EX-10.1






AHCA CONTRACT NO. FA614




AMENDMENT NO. 1




THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE
ADMINISTRATION, hereinafter referred to as the “Agency” and AMERIGROUP COMMUNITY CARE, INC.,
hereinafter referred to as the “Vendor”, is hereby amended as follows:



1. Standard Contract, Section II, Item A, the first sentence is hereby amended to now read:




To pay for contracted services according to the conditions of Attachment I in an amount not to
exceed $1,021,554,466.00 (an increase of $18,518,174.00), subject to availability of funds.




	2.	 	Attachment I, Section B, Method of Payment, Item 1, General, the first paragraph is hereby
amended to now read as follows:






Notwithstanding the payment amounts which may be computed with the rate tables specified in
Exhibit III, the sum of total capitation payments under this Contract shall not exceed the total
Contract amount of $1,021,554,466.00 (an increase of $18,518,174.00).




	3.	 	Attachment I, Exhibit II, Capitation Rates, is hereby deleted in its entirety and replaced
with Exhibit II-A, Revised Capitation Rates, attached hereto and made a part of the Contract.






	4.	 	Attachment II, Section V, Covered Services, Item B, Optional Services, is hereby deleted in
its entirety and replaced with the following:






B. Optional Services




1. The Plan shall offer the following services within all applicable Medicaid guidelines:



	 	 	 	 	 
	
 
	 	Covered
	 	Not Covered
	 
	 	 	 	 
	Dental Services

	 	 	 	X
	
 
	 	 	 	 
	 
	 	 	 	 
	Transportation Services

	 	X
	 	

	
 
	 	 
	 	








	5.	 	This Amendment shall have an effective date of January 1, 2007, or the date on which both
parties execute the Amendment, whichever is later.





All provisions in the Contract and any attachments thereto in conflict with this amendment
shall be and are hereby changed to conform with this amendment.



All provisions not in conflict with this amendment are still in effect and are to be performed
at the level specified in the Contract.



This amendment and all its attachments are hereby made a part of the Contract.

1


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 three (3) page amendment (which
includes all attachments hereto) to be executed by their officials thereunto duly authorized.



	 	 	 	 	 
	AMERIGROUP COMMUNITY CARE, INC.STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION
	SIGNED

	 	 	 	SIGNED
	 
	 	 	 	 
	NAME: Don Gilmore

	 	 	 	NAME: Christa Calamas
	 
	 	 	 	 
	 
	 	 
	 
	 	 	 	 
	TITLE: CEO

	 	 	 	TITLE: Secretary
	 
	 	 	 	 
	 
	 	 
	 
	 	 	 	 
	DATE:

	 	

	 	

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

Type

Exhibit

	 	Letter/ Number

II-A
	 	

Description

Revised Capitation Rates (1 Page)






REMAINDER OF PAGE INTENTIONALLY LEFT BLANK




2




EXHIBIT II-A


REVISED CAPITATION RATES



	 	 	 	 	 
	Table 4 - General Capitation Rates plus Mental Health Rates plus Transportation:

	Area 5 Counties:
	 	 	 	 
	County:
	 	Provider Number:

	Pasco
	 	 	015005304	 
	Pinellas
	 	 	015005305	 
	Area 6 Counties:
	 	 	 	 
	County:
	 	Provider Number:

	Hillsborough
	 	 	015005300	 
	Polk
	 	 	015005307	 
	Manatee
	 	 	015005318	 
	Area 7 Counties:
	 	 	 	 
	County:
	 	Provider Number:

	Orange
	 	 	015005308	 
	Seminole
	 	 	015005313	 
	Osceola
	 	 	015005314	 
	Brevard
	 	 	015005336	 
	Area 8 Counties:
	 	 	 	 
	County:
	 	Provider Number:

	Lee
	 	 	015005302	 
	Sarasota
	 	 	015005306	 
	Area 9 Counties:
	 	 	 	 
	County:
	 	Provider Number:

	Palm Beach
	 	 	015005310	 
	Area 10 Counties:
	 	 	 	 
	County:
	 	Provider Number:

	Broward
	 	 	015005311	 
	Area 11 Counties:
	 	 	 	 
	County:
	 	Provider Number:

	Miami-Dade
	 	 	015005312	 






EXHIBIT III




September 1, 2006- August 31, 2007 HMO RATES

(MEDICAID Non-Reform HMO CAPITATION RATES)

By Area , Age and Eligibility Category

Effective from September 1, 2006 thru August 31, 2007




	 	 	 	 	 
	TABLE 3	 	 	 	 
	General + MH + Dental Rates:

	 	

	 	

	TANF

	 	SSI-N
	 	SSI-B SSI-AB






Area BTHM0+2M0 3M0.11MO AGE (1-5) AGE (6-13) AGE (14-20) AGE (21.54) AGE (55+) BTHMO+2M0 3M0-11MO
AGE (1-5) AGE (6-13) AGE (14-20) AGE (21-54) AGE (55+) AGE (65-) AGE (65+)



	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	01

02

03

	 	984.43

984.43

1,119.05
	 	187.80

187.80

215.14
	 	98.41

99.27

112.34
	 	76.67

83.33

83.37
	 	Female

142.09

143.64

155.49
	 	Male

82.41

83.96

87.52
	 	Female

245.26

244.45

281.35
	 	Male

158.28

157.47

181.61
	 	

326.24

325.93

378.51
	 	

9,105.08

9,105.09

9,838.63
	 	

1,515.00

1,515.01

1,650.61
	 	

432.51

435.33

465.60
	 	

268.70

275.89

255.18
	 	

292.89

273.51

270.70
	 	

795.68

742.82

788.49
	 	

702.46

687.60

747.08
	 	

227.77

246.52

231.90
	 	

96.63

98.51

87.26
	 	

86.76

88.64

77.34






04 977.47 188.45 98.28 74.52 136.78 77.53 247.57 160.06 333.90 9,496.10 1,594.99 453.16 268.97
275.55 777.64 729.71 301.57 101.51 91.14



	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	05

06

07

08

09

10

11

	 	1,067.16

952.21

995.59

891.17

959.79

950.00

1,250.59
	 	205.72

184.55

192.19

172.29

184.66

183.48

239.83
	 	108.38

97.98

100.95

90.51

97.52

97.54

126.08
	 	82.24

80.32

80.49

68.89

76.58

80.65

97.97
	 	150.94

143.81

143.01

126.08

137.48

139.77

177.28
	 	85.79

85.67

82.60

71.75

78.87

81.87

101.17
	 	275.45

248.64

253.93

227.84

242.05

242.34

312.69
	 	179.28

162.82

164.71

147.84

156.40

157.32

201.72
	 	370.68

335.19

342.70

308.28

325.82

327.46

419.94
	 	10,493.91

9,507.05

9,869.10

8,573.21

9,678.23

12,128.20

13,040.11
	 	1,761.87

1,601.07

1,664.39

1,440.47

1,630.71

2,049.66

2,192.62
	 	497.23

454.57

471.63

406.25

460.05

578.71

617.59
	 	271.12

272.52

274.11

224.35

256.93

323.81

337.84
	 	289.01

298.58

283.87

237.32

270.44

341.82

358.76
	 	842.94

832.70

810.02

691.37

784.62

989.96

1,047.74
	 	800.28

751.55

764.07

655.12

743.09

938.51

994.82
	 	237.48

270.73

266.03

207.65

193.17

234.27

294.22
	 	92.44

80.85

90.77

87.12

88.23

94.95

131.90
	 	79.75

70.09

80.76

77.23

78.67

84.02

116.39






TABLE 4



General + MH + Transportation



TANF SSI-N SSI-B SSI-AB



Area BTHM0+2M0 3M0.11MO AGE (1-5) AGE (6-13) AGE (14-20) AGE (21-54) AGE (55+) BTHMO+2M0 3M0-11MO
AGE (1-5) AGE (6-13) AGE (14-20) AGE (21-54) AGE (55+) AGE (65-) AGE (65+)



	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	01

02

03

04

05

06

07

08

09

10

11

	 	989.41

989.41

1,124.90

981.69

1,070.82

956.09

998.64

896.29

964.64

953.74

1,253.13
	 	189.41

189.41

217.03

189.81

206.90

185.80

193.18

173.95

186.23

184.69

240.64
	 	97.06

97.92

110.60

97.06

105.54

96.08

99.28

89.03

95.47

95.35

123.00
	 	72.23

78.89

77.82

70.59

75.03

75.05

75.95

64.12

70.73

74.82

90.63
	 	Female

138.71

140.26

151.16

133.73

144.28

139.25

139.01

122.39

132.56

134.57

170.16
	 	Male

79.17

80.72

83.44

74.63

79.94

81.66

79.01

68.25

74.37

77.25

95.05
	 	Female

248.03

247.22

282.97

248.31

270.09

247.35

253.13

228.37

243.58

243.04

312.73
	 	Male

159.83

159.02

182.02

160.00

174.06

161.07

163.62

147.45

156.91

157.31

201.33
	 	

329.39

329.08

380.34

334.75

364.54

333.72

341.78

308.88

327.57

328.25

419.99
	 	

9,129.34

9,129.35

9,868.98

9,525.59

10,513.00

9,527.20

9,889.65

8,596.82

9,702.53

12,156.21

13,058.07
	 	

1,535.05

1,535.06

1,675.69

1,619.35

1,777.63

1,617.71

1,681.36

1,459.97

1,650.78

2,072.80

2,207.46
	 	

440.25

443.07

475.17

463.16

500.55

459.82

477.19

413.52

467.40

586.63

621.12
	 	

267.63

274.82

253.66

268.67

265.53

269.59

271.52

222.85

255.16

320.83

333.27
	 	

294.48

275.10

272.53

278.36

286.05

298.08

283.71

238.44

271.41

342.12

356.60
	 	

813.36

760.50

809.95

798.72

851.58

843.95

823.30

706.27

802.29

1,010.07

1,058.59
	 	

714.87

700.01

761.99

744.42

805.21

758.71

773.02

665.08

755.47

952.55

1,001.97
	 	

239.52

258.27

241.15

307.55

239.28

273.49

269.96

214.93

198.62

239.40

296.79
	 	

112.65

114.53

110.17

122.56

100.41

90.97

103.61

101.16

107.13

118.00

144.07
	 	

93.54

95.42

87.01

100.01

82.63

74.07

86.01

83.01

86.64

93.74

121.37
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 







3