Exhibit 10.20.7
 Contractual Document (CD)
    
    (LOGO)
 Responsible Office: HHSC Office of General Counsel (OGC)
    
    HHSC Contract No. 529-06-0280-00002-S
 Subject: HHSC Managed Care Contract
 Part
1: Parties to the Contract:
 Amerigroup Texas, Inc. 3800 Buffalo
Speedway, Suite 400, Houston, TX 77098.
   Part 2: Effective Date of
    
    Part 3: Contract ExpirationAmendment:
    
    Date
    

Part 4: Operational Start Date:March 1, 2011
    
    August 31, 2013
    
    STAR and CHIP HMOs: September 1, 2006STAR+PLUS HMOs: February 1, 2007CHIP Perinatal HMOs:
January 1, 2007
 Part
5: Project Managers:
 HHSC:
    
    HMO:Scott Schalchlin
    
    Aileen McCormickDirector, Health Plan Operations
    
    Amerigroup Texas, Inc.11209 Metric Boulevard, Building H
    
    3800 Buffalo Speedway, Suite 400Austin, Texas 78758
    
    Houston, Texas 77098Phone: 512-491-1866
    
    Phone: 713-218-5101Fax: 512-491-1969
    
    Fax: 713-218-8692E-mail: amccorm@amerigroupcorp.com
 Part 6: Deliver Legal Notices to:
 HHSC:
    
    HMO:General Counsel
    
    Amerigroup Texas, Inc.4900 North Lamar Boulevard, 4th Floor
    
    3800 Buffalo Speedway, Suite 400Austin, Texas 78751
    
    Houston, Texas 77098Fax: 512-424-6586
    
    Fax: 713-218-8692
 Part 7: HMO Programs and Service Areas:
 (check all that
apply).
 Page 1 of 10




---



##### 



Contractual Document (CD)
    
    (LOGO)
 Responsible Office: HHSC Office of General Counsel (OGC)
    
    HHSC Contract No. 529-06-0280-00002-S
 Subject: HHSC Managed Care Contract
 þ Medicaid STAR HMO Program
 Service Areas:
    
    o Bexar
    
    o Lubbockþ Dallas
    
    þ Nueceso El Paso
    
    þ Tarrantþ Harris
    
    þ Travis
  þ Medicaid STAR+PLUS HMO Program
 Service Areas:
    
    þ Bexar
    
    o Nuecesþ Harris
    
    þ Travis
  þ CHIP HMO Program
 Core Service Areas:
    
    o Bexar
    
    þ Nuecesþ Dallas
    
    þ Tarranto El Paso
    
    o Travisþ Harriso LubbockOptional Service Areas:
    
    o Bexar
    
    o Lubbocko El Paso
    
    o Nueceso Harris
    
    o Travis
  þ CHIP Perinatal Program
 Core Service Areas:
    
    o Bexar
    
    o Nueceso Dallas
    
    þ Tarranto El Paso
    
    o Traviso Harriso Lubbock
 Page 2 of 10




---



##### 



Contractual Document (CD)
    
    (LOGO)
 Responsible Office: HHSC Office of General Counsel (OGC)
    
    HHSC Contract No. 529-06-0280-00002-S
 Subject: HHSC Managed Care Contract
 Optional Service Areas:
    
    o Bexar
    
    o Lubbocko El Paso
    
    o Nueceso Harris
    
    o Travis
  Part 8: Payment
  þ Medicaid STAR HMO PROGRAM
 Capitation:
 Service Area: DALLASRate Period 5
    
    Rate Period 5
    
    Rate Period 5Rate Cell
    
    9/1/10-11/30/10
    
    12/1/10-1/31/11
    
    2/1/11-8/31/111
    
    TANF Child > 12 months
    
    $
    127.00
    
    
    $
    127.20
    
    
    $
    126.782
    
    TANF child < 12 months
    
    $
    412.12
    
    
    $
    417.34
    
    
    $
    416.173
    
    TANF Adult
    
    $
    312.44
    
    
    $
    307.23
    
    
    $
    305.254
    
    Pregnant Woman
    
    $
    551.81
    
    
    $
    540.79
    
    
    $
    535.385
    
    Newborn < 12 months
    
    $
    581.95
    
    
    $
    580.65
    
    
    $
    578.376
    
    Expansion Child > 12 months
    
    $
    148.81
    
    
    $
    149.31
    
    
    $
    148.887
    
    Expansion child < 12 months
    
    $
    265.57
    
    
    $
    267.77
    
    
    $
    266.988
    
    Federal Mandate child
    
    $
    105.44
    
    
    $
    105.54
    
    
    $
    105.259
    
    Delivery Supplemental Payment
    
    $
    3,537.13
    
    
    $
    3,537.13
    
    
    $
    3,537.1310.
    
    Bariatric Supplemental Payment
    
    $
    23,000.00
    
    
    $
    23,000.00
    
    
    $
    23,000.00
 Page 3 of 10




---



##### 



Contractual Document (CD)
    
    (LOGO)
   Subject: HHSC Managed Care Contract
 Service Area: HARRIS
 Rate Period 5
    
    Rate Period 5
    
    Rate Period 5Rate Cell
    

9/1/10-11/30/10
    
    12/1/10-1/31/11
    
    2/1/11-8/31/111
    TANF Child > 12 months
    
    $
    130.00
    
    
    $
    128.57
    
    
    $
    128.062

    TANF child
£ 12 months
    
    $
    371.17
    
    
    $
    369.78
    
    
    $
    368.233
    TANF Adult
    
    $
    508.17
    
    
    $
    481.84
    
    
    $
    478.934
    Pregnant Woman
    
    $
    605.75
    
    
    $
    565.49
    
    
    $
    560.055
    Newborn £ 12 months
    
    $
    670.32
    
    
    $
    681.16
    
    
    $
    678.146
    Expansion Child > 12 months
    
    $
    125.14
    
    
    $
    124.59
    
    
    $
    124.117
    Expansion child £ 12 months
    
    $
    290.90
    
    
    $
    289.07
    
    
    $
    288.088
    Federal Mandate child
    
    $
    98.76
    
    
    $
    98.03
    
    
    $
    97.669
    Delivery Supplemental Payment
    
    $
    3,519.20
    
    
    $
    3,519.20
    
    
    $
    3,519.2010.
    Bariatric Supplemental Payment
    
    $
    23,000.00
    
    
    $
    23,000.00
    
    
    $
    23,000.00Service Area: NUECESRate Period 5
    
    Rate Period 5
    
    Rate Period 5Rate Cell
    

9/1/10-11/30/10
    
    12/1/10-1/31/11
    
    2/1/11-8/31/111
    TANF Child > 12 months
    
    $
    159.39
    
    
    $
    160.82
    
    
    $
    160.302
    TANF child £ 12 months
    
    $
    460.06
    
    
    $
    471.71
    
    
    $
    470.163
    TANF Adult
    
    $
    392.84
    
    
    $
    396.17
    
    
    $
    393.674
    Pregnant Woman
    
    $
    570.50
    
    
    $
    601.66
    
    
    $
    596.255
    Newborn £ 12 months
    
    $
    834.51
    
    
    $
    857.24
    
    
    $
    853.786
    Expansion Child > 12 months
    
    $
    172.14
    
    
    $
    173.83
    
    
    $
    173.317
    Expansion child £ 12 months
    
    $
    415.97
    
    
    $
    422.71
    
    
    $
    421.468
    Federal Mandate child
    
    $
    124.49
    
    
    $
    125.16
    
    
    $
    124.769
    Delivery Supplemental Payment
    
    $
    3,203.82
    
    
    $
    3,203.82
    
    
    $
    3,203.8210.
    Bariatric Supplemental Payment
    
    $
    23,000.00
    
    
    $
    23,000.00
    
    
    $
    23,000.00
 Page 4 of 10




---



##### 



Contractual Document (CD)
    
    (LOGO)
   Subject: HHSC Managed Care Contract
 Service Area: TARRANT
 Rate Period 5
    
    Rate Period 5
    
    Rate Period 5Rate Cell


9/1/10-11/30/10
    
    12/1/10-1/31/11
    
    2/1/11-8/31/111
    TANF Child
> 12 months

    $
    131.00
    
    
    $
    129.96
    
    
    $
    129.502
    TANF child £ 12 months

    $
    266.98
    
    
    $
    268.87
    
    
    $
    267.953
    TANF Adult

    $
    313.54
    
    
    $
    303.42
    
    
    $
    301.454
    Pregnant Woman

    $
    530.17
    
    
    $
    482.71
    
    
    $
    477.665
    Newborn £ 12 months

    $
    633.85
    
    
    $
    612.33
    
    
    $
    610.116
    Expansion Child >12 months

    $
    134.77
    
    
    $
    134.74
    
    
    $
    134.307
    Expansion child £ 12 months

    $
    247.30
    
    
    $
    247.33
    
    
    $
    246.558
    Federal Mandate child

    $
    100.70
    
    
    $
    100.38
    
    
    $
    100.059
    Delivery Supplemental Payment

    $
    3,635.64
    
    
    $
    3,635.64
    
    
    $
    3,635.6410.
    Bariatric Supplemental Payment

    $
    23,000.00
    
    
    $
    23,000.00
    
    
    $
    23,000.00Service Area: TRAVISRate Period 5
    
    Rate Period 5
    
    Rate Period 5Rate Cell
    

9/1/10-11/30/10
    
    12/1/10-1/31/11
    
    2/1/11-8/31/111
    TANF Child
> 12 months
    
    $
    115.31
    
    
    $
    114.51
    
    
    $
    114.062
    TANF child £ 12 months
    
    $
    224.84
    
    
    $
    219.17
    
    
    $
    218.273
    TANF Adult
    
    $
    301.35
    
    
    $
    281.05
    
    
    $
    279.304
    Pregnant Woman
    
    $
    577.45
    
    
    $
    510.63
    
    
    $
    505.835
    Newborn £ 12 months
    
    $
    707.57
    
    
    $
    691.19
    
    
    $
    687.916
    Expansion Child >12 months
    
    $
    118.36
    
    
    $
    118.36
    
    
    $
    117.937
    Expansion child £ 12 months
    
    $
    337.34
    
    
    $
    337.64
    
    
    $
    336.608
    Federal Mandate child
    
    $
    92.99
    
    
    $
    92.80
    
    
    $
    92.469
    Delivery Supplemental Payment
    
    $
    3,247.49
    
    
    $
    3,247.49
    
    
    $
    3,247.4910.
    Bariatric Supplemental Payment
    
    $
    23,000.00
    
    
    $
    23,000.00
    
    
    $
    23,000.00
 STAR SSI Administrative Fee:
 Delivery Supplemental Payment:
 Bariatric Supplemental Payment:
 Page 5 of 10




---



##### 



Contractual Document (CD)
    
    (LOGO)
 Responsible Office: HHSC Office of General Counsel (OGC)
    
    HHSC Contract No. 529-06-0280-00002-S
 Subject: HHSC Managed Care Contract
 þ Medicaid STAR+PLUS HMO Program
 Capitation:
 STAR+PLUS Service Area: BEXAR
 Rate Period 5
    
    Rate Period 5Rate Cell
    
    9/1/10-1/31/11
    
    2/1/11-8/31/111.
    Medicaid Only Standard Rate
    
    $
    530.20
    
    
    $
    528.092.
    Medicaid Only 1915(C) Nursing Facility Waiver Rate
    
    $
    2,967.95
    
    
    $
    2,960.763.
    Dual Eligible Standard Rate
    
    $
    270.12
    
    
    $
    270.124.
    Dual Eligible 1915(C) Nursing Facility Waiver Rate
    
    $
    1,672.83
    
    
    $
    1,672.835.
    Nursing Facility  Medicaid Only
    
    $
    530.20
    
    
    $
    528.096.
    Nursing Facility  Dual Eligible
    
    $
    270.12
    
    
    $
    270.127.
    Bariatric Supplemental Payment
    
    $
    23,000.00
    
    
    $
    23,000.00
 STAR+PLUS
Service Area: HARRIS
 Rate Period 5
    
    Rate Period 5Rate Cell
    
    9/1/10-1/31/11
    
    2/1/11-8/31/111.
    Medicaid Only Standard Rate
    
    $
    633.41
    
    
    $
    630.972.
    Medicaid Only 1915(C) Nursing Facility Waiver Rate
    
    $
    3,382.71
    
    
    $
    3,371.403.
    Dual Eligible Standard Rate
    
    $
    227.94
    
    
    $
    227.944.
    Dual Eligible 1915(C) Nursing Facility Waiver Rate
    
    $
    1,488.08
    
    
    $
    1,488.085.
    Nursing Facility  Medicaid Only
    
    $
    633.41
    
    
    $
    630.976.
    Nursing Facility  Dual Eligible
    
    $
    227.94
    
    
    $
    227.947.
    Bariatric Supplemental Payment
    
    $
    23,000.00
    
    
    $
    23,000.00
 Page 6 of 10




---



##### 



Contractual Document (CD)
    
    (LOGO)
 Responsible Office: HHSC Office of General Counsel (OGC)
    
    HHSC Contract No. 529-06-0280-00002-S
 Subject: HHSC Managed Care Contract
 STAR+PLUS Service Area: TRAVIS
    
    Rate Period 5
    
    Rate Period 5Rate Cell
    

9/1/10-1/31/11
    
    2/1/11-8/31/111. Medicaid Only Standard Rate
    
    $
    631.23
    
    
    $
    628.282. Medicaid Only 1915(C) Nursing Facility Waiver Rate
    
    $
    3,825.77
    
    
    $
    3,814.443. Dual Eligible Standard Rate
    
    $
    175.39
    
    
    $
    175.394. Dual Eligible 1915(C) Nursing Facility Waiver Rate
    
    $
    1,803.90
    
    
    $
    1,803.905.
Nursing Facility  Medicaid Only
    
    $
    631.23
    
    
    $
    628.286.
Nursing Facility  Dual Eligible
    
    $
    175.39
    
    
    $
    175.397. Bariatric Supplemental Payment
    
    $
    23,000.00
    
    
    $
    23,000.00
 Bariatric Supplemental Payment:
 þ CHIP HMO PROGRAM
 Capitation:
 Service Area: DALLAS
    
    Rate Period 5
    
    Rate Period 5Rate Cell
    

9/1/10-1/31/11
    
    2/1/11-8/31/111 < Age 1
    
    $
    130.73
    
    
    $
    130.172 Ages 1
through 5
    
    $
    97.67
    
    
    $
    97.393 Ages 6 through 14
    
    $
    77.66
    
    
    $
    77.494 Ages 15 through 18
    
    $
    114.22
    
    
    $
    113.90
 Page 7 of 10




---



##### 



Contractual Document (CD)
    
    (LOGO)
 Responsible Office: HHSC Office of General Counsel (OGC)
    
    HHSC Contract No. 529-06-0280-00002-S
 Subject: HHSC Managed Care Contract
 Service Area: HARRIS
 Rate Period 5
    
    Rate Period 5Rate Cell
    
    9/1/10-1/31/11
    
    2/1/11-8/31/111 < Age 1
    
    $
    160.66
    
    
    $
    160.042 Ages 1 through 5
    
    $
    96.69
    
    
    $
    96.313 Ages 6 through 14
    
    $
    71.82
    
    
    $
    71.584 Ages 15 through 18
    
    $
    106.50
    
    
    $
    106.07
 Service Area: NUECES
 Rate Period 5
    
    Rate Period 5Rate Cell
    

9/1/10-1/31/11
    
    2/1/11-8/31/111 < Age 1
    
    $
    56.67
    
    
    $
    56.612 Ages 1 through 5
    
    $
    99.33
    
    
    $
    99.333 Ages 6 through 14
    
    $
    66.94
    
    
    $
    66.954 Ages 15 through 18
    
    $
    109.97
    
    
    $
    109.95
 Service Area: TARRANT
 Rate Period 5
    
    Rate Period 5Rate Cell
    

9/1/10-1/31/11
    
    2/1/11-8/31/111 < Age 1
    
    $
    203.57
    
    
    $
    203.092 Ages 1 through 5
    
    $
    85.80
    
    
    $
    85.523 Ages 6 through 14
    
    $
    65.44
    
    
    $
    65.254 Ages 15 through 18
    
    $
    98.55
    
    
    $
    98.21
 Delivery Supplemental Payment:
 Page 8 of 10




---



##### 



Contractual Document (CD)
    
    (LOGO)
 Responsible Office: HHSC Office of General Counsel (OGC)
    
    HHSC Contract No. 529-06-0280-00002-S
 Subject: HHSC Managed Care Contract
 þ CHIP Perinatal Program
 Capitation:
 Service Area: TARRANT
 Rate Period 5
    
    Rate Period 5Rate Cell
    

9/1/10-1/31/11
    
    2/1/11-8/31/111 Perinate Newborn 0% to 185%
    
    $
    276.50
    
    
    $
    275.322 Perinate Newborn Above 185% to 200%
    
    $
    508.97
    
    
    $
    506.583 Perinate 0% to 185%
    
    $
    433.32
    
    
    $
    430.834 Perinate Above 185% to 200%
    
    $
    345.91
    
    
    $
    342.41
 Delivery Supplemental Payment:
 Part 9: Contract Attachments:
  Version 1.17 is replaced with Version
1.18
 Version 1.17 is replaced with Version 1.18 for all
attachments, except if noted.
              Page 9 of 10




---



##### 



Contractual Document (CD)
    
    (LOGO)
 Responsible Office: HHSC Office of General Counsel (OGC)
    
    HHSC Contract No. 529-06-0280-00002-S
 Subject: HHSC Managed Care Contract
      Part 10: Special Provision for Nueces Service Area
 Attachment A, Section 10.04 is amended to include sub-part (b) as follows:
  Part
11: Signatures:
  Texas Health and Human Services Commission
    
    Amerigroup Texas, Inc./s/ C. E. Bell, M.D.

Charles E. Bell, M.D.
    
    /s/ Aileen McCormick

By: Aileen McCormickDeputy Executive Commissioner for Health Services
    
    Title: President and CEODate: 2/9/11
    
    Date: January 19, 2011
 Page 10 of 10