Amendment No. 25 to Contract YH8-0001-08 Between Arizona Health Care Cost Containment System and VHS Phoenix Health Plan, Inc.
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Summary
This amendment updates the contract between the Arizona Health Care Cost Containment System Administration and VHS Phoenix Health Plan, Inc. 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 certain counties. All other terms of the original contract remain unchanged. Both parties have signed to confirm their agreement to these changes.
EX-10.6 4 exhibit10_6.txt EXHIBIT 10.6 EXHIBIT 10.6 ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION DIVISION OF BUSINESS AND FINANCE SECTION A. CONTRACT AMENDMENT 1. AMENDMENT 2. CONTRACT 3. EFFECTIVE DATE 4. PROGRAM NUMBER: NO. OF AMENDMENT: 25 YH8-0001-08 January 1, 2003 OMC 5. CONTRACTOR'S NAME AND ADDRESS: VHS Phoenix Health Plan, Inc. 1209 S. Seventh Avenue Phoenix, AZ 85007 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 REPRESENTATIVE: CONTRACTING OFFICER: TYPED NAME: NANCY NOVICK MICHAEL VEIT TITLE: CHIEF EXECUTIVE OFFICER CONTRACTS & PURCHASING ADMINISTRATOR DATE: 12/5/02 DATE: November 29, 2002 Page 2 of 2 ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM CAPITATION RATE SUMMARY - ACUTE RATES Phoenix Health Plan/Community Connection CYE '03 (Effective 1/01/03) HIFA HIFA HIFA HIFA Rates: 14-44,F 14-44,M 45+,M/F - ----------- ------- ------- ------- 8 Gila/Pinal $180.12 $122.40 $347.92 12 Maricopa $148.32 $110.67 $309.85 *Rates have been adjusted for $50,000 Reinsurance Deductible
