Document:

<PAGE>
                                                                 EXHIBIT 10.26.1
                            CONTRACT NO. 2002-2003-02
                                  AMENDMENT #2

THIS AMENDMENT, entered into between the State of Florida, Department of Elder
Affairs hereinafter referred to as the "department," the Agency for Health Care
Administration hereinafter referred to as the "agency," and Amerigroup Florida,
Inc., hereinafter referred to as the "contractor," amends contract number
2002-2003-02.

It is the intent of the department and the agency to extend this contract for a
period of six (6) months, through December 31, 2003. The statement of work and
terms and conditions under which the contractual services will be provided are
to remain identical to those contained. In the first year of the contact except
for those sections being amended below. The provider qualification requirements
and payments sections of this contract are hereby revised to concur with Waiver
0315, Nursing Home Diversion and clarify the process for adjudicating payments
and determining the capitation rates, respectively.

1.       Section II. A., of the Standard Contract, is hereby amended to read as
         follows:

         To pay for contracted services according to the conditions of this
         contract in an amount not to exceed $31,081. 255,00 subject to the
         availability of funds.

2.       Section III.A.2., of the Standard Contract, is hereby amended to read
         as follows:

         This contract shall end on December 31, 2003.

3.       Attachment I, Section 4.6; the following referenced paragraphs replace
         the original paragraphs:

         A.       ADULT COMPANION SERVICES: Providers must be employed by a
                  licensed home health agency pursuant to Chapter 400, Part IV,
                  Florida Statutes, or have a certificate of registration issued
                  by the Agency for Health Care Administration pursuant to
                  Section 400.509, Florida Statutes, or be a Community Care for
                  the Elderly (CCE) provider as defined in Section 430.203,
                  Florida Statutes and registered in accordance with Section
                  400.509, Florida Statutes.

         D.       CASE MANAGEMENT SERVICES: Providers must be a registered
                  nurse, or have a bachelor's degree in social work,
                  sociology, psychology, gerontology or a related field, and
                  have experience in geriatric case management, and complete
                  four hours of in-service training annually.

         E.       CHORE SERVICES: Providers must be a lead agency as defined in
                  Section 430.203(9), Florida Statutes; a home health agency
                  licensed in accordance with Chapter 400, Part IV, Florida
                  Statutes; a pest control agency licensed pursuant to
                  Section 482.071, Florida Statutes; a general contractor
                  licensed to do home repair pursuant to Section 489.131,
                  Florida statutes; or a person, employed by or under the direct
                  supervision of the contractor, who the contractor has
                  confirmed is qualified by training or experience to provide
                  chore services and who has received the following training:

                  1. Safety and home accident prevention

               CONTRACT NO. 2002-2003-02, AMENDMENT 2, PAGE 1 OF 4
<PAGE>

                            CONTRACT NO. 2002-2003-02
                                  AMENDMENT #2

                  2. Enrollee record confidentiality

                  3. Project policies and procedures

                  4. Background and purpose of the program

                  5. Emergency procedures in the event of a crisis during the
                     course of work

                  6. House and yard cleaning and sanitation

                  7. Simple repairs and the use of related tools and equipment

                  8. Aging process and first aid

         F.       CONSUMABLE MEDICAL SUPPLY SERVICES: Providers must be
                  pharmacies or drug stores permitted under Section 465.022,
                  Florida Statutes; home medical equipment providers licensed
                  pursuant to Chapter 400, Part X, Florida Statutes; or home
                  health agencies licensed pursuant to Chapter 400, Part IV,
                  Florida Statutes.

         I.       FAMILY TRAINING SERVICES: Providers must be home health
                  agencies licensed pursuant to Chapter 400, Part IV. Florida
                  Statutes; lead agencies as defined in Section 430.203(9),
                  Florida Statutes; or medical practitioners licensed under
                  Chapters 464 or 491, Florida Statutes, providing training or
                  counseling within the scope of their practice.

         J.       FINANCIAL ASSESSMENT/RISK REDUCTION SERVICES: Providers must
                  be home health agencies licensed pursuant to Chapter 400, Part
                  IV, Florida Statutes: lead agencies as defined in Section
                  430.203(9): persons confirmed to be qualified to perform the
                  service by experience and training, such as certified
                  financial planners, bank employees, or individual bookkeepers;
                  qualified persons employed by or working under the direct
                  supervision of the contractor.

         K.       HOME DELIVERED MEAL PROVIDERS: Providers must be lead agencies
                  as defined in Section 430.203(9), Florida Statutes with a
                  contract or referral agreement for the preparation of meals;
                  employed by or under subcontract with the contractor, and meet
                  the food service standards as defined in Chapters 500 and 509,
                  Florida Statutes: Older Americans Act providers as defined in
                  Chapters 58A-1, Florida Administrative Code (FAC).

         P.       RESPITE CARE PROVIDERS: Providers must be employed by a
                  licensed home health agency pursuant to Chapter 400, Part IV,
                  Florida Statutes; have a certificate of registration issued by
                  the Agency for Health Care Administration pursuant to Section
                  400.509, Florida Statutes; be lead agencies as defined in
                  Section 430.203(9), Florida Statutes; Adult Day Care Centers
                  licensed pursuant to Chapter 400, Part V, Florida Statutes:
                  Assisted Living Facilities licensed pursuant to Chapter 400,
                  Part III, Florida Statutes; Nursing Facilities licensed
                  pursuant to Chapter 400, Part II, Florida Statutes.

4.       Attachment 1, Section 10 is hereby amended to read as follows:

               CONTRACT NO. 2002-2003-02, AMENDMENT 2, PAGE 2 OF 4

<PAGE>

                            CONTRACT NO. 2002-2003-02
                                  AMENDMENT #2

10.1     PAYMENT TO CONTRACTOR

         The agency, through the Medicaid Fiscal agent, will make payment to the
         contractor on a monthly basis for the contractor's satisfactory
         performance of its duties and responsibilities as set forth in the
         project contract.

10.2     CAPITATION RATES

              A.       The capitation rate paid to the contractor is indicated
                       in Attachment IV. The agency and department, working in
                       conjunction with a licensed actuary, shall review and, if
                       necessary, recalculate the capitation rate. Legislatively
                       mandated changes in Medicaid services will also be
                       considered in reviewing the capitation rate. If as a
                       result of the review, the capitation rate is
                       recalculated, notice shall be provided to the contractor.
                       The contractor shall have 30 days to comment on the
                       proposed recalculated capitation rate.

              B.       The contractor and the agency acknowledge that the
                       capitation rate paid under this contract as specified in
                       Attachment IV of this contract, is subject to approval by
                       the federal government.

              C.       The capitation rate to be paid will not exceed that
                       amount which would have been paid, on an aggregate basis,
                       by Medicaid under fee-for-service for the same services
                       to a demographically similar population of recipients.

10.3     PAYMENT IN FULL

         Unless otherwise specified in this contract, the contractor must
         accept the capitation payment received each month as payment in full
         for all services provided to enrollees covered under this contract and
         the administrative costs incurred by the contractor in providing or
         arranging for such services.

10.4     CAPITATION PAYMENT ADJUSTMENTS

              A.       Adjustments to funds previously paid and to be paid may
                       be required. Funds previously paid will be adjusted when
                       capitation payment(s) are determined to have been in
                       error, or an error is made in enrolling an ineligible
                       person. In such events, the contractor agrees to refund
                       any overpayment and the agency agrees to pay any
                       underpayment.

              B.       The agency agrees to reflect changes in the Medicaid
                       fee-for-service program. The rate of payment and total
                       dollar amount may be adjusted with a properly executed
                       amendment when Medicaid fee-for-service expenditure
                       changes have been established through the appropriations
                       process and subsequently identified in the agency's
                       operating budget. Legislatively mandated changes will
                       take effect on the dates specified in the legislation.

10.5     PAYMENT ERRORS

         Contractors are expected to carefully prepare all monthly payment are
         requests for submission. If after preparation and electronic
         submission, a contractor error is discovered either by the contractor
         or the agency, the contractor has ten (10) business days to correct the
         error and resubmit accurate reports and/or invoices. Failure to respond
         within the ten (10) business day period may result in a loss of any
         money due the contractor.

               CONTRACT NO. 2002-2003-02, AMENDMENT 2, PAGE 3 OF 4

<PAGE>

                            CONTRACT NO. 2002-2003-02
                                    AMENDMENT #2

This amendment shall be effective on July 1, 2003.

         All provisions in the contract and any attachments thereto in conflict
with this amendment shall be and are hereby changed to conform to this
amendment.

         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 its attachments are hereby made a part of the
contract.

         IN WITNESS WHEREOF, the parties hereto have caused this (4)-page
amendment to be executed by their officials thereunto duly authorized.

CONTRACTOR: AMERIGROUP FLORIDA, INC.           STATE OF FLORIDA
                                               DEPARTMENT OF ELDER AFFAIRS

SIGNED BY: /s/ Imtiaz Sattaur                  SIGNED BY: /s/ Terry F. White
           -----------------------------                  ----------------------

NAME:  Imtiaz Sattaur                          NAME: Terry F. White

TITLE: President & CEO                         TITLE: Secretary

DATE:  6/24/03                                 DATE:  6/25/03

CONTRACTOR FEDERAL ID NUMBER:
65-0318864

CONTRACTOR FISCAL YEAR ENDING DATE:
12/31/2003

                                               STATE OF FLORIDA
                                               AGENCY FOR HEALTH CARE
                                               ADMINISTRATION

                                               SIGNED BY: /s/ Rhonda M. Medows
                                                          ----------------------

                                               NAME :     Rhonda M. Medows, M D.

                                               TITLE:     Secretary

                                               DATE:      6/30/03

              CONTRACT NO. 2002-2003-02, AMENDMENT 2, PAGE 4 OF 4<PAGE>
                                                                 EXHIBIT 10.28.1
                                  AMENDMENT #2
                             TO THE CONTRACT BETWEEN
                      THE FLORIDA HEALTHY KIDS CORPORATION
                                       AND
                          PHYSICIANS HEALTH CARE PLANS

THIS AMENDMENT, entered into between the Florida Healthy Kids Corporation,
hereinafter referred to as "FHKC" and PHYSICIANS HEALTH CARE PLANS, hereinafter
referred to as "PHP", amends its Contract dated July 2, 2002.

WHEREAS, Section 4-12(B) of the said Contract between FHKC and PHP, provides
that if there is a change in controlling interest in PHP that FHKC has ten (10)
days to elect to continue or terminate said Contract with PHP; and,

WHEREAS, on November 26, 2002, PHP notified FHKC that the Florida Department of
Insurance had granted regulatory approval for the change in controlling interest
of PHP from PHP Holdings, Inc., to AMERIGROUP Florida Inc., hereinafter referred
to as AMERIGROUP effective January 1, 2003; and,

WHEREAS, the Florida Department of Insurance has also approved a name change
from PHP to AMERIGROUP effective January 1, 2003; and

WHEREAS, FHKC has elected to continue said Contract with AMERIGROUP and will
amend its Contract to reflect the name change; and,

THEREFORE, be it resolved that the Parties agree to the following amendment of
their contract:

         I.       All references to Physicians Healthcare Plans, Inc. or PHP in
                  said contract shall now be renamed AMERIGROUP.

         II.      Section 4-6: Notice is amended to read:

                  FOR AMERIGROUP:
                  Contact Name:     Mitch Wright
                                    Manager, Regulatory Compliance
                  Address:          AMERIGROUP Corporation
                                    4425 Corporation Lane
                                    Virginia Beach, VA 23462
                  Phone Number:     (757) 473-2737, ext. 2547

All provisions in the contract and any attachments thereto in conflict with this
amendment shall be and are hereby changed to conform with this amendment.

Amerigroup - Pasco and Polk                                          Page 1 of 2
Effective Date: January 1, 2003
<PAGE>

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 is hereby
made a part of this contract.

IN WITNESS WHEREOF, the parties hereto have caused this two (2) page amendment
to be executed by their officials thereunto duly authorized.

FLORIDA HEALTHY KIDS CORPORATION

/s/ ROSE M. NAFF
---------------------------------
ROSE M. NAFF, EXECUTIVE DIRECTOR
DATE:2/10/03

AMERIGROUP FLORIDA, INC.

_________________________________
NAME:
DATE:

Amerigroup - Pasco and Polk                                          Page 2 of 2
Effective Date: January 1, 2003

<PAGE>

                                  AMENDMENT #3
                             TO THE CONTRACT BETWEEN
                      THE FLORIDA HEALTHY KIDS CORPORATION
                          AND AMERIGROUP FLORIDA, INC.

THIS INDENTURE, Made and entered into this 23rd day of July, 2003, by and
between THE FLORIDA HEALTHY KIDS CORPORATION, hereinafter referred to "FHKC" and
AMERIGROUP FLORIDA, INC., hereinafter referred to as "AMERIGROUP".

                                   WITNESSETH

WHEREAS, FHKC AND AMERIGROUP executed a contract effective October 1, 2002, and

WHEREAS, said contract allows for revisions to the benefits and coverage offered
under this contract pursuant to statutory or regulatory changes and such changes
have been made by the 2003 Legislature through the 2003-2004 General
Appropriations Act;

WHEREAS, the parties have agreed to amend the contract for such adjustments and
to allow for rate adjustments to reflect such revisions;

WHEREAS, said contract also allows for an annual premium rate adjustment; and,

NOW THEREFORE IN CONSIDERATION of the covenants contained herein and the
agreement of FHKC and AMERIGROUP to amend the above-described contract, it is
agreed by the parties as follows that:

         1.       Exhibit A will be amended as attached and made a part hereof;

         2.       Exhibit C will be amended as attached and made a part hereof;
                  and,

         3.       The effective date of this Amendment shall be October 1, 2003.

IN WITNESS WHEREOF, the Parties hereto have executed this Agreement on 23rd day
of July, 2003.

                                                   AMERIGROUP FLORIDA, INC.

/s/ [ILLEGIBLE]                                    /s/ Imtiaz Sattaur
-------------------                                ---------------------------
WITNESS                                            NAME:
                                                   TITLE:

                                                   FLORIDA HEALTHY
                                                   KIDS CORPORATION

/s/ [ILLEGIBLE]                                    /s/ Rose M. Naff
-------------------                                ---------------------------
WITNESS                                            Name:
                                                   Title:

Amendment #3                                                     Page 1 of 8
Amerigroup/Pasco & Polk                                          October 1, 2003

<PAGE>

                                    EXHIBIT A

                            HEALTH SERVICES AGREEMENT

THE PREMIUM FOR PARTICIPANTS IN THE FLORIDA HEALTHY KIDS PROGRAM FOR THE
COVERAGE PERIOD OF OCTOBER 1, 2003 THROUGH SEPTEMBER 30, 2004 SHALL BE $71.34
FOR EACH COVERED PARTICIPANT IN PASCO COUNTY.

THE PREMIUM FOR PARTICIPANTS IN THE FLORIDA HEALTHY KIDS PROGRAM FOR THE
COVERAGE PERIOD OF OCTOBER 1,2003 THROUGH SEPTEMBER 30, 2004 SHALL BE $72.45 FOR
EACH COVERED PARTICIPANT IN POLK COUNTY.

Amendment #3                                                     Page 2 of 8
Amerigroup/Pasco & Polk                                          October 1, 2003

<PAGE>

                                    EXHIBIT C

                            ENROLLEE BENEFIT SCHEDULE

I.       Minimum Benefits; Statutory Requirements
         AMERIGROUP agrees to provide, at a minimum, those benefits that are
         prescribed by state law under Section 409.815(2)(a-p) and 409.815
         (r-t). AMERIGROUP shall pay an enrollees' covered expenses up to a
         lifetime maximum of $1 million per covered enrollee.

         The following health care benefits are included under this Agreement:

<TABLE>
<CAPTION>
-------------------------------------------------------------------------------------------------------
                                                                                               CO-
BENEFIT                    LIMITATIONS                                                         PAYMENTS
-------------------------------------------------------------------------------------------------------
<S>                        <C>                                                                 <C>
    A. Inpatient Services  All admissions must be authorized by AMERIGROUP.                    NONE
All covered services
provided for the medical   The length of the patient stay shall be determined based on the
care and treatment of an   medical condition of the enrollee in relation to the necessary
enrollee who is admitted   and appropriate level of care.
as an inpatient to a
hospital licensed under    Room and board may be limited to semi-private accommodations,
part I of Chapter 395.     unless a private room is considered medically necessary or
                           semi-private accommodations are not available.
Covered services include:
physician's services;      Private duty nursing limited to circumstances where such care is
room and board; general    medically necessary.
nursing care; patient
meals; use of operating    Admissions for rehabilitation and physical therapy are limited to
room and related           15 days per contract year.
facilities; use of
intensive care unit and    Shall Not Include Experimental or Investigational Procedures as
services; radiological,    defined as a drug, biological product, device, medical treatment
laboratory and other       or procedure that meets any one of the following criteria, as
diagnostic tests; drugs;   determined by AMERIGROUP.
medications; biologicals;
anesthesia and oxygen      1. Reliable Evidence shows the drug, biological product, device,
services; special duty     medical treatment, or procedure when applied to the circumstances
nursing; radiation and     of a particular patient is the subject of ongoing phase I, II or
chemotherapy; respiratory  III clinical trials or
therapy; administration
of whole blood plasma;     2. Reliable Evidence shows the drug, biological product, device,
physical, speech and       medical treatment or procedure when applied to the circumstances
occupational therapy;      of a particular patient is under study with a written protocol to
medically necessary        determine maximum tolerated dose, toxicity, safety, efficacy, or
services of other health   efficacy in comparison to conventional alternatives, or
professionals.
                           3. Reliable Evidence shows the drug, biological product, device,
                           medical treatment, or procedure is being delivered or should be
                           delivered subject to the approval and supervision of an
                           Institutional Review

                           Board (IRB) as required and defined by federal regulations,
                           particularly those of the U.S. Food and Drug Administration or
                           the Department of Health and Human Services.
-------------------------------------------------------------------------------------------------------
</TABLE>

Amendment #3                                                     Page 3 of 8
Amerigroup/Pasco & Polk                                          October 1, 2003

<PAGE>

<TABLE>
<CAPTION>
-------------------------------------------------------------------------------------------------------------------------
                                                                                               CO-
BENEFIT                    LIMITATIONS                                                         PAYMENTS
-------------------------------------------------------------------------------------------------------------------------
<S>                        <C>                                                                 <C>
B. Emergency Services      Must use an AMERIGROUP designated facility or provider for          $10 per visit waived if
Covered Services include   emergency care unless the time to reach such facilities or          admitted or authorized by
visits to an emergency     providers would mean the risk of permanent damage to patient's      primary care physician
room or other licensed     health.
facility if needed
immediately due to an      AMERIGROUP must also comply with the provisions of s. 641.513,
injury or illness and      Florida Statutes.
delay means risk of
permanent damage to the
enrollee's health.
-------------------------------------------------------------------------------------------------------------------------
C. Maternity Services and  Infant is covered for up to three (3) days following birth or       NONE
Newborn Care               until the infant is transferred to another medical facility,
Covered services include   whichever occurs first.
maternity and newborn
care; prenatal and         Coverage may be limited to the fee for vaginal deliveries.
postnatal care; initial
inpatient care of
adolescent participants,
including nursery charges
and initial pediatric or
neonatal examination.
-------------------------------------------------------------------------------------------------------------------------
D. Organ Transplantation   Coverage is available for transplants and medically related         NONE
Services                   services if deemed necessary and appropriate within the
Covered services include   guidelines set by the Organ Transplant Advisory Council or the
pretransplant, transplant  Bone Marrow Transplant Advisory Council.
and postdischarge
services and treatment of
complications after
transplantation.
-------------------------------------------------------------------------------------------------------------------------
E. Outpatient Services     Services must be provided directly by AMERIGROUP or through         No co-payment for well
Preventive, diagnostic,    pre-approved referrals.                                             child care, preventive
therapeutic, palliative                                                                        care or for routine
care, and other services   Routine hearing and screening must be provided by primary care      vision and hearing
provided to an enrollee    physician.                                                          screenings.
in the outpatient portion
of a health facility       Family planning limited to one annual visit and one supply visit
licensed under chapter     each ninety days.
395.

Covered services include   Chiropractic services shall be provided in the same manner as in    $5 per office visit
Well-child care,           the Florida Medicaid program.
including those services
recommended in the         Podiatric services are limited to one visit per day totaling two
Guidelines for Health      visits per month for specific foot disorders. Dental services
Supervision of Children    must be provided to an oral surgeon for medically necessary
and Youth as developed by  reconstructive dental surgery due to injury.
Academy of Pediatrics;
immunizations and          Immunizations are to be provided by the primary care
injections as recommended  physician.
-------------------------------------------------------------------------------------------------------------------------
</TABLE>

Amendment #3                                                     Page 4 of 8
Amerigroup/Pasco & Polk                                          October 1, 2003

<PAGE>

<TABLE>
<CAPTION>
------------------------------------------------------------------------------------------------------------
                                                                                               CO-
BENEFIT                    LIMITATIONS                                                         PAYMENTS
------------------------------------------------------------------------------------------------------------
<S>                        <C>                                                                 <C>
by the Advisory Committee  Treatment for temporomandibular joint (TMJ) disease is
on Immunization            specifically excluded.
Practices; health
education counseling and   Shall Not Include Experimental or Investigational Procedures as
clinical services; family  defined as a drug, biological product, device, medical treatment
planning services, vision  or procedure that meets any one of the following criteria, as
screening; hearing         determined by AMERIGROUP:
screening; clinical
radiological, laboratory   1. Reliable Evidence shows the drug, biological product, device,
and other outpatient       medical treatment, or procedure when applied to the circumstances
diagnostic tests;          of a particular patient is the subject of ongoing phase I, II or
ambulatory surgical        III clinical trials or
procedures; splints and
casts; consultation with   2. Reliable Evidence shows the drug, biological product, device,
and treatment by referral  medical treatment or procedure when applied to the circumstances
physicians; radiation and  of a particular patient is under study with a written protocol to
chemotherapy;              determine maximum tolerated dose, toxicity, safety, efficacy, or
chiropractic services;     efficacy in comparison to conventional alternatives, or
podiatric services.
                           3. Reliable Evidence shows the drug, biological product, device,
                           medical treatment, or procedure is being delivered or should be
                           delivered subject to the approval and supervision of an
                           Institutional Review Board (IRB) as required and defined by
                           federal regulations, particularly those of the U.S. Food and Drug
                           Administration or the Department of Health and Human Services.
------------------------------------------------------------------------------------------------------------
E. Behavioral Health       All services must be provided directly by AMERIGROUP or upon
Services                   approved referral.
Covered services include
inpatient and outpatient   Inpatient services are limited to not more than thirty inpatient    INPATIENT:
care for psychological or  days per contract year for psychiatric admissions, or residential   NONE
psychiatric evaluation,    services in lieu of inpatient psychiatric admissions; however, a
diagnosis and treatment    minimum often of the thirty days shall be available only for
by a licensed mental       inpatient psychiatric services when authorized by AMERIGROUP
health professional.       physician.

                           Outpatient services are limited to a maximum of forty outpatient    OUTPATIENT:
                           visits per contract year.                                           $5 per visit
------------------------------------------------------------------------------------------------------------
F. Substance Abuse         All services must be provided directly by AMERIGROUP or upon        INPATIENT:
Services                   approved referral.                                                  NONE
Includes coverage for
inpatient and outpatient   Inpatient services are limited to not more than seven inpatient
care for drug and alcohol  days per contract year for medical detoxification only and thirty
abuse including            days residential services.
counseling and placement
assistance. Outpatient     Outpatient visits are limited to a maximum of forty visits per      OUTPATIENT:
services include           contract year.                                                      $5 per visit
evaluation, diagnosis and
treatment by a licensed
practitioner.
------------------------------------------------------------------------------------------------------------
</TABLE>

Amendment #3                                                     Page 5 of 8
Amerigroup/Pasco & Polk                                          October 1, 2003

<PAGE>

<TABLE>
<CAPTION>
------------------------------------------------------------------------------------------------------------
                                                                                               CO-
BENEFIT                    LIMITATIONS                                                         PAYMENTS
------------------------------------------------------------------------------------------------------------
<S>                        <C>                                                                 <C>
G. Therapy Services        All treatments must be performed directly or as authorized by       $5 per visit
Covered services include   AMERIGROUP.
physical, occupational,
respiratory and speech     Limited to up to twenty-four treatment sessions within a sixty
therapies for short-term   day period per episode or injury, with the sixty day period
rehabilitation where       beginning with the first treatment.
significant improvement
in the enrollee's
condition will result.
------------------------------------------------------------------------------------------------------------
H. Home Health Services    Coverage is limited to skilled nursing services only. Meals,        $5 per visit
Includes prescribed home   housekeeping and personal comfort items are excluded. Services
visits by both registered  must be provided directly by AMERIGROUP. Private duty nursing is
and licensed practical     limited to circumstances where such care is medically
nurses to provide skilled  appropriate.
nursing services on a
part-time intermittent
basis.
------------------------------------------------------------------------------------------------------------
I. Hospice Services        Once a family elects to receive hospice care for an enrollee,       $5 per visit
Covered services include   other services that treat the terminal condition will not be
reasonable and necessary   covered.
services for palliation
or management of an        Services required for conditions totally unrelated to the
enrollee's terminal        terminal condition are covered to the extent that the services
illness.                   are covered under this contract.
------------------------------------------------------------------------------------------------------------
J.Nursing Facility         All admissions must be authorized by AMERIGROUP and provided by a   NONE
Services                   AMERIGROUP affiliated facility.
                           Participant must require and receive skilled services on a daily
Covered services include   basis as ordered by AMERIGROUP physician.
regular nursing services,  The length of the enrollee's stay shall be determined by the
rehabilitation services,   medical condition of the enrollee in relation to the necessary
drugs and biologicals,     and appropriate level of care, but is no more than 100 days per
medical supplies, and the  contract year.
use of appliances and
equipment furnished by     Room and board is limited to semi-private accommodations unless a
the facility.              private room is considered medically necessary or semi-private
                           accommodations are not available.
                           Specialized treatment centers and independent kidney disease
                           treatment centers are excluded.
                           Private duty nurses, television, and custodial care are excluded.
                           Admissions for rehabilitation and physical therapy are limited to
                           fifteen days per contract year.
------------------------------------------------------------------------------------------------------------
K. Durable Medical         Equipment and devices must be provided by authorized AMERIGROUP     NONE
Equipment and Prosthetic   supplier.
Devices
Equipment and devices      Covered prosthetic devices include artificial eyes and limbs,
that are medically         braces, and other artificial aids.
indicated to assist in
the treatment of a         Low vision and telescopic lenses are not included.
medical
------------------------------------------------------------------------------------------------------------
</TABLE>

Amendment #3                                                     Page 6 of 8
Amerigroup/Pasco & Polk                                          October 1, 2003

<PAGE>

<TABLE>
<CAPTION>
--------------------------------------------------------------------------------------------------------------------
                                                                                               CO-
BENEFIT                    LIMITATIONS                                                         PAYMENTS
--------------------------------------------------------------------------------------------------------------------
<S>                        <C>                                                                 <C>
condition and              Hearing aids are covered only when medically indicated to assist
specifically prescribed    in the treatment of a medical condition.
as medically necessary by
enrollee's AMERIGROUP
physician.
--------------------------------------------------------------------------------------------------------------------
L. Refractions             Enrollee must have failed vision screening by primary care          $5 per visit
Examination by a           physician.
AMERIGROUP optometrist to
determine the need for     Corrective lenses and frames are limited to one pair every two
and to prescribe           years unless head size or prescription changes.                     $10 for corrective
corrective lenses as                                                                           lenses
medically indicated.       Coverage is limited to Medicaid frames with plastic or SYL
                           non-tinted lenses.
--------------------------------------------------------------------------------------------------------------------
M. Pharmacy                Prescribed drugs covered under this Agreement shall include all     $5 per
Prescribed drugs for the   prescribed drugs covered under the Florida Medicaid program.        prescription for
treatment of illness or    AMERIGROUP may implement a pharmacy benefit management program if   up to a 31-day supply
injury or injury.          FHKC so authorizes.
                           Brand name products are covered if a generic substitution is not
                           available or where the prescribing physician indicates that a
                           brand name is medically necessary.
                           All medications must be dispensed through AMERIGROUP or an
                           AMERIGROUP designated pharmacy.
                           All prescriptions must be written by the participant's primary
                           care physician, AMERIGROUP approved specialist or consultant
                           physician.
--------------------------------------------------------------------------------------------------------------------
N. Transportation          Must be in response to an emergency situation.                      $10 per service
Services
Emergency transportation
as determined to be
medically necessary in
response to an emergency
situation.
--------------------------------------------------------------------------------------------------------------------
</TABLE>

II.      Cost Sharing Provisions

AMERIGROUP agrees to comply with all cost sharing restrictions imposed on FHKC
participants by federal or state laws and regulations, including the following
specific provisions:

         A.       Special Populations
                  Enrollees identified by FHKC to AMERIGROUP as Native Americans
                  or Alaskan Natives are prohibited from paying any cost sharing
                  amounts.

         B.       Cost Sharing Limited to No More than Five Percent of Family's
                  Income
                  FHKC may identify to AMERIGROUP other enrollees who have met
                  federal requirements regarding maximum out of pocket
                  expenditures. Enrollees identified by FHKC as having met this
                  threshold are not required to pay any further cost sharing for
                  covered services for a time specified by FHKC.

Amendment #3                                                     Page 7 of 8
Amerigroup/Pasco & Polk                                          October 1, 2003

<PAGE>

         C.       AMERIGROUP is responsible for informing its providers of these
                  provisions and ensuring that enrollees under this section
                  incur no further out of pocket costs for covered services and
                  are not denied access to services. FHKC will provide these
                  enrollees with a letter indicating that they may not incur any
                  cost sharing obligations.

III.              Other Benefit Provision

                  All requirements for prior authorizations must conform with
                  federal and state regulations and must be completed within
                  fourteen (14) days of request by the enrollee. Extensions to
                  this process may be granted in accordance with federal and/or
                  state regulations.

Amendment #3                                                     Page 8 of 8
Amerigroup/Pasco & Polk                                          October 1, 2003

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