0000950133-09-000419 Sample Contracts

AHCA CONTRACT NO. FA614 AMENDMENT NO. 11
Medicaid Hmo Contract • February 24th, 2009 • Amerigroup Corp • Hospital & medical service plans

THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the “Agency” and AMERIGROUP FLORIDA, INC. D/B/A AMERIGROUP COMMUNITY CARE hereinafter referred to as the “Vendor” or “Health Plan”, is hereby amended as follows:

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Agency Code 12000 Contract No. C020429 Period 10/1/08 — 9/30/10 Funding Amount for Period Based on approved capitation rates
Contract Amendment • February 24th, 2009 • Amerigroup Corp • Hospital & medical service plans
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