Amendment number 1 to Contract No. FA619 (Medicaid Non-Reform 2006-2009), between the State of Florida, Agency for Health Care Administration and HealthEase of Florida, Inc
Contract Categories:
Business Operations
- Agency Agreements
EX-10.1 2 fa619amend1.htm AMENDMENT NO. 1 TO AHCA CONTRACT FA619 fa619amend1.htm
Back to Form 8-K
Exhibit 10.1
AHCA CONTRACT NO. FA619
AMENDMENT NO. 1
THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and HEALTHEASE OF FLORIDA, INC., hereinafter referred to as the "Vendor" or “Health Plan”, is hereby amended as follows:
1. | All references in the Contract to the Vendor’s company name are hereby changed from HealthEase of Florida, Inc. and/or HealthEase Health Plan of Florida, Inc. to HealthEase of Florida, Inc.. The Vendor’s contact information, including names, addresses and telephone numbers and the Vendor’s FEID number remain unchanged. |
2. | Standard Contract, Section III, Item C., Contract Managers, sub-item 2. is hereby amended to now read as follows: |
| 2. | The Vendor’s Contract Manager’s name, address and telephone number for this Contract is as follows: |
| Geoffrey L. Petrie |
| Healthease of Florida, Inc. |
8735 Henderson Road |
Tampa, FL ###-###-#### |
(813) 865-5038 |
3. | Attachment I, Scope of Services, is hereby amended to include Exhibit II-A, Revised Capitation Rates, attached hereto and made a part of the Contract. All references in the Contract to Exhibit II, Capitation Rates, shall hereinafter also refer to Exhibit II-A, Revised Capitation Rates, as appropriate. |
4. | Attachment I, Scope of Services, is hereby amended to include Exhibit III-A, September 1, 2007- August 31, 2008 Medicaid Non-Reform HMO Capitation Rates, attached hereto and made a part of the Contract. All references in the Contract to Exhibit III, September 1, 2006 – August 31, 2007 HMO Rates, shall hereinafter also refer to Exhibit III-A, September 1, 2007- August 31, 2008 Medicaid Non-Reform HMO Capitation Rates, as appropriate. |
5. | Attachment II, Medicaid Prepaid Health Plan Model Contract, Section V, Covered Services, Item C, Expanded Services, sub-item 2 is hereby deleted in its entirety and replaced with the following: |
2. The following is a list of the Health Plan’s Expanded Services:
| a. | Annual comprehensive oral exam, x-rays (one (1) per year), two (2) cleanings per year, silver amalgam fillings, one periodontic deep cleaning per year, two (2) periodontic scaling and root planing per year. |
| b. | Up to $25 credit per household each month for selected over the counter drugs and/or health supplies. |
| c. | Unlimited eye exams and eyeglasses, if medically necessary. |
| d. | Free approved round trip transportation to medical appointments. |
| e. | Circumcision up to one (1) year. |
AHCA Contract No. FA619, Amendment No. 1, Page 1 of 2
AHCA Form 2100-0002 (Rev. NOV03)
HealthEase of Florida, Inc. Medicaid HMO Contract
6. This Amendment shall have an effective date of September 1, 2007, or the date on which bothparties execute the Amendment, whichever is later.
All provisions in the Contract and any attachments thereto in conflict with this Amendment shall be and are hereby changed to conform with this Amendment.
All provisions not in conflict with this Amendment are still in effect and are to be performed at the level specified in the Contract.
This Amendment and all its attachments are hereby made a part of the Contract.
This Amendment cannot be executed unless all previous amendments to this Contract have been fully executed.
IN WITNESS WHEREOF, the parties hereto have caused this nine (9) page Amendment (which includes all attachments hereto) to be executed by their officials thereunto duly authorized.
HEALTHEASE OF FLORIDA, INC. | STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION | |
SIGNED BY: /s/ Todd S. Farha | SIGNED BY: /s/ Andrew Agwunobi | |
NAME: Todd S. Farha | NAME: Andrew C. Agwunobi, M.D. | |
TITLE: CEO | TITLE: Secretary | |
DATE: 9/4/07 | DATE: 9/6/07 |
List of attachments included as part of this Amendment:
Specify Type | Letter/Number | Description |
Exhibit | II-A | Revised Capitation Rates (2 Pages) |
Exhibit | III-A | September 1, 2007- August 31, 2008 Medicaid Non-Reform HMO Capitation Rates (5 Pages) |
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
AHCA Contract No. FA619, Amendment No. 1, Page 2 of 2
AHCA Form 2100-0002 (Rev. NOV03)
HealthEase of Florida, Inc. Medicaid HMO Contract d/b/a HealthEase
EXHIBIT II-A
REVISED CAPITATION RATES
A. Table 2 - General Capitation Rates plus Mental Health Rates:
Area 2 Counties:
County | Provider Number |
Liberty | 015019342 |
Jefferson | 015019318 |
Madison | 015019322 |
Wakulla | 015019336 |
B. Table 4 - General Capitation Rates plus Mental Health Rates and Transportation Rates:
Area 1 Counties:
County | Provider Number |
Escambia | 015019314 |
Santa Rosa | 015019331 |
Area 2 Counties:
County | Provider Number |
Calhoun | 015019340 |
Gadsden | 015019315 |
Leon | 015019320 |
Area 3 Counties:
County | Provider Number |
Citrus | 015019309 |
Lake | 015019319 |
Marion | 015019323 |
Putnam | 015019329 |
Area 4 Counties:
County | Provider Number |
Duval | 015019313 |
Volusia | 015019335 |
Area 5 Counties:
County | Provider Number |
Pasco | 015019302 |
Pinellas | 015019303 |
Area 6 Counties:
County | Provider Number |
Highlands | 015019317 |
Hillsborough | 015019300 |
Manatee | 015019301 |
Polk | 015019304 |
AHCA Contract No. FA619, Exhibit II-A, Page 1 of 2
AHCA Form 2100-0002 (Rev. NOV03)
HealthEase of Florida, Inc. Medicaid HMO Contract d/b/a HealthEase
Area 7 Counties:
County | Provider Number |
Brevard | 015019308 |
Orange | 015019327 |
Osceola | 015019328 |
Seminole | 015019333 |
Area 8 Counties:
County | Provider Number |
Sarasota | 015019332 |
Area 9 Counties:
County | Provider Number |
Martin | 015019324 |
Palm Beach | 015019339 |
Area 10 Counties:
County | Provider Number |
Broward | 015019337 |
Area 11 Counties:
County | Provider Number |
Miami-Dade | 015019338 |
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
AHCA Contract No. FA619, Exhibit II-A, Page 2 of 2
AHCA Form 2100-0002 (Rev. NOV03)
EXHIBIT III-A | |||||||||||||||||||
September 1, 2007- August 31, 2008 | |||||||||||||||||||
Medicaid Non-Reform HMO Capitation Rates | |||||||||||||||||||
By Area , Age and Eligibility Category ESTIMATED HEALTH PLAN RATES (NOT FOR USE UNLESS APPROVED BY CMS) | |||||||||||||||||||
TABLE 1 | |||||||||||||||||||
General Rates: | |||||||||||||||||||
TANF | SSI-N | SSI-B | SSI-AB | ||||||||||||||||
Area | BTHMO+2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | BTHMO +2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | | AGE (65-) | AGE (65+) | ||
| Female | Male | Female | Male | |||||||||||||||
01 | 1,131.99 | 202.30 | 105.58 | 66.22 | 135.19 | 72.29 | 265.45 | 167.89 | 347.47 | 10,081.87 | 1,458.88 | 435.95 | 201.26 | 222.08 | 716.10 | 703.88 | 271.50 | 138.14 | 112.37 |
02 | 1,131.99 | 202.30 | 105.58 | 66.22 | 135.19 | 72.29 | 265.45 | 167.89 | 347.47 | 10,081.87 | 1,458.88 | 435.95 | 201.26 | 222.08 | 716.10 | 703.88 | 271.50 | 138.14 | 112.37 |
03 | 1,296.42 | 233.58 | 122.13 | 77.48 | 156.47 | 84.50 | 308.68 | 196.24 | 408.68 | 11,326.29 | 1,656.79 | 495.12 | 233.33 | 256.55 | 826.59 | 816.63 | 273.34 | 129.66 | 105.80 |
04 | 1,128.87 | 203.75 | 106.78 | 67.92 | 136.68 | 74.01 | 269.88 | 171.79 | 358.59 | 10,675.98 | 1,563.58 | 467.86 | 220.87 | 242.36 | 781.86 | 772.10 | 330.41 | 133.72 | 109.08 |
05 | 1,260.50 | 227.66 | 119.09 | 75.94 | 152.59 | 82.61 | 301.42 | 191.81 | 400.30 | 11,774.49 | 1,721.01 | 514.94 | 241.96 | 266.53 | 857.42 | 846.21 | 230.22 | 127.48 | 104.72 |
06 | 1,111.64 | 201.87 | 106.04 | 68.10 | 135.60 | 74.02 | 269.07 | 171.81 | 360.32 | 10,832.05 | 1,590.31 | 475.95 | 225.91 | 247.84 | 799.09 | 790.01 | 284.19 | 124.63 | 101.81 |
07 | 1,129.81 | 204.44 | 107.10 | 68.40 | 137.11 | 74.43 | 271.08 | 172.77 | 361.05 | 11,163.75 | 1,640.70 | 490.80 | 233.68 | 256.10 | 824.52 | 815.86 | 327.20 | 128.73 | 105.41 |
08 | 1,059.95 | 192.36 | 100.83 | 64.75 | 129.15 | 70.40 | 255.88 | 163.25 | 342.35 | 9,491.26 | 1,388.78 | 415.62 | 196.24 | 215.38 | 694.16 | 685.42 | 192.02 | 118.95 | 97.25 |
09 | 1,098.82 | 197.96 | 103.63 | 65.91 | 132.56 | 71.62 | 261.85 | 166.57 | 346.99 | 10,597.24 | 1,556.56 | 465.60 | 221.41 | 242.54 | 781.98 | 773.10 | 205.98 | 127.97 | 104.76 |
10 | 1,119.46 | 203.01 | 106.51 | 68.32 | 136.20 | 74.23 | 270.06 | 172.18 | 360.84 | 13,743.01 | 2,028.53 | 606.68 | 290.75 | 319.15 | 1,026.77 | 1,016.73 | 256.37 | 143.41 | 117.45 |
11 | 1,448.96 | 260.41 | 136.24 | 86.18 | 174.38 | 94.02 | 343.72 | 218.26 | 453.77 | 14,396.52 | 2,111.55 | 631.62 | 299.15 | 329.01 | 1,058.44 | 1,046.51 | 336.08 | 198.00 | 160.77 |
TABLE 2 | |||||||||||||||||||
General + Mental Health Rates: | |||||||||||||||||||
TANF | SSI-N | SSI-B | SSI-AB | ||||||||||||||||
Area | BTHMO+2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | BTHMO +2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | AGE (65-) | AGE (65+) | |||
Female | Male | Female | Male | | |||||||||||||||
01 | 1,132.01 | 202.32 | 107.22 | 77.91 | 146.11 | 83.21 | 269.89 | 172.33 | 351.22 | 10,081.95 | 1,458.96 | 443.39 | 249.30 | 266.06 | 797.48 | 734.86 | 271.71 | 149.79 | 124.02 |
02 | 1,132.02 | 202.33 | 108.49 | 86.47 | 148.60 | 85.70 | 268.86 | 171.30 | 350.43 | 10,082.03 | 1,459.04 | 449.74 | 280.06 | 267.29 | 768.77 | 728.75 | 291.70 | 153.14 | 127.37 |
03 | 1,296.43 | 233.59 | 123.45 | 86.66 | 162.55 | 90.58 | 310.23 | 197.79 | 410.02 | 11,326.36 | 1,656.86 | 501.38 | 269.08 | 277.06 | 850.48 | 827.91 | 280.19 | 138.64 | 114.78 |
04 | 1,128.88 | 203.76 | 108.15 | 77.48 | 143.01 | 80.34 | 271.49 | 173.40 | 359.98 | 10,676.09 | 1,563.69 | 477.61 | 276.60 | 274.33 | 819.11 | 789.69 | 354.96 | 150.49 | 125.85 |
05 | 1,260.51 | 227.67 | 120.30 | 84.61 | 160.70 | 90.72 | 304.71 | 195.10 | 403.08 | 11,774.54 | 1,721.06 | 519.96 | 274.37 | 296.20 | 912.32 | 867.11 | 232.95 | 140.29 | 117.53 |
06 | 1,111.66 | 201.89 | 107.89 | 81.34 | 147.98 | 86.40 | 274.10 | 176.84 | 364.57 | 10,832.12 | 1,590.38 | 482.47 | 268.01 | 286.38 | 870.40 | 817.15 | 285.50 | 128.51 | 105.69 |
07 | 1,129.83 | 204.46 | 108.88 | 81.08 | 148.96 | 86.28 | 275.90 | 177.59 | 365.12 | 11,163.81 | 1,640.76 | 496.92 | 273.18 | 292.26 | 891.44 | 841.33 | 329.79 | 139.24 | 115.92 |
08 | 1,059.96 | 192.37 | 102.09 | 73.55 | 134.98 | 76.23 | 257.36 | 164.73 | 343.63 | 9,491.33 | 1,388.85 | 421.62 | 230.52 | 235.05 | 717.07 | 696.24 | 198.87 | 132.17 | 110.47 |
09 | 1,098.84 | 197.98 | 105.18 | 76.72 | 139.72 | 78.78 | 263.67 | 168.39 | 348.57 | 10,597.31 | 1,556.63 | 471.93 | 257.55 | 263.28 | 806.13 | 784.51 | 212.83 | 137.56 | 114.35 |
10 | 1,119.48 | 203.03 | 108.43 | 81.68 | 145.05 | 83.08 | 272.31 | 174.43 | 362.79 | 13,743.10 | 2,028.62 | 615.03 | 338.45 | 346.52 | 1,058.65 | 1,031.78 | 263.22 | 151.46 | 125.50 |
11 | 1,448.98 | 260.43 | 137.86 | 97.47 | 181.86 | 101.50 | 345.62 | 220.16 | 455.42 | 14,396.60 | 2,111.63 | 638.59 | 338.94 | 351.84 | 1,085.04 | 1,059.07 | 343.31 | 206.05 | 168.82 |
TABLE 3 | |||||||||||||||||||
General + MH + Dental Rates: | |||||||||||||||||||
TANF | SSI-N | SSI-B | SSI-AB | ||||||||||||||||
Area | BTHMO+2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | | AGE (21-54) | AGE (55+) | BTHMO +2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | AGE (65-) | AGE (65+) | ||
Female | Male | Female | Male | ||||||||||||||||
01 | 1,132.02 | 202.33 | 109.31 | 82.23 | 150.59 | 86.99 | 271.74 | 173.97 | 354.63 | 10,081.95 | 1,458.97 | 445.59 | 253.12 | 269.40 | 800.35 | 738.28 | 272.21 | 152.10 | 125.50 |
02 | 1,132.03 | 202.34 | 110.58 | 90.79 | 153.08 | 89.48 | 270.71 | 172.94 | 353.84 | 10,082.03 | 1,459.05 | 451.94 | 283.88 | 270.63 | 771.64 | 732.17 | 292.20 | 155.45 | 128.85 |
03 | 1,296.44 | 233.60 | 126.52 | 93.00 | 169.14 | 96.13 | 313.24 | 200.46 | 415.57 | 11,326.37 | 1,656.88 | 504.76 | 274.93 | 282.17 | 854.04 | 832.15 | 280.73 | 141.72 | 116.76 |
04 | 1,128.89 | 203.77 | 110.20 | 81.71 | 147.39 | 84.03 | 274.30 | 175.89 | 365.17 | 10,676.09 | 1,563.70 | 479.82 | 280.43 | 277.68 | 822.42 | 793.64 | 356.97 | 153.57 | 127.83 |
05 | 1,260.52 | 227.69 | 123.77 | 91.76 | 168.12 | 96.98 | 311.90 | 201.49 | 416.36 | 11,774.55 | 1,721.08 | 524.88 | 282.89 | 303.65 | 919.87 | 876.10 | 237.38 | 148.63 | 122.88 |
06 | 1,111.67 | 201.90 | 110.53 | 86.79 | 153.63 | 91.17 | 277.72 | 180.05 | 371.26 | 10,832.13 | 1,590.40 | 485.64 | 273.51 | 291.19 | 874.82 | 822.42 | 287.34 | 133.29 | 108.76 |
07 | 1,129.84 | 204.47 | 111.04 | 85.54 | 153.58 | 90.17 | 278.43 | 179.84 | 369.79 | 11,163.81 | 1,640.77 | 500.03 | 278.58 | 296.97 | 894.55 | 845.04 | 331.41 | 142.40 | 117.95 |
08 | 1,059.97 | 192.38 | 105.11 | 79.80 | 141.46 | 81.69 | 260.37 | 167.40 | 349.19 | 9,491.34 | 1,388.87 | 424.74 | 235.93 | 239.77 | 720.67 | 700.54 | 200.35 | 135.32 | 112.48 |
09 | 1,098.85 | 197.99 | 108.10 | 82.75 | 145.98 | 84.06 | 265.42 | 169.94 | 351.80 | 10,597.31 | 1,556.64 | 474.66 | 262.28 | 267.41 | 807.81 | 786.52 | 213.56 | 139.40 | 115.53 |
10 | 1,119.49 | 203.04 | 111.29 | 87.56 | 151.15 | 88.23 | 274.13 | 176.05 | 366.16 | 13,743.11 | 2,028.64 | 618.77 | 344.93 | 352.19 | 1,060.76 | 1,034.30 | 265.27 | 154.03 | 127.15 |
11 | 1,448.99 | 260.44 | 141.58 | 105.13 | 189.81 | 108.20 | 347.23 | 221.59 | 458.40 | 14,396.61 | 2,111.65 | 642.83 | 346.28 | 358.26 | 1,088.67 | 1,063.40 | 347.71 | 210.11 | 171.42 |
TABLE 4 | |||||||||||||||||||
General + MH + Transportation Rates: | |||||||||||||||||||
TANF | SSI-N | SSI-B | SSI-AB | ||||||||||||||||
Area | BTHMO+2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | BTHMO +2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | AGE (65-) | AGE (65+) | |||
Female | Male | Female | Male | | |||||||||||||||
01 | 1,137.56 | 203.71 | 108.08 | 78.43 | 148.03 | 84.47 | 272.98 | 174.71 | 354.40 | 10,125.36 | 1,486.99 | 449.03 | 251.78 | 272.18 | 817.47 | 751.37 | 278.48 | 163.52 | 132.78 |
02 | 1,137.57 | 203.72 | 109.35 | 86.99 | 150.52 | 86.96 | 271.95 | 173.68 | 353.61 | 10,125.44 | 1,487.07 | 455.38 | 282.54 | 273.41 | 788.76 | 745.26 | 298.47 | 166.87 | 136.13 |
03 | 1,303.13 | 235.26 | 124.49 | 87.29 | 164.87 | 92.09 | 313.95 | 200.67 | 413.86 | 11,381.17 | 1,692.25 | 508.50 | 272.20 | 284.79 | 875.73 | 848.76 | 288.81 | 158.48 | 127.44 |
04 | 1,133.91 | 205.01 | 108.93 | 77.95 | 144.75 | 81.48 | 274.28 | 175.56 | 362.87 | 10,720.46 | 1,592.34 | 483.38 | 279.13 | 280.59 | 839.55 | 806.56 | 361.93 | 166.27 | 135.91 |
05 | 1,264.71 | 228.72 | 120.95 | 85.01 | 162.15 | 91.67 | 307.04 | 196.90 | 405.49 | 11,809.84 | 1,743.85 | 524.54 | 276.38 | 301.18 | 928.58 | 880.53 | 238.83 | 154.32 | 126.48 |
06 | 1,115.71 | 202.90 | 108.52 | 81.72 | 149.38 | 87.31 | 276.35 | 178.58 | 366.89 | 10,866.95 | 1,612.87 | 487.00 | 270.00 | 291.30 | 886.44 | 830.40 | 290.82 | 140.11 | 113.09 |
07 | 1,133.77 | 205.44 | 109.49 | 81.45 | 150.32 | 87.17 | 278.09 | 179.28 | 367.38 | 11,201.13 | 1,664.85 | 501.77 | 275.30 | 297.53 | 908.63 | 855.51 | 335.43 | 151.37 | 123.67 |
08 | 1,065.54 | 193.77 | 102.95 | 74.07 | 136.91 | 77.49 | 260.46 | 167.12 | 346.83 | 9,532.67 | 1,415.54 | 427.00 | 232.88 | 240.88 | 736.11 | 711.96 | 204.95 | 146.97 | 119.92 |
09 | 1,104.22 | 199.32 | 106.02 | 77.23 | 141.58 | 79.99 | 266.66 | 170.70 | 351.65 | 10,640.50 | 1,584.51 | 477.55 | 260.02 | 269.38 | 826.01 | 800.93 | 219.75 | 153.37 | 124.43 |
10 | 1,123.27 | 203.97 | 109.01 | 82.04 | 146.35 | 83.94 | 274.42 | 176.05 | 364.96 | 13,782.23 | 2,053.89 | 620.11 | 340.69 | 352.05 | 1,076.67 | 1,046.66 | 270.52 | 169.12 | 136.76 |
11 | 1,452.24 | 261.24 | 138.36 | 97.78 | 182.98 | 102.24 | 347.43 | 221.56 | 457.29 | 14,425.98 | 2,130.60 | 642.40 | 340.62 | 355.99 | 1,098.57 | 1,070.25 | 348.23 | 218.56 | 176.80 |
TABLE 5 | |||||||||||||||||||
General + Transportation Rates: | |||||||||||||||||||
TANF | SSI-N | SSI-B | SSI-AB | ||||||||||||||||
Area | BTHMO+2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | BTHMO +2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | AGE (65-) | AGE (65+) | |||
Female | Male | Female | Male | ||||||||||||||||
01 | 1,137.54 | 203.69 | 106.44 | 66.74 | 137.11 | 73.55 | 268.54 | 170.27 | 350.65 | 10,125.28 | 1,486.91 | 441.59 | 203.74 | 228.20 | 736.09 | 720.39 | 278.27 | 151.87 | 121.13 |
02 | 1,137.54 | 203.69 | 106.44 | 66.74 | 137.11 | 73.55 | 268.54 | 170.27 | 350.65 | 10,125.28 | 1,486.91 | 441.59 | 203.74 | 228.20 | 736.09 | 720.39 | 278.27 | 151.87 | 121.13 |
03 | 1,303.12 | 235.25 | 123.17 | 78.11 | 158.79 | 86.01 | 312.40 | 199.12 | 412.52 | 11,381.10 | 1,692.18 | 502.24 | 236.45 | 264.28 | 851.84 | 837.48 | 281.96 | 149.50 | 118.46 |
04 | 1,133.90 | 205.00 | 107.56 | 68.39 | 138.42 | 75.15 | 272.67 | 173.95 | 361.48 | 10,720.35 | 1,592.23 | 473.63 | 223.40 | 248.62 | 802.30 | 788.97 | 337.38 | 149.50 | 119.14 |
05 | 1,264.70 | 228.71 | 119.74 | 76.34 | 154.04 | 83.56 | 303.75 | 193.61 | 402.71 | 11,809.79 | 1,743.80 | 519.52 | 243.97 | 271.51 | 873.68 | 859.63 | 236.10 | 141.51 | 113.67 |
06 | 1,115.69 | 202.88 | 106.67 | 68.48 | 137.00 | 74.93 | 271.32 | 173.55 | 362.64 | 10,866.88 | 1,612.80 | 480.48 | 227.90 | 252.76 | 815.13 | 803.26 | 289.51 | 136.23 | 109.21 |
07 | 1,133.75 | 205.42 | 107.71 | 68.77 | 138.47 | 75.32 | 273.27 | 174.46 | 363.31 | 11,201.07 | 1,664.79 | 495.65 | 235.80 | 261.37 | 841.71 | 830.04 | 332.84 | 140.86 | 113.16 |
08 | 1,065.53 | 193.76 | 101.69 | 65.27 | 131.08 | 71.66 | 258.98 | 165.64 | 345.55 | 9,532.60 | 1,415.47 | 421.00 | 198.60 | 221.21 | 713.20 | 701.14 | 198.10 | 133.75 | 106.70 |
09 | 1,104.20 | 199.30 | 104.47 | 66.42 | 134.42 | 72.83 | 264.84 | 168.88 | 350.07 | 10,640.43 | 1,584.44 | 471.22 | 223.88 | 248.64 | 801.86 | 789.52 | 212.90 | 143.78 | 114.84 |
10 | 1,123.25 | 203.95 | 107.09 | 68.68 | 137.50 | 75.09 | 272.17 | 173.80 | 363.01 | 13,782.14 | 2,053.80 | 611.76 | 292.99 | 324.68 | 1,044.79 | 1,031.61 | 263.67 | 161.07 | 128.71 |
11 | 1,452.22 | 261.22 | 136.74 | 86.49 | 175.50 | 94.76 | 345.53 | 219.66 | 455.64 | 14,425.90 | 2,130.52 | 635.43 | 300.83 | 333.16 | 1,071.97 | 1,057.69 | 341.00 | 210.51 | 168.75 |
TABLE 6 | |||||||||||||||||||
General + Dental Rates: | |||||||||||||||||||
TANF | SSI-N | SSI-B | SSI-AB | ||||||||||||||||
Area | BTHMO+2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | BTHMO +2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | AGE (65-) | AGE (65+) | |||
Female | Male | Female | Male | ||||||||||||||||
01 | 1,132.00 | 202.31 | 107.67 | 70.54 | 139.67 | 76.07 | 267.30 | 169.53 | 350.88 | 10,081.87 | 1,458.89 | 438.15 | 205.08 | 225.42 | 718.97 | 707.30 | 272.00 | 140.45 | 113.85 |
02 | 1,132.00 | 202.31 | 107.67 | 70.54 | 139.67 | 76.07 | 267.30 | 169.53 | 350.88 | 10,081.87 | 1,458.89 | 438.15 | 205.08 | 225.42 | 718.97 | 707.30 | 272.00 | 140.45 | 113.85 |
03 | 1,296.43 | 233.59 | 125.20 | 83.82 | 163.06 | 90.05 | 311.69 | 198.91 | 414.23 | 11,326.30 | 1,656.81 | 498.50 | 239.18 | 261.66 | 830.15 | 820.87 | 273.88 | 132.74 | 107.78 |
04 | 1,128.88 | 203.76 | 108.83 | 72.15 | 141.06 | 77.70 | 272.69 | 174.28 | 363.78 | 10,675.98 | 1,563.59 | 470.07 | 224.70 | 245.71 | 785.17 | 776.05 | 332.42 | 136.80 | 111.06 |
05 | 1,260.51 | 227.68 | 122.56 | 83.09 | 160.01 | 88.87 | 308.61 | 198.20 | 413.58 | 11,774.50 | 1,721.03 | 519.86 | 250.48 | 273.98 | 864.97 | 855.20 | 234.65 | 135.82 | 110.07 |
06 | 1,111.65 | 201.88 | 108.68 | 73.55 | 141.25 | 78.79 | 272.69 | 175.02 | 367.01 | 10,832.06 | 1,590.33 | 479.12 | 231.41 | 252.65 | 803.51 | 795.28 | 286.03 | 129.41 | 104.88 |
07 | 1,129.82 | 204.45 | 109.26 | 72.86 | 141.73 | 78.32 | 273.61 | 175.02 | 365.72 | 11,163.75 | 1,640.71 | 493.91 | 239.08 | 260.81 | 827.63 | 819.57 | 328.82 | 131.89 | 107.44 |
08 | 1,059.96 | 192.37 | 103.85 | 71.00 | 135.63 | 75.86 | 258.89 | 165.92 | 347.91 | 9,491.27 | 1,388.80 | 418.74 | 201.65 | 220.10 | 697.76 | 689.72 | 193.50 | 122.10 | 99.26 |
09 | 1,098.83 | 197.97 | 106.55 | 71.94 | 138.82 | 76.90 | 263.60 | 168.12 | 350.22 | 10,597.24 | 1,556.57 | 468.33 | 226.14 | 246.67 | 783.66 | 775.11 | 206.71 | 129.81 | 105.94 |
10 | 1,119.47 | 203.02 | 109.37 | 74.20 | 142.30 | 79.38 | 271.88 | 173.80 | 364.21 | 13,743.02 | 2,028.55 | 610.42 | 297.23 | 324.82 | 1,028.88 | 1,019.25 | 258.42 | 145.98 | 119.10 |
11 | 1,448.97 | 260.42 | 139.96 | 93.84 | 182.33 | 100.72 | 345.33 | 219.69 | 456.75 | 14,396.53 | 2,111.57 | 635.86 | 306.49 | 335.43 | 1,062.07 | 1,050.84 | 340.48 | 202.06 | 163.37 |
TABLE 7 | |||||||||||||||||||
General + Dental + Transportation Rates: | |||||||||||||||||||
TANF | SSI-N | SSI-B | SSI-AB | ||||||||||||||||
Area | BTHMO+2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | BTHMO +2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | AGE (65-) | AGE (65+) | |||
Female | Male | Female | Male | | |||||||||||||||
01 | 1,137.55 | 203.70 | 108.53 | 71.06 | 141.59 | 77.33 | 270.39 | 171.91 | 354.06 | 10,125.28 | 1,486.92 | 443.79 | 207.56 | 231.54 | 738.96 | 723.81 | 278.77 | 154.18 | 122.61 |
02 | 1,137.55 | 203.70 | 108.53 | 71.06 | 141.59 | 77.33 | 270.39 | 171.91 | 354.06 | 10,125.28 | 1,486.92 | 443.79 | 207.56 | 231.54 | 738.96 | 723.81 | 278.77 | 154.18 | 122.61 |
03 | 1,303.13 | 235.26 | 126.24 | 84.45 | 165.38 | 91.56 | 315.41 | 201.79 | 418.07 | 11,381.11 | 1,692.20 | 505.62 | 242.30 | 269.39 | 855.40 | 841.72 | 282.50 | 152.58 | 120.44 |
04 | 1,133.91 | 205.01 | 109.61 | 72.62 | 142.80 | 78.84 | 275.48 | 176.44 | 366.67 | 10,720.35 | 1,592.24 | 475.84 | 227.23 | 251.97 | 805.61 | 792.92 | 339.39 | 152.58 | 121.12 |
05 | 1,264.71 | 228.73 | 123.21 | 83.49 | 161.46 | 89.82 | 310.94 | 200.00 | 415.99 | 11,809.80 | 1,743.82 | 524.44 | 252.49 | 278.96 | 881.23 | 868.62 | 240.53 | 149.85 | 119.02 |
06 | 1,115.70 | 202.89 | 109.31 | 73.93 | 142.65 | 79.70 | 274.94 | 176.76 | 369.33 | 10,866.89 | 1,612.82 | 483.65 | 233.40 | 257.57 | 819.55 | 808.53 | 291.35 | 141.01 | 112.28 |
07 | 1,133.76 | 205.43 | 109.87 | 73.23 | 143.09 | 79.21 | 275.80 | 176.71 | 367.98 | 11,201.07 | 1,664.80 | 498.76 | 241.20 | 266.08 | 844.82 | 833.75 | 334.46 | 144.02 | 115.19 |
08 | 1,065.54 | 193.77 | 104.71 | 71.52 | 137.56 | 77.12 | 261.99 | 168.31 | 351.11 | 9,532.61 | 1,415.49 | 424.12 | 204.01 | 225.93 | 716.80 | 705.44 | 199.58 | 136.90 | 108.71 |
09 | 1,104.21 | 199.31 | 107.39 | 72.45 | 140.68 | 78.11 | 266.59 | 170.43 | 353.30 | 10,640.43 | 1,584.45 | 473.95 | 228.61 | 252.77 | 803.54 | 791.53 | 213.63 | 145.62 | 116.02 |
10 | 1,123.26 | 203.96 | 109.95 | 74.56 | 143.60 | 80.24 | 273.99 | 175.42 | 366.38 | 13,782.15 | 2,053.82 | 615.50 | 299.47 | 330.35 | 1,046.90 | 1,034.13 | 265.72 | 163.64 | 130.36 |
11 | 1,452.23 | 261.23 | 140.46 | 94.15 | 183.45 | 101.46 | 347.14 | 221.09 | 458.62 | 14,425.91 | 2,130.54 | 639.67 | 308.17 | 339.58 | 1,075.60 | 1,062.02 | 345.40 | 214.57 | 171.35 |
TABLE 8 | |||||||||||||||||||
General + Mental Health + Dental + Transportation Rates: | |||||||||||||||||||
TANF | SSI-N | SSI-B | SSI-AB | ||||||||||||||||
Area | BTHMO+2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | BTHMO +2MO | 3MO-11MO | AGE (1-5) | AGE (6-13) | AGE (14-20) | AGE (21-54) | AGE (55+) | AGE (65-) | AGE (65+) | |||
Female | Male | Female | Male | ||||||||||||||||
01 | 1,137.57 | 203.72 | 110.17 | 82.75 | 152.51 | 88.25 | 274.83 | 176.35 | 357.81 | 10,125.36 | 1,487.00 | 451.23 | 255.60 | 275.52 | 820.34 | 754.79 | 278.98 | 165.83 | 134.26 |
02 | 1,137.58 | 203.73 | 111.44 | 91.31 | 155.00 | 90.74 | 273.80 | 175.32 | 357.02 | 10,125.44 | 1,487.08 | 457.58 | 286.36 | 276.75 | 791.63 | 748.68 | 298.97 | 169.18 | 137.61 |
03 | 1,303.14 | 235.27 | 127.56 | 93.63 | 171.46 | 97.64 | 316.96 | 203.34 | 419.41 | 11,381.18 | 1,692.27 | 511.88 | 278.05 | 289.90 | 879.29 | 853.00 | 289.35 | 161.56 | 129.42 |
04 | 1,133.92 | 205.02 | 110.98 | 82.18 | 149.13 | 85.17 | 277.09 | 178.05 | 368.06 | 10,720.46 | 1,592.35 | 485.59 | 282.96 | 283.94 | 842.86 | 810.51 | 363.94 | 169.35 | 137.89 |
05 | 1,264.72 | 228.74 | 124.42 | 92.16 | 169.57 | 97.93 | 314.23 | 203.29 | 418.77 | 11,809.85 | 1,743.87 | 529.46 | 284.90 | 308.63 | 936.13 | 889.52 | 243.26 | 162.66 | 131.83 |
06 | 1,115.72 | 202.91 | 111.16 | 87.17 | 155.03 | 92.08 | 279.97 | 181.79 | 373.58 | 10,866.96 | 1,612.89 | 490.17 | 275.50 | 296.11 | 890.86 | 835.67 | 292.66 | 144.89 | 116.16 |
07 | 1,133.78 | 205.45 | 111.65 | 85.91 | 154.94 | 91.06 | 280.62 | 181.53 | 372.05 | 11,201.13 | 1,664.86 | 504.88 | 280.70 | 302.24 | 911.74 | 859.22 | 337.05 | 154.53 | 125.70 |
08 | 1,065.55 | 193.78 | 105.97 | 80.32 | 143.39 | 82.95 | 263.47 | 169.79 | 352.39 | 9,532.68 | 1,415.56 | 430.12 | 238.29 | 245.60 | 739.71 | 716.26 | 206.43 | 150.12 | 121.93 |
09 | 1,104.23 | 199.33 | 108.94 | 83.26 | 147.84 | 85.27 | 268.41 | 172.25 | 354.88 | 10,640.50 | 1,584.52 | 480.28 | 264.75 | 273.51 | 827.69 | 802.94 | 220.48 | 155.21 | 125.61 |
10 | 1,123.28 | 203.98 | 111.87 | 87.92 | 152.45 | 89.09 | 276.24 | 177.67 | 368.33 | 13,782.24 | 2,053.91 | 623.85 | 347.17 | 357.72 | 1,078.78 | 1,049.18 | 272.57 | 171.69 | 138.41 |
11 | 1,452.25 | 261.25 | 142.08 | 105.44 | 190.93 | 108.94 | 349.04 | 222.99 | 460.27 | 14,425.99 | 2,130.62 | 646.64 | 347.96 | 362.41 | 1,102.20 | 1,074.58 | 352.63 | 222.62 | 179.40 |
Area | Corresponding Counties | ||||||||||||||||||
Area 1 | Escambia, Okaloosa, Santa Rosa, Walton | ||||||||||||||||||
Area 2 | Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Washington, Wakulla | ||||||||||||||||||
Area 3 | Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamiliton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee, Union | ||||||||||||||||||
Area 4 | Baker, Clay, Duval, Flagler, Nassau, St. Johns, Volusia | ||||||||||||||||||
Area 5 | Pasco, Pinellas | ||||||||||||||||||
Area 6 | Hardee, Highlands, Hillsborough, Manatee, Polk | ||||||||||||||||||
Area 7 | Brevard, Orange, Osceola, Seminole | ||||||||||||||||||
Area 8 | Charlotte, Collier, De Soto, Glades, Hendry, Lee, Sarasota | ||||||||||||||||||
Area 9 | Indian River, Okeechobee, St. Lucie, Martin, Palm Beach | ||||||||||||||||||
Area 10 | Broward | ||||||||||||||||||
Area 11 | Dade, Monroe | ||||||||||||||||||
Created on August 10, 2007 |