EX-10.1



 Exhibit 10.1 

 

					
	 Janice K. Brewer, Governor
 Thomas J. Betlach, Director
  
 801 East Jefferson, Phoenix, AZ 85034
 PO Box 25520, Phoenix, AZ 85002

Phone: 602-417-4000

www.azahcccs.gov
	 		  	 




  
 Our first
care is your health care
 ARIZONA HEALTH CARE COST
CONTAINMENT SYSTEM

	 		  

  
 March 22,
2013 
 Health Choice Arizona 
 Mike
Uchrin 
 Chief Executive Officer 
 410 N. 44th
St., Suite 900 
 Phoenix, AZ 85008 
  

	Subject:	    Notification of Contract Awards RFP YH14-0001 

 Dear Mr. Uchrin: 
 AHCCCS is awarding Health Choice Arizona an Acute Care contract under RFP
number YH14-0001 in the following Geographic Service Area(s) (GSAs) with the capitation rate components specified in the attached document. 
  

	 	•	 	 GSA 4 – Apache, Coconino, Mohave, Navajo 


  

	 	•	 	 GSA 8 – Gila, Pinal 


  

	 	•	 	 GSA 10 – Pima 


  

	 	•	 	 GSA 12 – Maricopa 



Please countersign and return this contract award letter no later than 16 days from the date of this award letter (April 8, 2013, 5:00 p.m., Arizona
time). This information must be emailed to Michael Veit, AHCCCS Contracts and Purchasing Administrator, at Michael.Veit@azahcccs.gov with a copy to Meggan Harley, AHCCCS Procurement Manager, at Meggan.Harley@azahcccs.gov. Please ensure all emails
are followed by a hard copy submission to Michael Veit, AHCCCS, Division of Business and Finance, 701 E. Jefferson St., MD 5700, Phoenix, AZ 85034. 
 In the event that you do not accept this contract award, or fail to return this award letter by April 8, 2013, 5:00 p.m., Arizona time, AHCCCS may withdraw this contract award. 

The public will be notified of the awards when the Acute/CRS RFP YH14-0001 Procurement File is made available for public inspection on the AHCCCS website
on March 22, 2013. The Offeror may refer to the Procurement File for information regarding contract awards for CYE 2014. 
 If you have any
questions regarding this letter please contact Meggan Harley at (602) 417-4538. 
  

	
	Sincerely,
	
	 /s/ Michael Veit

	Michael Veit
	 Contracts and Purchasing Administrator
 Division of Business and Finance

	
	Enclosure

  

	
	 /s/ Mike Uchrin
 Mike Uchrin

	Chief Executive Officer
	Health Choice Arizona









 Acute Care RFP Bid Template - Health Choice Arizona 

Gross Medical Component by Risk Group and GSA 
  

																													
	 Risk Group
	  	GSA 2	 	  	GSA 4
Award	 	  	GSA 6	 	  	GSA 8
Award	 	  	GSA 10
Award	 	  	GSA 12
Award	 	  	GSA 14	 
	 TANF < 1
	  	$	 —  	  	  	$	 410.21	  	  	$	 —  	  	  	$	 442.25	  	  	$	 427.17	  	  	$	 463.43	  	  	$	 —  	  
	 TANF 1-13
	  	$	 —  	  	  	$	 91.38	  	  	$	 —  	  	  	$	 88.02	  	  	$	 76.96	  	  	$	 92.76	  	  	$	 —  	  
	 TANF 14-44 F
	  	$	 —  	  	  	$	 221.96	  	  	$	 —  	  	  	$	 229.85	  	  	$	 189.06	  	  	$	 210.74	  	  	$	 —  	  
	 TANF 14-44 M
	  	$	 —  	  	  	$	 154.93	  	  	$	 —  	  	  	$	 143.37	  	  	$	 117.33	  	  	$	 137.66	  	  	$	 —  	  
	 TANF 45+
	  	$	 —  	  	  	$	 372.31	  	  	$	 —  	  	  	$	 405.83	  	  	$	 319.51	  	  	$	 375.78	  	  	$	 —  	  
	 SSIW
	  	$	 —  	  	  	$	 103.12	  	  	$	 —  	  	  	$	 115.66	  	  	$	 111.00	  	  	$	 147.57	  	  	$	 —  	  
	 SSIW/O
	  	$	 —  	  	  	$	 846.82	  	  	$	 —  	  	  	$	 673.01	  	  	$	 712.05	  	  	$	 746.20	  	  	$	 —  	  
	 AHCCCS Care
	  	$	 —  	  	  	$	 384.75	  	  	$	 —  	  	  	$	 373.02	  	  	$	 298.76	  	  	$	 387.44	  	  	$	 —  	  
	 Delivery Supp
	  	$	 —  	  	  	$	5,109.50	  	  	$	 —  	  	  	$	5,237.17	  	  	$	5,161.69	  	  	$	5,447.17	  	  	$	 —  	  

 Administrative Component by Risk Group and GSA 
  

																													
	 Risk Group
	  	GSA 2	 	  	GSA 4	 	  	GSA 6	 	  	GSA 8	 	  	GSA 10	 	  	GSA 12	 	  	GSA 14	 
	 TANF < 1
	  	$	—  	  	  	$	25.84	  	  	$	—  	  	  	$	27.86	  	  	$	27.13	  	  	$	32.44	  	  	$	—  	  
	 TANF 1-13
	  	$	—  	  	  	$	6.03	  	  	$	—  	  	  	$	5.81	  	  	$	5.08	  	  	$	6.68	  	  	$	—  	  
	 TANF 14-44 F
	  	$	—  	  	  	$	13.98	  	  	$	—  	  	  	$	14.48	  	  	$	12.01	  	  	$	14.75	  	  	$	—  	  
	 TANF 14-44 M
	  	$	—  	  	  	$	10.23	  	  	$	—  	  	  	$	9.46	  	  	$	7.74	  	  	$	9.91	  	  	$	—  	  
	 TANF 45+
	  	$	—  	  	  	$	23.46	  	  	$	—  	  	  	$	25.57	  	  	$	20.29	  	  	$	26.30	  	  	$	—  	  
	 SSIW
	  	$	—  	  	  	$	6.50	  	  	$	—  	  	  	$	7.29	  	  	$	7.05	  	  	$	10.33	  	  	$	—  	  
	 SSIW/O
	  	$	—  	  	  	$	55.89	  	  	$	—  	  	  	$	44.42	  	  	$	47.00	  	  	$	53.73	  	  	$	—  	  
	 AHCCCS Care
	  	$	—  	  	  	$	25.39	  	  	$	—  	  	  	$	24.62	  	  	$	19.72	  	  	$	27.90	  	  	$	—  	  
	 Delivery Supp
	  	$	—  	  	  	$	337.23	  	  	$	—  	  	  	$	345.65	  	  	$	340.67	  	  	$	392.20	  	  	$	—  	  

 These are the awarded rate components. Final adjusted rates including reinsurance, premium tax, risk contingency and any
program or other changes, as identified in the RFP, will be issued at a later date.