EXHIBIT3-C

 

The Agency and the Vendor acknowledge and agree that the rates reflected in this AHCA Contract No. FAR 009 Amendment No. 9 do not reflect the parties' prior understanding. Accordingly, the Agency agrees to increase the Children and Families and Aged and Disabled (No Medicare. Medicare Parts A and B and Medicare Part B Only) by approximately 2% to be effective September 1, 2008.

 

WellCare of Florida, Inc.

d/b/a Staywell Health Plan of Florida

 

State of Florida, Agency for Health Care Administration

 

 

ESTIMATED HEALTH PLAN RATES (NOT FOR USE UNLESS APPROVED BY CMS)

 

 

AHCA Contract No. FAR009, Exhibit 3-C, Page 1 of 3

                                                                                      September 1, 2008

Area:  4          County:  Duval, Bakar, Clay and Nassau

(By Area, Age. and Eligibility Category)

 

 

 

 

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," Is hereby amended as follows;

 

1.	Effective September 1, 2008, Standard Contract, Section III, Item C, Contract Managers, sub-item 1, Is hereby amended to now read as follows;

 

1.

The Agency's Contract Manager's name, address and telephone number for this Contract is as follows;

 

        Suzanne Stacknik

        Agency for Health Care Administration

        2727 Mahan Drive, MS #30

        Tallahassee, FL 32308

         ###-###-####

 

2.	Attachment I, Scope of Services, Exhibit 1-B, effective January 1, 20-09, is hereby included and made a part of the Contract. Exhibit 1-A will remain in effect until December 31, 2008.  After January 1, 2009, all references in the Contract to Exhibit I-A, shall hereinafter refer to Exhibit 1-B.

 

3.	Effective September l, 2003, Attachment I, Scope of Services, Exhibit 2-B is hereby Included and made a part of the Contract. All references in the Contract to Exhibit 2-A, shall hereinafter refer to Exhibit 2-B.

 

4.	Effective September 1, 2008, Attachment I, Scope of Services, Exhibit 3-C is hereby included and made a part of the Contract. All references in the Contract to Exhibit 3-B, shall hereinafter refer respectively to Exhibit 3-C.

 

5.	Effective September 1, 2008, Attachment II, Medicaid Reform Health Plan Model Contract, Section XIII, Method of Payment, Section B, Capitation Rate Payments, is hereby revised as follows;

 

-      Sub-item l,b,(l)(b), is hereby amended to include the following:

 

       Contract Year 2008-2009 Medicaid Reform rates under current Capitation Rate methodology.

-      Sub-item l.b.(l)(i), the first paragraph is hereby amended to now read as follows;

 

(1) 100% of Risk Adjusted Methodology: The capitation amount based on the percentage of Risk-Adjusted methodology (n) multiplied by the Base Rates column for Risk-Adjusted methodology after budget neutrality factor (g).

 

-     Sub-Item l.b.(l)(j), the first sentence is hereby amended to now read as follows:

 

(j) Final Rate (with Enhanced Benefit Adjustment); Tne current methodology capitation amount (d) added to the 100% of Risk-Adjusted methodology amount (l).

 

AHCA Form 2100-0002 (Rev. NOV03)

 

All provisions In the Contract and any attachments thereto in conflict with this Amendment shall be and are hereby changed to conform with this Amendment.

 

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, is hereby made part of the Contract,

 

This Amendment cannot be executed unless ail previous Amendments to this Contract have been fully executed.

IN WITNESS WHEREOF, the parties hereto have caused this ten (10) page Amendment (including all attachments) to be executed by their officials thereunto duly authorized,

 

 

List of Attachments/Exhibits included as part of this Amendment:

 

AHCA Form 2100-0002 (Rev. NOV03)

 

 

 

 

 

 

 

 

(By Area, Age, and Eligibility Category)

 

 

 

(By Area, Age, and Eligibility Category)

                                                                                                                                                                                                                                                                                    September 1, 2008

 

 

(By Area, Age, and Eligibility Category)