Minor Modification No. 1 to AHCA Contract No. FA904 between WellCare of Florida, Inc. and State of Florida Agency for Health Care Administration

Summary

This document is a minor modification to an existing contract (No. FA904) 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 Robert Diaz at WellCare of Florida. All other terms of the original contract remain unchanged. The modification is signed and approved by representatives of both parties and is effective as of January 2010.

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