AHCA CONTRACT NO. FA615 AMENDMENT NO. 7
Exhibit 10.6
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WellCare
of Florida, Inc. d/b/a
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Staywell
Health Plan of Florida
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AHCA
CONTRACT NO. FA615
AMENDMENT
NO. 7
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"
or "Health Plan", is hereby amended as follows:
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1.
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Effective
December 1, 2008, Attachment I, Scope of Services, is hereby amended to
include Exhibit I-C, Third Revised Maximum Enrollment Levels, attached
hereto and made a part of the Contract. Beginning December 1, 2008, all
references in the Contract to Exhibit I-B, Second Revised Maximum
Enrollment Levels, shall hereinafter also refer to Exhibit I-C, Third
Revised Maximum Enrollment Levels, as
appropriate.
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2.
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Effective
December 1, 2008, Attachment I, Scope of Services, is hereby amended to
include Exhibit II-E, Fifth Revised Capitation Rates, attached hereto and
made a part of the Contract. Beginning December 1, 2008, all references in
the Contract to Exhibit II-D, Fourth Revised Capitation Rates, shall
hereinafter also refer to Exhibit II-E, Fifth Revised Capitation Rates, as
appropriate.
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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.
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All
provisions not in conflict with this Amendment are still in effect and are
to be performed at the level specified in the
Contract.
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This Amendment and all its attachments
are hereby made part of the Contract.
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This
Amendment cannot be executed unless all previous Amendments to this
Contract have been fully
executed.
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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/ Xxxxx
Xxxxxxxxx
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SIGNED
BY:
/s/ Xxxx Xxxxxx for Xxxxx
Xxxxxx
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NAME:
Xxxxx
Xxxxxxxxx
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NAME:
Xxxxx
Xxxxxx
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TITLE:
President and
CEO
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TITLE:
Secretary
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DATE:
9-10-08
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DATE:
9/10/08
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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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I-C
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Third
Revised Maximum Enrollment Levels (1 Page)
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Exhibit
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II-E
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Fifth
Revised Capitation Rates (1 Page)
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AHCA
Contract No. FA615, Amendment No. 7, Page 1 of 1
AHCA Form
2100-0002 (Rev. NOV03)
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WellCare
of Florida, Inc. d/b/a
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Staywell
Health Plan of Florida
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EXHIBIT
I-C
THIRD
REVISED MAXIMUM ENROLLMENT LEVELS
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County
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Maximum
Enrollment Level
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Brevard
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14,000
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Broward
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25,000
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Dade
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25,000
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Hernando
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15,000
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Hillsborough
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28,000
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Xxx
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15,000
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Manatee
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12,000
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Palm
Beach
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15,000
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Pasco
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7,000
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Pinellas
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15,000
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Polk
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25,000
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Orange
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38,000
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Osceola
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12,000
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Sarasota
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6,000
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Seminole
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6,000
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St.
Lucie
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4,500
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Sumter
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4,500
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REMAINDER
OF PAGE INTENTIONALLY LEFT BLANK
AHCA
Contract No. FA615, Exhibit I-C, Page 1 of 1
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WellCare
of Florida, Inc. d/b/a
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Staywell
Health Plan of Florida
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EXHIBIT
II-E
FIFTH
REVISED CAPITATION RATES
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A.
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Table
2 - General Capitation Rates plus Mental Health
Rates:
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Area
3 Counties:
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County
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Provider
Number
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Hernando
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015016901
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Sumter
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015016916
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Area
5 Counties:
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County
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Provider
Number
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Pasco
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015016903
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Pinellas
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015016904
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Area
6 Counties:
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County
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Provider
Number
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Hillsborough
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015016902
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Manatee
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015016912
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Polk
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015016905
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Area
7
Counties:
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County
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Provider
Number
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Orange
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015016906
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Seminole
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015016908
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Osceola
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015016907
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Xxxxxxx
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000000000
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Xxxx
0 Xxxxxxxx:
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Xxxxxx
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Provider
Number
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Xxx
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015016911
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Sarasota
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015016914
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Area
9 Counties:
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County
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Provider
Number
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Palm
Beach
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015016910
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St.
Lucie
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015016915
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Area
10 Counties:
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County
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Provider
Number
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Broward
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015016900
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Area
11 Counties:
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County
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Provider
Number
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Miami-Dade
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015016909
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REMAINDER
OF PAGE INTENTIONALLY LEFT BLANK
AHCA
Contract No. FA615, Amendment No. 7, Page 1 of 1
