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

EX-10.29.1 3 w72825exv10w29w1.htm EX-10.29.1 exv10w29w1
Exhibit 10.29.1
Corning Tower      The Governor Nelson A. Rockefeller Empire State Plaza      Albany, New York 12237
     
Richard F. Daines, M.D.
 
Wendy E. Saunders
Commissioner
 
Executive Deputy Commissioner
January 30, 2009
Mr. Robert Wychulis
CEO
Amerigroup
360 West 31st Street
New York, NY 10001
Dear Mr. Wychulis:
This is to advise you revised Medicaid and Family Health Plus premium rates for the period October 1, 2008 through March 31, 2009 have been loaded to the Medicaid claims payment system. Retroactive adjustments should begin to appear in checks dated February 2, 2009 and released February 18, 2009. CSC capitation rate sheets reflecting the revised rates for your plan are enclosed.
The revised premiums implement the following, all effective October 1st:
  •   Legislative agreement to reduce Medicaid expenditures
 
  •   Changes to the Medicaid Quality Incentive awards
 
  •   Carve-out of the pharmacy benefit from the FHP program.
Please contact me at ###-###-#### or ***@*** should you have any questions.
     
 
  Sincerely,
 
 
 
  Paul Souliske
 
  Principal Health Care Management
 
  Systems Analyst
 
  Bureau of Managed Care Financing
 
  Division of Managed Care
Enclosures

 

 

         
 
  c.:   Patricia Kutel
 
      Susan Barth
 
      Peter Haytaian
 
      Margaret Roomsburg
 
      Debra Gorden

 

 

             
Medicaid Managed Care Rate Report
Plan Name:
  Amerigroup   Prov ID#:   01617894
 
County Code:
  60   County Name:   Manhattan
 
Locator Code
  004   Region Name:   NYC
 
Start Date:
  10/01/08   Rate Type:   04
 
DOH HMO #:
  09- 003 Approved by DOB:   Yes
****REDACTED****

 

 

             
Medicaid Managed Care Rate Report
 
Plan Name:
  Amerigroup   Prov ID#:   01617894
 
County Code:
  37   County Name:   Putnam
 
Locator Code
  005   Region Name:   Northern Met
 
Start Date:
  10/01/08   Rate Type:   04
 
DOH HMO #:
  09- 003 Approved by DOB:   Yes
****REDACTED****
             

 

 

             
Family Health Plus Rate Report
 
Plan Name:
  Amerigroup        
 
Prov ID#:
  01617894   County Name:   NYC
 
County Code:
  60   Region Name:   NYC
 
Locator Code:
  004        
 
Start Date:
  10/01/08        
****REDACTED****