Amendment No. 7 to Capitation Rate Agreement between Arizona Health Care Cost Containment System and VHS Phoenix Health Plan, LLC
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.
EXHIBIT 10.2
[AHCCCS | ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION | |||
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1. AMENDMENT | 2. CONTRACT NO.: | 3. EFFECTIVE DATE OF AMENDMENT | 4. PROGRAM | |
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5. CONTRACTOR'S NAME AND ADDRESS: VHS Phoenix Health Plan, LLC | ||||
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6. PURPOSE OF AMENDMENT: To amend Section B, Capitation Rates. | ||||
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7. THE CONTRACT REFERENCED ABOVE FOLLOWS NOTE: Please sign, date, and return executed file by E-Mail to:Mark Held at ***@*** | ||||
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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: TYPED NAME: NANCY NOVICK |
| 10. SIGNATURE OF AHCCCSA CONTRACTING OFFICER: |
/s/ Michael Veit | ||
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MICHAEL VEIT | ||
CONTRACTS & PURCHASING ADMINISTRATOR |
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM | ||||||||||||
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Title XIX and KidsCare Rates 1: | TANF | TANF | TANF | TANF | TANF | SSI | SSI | SFP | Maternity | 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 |
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PPC Rates: | TANF | TANF | TANF | TANF | TANF | SSI | SSI |
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| Non-MED | MED | |
4 | Apache/Coconino/Mohave/Navajo | $1,120.60 | $65.01 | $254.94 | $214.09 | $434.27 | $151.34 | $391.21 |
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| $1,034.48 | $7,279.94 |
6 | Yavapai | $1,135.72 | $68.75 | $258.73 | $219.42 | $428.81 | $147.38 | $399.12 |
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| $1,063.85 | $7,322.78 |
8 | Gila/Pinal | $1,122.86 | $68.74 | $251.79 | $208.85 | $427.38 | $146.82 | $395.52 |
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| $1,029.70 | $7,427.30 |
10 | Pima | $1,098.32 | $58.37 | $240.31 | $197.74 | $425.71 | $146.13 | $392.20 |
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| $785.70 | $7,207.00 |
12 | Maricopa | $1,085.49 | $69.06 | $243.30 | $212.06 | $415.99 | $142.15 | $390.25 |
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| $1,196.57 | $7,204.01 |
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Other Rates: | Option 1 | Option 2 | ||||||||||
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 | |||||||||
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1. Rates have been adjusted for $35,000 Reinsurance Deductible