Ex1034eFA972Amendment4




Exhibit 10.34.e


AHCA CONTRACT NO. FA972
AMENDMENT NO. 4


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 HEALTHEASE, 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 09/01/2012 – 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 09/01/2012 – 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 five (5) 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

	HEALTHEASE
	 
	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 (4 Pages)




    
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

AHCA Contract No. FA972, Amendment No. 4, Page 1 of 1


    


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

	Healthease
	 
	 



    


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 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:  Escambia, Santa Rosa
    
	
			
	Effective Date:  09/01/2012

	County
	Enrollment Level
	Provider Number

	Escambia
	67,500
	15019344

	Santa Rosa
	31,500
	15019343








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


Area 2 Counties:  Bay, Calhoun, Gadsden, Jefferson, Leon, Liberty, Madison, Wakulla
    
	
			
	Effective Date:  09/01/2012

	County
	Enrollment Level
	Provider Number

	Bay
	16,900
	15019345

	Calhoun
	800
	15019340

	Gadsden
	3,500
	15019315

	Jefferson
	1,000
	15019318

	Leon
	7,000
	15019320

	Liberty
	400
	15019342

	Madison
	1,500
	15019322

	Wakulla
	1,000
	15019336






REMAINDER OF PAGE INTENTIONALLY LEFT BLANK



AHCA Contract No. FA972, Attachment I, Exhibit 1, Page 1 of 4




    


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

	Healthease
	 
	 



    




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


		
	Area 3 Counties:
	Citrus, Lake, Marion, Putnam


    
	
			
	Effective Dates:  09/01/2012

	County
	Enrollment Level
	Provider Number

	Citrus
	7,500
	15019309

	Lake
	17,000
	15019319

	Marion
	20,000
	15019323

	Putnam
	6,000
	15019329








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


Area 4 Counties:  Duval, Volusia
    
	
			
	Effective Date:  09/01/2012

	County
	Enrollment Level
	Provider Number

	Duval
	55,000
	15019313

	Volusia
	15,000
	15019335








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
	6,000
	15019302

	Pinellas
	9,000
	15019303






REMAINDER OF PAGE INTENTIONALLY LEFT BLANK



AHCA Contract No. FA972, Attachment I, Exhibit 1, Page 2 of 4




    


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

	Healthease
	 
	 



    


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


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

	County
	Enrollment Level
	Provider Number

	Highlands
	3,000
	15019317

	Hillsborough
	18,000
	15019300

	Manatee
	6,000
	15019301

	Polk
	10,000
	15019304








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


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

	County
	Enrollment Level
	Provider Number

	Brevard
	14,000
	15019308

	Orange
	25,000
	15019327

	Osceola
	8,000
	15019328

	Seminole
	4,000
	15019333






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


Area 8 County:  Sarasota
    
	
			
	Effective Dates:  09/01/2012

	County
	Enrollment Level
	Provider Number

	Sarasota
	3,000
	15019332








REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

AHCA Contract No. FA972, Attachment I, Exhibit 1, Page 3 of 4




    


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

	Healthease
	 
	 



    


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


Area 9 Counties:  Martin, Palm Beach
    
	
			
	Effective Dates:  09/01/2012

	County
	Enrollment Level
	Provider Number

	Martin
	5,000
	15019324

	Palm Beach
	10,500
	15019339




        


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
	13,500
	15019337








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


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

	County
	Enrollment Level
	Provider Number

	Miami-Dade
	25,000
	15016909









AHCA Contract No. FA972, Attachment I, Exhibit 1, Page 4 of 4