Ex1035fFA971Amendment6




Exhibit 10.35.f


AHCA CONTRACT NO. FA971
AMENDMENT NO. 6


THIS CONTRACT, entered into between the State of Florida, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and WELLCARE OF FLORIDA, INC., D/B/A STAYWELL HEALTH PLAN OF FLORIDA, hereinafter referred to as the "Vendor," or “Health Plan,” is hereby amended as follows:
		
	1.
	Effective October 1, 2013, Attachment I, Scope of Services, Capitated Health Plans, Exhibit 1, Maximum Enrollment Levels, Effective Date 08/01/2013 – 08/31/2015, is hereby deleted in its entirety and replaced with Exhibit 1, Maximum Enrollment Levels Effective Date 10/01/2013 – 08/31/2015, attached hereto and made part of this Contract.  All references in this Contract to Exhibit 1, Maximum Enrollment Levels 08/01/2013 – 08/31/2015 shall hereinafter refer to Exhibit 1, Maximum Enrollment Levels 10/01/2013 – 08/31/2015.


Unless otherwise stated, this Amendment shall be effective upon execution by both Parties.
All provisions not in conflict with this Amendment are still in effect and are to be performed at the level specified in this Contract.
This Amendment, and all its attachments, are hereby made part of this Contract.
This Amendment cannot be executed unless all previous amendments to this Contract have been fully executed.
IN WITNESS WHEREOF, the Parties hereto have caused this six (6) page Amendment (including all attachments) to be executed by their officials thereunto duly authorized.
	
						
	WELLCARE OF FLORIDA, INC., D/B/A 
	 
	STATE OF FLORIDA, AGENCY FOR

	STAYWELL HEALTH PLAN OF FLORIDA 
	 
	HEALTH CARE ADMINISTRATION

	 
	 
	 
	 
	 
	 

	SIGNED
	 
	SIGNED
	 

	BY:
	/s/ David McNichols
	 
	BY:
	/s/ Elizabeth Dudek




	
					
	NAME:
	David McNichols
	 
	NAME:
	Elizabeth Dudek

	 
	 
	 
	 
	 

	TITLE:
	President, FL and HI Division
	 
	TITLE:
	Secretary

	 
	 
	 
	 
	 

	DATE:
	Nov. 18, 2013
	 
	DATE:
	11/22/2013






List of Attachments/Exhibits included as part of this Amendment:	
					
	Specify
	 
	Letter/
	 
	 

	Type
	 
	Number
	 
	Description

	Attachment I
	 
	Exhibit I
	 
	Maximum Enrollment Levels

	 
	 
	 
	 
	Effective Date 10/01/2013 – 08/31/2015 (5 Pages)






REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

AHCA Contract No. FA971, Amendment No. 6, Page 1 of 1




    
    
	
			
	WellCare of Florida, Inc. d/b/a
	 
	Medicaid HMO Non-Reform

	Staywell Health Plan of Florida
	 
	and Reform Contract








ATTACHMENT I
EXHIBIT 1
MAXIMUM ENROLLMENT LEVELS
EFFECTIVE DATE 10/01/2013 – 08/31/2015


Maximum enrollment levels and Health Plan provider numbers associated with the counties and populations served as denoted below. Attachment I, Scope of Services, Exhibit 2-NR and Exhibit 2-R provide the capitation rate tables respective to the areas of operation listed below.


		
	A.
	Non-Reform




See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates 


Area1 Counties:  Okaloosa, Walton
    
	
			
	Effective Date:  01/01/2013

	County
	Enrollment Level
	Provider Number

	Okaloosa
	12,400
	15016943

	Walton
	3,700
	15016944








See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates 


Area 2 Counties:  Franklin, Taylor, Gulf, Holmes, Jackson, Washington
    
	
			
	Effective Date:  11/01/2012

	County
	Enrollment Level
	Provider Number

	Franklin
	1,000
	15016926

	Taylor
	2,500
	15016935

	Effective Date: 01/01/2013

	Gulf
	1,300
	15016939

	Holmes
	2,800
	15016940

	Jackson
	5,500
	15016941

	Washington
	2,800
	15016945






REMAINDER OF PAGE INTENTIONALLY LEFT BLANK



AHCA Contract No. FA971, Attachment I, Exhibit 1, Page 1 of 5




    
    
	
			
	WellCare of Florida, Inc. d/b/a
	 
	Medicaid HMO Non-Reform

	Staywell Health Plan of Florida
	 
	and Reform Contract








See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates


		
	Area 3 Counties:
	Hernando, Sumter, Columbia, Bradford, Dixie, Gilchrist, Hamilton, Lafayette, Levy, Suwannee, Union, Alachua


    
	
			
	Effective Dates:  09/01/2012

	County
	Enrollment Level
	Provider Number

	Hernando
	15,000
	15016901

	Sumter
	4,500
	15016916

	Columbia
	8,200
	15016922

	Effective Dates: 11/01/2012

	Bradford
	3,000
	15016924

	Dixie
	1,900
	15016925

	Gilchrist
	1,600
	15016927

	Hamilton
	1,900
	15016929

	Lafayette
	600
	15016931

	Levy
	4,900
	15016932

	Suwannee
	5,300
	15016934

	Union
	1,400
	15016936

	Effective Dates: 01/01/2013

	Alachua
	19,100
	15016937








See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates 


Area 4 Counties:  St. Johns, Flagler
    
	
			
	Effective Date:  09/01/2012

	County
	Enrollment Level
	Provider Number

	St. Johns
	8,300
	15016920

	Flagler
	7,400
	15016923






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AHCA Contract No. FA971, Attachment I, Exhibit 1, Page 2 of 5




    
    
	
			
	WellCare of Florida, Inc. d/b/a
	 
	Medicaid HMO Non-Reform

	Staywell Health Plan of Florida
	 
	and Reform Contract








See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates 


Area 5 Counties:  Pasco, Pinellas
    
	
			
	Effective Date:  09/01/2012

	County
	Enrollment Level
	Provider Number

	Pasco
	7,000
	15016903

	Pinellas
	15,000
	15016904








See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates 


Area 6 Counties:  Hillsborough, Manatee, Polk, Hardee
    
	
			
	Effective Date:  09/01/2012

	County
	Enrollment Level
	Provider Number

	Hillsborough
	60,000
	15016902

	Manatee
	12,000
	15016912

	Polk
	25,000
	15016905

	Hardee
	4,100
	15016921








See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates 


Area 7 Counties:  Orange, Seminole, Osceola, Brevard
    
	
			
	Effective Date:  09/01/2012

	County
	Enrollment Level
	Provider Number

	Orange
	75,000
	15016906

	Seminole
	10,000
	15016908

	Osceola
	30,000
	15016907

	Brevard
	30,000
	15016913






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AHCA Contract No. FA971, Attachment I, Exhibit 1, Page 3 of 5




    
    
	
			
	WellCare of Florida, Inc. d/b/a
	 
	Medicaid HMO Non-Reform

	Staywell Health Plan of Florida
	 
	and Reform Contract






See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates 


Area 8 Counties:  DeSoto, Lee, Sarasota, Charlotte, Glades, Hendry, Collier
    
	
			
	Effective Dates:  09/01/2012

	County
	Enrollment Level
	Provider Number

	DeSoto
	4,100
	15016919

	Lee
	30,000
	15016911

	Sarasota
	15,000
	15016914

	Charlotte
	27,000
	15016917

	Effective Dates: 11/01/2012

	Glades
	500
	15016928

	Hendry
	6,000
	15016930

	Effective Dates: 01/01/2013

	Collier
	22,800
	15016938






See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates 


Area 9 Counties:  Palm Beach, St. Lucie, Indian River, Okeechobee
    
	
			
	Effective Dates:  09/01/2012

	County
	Enrollment Level
	Provider Number

	Palm Beach
	40,000
	15016910

	St. Lucie
	15,000
	15016915

	Indian River
	10,500
	15016918

	Effective Dates: 11/01/2012

	Okeechobee
	5,000
	15016933




        


See Exhibit 2-NR Table 2, General Capitation Rates plus Mental Health Rates 


Area 10 County:  Broward
    
	
			
	Effective Date:  09/01/2012

	County
	Enrollment Level
	Provider Number

	Broward
	25,000
	15016900








See Exhibit 2-NR Table 2, General Capitation Rates, Mental Health Rates 

AHCA Contract No. FA971, Attachment I, Exhibit 1, Page 4 of 5




    
    
	
			
	WellCare of Florida, Inc. d/b/a
	 
	Medicaid HMO Non-Reform

	Staywell Health Plan of Florida
	 
	and Reform Contract








Area 11 County:  Miami-Dade, Monroe
    
	
			
	Effective Date:  09/01/2012

	County
	Enrollment Level
	Provider Number

	Miami-Dade
	25,000
	15016909

	Effective Date: 01/01/2013

	Monroe
	3,600
	15016942






B.  Reform


See Exhibit 2-R (Baker, Clay, Duval, Nassau)


Agency Area 4 
    
	
			
	Effective Date:  01/01/2013

	County
	Enrollment Level
	Provider Number

	Baker
	5,000
	7293703

	Clay
	5,000
	7293704

	Duval
	20,000
	7293701

	Nassau
	5,000
	7293702








See Exhibit 2-R (Broward)


Agency Area 10 
    
	
			
	Effective Date:  01/01/2013

	County
	Enrollment Level
	Provider Number

	Broward
	10,000
	7293700






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AHCA Contract No. FA971, Attachment I, Exhibit 1, Page 5 of 5