AMENDMENT SEVENTEEN to the KANSASHEALTHWAVE TITLE XIX AND TITLE XXI CAPITATED MANAGED CARE HEALTH SERVICES CONTRACT

Exhibit 10.1

AMENDMENT SEVENTEEN

to the

KANSAS HEALTHWAVE TITLE XIX AND TITLE XXI CAPITATED MANAGED CARE

HEALTH SERVICES CONTRACT

with

FIRSTGUARD HEALTH PLAN KANSAS, INC.

2006 RENEWAL

The above referenced agreement, as amended, entered into by and between the Secretary of Social and Rehabilitation Services (SRS) and FirstGuard Health Plan Kansas, Inc., (FGK), a Kansas Corporation, on July 12, 2001, hereinafter sometimes referred to as Contractor, is hereby amended by agreement of the parties:

The above-named parties entered into a contract on the date referenced above for the purpose of providing and paying for HealthWave Title XIX and Title XXI capitated managed care health services to beneficiaries enrolled with FGK. The Kansas Legislature, in the 2005 Session, enacted House Substitute for Senate Bill No. 272. This Act establishes the Health Policy Authority (HPA) and also establishes the Division of Health Policy and Finance (DHPF) within the Kansas Department of Administration, effective July 1, 2005. This Act further provides that the DHPF shall be the single state agency for Medicaid on an interim basis and transfers related responsibilities, duties and contracts, including this contract, from SRS to the new DHPF on July 1, 2005 and then subsequently provides that the HPA shall be the single state agency for Medicaid effective July 1, 2006 and transfers these same responsibilities, duties and contracts to the HPA on July 1, 2006.

SRS has determined it is in the best interests of the State to make certain changes to the contract as originally agreed upon; and FGK is agreeable to such changes; now for and in consideration of the mutual covenants and agreements contained herein, the parties hereby mutually covenant and agree as follows:

The following documents are referenced for convenience only and are NOT made a part of this

amendment or intended to be incorporated in this contract by this reference.

Related Contract Amendment Number/Name: #1; #15

Related Memorandum of Understanding Number/Name: N/A

Related Policy Number/Name: N/A

Related Request For Proposals Reference(s): RFP #02510

Total Estimated Cost: Title XIX $130,997,000 Title XXI $61,937,000

Amendment 17, Page 1 of 3 Pages

In accordance with the provisions of RFP #02510, Section 3.1, the term of this contract is extended for the third and last of three, optional one-year periods, for the period July 1, 2005 through June 30, 2006.

RFP #02510, Page 114, Paragraph 5.15.1.e. as added by Amendment 1 and amended by Amendment 15:

The parties agree that for the period September 1, 2004 through June 30, 2005, the capitation rates set forth in Attachment A to this Amendment, attached to and incorporated herein shall apply to Title XIX HealthWave capitation rates. Said contract rates, to take effect the first day of the month as approved by the Centers for Medicare and Medicaid Services (CMS).

Is, effective with the signing of this amendment, amended to read:

The parties agree that for the period July 1, 2005 through June 30, 2006, the capitation rates set forth in Attachment A - Rates for the Period July 1, 2005 through June 30, 2006, attached to and incorporated herein shall apply to Title XIX, subject to actuarial certification and approval by the Center for Medicare and Medicaid Services (CMS).

The parties agree that for the period July 1, 2005 through June 30, 2006, the capitation rates set forth in Attachment B - HealthWave Title XXI Rates for SFY2006, attached to and incorporated herein shall apply to Title XXI.

The parties agree that effective July 1, 2005, Section 5.9.1, Medical Services is amended by adding new Section 5.9.1.gg as follows:

The parties agree that effective July 1, 2005, Section 5.10, Medical Services Not included is amended by adding new Section 5.10.12 as follows:

Amendment 17, Page 2 of 3 Pages

All other terms and conditions of the contract between SRS and FGK remain unchanged.

IN WITNESS HEREOF, the Parties hereto have executed this amendment to the original contract as of the date written below.

Amendment 17, Page 3 of 3 Pages

Attachment A - Rates for the Period July 1, 2005 through June 30, 2006

SFY2006 Rates, HealthWave 19

Attachment B - HealthWave XXI Rates for SFY2006

Title XXI - FY 2006 Rates

For the Period July 1, 2005 thru June 30, 2006