Notification of Revised Medicaid and Family Health Plus Premium Rates between New York State Department of Health and Amerigroup

Summary

The New York State Department of Health informs Amerigroup of revised Medicaid and Family Health Plus premium rates for October 1, 2008, through March 31, 2009. The changes, which include legislative cost reductions, updates to quality incentive awards, and a pharmacy benefit carve-out, will be reflected in payments starting February 2, 2009. The letter includes rate sheets and contact information for questions. Amerigroup is required to implement these new rates as part of its managed care obligations.

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****