fa904amendment6.htm


Back to Form 10-Q


Exhibit 10.15


 



	
WellCare of Florida, Inc.

	  	
Medicaid HMO Non-Reform Contract


	
d/b/a Staywell Health Plan of Florida

	  	  





 


AHCA CONTRACT NO. FA904


AMENDMENT NO. 6







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 STAYWELL HEALTH PLAN OF FLORIDA, hereinafter referred to as the “Vendor” or “Health Plan”, is hereby amended as follows:








	
1.

	
Effective August 1, 2011, Attachment I, Scope of Services, Capitated Health Plans, is hereby amended to include Attachment I, Exhibit 1-A, Revised Maximum Enrollment Levels, attached hereto and made a part of the Contract.  All references in the Contract to Attachment I, Exhibit I, shall hereinafter also refer to Attachment I, Exhibit 1-A, as appropriate.


 


	
2.

	
Attachment II, Core Contract Provisions, Section XVI., Terms and Conditions, is hereby amended to include Item GG. as follows:


 


	  	
GG.  Work Authorization Program


 


	  	
The immigration Reform and Control Act of 1986 prohibits employers from knowingly hiring illegal workers.  The Vendor shall only employ individuals who may legally work in the United States – either U.S. citizens or foreign citizens who are authorized to work in the U.S.  The Vendor shall use the U.S. Department of Homeland Security’s E-Verify Employment Eligibility Verification system to verify the employment eligibility of:













	  	
Ø 

	
all persons employed by the Vendor, during the term of this Contract, to perform employment duties within Florida; and,


 


	  	
Ø 

	
all persons (including subcontractors) assigned by the Vendor to perform work pursuant to this Contract.













	  	
The Vendor shall include this provision in all subcontracts it enters into for the performance of work under this Contract.


	  	  
	  	
Unless otherwise stated, this amendment is 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 the Contract.


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


	  	  
	  	
This amendment cannot be executed unless all previous amendments to this Contract have been fully executed.







 


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AHCA Contract No. FA904, Amendment No. 6, Page 1 of 2






  





  











  














	
WellCare of Florida, Inc.

	  	
Medicaid HMO Non-Reform Contract


	
d/b/a Staywell Health Plan of Florida

	  	  










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


STAYWELL HEALTH PLAN OF FLORIDA

	
STATE OF FLORIDA, AGENCY FOR 


HEALTH CARE ADMINISTRATION


	  	  	  	  	  	  
	
SIGNED

	  	  	
SIGNED

	  	  
	
BY:

	
/s/Christina Cooper

	  	
BY:

	/s/ Elizabeth Dudek





 



	
NAME:

	
Christina Cooper

	  	
Name:

	
Elizabeth Dudek


	
 


TITLE:

	
 


President, Florida & Hawaii Division

	  	
 


TITLE:

	
 


Secretary


	
 


DATE:

	
 


6/29/11

	  	
 


DATE:

	
  


6/30/11







 


 


List of Attachments/Exhibits included as part of this amendment:


 



	
Specify


Type

	  	
Letter/


Number

	  	
 


Description


	
Attachment I

	  	
Exhibit 1-A

	  	
Revised Maximum Enrollment Levels (3 Pages)

















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AHCA Contract No. FA904, Amendment No. 6, Page 2 of 2











  





  











  






 



	
WellCare of Florida, Inc.

	  	
Medicaid HMO Non-Reform Contract


	
d/b/a Staywell Health Plan of Florida

	  	  










ATTACHMENT I


EXHIBIT 1-A


REVISED MAXIMUM ENROLLMENT LEVELS







Maximum enrollment levels and Health Plan provider numbers associated with the counties and populations served.  Exhibit 2-NR-B provide the capitation rate tables respective to the areas of operation listed below.







A.  Non-Reform







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








	  	
Area 3 Counties: Hernando, Sumter


 


	  	
Effective Date: 09/01/09


	  	
County

	
Enrollment Level

	
Provider Number


	  	
Hernando

	
15,000

	
015016901


	  	
Sumter

	
4,500

	
015016916












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








	  	
Area 5 Counties: Pasco, Pinellas


 


	  	
Effective Date: 09/01/09


	  	
County

	
Enrollment Level

	
Provider Number


	  	
Pasco

	
7,000

	
015016903


	  	
Pinellas

	
15,000

	
015016904







 


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








	  	
Area 6 Counties: Hillsborough, Manatee, Polk


 


	  	
Effective Date: 09/01/09


	  	
County

	
Enrollment Level

	
Provider Number


	  	
Hillsborough

	
28,000

	
015016902


	  	
Manatee

	
12,000

	
015016912


	  	
Polk

	
25,000

	
015016905






















AHCA Contract No. FA904, Attachment I, Exhibit 1-A, Page 1 of 3


 




  





  











  












	
WellCare of Florida, Inc.

	  	
Medicaid HMO Non-Reform Contract


	
d/b/a Staywell Health Plan of Florida

	  	  










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








	  	
Area 7 Counties: Orange, Seminole, Osceola, Brevard


 


	  	
Effective Date: 09/01/09


	  	
County

	
Enrollment Level

	
Provider Number


	  	
Orange

	
38,000

	
015016906


	  	
Seminole

	
6,000

	
015016908


	  	
Osceola

	
12,000

	
015016907


	  	
Brevard

	
14,000

	
015016913












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








	  	
Area 8 Counties: Lee, Sarasota, Charlotte


 


	  	
Effective Date: 09/01/09, and 08/01/11 Charlotte


	  	
County

	
Enrollment Level

	
Provider Number


	  	
Lee

	
15,000

	
015016911


	  	
Sarasota

	
6,000

	
015016914


	  	
Charlotte

	
27,000

	
TBD












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








	  	
Area 9 Counties: Palm Beach, St. Lucie, Indian River


 


	  	
Effective Date: 09/01/09, and 08/01/11 Indian River


	  	
County

	
Enrollment Level

	
Provider Number


	  	
Palm Beach

	
15,000

	
015016910


	  	
St. Lucie

	
4,500

	
015016915


	  	
Indian River

	
10,500

	
TBD







 


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AHCA Contract No. FA904, Attachment I, Exhibit 1-A, Page 2 of 3


 






  





  











  












	
WellCare of Florida, Inc.

	  	
Medicaid HMO Non-Reform Contract


	
d/b/a Staywell Health Plan of Florida

	  	  










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








	  	
Area 10 Counties:  Broward


 


	  	
Effective Date: 09/01/09


	  	
County

	
Enrollment Level

	
Provider Number


	  	
Broward

	
25,000

	
015016900







 


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








	  	
Area 11 Counties:  Miami-Dade


 


	  	
Effective Date: 09/01/09


	  	
County

	
Enrollment Level

	
Provider Number


	  	
Miami-Dade

	
25,000

	
015016909






















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AHCA Contract No. FA904, Attachment I, Exhibit 1-A, Page 3 of 3