AMERIGROUP OF FLORIDA, INC. Medicaid HMO Contract AHCA CONTRACT NO. FA523 AMENDMENT NO. 2

EX-10.25.2 4 w05155exv10w25w2.htm EX-10.25.2 exv10w25w2
 

Exhibit 10.25.2

     
AMERIGROUP OF FLORIDA, INC.
  Medicaid HMO Contract

AHCA CONTRACT NO. FA523
AMENDMENT NO. 2

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

1.   Attachment I, section 10.5, Optional Services, the first item, Dental Services, is hereby amended to now read:
             
  Covered   Not Covered    
 
Dental Services
  o   þ    

2.   This amendment shall begin on November 19, 2004, or the date on which the amendment has been signed by both parties, whichever is later.

     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.

     All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the Contract.

     This amendment and all its attachments are hereby made a part of the Contract.

     This amendment cannot be executed unless all previous amendments to this Contract have been fully executed.

     IN WITNESS WHEREOF, the parties hereto have caused this 1 page amendment (including all attachments) to be executed by their officials thereunto duly authorized.

         
AMERIGROUP OF FLORIDA, INC.
  STATE OF FLORIDA, AGENCY FOR
    HEALTH CARE ADMINISTRATION
 
    
SIGNED
    SIGNED  
BY:
    BY:  
 
 
     
 
    
NAME:  
    NAME:   Alan Levine
 
 
     
 
    
TITLE:
    TITLE: Secretary
         
 
    
DATE:
    DATE:  
       

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AHCA Contract No. FA523, Amendment No. 2, Page 1 of 1