Document:

Exhibit
10.128

AMENDMENT

CALIFORNIACARE MEDICAL SERVICES AGREEMENT

 

This Amendment to the CALIFORNIACARE Medical Services Agreement is
entered into at Woodland Hills, Los Angeles County.  California, as of August 1, 1997 between Blue Cross of
California and its Affiliates (“BLUE CROSS”) and Prospect Medical Group
(“PARTICIPATING MEDICAL GROUP”).

 

RECITALS

 

A.                                   BLUE CROSS and PARTICIPATING MEDICAL GROUP
have previously entered into a CALIFORNIACARE Medical Services Agreement
(“Agreement”), effective                      
whereby PARTICIPATING MEDICAL GROUP is designated as a Participating Medical
Group.

 

B.                                     Pursuant to Section 16.01 of the
Agreement, the parties now desire to amend the Agreement to provide for Members
to have direct access to PARTICIPATING MEDICAL GROUP physicians in certain
specialties without the prior approval of PARTICIPATING MEDICAL GROUP.

 

NOW,
THEREFORE, IT IS AGREED:

 

1.                                       The following paragraph M, is hereby added to
the end of Section 4.02 of the Agreement:

 

M.                                 To allow Members, in accordance with their
applicable Benefit Agreement, ‘‘Direct Access” to PARTICIPATING MEDICAL GROUP
Physicians in specialties listed below. 
Direct Access means Members may visit with such specialist physicians
without a referral from the Member’s Primary Care Physician or other prior
authorization from PARTICIPATING MEDICAL GROUP’S Utilization Management
Program.

 

(1)                                  Dermatology

(2)                                  Allergy

(3)                                  Ear, Nose and Throat

(4)                                  Obstetrics/Gynecology

 

Services to be provided during the Member’s Direct Access visit(s) shall
include those services which would have ordinarily been provided had the Member
obtained a referral or other prior authorization from PARTICIPATING MEDICAL
GROUP.  Any services provided in
addition and/or subsequent to those above shall be provided by such specialists
to Members in accordance with BLUE CROSS’ and PARTICIPATING MEDICAL GROUP’s
existing referral and authorization protocols and procedures.

 

In addition to any other amounts due hereunder, PARTICIPATING MEDICAL
GROUP shall be reimbursed under (i) or (ii) below as applicable:

 

(i)                                     PARTICIPATING MEDICAL GROUP shall receive a
payment of *** per Member per Month (“PMPM”) (not adjusted for Member Age/Sex
Factors or Plan Factors) for each Member, assigned to PARTICIPATING MEDICAL
GROUP who is entitled under the Member’s Benefit Agreement to Direct Access to
PARTICIPATING MEDICAL GROUP Physicians for all four of the above-mentioned
specialties.

 

*** Confidential Information omitted and filed separately with the
Securities and Exchange Commission.

 

 

AMENDMENT

CALIFORNIACARE MEDICAL SERVICES AGREEMENT

 

(ii)                                  PARTICIPATING MEDICAL GROUP shall receive a
payment of *** PMPM (not adjusted for Member Age/Sex Factors or Plan Factors)
for each female Member, fifteen (15) years old or above, assigned to PARTICIPATING
MEDICAL GROUP who is entitled under her Benefit Agreement to Direct Access to
only PARTICIPATING MEDICAL GROUP Physicians who specialize in
Obstetrics/Gynecology.

 

Upon
acceptance of the parties, this Amendment, as of the date specified on page one
hereof, shall become a part of this Agreement, and all provisions of the
Agreement not specifically inconsistent herewith shall remain in full force and
effect.

 

 

	
  BLUE CROSS OF CALIFORNIA

  	
   

  	
  PARTICIPATING MEDICAL GROUP

  
	
   

  	
   

  	
   

  
	
  /s/ Barry Ford

  	
   

  	
  /s/ Gregg De Nicola

  
	
  Signature

  	
   

  	
  Signature

  
	
   

  	
   

  	
   

  
	
  Barry
  Ford

  	
   

  	
  Gregg De Nicola

  
	
  Print
  Name

  	
   

  	
  Print
  Name

  
	
   

  	
   

  	
   

  
	
  Vice
  President,

  	
   

  	
   

  
	
  Network
  Development/Management

  	
   

  	
  President

  
	
  Title

  	
   

  	
  Title

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
  6-25-97

  
	
  Date

  	
   

  	
  DateExhibit
10.129

 

AMENDMENT

CALIFORNIACARE
MEDICAL SERVICES AGREEMENT

 

This Amendment to CaliforniaCare Medical
Services Agreement (“Amendment”), is entered into at Woodland Hills, Los
Angeles County, California as of July 1, 1999 by and between Blue Cross of
California and its Affiliates (“BLUE CROSS”) and Prospect Medical Group
(“PARTICIPATING MEDICAL GROUP”).

 

RECITALS

 

A.                                   BLUE CROSS and PARTICIPATING MEDICAL GROUP
have previously entered into a CaliforniaCare Medical Services
Agreement, whereby PARTICIPATING MEDICAL GROUP is designated as a Participating
Medical Group.  The foregoing agreement
and any amendments thereto shall be referred to herein as the “Agreement.” All
capitalized terms not otherwise defined herein shall have the meanings ascribed
to them in the Agreement.

 

B.                                     The
parties desire to amend the Agreement as set forth in this Amendment.

 

NOW, THEREFORE, IT IS AGREED:

 

1.                                       BLUE
CROSS and PARTICIPATING MEDICAL GROUP hereby agree that PARTICIPATING MEDICAL
GROUP Physicians may freely communicate with Members regarding the treatment
options available to them, including medication treatment options, regardless
of benefit coverage limitations

 

Upon acceptance by the parties, this Amendment, as of the date
specified above, shall become a part of the Agreement, and all provisions of
the Agreement not specifically inconsistent herewith shall remain in full force
and effect.

 

 

	
  BLUE CROSS OF CALIFORNIA

  	
  PROSPECT MEDICAL GROUP

  
	
   

  	
   

  	
   

  	
   

  
	
  Signature:

  	
  /s/
  Barry Ford

  	
   

  	
  Signature:

  	
   /s/ Peter G. Goll

  
	
   

  	
   

  	
   

  	
   

  
	
  Name:

  	
  Barry
  Ford

  	
  Name:

  	
  Peter G. Goll

  
	
   

  	
   

  	
   

  	
   

  
	
  Title:

  	
  VP Network Development/Management

  	
   

  	
  Title:

  	
  Senior Vice President

  
	
   

  	
   

  	
   

  	
   

  
	
  Date:

  	
  6-14-99

  	
   

  	
  Date:

  	
  6-1-99Exhibit
10.130

 

AMENDMENT

CALIFORNIACARE MEDICAL SERVICES AGREEMENT

 

This Amendment to CaliforniaCare Medical
Services Agreement (“Amendment”), is entered into at Woodland Hills, Los
Angeles County, California as of January 1, 1999, by and between Blue Cross of
California and its Affiliates (“BLUE CROSS”) and Prospect Medical Group
(“PARTICIPATING MEDICAL GROUP”).

 

RECITALS

 

A.                                   BLUE CROSS and PARTICIPATING MEDICAL GROUP
have previously entered into a CaliforniaCare Medical Services Agreement,
whereby PARTICIPATING MEDICAL GROUP is designated as a Participating Medical
Group.  The foregoing agreement and any
amendments thereto shall be referred to herein as the “Agreement.” All
capitalized terms not otherwise defined herein shall have the meanings ascribed
to them in the Agreement.

 

B.                                     BLUE CROSS is responsible for the performance
of certain activities (“Compliance Activities”) related to Medical Services in
order to comply with applicable state and federal laws and accreditation and
certification requirements of managed care organization oversight agencies,
including, but not limited to, the California Department of Corporations
(“DOC”) and the National Committee for Quality Assurance (“NCQA”).

 

C.                                     BLUE CROSS may delegate responsibility for
some or all Compliance Activities (“Delegated Compliance Activities”) to
qualified PARTICIPATING MEDICAL GROUPs.

 

D.                                    The parties desire to amend the Agreement to
memorialize the delegation of certain Compliance Activities by BLUE CROSS to
PARTICIPATING MEDICAL GROUP and to set forth the terms thereof.

 

NOW,
THEREFORE, IT IS AGREED:

 

1.                                       BLUE CROSS and PARTICIPATING MEDICAL GROUP
hereby agree to add the following additional provisions to the Agreement:

 

A.                                   Delegation of Compliance Activities

 

1.                                       BLUE CROSS hereby authorizes PARTICIPATING
MEDICAL GROUP to perform, and PARTICIPATING MEDICAL GROUP agrees to perform on
BLUE CROSS’ behalf, the Delegated Compliance Activities delineated in the
Division of Responsibilities For Compliance Activities, Attachment 1
(incorporated by reference herein).

 

2.                                       BLUE CROSS retains primary responsibility for
Compliance Activities that are not specifically delegated to PARTICIPATING
MEDICAL GROUP.

 

 

PARTICIPATING
MEDICAL GROUP shall cooperate and comply with BLUE CROSS’ performance of such
activities, as necessary.

 

3.                                       If PARTICIPATING MEDICAL GROUP attains and
maintains NCQA Physician Organization Certification (“POC”), or other
certification deemed acceptable by BLUE CROSS during the term of the Agreement,
BLUE CROSS agrees to exempt PARTICIPATING MEDICAL GROUP from predelegation,
annual, and follow-up onsite audits of Delegated Compliance Activities, except
to the extent those Delegated Compliance Activities must be monitored by BLUE
CROSS as required by any regulatory agency having jurisdiction over BLUE
CROSS.  PARTICIPATING MEDICAL GROUP
shall supply written evidence of such POC certification to BLUE CROSS no less
than once every twelve (12) months and upon renewal.  PARTICIPATING MEDICAL GROUP shall immediately notify BLUE CROSS
in the event such certification is revoked or is not renewed.

 

4.                                       Notwithstanding any delegation of
credentialing or recredentialing activities to PARTICIPATING MEDICAL GROUP,
BLUE CROSS retains the right to approve, suspend or deny any Health
Professional from providing services to Members under the Agreement.

 

B.                                     Compliance Activities Performance Measurement

 

1.                                       PARTICIPATING MEDICAL GROUP agrees to comply
with the Compliance Activity Performance Measurements indicated in Attachment 1
for each listed Compliance Activity Standard for which it is delegated
responsibility.

 

2.                                       PARTICIPATING MEDICAL GROUP shall submit all
required written documentation demonstrating compliance with the Compliance
Activity Performance Measurement, as delineated in Attachment 2 (incorporated
by reference herein).  Such materials
must be submitted to the appropriate BLUE CROSS contact person as indicated in
Attachment 2 by the deadlines set forth therein.  PARTICIPATING MEDICAL GROUP will be monitored for compliance with
meeting submission time frames.

 

3.                                       PARTICIPATING MEDICAL GROUP agrees to give
BLUE CROSS a continuing right of access to PARTICIPATING MEDICAL GROUP’s
records and information pertaining to Delegated Compliance Activities as
necessary to evaluate ongoing qualification for delegation, and to copy those
records and information as needed.

 

C.                                     Corrective Actions and Revocation of
Delegation

 

1.                                       In the event that BLUE CROSS determines that
PARTICIPATING MEDICAL GROUP is in breach of the terms of this Amendment and/or
that

 

 

1.                                       In the event that BLUE CROSS determines that
PARTICIPATING MEDICAL GROUP is in breach of the terms of this Amendment and/or
that PARTICIPATING MEDICAL GROUP fails to satisfactorily fulfill its
responsibilities for performing any Delegated Compliance Activity, BLUE CROSS
may, in addition to any other available remedy:

 

(a)                                  Require that PARTICIPATING MEDICAL GROUP
submit, within 30 calendar days of request, a corrective plan of action
acceptable to BLUE CROSS and adhere to such plan; or

 

(b)                                 Revoke PARTICIPATING MEDICAL GROUP’s
delegation status, in whole or in part, by giving thirty (30) calendar days
prior written notice to PARTICIPATING MEDICAL GROUP.

 

2.                                       In the event BLUE CROSS determines that
continued performance by PARTICIPATING MEDICAL GROUP of any Delegated
Compliance Activity poses a risk of physical, mental, emotional, or financial
harm to a Member, BLUE CROSS may revoke the delegation of such Compliance
Activity, immediately upon written notice to PARTICIPATING MEDICAL GROUP.

 

3.                                       BLUE CROSS retains the right to modify
Attachments 1 and 2 on an annual basis or as may be reasonably necessary or
required to comply with applicable laws or regulations or the accreditation
requirements of regulatory agencies and managed care organization oversight
bodies.  In any such event, BLUE CROSS
shall provide PARTICIPATING MEDICAL GROUP with written notice.

 

Upon
acceptance by the parties, this Amendment, as of the date specified above,
shall become a part of the Agreement, and all provisions of the Agreement not
specifically inconsistent herewith shall remain in full force and effect.

 

 

	
  Blue Cross of California

  	
   

  	
  Prospect Medical Group

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
  Signature:

  	
   

  	
   

  	
  Signature:

  	
   /s/ James M. Wilcox

  	
   

  
	
   

  	
   

  	
   

  
	
  Name:

  	
   

  	
  Name:

  	
  James M. Wilcox

  	
   

  
	
   

  	
   

  	
   

  
	
  Title:

  	
   

  	
   

  	
  Title:

  	
  VICE
  PRESIDENT

  	
   

  
	
   

  	
   

  	
   

  	
   

  	
  HEALTH PLAN
  RELATIONS

  
											

 

3

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