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