Amendment No. 8 to Contract FA904 between the Florida Agency for Health Care Administration and WellCare of Florida, Inc

EX-10.1 2 fa904.htm FA904 - AMENDMENT 8 fa904.htm
     
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WellCare of Florida, Inc.
Exhibit 10.1
 
 Medicaid HMO Non-Reform Contract
 d/b/a Staywell Health Plan of Florida  


AHCA CONTRACT NO. FA904 AMENDMENT NO. 8
 
THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and WELLCARE OF FLORIDA, INC. D/B/A STAYWELL HEALTH PLAN OF FLORIDA, hereinafter referred to as the "Vendor" or “Health Plan”, is hereby amended as follows:
 
  1.
Effective May 1, 2012, Attachment I, Scope of Services, Capitated Health Plans, is hereby amended to include Attachment I, Exhibit 1-B, Revised Maximum Enrollment Levels, attached hereto and made a part of the Contract. All references in the Contract to Attachment I, Exhibits 1 and 1-A, shall hereinafter also refer to Attachment I, Exhibit 1- B, as appropriate.
 
Unless otherwise stated, this amendment is effective upon execution by both parties.
 
All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the Contract.
 
This amendment and all its attachments are hereby made a part of the Contract.
 
This amendment cannot be executed unless all previous amendments to this Contract have been fully executed.
 
IN WITNESS WHEREOF, the Parties hereto have caused this four (4) page amendment (which includes all attachments hereto) to be executed by their officials thereunto duly authorized.
 
WELLCARE OF FLORIDA, INC., D/B/A
STATE OF FLORIDA, AGENCY FOR
STAYWELL HEALTH PLAN OF FLORIDA
 
HEALTH CARE ADMINISTRATION
SIGNED
BY:
/s/Christina Cooper
SIGNED
BY:
/s/Elizabeth Dudek
NAME:
Christina Cooper
NAME:
Elizabeth Dudek
TITLE:
President, Florida and Hawaii Division
TITLE:
Secretary
DATE:
  5/7/12
DATE:
  5/9/2012

List of Attachments/Exhibits included as part of this amendment:
 
 
Specify
Letter/
 
Type
Number
Description
 
Attachment I
Exhibit 1-B
Revised Maximum Enrollment Levels (3 Pages)
 
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

AHCA Contract No. FA904, Amendment No. 8, Page 1 of 1

 
 

 
 WellCare of Florida, Inc.  Medicaid HMO Non-Reform Contract
 d/b/a Staywell Health Plan of Florida  



ATTACHMENT I
EXHIBIT 1-B
REVISED MAXIMUM ENROLLMENT LEVELS
 
Maximum enrollment levels and Health Plan provider numbers associated with the counties and populations served. Exhibit 2-NR-C provide the capitation rate tables respective to the areas of operation listed below.
 
A. Non-Reform
 
See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates
 
Area 3 Counties: Hernando, Sumter
Effective Date: 09/01/09
County
Enrollment Level
Provider Number
Hernando
15,000
015016901
Sumter
4,500
015016916

 
See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates
 
Area 5 Counties: Pasco, Pinellas
Effective Date: 09/01/09
County
Enrollment Level
Provider Number
Pasco
7,000
015016903
Pinellas
15,000
015016904

 
See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates
 
 Area 6 Counties: Hillsborough, Manatee, Polk
Effective Date: 09/01/09
County
Enrollment Level
Provider Number
Hillsborough
28,000
015016902
Manatee
12,000
015016912
Polk
25,000
015016905
 
 
 
AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 1 of 3
 

 
 WellCare of Florida, Inc.  Medicaid HMO Non-Reform Contract
 d/b/a Staywell Health Plan of Florida  



See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates
 
Area 7 Counties: Orange, Seminole, Osceola, Brevard
Effective Date: 09/01/09
County
Enrollment Level
Provider Number
Orange
38,000
015016906
Seminole
6,000
015016908
Osceola
12,000
015016907
Brevard
14,000
015016913

 
See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates
 
Area 8 Counties: Lee, Sarasota, Charlotte, DeSoto
Effective Dates: 09/01/09 Lee and Sarasota, 08/01/11 Charlotte, 05/01/12 DeSoto
County
Enrollment Level
Provider Number
DeSoto
4,100
TBD
Lee
15,000
015016911
Sarasota
6,000
015016914
Charlotte
27,000
015016917

 
See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates
 
Area 9 Counties: Palm Beach, St. Lucie, Indian Rive
Effective Dates: 09/01/09, and 08/01/11 Indian River
County
Enrollment Level
Provider Number
Palm Beach
15,000
015016910
St. Lucie
4,500
015016915
Indian River
10,500
015016918
 
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AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 2 of 3
 

 
 WellCare of Florida, Inc.  Medicaid HMO Non-Reform Contract
 d/b/a Staywell Health Plan of Florida  


See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates
 
Area 10 County: Broward
Effective Date: 09/01/09
County
Enrollment Level
Provider Number
Broward
25,000
015016900

 
See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates
 
Area 11 County: Miami-Dade
Effective Date: 09/01/09
County
Enrollment Level
Provider Number
Miami-Dade
25,000
015016909
 
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AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 3 of 3