AHCA CONTRACT NO. FA522 AMENDMENT NO. 11
Exhibit
10.1
AHCA
CONTRACT NO. FA522
AMENDMENT
NO. 11
THIS
CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE
ADMINISTRATION, hereinafter referred to as the "Agency" and WELL CARE HMO,
INC.
D/B/A STAYWELL HEALTH PLAN OF FLORIDA, hereinafter referred to as the "Vendor",
is hereby amended as follows:
1.
Standard Contract, Section II.A, Contract Amount, the first sentence is hereby
amended to now read:
To
pay
for contracted services according to the conditions of Attachment I in an
amount
not to exceed
$667,913,974.00
(an
increase of $2,319,780.00), subject to availability of funds.
2.
Attachment I, Section 90.0, Payment and Authorized Enrollment Levels, Tables
2
and 3, are hereby deleted in their entirety and replaced with the
following:
Capitation
Rates
A.
General Capitation Rates plus Transportation (Attachment VIII-A, Table
2):
Area
9 Counties: Palm Beach
|
County
|
Provider
Number
|
|
Palm
Beach
|
015016910
|
Area
10 Counties: Broward
|
County
|
Provider
Number
|
|
Broward
|
015016900
|
B.
General Capitation Rates plus Mental Health Rates and Transportation Rates
(Attachment VIII-A, Table 6):
Area
3 Counties: Hernando
|
County
|
Provider
Number
|
|
Hernando
|
015016901
|
Area
5 Counties: Pasco, Pinellas
|
County
|
Provider
Number
|
|
Pinellas
|
015016904
|
|
Pasco
|
015016903
|
AHCA
Contract No. FA522, Amendment No. 11, Page 1 of 3
Area
6 Counties: Manatee, Polk, Hillsborough
|
County
|
Provider
Number
|
|
Manatee
|
015016912
|
|
Polk
|
015016905
|
|
Hillsborough
|
015016902
|
Area
7 Counties: Orange, Osceola, Seminole, Brevard
|
County
|
Provider
Number
|
|
Orange
|
015016906
|
|
Osceola
|
015016907
|
|
Seminole
|
015016908
|
|
Xxxxxxx
|
000000000
|
Xxxx
0 Xxxxxxxx: Xxxxxxxx, Xxx
|
Xxxxxx
|
Provider
Number
|
|
Sarasota
|
015016914
|
|
Xxx
|
015016911
|
Area
11 Counties: Dade
|
County
|
Provider
Number
|
|
Dade
|
015016909
|
Notwithstanding
the payment amounts which may be computed with the above rate table, the
sum of
total capitation payments under this contract shall not exceed the total
contract amount
of $667,913,974.00
(an
increase of $2,319,780.00), expressed on page seven of this
contract.
3.
This
Amendment shall have an effective date of January 1, 2006, or the date on
which
both parties execute the Amendment, whichever is later.
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 part of the
Contract.
This
Amendment can not be executed unless all previous amendments to this Contract
have been fully executed.
AHCA
Contract No. FA522, Amendment No. 11, Page 2 of 3
IN
WITNESS WHEREOF,
the
Parties have caused this 3 page Amendment (including all attachments, if
any) to
be executed by their duly authorized officials.
|
WELLCARE
HMO, INC.
D/B/A
STAYWELL HEALTH PLAN OF FLORIDA
|
STATE
OF FLORIDA, AGENCY FOR
HEALTH
CARE ADMINISTRATION
|
|
SIGNED
BY:
/s/ Xxxx X. Xxxxx
|
SIGNED
BY:
/s/ Xxxx Xxxxxx
|
|
NAME:
Xxxx X.Xxxxx
|
NAME:
Xxxx Xxxxxx
|
|
TITLE:
President & CEO
|
TITLE:
Secretary
|
|
DATE:
1/4/06
|
DATE:
1/4/06
|
THE
REMAINDER OF THIS PAGE LEFT BLANK INTENTIONALLY
AHCA
Contract No. FA522, Amendment No. 11, Page 3 of
3
