exhibit10-1.htm


    
      

    

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      Exhibit
        10.1

      


      MEDICAID
        ADVANTAGE MODEL CONTRACT

      


      Amendment
        of Agreement Between The City of New York

      and
        WellCare of New York, Inc.

      


      This
        Amendment, effective April 1, 2007, amends the Medicaid Advantage Model Contract
        (hereinafter referred to as the “Agreement”) made by and between the City of New
        York, acting through the New York City Department of Health and Mental Hygiene
        (hereinafter referred to as “LDSS” or “DOHMH”) and WellCare of New York, Inc.
        (hereinafter referred to as “Contractor” or “MCO”).

      


      WHEREAS
        the parties entered into an Agreement effective April 1, 2006, amended January
        1, 2007, for the purpose of providing Medicare and Medicaid Advantage Products
        to eligible recipients residing in the Contractor’s Medicaid Advantage Service
        Area; and

      


      WHEREAS
        the parties desire to amend said Agreement to modify certain provisions to
        reflect current circumstances and intentions, and, as authorized in Section
        2.1
        of the Agreement, to extend the term of the Agreement until December 31,
        2008;

      


      NOW
        THEREFORE, effective April 1, 2007, it is mutually agreed by the parties
        to
        amend this Agreement as follows:

      


      1.
        Amend Section 5.1 (a) “Eligible to Enroll in the Medicaid Advantage Program”
to read as follows:

      


      5.1           Eligible
        to Enroll in the Medicaid Advantage program

      


      a)
        Except
        as specified in Section 5.2, persons meeting the following criteria shall
        be
        eligible to enroll in the Contractor’s Medicaid Advantage Product:

      


      i)
        Must
        have full Medicaid coverage;

      


      ii)
        Must
        have evidence of Medicare Part A & B coverage; or be enrolled in Medicare
        Part C coverage;

      


      iii)
        Must
        reside in the service area as defined in Appendix M of this
        Agreement;

      


      iv)
        Must
        be 18 years of age or older; and

      


      v)
        Must
        enroll in the Contractor’s Medicare Advantage product as defined in Section 1
        and Appendix K-1 of this Agreement.

      


      This
        Amendment is effective April 1, 2007 and the Agreement, including the
        modifications made by this Amendment, shall remain in effect until December
        31,
        2008 or until an extension, renewal or successor Agreement is entered into
        as
        provided for in Section 2.1 of the Agreement.


      
        
           

        

        
           

          
            

          

        

        
           

        

      


      


      


      IN
        WITNESS WHEREOF, the parties have duly executed this Amendment to the Agreement
        on the dates appearing below their respective signatures

      


      
        	
                CONTRACTOR

              	
                CITY
                  OF NEW YORK

              
	
                By:    
                  /s/  Todd Farha     
                  

              	
                  
                  /s/  Andrew
                  Rein          
                  

              
	
                Todd
                  Farha

              	
                Andrew
                  Rein

              
	
                Title:
                  President & CEO

              	
                COO/EDC

              
	
                WellCare
                  of New York, Inc.

              	
                NYC
                  DOHMH

              
	
                Date:
                  4/5/07

              	
                4/16/2007

              


      

      


       


      
        
           

        

        
           

          
            

          

        

        
           

        

      


      STATE
        OF
        FLORIDA

      


      COUNTY
        OF
        HILLSBOROUGH

      


      On
        this 5 day of April, 2007, Todd
        Farha came before me, to me known and known to be the President and CEO of
        WellCare of New York, Inc., who is duly authorized to execute the foregoing
        instrument on behalf of said corporation and s/he acknowledged to me that
        s/he
        executed the same for the purpose therein mentioned.

       

      NOTARY
        PUBLIC

      


      


      


      STATE
        OF
        NEW YORK

      


      COUNTY
        OF
        NEW YORK

      


      On
        this
        16 day April, 2007, Andrew Rein came before me, to me known and known to
        be the
        Executive Deputy Commissioner in the New York City Department of Health and
        Mental Hygiene, who is duly authorized to execute the foregoing instrument
        on
        behalf of the City and s/he acknowledged to me that s/he executed the same
        for
        the purpose therein mentioned.

      


      NOTARY
        PUBLIC