0001279363-07-000085 Sample Contracts

AHCA CONTRACT NO. FA615
Wellcare Health Plans, Inc. • June 29th, 2007 • 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 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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OHIO DEPARTMENT OF JOB AND FAMILY SERVICES OHIO MEDICAL ASSISTANCE PROVIDER AGREEMENT FOR MANAGED CARE PLAN CFC ELIGIBLE POPULATION
Assistance Provider Agreement • June 29th, 2007 • Wellcare Health Plans, Inc. • Hospital & medical service plans • Ohio

credibility factor which accounts for differences in State enrollment patterns and data sources. It has been applied to the paid claims and utilization for non-delivery FFS base data.

OHIO DEPARTMENT OF JOB AND FAMILY SERVICES OHIO MEDICAL ASSISTANCE PROVIDER AGREEMENT FOR MANAGED CARE PLAN ABD ELIGIBLE POPULATION
Medical Assistance Provider Agreement • June 29th, 2007 • Wellcare Health Plans, Inc. • Hospital & medical service plans • Ohio

The following table shows the specified policy changes for which Mercer adjusted the SFY 2003 and SFY 2004 data. Mercer calculated the adjustments based on the "History of Policy Changes" document and other information supplied by the State.

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