Exhibit 10.13
 (AHCCCS LOGO)
    
    ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATIONDIVISION OF BUSINESS AND FINANCE
SECTION A: CONTRACT
 1.  AMENDMENTNUMBER:
    

2.  CONTRACTNO.:
    
    3.  EFFECTIVE DATE OFAMENDMENT:
    
    4.  PROGRAM4
    
    YH09-0001-04
    
    August 1, 2009
    

DHCM  ACUTE
  Health Choice Arizona
410 N. 44 th Street, Suite 900
Phoenix, AZ 85008
 ,
   NOTE:Please sign and date all copies and then return one executed original to:
    
    Mark HeldSr. Procurement SpecialistAHCCCS Contracts701 E. Jefferson St., MD 5700Phoenix, 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 VeitTYPED NAME: CAROLYN ROSE
    
    MICHAEL VEITTITLE: CHIEF EXECUTIVE OFFICER
    
    CONTRACTS & PURCHASING ADMINISTRATORDATE: 7/8/2009
    
    DATE:




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##### 



ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
REVISED CAPITATION RATE SUMMARY  ACUTE RATES
Health Choice Arizona
10/01/2008-9/30/2009
 Effective 10/01/08-4/30/09TANF
    
    
    TANF
    
    
    TANF
    
    
    TANF
    
    
    TANF
    
    
    SSI
    
    
    SSITitle 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-MED2 Yuma/La Paz
    
    $
    453.20
    
    
    $
    103.35
    
    
    $
    199.61
    
    
    $
    119.61
    
    
    $
    341.83
    
    
    $
    165.83
    
    
    $
    658.72
    
    
    $
    431.084 Apache/Coconino/Mohave/Navajo
    
    $
    475.32
    
    
    $
    113.25
    
    
    $
    278.74
    
    
    $
    161.12
    
    
    $
    425.28
    
    
    $
    167.82
    
    
    $
    801.67
    
    
    $
    598.2710 Pima/Santa Cruz
    
    $
    439.11
    
    
    $
    102.38
    
    
    $
    234.44
    
    
    $
    129.37
    
    
    $
    403.87
    
    
    $
    144.10
    
    
    $
    714.67
    
    
    $
    489.6112 Maricopa
    
    $
    560.63
    
    
    $
    112.55
    
    
    $
    234.65
    
    
    $
    141.03
    
    
    $
    399.17
    
    
    $
    143.29
    
    
    $
    725.26
    
    
    $
    608.77
 Effective 5/01/09-9/30/09TANF
    
    
    TANF
    
    
    TANF
    
    
    TANF
    
    
    TANF
    
    
    SSI
    
    
    SSIPPC Rates:
    
    <1, M/F
    
    
    1-13, M/F
    
    
    14-44, F
    
    
    14-44, M
    
    
    45+, M/F
    
    
    w/ Med
    
    
    w/o Med
    
    
    Non-MED2 Yuma/La Paz
    
    $
    448.09
    
    
    $
    101.83
    
    
    $
    196.55
    
    
    $
    118.05
    
    
    $
    336.42
    
    
    $
    163.00
    
    
    $
    651.89
    
    
    $
    425.514 Apache/Coconino/Mohave/Navajo
    
    $
    470.51
    
    
    $
    112.00
    
    
    $
    275.06
    
    
    $
    159.38
    
    
    $
    419.72
    
    
    $
    165.04
    
    
    $
    795.45
    
    
    $
    592.0010 Pima/Santa Cruz
    
    $
    434.20
    
    
    $
    101.19
    
    
    $
    231.05
    
    
    $
    127.92
    
    
    $
    398.31
    
    
    $
    141.90
    
    
    $
    708.50
    
    
    $
    484.0312 Maricopa
    
    $
    555.13
    
    
    $
    111.15
    
    
    $
    231.43
    
    
    $
    139.53
    
    
    $
    393.96
    
    
    $
    141.40
    
    
    $
    719.08
    
    
    $
    602.64