Minor Modification No. 3 to Florida MMA Contract (AHCA Contract No. FP020) between WellCare of Florida, Inc. and the State of Florida Agency for Health Care Administration

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 amendment is signed by representatives of both parties and approved by the Assistant Deputy Secretary for Medicaid.

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