AMENDMENT
CALIFORNIACARE
MEDICAL SERVICES AGREEMENT
This Amendment to the CaliforniaCare Medical Services Agreement is entered
into at Woodland Hills, Los Angeles County, California, effective as of May 1,
1997, between Blue Cross of California and Affiliates ("BLUE CROSS") and
PROSPECT MEDICAL GROUP ("PARTICIPATING MEDICAL GROUP").
A. BLUE CROSS and PARTICIPATING MEDICAL GROUP have previously entered into a
CaliforniaCare Medical Services Agreement ("Agreement") effective January
1, 1997, whereby PARTICIPATING MEDICAL GROUP agreed to provide or arrange
for certain Covered Medical Services to Members assigned to PARTICIPATING
MEDICAL GROUP.
B. Pursuant to Section 16.01 of the Agreement, the parties now desire to amend
the Agreement.
THEREFORE, IT IS AGREED:
I. The following is hereby added as Section 3.07 to the Agreement:
BLUE CROSS agrees that from and after the date hereof until November
30, 1999 (provided this Agreement remains in effect for such period),
it shall not enter into any new CaliforniaCare Medical Service
Agreements with any other medical groups, other than Sansum Medical
Group, for the provision of Covered Medical Services to Members in the
metropolitan Santa Xxxxxxx area.
II. The following is hereby added as Section 7.07 to the Agreement:
Notwithstanding anything to the contrary stated in this Agreement,
BLUE CROSS shall not be liable under this Agreement to pay
PARTICIPATING MEDICAL GROUP rates in excess of any rates paid to
PARTICIPATING MEDICAL GROUP for the same services by any other person,
health care service plan, insurer or other entity. If at any time
during the term of this Agreement, PARTICIPATING MEDICAL GROUP accepts
or charges any rates which are lower than the rates set forth in this
Agreement, PARTICIPATING MEDICAL GROUP shall immediately notify BLUE
CROSS and such lower rates shall immediately become the applicable
rates under this Agreement. PARTICIPATING
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MEDICAL GROUP shall also retroactively adjust all invoices sent to
BLUE CROSS since the earliest date PARTICIPATING MEDICAL GROUP
accepted or charged these lower rates.
III. Upon acceptance by the parties, this Amendment, as of the effective date
hereof, shall become a part of this Agreement and all provisions of the
Agreement not specifically inconsistent herewith shall remain in full
force and effect.
For BLUE CROSS OF CALIFORNIA For PARTICIPATING MEDICAL GROUP
/s/ Xxxxxx Xxxxxxxxx /s/ Xxxxx XxXxxxxx
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Signature Signature
Xxxxxx Xxxxxxxxx Xxxxx XxXxxxxx
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Please Print Name Please Print Name
V.P. CEO
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Title Title
7/18/97 6/5/97
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Date Date
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