TennCare Rate Notification Letter to AmeriGroup Community Care (July 2009–June 2011)

Summary

The State of Tennessee's Bureau of TennCare notifies AmeriGroup Community Care of new payment rates effective from July 1, 2009, to June 30, 2011, under their existing agreement. AmeriGroup has 30 days to accept or reject these rates, with the option to terminate the agreement if they do not accept. The new rates are retroactive, and any payment differences will be addressed in the February 2010 payment cycle. This letter serves as formal notice as required by their contract.

EX-10.1 2 exhibit1.htm EX-10.1 EX-10.1


State of Tennessee
Department of Finance and Administration
Bureau of TennCare
310 Great Circle Road

Nashville, Tennessee 37243

     
Phil Bredesen
Governor
  M. D. Goetz, Jr.
Commissioner

December 22, 2009

Mr. Ken Edwards, CFO
AmeriGroup Community Care 22 Century Blvd., Suite 30 Nashville, Tennessee 37214

Dear Mr. Edwards:

Pursuant to Section 3.4.2 of the CRA, this letter-serves as notification of rates effective July 1, 2009 through June 30. 2011, The CRA outlines that you have 30 days to accept or reject the rates. Should you refuse to continue this Agreement under the new rates, you may activate the termination provisions contained in Section 4.4.7 of the CRA.

These rates are retroactive to July 1, 2009. It is the Bureau’s intent, pending systems changes, to pay the differential between the interim rate and the final rates in the February 2010 capitation cycle.

A databook from the Bureau’s actuarial firm is attached. Sincerely,

Scott C. Pierce

Chief Financial Officer

Attachment

cc: • Casey Dungan. Asst. CFO