Minor Modification No. 1 to Contract No. FA904 by and between the State of Florida, Agency for Health Care Administration and WellCare of Florida, Inc. d/b/a Staywell Health Plan of Florida (Medicaid Non-Reform 2009-2012)

EX-10.1 2 ahcafa904modification1.htm AHCA FA904 MINOR MODIFICATION 1 ahcafa904modification1.htm
Back to Form 10-Q
Exhibit 10.1
MINOR MODIFICATION NO. 1
 
AHCA CONTRACT NO. FA904

 
WELLCARE OF FLORIDA, INC.
D/B/A STAYWELL HEALTH PLAN OF FLORIDA
8735 Henderson Road
Tampa, Florida 33634

 
AHCA Contract No. FA904, as entered into on the 1st day of September 2009, is hereby revised as follows:

 
1.                     Standard  Contract,  Section  III,  Item  C,  Contract  Managers,  sub-item 2,  is hereby amended to change the Vendor's Contract Manager's contact information to now read
                        as follows:
 
Robert Diaz
WellCare of Florida, Inc.
d/b/a Staywell Health Plan of Florida
8735 Henderson Road
Tampa, FL 33634
(813 ###-###-####
 
All other terms and conditions of the Contract shall remain unchanged.

WELLCARE OF FLORIDA, INC.
D/B/A STAYWELL HEALTH PLAN
OF FLORIDA
  
STATE OF FLORIDA, AGENCY
FOR HEALTH CARE ADMINSITRATION
 
 
 
/s/ Thomas L. Tran                                                                
 
 
 
/s/ Illegible                                                                       
Chief Financial Officer
  
Contract Manager
     
Date: 1/20/10                                                                          
 
Date: 1/25/2010                                                                
     
     
   
APPROVED
   
 
/s/ Melanie Brown-Woofer                                           
   
Melanie Brown-Woofer
Bureau Chief of Health Systems Development
 
   
Date: 1/26/10                                                                    

 
 
 

 
 
AHCA Contract No. FA904, Minor Modification No. 1, Page 1 of 1