Exhibit 10.16





Exhibit 10.16




	 	 	 
	

	 	ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION

DIVISION OF BUSINESS AND FINANCE

SECTION A: CONTRACT






	 	 	 	 	 	 	 
	1. AMENDMENT

	 	2. CONTRACT
	 	3. EFFECTIVE DATE OF
	 	4. PROGRAM
	    NUMBER:

	 	NO.:
	 	    AMENDMENT:	 	 
	               7

	 	YH09-0001-04
	 	          October 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.



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

	 	10. SIGNATURE OF AHCCCSA CONTRACTING
	REPRESENTATIVE:

	 	OFFICER:
	 
	 	 
	/s/
Carolyn Rose	 	/s/
Michael Veit
	TYPED NAME: CAROLYN ROSE

	 	TYPED NAME: MICHAEL VEIT
	TITLE: CHIEF EXECUTIVE OFFICER

	 	TITLE: CONTRACTS &
PURCHASING ADMINISTRATOR
	DATE: 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




	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	Maternity	 	 	 	 	 	 	 
	 	 	TANF	 	 	TANF	 	 	TANF	 	 	TANF	 	 	TANF	 	 	SSI	 	 	SSI	 	 	 	 	 	 	Delivery	 	 	 	 	 	 	 
	Title 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	 	 	MED	 
	2 Yuma/La Paz
	 	$	450.42	 	 	$	100.40	 	 	$	194.72	 	 	$	118.73	 	 	$	326.78	 	 	$	162.35	 	 	$	661.42	 	 	$	18.93	 	 	$	6,243.32	 	 	$	423.36	 	 	$	1,620.99	 
	4 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	 	 	$	1,373.39	 
	10 Pima/Santa Cruz
	 	$	419.94	 	 	$	101.91	 	 	$	232.65	 	 	$	127.33	 	 	$	394.85	 	 	$	144.21	 	 	$	742.80	 	 	$	19.26	 	 	$	6,607.00	 	 	$	455.70	 	 	$	1,298.57	 
	12 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	 	 	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	 	 	MED	 
	2 Yuma/La Paz
	 	$	1,135.99	 	 	$	66.84	 	 	$	238.86	 	 	$	206.91	 	 	$	425.70	 	 	$	150.25	 	 	$	393.54	 	 	$	1,049.84	 	 	$	7,380.18	 
	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	 
	10 Pima/Santa Cruz
	 	$	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	 






	 	 	 	 	 	 	 	 	 
	 	 	Option 1	 	 	Option 2	 
	Other Rates:	 	Transplant	 	 	Transplant	 
	2 Yuma/La Paz
	 	$	22.50	 	 	$	22.50	 
	4 Apache/Coconino/Mohave/Navajo
	 	$	22.50	 	 	$	22.50	 
	10 Pima/Santa Cruz
	 	$	22.50	 	 	$	22.50	 
	12 Maricopa
	 	$	22.50	 	 	$	22.50	 






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