Exhibit 10.16
 (AHCCCS LOGO)
    
    ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATIONDIVISION OF BUSINESS AND FINANCE
SECTION A: CONTRACT
 1. AMENDMENT
    
    2. CONTRACT
    
    3. EFFECTIVE DATE OF
    
    4. PROGRAMNUMBER:
    
    NO.:
    
    AMENDMENT:7
    
    YH09-0001-04
    
    October 1, 2009
    
    DHCM  ACUTE
  Health Choice Arizona
410 N. 44th Street, Suite 900
Phoenix, AZ 85008
    NOTE: Please sign, date, and return executed file by E-Mail to:
    
    Mark Heldat Mark.Held@azahcccs.govSr. Procurement SpecialistAHCCCS Contracts and Purchasingand Georgina MayaatGeorgina.Maya@azahcccs.gov
 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
    
    10. SIGNATURE OF AHCCCSA CONTRACTINGREPRESENTATIVE:
    
    OFFICER:/s/
Carolyn Rose
    

/s/
Michael VeitTYPED NAME: CAROLYN ROSE
    
    TYPED NAME: MICHAEL VEITTITLE: CHIEF EXECUTIVE OFFICER
    
    TITLE: CONTRACTS &
PURCHASING ADMINISTRATORDATE: SEP 15 2009
    
    DATE: SEP 10 2009




---



##### 



ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
CAPITATION RATE SUMMARY  ACUTE RATES (Risk Adjusted-BRB
Health Choice Arizona
10/1/09-9/30/10
 MaternityTANF
    
    
    TANF
    
    
    TANF
    
    
    TANF
    
    
    TANF
    
    
    SSI
    
    
    SSI
    
    
    
    
    
    
    DeliveryTitle XIX and KidsCare Rates 1:
    
    <1, M/F
    
    
    1-13, M/F
    
    
    14-44, F
    
    
    14-44, M
    
    
    45+, M/F
    
    
    w/ Med
    
    

w/o Med
    
    
    SFP
    
    
    Supplement
    
    
    Non-MED
    
    
    MED2 Yuma/La Paz
    
    $
    450.42
    
    
    $
    100.40
    
    
    $
    194.72
    
    
    $
    118.73
    
    
    $
    326.78
    
    
    $
    162.35
    
    
    $
    661.42
    
    
    $
    18.93
    
    
    $
    6,243.32
    
    
    $
    423.36
    
    
    $
    1,620.994 Apache/Coconino/Mohave/Navajo
    
    $
    465.73
    
    
    $
    116.91
    
    
    $
    282.02
    
    
    $
    160.40
    
    
    $
    450.93
    
    
    $
    171.73
    
    
    $
    832.83
    
    
    $
    17.31
    
    
    $
    6,304.05
    
    
    $
    541.96
    
    
    $
    1,373.3910 Pima/Santa Cruz
    
    $
    419.94
    
    
    $
    101.91
    
    
    $
    232.65
    
    
    $
    127.33
    
    
    $
    394.85
    
    
    $
    144.21
    
    
    $
    742.80
    
    
    $
    19.26
    
    
    $
    6,607.00
    
    
    $
    455.70
    
    
    $
    1,298.5712 Maricopa
    
    $
    527.46
    
    
    $
    111.73
    
    
    $
    237.09
    
    
    $
    141.50
    
    
    $
    393.67
    
    
    $
    138.84
    
    
    $
    714.48
    
    
    $
    17.15
    
    
    $
    6,716.61
    
    
    $
    554.96
    
    
    $
    1,327.93
 TANF
    
    
    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-MED
    
    
    MED2 Yuma/La Paz
    
    $
    1,135.99
    
    
    $
    66.84
    
    
    $
    238.86
    
    
    $
    206.91
    
    
    $
    425.70
    
    
    $
    150.25
    
    
    $
    393.54
    
    
    $
    1,049.84
    
    
    $
    7,380.184 Apache/Coconino/Mohave/Navajo
    
    $
    1,120.60
    
    
    $
    65.01
    
    
    $
    254.94
    
    
    $
    214.09
    
    
    $
    434.27
    
    
    $
    151.34
    
    
    $
    391.21
    
    
    $
    1,034.48
    
    
    $
    7,279.9410 Pima/Santa Cruz
    
    $
    1,098.32
    
    
    $
    58.37
    
    
    $
    240.31
    
    
    $
    197.74
    
    
    $
    425.71
    
    
    $
    146.13
    
    
    $
    392.20
    
    
    $
    785.70
    
    
    $
    7,207.0012 Maricopa
    
    $
    1,085.49
    
    
    $
    69.06
    
    
    $
    243.30
    
    
    $
    212.06
    
    
    $
    415.99
    
    
    $
    142.15
    
    
    $
    390.25
    
    
    $
    1,196.57
    
    
    $
    7,204.01
 Option 1
    
    
    Option 2Other Rates:
    
    Transplant
    
    
    Transplant2 Yuma/La Paz
    
    $
    22.50
    
    
    $
    22.504 Apache/Coconino/Mohave/Navajo
    
    $
    22.50
    
    
    $
    22.5010 Pima/Santa Cruz
    
    $
    22.50
    
    
    $
    22.5012 Maricopa
    
    $
    22.50
    
    
    $
    22.50