

Xxxx xxx Xxxxxxxxxx xxx Xxxx xxx Xxxxxxx xxx Xxxxxx Libre Asociado de
Puerto Rico

o Cuidado de la salud mental y conductual en el hogar para
suscriptores encamados con un diagnostico de salud mental.

o Servicios sicologicos para evaluacion de suscriptores con patologia
o trauma xxxxx.

EC
10/16/01

ADDENDUM III

MBHO GRIEVANCE PROCEDURE

APS HEALTHCARE DE PUERTO RICO
GRIEVANCES APPEALS PROCESS

To assure for APS Healthcare Puerto Rico, Inc. (APSH PR) members and
practitioners their right to appeal grievances determination in a fair and
timely manner, consistent with state, federel and accreditation agency(s)
requirements.

DEFINITIONS:

APPEAL: A request, written or verbal, from a customer for APSH PR to change a
decision it has made in response to a grievance.

GRIEVANCE: A written complaint from a member expressing dissatisfaction with:

o Any aspect of the Plan (AFSH PR)

o Any request to review a claim not paid

o Written appeal to a previous determination of a verbal complaint.

URGENT GRIEVANCE: A written complaint from a member expressing dissatisfaction
with:

o Any request to reconsider as adverse initial determination (denial of
service)

o Written appeal to a previous determination of a urgent complaint that, if
left unresponded to, has the potential to become an emergency. All
grievances triaged as "urgent" will be fully responded to within 48 hours
of APSH PR notification of the complaint.

PROCEDURE:

LEVEL I APPEALS

1. All Level I complaint appeals, received either orally or in writing, are
forwarded to the Quality Improvement Department and logged by the Client
Services Specialist on the Complaint Appeals Log, including the substance
of the appeal and the date received.

2. A letter of acknowledgment is sent to the appellant within five (3)
working days of receipt that notifies them of the appeals process.

3. The CSS will forward to the appropriate department for resolution. The CSS
will be responsible for the follow up to assure a timely resolution.

4. Once a resolution has been reached, the support department documents in
writing its answer. The appeal is returned to the Client Services
Specialist or designee who will notify the appellant in writing of the
resolution within 5 working days of the decision which includes their
right to appeal further, as appropriate. Written resolutions will be sent
to the provider using the english language. For the members, the written
respond will be sent using the spanish language. A copy of the resolution
will be address to the health plan.

5. The Client Services Specialist or designee documents the date of
resolution and the disposition on the Customer Services Modules and
Grievance Appeals Log.

LEVEL II APPEAL

1. A Level II Appeal is offered when a Level I Appeal has been accessed and
the appellant is not satisfled with the outcome and requests further
action.

2. All Level I complaint appeals, received either orally or in writing, are
forwarded to the Quality Improvement Department and logged by the Client
Services Specialist or designee on the Grievance Appeals Log, including
the substance of the appeal and the date received.

3. A letter of acknowledgment is sent to the appellant within five (3)
working days of receipt that notifies them of the appeals process. The
health plan is also notified about the appeal.

4. The grievance is forwarded to the Member Service Committee or Provider
Services Appeals Sub-committee (PSAS) (consisting of
multi-disciplinary/inter-departmental internal APS-PR staff and network
providers/PA's who have had no previous involvement in the case), it
depends of the appelled issue.

5. The appellant may participate telephonically or in person in the process
upon their request. The APS-PR Medical Director/PA designee has the
overriding vote on this committee.

6. Once a resolution has been reached, the complaint is returned to the
Client Services Specialist or designee who will notify the appellant in
writing of the resolution within five (5) working days of the decision
which includes their right to appeal further, as appropriate. Written
resolutions will be sent to the provider using the English language. For
the members, the written respond will be sent using the Spanish language.
A copy of the resolution will be address to the health plan.

7. The Client Services Specialist or designee documents the date of
resolution and the disposition on the Grievances Appeals Log and on the
Customer Services Module.

8. On a monthly basis, the Quality Improvement Committee reviews the types of
grievances and the timeliness of grievance resolution. The Quality
Improvement Committee is responsible for analyzing grievance data to
identify trends and monitor appropriateness of follow up action
plans/interventions.

LEVEL III APPEAL

1. Level III Appeals cannot be delegated to APSH PR. All Level III Appeals
are sent to the health plan.

2. APSH PR will cooperate with client organizations by forwarding all
accumulated documentation to them in order to expedite the process.

On a monthly basis, APSH PR will submit to the ASES/AMSSCA a list of all Level I
and II appeals.

APS HEALTHCARE DE PUERTO RICO
COMPLAINTS MANAGEMENT PROCESS

APSH PR will provide a mechanism to assure that all customer inquiries and
complaints will be resolved in a timely and professional manner. Each inquiry or
complaint received by APSH PR, which can not be resolved in the first contact by
the Member Referral Staff will be referred to the Senior Members Referral Staff
or the Client Services Specialist (CSS's), which will document and track through
completion/resolution.

DEFINITIONS:

INQUIRY: A member's written or verbal request for:

o Clarification

o Appointments

o Explanation of a plan or service

o Plan Administration

o Procedures

o Benefits information

o Initial determinations

o Additional Information

COMPLAINT: Dissatisfaction communicated (verbally or in writing) to APSH PR
staff by a member or a member representative when an APSH PR product or service
does not meet expectations, regardless of whether any remedial action is
requested. All complaints that are not triaged as "urgent" will be fully
responded to within 30 days.

PROCEDURES:

1. Callers to the APSH PR 800 number are instructed to select the appropriate
routing for their call, including direct access to a CSS.

2. When the Staff Member determines that the call is making an inquiry, the
nature of the inquiry will be documented in the Customer Service Module.

3. The Staff Member receiving the initial call makes every effort to
personally resolve the inquiry to the satisfaction of the caller at the
time of the call. If this is accomplished, the staff member indicates that
in the Customer Service Module that the inquiry was resolved and includes
the actions taken.

4. If an inquiry is not resolved or clarifies for the member safisfaction,
the Staff Member transfers the call or the documented inquiry or complaint
to the Senior Member Referral Staff or the complaint to the CSS for the
appropriate manage. Clinical inquiries are referred to the care managers.

5. The Senior Member Referral Staff or CSS will coordinate a timely response.
When a resolution is taken, they will confirm the information to the
beneficiary and document it the Customer Service Module.

6. A weekly report will be run to identify the opened cases in the Customer
Service Module. This report will be use to monitor the unresolved
inquiries and complaints to warranty a resolution on time to comply with
the standard resolution time. Critical Quality unresolved issues would be
referred to the Quality Improvement Committee.

ADDENDUM IV

PROPOSED INFORMATION REQUIREMENTS
AND PRHIA ACTUAL DATA FORMATS

ADDENDUM "IV", EXHIBIT A
REPORTING BENEFICIARY INFORMATION / REQUIRED DATA ELEMENT

REQUIRED DATA ELEMENTS FOR REPORTING BENEFICIARY INFORMATION

This beneficiary listing shall be submitted to the ADMINISTRATION daily, or as
defined by the ADMINISTRATION. This report shall include, at a minimum, the
following data elements:

30. Identity of the INSURER providing the report;

31. Date of information processing;

32. Process sequence;

33. Action type;

34. Contract type;

35. Beneficiary's membership number;

36. Primary beneficiary's social security number;

37. Beneficiary's social security number;

38. Beneficiary's alternate identification;

39. Beneficiary's last name(s);

40. Beneficiary's first name;

41. Beneficiary's middle name;

42. Beneficiary's date of birth;

43. Beneficiary's gender;

44. Beneficiary's pregnancy factor;

45. Beneficiary's ethnicity identification code;

46. Beneficiary's family identification number;

47. Beneficiary's eligibility starting date;

48. Beneficiary's eligibility ending date;

49. Beneficiary's enrollment begin date;

50. Date of death;

51. Medicare coverage (A, B, A and B);

52. Beneficiary's eligibility classification code (i.e. TACI, SSIW, TANF,
etc.);

53. Beneficiary's eligibility classification qualifier (i.e. Medically Needy,
Aged, Blind, etc);

54. Region Code;

55. Municipality Code;

56. Beneficiary's mailing address;

57. Beneficiary's residence address;

58. Beneficiary's telephone number;

59. Beneficiary's new address: or To the extent possible, a statement or
indicator that the beneficiary's new address is unknown due to mail being
returned for insufficient address (e.g., undeliverable, no forwarding
address, etc.) if the beneficiary's new address is unknown;

60. Date beneficiary moved;

61. A statement or indicator whether the beneficiary's new address is within
the same community service area as the former address or is in a different
community service area;

62. Other pertinent information that is known by the INSURER which may have an
affect on a beneficiary's eligibility or cost sharing status.

ADDENDUM "IV", EXHIBIT B
PROVIDER ENROLLMENT REPORTING/REQUIRED DATA ELEMENTS

REQUIRED DATA ELEMENTS FOR PROVIDER ENROLLMENT REPORTING

This beneficiary listing shall be submitted to the ADMINISTRATION at regular
intervals, to be defined by the ADMINISTRATION. The reports shall include, at a
minimum, the following data elements:

1. Provider name;

2. Provider address, including the address of all service sites operated by
the provider;

3. Provider social security or employer I.D. number;

4. Provider's race and/or national origin;

5. Provider Specialty;

6. Provider license number and type of license (if applicable);

7. Provider numbers used in the plan of other payers, including but not
limited to, Medicare, Medicaid, other private health plans, etc.;

8. The identification number that will be used by the INSURER when payment is
made to the provider (if multiple numbers are used for payments, then item
seven must carry the old Medicaid or Medicare I.D. number to the extent
Medicaid or Medicare assigned I.D. numbers for this type provider);

9. Unique Physician Identifier Number - UPIN (if applicable);

10. Provider telephone number;

11. Providers Drug Enforcement Agency (DEA) number (if applicable);

12. Effective date of participation and closure date of participation (if
applicable); and

13. In-Plan/Out-of-Plan lndicator;

FOR REPORTING PROVIDER NETWORK VALIDATION, ALSO INCLUDE THE FOLLOWING:

14. The provider's service delivery municipality of practice;

FOR DENTISTS AND PRIMARY CARE PROVIDERS (PCP) THE FOLLOWING ADDITIONAL DATA
ELEMENTS ARE REQUIRED:

15. Is the Dental / PCP's practice closed to new beneficiaries as primary care
patients;

FOR PRIMARY CARE PROVIDERS (PCPS ONLY) THE FOLLOWING ADDITIONAL DATA ELEMENTS
ARE REQUIRED:

16. Does the PCP deliver babies;

17. Does the PCP provide prenatal care;

18. What is the youngest age each individual PCP will accept as a patient into
the PCP's practice? (Age zero (00) equates to providing services to
newborns);

19. What is the oldest age each individual PCP will accept as a patient into
the PCP's practice? (Age 99 equates to Age 99 and older); and

20. How many members has the MCO assigned to each individual PCP for primary
service delivery?

ADDENDUM "IV", EXHIBIT C
REPORTING OTHER INSURANCE/REQUIRED DATA ELEMENTS

REQUIRED DATA ELEMENTS FOR REPORTING OTHER INSURANCE

This beneficiary listing shall be submitted to the ADMINISTRATION at regular
intervals, to be defined by the ADMINISTRATION. This report shall include, at a
minimum, the following data elements:

1. Beneficiary's name;

2. Beneficiary's address;

3. Beneficiary's family identification code;

4. Beneficiary's birthdate;

5. Beneficiary's social security number;

6. Beneficiary's group insurance number;

7. Beneficiary's individual insurance number

8. Beginning effective date of beneficiary coverage;

9. Ending effective date of beneficiary coverage (if applicable);

10. Name of insured policyholder; and

11. Type of insurance coverage (employer, individual, Medicare, etc.)

12. Other beneficiary demographic information as necessary

ADDENDUM "IV", EXHIBIT D
INSTRUCTIONS FOR COMPLETION OF UTILIZATION SUMMARY REPORTS

SERVICE UTILIZATION SUMMARY REPORT

The INSURER will submit quarterly Service Utilization Summary reports based on
the services covered. This report summarizes unduplicated client counts and
provider units of service by major service category.

Data Element Instructions:

1. REPORT DATE - Enter the ending month, day, and year of the reporting
period that the data represents.

2. PLAN NAME - Enter the INSURER name.

3. ADDRESS - Enter the physical location of the INSURER.

4. BENEFICIARY CATEGORY - Enter the beneficiary categoies that the data
represents: e.g., all eligibles. Use a different sheet for data for each
beneficiary category.

5. UNDUPLICATED BENEFICIARIES SERVED - Enter the number of unduplicated
beneficiaries (different clients) served within each of the listed service
categories.

6. MCO/MBHO PROVIDED UNITS OF SERVICE - Enter the number of units of service
within each of the listed service categories that were provided directly
by the INSURER.

7. MCO/MBHO PROVIDED SERVICE COST - Enter the cost of services provided
directly by the INSURER for each of the listed service categories.

8. TOTAL MCO/MBHO PROVIDED SERVICES COST - Enter the sum of the INSURER
provided services costs in Column 7 for all of the listed service
categories.

9. PURCHASED UNITS OF SERVICE - Enter the number of units of service within
each of the listed service categories that were purchased from outside
referral, subcontract, and emergency service vendors by the MCO/MBHO.

10. PURCHASED SERVICES COST - Enter the cost of the purchased units of service
for each of the listed service categories.

11 TOTAL PURCHASED SERVICES COST - Enter the sum of the purchased services
costs in Column 10 for all of the listed service categories.

12. TOTAL MCO/MBHO PROVIDED AND PURCHASED SERVICES COST - Enter the sum of
lines 8 and 11.

13. SERVICE UNIT DEFINITIONS - Please report service units incurred as part of
the plan's expanded benefits separately:

HOSPITAL INPATIENT DAYS - The number of beneficiary inpatient days
sponsored in the period.

a. Total number of bed days per thousand beneficiaries per month.

b. Number of bed days per thousand beneficiaries per month for adult
(age 15 or over) medical admissions and pediatric (age birth to one
(1) year and age 1 to age 14) medical admissions.

DEDUCTIBLE XXXXX 0 0 0 0 0

XXXXXXXXX XXXXX 0% - 50% 51% - 100% 101% to L3O% 131% to 200% Public Employees
-------- ---------- ------------ ------------ ----------------

Hospitalization:.
o For admission 0 $3.00 $5.00 $15.00 $50.00

Ambulatory Visits:

o Medical Primary 0 $1.00 $2.00 $2.00 $3.00

o Specialists 0 $1.00 $2.00 $3.00 $7.00

o Sub-specialists 0 $1.00 $2.00 $4.00 $10.00

o Hitech Lab 0 $0.50 $1.00 $2.00 $0.00

o Clinical Laboratories 0 $0.50 $1.00 $2.00 20%

o X Rays 0 $0.50 $1.00 $2.00 20%

o Therapy 0 $1.00 $1.00 $2.00 $5.00

o Therapy 0 $1.00 $1.00 $1.00 $5.00

o Diagnostic
Special 0 $1.00 $1.00 $5.00 40%

o Emergency services 0 $1.00 $2.00 $5.00 $20.00

Trauma 0 $0.00 $0.00 $0.00 $0.00

Medicines
(per prescribed medicine) 0 $0.50 $1.00 $3.00 $5.00 bio-equivalent
$10.00 branded

(EXCEPT FOR CHILDREN UNDER TWO (2) YEARS WHICH DO NOT PAY DEDUCTIBLES).

w. Treatment of chronic pain other than psychotherapy if it is
determined such pain has a psychological or psychosomatic origin.

x. Medical components of organic conditions, including
neuropsychological testing to determine deficits related to closed
head injury or other injuries of to the brain; cognitive retraining
and bio-feedback for medical diagnoses. Even though the MBHO may not
be responsible for these services, it will assist in the
coordination of the evaluation and treatment services as requested
by the Administration.

y. Speech therapy.

z. Treatment for smoking.

aa. Transportation expenses that are not emergency.

bb. Custodial Care

cc. Educational testing, educational services, psychological testing,
and neuropsychological testing specifically for the purpose of the
evaluation, diagnosis, and/or treatment of learning disabilities,
mental retardation, and/or developmental delays. Even though MBHO is
not responsible for the costs of these services, MBHO will assist in
the coordination of the evaluation and treatment services as
requested by the Healthcare Reform and/or MCO. Treatment of the
psychological symptoms related to, resulting from, and/of occurring
concurrently with these disorders will be responsibility of the
MBHO. Additionally, psychological testing (including
neuropsychological testing) which is determined to be medically
necessary and administered as part of a comprehensive diagnostic
evaluation to determine the presence of a mental disorder will be
the responsibility of MBHO.

C. MEDICARE COVERAGE

The following factors will be used to determine the coverage offered to those
beneficiaries which are also eligible to Part A or Part A and B coverage of the
Medicare Program.

a. Beneficiaries with Medicare Part A:

o To offer regular coverage of the mental health coverage excluding
Part A benefits.

o Does not include deductible of Part A.

o Payment of the deductibles for the benefits under the mental health
coverage will be as described in the deductible table applicable to
all beneficiaries referred to in item D.

b. Beneficiaries with Medicare Part A and B:

o To offer regular pharmacy coverage of the health reform plan.

o To include deductible and co-insurance payment of Medicare Part B.

o Does not include the deductible payment of Part A.

o The deductible payments of the mental health services will be in
accordance with the table of deductibles set forth:

B. DEDUCTIBLES

1. The Certified beneficiaries under the Medicaid Program that fall within (0
through 50%) percent level of indigence are not subject to any of the
deductible payments set forth.

2. The deductibles of Public Employees and Pensioners of the Central
Government are included within the deductible level described as category
4 as itemized on the table of deductibles set forth.

c. Number of bed days per thousand beneficiaries per month for surgical
admissions.

d. Number of bed days per month per thousand beneficiaries for
psychiatric admissions.

e Average length of stay for full term newborns. Report vaginal and
C-section deliveries separately.

f. Average length of stay for newborns in intensive care settings.
Report vaginal and C-section deliveries separately

o HOSPITAL OUTPATIENT SERVICE VISITS OR MENTAL HEALTH PARTIAL PROGRAMS - The
number of visits by beneficiaries to a hospital outpatient facility. A
visit is one (1) unit regardless of the number of services received. If a
physician service is received at an outpatient hospital facility, units
are reported as physician services (Excludes Emergency visits).

a. Average number of visits per thousand beneficiaries per month by age
group

o HOSPITAL EMERGENCY ROOM VISITS - The number of emergency service visits to
a hospital outpatient facility. These units are the same as outpatient
service visits except the visits for emergencies are reported on this
line. A unit is a visit, not the number of services received during the
visit. Physician services received during the visit are reported as
physician services, which are not discriminated by emergent conditions.

a. Average number of visits per thousand beneficiaries per month by age
group

o PHYSICIANS, ADVANCED RN PRACTITIONERS, INDEPENDENT LABORATORY AND X-RAY
SERVICES, DENTAL, VISION, SPEECH AND HEARING, HOME HEALTH, DURABLE MEDICAL
EQUIPMENT AND MEDICAL SUPPLIES, COMMUNITY CLINICS, COMMUNITY MENTAL HEALTH
CLINICS - The service unit for these categories is defined as a "Procedure
Code" for each service. The nomenclature system used generally follows the
"Relative Value Studies" and "CPT-4" nomenclature systems. Where a single
procedure code may be reported in multiple units; like anesthesia where a
unit is 10 minutes, report only one unit per procedure code. Each category
of provider shall be reported separately.

a. Average number of visits per thousand beneficiaries per month by age
group

o INDEPENDENT LABORATORY - As previously stated, a unit of service for this
category is an encounter. It is important to note that these services are
reported on this line only when provided by a reference laboratory or
x-ray facility not part of a hospital, outpatient facility, or in a
doctor's office.

a. Average number of visits per thousand beneficiaries per month by age
group

PRESCRIPTION DRUGS - Each prescription, not a quantity or dosage measure.
If a prescription is refillable, each refill provided is one unit.

a. Average number of visits per thousand beneficiaries per month by age
group

o PREVENTIVE HEALTH VISITS - One (1) examination. If services are provided
in addition to the examination during the same visit, the services are
reported separately in appropriate categories (i.e. physician).

a. Average number of visits per thousand beneficiaries per month by age
group

o FAMILY PLANNING - A unit of service in this category is defined as
provision of one (1) or more services. Only one (1) procedure code is used
to report each defined family planning service. Each time the code is
used, a unit is reported

a. Average number of visits per thousand beneficiaries per month by age
group

b. Average number of visits per beneficiaries per month by sex.

o TRANSPORTATION - 1) Ambulance emergency transportation. This
transportation from point of origin to the nearest appropriate facility
that can handle the medical emergency or transfer between facilities or to
a trauma center; 2) Ambulance Non-emergency shall be provided when the
beneficiary's condition is such that the use of any other method of
transportation is contraindicated; 3) Voluntary transportation service is
one (1) in which enrollees are transported by private automobile,
commercial means of transportation to a health care provider for a covered
service

o PUBLIC CLINIC VISITS - Units of service equal the number of visits by
beneficiaries to a Rural Health Clinic. A visit is one (1) unit regardless
of the number of services received

o Hospice - For revenue codes 651, 655, and 656 the units will equal the
number of covered days. For revenue code 652, the units will equal the
number of covered hours. For revenue code 657, the units will equal the
number of covered physician services provided (see service unit definition
for physicians)

o CHILDREN`S SPECIAL SERVICES - The service unit for these categories is
defined as a "Procedure Code" for each service. The nomenclature system
used generally follows the "Relative Value Studies" and "CPT-4"
nomenclature systems. Where a single procedure code may be reported in
multiple units; like anesthesia where a unit is 10 minutes, report only
one unit per procedure code. Each category of provider shall be reported
separately

a. Average number of visits per thousand beneficiaries per month by age
group

o Severely and Chronically Mentally Ill - The service unit for these
categories is defined as a "Procedure Code" for each service. The
nomenclature system used generally follows the "Relative Value Studies"
and "CPT-4" nomenclature systems. Where a single procedure code may be
reported in multiple units; like anesthesia where a unit is 10 minutes,
report only one unit per procedure code. Each category of provider shall
be reported separately

a. Average number of visits per thousand beneficiaries per month by age
group

ADDENDUM "IV", EXHIBIT E - INDIVIDUAL ENCOUNTER
REPORTING/REQUIRED DATA ELEMENTS

REQUIRED DATE ELEMENTS FOR REPORTING INDIVIDUAL ENCOUNTERS

This report shall include, at a minimum, the following data elements:

Common Data Elements Discharge Diagnosis
Type of Claim Home Health Specific
Provider Number Servicing Attending Physician
Provider Number Professional Specific
Primary Care Provider Number Referring Provider Number
Beneficiary Number Treatment Place
Procedure Code (CPTs and NDCs) Anesthesia Units
Procedure Modifier Community Health Clinic Specific
Type of Service Drug Codes
Units Drug Quantity
From Date Drug Day Supply
Through Date Drug Charges
Payment Date Treatment Place
Billed Charges Referring Provider Number
Allowed Amount Ambulance Specific
Amount Paid Emergency Date
Primary Diagnosis (ICD-9 and/ or Referring Provider Number
DSM-IV) Destination
Secondary Diagnosis Dental Specific
Diagnosis 3 Tooth Number
Diagnosis 4 Tooth Surface
Diagnosis 5 Emergency Indicator
Provider Type Pharmacy Specific
Provider Specialty Prescribing Provider Number
Claim Type Modifier Prescription Number
Third Party Liability Amount (including Refill Number
Medicare Amount) Days Supply
Hospital Specific Nursing Home indicator
Attending Physician Unit Dose Indicator
Admitting Physician Hospice Specific
Discharge Date Certification Date
Admit Date Attending Physician
Covered Days Admitting Physician
Non-Covered Days Date Care Begins
UB-92 Revenue Codes Treatment Place
Revenue Charges Covered Days
Surgical Procedures
Per Xxxx
Xxxx Type
DRG Data
Admitting Diagnosis

INSTRUCTIONS FOR COMPLETING THE WEEKLY CLAIMS STATUS REPORT

This report is to be prepared based on the type of claim form received (i.e.,
HCFA 1500, UB 92, dental) rather than the type of service billed on the claim
(i.e., physician services, inpatient, durable medical equipment). Claims
processed by a subcontractor should be reported separately from those claims
received and processed by the INSURER. Each subcontractor should be identified
and the claims information relating to that subcontractor's weekly claims should
be reported. Instructions for completing the report:

o Report the number of claims received for the week but not yet entered into
the electronic claims processing system in a column labeled "NUMBER OF
CLAIMS AWAITING INPUT".

o Report the number of claims, by age, input into the electronic claims
processing system but not yet processed to final adjudication in
appropriate columns labeled "AGING OF CLAIMS INPUT BUT NOT ADJUDICATED TO
FINAL DISPOSITION (I.E., PENDING OR IN PROCESS)". The age of the claims
reported in this field shall begin on the date of receipt of the claim and
include any amounts of time the claim was awaiting input into the
electronic claims processing system.

o Report the billed amount and expected reimbursement amount for the claims
identified in the aging component of the report in the appropriate columns
under a heading labeled "VALUE OF CLAIMS PENDING OR IN PROCESS".

o Report the billed amount of rejected claims and reason for rejection under
the heading labeled "AMOUNT OF REJECTED CLAIMS".

o Report the average turn-around time for claims processed to final
adjudication for the week in an appropriate column labeled "AVERAGE
TURNAROUND TIME FOR ADJUDICATED CLAIMS".

PRHIA ACTUAL DATA FORMATS

--------------------------------------------------------------------------------
MONTHLY BILLING - CARRIER BILLING FILE
--------------------------------------------------------------------------------
(Updated for Inclusion of ELA employees into Reform)
--------------------------------------------------------------------------------
(February 24, 2000)
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

Record Field Size Position Notes
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

CARRIER-ID 2 1
--------------------------------------------------------------------------------
REGION-ID 1 3
--------------------------------------------------------------------------------
MUNICIPALITY 3 4
--------------------------------------------------------------------------------
HOH-SSN 9 7
--------------------------------------------------------------------------------
FIRST-NAME 20 16
--------------------------------------------------------------------------------
MIDDLE-INITIAL 1 36
--------------------------------------------------------------------------------
1ST-LAST-NAME 15 37
--------------------------------------------------------------------------------
2ND-LAST-NAME 15 52
--------------------------------------------------------------------------------
ADDRESS-1 25 67
--------------------------------------------------------------------------------
ADDRESS-2 25 92
--------------------------------------------------------------------------------
CITY 15 117
--------------------------------------------------------------------------------
ZIP 9 132
--------------------------------------------------------------------------------
PREMIUM-AMOUNT-DUE 8 141 999999V99
--------------------------------------------------------------------------------
NUMBER-OF-DAYS 2 149 # of days for prorate
--------------------------------------------------------------------------------
PRIMARY-CENTER 4 151
--------------------------------------------------------------------------------
CHANGE-EFFECTIVE-DATE 8 155 BILLING DATE (YYYYMMDD)
--------------------------------------------------------------------------------
CARD-ISSUE-DATE 8 163 YYYYMMD
--------------------------------------------------------------------------------
NUMBER-OF-CARDS 2 171 99
--------------------------------------------------------------------------------
ODSI-FAMILY-ID 11 173
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

**Format is subject to change prior implementation of ELA employees into reform

--------------------------------------------------------------------------------
CARRIER ELIGIBILITY FILE
--------------------------------------------------------------------------------

(Updated for inclusion of ELA employees into Reform)

--------------------------------------------------------------------------------
(February 24, 2000)
--------------------------------------------------------------------------------

This file is created by the HCRE export program and contains the cosmographic
and eligibility information sent to ASES from the Department of Health and
verified by ASES as eligible for health Reform
--------------------------------------------------------------------------------

Family Record

--------------------------------------------------------------------------------

Record Fields Size Position Notes
------------------------ --------- --------- -----------------------------------

------------------------ --------- --------- -----------------------------------
RECORD-TYPE 1 1 "F" for family
------------------------ --------- --------- -----------------------------------
XXXX-ID 1 2 E=eligible, I=ineligible,
R=[ILLEGIBLE] (ELA)
------------------------ --------- --------- -----------------------------------
PROCESS-DATE 8 3 MMDDYYYY
------------------------ --------- --------- -----------------------------------
FAMILY-SSN 9 11 SSH of Head of Household (HOH)
------------------------ --------- --------- -----------------------------------
FAMILY-SUFFIX 2 20 "00"
------------------------ --------- --------- -----------------------------------
FILLER 14 22
------------------------ --------- --------- -----------------------------------
ODSI-FAMILY-ID 11 35 "G" + "0" (ZERO) + HOH SSN for ELA
------------------------ --------- --------- -----------------------------------
HOH-1ST-LAST-NAME 15 47
------------------------ --------- --------- -----------------------------------
HOH-2ND-LAST-NAME 15 62
------------------------ --------- --------- -----------------------------------
HOH-FIRST-NAME 20 77
------------------------ --------- --------- -----------------------------------
REGION 1 97
------------------------ --------- --------- -----------------------------------
MUNICIPALITY 4 98
------------------------ --------- --------- -----------------------------------
FACILITY 4 102
------------------------ --------- --------- -----------------------------------
INVESTIGATION-IND 1 106
------------------------ --------- --------- -----------------------------------
TRANSACTION-TYPE 1 107
------------------------ --------- --------- -----------------------------------
EFFECTIVE-DATE 8 108 Start date of eligibility MMDDYYYY
------------------------ --------- --------- -----------------------------------
FINANCIAL-RESP-PCT 1 116
------------------------ --------- --------- -----------------------------------
CERTIFIER-NUMBER 2 117
------------------------ --------- --------- -----------------------------------
EXPIRATION-DATE 8 119 End date of eligibility MMDDYYYY
------------------------ --------- --------- -----------------------------------
COND-ELIG-IND 1 127
------------------------ --------- --------- -----------------------------------
MAILING-ADDRESS1 25 128
------------------------ --------- --------- -----------------------------------
MAILING-ADDRESS2 25 153
------------------------ --------- --------- -----------------------------------
MAILING-CITY 16 178
------------------------ --------- --------- -----------------------------------
MAILING-ZIP 5 194
------------------------ --------- --------- -----------------------------------
MAILING-ZIP4 4 199
------------------------ --------- --------- -----------------------------------
RESIDENCE-ADDRESS1 25 203
------------------------ --------- --------- -----------------------------------
RESIDENCE-ADDRESS2 25 228
------------------------ --------- --------- -----------------------------------
RESIDENCE-CITY 16 253
------------------------ --------- --------- -----------------------------------
RESIDENCE-ZIP 5 269
------------------------ --------- --------- -----------------------------------
RESIDENCE-ZIP4 4 274
------------------------ --------- --------- -----------------------------------
PHONE 7 278
------------------------ --------- --------- -----------------------------------
OTHER-INSURER1 2 285 Insurance co. code
------------------------ --------- --------- -----------------------------------
OTH-POLICY1 20 287 Policy number
------------------------ --------- --------- -----------------------------------
OTHER-INSURER2 2 307 Insurance co. code
------------------------ --------- --------- -----------------------------------
OTH-POLICY2 20 309 Policy number
------------------------ --------- --------- -----------------------------------
OTHER-INSURER3 2 329 Insurance co. code
------------------------ --------- --------- -----------------------------------
OTH-POLICY3 20 331 Policy number
------------------------ --------- --------- -----------------------------------
MEMBERS 2 351 # members in family
------------------------ --------- --------- -----------------------------------
ODSI-MEMBERS-ELIGIBLE 2 253 # members eligible ODSI /
[ILLEGIBLE] ELA
------------------------ --------- --------- -----------------------------------
USER-CODE 6 355
------------------------ --------- --------- -----------------------------------
ENTRY-DATE 8 361 MMDDYYYY
------------------------ --------- --------- -----------------------------------
PCT-OF-POVERTY-LEVEL 3 369
------------------------ --------- --------- -----------------------------------
DEDUCTIBLE-LEVEL-CODE 1 372
------------------------ --------- --------- -----------------------------------
HCRE-MEMBERS-ELIGIBLE 2 373 # members eligible by ASES
------------------------ --------- --------- -----------------------------------
HCRE-DENIAL-CODE 2 375
------------------------ --------- --------- -----------------------------------
CARRIER-CODE 2 377 used in multiple carrier regions
------------------------ --------- --------- -----------------------------------
EFFECTIVE-CARRIER-DATE 8 379 used in multiple carrier regions
------------------------ --------- --------- -----------------------------------
ELA-ERRORS 10 387 5 2-digit error codes for ELA
------------------------ --------- --------- -----------------------------------
FILLER 4 397
------------------------ --------- --------- -----------------------------------

--------------------------------------------------------------------------------

** Format is subject to change prior to implementation of ELA employees into
reform

--------------------------------------------------------------------------------
CARRIER ELIGIBILITY FILE
--------------------------------------------------------------------------------

(Updated for inclusion of ELA employees into Reform)

--------------------------------------------------------------------------------
(February 24, 2000)
--------------------------------------------------------------------------------

Family Record

--------------------------------------------------------------------------------

Record Fields Size Position Notes
------------------------ --------- --------- -----------------------------------

------------------------ --------- --------- -----------------------------------
RECORD-TYPE 1 1 "F" for family
------------------------ --------- --------- -----------------------------------
XXXX-ID 1 2 E=eligible, I=ineligible,
R=[ILLEGIBLE] (ELA)
------------------------ --------- --------- -----------------------------------
PROCESS-DATE 8 3 MMDDYYYY
------------------------ --------- --------- -----------------------------------
FAMILY-SSN 9 11 SSH of Head-of-Household (HOH)
------------------------ --------- --------- -----------------------------------
FAMILY-SUFFIX 2 20 "00"
------------------------ --------- --------- -----------------------------------
FILLER 14 22
------------------------ --------- --------- -----------------------------------
ODSI-FAMILY-ID 11 36 "G" + "0" (ZERO) + HOH SSN for ELA
------------------------ --------- --------- -----------------------------------
HOH-1ST-LAST-NAME 15 47
------------------------ --------- --------- -----------------------------------
HOH-2ND-LAST-NAME 15 62
------------------------ --------- --------- -----------------------------------
HOH-FIRST-NAME 20 77
------------------------ --------- --------- -----------------------------------
REGION 1 97
------------------------ --------- --------- -----------------------------------
MUNICIPALITY 4 98
------------------------ --------- --------- -----------------------------------
FACILITY 4 102
------------------------ --------- --------- -----------------------------------
INVESTIGATION-IND 1 106
------------------------ --------- --------- -----------------------------------
TRANSACTION-TYPE 1 107
------------------------ --------- --------- -----------------------------------
EFFECTIVE-DATE 8 108 Start date of eligibility MMDDYYYY
------------------------ --------- --------- -----------------------------------
FINANCIAL-RESP-PCT 1 116
------------------------ --------- --------- -----------------------------------
CERTIFIER-NUMBER 2 117
------------------------ --------- --------- -----------------------------------
EXPIRATION-DATE 8 119 End date of eligibility MMDDYYYY
------------------------ --------- --------- -----------------------------------
COND-ELIG-IND 1 127
------------------------ --------- --------- -----------------------------------
MAILING-ADDRESS1 25 128
------------------------ --------- --------- -----------------------------------
MAILING-ADDRESS2 25 153
------------------------ --------- --------- -----------------------------------
MAILING-CITY 16 178
------------------------ --------- --------- -----------------------------------
MAILING-ZIP 5 194
------------------------ --------- --------- -----------------------------------
MAILING-ZIP 4 199
------------------------ --------- --------- -----------------------------------
RESIDENCE-ADDRESS1 25 203
------------------------ --------- --------- -----------------------------------
RESIDENCE-ADDRESS2 25 228
------------------------ --------- --------- -----------------------------------
RESIDENCE-CITY 16 253
------------------------ --------- --------- -----------------------------------
RESIDENCE-ZIP 5 269
------------------------ --------- --------- -----------------------------------
RESIDENCE-ZIP4 4 274
------------------------ --------- --------- -----------------------------------
PHONE 7 278
------------------------ --------- --------- -----------------------------------
OTHER-INSURER1 2 285 Insurance co. code
------------------------ --------- --------- -----------------------------------
OTH-POLICY1 20 287 Policy number
------------------------ --------- --------- -----------------------------------
OTHER-INSURER2 2 307 Insurance co. code
------------------------ --------- --------- -----------------------------------
OTH-POLICY2 20 309 Policy number
------------------------ --------- --------- -----------------------------------
OTHER-INSURER3 2 329 Insurance co. code
------------------------ --------- --------- -----------------------------------
OTH-POLICY3 20 331 Policy number
------------------------ --------- --------- -----------------------------------
MEMBERS 2 351 # members in family
------------------------ --------- --------- -----------------------------------
ODSI-MEMBERS-ELIGIBLE 2 353 # members eligible ODSI /
[ILLEGIBLE] ELA
------------------------ --------- --------- -----------------------------------
USER-CODE 6 355
------------------------ --------- --------- -----------------------------------
ENTRY-DATE 8 361 MMDDYYYY
------------------------ --------- --------- -----------------------------------
PCT-OF-POLICY-LEVEL 3 369
------------------------ --------- --------- -----------------------------------
DEDUCTIBLE-LEVEL-CODE 1 372
------------------------ --------- --------- -----------------------------------
HCRE-MEMBERS-ELIGIBLE 2 373 # members eligible by ASES
------------------------ --------- --------- -----------------------------------
HCRE-DENIAL-CODE 2 375
------------------------ --------- --------- -----------------------------------
CARRIER-CODE 2 377 used in multiple carrier regions
------------------------ --------- --------- -----------------------------------
EFFECTIVE-CARRIER-DATE 8 379 used in multiple carrier regions
------------------------ --------- --------- -----------------------------------
ELA-ERRORS 10 387 5 2-digit error codes for ELA
------------------------ --------- --------- -----------------------------------
FILLER 4 397
------------------------ --------- --------- -----------------------------------

--------------------------------------------------------------------------------

** Format is subject to change prior to implementation of ELA employees into
reform

--------------------------------------------------------------------------------
ELA SUBSCRIPTION FILE
--------------------------------------------------------------------------------
(New for inclusion of ELA employees into Reform)

--------------------------------------------------------------------------------
(February 24, 2000)
--------------------------------------------------------------------------------
[ILLEGIBLE] by the Insurance Company to defile a new ELA subscription or update.
Sent to ASES [ILLEGIBLE].

--------------------------------------------------------------------------------
Record

------------------------ --------- --------- -----------------------------------
[COLUMN ILLEGIBLE] Size Position Notes
------------------------ --------- --------- -----------------------------------

------------------------ --------- --------- -----------------------------------
1 1 "M" for member
------------------------ --------- --------- -----------------------------------
1 2 A=Add, D=Delete, U=Update
------------------------ --------- --------- -----------------------------------
8 3 MMDDYYYY
------------------------ --------- --------- -----------------------------------
11 11 "G" + "0" (ZERO) + Employee SSN
------------------------ --------- --------- -----------------------------------
2 22 01 for HOH, 02-99 for dependents
------------------------ --------- --------- -----------------------------------
15 24
------------------------ --------- --------- -----------------------------------
15 39
------------------------ --------- --------- -----------------------------------
20 54
------------------------ --------- --------- -----------------------------------
1 74
------------------------ --------- --------- -----------------------------------
1 75 1=HOH, 2=Spouse, 3=Direct Dep.,
4=Optional Dep.
------------------------ --------- --------- -----------------------------------
8 76 MMDDYYYY
------------------------ --------- --------- -----------------------------------
1 84
------------------------ --------- --------- -----------------------------------
1 85
------------------------ --------- --------- -----------------------------------
13 86
------------------------ --------- --------- -----------------------------------
1 99
------------------------ --------- --------- -----------------------------------
9 100
------------------------ --------- --------- -----------------------------------
129 109
------------------------ --------- --------- -----------------------------------
2 238 "03"
------------------------ --------- --------- -----------------------------------
5 240 Employee Agency Code
------------------------ --------- --------- -----------------------------------
156 245
------------------------ --------- --------- -----------------------------------

------------------------ --------- --------- -----------------------------------

--------------------------------------------------------------------------------

[ILLEGIBLE] is subject to change prior to implementation of ELA employees into
reform

--------------------------------------------------------------------------------
(February 24, 2000)
--------------------------------------------------------------------------------
This file is created by the Insurance Company to defile a new ELA subscription
or update. Sent to ASES for validation.

--------------------------------------------------------------------------------
Family Record

--------------------------------------------------------------------------------

------------------------ --------- --------- -----------------------------------
Record fields Size Position Notes
------------------------ --------- --------- -----------------------------------

------------------------ --------- --------- -----------------------------------
RECORD-TYPE 1 1 "F" for family
------------------------ --------- --------- -----------------------------------
XXXX-ID 1 2 A=Add, D=Delte, U=Update
------------------------ --------- --------- -----------------------------------
PROCESS-DATE 8 3 MMDDYYYY
------------------------ --------- --------- -----------------------------------
FAMILY-NUMBER 11 11 "G" + "0" (ZERO) + HOH SSN
------------------------ --------- --------- -----------------------------------
HOH-1ST-LAST-NAME 15 22
------------------------ --------- --------- -----------------------------------
HOH-2ND-LAST-NAME 15 37
------------------------ --------- --------- -----------------------------------
HOH-FIRST-NAME 20 52
------------------------ --------- --------- -----------------------------------
FILLER 1 72
------------------------ --------- --------- -----------------------------------
MUNICIPALITY 4 73
------------------------ --------- --------- -----------------------------------
FILLER 6 77
------------------------ --------- --------- -----------------------------------
EFFECTIVE-DATE 6 83 Start date of eligibility MMYYYY
------------------------ --------- --------- -----------------------------------
FILLER 23 89
------------------------ --------- --------- -----------------------------------
EXPIRATION-DATE 6 112 End date of eligibility MMYYYY
------------------------ --------- --------- -----------------------------------
FILLER 1 118
------------------------ --------- --------- -----------------------------------
MAILING-ADDRESS1 25 119
------------------------ --------- --------- -----------------------------------
MAILING-ADDRESS2 25 144
------------------------ --------- --------- -----------------------------------
MAILING-CITY 16 169
------------------------ --------- --------- -----------------------------------
MAILING-ZIP 5 185
------------------------ --------- --------- -----------------------------------
MAILING-ZIP4 4 190
------------------------ --------- --------- -----------------------------------
RESIDENCE-ADDRESS1 25 194
------------------------ --------- --------- -----------------------------------
RESIDENCE-ADDRESS2 25 219
------------------------ --------- --------- -----------------------------------
RESIDENCE-CITY 16 244
------------------------ --------- --------- -----------------------------------
RESIDENCE-ZIP 5 260
------------------------ --------- --------- -----------------------------------
RESIDENCE-ZIP4 4 265
------------------------ --------- --------- -----------------------------------
PHONE 7 269
------------------------ --------- --------- -----------------------------------
OTHER-INSURER1 2 276 Insurance co. code
------------------------ --------- --------- -----------------------------------
OTH-POLICY1 20 278 Policy number
------------------------ --------- --------- -----------------------------------
OTHER-INSURER2 2 298 Insurance co. code
------------------------ --------- --------- -----------------------------------
OTH-POLICY2 20 300 Policy number
------------------------ --------- --------- -----------------------------------
OTHER-INSURER3 2 320 Insurance co. code
------------------------ --------- --------- -----------------------------------
OTH-POLICY3 20 322 Policy number
------------------------ --------- --------- -----------------------------------
TOTAL-MEMBERS 2 342 # members in family including
optionals
------------------------ --------- --------- -----------------------------------
OPTIONAL-MEMBERS 2 344 # optionals members only
------------------------ --------- --------- -----------------------------------
OPER-ID 6 346
------------------------ --------- --------- -----------------------------------
ENTRY-DATE 8 352 MMDDYYYY
------------------------ --------- --------- -----------------------------------
MANCOMUNADO 1 360 Y/N
------------------------ --------- --------- -----------------------------------
FILLER 40 361
------------------------ --------- --------- -----------------------------------

--------------------------------------------------------------------------------

** Format is subject to change prior to implementation of ELA employees into
reform

[LOGO] UNITED SURETY & INDEMNITY COMPANY
USIC - A Commitment to Excellence and Integrity -

FINANCIAL GUARANTY BOND

BOND NO. 0177006

KNOW ALL MEN BY THESE PRESENTS, that we, APS HEALTHCARE PUERTO RICO, INC
(hereinafter called the Principal) as PRINCIPAL, and UNITED SURETY & INDEMNITY
COMPANY a corporation organized under the laws of the Commonwealth of Puerto
Rico and authorized to transact business in Puerto Rico, (hereinafter called the
Surety) as Surety, are held and firmly bound unto ADMINISTRACION DE SEGUROS DE
SALUD DE P.R. (ASES) (hereinafter called Obligee) as OBLIGEE in the sum of TWO
MILLION DOLLARS ($2,000,000.00) good and lawful money of the UNITED STATES OF
AMERICA, for the payment of which sum well and truly to be made, we bind
ourselves, our heirs, administrators, executors, successors and assigns, jointly
and severally, firmly by these present.

WHEREAS, the above named Obligee has requested a bond to guarantee: PAYMENT FOR
ALL MENTAL HEALTH MEDICALLY NECESSARY SERVICES RENDERED TO BENEFICIARIES BY ANY
AND ALL PARTICIPATING PROVIDERS.

NOW, THEREFORE, Condition of the foregoing obligation is such that if the above
bounden Principal shall indemnify the Obligee for all losses that the Obligee
may sustain by reason of the Principal's failure to comply with the requirements
named above, that this obligation shall be void, otherwise it shall remain in
force.

It is also hereby understood and agreed that the liability of the Surety
hereunder shall not be cumulative and the Surety's maximum liability shall be
the amount specified herein.

No right of action shall accrue on this bond to or for the use of any person of
corporation other that the Obligee named herein or the heirs, executors,
administrators or successors of the Obligee.

The Surety may concel this bond at any time by giving thirty (30) days notice in
writing to the Obligee at the last address shown by the records of the Surety.

Any claim under this bond, must be filed with UNITED SURETY & INDEMNITY COMPANY,
within ninety (90) days of the date of the expiration of this bond which is
agreed to be one (1) year after the issue date of this bond or the effective
date of cancellation.

SEALED AND DATED THIS October 16, 2001.

APS HEALTHCARE PUERTO RICO, INC UNITED SURETY & INDEMNITY COMPANY

By: /s/ Xxxxxxxx Xxxxxxxxx By: /s/ Xxxxx X. Xxxxxxx
---------------------- --------------------
XXXXX X. XXXXXXX
Attorney-in-fact

[LOGO] UNITED SURETY & INDEMNITY COMPANY
USIC - A Commitment to Excellence and Integrity -

CERTIFICATE OF APPOINTMENT OF ATTORNEY-IN-FACT

Know All Men by these Presents, that UNITED SURETY & INDEMNITY COMPANY, a
corporation duly organized and existing under the laws of the Commonwealth of
Puerto Rico, and having its principal office in the City of Guaynabo, Puerto
Rico, does hereby certify that it has made, constituted and appointed XXXXX XXXX
XXXXXXX DEL XXXXX of Catano, Puerto Rico, its true and lawful Attorney-in-Fact
with full power and authority conferred to sign, seal and execute in its behalf
bonds, undertakings and other obligatory instruments of similar nature as
follows:

WITHOUT LIMITATION

and to bind UNITED SURETY & INDEMNITY COMPANY thereby as full and to the same
extent as if such instruments were signed by an officer of UNITED SURETY &
INDEMNITY COMPANY and all the acts of said Attorney, pursuant to the authority
given by virtue of Deed Number 14, executed on the 26th day of December, 1990;
before Notary Public Xxxxxxxx X. Xxxxxxxx Xxxxxxxxx, are hereby ratified and
confirmed.

The Power of Attorney granted by the above mentioned deed, was made and
executed pursuant to and by authority of the By-Laws duly adopted by the
Stockholders of the Company. Certified copy of the above mentioned Deed shall be
filed at the office of the Commissioner of Insurance of Puerto Rico.

In Witness Whereof, UNITED SURETY & INDEMNITY COMPANY has, pursuant to its
By-Laws, caused the present certificate to be signed by the Secretary and its
corporate seal to be hereto affixed this 5th day of January, 2000.

UNITED SURETY & INDEMNITY COMPANY

By: /s/ Xxxxxx Xxxxxxx
------------------
Xxxxxx Xxxxxxx, Secretary

Affidavit

Sworn and subscribed before me by Xxxxxx Xxxxxxx, of legal age, married and
resident of San Xxxx, Puerto Rico, to me personally known.

In San Xxxx, Puerto Rico, this 5th day of January, 2000.

/s/ Xxxxx Xxxxxxx Xxxxxx
------------------------
Notary
[SEAL]
XXXXX XXXXXXX XXXXXX
ABOGADA NOTARIO

The present certificate is in full force and effect as of this 16th day of
October, 2001.

/s/ Xxxxxx Xxxxxxx
-------------------
Secretary

X X XXX 0000 XXX XXXX XXXXXX XXXX 00000-0000 Tel. (000) 000-0000 Fax Fianzas
(000) 000-0000 Fax Adm. (000) 000-0000

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Table of Contents

MANAGEMENT BEHAVIORAL HEALTH CONTRACT CENTRAL, NORTHWEST & SOUTHEAST AREA/REGION BETWEEN THE PUERTO RICO HEALTH INSURANCE ADMINISTRATION AND

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