Amendment No. 7 to Capitation Rate Agreement between Arizona Health Care Cost Containment System and VHS Phoenix Health Plan, LLC

Summary

This amendment updates the capitation rates for VHS Phoenix Health Plan, LLC under its contract with the Arizona Health Care Cost Containment System (AHCCCS) for the period from October 1, 2009, to September 30, 2010. The revised rates apply to various healthcare programs and regions, as detailed in the attached rate sheet. All other terms of the original contract remain unchanged. Both parties have signed to confirm their agreement to these new rates.

EX-10.2 3 exhibit10_2.htm VANGUARD HEALTH SYSTEMS, INC.

EXHIBIT 10.2

[AHCCCS
LOGO]

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION
DIVISION OF BUSINESS AND FINANCE
SECTION A: CONTRACT

 

1.  AMENDMENT
     NUMBER:
            7

2.  CONTRACT NO.:
     YH09-0001-07

3.  EFFECTIVE DATE OF AMENDMENT
      October 1, 2009

4.  PROGRAM
  DHCM - ACUTE

 

5.  CONTRACTOR'S NAME AND ADDRESS:

VHS Phoenix Health Plan, LLC
7878 N. 16th St., Suite 105
Phoenix, AZ 85020

 

6.  PURPOSE OF AMENDMENT:  To amend Section B, Capitation Rates.

 

7.  THE CONTRACT REFERENCED ABOVE FOLLOWS
     A.            Section B contains revised Capitation Rates (see attached rate sheet.)

NOTE:  Please sign, date, and return executed file by E-Mail to:Mark Held at ***@***
                                                                                                               Sr. Procurement Specialist
                                                                                                               AHCCCS Contracts and Purchasing
                                                                                                              
and Georgina Maya at
                                                                                                               ***@***

 

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 REPRESENTATIVE:
     /s/ Nancy Novick

TYPED NAME:    NANCY NOVICK
TITLE:                    CHIEF EXECUTIVE OFFICER
DATE:                    9/17/09

 

10.  SIGNATURE OF AHCCCSA CONTRACTING OFFICER:

       /s/ Michael Veit

 

 

MICHAEL VEIT

CONTRACTS & PURCHASING ADMINISTRATOR
DATE:    SEP 10 2009



ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
CAPITATION RATE SUMMARY – ACUTE RATES (Risk Adjusted)
Phoenix Health Plan
10/1/09-9/30/10

 

Title XIX and KidsCare Rates 1:

TANF
<1, M/F

TANF
1-13, M/F

TANF
14-44, F

TANF
14-44, M

TANF
45+, M/F

SSI
w/ Med

SSI
w/o Med

SFP

Maternity
Delivery
Supplement

Non-MED

MED

4

Apache/Coconino/Mohave/Navajo

$482.84

$114.84

$266.60

$154.57

$405.05

$156.48

$758.18

$17.31

$6,304.05

$494.59

$1,373.39

6

Yavapai

$496.20

$118.54

$281.24

$185.80

$423.70

$144.34

$776.10

$16.79

$6,843.19

$603.86

$1,140.18

8

Gila/Pinal

$558.02

$108.29

$257.11

$177.05

$377.16

$134.34

$756.30

$11.66

$6,602.64

$470.85

$1,614.61

10

Pima

$469.92

$98.92

$231.44

$124.06

$382.07

$148.16

$806.24

$20.13

$6,683.33

$428.20

$1,319.43

12

Maricopa

$513.06

$115.48

$240.69

$145.45

$401.54

$151.08

$696.20

$17.15

$6,716.61

$533.08

$1,327.93

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PPC Rates:

TANF
<1, M/F

TANF
1-13, M/F

TANF
14-44, F

TANF
14-44, M

TANF
45+, M/F

SSI
w/ Med

SSI
w/o Med

 

 

Non-MED

MED

4

Apache/Coconino/Mohave/Navajo

$1,120.60

$65.01

$254.94

$214.09

$434.27

$151.34

$391.21

 

 

$1,034.48

$7,279.94

6

Yavapai

$1,135.72

$68.75

$258.73

$219.42

$428.81

$147.38

$399.12

 

 

$1,063.85

$7,322.78

8

Gila/Pinal

$1,122.86

$68.74

$251.79

$208.85

$427.38

$146.82

$395.52

 

 

$1,029.70

$7,427.30

10

Pima

$1,098.32

$58.37

$240.31

$197.74

$425.71

$146.13

$392.20

 

 

$785.70

$7,207.00

12

Maricopa

$1,085.49

$69.06

$243.30

$212.06

$415.99

$142.15

$390.25

 

 

$1,196.57

$7,204.01

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Rates:

Option 1
Transplant

Option 2
Transplant

4

Apache/Coconino/Mohave/Navajo

$22.50

$22.50

6

Yavapai

$22.50

$22.50

8

Gila/Pinal

$22.50

$22.50

10

Pima

$22.50

$22.50

12

Maricopa

$22.50

$22.50

 

 

 

 

 

 

 

 

 

 

 

 

 

1.  Rates have been adjusted for $35,000 Reinsurance Deductible