0001279363-12-000008 Sample Contracts

WellCare of Florida, Inc. Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida AHCA CONTRACT NO. FA904 AMENDMENT NO. 7 THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter...
Medicaid Hmo Non-Reform Contract • January 17th, 2012 • Wellcare Health Plans, Inc. • Hospital & medical service plans

SIGNED BY: /s/ Christina Cooper SIGNED BY: /s/Tonya Kidd for NAME: Christina Cooper NAME: Elizabeth Dudek TITLE: President, FL & HI Division­­ TITLE: Secretary DATE: 12/27/11 DATE: 12/29/11

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HealthEase of Florida, Inc. Medicaid HMO Non-Reform Contract AHCA CONTRACT NO. FA905 AMENDMENT NO. 8 THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and...
Medicaid Hmo Non-Reform Contract • January 17th, 2012 • Wellcare Health Plans, Inc. • Hospital & medical service plans

TABLE 5-A Revised Health Plan Covered Services Chart Non- Reform Covered Reform Covered Portable X-ray Services X Prescribed Drugs X Prescribed Pediatric Extended Care Services Primary Care Case Management Services X Private Duty Nursing (for Specialty Plan for Children with Chronic Conditions ONLY) Rural Health Clinic Services X Targeted Case Management X Therapy Services: Occupational X Therapy Services: Physical X Therapy Services: Respiratory X Therapy Services: Speech X Transplant Services X Transportation Services* Vision Services X

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