Managed Care Contract Sample Contracts

Utah CHIP Model Contract
Managed Care Contract • March 15th, 2022 • Utah

agents of Contractor who need to access State Data to enable Contractor to perform its responsibilities under Contract.

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Adapted from the AMA Model Managed Care Contract)
Managed Care Contract • October 14th, 2020

Contracts between managed care organizations and health professionals and clinical providers are a critical part of the modern managed care system and crucial to the long-term professional and financial health of any clinical professional or entity. A network service agreement establishes the legal standards that will govern the service duties of network professionals as well as how they will be paid, their rights to dispute decisions of the contractor, and their ability to manage their patients’ care in a professionally ethical fashion.

Contract
Managed Care Contract • January 5th, 2016 • Washington

WASHINGTON APPLE HEALTH 2015 MANAGED CARE CONTRACT HCA Contract Number:«Contract»Contractor Contract Number: Competition Exempt This Contract is between the State of Washington Health Care Authority (HCA) and the Contractor identified below, and is governed by chapter 41.05 RCW, chapter 74.09 RCW and Title 182 WAC. CONTRACTOR NAME «Organization_Name» CONTRACTOR doing business as (DBA) «Mailing_AddressSt_Address»«City», «State» «Zip_Code» WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI)«UBI» HCA INDEX NUMBER CONTRACTOR CONTACT «Contact_Fname»«Contact_LName» CONTRACTOR TELEPHONE «PhoneNo» CONTRACTOR E-MAIL ADDRESS «EmailAddress» HCA CONTACT NAME AND TITLE Alison Robbins Section Manager HCA CONTACT ADDRESS Post Office Box 45502 Olympia, WA 98504-5502 HCA CONTACT TELEPHONE360-725-1634 HCA CONTACT FAXN/A HCA CONTACT E-MAIL ADDRESSalison.robbins@hca.wa.gov IS THE CONTRACTOR A SUB-RECIPIENT FOR PURPOSES OF THIS CONTRACT? No CFDA NUMBER(S) CONTRACT START DATE January 1, 2015 CONTRACT END DATE

Subject: HHSC Managed Care Contract HHSC Contract No. 529-06-0280-00002-R
Managed Care Contract • February 23rd, 2011 • Amerigroup Corp • Hospital & medical service plans

This Contract Amendment (the “Amendment”) is between the Texas Health and Human Services Commission (HHSC), an administrative agency within the executive department of the State of Texas, having its principal office at 4900 North Lamar Boulevard, Austin, Texas 78751, and Amerigroup Texas, Inc. (HMO) a corporation organized under the laws of the State of Texas, having its principal place of business at: 2505 N. Highway 360, Suite 300, Grand Prairie, Texas 75050. HHSC and HMO may be referred to in this Amendment individually as a “Party” and collectively as the “Parties.”

PHYSICIAN AGREEMENT
Managed Care Contract • August 10th, 2006 • California

WHEREAS, the Network is developing a provider network consisting of physicians, institutional facilities, and providers of ancillary health; and

September 11, 2018
Managed Care Contract • September 26th, 2022

⮚Impact on care – do you have to continue seeing patients after termination? For how long? Does it matter if notice was provided?

SECOND AMENDMENT TO THE AMENDED MANAGED CARE CONTRACT BETWEEN
Managed Care Contract • September 15th, 2014 • Wellcare Health Plans, Inc. • Hospital & medical service plans

This Second Amendment to the Amended Medicaid Managed Care Contract State-Wide (the “Contract”) entered into on September 30, 2013 by and between the Commonwealth of Kentucky, through the Cabinet for Finance and Administration, on behalf of the Cabinet for Heath and Family Services, Department for Medicaid Services (collectively herein “Commonwealth”) and WellCare of Kentucky, Inc., is to address increases in supplemental payments required by Section 29.10 of the Contract, pursuant to Section 40.3 of the Contract.

Contractual Document (CD) Responsible Office: HHSC Office of General Counsel (OGC) Subject: HHSC Managed Care Contract HHSC Contract No. 529-06-0280-00002-L
Managed Care Contract • May 5th, 2009 • Amerigroup Corp • Hospital & medical service plans

This Contract Amendment (the “Amendment”) is between the Texas Health and Human Services Commission (HHSC), an administrative agency within the executive department of the State of Texas, having its principal office at 4900 North Lamar Boulevard, Austin, Texas 78751, and Amerigroup Texas. Inc. (HMO) a corporation organized under the laws of the State of Texas, having its principal place of business at: 2505 N. Highway 360, Suite 300, Grand Prairie, Texas 75050. HHSC and HMO may be referred to in this Amendment individually as a “Party” and collectively as the “Parties.”

Contractual Document (CD) Responsible Office: HHSC Office of General Counsel (OGC) HHSC Contract No. 529-06-0280-00002-S
Managed Care Contract • May 13th, 2011 • Amerigroup Corp • Hospital & medical service plans

This Contract Amendment (the “Amendment”) is between the Texas Health and Human Services Commission (HHSC), an administrative agency within the executive department of the State of Texas, having its principal office at 4900 North Lamar Boulevard, Austin, Texas 78751, and Amerigroup Texas, Inc. (HMO) a corporation organized under the laws of the State of Texas, having its principal place of business at: 3800 Buffalo Speedway, Suite 400, Houston, TX 77098. HHSC and HMO may be referred to in this Amendment individually as a “Party” and collectively as the “Parties.”

Contract
Managed Care Contract • August 23rd, 2019
AMENDED MANAGED CARE CONTRACT BETWEEN
Managed Care Contract • February 14th, 2014 • Wellcare Health Plans, Inc. • Hospital & medical service plans • Kentucky

This Contract is entered into among the Commonwealth of Kentucky, Finance and Administration Cabinet (“Finance”), and WellCare of Kentucky, Inc. (“Contractor”).

Responsible Office: HHSC Office of General Counsel (OGC) Subject: HHSC Managed Care Contract HHSC Contract No. 529-06-0280-00014-G
Managed Care Contract • July 24th, 2007 • Centene Corp • Hospital & medical service plans • Texas

This Contract Amendment (the “Amendment”) is between the Texas Health and Human Services Commission (HHSC), an administrative agency within the executive department of the State of Texas, having its principal office at 4900 North Lamar Boulevard, Austin, Texas 78751, and Superior HealthPlan, Inc. (HMO) a corporation organized under the laws of the State of Texas, having its principal place of business at: 2100 South IH-35, Suite 202, Austin, Texas 78704. HHSC and HMO may be referred to in this Amendment individually as a “Party” and collectively as the “Parties.” The Parties hereby agree to amend their original contract, HHSC contract number 529-06-0280-00014 (the “Contract”) as set forth herein. The Parties agree that the terms of the Contract will remain in effect and continue to govern except to the extent modified in this Amendment. This Amendment is executed by the Parties in accordance with the authority granted in Attachment A to the HHSC Managed Care Contract document, “HHSC Un

INJURED WORKERS' INSURANCE FUND Contract No. IWIF 8-96 MANAGED CARE CONTRACT
Managed Care Contract • October 15th, 1996 • United American Healthcare Corp • Insurance agents, brokers & service
Subject: HHSC Managed Care Contract HHSC Contract No. 529-06-0280-00002-M
Managed Care Contract • November 4th, 2009 • Amerigroup Corp • Hospital & medical service plans

This Contract Amendment (the “Amendment”) is between the Texas Health and Human Services Commission (HHSC), an administrative agency within the executive department of the State of Texas, having its principal office at 4900 North Lamar Boulevard, Austin, Texas 78751, and Amerigroup Texas, Inc. (HMO) a corporation organized under the laws of the State of Texas, having its principal place of business at: 2505 N. Highway 360, Suite 300, Grand Prairie, Texas 75050. HHSC and HMO may be referred to in this Amendment individually as a “Party” and collectively as the “Parties.”

FIRST AMENDMENT TO THE AMENDED MANAGED CARE CONTRACTS BETWEEN
Managed Care Contract • January 9th, 2014 • Wellcare Health Plans, Inc. • Hospital & medical service plans

This Amendment to the Amended Medicaid Managed Care Contracts State-Wide and Region 3 (the “Contracts”) entered into on September 30, 2013 by and between the Commonwealth of Kentucky, through the Cabinet for Finance and Administration, on behalf of the Cabinet for Heath and Family Services, Department for Medicaid Services (collectively herein “Commonwealth”) and WellCare of Kentucky, Inc., to address Affordable Care Act issues (the “ACA Amendment”) shall be effective the 1st day of January, 2014 pursuant to Section 39.16 of the Contracts.

Subject: HHSC Managed Care Contract HHSC Contract No. 529-06-0280-00002-U
Managed Care Contract • February 24th, 2012 • Amerigroup Corp • Hospital & medical service plans

This Contract Amendment (the “Amendment”) is between the Texas Health and Human Services Commission (HHSC), an administrative agency within the executive department of the State of Texas, having its principal office at 4900 North Lamar Boulevard, Austin, Texas 78751, and Amerigroup Texas, Inc. (HMO) a corporation organized under the laws of the State of Texas, having its principal place of business at: 3800 Buffalo Speedway, Suite 400, Houston, Texas 77098. HHSC and HMO may be referred to in this Amendment individually as a “Party” and collectively as the “Parties.”

Subject: HHSC Managed Care Contract HHSC Contract No. 529-06-0280-00002-S
Managed Care Contract • February 23rd, 2011 • Amerigroup Corp • Hospital & medical service plans

This Contract Amendment (the “Amendment”) is between the Texas Health and Human Services Commission (HHSC), an administrative agency within the executive department of the State of Texas, having its principal office at 4900 North Lamar Boulevard, Austin, Texas 78751, and Amerigroup Texas, Inc. (HMO) a corporation organized under the laws of the State of Texas, having its principal place of business at: 3800 Buffalo Speedway, Suite 400, Houston, Texas 77098. HHSC and HMO may be referred to in this Amendment individually as a “Party” and collectively as the “Parties.”

Contract Status: Managed Care, Healthy Partners Only
Managed Care Contract • April 13th, 2018

ACTIVE CONTRACTS FOR MEDI-CAL MANAGED CARE Plan relationship Anthem Health Net Molina UnitedHealth care Aetna County Contract: River City Medical Group X X X X

Subject: HHSC Managed Care Contract HHSC Contract No. 529-06-0280-00002-V
Managed Care Contract • February 24th, 2012 • Amerigroup Corp • Hospital & medical service plans

This Contract Amendment (the “Amendment”) is between the Texas Health and Human Services Commission (HHSC), an administrative agency within the executive department of the State of Texas, having its principal office at 4900 North Lamar Boulevard, Austin, Texas 78751, and Amerigroup Texas, Inc. (HMO) a corporation organized under the laws of the State of Texas, having its principal place of business at: 3800 Buffalo Speedway, Suite 400, Houston, Texas 77098. HHSC and HMO may be referred to in this Amendment individually as a “Party” and collectively as the “Parties.”

MANAGED CARE CONTRACT – HEALTHPATH WASHINGTON
Managed Care Contract • November 30th, 2012 • Washington
Responsible Office: HHSC Office of General Counsel (OGC) Subject: HHSC Managed Care Contract HHSC Contract No. 529-06-0280-00002-K
Managed Care Contract • October 28th, 2008 • Amerigroup Corp • Hospital & medical service plans

This Contract Amendment (the “Amendment”) is between the Texas Health and Human Services Commission (HHSC), an administrative agency within the executive department of the State of Texas, having its principal office 4900 North Lamar Boulevard, Austin, Texas 78751, and Amerigroup Texas, Inc. (HMO) a corporation organized under the laws of the State of Texas, having its principal place of business at: 1200 East Copeland Road, Suite 200, Arlington, Texas 76011. HHSC and HMO may be referred to in this Amendment individually as a “Party” and collectively as the “Parties.”

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Contractual Document (CD) Responsible Office: HHSC Office of General Counsel (OGC) Subject: HHSC Managed Care Contract HHSC Contract No. 529-06-0280-00014 This Contract is between the Texas Health and Human Services Commission (HHSC), an...
Managed Care Contract • February 24th, 2006 • Centene Corp • Hospital & medical service plans • Texas

The Parties have executed this Contract in their capacities as stated below with authority to bind their organizations on the dates set forth by their signatures.

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