AHCA CONTRACT NO. FP020 MINOR MODIFICATION NO. 3

EX-10.32.G 4 ex1032gflmmaminor3.htm MINOR MODICATION NO. 3 TO FLORIDA MMA CONTRACT Ex1032gFLMMAminor3

Exhibit 10.32.g

AHCA CONTRACT NO. FP020

MINOR MODIFICATION NO. 3

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 4^th 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:

Tysha Washington

Agency for Health Care Administration

2727 Mahan Drive, MS #50

Tallahassee, FL 32308

(850) 412-4056

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/ Tysha Washington
Gregg MacDonald		Tysha Washington
State President		Contract Manager

Date:	12-10-14	Date:	12-12-2014


		APPROVED

		/s/ David Rogers
		Assistant Deputy Secretary for Medicaid
		Health Systems Development

		Date:		12/19/14

AHCA Contract No. FP020, Minor Modification No. 3, Page 1 of 1