EX-10.23.3






COUNTY OF TRAVIS



AMENDMENT 13




TO THE AGREEMENT BETWEEN THE

HEALTH & HUMAN SERVICES COMMISSION

AND

AMERIGROUP TEXAS, INC.

FOR HEALTH SERVICES

TO THE

CHILDREN’S HEALTH INSURANCE PROGRAM




THIS CONTRACT AMENDMENT (the “Amendment”) is entered into between the HEALTH &
HUMAN SERVICES COMMISSION (“HHSC”), an administrative agency within the executive
department of the State of Texas, and Amerigroup Texas, Inc. (“CONTRACTOR”), a health
maintenance organization organized under the laws of the State of Texas, possessing a certificate
of authority issued by the Texas Department of Insurance to operate as a health maintenance
organization, and having its principal office at 1200 Copeland Road, Suite 200, Arlington, Texas
76011. HHSC and CONTRACTOR may be referred to in this Amendment individually as a “Party”
and collectively as the “Parties.”



The Parties hereby agree to amend their original contract, HHSC contract
number 529-00-139 (the “Agreement”), as set forth in Article 2 of this
Amendment.



ARTICLE 1. PURPOSE.




Section 1.01 Authorization.



This Amendment is executed by the Parties in accordance with
Article 8 of the Agreement. Section 1.02  Modification;
Confirmation.




By this Amendment, the Parties:




(a) Amend Section 17.03 of the Agreement, concerning encounter data
specifications reports; and



(b) Confirm their prior extension of the term of the Agreement through
August 31, 2005. Section 1.03 Effective Date of changes




(a) General effective date of changes.



This Amendment is effective August 31, 2004, and terminates on the
Expiration Date of the Agreement, unless extended or terminated sooner by HHSC in
accordance with the Agreement.



ARTICLE 2. AMENDMENT TO THE OBLIGATIONS OF THE PARTIES.




Section 2.01 Modification to Section17.03 Encounter Data Specifications Reports.




Section 17.03 of the Agreement, Encounter Data Specifications Report, is amended to read as
follows: “Section 17.03 Encounter Data Specifications Reports.





1





CONTRACTOR will report encounter data each month in accordance with the
requirements of Amendment 13 Appendix G, attached hereto and incorporated herein by
reference. CONTRACTOR will submit such reports by the 10th day of each month
for encounter data from the preceding month.”



Section 2.02  Confirmation of Term of Agreement and Expiration Date.



(a) In Amendment 12, the Parties extended the term of the Agreement through
August 31, 2005 (unless extended or terminated sooner by HHSC in accordance with the
Agreement) and set forth the time and manner of premium payments for
members covered by CONTRACTOR from September 1, 2004, through August 31, 2005.




(b) The Parties hereby clarify and confirm that:




(1) the term of the Agreement is through August 31, 2005, unless extended or terminated
sooner by HHSC in accordance with the Agreement; and




(2) the term “Expiration Date” is revised to August 31, 2005, unless extended or terminated
sooner by HHSC in accordance with the Agreement.



ARTICLE 3. REPRESENTATIONS AND AGREEMENT OF THE PARTIES




The Parties contract and agree that the terms of the Agreement
will remain in effect and continue to govern except to the extent modified in
this Amendment.



By signing this Amendment, the Parties expressly understand and agree that this
Amendment is hereby made a part of the Agreement as though it were set out word for word
in the Agreement.



IN WITNESS HEREOF, HHSC and the CONTRACTOR have each caused this Amendment to be signed and
delivered by its duly authorized representative.



	 	 	 
	HEALTH AND HUMAN SERVICES COMMISSION	 	AMERIGROUP TEXAS, INC.
	By:

	 	By:
	
 
	 	 
	Albert Hawkins

Executive Commissioner

	 	Eric M. Yoder, M.D.

President and CEO
	 
	 	 
	Date:

	 	Date:
	 

	 	 
	 
	 	 








2