local, state and national economic conditions, including their effect on the rate increase process and timing of payments

EX-10.26.3.7 2 w72825exv10w26w3w7.htm EX-10.26.3.7 exv10w26w3w7

Exhibit 10.26.3.7



Amerigroup Florida, Inc. d/b/a Amerigroup Community Care		Medicaid HMO Contract

AHCA CONTRACT NO. FA614
AMENDMENT NO. 11

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

Effective February 1, 2009, Attachment I, Scope of Services, is hereby amended to include Exhibit III-E, February 1, 2009 - August 31, 2009 Medicaid Non-Reform HMO Capitation Rates, attached hereto and made a part of the Contract. All references in the Contract to Exhibit III-D, September 1, 2008 - August 31, 2009 Medicaid Non-Reform HMO Capitation Rates, shall hereinafter also refer to Exhibit III-E, February 1, 2009 - - August 31, 2009 Medicaid Non-Reform HMO Capitation Rates, as appropriate.

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 six (6) page Amendment (which includes all attachments hereto) to be executed by their officials thereunto duly authorized.


AMERIGROUP FLORIDA INC. D/B/A AMERIGROUP COMMUNITY CARE		STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION

SIGNED		SIGNED
BY:	/s/ William L. McHugh	BY:	/s/ Holly Benson

NAME:	William L. McHugh	NAME:	Holly Benson

TITLE:	CEO	TITLE:	Secretary

DATE:		DATE:

List of Attachments/Exhibits included as part of this Amendment:


Specify	Letter/
Type	Number	Description

Exhibit	III-E	February 1, 2009 - August 31, 2009 Medicaid Non-Reform HMO Capitation Rates (5 pages)

AHCA Contract No. FA614, Amendment No. 11, Page 1 of 1

EXHIBIT III-E
February 1, 2009 - August 31, 2009 HMO RATES
(MEDICAID Non-Reform HMO CAPITATION RATES)
By Area, Age and Eligibility Category

TABLE 1

General Rates:


	TANF																		SSI-N														SSI-B		SSI-AB
Area	BTHMO+2MO		3MO-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)				AGE (21-54)				AGE (55+)		BTHMO+2MO		3MO-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)		AGE (21-54)		AGE (55+)				AGE (65-)		AGE (65+)
									Female		Male		Female		Male
01		1,113.37		187.38		101.38		61.45		129.49		69.52		255.23		153.37		318.51		10,428.92		1,517.58		445.88		198.88		213.14		696.73		700.31		305.88		94.80		85.77
02		1,113.37		187.38		101.38		61.45		129.49		69.52		255.23		153.37		318.51		10,428.92		1,517.58		445.88		198.88		213.14		696.73		700.31		305.88		94.80		85.77
03		1,217.67		206.51		112.28		69.11		143.30		77.85		283.53		171.42		359.72		11,442.82		1,680.06		495.07		226.05		241.47		787.51		795.55		340.56		90.01		81.98
04		1,067.51		181.92		99.04		61.51		126.30		69.23		250.83		152.26		321.21		10,972.58		1,615.28		476.38		218.79		233.36		761.37		770.55		297.82		90.35		82.40
05		1,214.96		206.53		112.30		69.38		143.25		78.21		284.08		172.12		361.87		12,248.94		1,796.88		528.79		240.95		256.93		840.31		849.11		225.19		81.19		75.29
06		1,056.56		181.19		98.87		61.99		126.18		69.68		251.35		153.20		325.45		11,162.18		1,645.44		485.06		223.95		237.92		777.94		788.05		274.94		79.31		72.63
07		1,092.94		186.84		101.87		63.49		129.77		71.35		258.27		157.02		332.09		11,810.40		1,744.81		514.41		238.57		254.24		828.77		840.70		373.98		84.56		77.61
08		1,033.51		177.08		96.67		60.37		123.15		68.03		245.23		149.29		316.91		10,525.98		1,550.30		457.03		210.03		224.35		731.36		740.14		256.24		78.77		72.23
09		1,067.78		181.58		98.82		61.05		126.06		68.67		249.80		151.41		318.38		11,078.29		1,635.46		482.13		223.68		237.34		775.59		785.85		219.29		84.42		77.20
10		1,083.46		186.09		101.73		63.88		129.70		71.87		258.53		157.78		335.92		14,344.29		2,132.34		629.36		297.17		314.18		1,027.07		1,044.85		322.21		94.02		86.21
11		1,372.19		232.59		126.24		77.54		161.30		87.46		319.10		192.88		404.23		14,488.14		2,131.88		628.05		289.19		307.93		1,004.54		1,015.98		370.49		140.27		126.63
6B*		1,056.42		181.17		98.86		61.98		126.16		69.67		251.32		153.18		325.40		11,161.68		1,645.35		485.04		223.94		237.91		777.89		788.02		274.94		79.31		72.63

TABLE 2

General + Mental Health Rates:


	TANF																		SSI-N														SSI-B		SSI-AB
Area	BTHMO+2MO		3MO-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)				AGE (21-54)				AGE (55+)		BTHMO+2MO		3MO-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)		AGE (21-54)		AGE (55+)				AGE (65-)		AGE (65+)
									Female		Male		Female		Male
01		1,113.39		187.40		103.02		73.14		140.42		80.45		259.67		157.81		322.25		10,429.00		1,517.66		453.32		246.93		257.13		778.13		731.29		306.09		106.45		97.42
02		1,113.40		187.41		104.29		81.71		142.91		82.94		258.64		156.78		321.46		10,429.08		1,517.74		459.67		277.70		258.36		749.41		725.19		326.08		109.81		100.78
03		1,217.58		206.52		113.60		78.29		149.38		83.93		285.07		172.96		361.06		11,442.89		1,680.13		501.33		261.81		261.99		811.41		806.83		347.41		98.99		90.96
04		1,067.52		181.93		100.42		71.07		132.64		75.57		252.44		153.87		322.61		10,972.69		1,615.39		486.14		274.53		265.34		798.63		788.14		322.37		107.12		99.17
05		1,214.97		206.54		113.51		78.06		151.36		85.32		287.37		175.41		364.65		12,248.99		1,796.93		533.81		273.37		286.61		895.23		870.01		227.92		94.01		88.11
06		1,056.58		181.21		100.72		75.24		138.56		82.06		256.38		158.23		329.70		11,162.25		1,645.51		491.58		266.06		276.46		849.27		815.20		276.25		83.20		76.52
07		1,092.96		186.86		103.65		76.18		141.63		83.21		263.09		161.84		336.16		11,810.46		1,744.87		520.53		278.08		290.41		895.70		866.18		376.57		95.08		88.13
08		1,033.52		177.09		97.93		69.15		128.97		73.85		246.72		150.78		318.20		10,526.05		1,560.37		463.03		244.31		244.03		754.27		750.96		263.09		91.99		85.45
09		1,067.80		181.60		100.37		71.86		133.22		75.83		251.62		153.23		319.95		11,078.36		1,635.53		488.46		259.82		258.08		799.75		797.26		226.14		94.01		86.79
10		1,083.48		186.11		103.65		77.24		138.55		80.72		260.78		160.03		337.87		14,344.39		2,132.44		637.71		344.88		341.56		1,058.95		1,059.91		329.06		102.08		94.27
11		1,372.21		232.61		127.86		88.83		168.79		94.95		321.01		194.79		405.88		14,488.22		2,131.96		635.02		328.99		330.76		1,031.14		1,028.54		377.72		148.33		134.69
6B*		1,056.44		181.19		100.61		74.50		137.86		81.37		256.07		157.93		329.41		11,161.75		1,645.42		491.54		265.93		276.34		849.01		815.09		276.25		83.20		76.52

AHCA Contract No. FA614, Exhibit III-E, 1 of 5

EXHIBIT III-E
February 1, 2009 -August 31, 2009 HMO RATES
(MEDICAID Non-Reform HMO CAPITATION RATES)
By Area, Age and Eligibility Category

TABLE 3

General + MH + Dental Rates:


	TANF																		SSI-N														SSI-B		SSI-AB
Area	BTHMO+2MO		3MO-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)				AGE (21-54)				AGE (55+)		BTHMO+2MO		3MO-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)		AGE (21-54)		AGE (55+)				AGE (65-)		AGE (65+)
									Female		Male		Female		Male
01		1,113.39		187.41		104.70		76.25		143.60		83.14		260.89		159.07		325.04		10,429.00		1,517.66		454.94		249.33		259.19		779.46		733.15		306.54		107.57		98.28
02		1,113.40		187.42		105.97		84.82		146.09		85.63		259.86		158.04		324.25		10,429.08		1,517.74		461.29		280.10		260.42		750.74		727.05		326.53		110.93		101.64
03		1,217.59		206.54		116.65		83.95		155.15		88.81		286.81		174.74		365.03		11,442.89		1,680.14		504.46		266.45		265.98		813.29		809.48		348.44		100.64		92.22
04		1,067.53		181.94		102.26		74.49		136.14		78.52		254.11		155.59		326.43		10,972.69		1,615.39		487.92		277.17		267.61		800.51		790.78		324.55		108.71		100.38
05		1,214.98		206.56		116.92		84.39		157.83		91.79		290.78		178.92		372.44		12,249.00		1,796.94		538.03		279.64		291.99		898.93		875.21		231.58		97.80		91.00
06		1,056.59		181.22		103.39		80.20		143.62		86.34		258.26		160.17		334.00		11,162.25		1,645.52		494.62		270.56		280.33		851.77		818.71		278.01		85.45		78.23
07		1,092.97		186.87		106.05		80.63		146.17		87.05		264.42		163.20		339.20		11,810.46		1,744.88		523.53		282.52		294.23		897.25		868.36		377.05		96.60		89.29
08		1,033.53		177.11		101.57		75.90		135.86		79.68		248.74		152.85		322.80		10,526.05		1,550.38		466.45		249.39		248.39		756.55		754.16		264.63		93.66		86.72
09		1,067.81		181.62		103.30		77.30		138.78		80.53		252.58		154.21		322.14		11,078.36		1,635.54		491.05		263.67		261.39		800.93		798.91		227.97		95.08		87.60
10		1,083.49		186.12		106.08		81.75		143.16		84.62		261.51		160.78		339.53		14,344.39		2,132.45		640.50		349.02		345.12		1,059.90		1,061.24		329.88		103.38		95.25
11		1,372.22		232.62		131.59		96.51		176.76		101.67		321.87		195.67		407.84		14,488.23		2,131.98		639.29		336.38		337.23		1,032.92		1,031.04		381.06		150.49		136.34
6B*		1,056.45		181.20		103.28		79.48		142.92		85.65		256.07		157.93		329.41		11,161.75		1,645.43		494.58		270.43		280.21		849.01		815.09		278.01		85.45		78.23

TABLE 4

General + MH + Transportation Rates:


	TANF																		SSI-N														SSI-B		SSI-AB
Area	BTHMO+2MO		3MO-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)				AGE (21-54)				AGE (55+)		BTHMO+2MO		3MO-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)		AGE (21-54)		AGE (55+)				AGE (65-)		AGE (65+)
									Female		Male		Female		Male
01		1,118.74		188.77		103.85		73.64		142.45		81.79		262.97		160.32		325.75		10,468.09		1,543.33		458.61		249.36		263.26		798.19		748.22		313.56		120.17		106.26
02		1,118.75		188.78		105.12		82.21		144.94		84.28		261.94		159.29		324.97		10,468.17		1,543.41		464.96		280.13		264.49		769.47		742.12		333.55		123.53		109.62
03		1,224.01		208.18		114.60		78.89		151.82		85.54		289.04		175.98		365.28		11,492.20		1,712.51		508.01		264.88		269.71		836.72		828.19		356.12		118.76		103.70
04		1,072.09		183.11		101.13		71.50		134.38		76.72		256.26		156.01		325.61		11,011.02		1,640.55		491.32		276.91		271.34		818.29		804.74		329.55		122.97		109.39
05		1,218.84		207.54		114.11		78.42		152.83		87.29		289.75		177.22		367.18		12,280.81		1,817.81		538.12		275.35		291.59		911.55		883.79		234.47		108.09		97.18
06		1,060.38		182.19		101.31		75.60		140.00		83.01		258.73		160.02		332.19		11,193.75		1,666.20		495.85		268.01		281.39		865.43		828.84		281.96		94.76		83.97
07		1,096.99		187.89		104.28		76.56		143.16		84.23		265.58		163.74		338.80		11,845.21		1,767.68		525.23		280.23		295.85		913.53		881.23		381.95		107.21		95.94
08		1,038.81		178.45		98.76		69.66		130.99		75.18		249.98		153.26		321.67		10,564.27		1,575.46		468.20		246.69		250.01		773.87		767.52		269.02		106.78		94.97
09		1,072.91		182.92		101.17		72.34		135.16		77.11		254.77		155.63		323.30		11,117.70		1,661.37		493.79		262.27		264.24		819.93		814.30		232.70		109.81		96.97
10		1,086.47		186.89		104.12		77.52		139.69		81.47		262.62		161.43		339.83		14,370.64		2,149.68		641.26		346.51		345.67		1,072.41		1,071.28		334.36		114.42		102.22
11		1,375.30		233.40		128.34		89.12		169.97		95.73		322.92		196.24		407.91		14,515.60		2,149.93		638.72		330.69		335.05		1,045.18		1,040.40		382.84		160.77		142.70
6B*		1,060.24		182.17		101.20		74.86		139.30		82.32		258.42		159.72		331.90		11,193.25		1,666.11		495.81		267.88		281.27		865.17		828.73		281.96		94.76		83.97

AHCA Contract No. FA614, Exhibit III-E, 2 of 5

EXHIBIT lll-E
February 1, 2009 - August 31, 2009 HMO RATES
(MEDICAID Non-Reform HMO CAPITATION RATES)
By Area, Age and Eligibility Category

TABLE 5

General + Transportation Rates:


	TANF										SSI-N						SSI-B	SSI-AB
Area	BTHMO+2MO	3MO-11MO	AGE (1-5)	AGE (6-13)	AGE (14-20)		AGE (21-54)		AGE (55+)	BTHMO+2MO	3MO-11MO	AGE (1-5)	AGE (6-13)	AGE(14-20)	AGE (21-54)	AGE (55+)		AGE (65-)	AGE (65+)
					Female	Male	Female	Male
01	1,118.72	188.75	102.21	61.95	131.52	70.86	258.53	155.88	322.02	10,468.01	1,543.25	451.17	201.31	219.27	716.79	717.24	313.35	108.52	94.61
02	1,118.72	188.75	102.21	61.95	131.52	70.86	258.53	155.88	322.02	10,468.01	1,543.25	451.17	201.31	219.27	716.79	717.24	313.35	108.52	94.61
03	1,224.00	208.17	113.28	69.71	145.74	79.46	287.50	174.44	363.94	11,492.13	1,712.44	501.75	229.12	249.19	812.82	816.91	349.27	109.78	94.72
04	1,072.08	183.10	99.75	61.94	128.04	70.38	253.65	154.40	324.21	11,010.91	1,640.44	481.56	221.17	239.36	781.03	787.15	305.00	106.20	92.62
05	1,218.83	207.53	112.90	69.74	144.72	79.18	286.46	173.93	364.40	12,280.76	1,817.76	533.10	242.93	261.91	856.63	862.89	231.74	95.27	84.36
06	1,060.36	182.17	99.46	62.35	127.62	70.63	253.70	154.99	327.94	11,193.68	1,666.13	489.33	225.90	242.85	794.10	801.69	280.65	90.87	80.08
07	1,096.97	187.87	102.50	63.87	131.30	72.37	260.76	158.92	334.73	11,845.15	1,767.62	519.11	240.72	259.68	846.60	855.75	379.36	96.69	85.42
08	1,038.80	178.44	97.50	60.87	125.17	69.36	248.49	151.77	320.38	10,564.20	1,575.39	462.20	212.41	230.33	750.96	756.70	262.17	93.56	81.75
09	1,072.89	182.90	99.62	61.53	128.00	69.95	252.95	153.81	321.73	11,117.63	1,661.30	487.46	226.13	243.50	796.77	802.89	225.85	100.22	87.38
10	1,086.45	186.87	102.20	64.16	130.84	72.62	260.37	159.18	337.88	14,370.54	2,149.58	632.91	298.80	318.29	1,040.53	1,056.22	327.51	106.36	94.16
11	1,375.28	233.38	126.72	77.83	162.48	88.24	321.01	194.33	406.26	14,515.52	2,149.85	631.75	290.89	312.22	1,018.58	1,027.84	375.61	152.71	134.64
6B*	1,060.22	182.15	99.45	62.34	127.60	70.62	253.67	154.97	327.89	11,193.18	1,666.04	489.31	225.89	242.84	794.05	801.66	280.65	90.87	80.08

TABLE 6

General + Dental Rates:


	TANF										SSI-N						SSI-B	SSI-AB
Area	BTHMO+2MO	3MO-11MO	AGE (1-5)	AGE (6-13)	AGE (14-20)		AGE (21-54)		AGE (55+)	BTHMO+2MO	3MO-11MO	AGE (1-5)	AGE (6-13)	AGE (14-20)	AGE (21-54)	AGE (55+)		AGE (65-)	AGE (65+)
					Female	Male	Female	Male
01	1,113.37	187.39	103.06	64.56	132.67	72.21	256.45	154.63	321.30	10,428.92	1,517.58	447.50	201.28	215.20	698.06	702.17	306.33	95.92	86.63
02	1,113.37	187.39	103.06	64.56	132.67	72.21	256.45	154.63	321.30	10,428.92	1,517.58	447.50	201.28	215.20	698.06	702.17	306.33	95.92	86.63
03	1,217.58	206.53	115.33	74.77	149.07	82.73	285.27	173.20	363.69	11,442.82	1,680.07	498.20	230.69	245.46	789.39	798.20	341.69	91.66	83.24
04	1,067.52	181.93	100.88	64.93	129.80	72.18	252.50	153.98	325.03	10,972.58	1,615.28	478.16	221.43	235.63	763.25	773.19	300.00	91.94	83.61
05	1,214.97	206.55	115.71	75.71	149.72	83.68	287.49	176.63	369.66	12,248.95	1,796.89	533.01	247.22	262.31	844.01	854.31	228.85	84.98	78.18
06	1,056.57	181.20	101.54	66.95	131.24	73.96	253.23	155.14	329.75	11,162.18	1,845.45	488.10	228.45	241.79	780.44	791.56	276.70	81.56	74.34
07	1,092.95	186.85	104.27	67.94	134.31	75.19	259.60	158.38	335.13	11,810.40	1,744.82	517.41	243.01	258.06	830.32	842.88	374.46	86.08	78.77
08	1,033.52	177.10	100.31	67.11	130.04	73.86	247.25	151.36	321.51	10,525.98	1,550.31	460.45	215.11	228.71	733.64	743.34	257.78	80.44	73.50
09	1,067.79	181.60	101.75	66.49	131.62	73.37	250.76	152.39	320.57	11,078.29	1,635.47	484.72	227.53	240.65	776.77	787.50	221.12	85.49	78.01
10	1,083.47	186.10	104.16	68.39	134.31	75.77	259.26	158.53	337.58	14,344.29	2,132.35	632.15	301.31	317.74	1,028.02	1,046.18	323.03	95.32	87.19
11	1,372.20	232.60	129.97	85.22	169.27	94.18	319.96	193.76	406.19	14,488.15	2,131.90	632.32	296.58	314.40	1,006.32	1,018.48	373.83	142.43	128.28
6B*	1,056.43	181.18	101.53	66.94	131.22	73.95	251.32	153.18	325.40	11,161.68	1,645.36	488.08	228.44	241.78	777.89	788.02	276.70	81.56	74.34

AHCA Contract No. FA614, Exhibit III-E, 3 of 5

EXHIBIT III-E
February 1, 2009 - August 31, 2009 HMO RATES
(MED1CAID Non-Reform HMO CAPITATION RATES)
By Area, Age and Eligibility Category

TABLE 7

General + Dental+Transportation Rates:


	TANF								AGE (14-20)				AGE (21-54)								SSI-N														SSI-AB
Area	BTHMO+2MO		3MO-11MO		AGE (1-5)		AGE (6-13)		Female		Male		Female		Male		AGE (55+)		BTHMO+2MO		3MO-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)		AGE (21-54)		AGE (55+)		SSI-B		AGE (65-)		AGE (65+)
01		1,118.72		188.76		103.89		65.06		134.70		73.55		259.75		157.14		324.81		10,468.01		1,543.25		452.79		203.71		221.33		718.12		719.10		313.80		109.64		95.47
02		1,118.72		188.76		103.89		65.06		134.70		73.55		259.75		157.14		324.81		10,468.01		1,543.25		452.79		203.71		221.33		718.12		719.10		313.80		109.64		95.47
03		1,224.01		208.19		116.33		75.37		151.51		84.34		289.24		176.22		367.91		11,492.13		1,712.45		504.88		233.76		253.18		814.70		819.56		350.30		111.43		95.98
04		1,072.09		183.11		101.59		65.36		131.54		73.33		255.32		156.12		328.03		11,010.91		1,640.44		483.34		223.81		241.63		782.91		789.79		307.18		107.79		93.83
05		1,218.84		207.55		116.31		76.07		151.19		84.65		289.87		177.44		372.19		12,280.77		1,817.77		537.32		249.20		267.29		860.33		868.09		235.40		99.06		87.25
06		1,060.37		182.18		102.13		67.31		132.68		74.91		255.58		156.93		332.24		11,193.68		1,666.14		492.37		230.40		246.72		796.60		805.20		282.41		93.12		81.79
07		1,096.98		187.88		104.90		68.32		135.84		76.21		262.09		160.28		337.77		11,845.15		1,767.63		522.11		245.16		263.50		848.15		857.93		379.84		98.21		86.58
08		1,038.81		178.46		101.14		67.61		132.06		76.19		250.51		153.84		324.98		10,564.20		1,575.40		465.62		217.49		234.69		753.24		759.90		263.71		95.23		83.02
09		1,072.90		182.92		102.55		66.97		133.56		74.65		253.91		154.79		323.92		11,117.63		1,661.31		490.05		229.98		246.81		796.95		804.54		227.68		101.29		88.19
10		1,086.46		186.88		104.63		68.67		135.45		76.52		261.10		159.93		339.54		14,370.54		2,149.59		635.70		302.94		321.85		1,041.48		1,057.55		328.33		107.66		95.14
11		1,375.29		233.39		130.45		85.51		170.45		94.96		321.87		195.21		408.22		14,515.53		2,149.87		636.02		298.28		318.69		1,020.36		1,030.34		378.95		154.87		136.29
6B*		1,060.23		182.16		102.12		67.30		132.66		74.90		253.67		154.97		327.89		11,193.18		1,666.05		492.35		230.39		246.71		794.05		801.66		282.41		93.12		81.79

Table 8

General+ Mental Health + Dental + Transportation Rates:


	TANF								AGE (14-20)				AGE (21-54)								SSI-N														SSI-AB
Area	BTHMO+2MO		3MO-11MO		AGE (1-5)		AGE (6-13)		Female		Male		Female		Male		AGE (55+)		BTHMO+2MO		3MO-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)		AGE (21-54)		AGE (55+)		SSI-B		AGE (65-)		AGE (65+)
01		1,118.74		188.78		105.53		76.75		145.63		84.48		264.19		161.58		328.55		10,468.09		1,543.33		460.23		251.76		265.32		799.52		750.08		314.01		121.29		107.12
02		1,118.75		188.79		106.80		85.32		148.12		86.97		263.16		160.55		327.76		10,468.17		1,543.41		466.58		282.53		266.55		770.80		743.98		334.00		124.65		110.48
03		1,224.02		208.20		117.65		84.55		157.59		90.42		290.78		177.76		369.25		11,492.20		1,712.52		511.14		269.52		273.70		838.60		830.84		357.15		120.41		104.96
04		1,072.10		183.12		102.97		74.92		137.88		79.67		256.93		157.73		329.43		11,011.02		1,640.55		493.10		279.55		273.61		820.17		807.38		331.73		124.56		110.60
05		1,218.85		207.56		117.52		84.75		159.30		92.76		293.16		180.73		374.97		12,280.82		1,817.82		542.34		281.62		296.97		915.25		888.99		238.13		111.88		100.07
06		1,060,39		182.20		103.98		80.56		145.06		87.29		260.61		161.96		336.49		11,193.75		1,666.21		498.89		272.51		285.26		867.93		832.35		283.72		97.01		85.68
07		1,097.00		187.90		106.68		81.01		147.70		88.07		266.91		165.10		341.84		11,845.21		1,767.69		528.23		284.67		299.67		915.08		883.41		382.43		108.73		97.10
08		1,038.82		178.47		102.40		76.40		137.88		81.01		252.00		155.33		326.27		10,564.27		1,575.47		471.62		251.77		254.37		776.15		770.72		270.56		108.45		96.24
09		1,072.92		182.94		104.10		77.78		140.72		81.81		255.73		156.61		325.49		11,117.70		1,661.38		496.38		266.12		267.55		821.11		815.95		234.53		110.88		97.78
10		1,086.48		186.90		106.55		82.03		144.30		85.37		263.35		162.18		341.49		14,370.64		2,149.69		644.05		350.65		349.23		1,073.36		1,072.61		335.18		115.72		103.20
11		1,375.31		233.41		132.07		96.80		177.94		102.45		323.78		197.12		409.87		14,515.61		2,149.95		642.99		338.08		341.52		1,046.96		1,042.90		386.18		162.93		144.35
6B*		1,060.25		182.18		103.87		79.82		144.36		86.60		258.42		159.72		331.90		11,193.25		1,666.12		498.85		272.38		285.14		865.17		828.73		283.72		97.01		85.68

AHCA Contract No. FA614, Exhibit III-E, 4 of 5

EXHIBIT III-E
February 1, 2009 - August 31, 2009 HMO RATES
(MEDICAID Non-Reform HMO CAPITATION RATES)
By Area, Age and Eligibility Category


Area		Corresponding Counties

Area 1		Escambia, Okaloosa, Santa Rosa, Walton
Area 2		Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Washington, Wakulla
Area 3		Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamillton, Hemando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee, Union
Area 4		Baker, Clay, Duval, Flagler, Nassau, St Johns, Volusia
Area 5		Pasco, Pinellas
Area 6		Hardee, Highlands, Manatee, Polk
Area 6B *		Hillsborough
Area 7		Brevard, Orange, Osceola, Seminole
Area 8		Charlotte, Collier, De Soto, Glades, Hendry, Lee, Sarasota
Area 9		Indian River, Okeechobee, St. Lucie, Martin, Palm Beach
Area 10		Broward
Area 11		Dade, Monroe

AHCA Contract No. FA614, Exhibit III-E, 5 of 5

EXHIBIT III-E
February 1, 2009 - August 31, 2009 HMO RATES
(MEDICAID Non-Reform HMO CAPITATION RATES)
By Area, Age and Eligibility Category

AHCA Contract No. FA614, Exhibit III-E, 6 of 5