VANGUARD HEALTH SYSTEMS, INC.



EXHIBIT 10.2


	
[AHCCCS

 LOGO]

	
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION

 DIVISION OF BUSINESS AND FINANCE

 SECTION A: CONTRACT


	
 


	
1.  AMENDMENT

      NUMBER:

             7

	
2.  CONTRACT NO.:

      YH09-0001-07

	
3.  EFFECTIVE DATE OF AMENDMENT

       October 1, 2009

	
4.  PROGRAM

   DHCM - ACUTE


	
 


	
5.  CONTRACTOR'S NAME AND ADDRESS:


VHS Phoenix Health Plan, LLC

 7878 N. 16th St., Suite 105

 Phoenix, AZ 85020


	
 


	
6.  PURPOSE OF AMENDMENT:  To amend Section B, Capitation Rates.


	
 


	
7.  THE CONTRACT REFERENCED ABOVE FOLLOWS

     A.            Section B contains revised Capitation Rates (see attached rate sheet.)





NOTE:  Please sign, date, and return executed file by E-Mail to:Mark Held at Mark.Held@azahcccs.gov

                                                                                                               
Sr. Procurement Specialist

                                                                                                               
AHCCCS Contracts and Purchasing

                                                                                                               
and Georgina Maya at

                                                                                                               
Georgina.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 REPRESENTATIVE:

      /s/ Nancy Novick


TYPED NAME:    NANCY NOVICK

 TITLE:                    CHIEF EXECUTIVE OFFICER

 DATE:                    9/17/09

	
 

	
10.  SIGNATURE OF AHCCCSA CONTRACTING OFFICER:


		
       /s/ Michael Veit


	
 

	
 


		
MICHAEL VEIT


		
CONTRACTS & PURCHASING ADMINISTRATOR

 DATE:    SEP 10 2009















	



ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

 CAPITATION RATE SUMMARY – ACUTE RATES (Risk Adjusted)

 Phoenix Health Plan

 10/1/09-9/30/10


	
 


	
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

	
$482.84

	
$114.84

	
$266.60

	
$154.57

	
$405.05

	
$156.48

	
$758.18

	
$17.31

	
$6,304.05

	
$494.59

	
$1,373.39


	
6

	
Yavapai

	
$496.20

	
$118.54

	
$281.24

	
$185.80

	
$423.70

	
$144.34

	
$776.10

	
$16.79

	
$6,843.19

	
$603.86

	
$1,140.18


	
8

	
Gila/Pinal

	
$558.02

	
$108.29

	
$257.11

	
$177.05

	
$377.16

	
$134.34

	
$756.30

	
$11.66

	
$6,602.64

	
$470.85

	
$1,614.61


	
10

	
Pima

	
$469.92

	
$98.92

	
$231.44

	
$124.06

	
$382.07

	
$148.16

	
$806.24

	
$20.13

	
$6,683.33

	
$428.20

	
$1,319.43


	
12

	
Maricopa

	
$513.06

	
$115.48

	
$240.69

	
$145.45

	
$401.54

	
$151.08

	
$696.20

	
$17.15

	
$6,716.61

	
$533.08

	
$1,327.93


	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 


	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 


	
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

	
$1,120.60

	
$65.01

	
$254.94

	
$214.09

	
$434.27

	
$151.34

	
$391.21

	
 

	
 

	
$1,034.48

	
$7,279.94


	
6

	
Yavapai

	
$1,135.72

	
$68.75

	
$258.73

	
$219.42

	
$428.81

	
$147.38

	
$399.12

	
 

	
 

	
$1,063.85

	
$7,322.78


	
8

	
Gila/Pinal

	
$1,122.86

	
$68.74

	
$251.79

	
$208.85

	
$427.38

	
$146.82

	
$395.52

	
 

	
 

	
$1,029.70

	
$7,427.30


	
10

	
Pima

	
$1,098.32

	
$58.37

	
$240.31

	
$197.74

	
$425.71

	
$146.13

	
$392.20

	
 

	
 

	
$785.70

	
$7,207.00


	
12

	
Maricopa

	
$1,085.49

	
$69.06

	
$243.30

	
$212.06

	
$415.99

	
$142.15

	
$390.25

	
 

	
 

	
$1,196.57

	
$7,204.01


	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 


	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 


	
Other Rates:

	
Option 1

 Transplant

	
Option 2

 Transplant

									
	
4

	
Apache/Coconino/Mohave/Navajo

	
$22.50

	
$22.50

									
	
6

	
Yavapai

	
$22.50

	
$22.50

									
	
8

	
Gila/Pinal

	
$22.50

	
$22.50

									
	
10

	
Pima

	
$22.50

	
$22.50

									
	
12

	
Maricopa

	
$22.50

	
$22.50

									
	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 

	
 








1.  Rates have been adjusted for $35,000 Reinsurance Deductible