##### 



Exhibit 10.27.2.3
 Amerigroup Florida, Inc. 
d/b/a Amerigroup Community Care
    
    Medicaid Reform HMO Contract
 AHCA CONTRACT NO. FAR005
AMENDMENT NO. 7
 THIS CONTRACT, STATE OF FLORIDA, AGENCY FOR HEALTH CARE
ADMINISTRATION, AMERIGROUP FLORIDA, INC. D/B/A
AMERIGROUP COMMUNITY CARE,
 1.
    
    Standard Contract, Section II, Item A, Contract Amount, the first sentence is hereby revised
to now read as follows:To pay for contracted services according to the conditions of Attachment I in an amount not
to exceed $98,825,203.00 (an increase of $32,071.00), subject to availability of funds.2.
    
    Attachment I, Scope of Services, Section C, Method of Payment, Item 1, General, the first
paragraph is hereby revised to now read as follows:Notwithstanding the payment amounts which may be computed with the rate tables specified in
Tables 2 thru 8, the sum of total capitation payments under this Contract shall not exceed
the total Contract amount of $98,825,203.00 (an increase of $32,071.00).3.
    
    Attachment I, Scope of Services, is hereby amended to include Exhibits 3-B, 5-C, 6-C, and
9-B, attached hereto and made a part of the Contract. All references in the Contract to
Exhibits 3-A, 5-B, 6-B, and 9-A, shall hereinafter instead refer to Exhibits 3-B, 5-C, 6-C,
and 9-B.4.
    
    This Amendment shall have an effective date of January 1, 2008, or the date on which other
parties execute the Amendment which ever is later.
     REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
 AHCA Contract No. FAR005, Amendment No. 7, Page 1 of 2




---



##### 



Amerigroup Florida, Inc. 
d/b/a Amerigroup Community Care
    
    Medicaid Reform HMO Contract
 IN WITNESS WHEREOF,
 STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION
 SIGNED BY:
    
    /s/ THOMAS WILFONG
    
    
    
    NAME:
    
    Andrew C. Agwunobi, M.D.NAME:
    
    THOMAS WILFONG
    
    
    
    TITLE:
    
    SecretaryTITLE:
    
    COO
    
    
    
    DATE:
    
    __________DATE:
    
    12/25/2007
  Letter/Specify Type
    
    Number
    
    DescriptionExhibit
    
    3-B
    
    Comprehensive and Catastrophic Component Capitation Rates (2 Pages)Exhibit
    
    5-C
    
    Capitation Rates SSI Medicare Part B Only and SSI Medicare Parts A & B
Enrollees for All Medicaid Reform Counties (1 Page)Exhibit
    
    6-C
    
    Capitation Rates for HIV/AIDS Populations for Each Medicaid Reform
County (1 Page)Exhibit
Services
(1 Page)
    
    9-B
    
    Kick Payment Amounts for Covered Obstetrical Delivery
 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
 AHCA Contract No. FAR005, Amendment No. 7, Page 2 of 2




---



##### 



Area: 10
    
    County: Broward
  ***REDACTED***
 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
AHCA Contract No. FAR3, Exhibit 6-C, Page 1 of 1




---



##### 



Area: 4
    
    County: Duval, Baker, Clay, Nassau
  ***REDACTED***
 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
AHCA Contract No. FAR4, Exhibit 6-C, Page 1 of 1




---



##### 



Area: 10
    
    County: Broward
  ***REDACTED***
 Area: 4
    
    County: Duval, Baker, Clay, and Nassau
  ***REDACTED***
 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
AHCA Contract No. FAR5, Exhibit 6-C, Page 1 of 1




---



##### 



Area: 10
    
    County: Broward
  ***REDACTED***
 Area: 4
    
    County: Duval, Baker, Clay, and Nassau
  ***REDACTED***
 REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
AHCA Contract No. FAR6, Exhibit 6-C, Page 1 of 1




---



##### 



TABLE 8
 Area: 10
    
    County: Broward
 ***REDACTED***
 Area: 04
    
    County: Duval, Baker, Clay, Nassau
 ***REDACTED***
 AHCA Contract No. FAR005, Exhibit 9-B, Page 1 of 1