Amendment No. 2 to Contract No. YH8-0001-05 between Arizona Health Care Cost Containment System and Health Choice of Arizona

Contract Categories: Business Finance › Modification Agreements
Summary

This amendment updates the contract between the Arizona Health Care Cost Containment System (AHCCCS) and Health Choice of Arizona to include new capitation rates for the HIFA Parents population, effective January 1, 2003. The amendment specifies the payment rates for different age and gender groups in Pima and Maricopa counties. All other terms of the original contract remain unchanged. Both parties have signed to confirm their agreement to these changes.

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EX-10.1 3 g80694exv10w1.txt AMENDMENT NO. 2 TO CONTRACT EXHIBIT 10.1 ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION DIVISION OF BUSINESS AND FINANCE SECTION A. CONTRACT AMENDMENT [AHCCCS Page 1 of 2 LOGO] 1. AMENDMENT 2. CONTRACT 3. EFFECTIVE DATE OF 4. PROGRAM: NUMBER: NO.: AMENDMENT: 20 YH8-0001-05 JANUARY 1, 2003 OMC 5. CONTRACTOR'S NAME AND ADDRESS: HEALTH CHOICE OF ARIZONA 1600 W. BROADWAY, SUITE 260 TEMPE, ARIZONA 85282 6. PURPOSE OF AMENDMENT: TO AMEND SECTION B, CAPITATION RATES TO INCLUDE CAPITATION RATES FOR THE HIFA PARENTS POPULATION, EFFECTIVE JANUARY 1, 2003. 7. THE CONTRACT REFERENCED ABOVE IS AMENDED AS FOLLOWS: A. CAPITATION RATES: The rates on page 2 of this amendment will be paid to Contractors for HIFA parents enrolled with contractors on or after January 1, 2003. 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/ Carolyn Rose /s/ Michael Veit TYPED NAME: CAROLYN ROSE MICHAEL VEIT TITLE: CHIEF EXECUTIVE OFFICER CONTRACTS & PURCHASING ADMINISTRATOR DATE: 12/13/02 NOV 29, 2002
Page 2 of 2 ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM CAPITATION RATE SUMMARY - ACUTE RATES HEALTH CHOICE ARIZONA CYE '03 (EFFECTIVE 1/01/03)
HIFA HIFA HIFA HIFA RATES: 14-44, F 14-44, M 45 +, M/F -------- -------- --------- 10 Pima $155.59 $111.06 $297.58 12 Maricopa $142.29 $112.59 $309.50
* Rates have been adjusted for $35,000 Reinsurance Deductible