AHCA CONTRACT NO. FA521 AMENDMENT NO. 10
EX-10.2 3 ex-10_2.htm EXHIBIT 10.2 Exhibit 10.2
Exhibit 10.2
Medicaid HMO Contract
AHCA CONTRACT NO. FA521
AMENDMENT NO. 10
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", is hereby amended as follows:
1. Standard Contract, Section II.A, Contract Amount, the first sentence is hereby amended to now read:
To pay for contracted services according to the conditions of Attachment I in an amount not to exceed $837,167,256.00 (an increase of $2,103,412.00), subject to availability of funds.
2. Attachment I, Section 90.0, Payment and Authorized Enrollment Levels, Tables 2 and 3, are hereby deleted in their entirety and replaced with the following:
Capitation Rates
A. General Capitation Rates plus Transportation (Attachment VIII-A, Table 2):
Area 1 Counties: Escambia, Santa Rosa
| County | Provider Number |
| Escambia | 015019314 |
| Santa Rosa | 015019331 |
Area 4 Counties: Volusia
| County | Provider Number |
| Volusia | 015019335 |
Area 9 Counties: Martin, Palm Beach
| County | Provider Number |
| Martin | 015019324 |
| Palm Beach | 015019339 |
Area 10 Counties: Broward
| County | Provider Number |
| Broward | 015019337 |
AHCA Contract No. FA521, Amendment No. 10, Page 1 of 4
Medicaid HMO Contract
B. General Capitation Rates plus Mental Health Rates (Attachment VIII-A, Table 4):
Area 2 Counties: Madison, Wakulla, Calhonn, Liberty, Jefferson
| County | Provider Number |
| Jefferson | 015019318 |
| Madison | 015019322 |
| Wakulla | 015019336 |
| Calhoun | 015019340 |
| Liberty | 015019342 |
C. General Capitation Rates plus Mental Health Rates and Transportation Rates (Attachment VIII-A, Table 6):
Area 2 Counties: Gadsden, Leon
| County | Provider Number |
| Gadsden | 015019315 |
| Leon | 015019320 |
Area 3 Counties: Citrus, Lake, Marion, Putnam
| County | Provider Number |
| Citrus | 015019309 |
| Lake | 015019319 |
| Marion | 015019323 |
| Putnam | 015019329 |
Area 4 Counties: Duval
| County | Provider Number |
| Duval | 015019313 |
Area 5 Counties: Pasco, Pinellas
| County | Provider Number |
| Pasco | 015019302 |
| Pinellas | 015019303 |
Area 6 Counties: Manatee, Polk, Highlands, Hillsborough
| County | Provider Number |
| Manatee | 015019301 |
| Polk | 015019304 |
| Highlands | 015019317 |
| Hillsborough | 015019300 |
AHCA Contract No. FA521, Amendment No. 10, Page 2 of 4
Area 7 Counties: Brevard, Orange, Osceola, Seminole
Medicaid HMO Contract
| County | Provider Number |
| Brevard | 015019308 |
| Orange | 015019327 |
| Osceola | 015019328 |
| Seminole | 015019333 |
Area 8 Counties: Sarasota
| County | Provider Number |
| Sarasota | 015019332 |
Area 11 Counties: Dade
| County | Provider Number |
| Dade | 015019338 |
Notwithstanding the payment amounts which may be computed with the above rate table, the sum of total capitation payments under this contract shall not exceed the total contract amount of $837,167,256.00 (an increase of $2,103,412.00), expressed on page seven of this contract.
3. This Amendment shall have an effective date of January 1, 2006, or the date on which both parties 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 part of the Contract.
This Amendment can not be executed unless all previous amendments to this Contract have been fully executed
AHCA Contract No. FA521, Amendment No. 10, Page 3 of 4
Medicaid HMO Contract
IN WITNESS WHEREOF, the Parties have caused this 4 page Amendment (including all attachments, if any) to be executed by their duly authorized officials.
| HEALTHEASE OF FLORIDA, INC | STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION |
| SIGNED BY: /s/ Todd S. Farha | SIGNED BY: /s/ Alan Levine |
| NAME: Todd S.Farha | NAME: Alan Levine |
| TITLE: President & CEO | TITLE: Secretary |
| DATE: 1/4/06 | DATE: 1/4/06 |
THE REMAINDER OF THIS PAGE LEFT BLANK INTENTIONALLY
AHCA Contract No. FA521, Amendment No. 10, Page 4 of 4
