Minor Modification No. 1 to AHCA Contract No. FA971 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 (No. FA971) 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 and conditions of the original contract remain unchanged. The modification is signed and dated by representatives of both parties and an approving official.

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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