Amendment No. 7 to Medicaid HMO Contract Between State of Florida AHCA and WellCare of Florida, Inc. d/b/a Staywell Health Plan of Florida
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Summary
This amendment updates the Medicaid HMO contract between the State of Florida's Agency for Health Care Administration (AHCA) and WellCare of Florida, Inc., operating as Staywell Health Plan. Effective December 1, 2008, it revises the maximum enrollment levels for specific counties and updates the capitation rates paid to the health plan. All other contract terms remain unchanged unless directly affected by this amendment. The amendment is only valid if all previous amendments have been executed.
EX-10.6 7 contractamend7.htm AHCA NON-REFORM CONTRACT AMENDMENT 7 - STAYWELL contractamend7.htm
Back to Form 8-K
Exhibit 10.6
| WellCare of Florida, Inc. d/b/a | Medicaid HMO Contract |
| Staywell Health Plan of Florida |
AHCA CONTRACT NO. FA615
AMENDMENT NO. 7
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 December 1, 2008, Attachment I, Scope of Services, is hereby amended to include Exhibit I-C, Third Revised Maximum Enrollment Levels, attached hereto and made a part of the Contract. Beginning December 1, 2008, all references in the Contract to Exhibit I-B, Second Revised Maximum Enrollment Levels, shall hereinafter also refer to Exhibit I-C, Third Revised Maximum Enrollment Levels, as appropriate. |
| 2. | Effective December 1, 2008, Attachment I, Scope of Services, is hereby amended to include Exhibit II-E, Fifth Revised Capitation Rates, attached hereto and made a part of the Contract. Beginning December 1, 2008, all references in the Contract to Exhibit II-D, Fourth Revised Capitation Rates, shall hereinafter also refer to Exhibit II-E, Fifth Revised Capitation Rates, as appropriate. |
| | 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 are hereby made 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 three (3) page Amendment (which includes all attachments hereto) to be executed by their officials thereunto duly authorized. |
| WELLCARE OF FLORIDA, INC. D/B/A STAYWELL HEALTH PLAN OF FLORIDA | STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION |
| SIGNED BY: /s/ Heath Schiesser | SIGNED BY: /s/ Mark Thomas for Holly Benson |
| NAME: Heath Schiesser | NAME: Holly Benson |
| TITLE: President and CEO | TITLE: Secretary |
| DATE: 9-10-08 | DATE: 9/10/08 |
List of Attachments/Exhibits included as part of this Amendment:
| Specify Type | Letter/ Number | Description | |
| Exhibit | I-C | Third Revised Maximum Enrollment Levels (1 Page) | |
| Exhibit | II-E | Fifth Revised Capitation Rates (1 Page) |
AHCA Contract No. FA615, Amendment No. 7, Page 1 of 1
AHCA Form 2100-0002 (Rev. NOV03)
| WellCare of Florida, Inc. d/b/a | Medicaid HMO Contract |
| Staywell Health Plan of Florida |
EXHIBIT I-C
THIRD REVISED MAXIMUM ENROLLMENT LEVELS
| County | Maximum Enrollment Level |
| Brevard | 14,000 |
| Broward | 25,000 |
| Dade | 25,000 |
| Hernando | 15,000 |
| Hillsborough | 28,000 |
| Lee | 15,000 |
| Manatee | 12,000 |
| Palm Beach | 15,000 |
| Pasco | 7,000 |
| Pinellas | 15,000 |
| Polk | 25,000 |
| Orange | 38,000 |
| Osceola | 12,000 |
| Sarasota | 6,000 |
| Seminole | 6,000 |
| St. Lucie | 4,500 |
| Sumter | 4,500 |
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AHCA Contract No. FA615, Exhibit I-C, Page 1 of 1
| WellCare of Florida, Inc. d/b/a | Medicaid HMO Contract |
| Staywell Health Plan of Florida |
EXHIBIT II-E
FIFTH REVISED CAPITATION RATES
| A. | Table 2 - General Capitation Rates plus Mental Health Rates: |
Area 3 Counties:
| County | Provider Number |
| Hernando | 015016901 |
| Sumter | 015016916 |
Area 5 Counties:
| County | Provider Number |
| Pasco | 015016903 |
| Pinellas | 015016904 |
Area 6 Counties:
| County | Provider Number |
| Hillsborough | 015016902 |
| Manatee | 015016912 |
| Polk | 015016905 |
Area 7 Counties:
| County | Provider Number |
| Orange | 015016906 |
| Seminole | 015016908 |
| Osceola | 015016907 |
| Brevard | 015016913 |
Area 8 Counties:
| County | Provider Number |
| Lee | 015016911 |
| Sarasota | 015016914 |
Area 9 Counties:
| County | Provider Number |
| Palm Beach | 015016910 |
| St. Lucie | 015016915 |
Area 10 Counties:
| County | Provider Number |
| Broward | 015016900 |
Area 11 Counties:
| County | Provider Number |
| Miami-Dade | 015016909 |
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AHCA Contract No. FA615, Amendment No. 7, Page 1 of 1
