AHCA CONTRACT NO. FAR009 AMENDMENT NO. 3
Exhibit
10.2
Wellcare
of Florida, Inc. d/b/a
Staywell Health Plan of Florida
AHCA
CONTRACT NO. FAR009
AMENDMENT
NO. 3
THIS
CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR
HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and
WELLCARE OF FLORIDA, INC. D/B/A STAYWELL HEALTH PLAN OF
FLORIDA, hereinafter referred to as the "Vendor", is hereby amended as
follows:
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1.
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Standard
Contract, Section II, Item A, Contract Amount, the first sentence
is
hereby revised to now read as
follows:
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To
pay for contracted services according to the conditions of Attachment
I in
an amount not to exceed $214,516,613.00 (an increase of $18,671,984.00),
subject to availability of funds.
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2.
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Attachment
I, Section C, Method of Payment, Item 1, General, the first paragraph
is
hereby revised to now read as
follows:
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Notwithstanding
the payment amounts which may be computed with the rate tables specified
in Tables 2 thru 6, the sum of total capitation payments under this
Contract shall not exceed the total Contract amount of $214,516,613.00
(an
increase of $18,671,984.00).
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3.
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Attachment
I, Exhibit 2, Enrollment
Levels, is hereby deleted in its entirety and replaced with Exhibit
2-A,
Revised Enrollment Levels, attached hereto and made a part of the
Contract. All references in the Contract to Exhibit 2, Enrollment
Levels,
shall hereinafter refer to Exhibit 2-A, Revised Enrollment
Levels.
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All provisions in the Contract and any attachments thereto in conflict with this Amendment shall be and are hereby changed to conform with this Amendment.
All
provisions not in conflict with this Amendment are still in effect and are
to be
performed at the level specified in the Contract.
This
Amendment and all its attachments are hereby made a part of the
Contract.
This
Amendment cannot be executed unless all previous amendments to this Contract
have been fully executed.
REMAINDER
OF PAGE INTENTIONALLY LEFT BLANK
AHCA
Contract No. FAR009, Amendment No. 3, Page 1 of 2
Wellcare
of Florida, Inc. d/b/a Staywell Health Plan of Florida
IN
WITNESS WHEREOF, the parties hereto have caused this three (3) page
amendment (which includes all attachments hereto) to be executed by their
officials thereunto duly authorized.
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WELLCARE
OF FLORIDA, INC.
D/B/A
STAYWELL HEALTH PLAN OF FLORIDA
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STATE
OF FLORIDA, AGENCY FOR
HEALTH
CARE ADMINISTRATION
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SIGNED
BY: /s/ Xxxx X.
Xxxxx
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SIGNED
BY: /s/ Xxxxxx Xxxxxxxx
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NAME:
Xxxx X. Xxxxx
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NAME:
Xxxxxx Xxxxxxxx M.D.
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TITLE:
President and CEO
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TITLE:
Secretary
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DATE:
6/4/2007
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DATE:
6/14/2007
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List
of
Attachments/Exhibits included as part of this Amendment:
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Specify
Type
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Letter/
Number
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Description
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Exhibit
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2-A
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Revised
Enrollment Levels (1 Page)
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REMAINDER
OF PAGE INTENTIONALLY LEFT
BLANK
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AHCA
Contract No. FAR009, Amendment No. 3, Page 2 of 2
EXHIBIT 2-A
REVISED
ENROLLMENT LEVELS
TABLE
1 (Xxxxx – Area 4, Broward – Area 10)
Agency
Area 04
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Eligibility
Category/ Population
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County
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Health
Plan Provider Number
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Plan
Type
(Comp
or Comp & Catastrophic)
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Maximum
Enrollment Level
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TANF
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Xxxxx
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Comprehensive
& Catastrophic
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3,500
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SSI
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Xxxxx
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Comprehensive
& Catastrophic
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HIV/AIDS
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||||
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Children
with Chronic Conditions
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Agency
Area 10
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Eligibility
Category/ Population
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County
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Health
Plan Provider Number
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Plan
Type
(Comp
or Comp & Catastrophic)
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Maximum
Enrollment Level
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TANF
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Broward
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Comprehensive
& Catastrophic
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30,000
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SSI
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Broward
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Comprehensive
& Catastrophic
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HIV/AIDS
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||||
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Children
with Chronic Conditions
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REMAINDER
OF PAGE INTENTIONALLY LEFT BLANK
AHCA
Contract No. FAR009, Exhibit 2-A, Page 1
of 1
