exhibit10-2.htm


    
      

    

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    Exhibit
      10.2

     

    

      
        AMENDMENT
          #2 TO CONTRACT NO. 0654 BETWEEN

        GEORGIA
          DEPARTMENT OF COMMUNITY HEALTH AND 

        WELLCARE
          OF GEORGIA, INC. 

         

            This
          Amendment is between the Georgia Department of Community Health (hereinafter
          referred to as "DCH" or the "Department") and WellCare of Georgia, Inc.
          (hereinafter referred to as
          "Contractor") and is made effective this  28th
          day of
          January, 2008 (hereinafter referred to as the "Effective
          Date").  Other than the changes, modifications and additions
          specifically articulated in this Amendment #2 to Contract # 0654,
          RFP#41900-001-0000000027, the original Contract shall remain in effect
          and
          binding on and against DCH and Contractor. Unless expressly modified or
          added in
          this Amendment #2, the terms and conditions of the original Contract are
          expressly incorporated into this Amendment #2 as if completely restated
          herein.

      

      
        


        WHEREAS,
DCH
          and Contractor
          executed a contract for the provision of services to Georgia Healthy Families;
          and,

      

      
        


        WHEREAS,
pursuant
          to Section 4.8.17.1, Network
          Changes,
DCH and Contractor have agreed that Contractor shall notify DCH
          within
          seven (7) Business Days of any significant changes to the Provider network
          or,
          if applicable, to any Subcontractor's Provider Network; and,

      

      
        


        WHEREAS,
pursuant
          to Section 32.0, Amendments
          in
          Writing, DCH and Contractor desire to amend the above-referenced Contract
          by adding additional funding as set forth below.

      

      
        


        NOW
          THEREFORE, for and in
          consideration of the mutual promises of the Parties, the terms, provisions
          and
          conditions of this Amendment and other good and valuable consideration,
          the
          sufficiency of which is hereby acknowledged, DCH and Contractor hereby
          agree as
          follows:

         

      

      
        I.  To
          delete
          the current Attachment II,
Capitation
          Payment, in its entirety and replace with the new Attachment H,
Capitation
          Payment, contained at Exhibit 1 to this Amendment.

         

      

      
        II. To
          amend
          the Contract by adding Section
          4.8.17.6, which reads as follows:

      

      
        


        
          	
                  4.8.17.6

                	
                  If
                    the Contractor fails to comply with the provisions of Section
                    4.8.17.1,
                    the per member per month capitation rate, used by DCH to compensate
                    the
                    Contractor, will be reduced by 3.1% for the remaining term of
                    the
                    Contract, including any renewals. 

                


        

         

      

      
        Amendment
          #2 

        Contract
          #0654

      

      
        


        Page
          1 of
          6

      



      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      


      
        III. 
          To amend the Contract by adding Section 4.8.17.7, which reads
          as follows:

      

      
        


        
          	
                  4.8.17.7

                	
                  DCH
                    and Contractor acknowledge that any failure by Contractor to
                    comply with
                    the terms of Section 4.8.17.1 would constitute a material failure
                    to
                    implement the terms of the Contract and RFP. If liquidated damages
                    are
                    assessed against the Contractor due to its failure to comply
                    with Section
                    4.8.17.1, the damages will be assessed in accordance with Section
                    23.2.1
                    (Category 1). 

                


        

      

      
         

        IV.  DCH
          and
          Contractor agree that they have assumed an obligation to perform the covenants,
          agreements, duties and obligations of the Contract, as modified and amended
          herein, and agree to abide by all the provisions, terms and conditions
          contained
          in the Contract as modified and amended.


        
           

          V.  
            This
            Amendment shall be binding and inure to the benefit of the parties hereto,
            their
            heirs, representatives, successors and assigns. Whenever the provisions
            of this
            Amendment and the Contract are in conflict, the provisions of this Amendment
            shall take precedence and control.

        

      

      
         

        VI.  It
          is
          understood by the Parties hereto that, if any part, term, or provision
          of this
          Amendment or this entire Amendment is held to be illegal or in conflict
          with any
          law of this State, then DCH, at its sole option, may enforce the remaining
          unaffected portions or provisions of this Amendment or of the Contract
          and the
          rights and obligations of the parties shall be construed and enforced as
          if the
          Contract or Amendment did not contain the particular part, term or provision
          held to be invalid.

      

      
         

      

      
        VII. This
          Amendment shall become effective as stated herein and shall remain effective
          for
          so long as the Contract is in effect.


         

        VIII. This
          Amendment shall be construed in accordance with the laws of the State of
          Georgia.

      

      
         

      

      
        IX. All
          other
          terms and conditions contained in the Contract and any amendment thereto,
          not
          amended by this Amendment, shall remain in full force and
          effect.


         

      

      
        


        -    SIGNATURES
          ON THE FOLLOWING
          PAGE   -

        


      

      
        Amendment
          #2 

        Contract
          #0654

      

      
        


        Page
          2 of
          6

      

      
        


      

      
        


        
          
            
            

          

          
            
            

            
              

            

          

          
            
            

          

        

      

      
        


      

      
        


      

      
        IN
          WITNESS WHEREOF, DCH and
          Contractor, through their authorized officers and agents, have caused this
          Amendment to be executed on their behalf as of the date
          indicated.

      

      
        


      

      
        


      

      
        	
                GEORGIA
                  DEPARTMENT OF COMMUNITY HEALTH

              	 
	 	 
	
                /s/  
RHONDA
                  M. MEDOWS    

              	
                January
                  28,
                  2008

              
	
                Dr.
                  Rhonda M. Medows, M.D.

              	
                Date

              
	
                Commissioner

              	 
	 	 
	
                WELLCARE
                  OF GEORGIA, INC.

              	 
	 	 
	
                /s/  TODD
                  S.
                  FARHA

              	
                November
                  16,
                  2007

              
	
                *
                  Signature

                 

                Todd
                  S.
                  Farha            
                  

                Please
                  Print/Type Name Here

                 

              	 


      

      
         

      

      
                   
          SEAL                          

      

      
        AFFIX
          CORPORATE SEAL HERE 

        (Corporations
          without a seal, attach 

        a
          Certificate of Corporate Resolution)

      

      
        


        


      

      
        	
                ATTEST:  /s/  THADDEUS
                  BEREDAY

              	 
	
                **Signature

              	 
	 	 
	
                Secretary

              	 
	
                TITLE

              	 


      

      


      
        


        *
          Must be
          President, Vice President, CEO or Other Authorized Officer 

        **Must
          be
          Corporate Secretary

        


      

      
        Amendment
          #2

        Contract
          #0654

      

      
        


        Page
          3 of
          6

      



      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      


      
        CONFIDENTIAL
          - NOT FOR CIRCULATION

      

      
        ATTACHMENT
          H

      

      
        


        Attachment
          H is a table displaying the contracted rates by rate cell for each contracted
          region. These rates will be the basis for calculating capitation payments
          in
          each contracted Region.

      

      
        


        (The
          table is displayed on the following page.)

        


      

      
        Amendment
          #2 

        Contract
          #0654

      

      
        


        Page
          4 of
          6

      



      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      


      
        Georgia
          Department of Community Health 

        Fiscal
          Year 2008 CMO Rates

      

      
        


         

      

      
        	 	 	 	WellCare                               	 
                WellCare
	 	 	
                
                  QA
                    Fee:

                

              	
                
                  6.00%

                

              	
                
                  5.50%

                

              
	 	 	 	
                
                  July
                    - Dec
                    2007

                

              	
                
                  Jan
-
Jun
                    2008

                

              
	
                
                  Region

                

              	
                
                                          Aid
                    Category

                

              	
                
                  Age/Gender
                    Group

                

              	 	 
	
                
                  Atlanta

                

              	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  1,686.95

                

              	
                
                  1,678.99

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  175.88

                

              	
                
                  175.05

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  119.24

                

              	
                
                  118.68

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  107.85

                

              	
                
                  107.34

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  172.10

                

              	
                
                  171.28

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  126.45

                

              	
                
                  125.85

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    - 44 Years, Female

                

              	
                
                  249.62

                

              	
                
                  248.45

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Male

                

              	
                
                  252.83

                

              	
                
                  251.63

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Female

                

              	
                
                  438.16

                

              	
                
                  436.10

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Male

                

              	
                
                  440.12

                

              	
                
                  438.04

                

              
	 	
                
                  PeachCare

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  179.39

                

              	
                
                  178.55

                

              
	 	
                
                  PeachCare

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  179.39

                

              	
                
                  178.55

                

              
	 	
                
                  PeachCare

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  104.48

                

              	
                
                  103.98

                

              
	 	
                
                  PeachCare

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  108.68

                

              	
                
                  108.17

                

              
	 	
                
                  PeachCare

                

              	
                
                  14
                    - 20 Years, Female

                

              	
                
                  127.11

                

              	
                
                  126.51

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  119.01

                

              	
                
                  118.45

                

              
	 	
                
                  Breast
                    and Cervical Cancer

                

              	
                
                  All
                    Ages

                

              	
                
                  1,138.98

                

              	
                
                  1,133.60

                

              
	 	
                
                  Maternity
                    Delivery/Kick Payment

                

              	 	
                
                  6,777.77

                

              	
                
                  6,745.80

                

              
	
                
                  Central

                

              	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  1,723.33

                

              	
                
                  1,715.20

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  215.31

                

              	
                
                  214.29

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  127.66

                

              	
                
                  127.06

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  115.61

                

              	
                
                  115.07

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  168.58

                

              	
                
                  167.78

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  121.55

                

              	
                
                  120.97

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Female

                

              	
                
                  274.58

                

              	
                
                  273.29

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    - 44 Years, Male

                

              	
                
                  310.79

                

              	
                
                  309.33

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Female

                

              	
                
                  498.45

                

              	
                
                  496.10

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Male

                

              	
                
                  604.05

                

              	
                
                  601.21

                

              
	 	
                
                  PeachCare

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  183.03

                

              	
                
                  182.16

                

              
	 	
                
                  PeachCare

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  183.03

                

              	
                
                  182.16

                

              
	 	
                
                  PeachCare

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  120.36

                

              	
                
                  119.79

                

              
	 	
                
                  PeachCare

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  119.69

                

              	
                
                  119.13

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  148.84

                

              	
                
                  148.14

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  124.72

                

              	
                
                  124.14

                

              
	 	
                
                  Breast
                    and Cervical Cancer

                

              	
                
                  All
                    Ages

                

              	
                
                  1,161.84

                

              	
                
                  1,156.36

                

              
	 	
                
                  Maternity
                    Delivery/Kick Payment

                

              	 	
                
                  6,631.61

                

              	
                
                  6,600.33

                

              
	
                
                  East

                

              	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  1,604.21

                

              	
                
                  1,596.65

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  206.47

                

              	
                
                  205.50

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  134.69

                

              	
                
                  134.05

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  114.15

                

              	
                
                  113.61

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  167.47

                

              	
                
                  166.69

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  119.67

                

              	
                
                  119.11

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Female

                

              	
                
                  271.23

                

              	
                
                  269.95

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Male

                

              	
                
                  299.17

                

              	
                
                  297.75

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Female

                

              	
                
                  476.03

                

              	
                
                  473.78

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Male

                

              	
                
                  611.35

                

              	
                
                  608.47

                

              
	 	
                
                  PeachCare

                

              	
                
                  0-2
                    Months, Male and Female

                

              	
                
                  183.03

                

              	
                
                  182.16

                

              
	 	
                
                  PeachCare

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  183.03

                

              	
                
                  182.16

                

              
	 	
                
                  PeachCare

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  123.30

                

              	
                
                  122.72

                

              
	 	
                
                  PeachCare

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  117.74

                

              	
                
                  117.18

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  143.56

                

              	
                
                  142.88

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  121.01

                

              	
                
                  120.43

                

              
	 	
                
                  Breast
                    and Cervical Cancer

                

              	
                
                  All
                    Ages

                

              	
                
                  1,161.84

                

              	
                
                  1,156.36

                

              
	 	
                
                  Maternity
                    Delivery/Kick Payment

                

              	 	
                
                  6,702.49

                

              	
                
                  6,670.87

                

              


      

      
        


        11/1/2007,
          2:21 PM

      


      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      


      
        Georgia
          Department of Community Health 

        Fiscal
          Year 2008 CMO Rates

      

      
        


                               
          

      

      
        	 	 	 	   WellCare 	 WellCare
	 	 	
                
                  QA
                    Fee:

                

              	
                
                  6.00%

                

              	
                
                  5.50%

                

              
	 	 	 	
                
                  July
                    - Dec
                    2007

                

              	
                
                  Jan
-
Jun
                    2008

                

              
	
                
                  Region

                

              	
                
                  Aid
                    Category

                

              	
                
                  Age/Gender
                    Group

                

              	 	 


      

      
        	
                
                  North

                

              	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  1,682.74

                

              	
                
                  1,674.80

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  210.78

                

              	
                
                  209.79

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  139.70

                

              	
                
                  139.04

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  6-13
                    Years, Male and Female

                

              	
                
                  127.19

                

              	
                
                  126.59

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  201.93

                

              	
                
                  200.98

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  140.11

                

              	
                
                  139.45

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Female

                

              	
                
                  317.82

                

              	
                
                  316.32

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Male

                

              	
                
                  338.12

                

              	
                
                  336.53

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Female

                

              	
                
                  514.19

                

              	
                
                  511.76

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Male

                

              	
                
                  611.35

                

              	
                
                  608.47

                

              
	 	
                
                  PeachCare

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  183.03

                

              	
                
                  182.16

                

              
	 	
                
                  PeachCare

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  183.03

                

              	
                
                  182.16

                

              
	 	
                
                  PeachCare

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  119.96

                

              	
                
                  119.40

                

              
	 	
                
                  PeachCare

                

              	
                
                  6-13
                    Years, Male and Female

                

              	
                
                  123.36

                

              	
                
                  122.77

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  146.87

                

              	
                
                  146.17

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  136.52

                

              	
                
                  135.87

                

              
	 	
                
                  Breast
                    and Cervical Cancer

                

              	
                
                  All
                    Ages

                

              	
                
                  1,161.84

                

              	
                
                  1,156.36

                

              
	 	
                
                  Maternity
                    Delivery/Kick Payment

                

              	 	
                
                  6,631.92

                

              	
                
                  6,600.63

                

              
	
                
                  Southeast

                

              	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  0-2
                    Months, Male and Female

                

              	
                
                  1,674.18

                

              	
                
                  1,666.29

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  227.57

                

              	
                
                  226.49

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  135.55

                

              	
                
                  134.91

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  118.76

                

              	
                
                  118.20

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  187.36

                

              	
                
                  186.48

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  121.12

                

              	
                
                  120.55

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Female

                

              	
                
                  308.16

                

              	
                
                  306.70

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Male

                

              	
                
                  317.36

                

              	
                
                  315.86

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Female

                

              	
                
                  532.84

                

              	
                
                  530.33

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Male

                

              	
                
                  565.23

                

              	
                
                  562.57

                

              
	 	
                
                  PeachCare

                

              	
                
                  0-2
                    Months, Male and Female

                

              	
                
                  183.74

                

              	
                
                  182.87

                

              
	 	
                
                  PeachCare

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  183.74

                

              	
                
                  182.87

                

              
	 	
                
                  PeachCare

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  125.56

                

              	
                
                  124.97

                

              
	 	
                
                  PeachCare

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  128.60

                

              	
                
                  128.00

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  146.79

                

              	
                
                  146.10

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  127.02

                

              	
                
                  126.42

                

              
	 	
                
                  Breast
                    and Cervical Cancer

                

              	
                
                  All
                    Ages

                

              	
                
                  1,167.98

                

              	
                
                  1,162.47

                

              
	 	
                
                  Maternity
                    Delivery/Kick Payment

                

              	 	
                
                  6,955.47

                

              	
                
                  6,922.67

                

              
	
                
                  Southwest

                

              	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  1,766.20

                

              	
                
                  1,757.87

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  242.09

                

              	
                
                  240.95

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  1
                    -
                    5 Years, Male and Female

                

              	
                
                  145.16

                

              	
                
                  144.48

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  119.44

                

              	
                
                  118.88

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  187.18

                

              	
                
                  186.30

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  121.48

                

              	
                
                  120.90

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    - 44 Years, Female

                

              	
                
                  287.41

                

              	
                
                  286.05

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  21
                    -44 Years, Male

                

              	
                
                  287.79

                

              	
                
                  286.44

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Female

                

              	
                
                  500.44

                

              	
                
                  498.08

                

              
	 	
                
                  Medicaid
                    (LIM/Refugee/RSM)

                

              	
                
                  45+
                    Years, Male

                

              	
                
                  594.62

                

              	
                
                  591.81

                

              
	 	
                
                  PeachCare

                

              	
                
                  0
                    -
                    2 Months, Male and Female

                

              	
                
                  183.74

                

              	
                
                  182.87

                

              
	 	
                
                  PeachCare

                

              	
                
                  3-11
                    Months, Male and Female

                

              	
                
                  183.74

                

              	
                
                  182.87

                

              
	 	
                
                  PeachCare

                

              	
                
                  1-5
                    Years, Male and Female

                

              	
                
                  129.04

                

              	
                
                  128.43

                

              
	 	
                
                  PeachCare

                

              	
                
                  6
                    -
                    13 Years, Male and Female

                

              	
                
                  127.79

                

              	
                
                  127.19

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Female

                

              	
                
                  144.83

                

              	
                
                  144.15

                

              
	 	
                
                  PeachCare

                

              	
                
                  14-20
                    Years, Male

                

              	
                
                  127.16

                

              	
                
                  126.56

                

              
	 	
                
                  Breast
                    and Cervical Cancer

                

              	
                
                  All
                    Ages

                

              	
                
                  1,167.98

                

              	
                
                  1,162.47

                

              
	 	
                
                  Maternity
                    Delivery/Kick Payment

                

              	 	
                
                  6,679.51

                

              	
                
                  6,648.01

                

              


      

      
        


        11/1/2007,
          2:21 PM