Minor Modification No. 1 to Florida MMA Contract (AHCA Contract No. FP020) between WellCare of Florida, Inc. and State of Florida Agency for Health Care Administration

Summary

This document is a minor modification to the existing 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 Vendor’s Contract Manager to Laura Buckley. All other terms and conditions of the original contract remain unchanged. The modification is signed and dated by representatives of both parties.

EX-10.5 5 ex105flmmaminor1.htm MINOR MODIFICATION NO. 1 TO FLORIDA MMA CONTRACT Ex105FLMMAMinor1

Exhibit 10.5

AHCA CONTRACT NO. FP020

MINOR MODIFICATION NO. 1

WellCare of Florida, Inc., d/b/a

Staywell Health Plan of Florida, Inc.

8735 Henderson Road

Renaissance 2

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 2., is hereby amended to now read as follows:


2.	The Vendor’s Contract Manager’s contact information is as follows:

Laura Buckley

WellCare of Florida, Inc., d/b/a

Staywell Health Plan of Florida, Inc.

8735 Henderson Road, Ren. 2

Tampa, FL 33634

(813) 206-2445

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/ Laura Buckley		/s/ Tanya Hand
Laura Buckley		Tanya Hand
Senior Director		Contract Manager

DATE:	5/1/2014	DATE:	5/8/2014


		APPROVED
/s/	GRM
	5/5/2014	/s/ David Rogers
		David Rogers
		Assistant Deputy Secretary for Medicaid
		Health Systems

		DATE:	5/12/14

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

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