Exhibit 10.13





Exhibit 10.13




	 	 	 
	

	 	ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION

DIVISION OF BUSINESS AND FINANCE

SECTION A: CONTRACT






	 	 	 	 	 	 	 
	1.  AMENDMENT
NUMBER:

	 	2.  CONTRACT
NO.:

	 	3.  EFFECTIVE DATE OF
AMENDMENT:

	 	4.  PROGRAM
	                4

	 	YH09-0001-04
	 	          August 1, 2009
	 	DHCM — ACUTE






5. CONTRACTOR’S NAME AND ADDRESS:



Health Choice Arizona

410 N. 44th Street, Suite 900

Phoenix, AZ 85008




6. PURPOSE OF AMENDMENT: To amend Section B, Capitation Rates, effective October 1, 2008 and May 1,
2009.



7. THE CONTRACT REFERENCED ABOVE FOLLOWS




To amend Section B, Capitation Rates, effective October 1, 2008 and May 1, 2009.



	 	 	 
	NOTE: Please sign and date all copies and then return one executed original to:
	 	Mark Held
	 
	 	Sr. Procurement Specialist
	 
	 	AHCCCS 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:
	 
	/s/ Carolyn Rose	 	/s/ Michael Veit
	TYPED NAME: CAROLYN ROSE

	 	MICHAEL VEIT
	TITLE: CHIEF EXECUTIVE OFFICER

	 	CONTRACTS & PURCHASING ADMINISTRATOR
	DATE: 7/8/2009

	 	DATE:






 


 









 





Contract Rates 27 — HCA




ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

REVISED CAPITATION RATE SUMMARY — ACUTE RATES

Health Choice Arizona

10/01/2008-9/30/2009




	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	Effective 10/01/08-4/30/09	 
	 	 	TANF	 	 	TANF	 	 	TANF	 	 	TANF	 	 	TANF	 	 	SSI	 	 	SSI	 	 	 	 
	Title 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-MED	 
	2 Yuma/La Paz
	 	$	453.20	 	 	$	103.35	 	 	$	199.61	 	 	$	119.61	 	 	$	341.83	 	 	$	165.83	 	 	$	658.72	 	 	$	431.08	 
	4 Apache/Coconino/Mohave/Navajo
	 	$	475.32	 	 	$	113.25	 	 	$	278.74	 	 	$	161.12	 	 	$	425.28	 	 	$	167.82	 	 	$	801.67	 	 	$	598.27	 
	10 Pima/Santa Cruz
	 	$	439.11	 	 	$	102.38	 	 	$	234.44	 	 	$	129.37	 	 	$	403.87	 	 	$	144.10	 	 	$	714.67	 	 	$	489.61	 
	12 Maricopa
	 	$	560.63	 	 	$	112.55	 	 	$	234.65	 	 	$	141.03	 	 	$	399.17	 	 	$	143.29	 	 	$	725.26	 	 	$	608.77	 






	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	Effective 5/01/09-9/30/09	 
	 	 	TANF	 	 	TANF	 	 	TANF	 	 	TANF	 	 	TANF	 	 	SSI	 	 	SSI	 	 	 	 
	PPC Rates:	 	<1, M/F	 	 	1-13, M/F	 	 	14-44, F	 	 	14-44, M	 	 	45+, M/F	 	 	w/ Med	 	 	w/o Med	 	 	Non-MED	 
	2 Yuma/La Paz
	 	$	448.09	 	 	$	101.83	 	 	$	196.55	 	 	$	118.05	 	 	$	336.42	 	 	$	163.00	 	 	$	651.89	 	 	$	425.51	 
	4 Apache/Coconino/Mohave/Navajo
	 	$	470.51	 	 	$	112.00	 	 	$	275.06	 	 	$	159.38	 	 	$	419.72	 	 	$	165.04	 	 	$	795.45	 	 	$	592.00	 
	10 Pima/Santa Cruz
	 	$	434.20	 	 	$	101.19	 	 	$	231.05	 	 	$	127.92	 	 	$	398.31	 	 	$	141.90	 	 	$	708.50	 	 	$	484.03	 
	12 Maricopa
	 	$	555.13	 	 	$	111.15	 	 	$	231.43	 	 	$	139.53	 	 	$	393.96	 	 	$	141.40	 	 	$	719.08	 	 	$	602.64