Contract Amendment to Establish New Capitation Rates between Arizona Health Care Cost Containment System and Health Choice Arizona (April 2002)

Summary

This amendment updates the contract between the Arizona Health Care Cost Containment System (AHCCCS) and Health Choice Arizona to set new capitation rates for the Title XIX Waiver Group, effective April 1, 2002. The amendment specifies the new payment rates for services in Pima and Maricopa counties. All other terms of the original contract remain unchanged. Both parties have signed to confirm their agreement to these new rates.

EX-10.1 3 g76274ex10-1.txt CONTRACT AMENDMENT Page 1 of 2 EXHIBIT 10.1 ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION DIVISION OF BUSINESS AND FINANCE [AHCCCS LOGO] SECTION A. CONTRACT AMENDMENT ================================================================================ 1. AMENDMENT 2. CONTRACT 3. EFFECTIVE DATE OF 4. PROGRAM NUMBER: NO.: AMENDMENT: 18 YHS-0001-05 April 1, 2002 OMC ================================================================================ 5. CONTRACTOR'S NAME AND ADDRESS: Health Choice Arizona 1600 W. Broadway, Suite 260 Tempe, AZ ###-###-#### ================================================================================ 6. PURPOSE OF AMENDMENT: To establish new capitation rates for Title XIX Waiver Group effective April 1, 2002. ================================================================================ 7. THE CONTRACT REFERENCED ABOVE IS AMENDED AS FOLLOWS: A. New Capitation rates for Title XIX Waiver Group are changed to the rates provided on page two (2) of this amendment effective April 1, 2002. NOTE: Please sign and date both and then return one to: Michael Veit, MD 5700 AHCCCS Contracts and Purchasing 701 E. Jefferson Street Phoenix AZ 85034 ================================================================================ 8. EXCEPT AS PROVIDED FOR HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL CONTRACT NOT HERETOFORE CHANGED AND/OR AMENDED REMAIN UNCHANGED AND IN FULL EFFECT. IN WITNESS WHEREOF THE PARTIES HERETO SIGN THEIR NAMES IN AGREEMENT ================================================================================ 9. SIGNATURE OF AUTHORIZED 10. SIGNATURE OF AHCCCSA CONTRACTING REPRESENTATIVE: OFFICER: /s/ Greg Martenson / /s/ Carolyn Rose /s/ Michael Veit ================================================================================ TYPE NAME: CAROLYN ROSE MICHAEL VEIT ================================================================================ TITLE: CONTRACTS & PURCHASING CHIEF EXECUTIVE OFFICER ADMINISTRATOR ================================================================================ DATE: DATE: 3/6/02 MAR 01 2002 ================================================================================ Page 2 of 2 ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM CAPITATION RATE SUMMARY - ACUTE RATES Health Choice Arizona CYE '02 (as of 4/01/02) TITLE XIX TITLE XIX RATES: WAIVER GROUP - --------------------------- ------------------- 10 Pima $198.11 12 Maricopa $183.60 PPC RATES: - --------------------------- 10 Pima $174.32 12 Maricopa $170.52