VANGUARD HEALTH SYSTEMS, INC.



EXHIBIT 10.1








ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION

DIVISION OF BUSINESS AND FINANCE

SECTION A: CONTRACT





	


 1. AMENDMENT NUMBER:

     3

		
2.  CONTRACT NO.:

      YH09-0001-07

		
3.  EFFECTIVE DATE OF CONTRACT:

      May 1, 2009

		
4.  PROGRAM:

      DHCM - ACUTE


	


 5. CONTRACTOR/PROVIDER NAME AND ADDRESS:





VHS Phoenix Health Plan, LLC

 7878 N. 16th Street, Suite 105

 Phoenix, Arizona  85020


	


 6. PURPOSE OF AMENDMENT:  To amend Section B, Capitation Rates, effective May 1, 2009.








	
7.

	
 

	
THE CONTRACT REFERENCED ABOVE FOLLOWS

	
 

	
 


	
 

	
 

	
 

	
 

	
 


	
 

	
 

	
To amend Section B, Capitation Rates, effective May 1, 2009.


	
 


	
 


	
NOTE:  Please sign and date all copies and then return one executed original to:    
               Mark Held

                                                                                                                                
Sr. Procurement Specialist

                                                                                                                                
AHCCS 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:


	
     /a/ Nancy Novick

	
 

	
       /s/ Pat Wathimson for Michael Veit


	
 

	
 

	
 


	
TYPED NAME:      NANCY NOVICK

	
 

	
MICHAEL VEIT


	
TITLE:                    CHIEF EXECUTIVE OFFICER

	
 

	
CONTRACTS & PURCHASING ADMINISTRATOR


	
DATE: 4/6/09

	
 

	
DATE: 3-30-09















SECTION B: CAPITATION RATES


The Contractor shall provide services as described in this contract. In consideration for these services, the Contractor

 will be paid Contractor-specific rates per member per month for the term May 1, 200 through September 30,

 2009. See attached revised rates.



























































































































































61












	



ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

 CAPITATION RATE SUMMARY – ACUTE RATES

 Phoenix Health Plan

 5/1/2009-9/30/2009


	
 


	
Title XIX and KidsCare Rates 1:

	
TANF

 <1, M/F

	
TANF

 1-13, M/F

	
TANF

 14-44, F

	
TANF

 14-44, M

	
TANF

 45+, M/F

	
SSI

 w/ Med

	
SSI

 w/o Med

	
SFP

	
Maternity

 Delivery

 Supplement

	
Non-MED

	
MED


	
4

	
Apache/Coconino/Mohave/Navajo

	
$474.47

	
$111.58

	
$273.18

	
$157.95

	
$409.52

	
$161.19

	
$776.11

	
$19.02

	
$6,248.22

	
$578.66

	
$1,434.36


	
6

	
Yavapai

	
$507.50

	
$116.03

	
$270.46

	
$180.56

	
$427.88

	
$141.69

	
$758.61

	
$18.30

	
$6,871.52

	
$627.38

	
$1,160.64


	
8

	
Gila/Pinal

	
$578.37

	
$108.22

	
$256.73

	
$172.31

	
$358.20

	
$139.85

	
$737.91

	
$12.43

	
$6,594.24

	
$487.17

	
$1,673.46


	
10

	
Pima

	
$493.42

	
$101.61

	
$239.36

	
$127.59

	
$408.04

	
$146.24

	
$772.28

	
$21.96

	
$6,627.59

	
$492.92

	
$1,356.27


	
12

	
Maricopa

	
$550.49

	
$117.35

	
$241.92

	
$151.74

	
$422.47

	
$158.80

	
$749.25

	
$18.79

	
$6,694.65

	
$630.48

	
$1,423.69


	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 


	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 


	
PPC Rates:

	
TANF

 <1, M/F

	
TANF

 1-13, M/F

	
TANF

 14-44, F

	
TANF

 14-44, M

	
TANF

 45+, M/F

	
SSI

 w/ Med

	
SSI

 w/o Med

			
Non-MED

	
MED


	
4

	
Apache/Coconino/Mohave/Navajo

	
$1,190.99

	
$62.12

	
$264.37

	
$215.09

	
$439.52

	
$135.86

	
$405.68

			
$1,127.75

	
$7,407.25


	
6

	
Yavapai

	
$1,210.79

	
465.92

	
$262.35

	
$223.35

	
$442.10

	
$133.86

	
$407.50

			
$1.116/81

	
$7,418.82


	
8

	
Gila/Pinal

	
$1,200.37

	
$66.67

	
$253.25

	
$212.60

	
$444.30

	
$134.33

	
$407.29

			
$1,100.13

	
$7,521.76


	
10

	
Pima

	
$1,195.05

	
$56.40

	
$248.23

	
$197.36

	
$440.40

	
$132.96

	
$408.89

			
$889.79

	
$7,402.50


	
12

	
Maricopa

	
$1,221.70

	
$66.27

	
$256.92

	
$225.36

	
$448.09

	
$133.45

	
$426.87

			
$1,323.84

	
$7,696.96


	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 


	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 


	
Other Rates:

	
Option 1

 Transplant

	
Option 2

 Transplant

									
	
4

	
Apache/Coconino/Mohave/Navajo

	
$40.00

	
$40.00

									
	
6

	
Yavapai

	
$40.00

	
$40.00

									
	
8

	
Gila/Pinal

	
$40.00

	
$40.00

									
	
10

	
Pima

	
$40.00

	
$40.00

									
	
12

	
Maricopa

	
$40.00

	
$40.00

									
	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 








1. Rates have been adjusted for $50,000 Reinsurance Deductible