Back to Form 8-K [form8-k.htm]
Exhibit 10.1
 

 
AMENDMENT #9 TO CONTRACT NO. 0654 BETWEEN
GEORGIA DEPARTMENT OF COMMUNITY HEALTH AND
WELLCARE OF GEORGIA, INC.
 
This Amendment is between the Georgia Department of Community Health
(hereinafter referred to as "DCH" or the "Department') and WellCare of Georgia,
Inc. (hereinafter referred to as "Contractor") and is made effective this
_____________ day of _____________________________________ , 2010 (hereinafter
referred to as the "Effective Date"). Other man the changes, modifications and
additions specifically articulated in this Amendment #9 to Contract # 0654,
RFP#41900-001-0000000027, the original Contract shall remain in effect and
binding on and against DCH and Contractor. Unless expressly modified or added in
this- Amendment #9, the terms and conditions of the original Contract are
expressly incorporated into this Amendment #9 as if completely restated herein.
 
WHEREAS, DCH and Contractor executed a contract for the provision of services to
members of the Georgia Families Program;

 
WHEREAS, DCH pays Contractor a per member per month capitation rate for each
Georgia Families member enrolled in the Contractor's plan;

 
WHEREAS, DCH has sought permission from the Centers for Medicare and Medicaid
Services (hereinafter referred to as "CMS") to revise the capitation rates
payable to Contractor for State Fiscal Year 2011; and

 
WHEREAS, pursuant to Section 32.0, Amendments in Writing, DCH and Contractor
desire to amend the above-referenced Contract by adding additional funding as
set forth below.
 
NOW THEREFORE, for and in consideration of the mutual promises of the Parties,
the terms, provisions and conditions of this Amendment and .other good and
valuable consideration, the sufficiency of which is hereby acknowledged, DCH and
Contractor hereby agree as follows:

 
I.
Upon receiving written notice from CMS indicating that agency's approval of the
revised capitation rates, the parties shall delete the current Attachment H,
Capitation Payment, in its entirety and replace it with the new Attachment H,
Capitation Payment, contained at Exhibit 1 to this Amendment.

 
II.
DCH and Contractor agree that they have assumed an obligation to perform the
covenants, agreements, duties and obligations of the Contract, as modified and
amended herein, and agree to abide by all the provisions, terms and conditions
contained in the Contract as modified and amended.

 
III.
This Amendment shall be binding and inure to the benefit of the parties hereto,
their heirs, representatives, successors and assigns. Whenever the provisions of
this Amendment and the Contract are in conflict, the provisions of this
Amendment shall take precedence and control.

 

 Amendment  #9          Page 1 of 4  Contract #0654      

                                                                                             

 
 

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VI.
It is understood by the Parties hereto that, if any part, term, or provision of
this Amendment or this entire Amendment is held to be illegal or in conflict
with any law of this State, then DCH, at its sole option, may enforce the
remaining unaffected portions or provisions of this Amendment or of the Contract
and the rights and obligations of the parties shall be construed and enforced as
if the Contract or Amendment did not contain the particular part, term or
provision held to be invalid.

 
VII.
This Amendment shall become effective as stated herein and shall remain
effective for so long as the Contract is in effect.

 
VIII.
This Amendment shall be construed in accordance with the laws of the State of
Georgia.

 
IX.
All other terms and conditions contained in the Contract and any amendment
thereto, not amended by this Amendment, shall remain in full force and effect.

 

- SIGNATURES ON THE FOLLOWING PAGE -

 

 

 

 Amendment  #9          Page 2 of 4  Contract #0654

 
 

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SIGNATURE PAGE
 
IN WITNESS WHEREOF, DCH and Contractor, through their authorized officers and
agents, have caused this Amendment to be executed on their behalf as of the date
indicated.

GEORGIA DEPARTMENT OF COMMUNITY HEALTH
 
 

 /s/ Clyde L Reese III     9/23/10  
Clyde L, Reese, Esq., Commissioner
 
 
 
Date
   /s/ Jerry L. Dubberly     9/23/10  
Jerry Dubberly, Medicaid Division Chief
 
Date
 

 
 
WELLCARE OF GEORGIA, INC.
 

BY:
/s/ Alec Cunningham
 
Sep. 23, 2010
   
*SIGNATURE
 
Date
             
/s/ Alec Cunningham
       
Please Print/Type Name Here
 
     

 

             
AFFIX CORPORATE SEAL HERE
(Corporations without a seal, attach a
Certificate of Corporate Resolution)
       

 

 
ATTEST:
/s/ Lisa Iglesias
     
**SIGNATURE
             
Secretary
     
TITLE
   

 

 

* Must be President, Vice President, CEO or Other Authorized Officer
** Must be Corporate Secretary

 

 

 

 Amendment  #9          Page 3 of 4  Contract #0654

 
 

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EXHIBIT 1
 
CONFIDENTIAL - NOT FOR CIRCULATION
ATTACHMENT H

 
Attachment H is a table displaying the contracted rates by rate cell for each
contracted region. These rates will be the basis for calculating capitation
payments in each contracted Region.

 
(The table is displayed on the following page.)
 
*(THE FOLLOWING TWO PAGES CONSIST OF A TABLE CONTAINING THE CAPITATION RATES
PAYABLE TO WELLCARE OF GEORGIA, INC. WITH RESPECT TO MEMBERS ENROLLED IN ITS
PLAN.  IT HAS BEEN OMITTED PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT AND
FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION)*
 

 

 Amendment  #9          Page 4 of 4  Contract #0654

 
 

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