AHCACONTRACT NO. FA615 AMENDMENTNO. 7
EX-10.6 7 contractamend7.htm AHCA NON-REFORM CONTRACT AMENDMENT 7 - STAYWELL contractamend7.htm
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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
