Document:

fa904.htm

     

	
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WellCare of Florida, Inc.

	
Exhibit 10.1

 

 Medicaid HMO Non-Reform Contract

	 d/b/a Staywell Health Plan of Florida	 

AHCA CONTRACT NO. FA904 AMENDMENT NO. 8

 

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 May 1, 2012, Attachment I, Scope of Services, Capitated Health Plans, is hereby amended to include Attachment I, Exhibit 1-B, Revised Maximum Enrollment Levels, attached hereto and made a part of the Contract. All references in the Contract to Attachment I, Exhibits 1 and 1-A, shall hereinafter also refer to Attachment I, Exhibit 1- B, as appropriate.

 

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.

 

IN WITNESS WHEREOF, the Parties hereto have caused this four (4) page amendment (which includes all attachments hereto) to be executed by their officials thereunto duly authorized.

 

	
WELLCARE OF FLORIDA, INC., D/B/A

	
STATE OF FLORIDA, AGENCY FOR

	
STAYWELL HEALTH PLAN OF FLORIDA

 

	
HEALTH CARE ADMINISTRATION

	
SIGNED

BY:

	/s/Christina Cooper	
SIGNED

BY:

	/s/Elizabeth Dudek
	
NAME:

	
Christina Cooper

	
NAME:

	
Elizabeth Dudek

	
TITLE:

	
President, Florida and Hawaii Division

	
TITLE:

	
Secretary

	
DATE:

	  5/7/12	
DATE:

	  5/9/2012

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

 

 

	
Specify

	
Letter/

	
 

	
Type

	
Number

	
Description

	 

	
Attachment I

	
Exhibit 1-B

	
Revised Maximum Enrollment Levels (3 Pages)

 

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

	
AHCA Contract No. FA904, Amendment No. 8, Page 1 of 1

  

  

  

	 WellCare of Florida, Inc.	 Medicaid HMO Non-Reform Contract
	 d/b/a Staywell Health Plan of Florida	 

ATTACHMENT I 

EXHIBIT 1-B 

REVISED MAXIMUM ENROLLMENT LEVELS

 

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

 

A. Non-Reform

 

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

 

Area 8 Counties: Lee, Sarasota, Charlotte, DeSoto

	
Effective Dates: 09/01/09 Lee and Sarasota, 08/01/11 Charlotte, 05/01/12 DeSoto

	
County

	
Enrollment Level

	
Provider Number

	
DeSoto

	
4,100

	
TBD

	
Lee

	
15,000

	
015016911

	
Sarasota

	
6,000

	
015016914

	
Charlotte

	
27,000

	
015016917

 

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

 

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

	
Effective Dates: 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

	
015016918

 

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

 

 

AHCA Contract No. FA904, Attachment I, Exhibit 1-B, 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-C Table 2, General Capitation Rates plus Mental Health Rates

 

Area 10 County: Broward

	
Effective Date: 09/01/09

	
County

	
Enrollment Level

	
Provider Number

	
Broward

	
25,000

	
015016900

 

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

 

Area 11 County: Miami-Dade

	
Effective Date: 09/01/09

	
County

	
Enrollment Level

	
Provider Number

	
Miami-Dade

	
25,000

	
015016909

 

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

	
AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 3 of 3fa905.htm

                    

	
 Back to 10-Q

 

HealthEase of Florida, Inc.

	
Exhibit 10.2

 

 Medicaid HMO Non-Reform Contract

AHCA CONTRACT NO. FA905 

AMENDMENT NO. 10

 

THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and HEALTHEASE OF FLORIDA, INC., hereinafter referred to as the "Vendor" or “Health Plan”, is hereby amended as follows:

 

	
  1.

	
Effective May 1, 2012, Attachment I, Scope of Services, Capitated Health Plans, is hereby amended to include Attachment I, Exhibit 1-D, Revised Maximum Enrollment Levels, attached hereto and made a part of the Contract. All references in the Contract to Attachment I, Exhibits 1, 1-A, 1-B, and 1-C, shall hereinafter also refer to Attachment I, Exhibit 1-D, as appropriate.

 

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.

 

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

	
STATE OF FLORIDA, AGENCY FOR

	
STAYWELL HEALTH PLAN OF FLORIDA

 

	
HEALTH CARE ADMINISTRATION

	
SIGNED

BY:

	/s/Christina Cooper	
SIGNED

BY:

	/s/Elizabeth Dudek
	
NAME:

	
Christina Cooper

	
NAME:

	
Elizabeth Dudek

	
TITLE:

	
President, Florida and Hawaii Division

	
TITLE:

	
Secretary

	
DATE:

	  5/7/12	
DATE:

	5/9/2012

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

 

	
Specify

	
Letter/

	
 

	
Type

	
Number

	
Description

	 

	
Attachment

	
Exhibit 1-D

	
Revised Maximum Enrollment Levels (4 Pages)

 

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

	
AHCA Contract No. FA905, Amendment No. 10, Page 1 of 1

  

  

  

 

	 HealthEase of Florida, Inc.	 Medicaid HMO Non-Reform Contract

ATTACHMENT I 

EXHIBIT 1-D 

REVISED MAXIMUM ENROLLMENT LEVELS

 

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

 

A. Non-Reform

 

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

 

Area 1 Counties: Escambia, Santa Rosa

	
Effective Dates: 11/01/11 Escambia, 08/01/11 Santa Rosa

	
County

	
Enrollment Level

	
Provider Number

	
Escambia

	
67,500

	
015019344

	
Santa Rosa

	
31,500

	
015019343

 

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

 

Area 2 Counties: Bay, Calhoun, Gadsden, Jefferson, Leon, Liberty, Madison, Wakulla

	
Effective Dates: 03/01/12 Bay, 09/01/09 all other counties

	
County

	
Enrollment Level

	
Provider Number

	
Bay

	
16,900

	
015019345

	
Calhoun

	
800

	
015019340

	
Gadsden

	
3,500

	
015019315

	
Jefferson

	
1,000

	
015019318

	
Leon

	
7,000

	
015019320

	
Liberty

	
400

	
015019342

	
Madison

	
1,500

	
015019322

	
Wakulla

	
1,000

	
015019336

 

 

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

 

AHCA Contract No. FA905, Attachment I, Exhibit 1-D, Page 1 of 4

  

  

 

	 HealthEase of Florida, Inc.	 Medicaid HMO Non-Reform Contract

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

 

Area 3 Counties: Citrus, Lake, Marion, Putnam

	
Effective Date: 09/01/09

	
County

	
Enrollment Level

	
Provider Number

	
Citrus

	
7,500

	
015019309

	
Lake

	
7,000

	
015019319

	
Marion

	
20,000

	
015019323

	
Putnam

	
6,000

	
015019329

 

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

 

Area 4 Counties: Duval, Volusia, St. Johns

	
Effective Dates: 05/01/12 St. Johns, 09/01/09 Duval and Volusia

	
County

	
Enrollment Level

	
Provider Number

	
Duval

	
55,000

	
015019313

	
Volusia

	
15,000

	
015019335

	
St. Johns

	
8,300

	
TBD

 

	
See Exhibit 2-NR-C 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

	
6,000

	
015019302

	
Pinellas

	
9,000

	
015019303

 

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

 

 

 

AHCA Contract No. FA905, Attachment I, Exhibit 1-D, Page 2 of 4

  

  

 

	 HealthEase of Florida, Inc.	 Medicaid HMO Non-Reform Contract

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

 

Area 6 Counties: Highlands, Hillsborough, Manatee, Polk, Hardee

	
Effective Dates: 05/01/12 Hardee, 09/01/09 all other counties

	
County

	
Enrollment Level

	
Provider Number

	
Highlands

	
3,000

	
015019317

	
Hillsborough

	
18,000

	
015019300

	
Manatee

	
6,000

	
015019301

	
Polk

	
10,000

	
015019304

	
Hardee

	
4,100

	
TBD

 

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

 

Area 7 Counties: Brevard, Orange, Osceola, Seminole

	
Effective Date: 09/01/09

	
County

	
Enrollment Level

	
Provider Number

	
Brevard

	
14,000

	
015019308

	
Orange

	
25,000

	
015019327

	
Osceola

	
8,000

	
015019328

	
Seminole

	
4,000

	
015019333

 

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

 

Area 8 County: Sarasota

	
Effective Date: 09/01/09

	
County

	
Enrollment Level

	
Provider Number

	
Sarasota

	
3,000

	
015019332

 

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

 

AHCA Contract No. FA905, Attachment I, Exhibit 1-D, Page 3 of 4

  

  

 

 

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

 

Area 9 Counties: Martin, Palm Beach

	
Effective Date: 09/01/09

	
County

	
Enrollment Level

	
Provider Number

	
Martin

	
5,000

	
015019324

	
Palm Beach

	
10,500

	
015019339

 

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

 

Area 10 County: Broward

	
Effective Date: 09/01/09

	
County

	
Enrollment Level

	
Provider Number

	
Broward

	
13,500

	
015019337

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

 

Area 11 County: Miami-Dade

	
Effective Date: 09/01/09

	
County

	
Enrollment Level

	
Provider Number

	
Miami-Dade

	
25,000

	
015019338

 

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

	
AHCA Contract No. FA905, Attachment I, Exhibit 1-D, Page 4 of 4

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