STATE OF CONNECTICUT DEPARTMENT OF SOCIAL SERVICES CONTRACT AMENDMENT

Exhibit 10.2

STATE OF CONNECTICUT
DEPARTMENT OF SOCIAL SERVICES

CONTRACT AMENDMENT

Amendment Number:			9
Contract #:		093-MED-FCHP-1
Contract Period:			08/11/2001 – 9/30/2004
Contract Name:		FIRST CHOICE HEALTH PLAN OF CONNECTICUT, INC.
Contractor Address:		00 Xxxxxx Xxxx, Xxxxx Xxxxx, XX 00000-0000

Contract number 093-MED-FCHP-1 by and between the Department of Social Services (the “Department”) and Firstchoice Health Plan of CT (the “Contractor”) for the provision of services under the HUSKY A program as amended by Amendments 1, 2, 3, 4, 5, 6, 7 and 8 is hereby further amended as follows:

1. Paragraph 1 of Part I as amended by Amendments 1, 2, 3, 4, 5, 6, 7 and 8 is further amended to extend the contract end date from December 30, 2003 to September 30, 2004.

2. Part II ‘GENERAL CONTRACT TERMS FOR MCOs” is deleted in its entirety and replaced with Part II “GENERAL CONTRACT TERMS FOR MCOS” dated December 12, 2003 pages 1 through 113 attached hereto and incorporated herein by reference.

3. Appendix B Provider Credentialing and Enrollment, Appendix C EPSDT Periodicity Schedule, Appendix D DSS Marketing Guidelines, Appendix E Quality Assurance Program; Appendix F Unaudited Quarterly Financial Reports; Appendix H Managed Care Policy Transmittals; Appendix J Physician Incentive Payments; and Appendix K Recategorization Chart which became effective on August 11, 2001 remain unchanged and in full force and effect.

4. Appendix A HUSKY Covered Benefits; Appendix G Medicaid Managed Care Eligibility Categories and Appendix L Quarterly Pharmacy Report which became effective August 13, 2003 remain unchanged and in full force and effect.

5. Appendix I is deleted in its entirety and replaced with Appendix I attached hereto and incorporated herein by reference. The capitation rates set forth in Appendix I attached hereto and incorporated herein by reference are effective for the period 10/01/03 through 9/30/04.

6. Appendix M Non-Hyde Amendment Abortions is deleted in its entirety and replaced with Appendix M dated December 12, 2003 Actuarial Certifications of Rates attached hereto and incorporated herein by reference.

1

ACCEPTANCES AND APPROVALS

This document constitutes an amendment to the above numbered contract. All provisions of that contract and prior amendments, except those explicitly changed or described above by this amendment, shall remain in full force and effect.

CONTRACTOR		DEPARTMENT
FirstChoice HealthPlans of Connecticut, Inc.		Department of Social Services
Xxxx X. Xxxxx   12/29/03		_Michael X. Xxxxxxxxxx   12/30/03_
Signature (Authorized Official) Date		Signature (Authorized Official) Date
Xxxx X. Xxxxx    Pres & CEO		_Michael X. Xxxxxxxxxx   Deputy Commissioner
Signature (Authorized Official) Title		Signature (Authorized Official) Title

OFFICE OF THE ATTORNEY GENERAL

Attorney General (as to form) Date

( ) This contract does not require the signature of the Attorney General pursuant to an agreement between the Department and the Office of the Attorney General dated:   

2

APPENDIX A – Amended

Plan Name
FirstChoice

Capitation Rates 10/01/03 – 09/30/04		Fairfield				Hartford				Litchfield				Middlesex				New Haven				New London				Tolland				Xxxxxxx
Under One		$	557.90			$	631.16			$	629.32			$	745.86			$	627.09			$	624.00			$	753.77			$	604.77
Ages 1 to 14		$	106.42			$	114.88			$	114.56			$	135.30			$	114.18			$	113.60			$	136.72			$	112.01
Male – Ages		$	132.31			$	143.96			$	143.55			$	169.02			$	143.10			$	142.41			$	170.74			$	140.59
15 to 39 Female – Ages		$	216.08			$	240.74			$	240.04			$	284.72			$	239.19			$	237.99			$	287.77			$	231.99
15-39 Male – Ages 40		$	236.43			$	264.41			$	263.62			$	313.22			$	262.69			$	261.37			$	316.58			$	254.47
and over Female – Ages		$	227.26			$	253.91			$	253.15			$	300.77			$	252.26			$	250.97			$	304.02			$	244.44

40 and over

3