Our firstcare is your health care ARIZONA HEALTH CARE COSTCONTAINMENT SYSTEM
Exhibit 10.1
| Janice K. Brewer, Governor Thomas J. Betlach, Director
801 East Jefferson, Phoenix, AZ 85034 PO Box 25520, Phoenix, AZ 85002 Phone: 602 ###-###-#### www.azahcccs.gov |
Our first care is your health care ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM | |||
March 22, 2013
Health Choice Arizona
Mike Uchrin
Chief Executive Officer
410 N. 44th St., Suite 900
Phoenix, AZ 85008
| Subject: | Notification of Contract Awards RFP YH14-0001 |
Dear Mr. Uchrin:
AHCCCS is awarding Health Choice Arizona an Acute Care contract under RFP number YH14-0001 in the following Geographic Service Area(s) (GSAs) with the capitation rate components specified in the attached document.
| • | GSA 4 – Apache, Coconino, Mohave, Navajo |
| • | GSA 8 – Gila, Pinal |
| • | GSA 10 – Pima |
| • | GSA 12 – Maricopa |
Please countersign and return this contract award letter no later than 16 days from the date of this award letter (April 8, 2013, 5:00 p.m., Arizona time). This information must be emailed to Michael Veit, AHCCCS Contracts and Purchasing Administrator, at ***@*** with a copy to Meggan Harley, AHCCCS Procurement Manager, at ***@***. Please ensure all emails are followed by a hard copy submission to Michael Veit, AHCCCS, Division of Business and Finance, 701 E. Jefferson St., MD 5700, Phoenix, AZ 85034.
In the event that you do not accept this contract award, or fail to return this award letter by April 8, 2013, 5:00 p.m., Arizona time, AHCCCS may withdraw this contract award.
The public will be notified of the awards when the Acute/CRS RFP YH14-0001 Procurement File is made available for public inspection on the AHCCCS website on March 22, 2013. The Offeror may refer to the Procurement File for information regarding contract awards for CYE 2014.
If you have any questions regarding this letter please contact Meggan Harley at (602) ###-###-####.
| Sincerely, |
| /s/ Michael Veit |
| Michael Veit |
| Contracts and Purchasing Administrator Division of Business and Finance |
| Enclosure |
| /s/ Mike Uchrin Mike Uchrin |
| Chief Executive Officer |
| Health Choice Arizona |
Acute Care RFP Bid Template - Health Choice Arizona
Gross Medical Component by Risk Group and GSA
| Risk Group | GSA 2 | GSA 4 Award | GSA 6 | GSA 8 Award | GSA 10 Award | GSA 12 Award | GSA 14 | |||||||||||||||||||||
| TANF < 1 | $ | — | $ | 410.21 | $ | — | $ | 442.25 | $ | 427.17 | $ | 463.43 | $ | — | ||||||||||||||
| TANF 1-13 | $ | — | $ | 91.38 | $ | — | $ | 88.02 | $ | 76.96 | $ | 92.76 | $ | — | ||||||||||||||
| TANF 14-44 F | $ | — | $ | 221.96 | $ | — | $ | 229.85 | $ | 189.06 | $ | 210.74 | $ | — | ||||||||||||||
| TANF 14-44 M | $ | — | $ | 154.93 | $ | — | $ | 143.37 | $ | 117.33 | $ | 137.66 | $ | — | ||||||||||||||
| TANF 45+ | $ | — | $ | 372.31 | $ | — | $ | 405.83 | $ | 319.51 | $ | 375.78 | $ | — | ||||||||||||||
| SSIW | $ | — | $ | 103.12 | $ | — | $ | 115.66 | $ | 111.00 | $ | 147.57 | $ | — | ||||||||||||||
| SSIW/O | $ | — | $ | 846.82 | $ | — | $ | 673.01 | $ | 712.05 | $ | 746.20 | $ | — | ||||||||||||||
| AHCCCS Care | $ | — | $ | 384.75 | $ | — | $ | 373.02 | $ | 298.76 | $ | 387.44 | $ | — | ||||||||||||||
| Delivery Supp | $ | — | $ | 5,109.50 | $ | — | $ | 5,237.17 | $ | 5,161.69 | $ | 5,447.17 | $ | — | ||||||||||||||
Administrative Component by Risk Group and GSA
| Risk Group | GSA 2 | GSA 4 | GSA 6 | GSA 8 | GSA 10 | GSA 12 | GSA 14 | |||||||||||||||||||||
| TANF < 1 | $ | — | $ | 25.84 | $ | — | $ | 27.86 | $ | 27.13 | $ | 32.44 | $ | — | ||||||||||||||
| TANF 1-13 | $ | — | $ | 6.03 | $ | — | $ | 5.81 | $ | 5.08 | $ | 6.68 | $ | — | ||||||||||||||
| TANF 14-44 F | $ | — | $ | 13.98 | $ | — | $ | 14.48 | $ | 12.01 | $ | 14.75 | $ | — | ||||||||||||||
| TANF 14-44 M | $ | — | $ | 10.23 | $ | — | $ | 9.46 | $ | 7.74 | $ | 9.91 | $ | — | ||||||||||||||
| TANF 45+ | $ | — | $ | 23.46 | $ | — | $ | 25.57 | $ | 20.29 | $ | 26.30 | $ | — | ||||||||||||||
| SSIW | $ | — | $ | 6.50 | $ | — | $ | 7.29 | $ | 7.05 | $ | 10.33 | $ | — | ||||||||||||||
| SSIW/O | $ | — | $ | 55.89 | $ | — | $ | 44.42 | $ | 47.00 | $ | 53.73 | $ | — | ||||||||||||||
| AHCCCS Care | $ | — | $ | 25.39 | $ | — | $ | 24.62 | $ | 19.72 | $ | 27.90 | $ | — | ||||||||||||||
| Delivery Supp | $ | — | $ | 337.23 | $ | — | $ | 345.65 | $ | 340.67 | $ | 392.20 | $ | — | ||||||||||||||
These are the awarded rate components. Final adjusted rates including reinsurance, premium tax, risk contingency and any program or other changes, as identified in the RFP, will be issued at a later date.
