AHCA CONTRACT NO. FA971 MINOR MODIFICATION NO. 1

EX-10.3 3 ex103fa971minor1.htm MINOR MODIFICATION NO. 1 TO CONTRACT FA971 Ex103FA971Minor1

Exhibit 10.3

AHCA CONTRACT NO. FA971

MINOR MODIFICATION NO. 1

WELLCARE OF FLORIDA, INC., D/B/A

STAYWELL HEALTH PLAN OF FLORIDA

8735 Henderson Road

Renaissance 2

Tampa, Florida 33634

AHCA Contract No. FA971, as entered into on the 30^th day of August 2012, 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:

Tanya Hand

Agency for Health Care Administration

2727 Mahan Drive, MS #50

Tallahassee, FL 32308

(850) 412-4060

All other terms and conditions of the Contract shall remain unchanged.



WELLCARE OF FLORIDA, INC.		STATE OF FLORIDA, AGENCY FOR
D/B/A STAYWELL HEALTH PLAN OF		HEALTH CARE ADMINISTRATION
FLORIDA

/s/ Gregg MacDonald		/s/ Tanya Hand
Gregg MacDonald		Tanya Hand
State President		Contract Manager

DATE:	4/8/14	DATE:	4/9/14

		APPROVED


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

		DATE:	4/9/14

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