Exhibit 10.7.1
STATE OF ILLINOIS
DEPARTMENT OF PUBLIC AID
AMENDMENT NO. 2 OF
CONTRACT FOR FURNISHING HEALTH SERVICES
BY A
HEALTH MAINTENANCE ORGANIZATION
2001-24-006-KA2
Whereas, the parties to Contract for Furnishing Health Services by a Health
Maintenance Organization ("CONTRACT"), the Illinois Department of Public Aid,
000 Xxxxx Xxxxx Xxxxxx Xxxx, Xxxxxxxxxxx, Xxxxxxxx 00000-0000 (herein referred
to as "Department"), acting by and through its Director, and AMERIGROUP
Illinois, Inc., formerly known as AMERICAID Illinois, Inc. d/b/a/ Americaid
Community Care, (hereinafter referred to as "Contractor"), desire to amend the
CONTRACT; and
Whereas, pursuant to Article 9, Section 9.9 (a) of the CONTRACT, the
CONTRACT may be modified or amended by the mutual consent of the parties;
Now Therefore, the CONTRACT shall be amended as follows:
1. First Amended Attachment I shall be deleted and replaced by the
attached Second Amended Attachment I. Each reference to First Amended
Attachment I in the CONTRACT shall be deemed to refer to Second
Amended Attachment I.
All other terms and conditions of the CONTRACT shall remain in full force
and effect.
IN WITNESS WHEREOF, the parties have hereunto caused this agreement to
amend the CONTRACT to be executed by their duly authorized representatives,
effective January 1, 2002.
DEPARTMENT OF PUBLIC AID AMERIGROUP Illinois, Inc.
By: /s/ Xxxxxx Xxxxxx By: /s/ Xxxxxx X. Xxxxx
------------------------------- --------------------------------
Xxxxxx Xxxxxx
Printed Name: Xxxxxx X. Xxxxx
Title: Director Title: Pres. & CEO
Date: 4-8-02 Date: 3/1/02
FEIN:
------------------------------
-1-
[GRAPHIC] Illinois Department of Public Aid
000 Xxxxx Xxxxx Xxxxxx Xxxx
Xxxxxxxxxxx, Xxxxxxxx 00000-0000
Xxxxxx X. Xxxx, Governor Telephone: (000) 000-0000
Xxxxxx Xxxxxx, Director TTY: (800) 526-5812
April 23, 2002
Xxxxxx Xxxxx, M.D.
President and CEO
AMERIGROUP Illinois, Inc.
000 Xxxx Xxxxxx Xxxxx, Xxxxx 0000
Xxxxxxx, Xxxxxxxx 00000
Dear Xx. Xxxxx:
Enclosed for your files is one original signature copy of the amendment to the
Contract for Furnishing Health Services which reflects a 4.5% rate reduction to
each age and gender cell of Second Amended Attachment I - Rate Sheets. The
effective date of this amendment is January 1, 2002.
Sincerely,
/s/ Xxxxx Xxxx
---------------------------------
Xxxxx Xxxx, Deputy Administrator
Division of Medical Programs
Enclosure
E-Mail: xxxxxxxxxxxx@xxxxx.xx.xx Internet: xxxx://xxx.xxxxx.xx.xx/xxx/
[LETTERHEAD] Amerigroup CORPORATION
FACSIMILE COVER
DATE: May 13, 2002 TIME: 12:29 PM (CST)
PHONE: FAX: 0-000-000-0000
------------------------------
TO: Xxx Xxxxx
FROM: Xxxxxx Xxxxxx
PHONE: Ext. 2614 FAX: 0-000-000-0000
SUBJ:
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CC:
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NUMBER OF PAGES (including cover skeet): 09
If you do nor receive all the pages, please call the person above as soon as
possible.
MESSAGE:
I hope this is what you're talking about.
---------------
RECEIVED
MAY 13, 2002
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SECOND AMENDED ATTACHMENT I
RATE SHEETS
(a) Contractor Name: AMERIGROUP Illinois, Inc.
Address: 000 X. Xxxxxx Xxxxx, Xxxxx #0000
Xxxxxxx, XX 00000
(b) Contracting Area(s) Covered by the Contractor and Enrollment Limit:
--------------------------------------------------------------------------------
Contracting Area Enrollment Limit
--------------------------------------------------------------------------------
Region IV 100,000
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
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(c) Total Enrollment Limit for all Contracting Areas: 100,000
(d) Threshold Review Levels: 80,000
Att.I-1
(e) Standard Capitation Rates for MAG Beneficiaries for each Region for April 1,
2000 through June 30, 2000:
-----------------------------------------------------------------------
Region I Region II Region III Region IV Region V
(N.W. (Central (Southern (Xxxx (Collar
Illinois) Illinois) Illinois) County) Counties)
Age/Gender PMPM PMPM PMPM PMPM PMPM
-----------------------------------------------------------------------
0-2 F $214.19 $149.47 $206.08 $254.29 $181.15
-----------------------------------------------------------------------
0-2 M $242.48 $183.18 $263.92 $300.07 $183.68
-----------------------------------------------------------------------
3-13 F $ 39.63 $ 41.98 $ 47.02 $ 40.55 $ 32.21
-----------------------------------------------------------------------
3-13 M $ 47.40 $ 52.61 $ 55.95 $ 49.60 $ 40.28
-----------------------------------------------------------------------
14-20 F $209.65 $181.58 $204.84 $169.14 $167.32
-----------------------------------------------------------------------
14-20 M $ 74.37 $ 70.44 $ 75.51 $ 63.46 $ 46.99
-----------------------------------------------------------------------
21-44 F $201.77 $186.87 $206.99 $203.22 $181.66
-----------------------------------------------------------------------
21-44 M $100.41 $111.11 $132.34 $148.11 $102.05
-----------------------------------------------------------------------
45+ F $324.75 $292.50 $269.83 $245.81 $236.39
-----------------------------------------------------------------------
45+ M $195.92 $304.26 $291.83 $221.72 $177.78
-----------------------------------------------------------------------
Certified Local Health Department add-on: To be determined.
Standard Capitation Rates for MAG Beneficiaries for each Region for July 1, 2000
through December 31, 2001
-----------------------------------------------------------------------
Region I Region II Region III Region IV Region V
(N.W. (Central (Southern (Xxxx (Collar
Illinois) Illinois) Illinois) County) Counties)
Age/Gender PMPM PMPM PMPM PMPM PMPM
-----------------------------------------------------------------------
0-2 F $218.47 $152.46 $210.20 $259.38 $184.77
-----------------------------------------------------------------------
0-2 M $247.33 $186.84 $269.20 $306.07 $187.35
-----------------------------------------------------------------------
3-13 F $ 40.42 $ 42.82 $ 47.96 $ 41.36 $ 32.85
-----------------------------------------------------------------------
3-13 M $ 48.35 $ 53.66 $ 57.07 $ 50.59 $ 41.09
-----------------------------------------------------------------------
14-20 F $213.84 $185.21 $208.94 $172.52 $170.67
-----------------------------------------------------------------------
14-20 M $ 75.86 $ 71.85 $ 77.02 $ 64.73 $ 47.93
-----------------------------------------------------------------------
21-44 F $205.81 $190.61 $211.13 $207.28 $185.29
-----------------------------------------------------------------------
21-44 M $102.42 $113.33 $134.99 $151.07 $104.09
-----------------------------------------------------------------------
45+ F $331.25 $298.35 $275.23 $250.73 $241.12
-----------------------------------------------------------------------
45+ M $199.84 $310.35 $297.67 $226.15 $181.34
-----------------------------------------------------------------------
Certified Local Health Department add-on: To be determined.
Att.I-2
Standard Capitation Rates for MAG Beneficiaries for each Region beginning
January 1, 2002.
-----------------------------------------------------------------------
Region I Region II Region III Region IV Region V
(N.W. (Central (Southern (Xxxx (Collar
Illinois) Illinois) Illinois) County) Counties)
Age/Gender PMPM PMPM PMPM PMPM PMPM
-----------------------------------------------------------------------
0-2 F $208.64 $145.60 $200.74 $247.71 $176.46
-----------------------------------------------------------------------
0-2 M $236.20 $178.43 $257.09 $292.30 $178.92
-----------------------------------------------------------------------
3-13 F $ 38.60 $ 40.89 $ 45.80 $ 39.50 $ 31.37
-----------------------------------------------------------------------
3-13 M $ 46.17 $ 51.25 $ 54.50 $ 48.31 $ 39.24
-----------------------------------------------------------------------
14-20 F $204.22 $176.88 $199.54 $164.76 $162.99
-----------------------------------------------------------------------
14-20 M $ 72.45 $ 68.62 $ 73.55 $ 61.82 $ 45.77
-----------------------------------------------------------------------
21-44 F $196.55 $182.03 $201.63 $197.95 $176.95
-----------------------------------------------------------------------
21-44 M $ 97.81 $108.23 $128.92 $144.27 $ 99.41
-----------------------------------------------------------------------
45+ F $316.34 $284.92 $262.84 $239.45 $230.27
-----------------------------------------------------------------------
45+ M $190.85 $296.38 $284.27 $215.97 $173.18
-----------------------------------------------------------------------
Certified Local Health Department add-on: To be determined.
Att.I-3
(f) Standard Capitation Rates for MANG Beneficiaries for each Region for April
1, 2000 through June 30, 2000:
-----------------------------------------------------------------------
Region I Region II Region III Region IV Region V
(N.W. (Central (Southern (Xxxx (Collar
Illinois) Illinois) Illinois) County) Counties)
Age/Gender PMPM PMPM PMPM PMPM PMPM
-----------------------------------------------------------------------
0-2 F $277.63 $270.73 $276.42 $221.95 $175.33
-----------------------------------------------------------------------
0-2 M $337.39 $320.77 $236.83 $259.94 $203.36
-----------------------------------------------------------------------
3-13 F $ 46.02 $ 44.62 $ 52.51 $ 43.55 $ 39.42
-----------------------------------------------------------------------
3-13 M $ 58.45 $ 63.44 $ 67.51 $ 55.10 $ 51.37
-----------------------------------------------------------------------
14-20 F $260.15 $234.40 $246.15 $238.15 $260.81
-----------------------------------------------------------------------
14-20 M $ 79.62 $119.09 $121.82 $ 82.31 $181.38
-----------------------------------------------------------------------
21-44 F $245.64 $245.87 $226.89 $266.25 $244.39
-----------------------------------------------------------------------
21-44 M $145.22 $107.80 $103.83 $ 98.85 $119.40
-----------------------------------------------------------------------
45+ F $279.44 $329.92 $300.30 $255.70 $270.54
-----------------------------------------------------------------------
45+ M $340.30 $205.30 $239.31 $247.28 $292.90
-----------------------------------------------------------------------
Certified Local Health Department add-on: To be determined.
Standard Capitation Rates for MANG Beneficiaries for each Region for July 1,
2000 through December 31, 2001.
-----------------------------------------------------------------------
Region I Region II Region III Region IV Region V
(N.W. (Central (Southern (Xxxx (Collar
Illinois) Illinois) Illinois) County) Counties)
Age/Gender PMPM PMPM PMPM PMPM PMPM
-----------------------------------------------------------------------
0-2 F $283.18 $276.14 $281.95 $226.39 $178.84
-----------------------------------------------------------------------
0-2 M $344.14 $327.19 $241.57 $265.14 $207.43
-----------------------------------------------------------------------
3-13 F $ 46.94 $ 45.51 $ 53.56 $ 44.42 $ 40.21
-----------------------------------------------------------------------
3-13 M $ 59.62 $ 64.71 $ 68.86 $ 56.20 $ 52.40
-----------------------------------------------------------------------
14-20 F $265.35 $239.09 $251.07 $242.91 $266.03
-----------------------------------------------------------------------
14-20 M $ 81.21 $121.47 $124.26 $ 83.96 $185.01
-----------------------------------------------------------------------
21-44 F $250.55 $250.79 $231.43 $271.58 $249.28
-----------------------------------------------------------------------
21-44 M $148.12 $109.96 $105.91 $100.83 $121.79
-----------------------------------------------------------------------
45+ F $285.03 $336.52 $306.31 $260.81 $275.95
-----------------------------------------------------------------------
45+ M $347.11 $209.41 $244.10 $252.23 $298.76
-----------------------------------------------------------------------
Certified Local Health Department add-on: To be determined.
Att.I-4
Standard Capitation Rates for MANG Beneficiaries for each Region beginning
January 1, 2002.
-----------------------------------------------------------------------
Region I Region II Region III Region IV Region V
(N.W. (Central (Southern (Xxxx (Collar
Illinois) Illinois) Illinois) County) Counties)
Age/Gender PMPM PMPM PMPM PMPM PMPM
-----------------------------------------------------------------------
0-2 F $270.44 $263.71 $269.26 $216.20 $170.79
-----------------------------------------------------------------------
0-2 M $328.65 $312.47 $230.70 $253.21 $198.10
-----------------------------------------------------------------------
3-13 F $ 44.83 $ 43.46 $ 51.15 $ 42.42 $ 38.40
-----------------------------------------------------------------------
3-13 M $ 56.94 $ 61.80 $ 65.76 $ 53.67 $ 50.04
-----------------------------------------------------------------------
14-20 F $253.41 $228.33 $239.77 $231.98 $254.06
-----------------------------------------------------------------------
14-20 M $ 77.56 $116.00 $118.67 $ 80.18 $176.68
-----------------------------------------------------------------------
21-44 F $239.28 $239.50 $221.02 $259.36 $238.06
-----------------------------------------------------------------------
21-44 M $141.45 $105.01 $101.14 $ 96.29 $116.31
-----------------------------------------------------------------------
45+ F $272.20 $321.38 $292.53 $249.07 $263.53
-----------------------------------------------------------------------
45+ M $331.49 $199.99 $233.12 $240.88 $285.32
-----------------------------------------------------------------------
Certified Local Health Department add-on: To be determined.
Att.I-5
(g) Standard Capitation Rates for KidCare Participants for each Region for April
1, 2000 through June 30, 2000:
-----------------------------------------------------------------------
Region I Region II Region III Region IV Region V
(N.W. (Central (Southern (Xxxx (Collar
Illinois) Illinois) Illinois) County) Counties)
Age/Gender PMPM PMPM PMPM PMPM PMPM
-----------------------------------------------------------------------
1-2 F $66.34 $67.54 $73.13 $74.63 $60.58
-----------------------------------------------------------------------
1-2 M $92.26 $75.87 $96.90 $86.82 $73.08
-----------------------------------------------------------------------
3-13 F $39.25 $41.38 $46.47 $40.71 $32.31
-----------------------------------------------------------------------
3-13 M $47.00 $51.79 $55.68 $49.87 $40.63
-----------------------------------------------------------------------
14-18 F $87.57 $85.98 $99.19 $77.53 $73.22
-----------------------------------------------------------------------
14-18 M $73.14 $69.51 $75.56 $63.48 $46.69
-----------------------------------------------------------------------
Certified Local Health Department add-on: To be determined.
Standard Capitation Rates for KidCare Participants for each Region for July 1,
2000 through December 31, 2001.
-----------------------------------------------------------------------
Region I Region II Region III Region IV Region V
(N.W. (Central (Southern (Xxxx (Collar
Illinois) Illinois) Illinois) County) Counties)
Age/Gender PMPM PMPM PMPM PMPM PMPM
-----------------------------------------------------------------------
1-2 F $67.67 $68.89 $ 74.59 $76.12 $61.79
-----------------------------------------------------------------------
1-2 M $94.11 $77.39 $ 98.84 $88.56 $74.54
-----------------------------------------------------------------------
3-13 F $40.04 $42.21 $ 47.40 $41.52 $32.96
-----------------------------------------------------------------------
3-13 M $47.94 $52.83 $ 56.79 $50.87 $41.44
-----------------------------------------------------------------------
14-18 F $89.32 $87.70 $101.17 $79.08 $74.68
-----------------------------------------------------------------------
14-18 M $74.60 $70.90 $ 77.07 $64.75 $47.62
-----------------------------------------------------------------------
Certified Local Health Department add-on: To be determined.
Standard Capitation Rates for KidCare Participants for each Region beginning
January 1, 2002.
-----------------------------------------------------------------------
Region I Region II Region III Region IV Region V
(N.W. (Central (Southern (Xxxx (Collar
Illinois) Illinois) Illinois) County) Counties)
Age/Gender PMPM PMPM PMPM PMPM PMPM
-----------------------------------------------------------------------
1-2 F $64.62 $65.79 $71.23 $72.69 $59.01
-----------------------------------------------------------------------
1-2 M $89.88 $73.91 $94.39 $84.57 $71.19
-----------------------------------------------------------------------
3-13 F $38.24 $40.31 $45.27 $39.65 $31.48
-----------------------------------------------------------------------
3-13 M $45.78 $50.45 $54.23 $48.58 $39.58
-----------------------------------------------------------------------
14-18 F $85.30 $83.75 $96.62 $75.52 $71.32
-----------------------------------------------------------------------
14-18 M $71.24 $67.71 $73.60 $61.84 $45.48
-----------------------------------------------------------------------
Att.I-6
