Exhibit 10.13

     
(AHCCCS LOGO) [c92860c9286001.gif]
  ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION
DIVISION OF BUSINESS AND FINANCE
SECTION A: CONTRACT

             
1.  AMENDMENT
NUMBER:
 
2.  CONTRACT
NO.:
 
3.  EFFECTIVE DATE OF
AMENDMENT:
  4.  PROGRAM
                4
  YH09-0001-04             August 1, 2009   DHCM — ACUTE

5. CONTRACTOR’S NAME AND ADDRESS:
Health Choice Arizona
410 N. 44th Street, Suite 900
Phoenix, AZ 85008
6. PURPOSE OF AMENDMENT: To amend Section B, Capitation Rates, effective
October 1, 2008 and May 1, 2009.
7. THE CONTRACT REFERENCED ABOVE FOLLOWS
To amend Section B, Capitation Rates, effective October 1, 2008 and May 1, 2009.

     
NOTE: Please sign and date all copies and then return one executed original to:
  Mark Held
 
  Sr. Procurement Specialist
 
  AHCCCS Contracts
 
  701 E. Jefferson St., MD 5700
 
  Phoenix, AZ 85034

8. EXCEPT AS PROVIDED FOR HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL
CONTRACT NOT HERETOFORE CHANGED AND/OR AMENDED REMAIN UNCHANGED AND IN FULL
EFFECT.
IN WITNESS WHEREOF THE PARTIES HERETO SIGN THEIR NAMES IN AGREEMENT

     
9. SIGNATURE OF AUTHORIZED REPRESENTATIVE:
  10. SIGNATURE OF AHCCCSA CONTRACTING
OFFICER:   /s/ Carolyn Rose   /s/ Michael Veit
TYPED NAME: CAROLYN ROSE
  MICHAEL VEIT
TITLE: CHIEF EXECUTIVE OFFICER
  CONTRACTS & PURCHASING ADMINISTRATOR
DATE: 7/8/2009
  DATE:

 

 

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Contract Rates 27 — HCA
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
REVISED CAPITATION RATE SUMMARY — ACUTE RATES
Health Choice Arizona
10/01/2008-9/30/2009

                                                                      Effective
10/01/08-4/30/09       TANF     TANF     TANF     TANF     TANF     SSI     SSI
        Title XIX and KidsCare Rates:   <1, M/F     1-13, M/F     14-44, F    
14-44, M     45+, M/F     w/ Med     w/o Med     Non-MED  
2 Yuma/La Paz
  $ 453.20     $ 103.35     $ 199.61     $ 119.61     $ 341.83     $ 165.83    
$ 658.72     $ 431.08  
4 Apache/Coconino/Mohave/Navajo
  $ 475.32     $ 113.25     $ 278.74     $ 161.12     $ 425.28     $ 167.82    
$ 801.67     $ 598.27  
10 Pima/Santa Cruz
  $ 439.11     $ 102.38     $ 234.44     $ 129.37     $ 403.87     $ 144.10    
$ 714.67     $ 489.61  
12 Maricopa
  $ 560.63     $ 112.55     $ 234.65     $ 141.03     $ 399.17     $ 143.29    
$ 725.26     $ 608.77  

                                                                      Effective
5/01/09-9/30/09       TANF     TANF     TANF     TANF     TANF     SSI     SSI  
      PPC Rates:   <1, M/F     1-13, M/F     14-44, F     14-44, M     45+, M/F
    w/ Med     w/o Med     Non-MED  
2 Yuma/La Paz
  $ 448.09     $ 101.83     $ 196.55     $ 118.05     $ 336.42     $ 163.00    
$ 651.89     $ 425.51  
4 Apache/Coconino/Mohave/Navajo
  $ 470.51     $ 112.00     $ 275.06     $ 159.38     $ 419.72     $ 165.04    
$ 795.45     $ 592.00  
10 Pima/Santa Cruz
  $ 434.20     $ 101.19     $ 231.05     $ 127.92     $ 398.31     $ 141.90    
$ 708.50     $ 484.03  
12 Maricopa
  $ 555.13     $ 111.15     $ 231.43     $ 139.53     $ 393.96     $ 141.40    
$ 719.08     $ 602.64