Minor Modification No. 2 to Florida MMA Contract (AHCA Contract No. FP020) between WellCare of Florida, Inc. and the State of Florida Agency for Health Care Administration
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Summary
This document is a minor modification to an existing contract (AHCA Contract No. FP020) between WellCare of Florida, Inc., doing business as Staywell Health Plan of Florida, and the State of Florida's Agency for Health Care Administration. The modification updates the contact information for the Agency’s Contract Manager. All other terms of the original contract remain unchanged. The modification is signed and approved by representatives of both parties and is effective as of November 2014.
EX-10.32.F 3 ex1032fflmmaminor2.htm MINOR MODIFICATION NO. 2 TO FLORIDA MMA CONTRACT Ex1032fFLMMAminor2
Exhibit 10.32.f
AHCA CONTRACT NO. FP020
MINOR MODIFICATION NO. 2
WELLCARE OF FLORIDA, INC., D/B/A
STAYWELL HEALTH PLAN OF FLORIDA, INC.
8735 Henderson Road
Tampa, Florida 33634
AHCA Contract No. FP020, as entered into on the 4th day of February, 2014, is hereby revised as follows:
1. | Standard Contract, Section III, Item B., Contract Managers, sub-item 1., is hereby amended to now read as follows: |
1. | The Agency’s Contract Manager’s contact information is as follows: |
Tylee Culpepper
Agency for Health Care Administration
2727 Mahan Drive, MS #50
Tallahassee, FL 32308
(850) 412-4049
All other terms and conditions of the Contract shall remain unchanged.
WELLCARE OF FLORIDA, INC. D/B/A | STATE OF FLORIDA, AGENCY FOR | |||
STAYWELL HEALTH PLAN OF | HEALTH CARE ADMINISTRATION | |||
FLORIDA, INC. | ||||
/s/ Gregg MacDonald | /s/ Tylee Culpepper | |||
Gregg MacDonald | Tylee Culpepper | |||
State President | Contract Manager | |||
Date: | 11-3-14 | Date: | 11/17/14 | |
APPROVED | ||||
/s/ David Rogers | ||||
David Rogers | ||||
Assistant Deputy Secretary for Medicaid | ||||
Health Systems Development | ||||
Date: | 11/17/14 |
AHCA Contract No. FP020, Minor Modification No. 2, Page 1 of 1