Exhibit 10.6
 AMENDMENT #5 TO CONTRACT NO. 0652 BETWEEN
GEORGIA DEPARTMENT OF COMMUNITY HEALTH AND
AMERIGROUP GEORGIA MANAGED CARE COMPANY, INC.
 September ,
 WHEREAS,
 WHEREAS,
 WHEREAS,
 Section 32.0, Amendments in Writing,
 NOW THEREFORE,
 I.
    
    Upon receiving written notice from CMS indicating that agencys approval of the revised
capitation rates, the parties shall delete the current Attachment H,Capitation Payment,in
its entirety and replace it with the new Attachment H,Capitation Payment,contained at
Exhibit 1 to this Amendment.II.
    
    DCH and Contractor agree that they have assumed an obligation to perform the covenants,
agreements, duties and obligations of the Contract, as modified and amended herein, and
agree to abide by all the provisions, terms and conditions contained in the Contract as
modified and amended.III.
    
    This Amendment shall be binding and inure to the benefit of the parties hereto, their
heirs, representatives, successors and assigns. Whenever the provisions of this Amendment
and the Contract are in conflict, the provisions of this Amendment shall take precedence
and control.
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VI.
    
    It is understood by the Parties hereto that, if any part, term, or
provision of this Amendment or this entire Amendment is held to be
illegal or in conflict with any law of this State, then DCH, at its
sole option, may enforce the remaining unaffected portions or
provisions of this Amendment or of the Contract and the rights and
obligations of the parties shall be construed and enforced as if the
Contract or Amendment did not contain the particular part, term or
provision held to be invalid.VII.
    
    This Amendment shall become effective as stated herein and shall
remain effective for so long as the Contract is in effect.VIII.
    
    This Amendment shall be construed in accordance with the laws of the
State of Georgia.IX.
    
    All other terms and conditions contained in the Contract and any
amendment thereto, not amended by this Amendment, shall remain in
full force and effect.
 - SIGNATURES ON THE FOLLOWING PAGE -
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SIGNATURE PAGE
 IN WITNESS WHEREOF,
 GEORGIA DEPARTMENT OF COMMUNITY HEALTH
 /S/ Dr. Rhonda M. Medows, M.D.
    
    DateCommssioner
 AMERIGROUP GEORGIA MANAGED CARE COMPANY, INC.
 BY:Date
 /S/ Dr,Tunde Sotunde, CEOPlease Print/Type Name HereAFFIX CORPORATE SEAL HERE (Corporations without
a seal, attach a Certificate of Corporate Resolution
 ATTEST: /S/ Stanley F. BaldwinTITLE: Secretary
 
 *
    
    Must be President, Vice President, CEO or Other Authorized Officer**
    
    Must be Corporate Secretary Page 3 of 4




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EXHIBIT 1
 ATTACHMENT H
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2009 CMO Rates
 Region
    
    Aid Category
    
    Age/Gender Group
    
    AmerigroupAtlanta
    
    Medicaid (LIM/Refugee/RSM)
    
    0 - 2 Months, Male and Female
    
    ****REDACTED***Atlanta
    
    
    
    3 - 11 Months, Male and FemaleAtlanta
    
    
    
    1 - 5 Years, Male and FemaleAtlanta
    
    
    
    6 -13 Years, Male and FemaleAtlanta
    
    
    
    14 - 20 Years, FemaleAtlanta
    
    
    
    14 - 20 Years, MaleAtlanta
    
    
    
    21 - 44 Years, FemaleAtlanta
    
    
    
    21 -44 Years, MaleAtlanta
    
    
    
    45+ Years, FemaleAtlanta
    
    
    
    45+ Years, MaleAtlanta
    
    PeachCare
    
    0 - 2 Months, Male and FemaleAtlanta
    
    PeachCare
    
    3 - 11 Months, Male and FemaleAtlanta
    
    PeachCare
    
    1 - 5 Years, Male and FemaleAtlanta
    
    PeachCare
    
    6 - 13 Years, Male and FemaleAtlanta
    
    PeachCare
    
    14 - 20 Years, FemaleAtlanta
    
    PeachCare
    
    14 - 20 Years, MaleAtlanta
    
    Breast and Cervical Cancer
    
    All AgesAtlantaEast
    
    
    
    0 - 2 Months, Male and FemaleEast
    
    
    
    3 - 11 Months, Male and FemaleEast
    
    Medicaid (LIM/Refugee/RSM)
    
    1 - 5 Years, Male and FemaleEast
    
    Medicaid (LIM/Refugee/RSM)
    
    6 - 13 Years, Male and FemaleEast
    
    Medicaid (LIM/Refugee/RSM)
    
    14 - 20 Years, FemaleEast
    
    Medicaid (LIM/Refugee/RSM)
    
    14 - 20 Years, MaleEast
    
    Medicaid (LIM/Refugee/RSM)
    
    21 -44 Years, FemaleEast
    
    Medicaid (LIM/Refugee/RSM)
    
    21 -44 Years, MaleEast
    
    Medicaid (LIM/Refugee/RSM)
    
    45+ Years, FemaleEast
    
    Medicaid (LIM/Refugee/RSM)
    
    45+ Years, MaleEast
    
    PeachCare
    
    0 - 2 Months, Male and FemaleEast
    
    PeachCare
    
    3 - 11 Months, Male and FemaleEast
    
    PeachCare
    
    1 - 5 Years, Male and FemaleEast
    
    PeachCare
    
    6 - 13 Years, Male and FemaleEast
    
    PeachCare
    
    14 - 20 Years, FemaleEast
    
    PeachCare
    
    14 - 20 Years, MaleEast
    
    Breast and Cervical Cancer
    
    All AgesEast
    
    Maternity Delivery/Kick PaymentNorthNorth
    
    Medicaid (LIM/Refugee/RSM)
    
    3 - 11 Months, Male and FemaleNorth
    
    Medicaid (LIM/Refugee/RSM)
    
    1 - 5 Years, Male and Female  6 - 13North
    
    Medicaid (LIM/Refugee/RSM)
    
    Years, Male and FemaleNorth
    
    Medicaid (LIM/Refugee/RSM)
    
    14 - 20 Years, FemaleNorth
    
    Medicaid (LIM/Refugee/RSM)
    
    14 - 20 Years, MaleNorth
    
    Medicaid (LIM/Refugee/RSM)
    
    21 - 44 Years, FemaleNorth
    
    Medicaid (LIM/Refugee/RSM)
    
    21 - 44 Years, MaleNorth
    
    Medicaid (LIM/Refugee/RSM)
    
    45+ Years, FemaleNorth
    
    Medicaid (LIM/Refugee/RSM)
    
    45+ Years, MaleNorth
    
    PeachCare
    
    0 - 2 Months, Male and FemaleNorth
    
    PeachCare
    
    3 - 11 Months, Male and FemaleNorth
    
    PeachCare
    
    1 - 5 Years, Male and FemaleNorth
    
    PeachCare
    
    6 -13 Years, Male and FemaleNorth
    
    PeachCare
    
    14 - 20 Years, FemaleNorth
    
    PeachCare
    
    14 - 20 Years, MaleNorth
    
    Breast and Cervical Cancer
    
    All AgesNorth
    
    Maternity Delivery/Kick PaymentSoutheast
    
    Medicaid (LIM/Refugee/RSM)
    
    0 - 2 Months, Male and FemaleSoutheast
    
    Medicaid (LIM/Refugee/RSM)
    
    3 - 11 Months, Male and FemaleSoutheast
    
    Medicaid (LIM/Refugee/RSM)
    
    1 - 5 Years, Male and FemaleSoutheast
    
    Medicaid (LIM/Refugee/RSM)
    
    6 - 13 Years, Male and FemaleSoutheast
    
    Medicaid (LIM/Refugee/RSM)
    
    14 - 20 Years, FemaleMedicaid (LIM/Refugee/RSM)
    
    14 - 20 Years, MaleSoutheast
    
    Medicaid (LIM/Refugee/RSM)
    
    21 - 44 Years, FemaleSoutheast
    
    Medicaid (LIM/Refugee/RSM)Southeast
    
    Medicaid (LIM/Refugee/RSM)
    
    21 - 44 Years, Male 45+ Years, FemaleSoutheast
    
    Medicaid (LIM/Refugee/RSM)
    
    45+ Years, MaleSoutheast
    
    PeachCare
    
    0 - 2 Months, Male and FemaleSoutheast
    
    PeachCare
    
    3 - 11 Months, Male and FemaleSoutheast
    
    PeachCare
    
    1 - 5 Years, Male and FemaleSoutheast
    
    PeachCare
    
    6 -13 Years, Male and FemaleSoutheast
    
    PeachCare
    
    14 - 20 Years, FemaleSoutheast
    
    PeachCare
    
    14 - 20 Years, MaleSoutheast
    
    Breast and Cervical Cancer
    
    All AgesSoutheast
    
    Maternity Delivery/Kick Payment