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    Exhibit
      10.1

    
 

    
      CONTRACT
        NO. DHS-08-MQD-5129

    

    
       

      STATE
        OF HAWAI'I

    

    
      CONTRACT
        FOR HEALTH AND HUMAN SERVICES

    

    
      COMPETITIVE
        PURCHASE OF SERVICES

    

    
      

    

    
      This
        Contract,
        executed on the respective dates indicated below, is effective as
        of    upon
        execution   , 20___,
        between the Department
        of Human Services/Med-QUEST Division, (Name of state department, agency,
        hoard
        or commission) State
        of Hawai'i ("STATE"), by
        its Director,
        Lillian B. Koller (Title of person signing for the STATE) whose
        address is: 1390
        Miller Street Honolulu, Hawaii 96813 and   'Ohana
        Health Plan, Inc.,  (Name
        of PROVIDER)("PROVIDER"),
        a Corporation 
        (Legal
        form of PROVIDER i.e., Corporation, Limited Liability Company, etc.)
under
        the laws of the State of Hawaii
        whose business street address and taxpayer identification numbers
        are as follows:

    

    
      

    

    
      Business
        street address:

    

    
      Seven
        Waterfront Plaza, 500 Ala Moana Boulevard, Suite 400, Honolulu, Hawaii
        96813

    

    
      

    

    
      Mailing
        address if different than business street address:

    

    
      8735
        Henderson Road, Tampa, Florida 33634

    

    
       

      Federal
        employer identification number: ________________

    

    
      Hawai'i
        general excise tax number: ____________________

       

    

    
      RECITALS

       

    

    
      A.           
        This Contract is for a competitive purchase of services (a "Competitive POS"),
        as defined insection
        103F-402, Hawai'i Revised Statutes ("HRS"), and Hawai'i Administrative Rules
        ("HAR") chapter 3-143. 

    

    
       

    

    
      B.           
        The STATE needs the health and human services described in this Contract
        and its
        attachments("Required
        Services") and the PROVIDER agrees to provide the Required
        Services.

    

    
      

       

      AG
        Form I03F (9/06) 

      Competitive

    

    

    
      CONTRACT
        NO. DHS-08-MQD-5129

    

    
       

      C.           
        Money is available to fund this Contract pursuant to:

    

    
       

      1) 
        Act
        SLH/2008,(Identify stale sources) in the amount of $556,287,755.00, (state
        funding)  or

    

    
       

    

    
      (2)
        Social
        Security Act §1903 (Identify federal sources , in the amount of
$682,936,471.00,  (federal
        funding) or both.                                                            

    

    
       

      D.           
        The STATE is authorized to enter into this Contract pursuant
        to:

    

    
       

      §103F-402HRS     (Legal
        authority for Contract) 

    

    
       

      E.          
        The undersigned representative of the PROVIDER represents, and the STATE
        relies
        upon such representation,
        that he or she has authority to sign this Contract by virtue of (check any
        or
        all that apply):

    

    
       

    

    
      
        	
                £

              	
                corporate
                  resolutions  of the  PROVIDER or other authorizing
                  documents  such as partnership
                  resolutions;

              

      

    

    
       

      
        	
                £

              	
                corporate
                  by-laws of the PROVIDER, or other similar operating documents of
                  the
                  PROVIDER, such as a partnership contract or limited liability company
                  operating
                  contract;

              

      

    

    
       

      
        	
                £

              	
                the
                  PROVIDER is a sole proprietor and as such does not require any
                  authorizing
                  documents to sign this
                  Contract;

              

      

       

    

    
      
        	
                R

              	
                other
                  evidence of authority to sign: Contractor's Acknowledgement

              

      

    

    
       

      F.           
        The PROVIDER has provided a "Certificate of Insurance" to the STATE that
        shows
        to the satisfaction
        of the STATE that the PROVIDER has obtained liability insurance which complies
        with paragraph1.4
        of the General Conditions of this Contract and with any Special Conditions
        of
        this Contract.

    

    
       

      G.           
        The PROVIDER produced, and the STATE inspected, a tax clearance certificate
        as
        required by section
        103-53, HRS.

       

    

    
      NOW,
        THEREFORE, in consideration of the promises contained in this Contract, the
        STATE and the PROVIDER agree as follows:

       

    

    
      1.          
        Scope
        of Services. The PROVIDER shall, in a proper and satisfactory manner as
        determined by the STATE, provide the Required Services set forth in Attachment
        "1" to this Contract, which is hereby made a part of this Contract, and the
        Request for Proposals ("RFP"), and the PROVIDER'S Proposal, which are
        incorporated in this Contract by reference. In the event that there is a
        conflict among the terms of this Contract, and either the Proposal or the
        RFP,
        or both, then the terms of this Contract shall
        control.

    

    
      

       

      AG
        Form 103 F (9/06) 

      Competitive

    

    
      Page
        2

    

    

    
      CONTRACT
        NO. DHS-08-MQD-5129

    

    
       

      2.          
        Time
        of Performance.   The PROVIDER shall provide the Required
        Services from upon
        execution, 20__, to June
        30, 2011,
        as set forth in Attachment "2" to this Contract, which is hereby made
        a part of this Contract.

    

    
       

      3.          
        Compensation.
        The PROVIDER shall be compensated in a total amount for all required services
        not to exceed:

       

      One
        Billion, Two Hundred Thirty Nine Million, Two Hundred Twenty Four Thousand,
        Two
        Hundred Twenty Six Dollars

    

    
      

      DOLLARS
        ($ 1,239,284,226.00), which amount includes all fees and costs incurred and
        any
        federal, state and local taxes, at the time and manner set forth in Attachment
        "3" to this Contract, which is hereby made a part of this
        Contract.

    

    
       

      4.           
        Certificate
        of Exemption from Civil Service. The Certificate of Exemption from Civil
        Service is attached and made a part of this Contract.

    

    
       

      5.           
        Standards
        of Conduct Declaration. The Standards of Conduct Declaration of the
        PROVIDER is attached and made a part of this Contract.

    

    
       

      6.           
        General
        and Special Conditions. The General Conditions for Health and Human
        Services Contracts ("General Conditions") and any Special Conditions are
        attached hereto and made a part of this Contract. In the event of a conflict
        between the General Conditions and the Special Conditions, the Special
        Conditions shall control.

    

    
       

      7.           
        Notices.
        Any written notice required to be given by any party under this Contract
        shall
        be (a) delivered personally, or (b) sent by United States first class mail,
        postage prepaid. Notice required to be given to the STATE shall be sent
        to:

    

    
      601
        Kamokila Boulevard, Room 518, Kapolei, Hawaii
        96707

    

    
      

      Notice
        to the PROVIDER shall be sent to the mailing address as indicated on page
        1. A
        notice shall be deemed to have been received three (3) days after mailing
        or at
        the time of actual receipt, whichever is earlier. The PROVIDER is responsible
        for notifying the STATE in writing of any change of
        address.

    

    
      

       

      AG
        Form 103F(9/06) 

      Competitive

    

    
      Page
        3

       

    

    

    
      CONTRACT
        NO. DHS-08-MQD-5129

       

      IN
        VIEW OF THE ABOVE, the parties execute this Contract by their signatures
        below,

    

     

    
      	
              STATE

               

            
	
              By /s/   Lillian
                B. Koller   
                

            
	
              Print
                Name Lillian B. Koller

            
	
              Print
                Title  Director, Department of Human
                Services

            
	
              
                Date
                  2/4/08    2:00 pm HST

                 

              

            
	
              FUNDING
                AGENCY (to be signed by head of funding agency if other than the
                Contracting Agency)

            
	
              By

            
	
              Print
                Name

            
	
              
                Print
                  Title

              

            
	
              
                Date
                  2/4/08

                 

              

            
	
              
                PROVIDER

              

            
	
              By 
                /s/  Erhardt
                Preitauer

            
	
              Print
                Name Erhardt Preitauer

            
	
              
                Print
                  Title Executive Director / Asst
                  Secretary

              

            
	
              
                Date
                  2/4/08  2:00 pm
                  HST

              

            

    

    
       

      CORPORATE
        SEAL

    

    
      (if
        available)

    

    
       

    

    
      

    

    
      APPROVED
        AS TO FORM:

    

    
       

       
        /s/ 
Illegible                

      Deputy
        Attorney General

    

    
 

    
      AG
        Form 103F(9/O6)

    

    
      Competitive
        Page
          4

      

      

    

    

    
      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

    

    

    
      CONTRACT
        NO. DHS-08-MQD-5129

    

    
      

    

    
      PROVIDER'S
        ACKNOWLEDGMENT

    

    
      

    

    
      

    

    
      STATE
        OF HAWAII

    

    
      

    

    
      CITY
        & COUNTY OF HONOLULU

    

    
       

    

    
      On
        this 4th day of  February
2008,
        before me appeared Lillian B. Koller and Erhardt
        Preitauer, to me known, to be
        the person(s) described in and, who, being by me duly sworn, did say that
        he/she/they is/are the Director of Dpt
        of Human Services and Executive
        Director / Asst Secretary of  Ohana Health Plan, Inc. the
        PROVIDER named in the forgoing instrument, and that he/she/they is/are
        authorized to sign said instrument on behalf of the PROVIDER, and acknowledges
        that he/she/they executed said instrument as the free act and deed of the
        PROVIDER.

    

    
      

    

    
      

    

    
      	 	
              
                By  
/s/ 
Joyce
                  M. Tanaka 
                  

                (Signature)

              

            
	
              
                (Notary
                  Seal)

              

            	
              Print
                Name  Joyce M. Tanaka

            
	 	
              
                Date
                  02-04-08

              

            
	 	
              Notary
                Public, State of Hawaii

            
	 	
              My
                Commission expires: 
10-15-2010

            

    

    

    
      
        
           

        

      

    

    
      AG
        Form J 03 F (9/06)

    

    
      Competitive
        
          Page
            5

        

        
          

        

      

    

    

    
      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

    

    

    
      CONTRACT
        NO. DHS-08-MQD-5129

    

    
      CERTIFICATE
        OF EXEMPTION FROM CIVIL SERVICE

    

    
      

       

      1.           
        By Heads of Departments or Agencies as Delegated by the Director of Human
        ResourcesDevelopment
        1

    

    
      Pursuant
        to a delegation of the authority by the Director of Human Resources
        Development, I certify that the services to be provided under this
        Contract, and the person(s) providing the services under this Contract are
        exempt from the civil service, pursuant to §76-16, Hawai'i Revised Statutes
        (HRS).

    

    
      

    

    
      

    

    
      	
              
              

              
                  
                  /s/   Lillian B. Koller

              

              (Signature)

               

            	
              02/04/08   
                2:00 HST

              (Date)

            
	
              
              

              
                Lillian
                  B. Koller

              

               (Print
                Name)

               

            	 
	
              
                Director
                  of Human Services

              

              (Print
                Title)

               

            	 

    

    
      
        
        

      

    

    
      1
        This part of the form may be used by all department heads and others to whom
        the
        Director of Human Resources Development (DHRD) has delegated authority to
        certify §76-16, HRS, civil service exemptions. The specific paragraph(s) of
§76-16, HRS, upon which an exemption is based should be noted in the contract
        file. NOTE: Authority to certify exemptions under §§76-16(2), 76-16(12), and
        76-16(15), HRS, has not been delegated; only the Director of DHRD may certify
        §§76-16(2), 76-16(12), and 76-16( 15) exemptions.

    

    
      

    

    
      

    

    
      2.           
        By the Director of Human Resources Development, State of
        Hawai'i.

    

    
      

    

    
      I certify
        that the services to be provided under this Contract, and the person(s)
        providing the services under this Contract are exempt from the civil service,
        pursuant to §76-16, Hawai'i Revised Statutes (HRS).

    

    
      

    

    
      

    

    
      	
              (Signature)

               

            	
              (Date)

            
	
              
                (Print
                  Name)

              

            	 
	
              (
                Print Title, if designee of the Director of DHRD)

            	 

    

    
      

    

    
      

    

    

    
      

      
        AG
          Form 103F (9/06) 

        Competitive
          

      

      Page
        6

    

    

      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

    
      CONTRACT
        NO. DHS-08-MQD-5129

    

    
      

       

      PROVIDER'S
        

      STANDARDS
        OF CONDUCT DECLARATION

    

    
      For
        the purposes of this declaration:

    

    
       

      "Agency"
        means and includes the State, the legislature and its committees, all executive
        departments, boards, commissions, committees, bureaus, offices; and all
        independent commissions and other establishments of the state government
        but
        excluding the courts.

    

    
       

      "Controlling
        interest" means an interest in a business or other undertaking which is
        sufficient in fact to control, whether the interest is greater or less than
        fifty percent (50%).

    

    
       

      "Employee"
        means any nominated, appointed, or elected officer or employee of the State,
        including members of boards, commissions, and committees, and employees under
        contract to the State or of the constitutional convention, but excluding
        legislators, delegates to the constitutional convention, justices, and judges.
        (Section 84-3, HRS).

    

    
      

       

      
        	
                 

              	
                On
                  behalf of: 
                  'Ohana
                    Health Plan, Inc.
                    (Name
                      of PROVIDER) 

                  

                

              

      

    

    
      

      
        PROVIDER,
          the undersigned does declare as follows:

      

    

     

    

    
      
        	
                1.
                  

              	
                PROVIDER
                  £
                  is*  R  is
                  not a legislator or an employee or a business in which a legislator
                  or an
                  employee has a controlling interest. (Section 84-15(a), HRS).
                  

              

      

    

    
      

       

      
        	
                2.

              	
                PROVIDER
                  has not been represented or assisted personally in the matter by
                  an
                  individual who has been an employee of the agency awarding this
                  Contract
                  within the preceding two years and who participated while so employed
                  in
                  the matter with which the Contract is directly concerned. (Section
                  84-15(b), HRS). 

              

      

    

    
      

       

      
        	
                3.

              	
                PROVIDER
                  has not been assisted or represented by a legislator or employee
                  for a fee
                  or other compensation to obtain this Contract and will not be assisted
                  or
                  represented by a legislator or employee for a fee or other compensation
                  in
                  the performance of this Contract, if the legislator or employee
                  had been
                  involved in the development or award of the Contract. (Section
                  84-14(d),
                  HRS). 

              

      

    

    
      

       

      
        	
                4.

              	
                PROVIDER
                  has not been represented on matters related to this Contract, for
                  a fee or
                  other consideration by an individual who, within the past twelve
                  (12)
                  months, has been an agency employee, or in the case of the Legislature,
                  a
                  legislator, and participated while an employee or legislator on
                  matters
                  related to this Contract. (Sections 84-18(b) and (c), HRS).
                  

              

      

    

    
      

       

      PROVIDER
        understands that the Contract to which this document is attached is voidable
        on
        behalf of the STATE if this Contract was entered into in violation of any
        provision of chapter 84, Hawai'i Revised Statutes, commonly referred to as
        the
        Code of Ethics, including the provisions which are the source of the
        declarations

    

    
       

      __________________

      *
Reminder
        to agency: If the "is" block is checked and if the Contract involves
        goods or services of a value in excess of $10,000, the Contract may not be
        awarded unless the agency posts a notice of its intent to award it and files
        a
        copy of the notice with the State Ethics Commission.  (Section
        84-15(a), HRS).

    

    
       

      AG
        Form 103F (9/06)

    

    
      Standards
        of Conduct Declaration

    

    
      Competitive

    

    
      

       

      Page
        7

    

    

    
      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

    

    

    
      CONTRACT
        NO. DHS-08-MQD-5129

    

    
      

       

      above.
        Additionally, any fee, compensation, gift, or profit received by any person
        as a
        result of a violation of the Code of Ethics may be recovered by the
        STATE.

       

    

    
      	 	
              PROVIDER

            
	 	
              
                By   /s/ 
Erhardt
                  Preitauer

              

              
                (Signature)

              

            
	 	
              Print
                Name Erhardt Preitauer

            
	 	
              Print
                Title  Executive Director / Asst Secretary

            
	 	
              
                Date 
                  2/4/08  2:00 pm
                  HST

              

            

    

    
      

      
        
          AG
            Form 103F (9/06)

        

      

    

    
      Standards
        of Conduct Declaration 

      Competitive
        

    

    
       

      Page
        8

    

    
      

       

    

    
      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

    

    

    
      ATTACHMENT
        1

    

    
      

       

      SCOPE
        OF SERVICES

    

    
      

       

      The
        PROVIDER shall, in proper and satisfactory manner as determined by the STATE,
        provide the Required Services set forth in RFP-MQD-2008-006 issued October
        10,
        2007, as amended ("the RFP"), and the PROVIDER'S accepted proposal, both
        of
        which are incorporated in this Contract by reference.

    

    
       

      Revisions
        to specific provisions in the RFP are set forth below. Additional revisions
        may
        be necessary to the contract to comply with conditions imposed by the Centers
        of
        Medicare & Medicaid Services (CMS). The PROVIDER agrees to comply with such
        revisions imposed by CMS.

    

    
       

      30.510 
        Eligibility Determinations

    

    
      

       

      Modify
        the second bullet to read:

    

    
       

      
        	
                 

              	
                •   Any
                  date specified by the individual on which appropriate Medicaid
                  eligible
                  expenses were incurred and which is within the immediate thirty
                  (30) days
                  prior to the date of application; or

              

      

    

    
      

       

      30.550  90-Day
        Grace Period

    

    
       

      Replace
        the first two paragraphs with the following:

    

    
       

      Provided
        the health plan into which the member wants to enroll is not capped, the
        DHS
        will allow members to change health plans without cause for the first ninety
        (90) days from the effective date of enrollment in that health
        plan.

    

    
       

      After
        the initial ninety (90) day grace period, members will be allowed to change
        health plans only during the annual plan change period, as described in Section
        30.560, or as outlined in Section 30.600.

    

    
       

      30.600 Disenrollment
        Responsibilities

       

    

    
      Modify
        the 1st
        paragraph, 2nd
        second sentence to read:

    

    
       

      The
        DHS will process all disenrollment requests submitted orally or in writing
        by
        the member or his or her representative.
         

        30.820.4
          Behavioral Health Services for Children/Support for Emotional and Behavioral
          Development (SEBD) Program 

      

    

    
       

      Amend
        this section to read:

    

    
       

      The
        DOH, through its Child and Adolescent Mental Heath Division (CAMHD), will
        provide acute inpatient psychiatric and outpatient behavioral health services,
        community crisis management and crisis residential services, intensive family
        intervention, therapeutic living and therapeutic foster care supports,
        hospital-based residential treatment, partial hospitalization, respite care
        and
        biopsychosocial rehabilitation to children and adolescents age three (3)
        through
        age twenty (20) who the DOH determines are in need of intensive mental health
        services and are determined eligible for the SEBD Program. Additional
        information on the SEBD program is available in Appendix
        D,

    

    
       

      40.750.4   Expanded
        Personal Assistance Services Level I Capacity

       

    

    
      Modify
        the 6th
        paragraph, 2nd
        sentence to read:

    

    
       

      As
        a part of these monitoring activities, on a monthly basis, the health plan
        shall
        submit to the DHS or its designee the following information relevant to its
        waiting list:

    

    
       

      Modify
        the 7th
        paragraph, 1st
        sentence to read:

    

    
       

      For
        SFY 2009 and SFY 2010, the health plan shall meet with the DHS or its designee
        on at least a quarterly basis to discuss any issues associated with management
        of its personal assistance services Level I waiting
        list.

    

    
       

      40.750.5  Expanded
        HCBS Capacity

    

    
       

      Modify
        the 6th
        paragraph, 2nd
        sentence to read:

    

    
       

      As
        a part of these monitoring activities, on a monthly basis the health plan
        shall
        submit to the DHS or its designee the following information relevant to its
        waiting list.

    

    
       

      Modify
        the 7th
        paragraph, 1st
        sentence to read:

    

    
       

      For
        SFY 2009 and 2010, the health plan shall meet with the DHS or its designee
        on at
        least a quarterly basis to discuss any issues associated with management
        of its
        HCBS waiting list.

    

    
       

      41.510 Transition
        to the Health Plan

    

    
       

      Replace
        this section with the following:

    

    
       

      In
        the event a member entering the health plan is receiving medically necessary
        covered services in addition to or other than prenatal services (see below
        for
        members in the second and third trimester receiving prenatal services) the
        day
        before enrollment into the health plan, the health plan shall be responsible
        for
        the costs of continuation of such medically necessary services, without any
        form
        of prior approval and without regard to whether such services are being provided
        by contract or non-contract providers. The health plan shall provide
        continuation of such services for the lesser of 1) ninety (90) days for all
        members receiving HCBS and all children under the age of twenty-one and 2)
        one-hundred and eighty (180) days for all members living in a nursing facility
        and all members without a care plan OR until members in these categories
        have
        had a HFA from his or her service coordinator, had a care plan developed
        and has
        been seen by the assigned POP who has authorized a course of
        treatment.

    

    
      

       

      In
        the event the member entering the health plan is in her second or third
        trimester of pregnancy and is receiving medically necessary covered prenatal
        services the day before enrollment, the health plan shall be responsible
        for
        providing continued access to the prenatal care provider (whether contract
        or
        non-contract) through the postpartum period.

    

    
      

       

      REPLACE
        APPENDIX D.4 (page D-23 & D-24) CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE
        (SED) with the following:

    

    

    
      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

    

    

    
      REVISED
        APPENDIX D.4

    

    
       

      Support
        for Emotional and Behavioral Development
        (SEBD)

    

    
      Fact
        Sheet

    

    
       

      WHAT
        IS SEBD Program?

    

    
       

      SEBD
        is an acronym for the Department of Health's (DOH) Child and Adolescent

      Mental
        Health Divisions (CAMHD) Support for Emotional and Behavioral
        Development

    

    
      program.

       

    

    
      Formerly
        known as SED Serious Emotional Disturbance or SEBD Serious
        Emotional

    

    
      Behavioral
        Disturbance, CAMHD's SEBD program provides an array of services
        needed

    

    
      by
        families to support children and youth with the high-end intensive mental
        health

    

    
      support.

    

    
       

      WHO
        CAN BE REFERRED?

       

    

    
      Children/youth
        ages 3 through 20

       

      AND

       

      Hawaii
        Medicaid QUEST, QUEST Expanded Access (QExA) or Fee-For-Service (FFS)
eligible

    

    
       

      WHO
        CAN MAKE A REFERRAL?

    

    
       

      Parents,
        legal guardians, Department of Education (DOE), Department of
        Human

    

    
      Services
        (DHS), Family Court (FC), QUEST Health Plan, QUEST Expanded
        Access

    

    
      Health
        Plan, Department of Health (DOH), Attorney General (AG), Private Provider
        or

    

    
      others
        who submit a referral to ask for help in getting
        services.

    

    
       

      WHAT
        ARE THE ELIGIBILITY REQUIREMENTS?

       

    

    
      Child
        and Adolescent Functional Assessment Scale (CAFAS) score 80 or
        above

    

    
       

      AND

       

      Eligible
        DSM-IV Axis I diagnosis

    

    
       

      WHAT
        ARE THE BENEFITS?

       

    

    
      
        A
          child/youth determined to be SEBD eligible is able to receive appropriate
          

        individualized
          CAMHD intensive mental health services. 

D-23

    

    

    
      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

    

     

    
      CRITERIA
        for
        determination of eligibility for CAMHD
        Support 

      for
        Emotional and Behavioral Development
        (SEBD)

    

    
       

       

      I. CRITERIA 

    

    
      Children
        and youth with serious emotional disturbance are individuals who have a Child
        and Adolescent Functional Assessment Scale (CAFAS) score of 80 or above and
        currently, or at anytime during the past year, have had a primary DSM-IV
        Axis I
        diagnosis.

    

    
      

       

      II. EXCLUDED
        DIAGNOSES

    

    
      If
        the diagnoses listed below are the only DSM-IV diagnoses, the child is
        ineligible for SEBD services. These diagnoses, however, may and often do
        co-exist with other DSM-IV diagnoses, which make the youth eligible for SEBD
        services.

    

    
       

      Mental
        Retardation

    

    
      317     Mild
        Mental Retardation

    

    
      318.0  Moderate
        Mental Retardation

    

    
      318.1  Severe
        Mental Retardation

    

    
      318.2  Profound
        Mental Retardation

    

    
      319     Mental
        Retardation, Severity Unspecified

    

    
       

      Learning
        Disorders

    

    
      315.0   Reading
        Disorder

    

    
      315.1   Mathematics
        Disorder

    

    
      315.2   Disorder
        of Written Expression 

      315.9
        Learning Disorder NOS

    

    
       

      Motor
        Skills Disorder

    

    
      315.3   Developmental
        Coordination Disorder

    

    
       

      Communication
        Disorders

    

    
      315.31 Expressive
        Language Disorder

    

    
      315.32 Mixed
        Receptive-Expressive Language Disorder 

      315.39
        Phonological Disorder

    

    
      307.0   Stuttering

    

    
      307.9   Communication
        Disorder NOS

    

    
      

       

      D-24

    

    

    
      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

    

    

    
      Pervasive
        Developmental Disorders

    

    
      299.0   Autistic
        Disorder

    

    
      299.80
        Rett's Disorder

    

    
      299.10
        Childhood Disintegrative Disorder

    

    
      299.80
        Asperger's Disorder

    

    
      299.80
        Pervasive Developmental Disorder NOS

    

    
       

      Substance
        Abuse Disorders

    

    
       

      Mental
        Disorders Due to a General Medical Condition

    

    
       

      III.       PROVISIONALLY
        QUALIFIED

    

    
       

      Children
        and youth provisionally qualified as SEBD are defined as
        those:

    

    
      

       

      
        	
                •

              	
                Who
                  have a substance abuse condition and are suspected to suffer from
                  a
                  qualifying condition due to their symptoms and functional limitations.
                  These children and youth have ongoing and recent substance abuse,
                  which
                  prevents the clinician from making a definitive qualifying
                  diagnosis.

              
	•	Cases
                in which the impairment is profound and short-term.

      

    

    
      
        	
                •

              	
                Whose
                  degrees of impairment falls mainly within the emotional/self-harm
                  domains
                  that show strong evidence of serious disturbance.
                  

              

      

    

    
      

       

      D-25

    

    

    
      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

    

    

    
      Attachment
        2

    

    
      

       

      TIME
        OF PERFORMANCE

    

    
      

       

      The
        services of the Provider under this Contract shall commence upon execution
        of
        the Contract to June 30, 2011. However, performance and payment obligations
        for
        each successive fiscal year shall be subject to the availability and
        appropriation of funds. DHS shall have the option to extend the contract
        with
        the Provider for (3) three fiscal years beyond June 30, 2011. Any renewal
        or
        extension of the contract will be subject to available
        funding.

    

    
      

       

      Delivery
        of services to members under this Contract will commence on November 1,
        2008.

    

    

    
      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

    

    

    
      Attachment
        3

    

    
      

       

      COMPENSATION
        AND PAYMENT SCHEDULE

    

    
      

       

      The
        total compensation of One Billion, Two Hundred Thirty Nine Million, Two Hundred
        Twenty Four Thousand, Two Hundred Twenty Six Dollars ($1,239,224,226.00)
        for the
        period November 1, 2008 to June 30, 2011 will be paid directly to the Provider
        using HIPAA 834/820 transactions, based on the attached Exhibit A. Performance
        and payment obligations for each fiscal year shall be subject to the
        availability and appropriation of funds.

       

      

        
          
            
            

          

          
            
            

            
              

            

          

          
            
            

          

        

        
          Exhibit
            A

        

        
          Hawaii
            QExA Bid Evaluation

        

        
          Ohana
            Bid
            Rate Summary

        

        

        

          
            
              
              

            

            
              
              

              
                

              

            

            
              
              

            

          

          
            Exhibit
              A

            Hawaii
              QExA Bid Evaluation

          

          
            Ohana
              Bid
              Rate Summary

          

           

          
            
              	
                      
                        Membership

                      

                    	 
	 	 	
                      
                        Rate
                          Category

                      

                    	 
	 	 	
                      
                        Age
                          - Medicare
                          Eligible

                      

                    	 	 	
                      
                        Aged
                          - Medicaid Only

                      

                    	 	 	
                      
                        Blind/Disabled
                          – Medicare Eligible

                      

                    	 	 	
                      
                        Blind/Disabled
                          - Medicaid Only

                      

                    	 	 	 	 
	
                      Island

                    	 	
                      
                        Nursing
                          Facility

                      

                    	 	 	
                      
                        Home
                          & Community

                      

                    	 	 	
                      
                        Medical

                      

                    	 	 	
                      
                        Nursing
                          Facility

                      

                    	 	 	
                      
                        Home
                          & Community

                      

                    	 	 	
                      
                        Medical

                      

                    	 	 	
                      
                        Nursing
                          Facility

                      

                    	 	 	
                      
                        Home
                          & Community

                      

                    	 	 	
                      
                        Medical

                      

                    	 	 	
                      
                        Nursing
                          Facility

                      

                    	 	 	
                      
                        Home
                          & Community

                      

                    	 	 	
                      
                        Medical

                      

                    	 	 	
                      
                        Total

                      

                    	 
	
                      
                        Oahu

                      

                    	 	 	13,171	 	 	 	12,552	 	 	 	115,887	 	 	 	759	 	 	 	1,440	 	 	 	20,051	 	 	 	1,365	 	 	 	3,725	 	 	 	58,250	 	 	 	1,011	 	 	 	3,975	 	 	 	99,417	 	 	 	331,603	 
	
                      
                        Kauai

                      

                    	 	 	2,236	 	 	 	1,023	 	 	 	6,097	 	 	 	78	 	 	 	76	 	 	 	558	 	 	 	289	 	 	 	185	 	 	 	3,959	 	 	 	128	 	 	 	214	 	 	 	7,612	 	 	 	22,455	 
	
                      
                        Hawaii

                      

                    	 	 	4,888	 	 	 	2,780	 	 	 	16,549	 	 	 	172	 	 	 	260	 	 	 	2,092	 	 	 	377	 	 	 	740	 	 	 	15,038	 	 	 	291	 	 	 	859	 	 	 	33,494	 	 	 	77,540	 
	
                      
                        Maui

                      

                    	 	 	3,255	 	 	 	1,234	 	 	 	8,221	 	 	 	135	 	 	 	178	 	 	 	1,214	 	 	 	291	 	 	 	386	 	 	 	6,780	 	 	 	194	 	 	 	375	 	 	 	11,196	 	 	 	33,459	 
	
                      
                        Molokai

                      

                    	 	 	37	 	 	 	151	 	 	 	941	 	 	 	2	 	 	 	4	 	 	 	107	 	 	 	3	 	 	 	52	 	 	 	604	 	 	 	1	 	 	 	95	 	 	 	1,484	 	 	 	3,481	 
	
                      
                        Lanai

                      

                    	 	 	41	 	 	 	6	 	 	 	371	 	 	 	2	 	 	 	1	 	 	 	43	 	 	 	0	 	 	 	12	 	 	 	42	 	 	 	0	 	 	 	14	 	 	 	153	 	 	 	685	 
	 	 	 	23,628	 	 	 	17,746	 	 	 	148,066	 	 	 	1,148	 	 	 	1,959	 	 	 	24,065	 	 	 	2,325	 	 	 	5,100	 	 	 	84,673	 	 	 	1,625	 	 	 	5,532	 	 	 	153,356	 	 	 	469,223	 

            

             

             

            
              	
                      
                        Bid
                          Rates

                      

                    	 
	 	 	
                      
                        Rate
                          Category

                      

                    	 
	 	 	
                      
                        Aged
                          - Medicare Eligible

                      

                    	 	 	
                      
                        Aged
                          - Medicaid Only

                      

                    	 	 	
                      
                        Blind/Disabled
                          – Medicare Eligible

                      

                    	 	 	
                      
                        Blind/Disabled
                          – Medicaid Only

                      

                    	 	 	 	 
	
                      Island

                    	 	
                      
                        Nursing
                          Facility

                      

                    	 	 	
                      
                        Home
                          & Community

                      

                    	 	 	
                      
                        Medical

                      

                    	 	 	
                      
                        Nursing
                          Facility

                      

                    	 	 	
                      
                        Home
                          & Community

                      

                    	 	 	
                      
                        Medical

                      

                    	 	 	
                      
                        Nursing
                          Facility

                      

                    	 	 	
                      
                        Home
                          & Community

                      

                    	 	 	
                      
                        Medical

                      

                    	 	 	
                      
                        Nursing
                          Facility

                      

                    	 	 	
                      
                        Home
                          & Community

                      

                    	 	 	
                      
                        Medical

                      

                    	 	 	
                      
                        Total

                      

                    	 
	
                      
                        Oahu

                      

                    	 	$	5,850.92	 	 	$	2,833.91	 	 	$	167.34	 	 	$	5,817.60	 	 	$	3,722.67	 	 	$	422.59	 	 	$	6,916.33	 	 	$	3,106.88	 	 	$	253.60	 	 	$	9,669.30	 	 	$	5,821.95	 	 	$	837.10	 	 	$	911.34	 
	
                      
                        Kauai

                      

                    	 	$	6,303.38	 	 	$	4,027.90	 	 	$	202.89	 	 	$	6,128.56	 	 	$	3,967.82	 	 	$	427.40	 	 	$	6,998.87	 	 	$	3,292.08	 	 	$	201.17	 	 	$	9,797.40	 	 	$	5,754.22	 	 	$	736.27	 	 	$	1,424.54	 
	
                      
                        Hawaii

                      

                    	 	$	5,682.65	 	 	$	3,776.04	 	 	$	199.86	 	 	$	5,872.34	 	 	$	3,756.63	 	 	$	445.62	 	 	$	6,819.18	 	 	$	3,092.92	 	 	$	221.56	 	 	$	9,347.37	 	 	$	5,828.38	 	 	$	674.52	 	 	$	1,070.56	 
	
                      
                        Maui

                      

                    	 	$	5,940.83	 	 	$	4,019.68	 	 	$	119.98	 	 	$	5,784.40	 	 	$	3,928.90	 	 	$	457.31	 	 	$	6,603.45	 	 	$	3,282.80	 	 	$	219.01	 	 	$	9,431.61	 	 	$	5,668.49	 	 	$	701.63	 	 	$	1,309.18	 
	
                      
                        Molokai

                      

                    	 	$	6,303.38	 	 	$	4,027.90	 	 	$	202.89	 	 	$	6,128.56	 	 	$	3,967.82	 	 	$	427.40	 	 	$	6,998.87	 	 	$	3,292.08	 	 	$	201.17	 	 	$	9,797.40	 	 	$	5,754.22	 	 	$	736.27	 	 	$	881.64	 
	
                      
                        Lanai

                      

                    	 	$	6,303.38	 	 	$	4,027.90	 	 	$	202.89	 	 	$	6,128.56	 	 	$	3,967.82	 	 	$	427.40	 	 	$	6,998.87	 	 	$	3,292.08	 	 	$	201.17	 	 	$	9,797.40	 	 	$	5,754.22	 	 	$	736.27	 	 	$	925.03	 
	 	 	$	5,872.81	 	 	$	3,143.35	 	 	$	170.12	 	 	$	5,844.11	 	 	$	3,756.05	 	 	$	426.49	 	 	$	6,871.78	 	 	$	3,127.21	 	 	$	242.29	 	 	$	9,593.44	 	 	$	5,808.59	 	 	$	785.62	 	 	$	990.38	 

            

            

             

            
              	
                      
                        Adjusted
                          Bid Rates for Evaluation

                      

                    	 
	 	 	
                      
                        Rate
                          Category

                      

                    	 
	 	 	
                      
                        Aged
                          - Medicare Eligible

                      

                    	 	 	
                      
                        Aged
                          - Medicaid Only

                      

                    	 	 	
                      
                        Blind/Disabled
                          – Medicare Eligible

                      

                    	 	 	
                      
                        Blind/Disabled
                          – Medicaid Only

                      

                    	 	 	 	 
	
                      
                      

                      Island

                    	 	
                      
                        Nursing
                          Facility

                      

                    	 	 	
                      
                        Home
                          & Community

                      

                    	 	 	
                      
                        Medical

                      

                    	 	 	
                      
                        Nursing
                          Facility

                      

                    	 	 	
                      
                        Home
                          & Community

                      

                    	 	 	
                      
                        Medical

                      

                    	 	 	
                      
                        Nursing
                          Facility

                      

                    	 	 	
                      
                        Home
                          & Community

                      

                    	 	 	
                      
                        Medical

                      

                    	 	 	
                      
                        Nursing
                          Facility

                      

                    	 	 	
                      
                        Home
                          & Community

                      

                    	 	 	
                      
                        Medical

                      

                    	 	 	
                      
                        Total

                      

                    	 
	
                      
                        Oahu

                      

                    	 	$	5,850.92	 	 	$	2,833.91	 	 	$	167.34	 	 	$	5,817.60	 	 	$	3,722.67	 	 	$	422.59	 	 	$	6,916.33	 	 	$	3,106.88	 	 	$	253.60	 	 	$	9,669.30	 	 	$	5,821.95	 	 	$	837.10	 	 	$	911.34	 
	
                      
                        Kauai

                      

                    	 	$	6,303.38	 	 	$	4,027.90	 	 	$	171.97	 	 	$	6,128.56	 	 	$	3,967.82	 	 	$	427.40	 	 	$	6,998.87	 	 	$	3,292.08	 	 	$	201.17	 	 	$	9,797.40	 	 	$	5,754.22	 	 	$	736.27	 	 	$	1,424.54	 
	
                      
                        Hawaii

                      

                    	 	$	5,682.65	 	 	$	3,776.04	 	 	$	199.86	 	 	$	5,872.34	 	 	$	3,756.63	 	 	$	445.62	 	 	$	6,819.18	 	 	$	3,092.92	 	 	$	203.23	 	 	$	9,347.37	 	 	$	5,828.38	 	 	$	674.52	 	 	$	1,070.56	 
	
                      
                        Maui

                      

                    	 	$	5,940.83	 	 	$	4,019.68	 	 	$	119.98	 	 	$	5,784.40	 	 	$	3,928.90	 	 	$	457.31	 	 	$	6,603.45	 	 	$	3,282.80	 	 	$	219.01	 	 	$	9,431.61	 	 	$	5,668.49	 	 	$	701.63	 	 	$	1,309.18	 
	
                      
                        Molokai

                      

                    	 	$	6,303.38	 	 	$	4,027.90	 	 	$	202.89	 	 	$	6,128.56	 	 	$	3,967.82	 	 	$	427.40	 	 	$	6,998.87	 	 	$	3,292.08	 	 	$	201.17	 	 	$	9,797.40	 	 	$	5,754.22	 	 	$	736.27	 	 	$	881.64	 
	
                      
                        Lanai

                      

                    	 	$	6,303.38	 	 	$	4,027.90	 	 	$	202.89	 	 	$	6,128.56	 	 	$	3,967.82	 	 	$	427.40	 	 	$	6,998.87	 	 	$	3,292.08	 	 	$	201.17	 	 	$	9,797.40	 	 	$	5,754.22	 	 	$	736.27	 	 	$	925.03	 

            

            

             

             

            
              

               

              Milliman

            

          

        

      

    

    

    
      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

    

    

    
      CONTRACT
        NO. DHS-08-MQD-5129

    

    
       

      GENERAL
        CONDITIONS FOR HEALTH &
        HUMAN SERVICES CONTRACTS

      TABLE
        OF CONTENTS

    

    
      

    

    
      	 	 	
              Page
                (s)

            
	
              1.

            	
              Representations
                and Conditions Precedent

            	
              1

            
	
              1.1

            	
              Contract
                Subject to the Availability of State and Federal
                Funds

            	
              1

            
	
              1.1.1

            	
              State
                Funds

            	
              1

            
	
              1.1.2

            	
              Federal
                Funds

            	
              1

            
	 	 	 
	
              1.2

            	
              Representations
                of the PROVIDER

            	
              1

            
	
              1.2.1

            	
              Compliance
                with Laws

            	
              1

            
	
              1.2.2

            	
              Licensing
                and Accreditation

            	
              1

            
	 	 	 
	
              1.3

            	
              Compliance
                with Laws

            	
              1

            
	
              1.3.1

            	
              Smoking
                Policy

            	
              1

            
	
              1.3.2

            	
              Drug
                Free Workplace

            	
              1

            
	
              1.3.3

            	
              Persons
                with Disabilities

            	
              1

            
	
              1.3.4

            	
              Nondiscrimination

            	
              2

            
	 	 	 
	
              1.4

            	
              Insurance
                Requirements

            	
              2

            
	
              1.5

            	
              Notice
                to Clients

            	
              2

            
	
              1.6

            	
              Reporting
                Requirements

            	
              2

            
	
              1.7

            	
              Conflicts
                of Interest

            	
              3

            
	
              2.

            	
              Documents
                and Files

            	
              3

            
	
              2.1

            	
              Confidentiality
                of Material

            	
              3

            
	
              2.1.1

            	
              Proprietary
                or Confidential Information

            	
              3

            
	
              2.1.2

            	
              Uniform
                Information Practices Act

            	
              3

            
	
              2.2

            	
              Ownership
                Rights and Copyright

            	
              3

            
	
              2.3

            	
              Records
                Retention

            	
              3

            
	
              3.

            	
              Relationship
                between Parties

            	
              3

            
	
              3.1

            	
              Coordination
                of Services by the STATE

            	
              3

            
	
              3.2

            	
              Subcontracts
                and Assignments

            	
              4

            
	
              3.3

            	
              Change
                of Name

            	
              4

            
	
              3.4

            	
              Independent
                Contractor Status and Responsibilities, Including Tax
                Responsibilities

            	
              4

            
	
              3.4.1

            	
              Independent
                Contractor

            	
              4

            
	
              3.4.2

            	
              Contracts
                with Other Individuals and Entities

            	
              4

            

    

    
    

    
      AG
        Form 103F (9/06)

    

    
      General
        Conditions

    

    
      Table
        of Contents

    

    
      Competitive

    

    

    
      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

    

    

    CONTRACT
      NO. DHS-08-MQD-5129

    
      

    

    
      	
              3.4.3

            	
              PROVIDER'S
                Employees and Agents

            	
              4

            
	
              3.4.4

            	
              PROVIDER'S
                Responsibilities

            	
              5

            
	
              3.5

            	
              Personnel
                Requirements

            	
              5

            
	
              3.5.1

            	
              Personnel

            	
              5

            
	
              3.5.2

            	
              Requirements

            	
              5

            
	
              4.

            	
              Modification
                and Termination of Contract

            	
              6

            
	
              4.1

            	
              Modifications
                of Contract

            	
              6

            
	
              4.1.1

            	
              In
                Writing

            	
              6

            
	
              4.1.2

            	
              No
                Oral Modification

            	
              6

            
	
              4.1.3

            	
              Tax
                Clearance

            	
              6

            
	
              4.2

            	
              Termination
                in General

            	
              6

            
	
              4.3

            	
              Termination
                for Necessity or Convenience

            	
              6

            
	
              4.4

            	
              Termination
                by PROVIDER

            	
              6

            
	
              4.5

            	
              STATE'S
                Right of Offset

            	
              6

            
	
              5.

            	
              Indemnification

            	
              7

            
	
              5.1

            	
              Indemnification
                and Defense.

            	
              7

            
	
              5.2

            	
              Cost
                of Litigation

            	
              7

            
	
              6.

            	
              Publicity

            	
              7

            
	
              6.1

            	
              Acknowledgment
                of State Support

            	
              7

            
	
              6.2

            	
              PROVIDER'S
                Publicity Not Related to Contract

            	
              7

            
	
              7.

            	
              Miscellaneous
                Provisions

            	
              7

            
	
              7.1

            	
              Nondiscrimination

            	
              7

            
	
              7.2

            	
              Paragraph
                Headings

            	
              7

            
	
              7.3

            	
              Antitrust
                Claims

            	
              8

            
	
              7.4

            	
              Governing
                Law

            	
              8

            
	
              7.5

            	
              Conflict
                between General Conditions and Procurement Rules

            	
              8

            
	
              7.6

            	
              Entire
                Contract

            	
              8

            
	
              7.7

            	
              Severability

            	
              8

            
	
              7.8

            	
              Waiver

            	
              8

            
	
              7.9

            	
              Execution
                in Counterparts

            	
              8

            

    

    
       

    

    
       

      AG
        Form 103F (9/06)

      General
        Conditions

      Table
        of Contents

      Competitive   

    

    
       

    

    
      Page
        2                     

    

    

    
      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

    

    

    
      CONTRACT
        NO. DHS-08-MQD-5129

    

    
      

       

      GENERAL
        CONDITIONS FOR HEALTH & HUMAN SERVICES CONTRACTS 

       

    

    
      
        1.
          Representations
          and Conditions Precedent

         

      

      
        1-l
Contract
          Subject to the
          Availability of State and Federal Funds.

      

      
         

        1.1.1
          State Funds.
          This Contract is, at all times, subject to the appropriation and allotment
          of
          state funds, and may be terminated without liability to either the PROVIDER
          or
          the STATE in the event that state funds are not appropriated or
          available.

      

      
         

        1.1.2
          Federal Funds.
          To the extent that this Contract is funded partly or wholly by federal
          funds,
          this Contract is subject to the availability of such federal funds. The
          portion
          of this Contract that is to be funded federally shall be deemed severable,
          and
          such federally funded portion may be terminated without liability to either
          the
          PROVIDER or the STATE in the event that federal funds are not available.
          In any
          case, this Contract shall not be construed to obligate the STATE to expend
          state
          funds to cover any shortfall created by the unavailability of anticipated
          federal funds.

      

      
         

        1.2 Representations
          of the
          PROVIDER. As a necessary condition to the formation of this Contract,
the
          PROVIDER makes the representations contained in this paragraph, and the
          STATE
          relies upon
          such
          representations as a material inducement to entering into this
          Contract.

      

      
         

        1.2.1 Compliance
          with Laws.
          As of the date of this Contract, the PROVIDER complies with all federal,
          state,
          and county laws, ordinances, codes, rules, and regulations, as the same
          may be
          amended from time to time, that in any way affect the PROVIDER'S performance
          of
          this Contract.

      

      
         

        1.2.2 Licensing
          and
          Accreditation. As of the date of this Contract, the PROVIDER holds all
          licenses and accreditations required under applicable federal, state, and
          county
          laws, ordinances, codes, rules, and regulations to provide the Required
          Services
          under this Contract.

      

      
         

        1.3 Compliance
          with Laws.
          The PROVIDER shall comply with all federal, state, and county laws, ordinances,
          codes, rules, and regulations, as the same may be amended from time to
          time,
          that in any
          way
          affect the PROVIDER'S performance of this Contract, including but not limited
          to
          thelaws
          specifically enumerated in this paragraph:

      

      
         

        1.3.1 Smoking
          Policy. The
          PROVIDER shall implement and maintain a written smoking policy as required
          by
          Chapter 328K, Hawaii Revised Statutes, or its successor
          provision.

      

      
         

        1.3.2 Drug
          Free Workplace.
          The PROVIDER shall implement and maintain a drug free workplace as required
          by
          the Drug Free Workplace Act of 1988.

      

      
         

        1.3.3 Persons
          with
          Disabilities. The PROVIDER shall
          implement and maintain all practices, policies,
          and procedures required by federal, state, or county law, including but
          not limited to the Americans
          with Disabilities Act (42 U.S.C.§12101, et seq.), and the Rehabilitation Act (29
          U.S.C.§701, et seq.). 

      

      
        

         

        AG
          Form
          103F (9/06)

      

      
        General
          Conditions

      

      
        Competitive

      

      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

      
        CONTRACT
          NO. DHS-08-MQD-5129

      

      
        

        1.3.4
          Nondiscrimination. No
          person performing work under this Contract, including any subcontractor,
          employee, or agent of the PROVIDER, shall engage in any discrimination
          that is
          prohibited by any applicable federal, state, or county law.

      

      
         

        1.4
          Insurance
          Requirements. The PROVIDER shall obtain from a company authorized by law
          to issue such insurance in the State of Hawai'i commercial general liability
          insurance ("liability insurance") in an amount of at least TWO MILLION
          AND
          NO/100 DOLLARS ($2,000,000.00) coverage for bodily injury and property
          damage
          resulting from the PROVIDER'S performance under this Contract. The PROVIDER
          shall maintain in effect this liability insurance until the STATE certifies
          that
          the PROVIDER'S work under the Contract has been completed
          satisfactorily.

      

      
         

        The
          liability insurance shall be primary and shall cover the insured for all
          work to
          be performed under the Contract, including changes, and all work performed
          incidental thereto or directly or indirectly connected
          therewith.

      

      
         

        A
          certificate of the liability insurance shall be given to the STATE by the
          PROVIDER. The certificate shall provide that the STATE and its officers
          and
          employees are Additional Insureds. The certificate shall provide that the
          coverages being certified will not be cancelled or materially changed without
          giving the STATE at least 30 days prior written notice by registered
          mail.

      

      
         

        Should
          the "liability insurance" coverages be cancelled before the PROVIDER'S
          work
          under the Contract is certified by the STATE to have been completed
          satisfactorily, the PROVIDER shall immediately procure replacement insurance
          that complies in all respects with the requirements of this
          section.

      

      
         

        Nothing
          in the insurance requirements of this Contract shall be construed as limiting
          the extent of PROVIDER'S responsibility for payment of damages resulting
          from
          its operations under this Contract, including the PROVIDER'S separate and
          independent duty to defend, indemnify, and hold the STATE and its officers
          and
          employees harmless pursuant to other provisions of this
          Contract.

      

      
         

        1.5
          Notice to
          Clients. Provided that the
          term of this Contract is at least one year in duration, within ONE HUNDRED
          AND
          EIGHTY (180) days after the effective date of this Contract, the PROVIDER
          shall
          create written procedures for the orderly termination of services to any
          clients
          receiving the Required Services under this Contract and for the transition
          to
          services supplied by another provider upon termination of this Contract,
          regardless of the circumstances of such termination. These procedures shall
          include, at the minimum, timely notice to such clients of the termination
          of
          this Contract, and appropriate counseling.

      

      
         

        1.6
          Reporting
          Requirements. The PROVIDER shall submit a Final Project Report to the
          STATE containing the information specified in this Contract if applicable,
          or
          otherwise satisfactory to the STATE, documenting the PROVIDER'S overall
          efforts
          toward meeting the requirements of this

         

      

      
         

        AG
          Form
          103F (9/06) 

        General
          Conditions

      

      
        Competitive

      

      
        Page
          2

      

      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

      
        CONTRACT
          NO. DHS-08-MQD-5129

      

      
         

        Contract,
          and listing expenditures actually incurred in the performance of this
          Contract.   The PROVIDER shall return any unexpended funds to the
          STATE.

      

      
         

        1.7
Conflicts
          of
          Interest. In addition to the Certification provided in the Standards of
          Conduct Declaration to this Contract, the PROVIDER represents that neither
          the
          PROVIDER nor any employee or agent of the PROVIDER, presently has any interest,
          and promises that no such interest, direct or indirect, shall be acquired,
          that
          would or might conflict in any manner or degree with the PROVIDER'S performance
          under this Contract.

      

      
         

        2.
          Documents
          and Files

      

      
         

        2.1  Confidentiality
          of
          Material.

      

      
         

        2.1.1 Proprietary
          or Confidential
          Information. All material given to or made available to the PROVIDER by
          virtue of this Contract that is identified as proprietary or confidential
          information shall be safeguarded by the PROVIDER and shall not be disclosed
          to
          any individual or organization without the prior written approval of the
          STATE.

      

      
         

        2.1.2 Uniform
          Information
          Practices Act.
          All information, data, or other
          material provided by the PROVIDER to the STATE shall be subject to the
          Uniform
          Information Practices Act, chapter 92F, HRS, and any other applicable law
          concerning information practices or confidentiality.

      

      
         

        2.2 Ownership
          Rights and
          Copyright. The STATE shall have complete ownership of all material, both
          finished and unfinished that is developed, prepared, assembled, or conceived
          by
          the PROVIDER pursuant to this Contract, and all such material shall be
          considered "works made for hire." All such material shall be delivered
          to the
          STATE upon expiration or termination of this Contract. The STATE, in its
          sole
          discretion, shall have the exclusive right to copyright any product, concept,
          or
          material developed, prepared, assembled, or conceived by the PROVIDER pursuant
          to this Contract.

      

      
        

         

        2.3 Records
          Retention.
          The PROVIDER and any subcontractors shall maintain the books and records
          that
          relate to the Contract, and any cost or pricing data for three (3) years
          from
          the date of final payment under the Contract. In the event that any litigation,
          claim, investigation, audit, or other action involving the records retained
          under this provision arises, then such records shall be retained for three
          (3)
          years from the date of final payment, or the date of the resolution of
          the
          action, whichever occurs later. During the period that records are retained
          under this section, the PROVIDER and any subcontractors shall allow the
          STATE
          free and unrestricted access to such records.

      

      
         

        3.
          Relationship between Parties

      

      
         

        3.3
Coordination
          of Services by
          the STATE. The STATE shall coordinate the services to be provided by the
          PROVIDER in order to complete the performance required in the Contract.
          The
          PROVIDER shall maintain communications with the STATE at all stages of
          the
          PROVIDER'S

      

      
        

         

        AG
          Form
          103F (9/06) 

        General
          Conditions

      

      
        Competitive

      

      
        Page
          3

      

      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

      
        CONTRACT
          NO. DHS-08-MQD-5129

      

      
        work,
          and
          submit to the STATE for resolution any questions which may arise as to
          the
          performance of this Contract.

      

      
         

        3.2 Subcontracts
          and
          Assignments. The PROVIDER may assign or subcontract any of the PROVIDER'S
          duties, obligations, or interests under this Contract, but only if (i)
          the
          PROVIDER obtains the prior written consent of the STATE and (ii) the PROVIDER'S
          assignee or subcontractor submits to the STATE a tax clearance certificate
          from
          the Director of Taxation, State of Hawai'i, and the Internal Revenue Service
          showing that all delinquent taxes, if any, levied or accrued under state
          law
          against the PROVIDER'S assignee or subcontractor have been paid. Additionally,
          no assignment by the PROVIDER of the PROVIDER'S right to compensation under
          this
          Contract shall be effective unless and until the assignment is approved
          by the
          Comptroller of the State of Hawai'i, as provided in section 40-58,
          HRS.

      

      
        

         

        3.3 Change
          of Name. When
          the PROVIDER asks to change the name in which it holds this Contract, the
          STATE,
          shall, upon receipt of a document acceptable or satisfactory to the STATE
          indicating such change of name such as an amendment to the PROVIDER'S articles
          of incorporation, enter into an amendment to this Contract with the PROVIDER
          to
          effect the change of name. Such amendment to this Contract changing the
          PROVIDER'S name shall specifically indicate that no other terms and conditions
          of this Contract are thereby changed, unless the change of name amendment
          is
          incorporated with a modification or amendment to the Contract under paragraph
          4.1 of these General Conditions.

      

      
         

        3.4      Independent
          Contractor
          Status and Responsibilities, Including Tax
          Responsibilities.

      

      
         

        3.4.1
          Independent
          Contractor. In the performance of services required under this Contract,
          the PROVIDER is an "independent contractor," with the authority and
          responsibility to control and direct the performance and details of the
          work and
          services required under this Contract; however, the STATE shall have a
          general
          right to inspect work in progress to determine whether, in the STATE'S
          opinion,
          the services are being performed by the PROVIDER in compliance with this
          Contract.

      

      
         

        3.4.2 Contracts
          with Other
          Individuals and Entities. Unless otherwise provided by special condition,
          the STATE shall be free to contract with other individuals and entities
          to
          provide services similar to those performed by the PROVIDER under this
          Contract,
          and the PROVIDER shall be free to contract to provide services to other
          individuals or entities while under contract with the STATE.

      

      
         

        3.4.3 PROVIDER'S
          Employees and
          Agents. The PROVIDER and the PROVIDER'S employees and agents are not by
          reason of this Contract, agents or employees of the State for any purpose.
          The
          PROVIDER and the PROVIDER'S employees and agents shall not be entitled
          to claim
          or receive from the STATE any vacation, sick leave, retirement, workers'
          compensation, unemployment insurance, or other benefits provided to state
          employees. Unless specifically authorized in writing by the STATE, the
          PROVIDER
          and the PROVIDER'S employees and agents are not authorized to speak on
          behalf
          and no statement or admission made by the PROVIDER or the PROVIDER'S employees
          or

      

      
        

         

        AG
          Form
          103F (9/06)

        General
          Conditions 

      

      
        

         

        Page
          4 

      

      
        Competitive

      

      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

      
        CONTRACT
          NO. DHS-08-MQD-5129

      

      
         

        agents
          shall be attributed to the STATE, unless specifically adopted by the STATE
          in
          writing.

      

      
        

         

        3.4.4 PROVIDER'S
          Responsibilites. The
          PROVIDER shall be responsible for the accuracy, completeness, and adequacy
          of
          the PROVIDER'S performance under this Contract.

      

      
         

        Furthermore,
          the PROVIDER intentionally, voluntarily, and knowingly assumes the sole
          and
          entire liability to the PROVIDER'S employees and agents, and to any individual
          not a party to this Contract, for all loss, damage, or injury caused by
          the
          PROVIDER, or the PROVIDER'S employees or agents in the course of their
          employment.

      

      
         

        The
          PROVIDER shall be responsible for payment of all applicable federal, state,
          and
          county taxes and fees which may become due and owing by the PROVIDER by
          reason
          of this Contract, including but not limited to (i) income taxes, (ii) employment
          related fees, assessments, and taxes, and (iii) general excise taxes. The
          PROVIDER also is responsible for obtaining all licenses, permits, and
          certificates that may be required in order to perform this
          Contract.

      

      
         

        The
          PROVIDER shall obtain a general excise tax license from the Department
          of
          Taxation, State of Hawai'i, in accordance with section 237-9, HRS, and
          shall
          comply with all requirements thereof. The PROVIDER shall obtain a tax clearance
          certificate from the Director of Taxation, State of Hawai'i, and the Internal
          Revenue Service showing that all delinquent taxes, if any, levied or accrued
          under state law against the PROVIDER have been paid and submit the same
          to the
          STATE prior to commencing any performance under this Contract. The PROVIDER
          shall also be solely responsible for meeting all requirements necessary
          to
          obtain the tax clearance certificate required for final payment under section
          103-53, HRS, and these General Conditions.

      

      
         

        The
          PROVIDER is responsible for securing all employee-related insurance coverage
          for
          the PROVIDER and the PROVIDER'S employees and agents that is or may be
          required
          by law, and for payment of all premiums, costs, and other liabilities associated
          with securing the insurance coverage.

      

      
         

        3.5 Personnel
          Requirements.

      

      
         

        3.5.1 Personnel.
          The
          PROVIDER shall secure, at the PROVIDER'S own expense, all personnel required
          to
          perform this Contract, unless otherwise provided in this
          Contract.

      

      
         

        3.5.2 Requirements.
          The
          PROVIDER shall ensure that the PROVIDER'S employees or agents are experienced
          and fully qualified to engage in the activities and perform the services
          required under this Contract, and that all applicable licensing and operating
          requirements imposed or required under federal, state, or county law, and
          all
          applicable accreditation and other standards of quality generally accepted
          in
          the field of the activities of such employees and agents are complied with
          and
          satisfied.

      

      
        

         

        AG
          Form
          103F (9/06)

        General
          Conditions

        Competitive

      

      
        

         

        Page
          5 

      

      
         

      

      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      
CONTRACT NO. DHS-08-MQD-5129
      
        

         

        4. Modification
          and Termination of Contract

      

      
         

        4.1 Modifications
          of
          Contract.

      

      
         

        4.1.1 In
          Writing. Any
          modification, alteration, amendment, change, or extension of any term,
          provision, or condition of this Contract permitted by this Contract shall
          be
          made by written amendment to this Contract, signed by the PROVIDER and
          the
          STATE.

      

      
         

        4.1.2 No
          Oral Modification.
          No oral modification, alteration, amendment, change, or extension of any
          term,
          provision or condition of this Contract shall be permitted.

      

      
         

        4.1.3 Tax
          Clearance. The
          STATE may, at its discretion, require the PROVIDER to submit to the STATE,
          prior
          to the STATE'S approval of any modification, alteration, amendment, change,
          or
          extension of any term, provision, or condition of this Contract, a tax
          clearance
          from the Director of Taxation, State of Hawai'i, and the Internal Revenue
          Service showing that all delinquent taxes, if any, levied or accrued under
          state
          and federal law against the PROVIDER have been paid.

      

      
         

        4.2 Termination
          in
          General This Contract may be terminated in whole or in part for a
          reduction in funds available to pay the PROVIDER, or when, in its sole
          discretion, the STATE determines (i) that there has been a change in the
          conditions upon which the need for the Required Services was based, (ii)
          that
          the PROVIDER has failed to provide the Required Services adequately or
          satisfactorily, or (iii) that other good cause for the whole or partial
          termination of this Contract exists. Termination under this section shall
          be
          made by a written notice sent to the PROVIDER ten (10) working days prior
          to the
          termination date that includes a brief statement of the reason for the
          termination. If the Contract is terminated under this paragraph, the PROVIDER
          shall cooperate with the STATE to effect an orderly transition of services
          to
          clients.

      

      
         

        4.3 Termination
          for Necessity or
          Convenience. If the STATE determines, in its sole discretion, that it is
          necessary or convenient, this Contract may be terminated in whole or in
          part at
          the option of the STATE upon ten (10) working days' written notice to the
          PROVIDER. If the STATE elects to terminate under this paragraph, the PROVIDER
          shall be entitled to reasonable payment as determined by the STATE for
          satisfactory services rendered under this Contract up to the time of
          termination. If the STATE elects to terminate under this section, the PROVIDER
          shall cooperate with the STATE to effect an orderly transition of services
          to
          clients.

      

      
         

        4.4 Termination
          by
          PROVIDER. The PROVIDER may withdraw from this Contract after obtaining
          the written consent of the STATE. The STATE, upon the PROVIDER'S withdrawal,
          shall determine whether payment is due to the PROVIDER, and the amount
          that is
          due. If the STATE consents to a termination under this paragraph, the PROVIDER
          shall cooperate with the STATE to effect an orderly transition of services
          to
          clients.

      

      
         

        4.5 STATE'S
          Right
of
          Offset. The STATE may offset
          against any monies or other obligations that STATE owes to the PROVIDER
          under
          this Contract, any amounts owed to the State of Hawai'i by the PROVIDER
          under
          this Contract, or any other contract, or pursuant to any law or other obligation
          owed to the State of Hawai'i by the PROVIDER, including but not limited
          to
          the

      

      
         

        AG
          Form
          103F (9/06)

        General
          Conditions  

      

      
        Competitive

        Page
          6

      

      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

      CONTRACT
        NO. DHS-08-MQD-5129

      
        payment
          of any taxes or levies of any kind or nature. The STATE shall notify the
          PROVIDER in writing of any exercise of its right of offset and the nature
          and
          amount of such offset. For purposes of this paragraph, amounts owed to
          the State
          of Hawai'i shall not include debts or obligations which have been liquidated
          by
          contract with the PROVIDER, and that are covered by an installment payment
          or
          other settlement plan approved by the State of Hawai'i, provided, however,
          that
          the PROVIDER shall be entitled to such exclusion only to the extent that
          the
          PROVIDER is current, and in compliance with, and not delinquent on, any
          payments, obligations, or duties owed to the State of Hawai'i under such
          payment
          or other settlement plan.

      

      
         

        5.
          Indemnification

      

      
         

        5.1 Indemnification
          and
          Defense. The PROVIDER shall defend, indemnify, and hold harmless the
          State of Hawai'i, the contracting agency, and their officers, employees,
          and
          agents from and against any and all liability, loss, damage, cost, expense,
          including all attorneys' fees, claims, suits, and demands arising out of
          or in
          connection with the acts or omissions of the PROVIDER or the PROVIDER'S
          employees, officers, agents, or subcontractors under this Contract. The
          provisions of this paragraph shall remain in full force and effect
          notwithstanding the expiration or early termination of this
          Contract.

      

      
         

        5.2 Cost
          of Litigation.
          In case the STATE shall, without any fault on its part, be made a party
          to any
          litigation commenced by or against the PROVIDER in connection with this
          Contract, the PROVIDER shall pay any cost and expense incurred by or imposed
          on
          the STATE, including attorneys' fees.

      

      
         

        6.
          Publicity

      

      
         

        6.1 Acknowledgment
          of State
          Support. The PROVIDER shall, in all news releases, public statements,
          announcements, broadcasts, posters, programs, computer postings, and other
          printed, published, or electronically disseminated materials relating to
          the
          PROVIDER'S performance under this Contract, acknowledge the support by
          the State
          of Hawai'i and the purchasing agency.

      

      
         

        6.2 PROVIDER'S
          Publicity Not
          Related to Contract. The PROVIDER shall not refer to the STATE, or any
          office, agency, or officer thereof, or any state employee, or to the services
          or
          goods, or both provided under this Contract, in any of the PROVIDER'S publicity
          not related to the PROVIDER'S performance under this Contract including
          but not
          limited to commercial advertisements, recruiting materials, and solicitations
          for charitable donations.

      

      
         

        7.
          Miscellaneous Provisions

      

      
         

        7.1 Nondiscrimination.
          No person
          performing work under this Contract, including any subcontractor, employee,
          or
          agent of the PROVIDER, shall engage in any discrimination that is prohibited
          by
          any applicable federal, state, or county law.

      

      
         

        7.2 Paragraph
          Headings.
          The paragraph headings appearing in this Contract have been inserted for
          the
          purpose of convenience and ready reference. They shall not be used to define,
          limit, or extend the scope or intent of the sections to which they
          pertain.

      

      
        

         

        AG
          Form
          103F (9/06)

        General
          Conditions 
          Competitive

        

      

      
         

        Page
          7 

      

      

      
        
          
            
            

          

          
            
            

            
              

            

          

          
            
            

          

        

      

       

      CONTRACT
        NO. DHS-08-MQD-5129

      
         

        7.3 Antitrust
          Claims. The
          STATE and the PROVIDER recognize that in actual economic practice, overcharges
          resulting from antitrust violations are in fact usually borne by the purchaser.
          Therefore, the PROVIDER hereby assigns to the STATE any and all claims
          for
          overcharges as to goods and materials purchased in connection with this
          Contract, except as to overcharges which result from violations commencing
          after
          the price is established under this Contract and which are not passed on
          to the
          STATE under an escalation clause.

      

      
        

         

        7.4 Governing
          Law. The
          validity of this Contract and any of its terms or provisions, as well as
          the
          rights and duties of the parties to this Contract, shall be governed by
          the laws
          of the State of Hawai'i. Any action at law or in equity to enforce or interpret
          the provisions of this Contract shall be brought in a state court of competent
          jurisdiction in Honolulu, Hawai'i.

      

      
        

         

        7.5 Conflict
          between General
          Conditions and Procurement Rules. In the event of a conflict between the
          General Conditions and the Procurement Rules or a Procurement Directive,
          the
          Procurement Rules or any Procurement Directive in effect on the date this
          Contract became effective shall control and are hereby incorporated by
          reference.

      

      
        

         

        7.6 Entire
          Contract. This
          Contract sets forth all of the contracts, conditions, understandings, promises,
          warranties, and representations between the STATE and the PROVIDER relative
          to
          this Contract. This Contract supersedes all prior agreements, conditions,
          understandings, promises, warranties, and representations, which shall
          have no
          further force or effect. There are no contracts, conditions, understandings,
          promises, warranties, or representations, oral or written, express or implied,
          between the STATE and the PROVIDER other than as set forth or as referred
          to
          herein.

      

      
        

         

        7.7 Severability.
          In the
          event that any provision of this Contract is declared invalid or unenforceable
          by a court, such invalidity or unenforceability shall not affect the validity
          or
          enforceability of the remaining terms of this Contract.

      

      
        

         

        7.8
Waiver.
          The failure
          of the STATE to insist upon the strict compliance with any term, provision,
          or
          condition of this Contract shall not constitute or be deemed to constitute
          a
          waiver or relinquishment of the STATE'S right to enforce the same in accordance
          with this Contract. The fact that the STATE specifically refers to one
          provision
          of the Procurement Rules or one section of the Hawai'i Revised Statutes,
          and
          does not include other provisions or statutory sections in this Contract
          shall
          not constitute a waiver or relinquishment of the STATE'S rights or the
          PROVIDER'S obligations under the Procurement Rules or
          statutes.

      

      
        

         

        7.9
Execution
          in
          Counterparts. This Contract may be executed in several counterparts, each
          of which shall be regarded as an original and all of which shall constitute
          one
          instrument.

      

      
        

         

        AG
          Form
          103F (9/06)

        General
          Conditions

      

      
        Competitive

        Page
          8 

      

      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

      
        SPECIAL
          CONDITIONS

      

      
        

         

        Provider
          acknowledges that in executing this Contract with the State, it agrees
          that the
          rates set forth under this Contract are fair and reasonable consideration
          for
          the services to be provided by the Provider. Prior to execution of this
          Contract, Provider has performed its own due diligence and analysis to
          ensure
          that it is in agreement with such rates. Provider, in signing this Contract,
          agrees that is has performed such due diligence and analysis and that it
          will
          not subsequently bring suit for any allegation that the rates to be paid
          under
          this Contract are not actuarially sound.exhibit10-1.htm

    
      

    

    Back
      to Form 8-K

    Exhibit
      10.1

     

    HealthEase of Florida,
      Inc. 

    Medicaid HMO
      Contract

    AHCA
      CONTRACT NO. FA619

    AMENDMENT
      NO. 3

    

    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.

            	
              Standard
                Contract, Section II, Item A, Contract Amount, the first sentence
                is
                hereby revised to now read as follows:

            

    

    

    
      	
               

            	
              To
                pay for contracted services according to the conditions of Attachment
                I in
                an amount not to exceed $1,098,394,977.00 (a decrease of $152,582,526.00),
                subject to availability of funds. 

            

    

    

    
      	
              2.

            	
              Attachment
                I, Section B, Method of Payment, Item 1, General, the first paragraph
                is
                hereby revised to now read as follows:

            

    

    

    
      	
               

            	
              Notwithstanding
                the payment amounts which may be computed with the rate tables specified
                in Exhibit III-C, the sum of total capitation payments under this
                Contract
                shall not exceed the total Contract amount of $1,098,394,977.00 (a
                decrease of $152,582,526.00). 

            

    

    

    
      	
              3.

            	
              Attachment
                I, Scope of Services, is hereby amended to include Exhibit III-C,
                January
                1, 2008 – August 31, 2008 Medicaid Non-Reform HMO Capitation Rates,
                attached hereto and made a part of the Contract.  All references
                in the Contract to Exhibit III-B, September 1, 2007 – August 31, 2008
                Medicaid Non-Reform HMO Capitation Rates, shall hereinafter instead
                refer
                to Exhibit III-C, January 1, 2008 - August 31, 2008 Medicaid Non-Reform
                HMO Capitation Rates. 

            

    

    

    
      	
              4.

            	
              This
                Amendment shall have an effective date of January 1, 2008, or the
                date on
                which both parties execute the Amendment, whichever is later.
                

            

    

    

    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.

    

    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.

    

     

    REMAINDER
      OF PAGE INTENTIONALLY LEFT BLANK

    

    
      
        
          
            AHCA
              Contract No. FA619, Amendment No. 3, Page 1 of 2

          

          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

    

    

      IN
        WITNESS WHEREOF, the parties hereto
        have caused this seven (7) page Amendment (which includes all attachments
        hereto) to be executed by their officials thereunto duly
        authorized.

      

      
        	
                HEALTHEASE
                  OF FLORIDA, INC.

              	
                STATE
                  OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION

              
	
                SIGNED
                  BY:   /s/ 
Todd
                  S. Farha
                  

              	
                SIGNED
                  BY:   /s/ 
Illegible     
                  

              
	
                NAME: Todd
                  S. Farha

              	
                (for)

                NAME:  Andrew
                  C. Agwunobi, M.D.

              
	
                TITLE:  President
                  and CEO

              	
                TITLE: 
                  Secretary

              
	
                DATE:1/2/08

              	
                DATE:
                  1/3/08

              

      

      

      

      List
        of
        attachments included as part of this Amendment:

      

      
        	
                Specify
                  Type

              	
                Letter/
                  Number

              	
                Description

              
	
                Exhibit

              	
                III-C

              	
                January
                  1, 2008 - August 31, 2008 Medicaid Non-Reform HMO Capitation
                  Rates (5 Pages)

              

      

      

      
        

        
          
            
              
                AHCA
                  Contract No. FA619, Amendment No. 3, Page 2 of 2

                

              

              
              

            

            
              
              

              
                

              

            

            
              
              

            

          

        

        

        
          	
                  EXHIBIT
                    III-C

                
	
                  January
                    1, 2008 - August 31, 2008

                
	
                  MEDICAID
                    Non-Reform HMO CAPITATION RATES

                
	
                  By
                    Area , Age and Eligibility
                    Category

                
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  TABLE
                    1

                
	
                  General
                    Rates:

                	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	
                  TANF

                	
                  SSI-N

                	
                  SSI-B

                	
                  SSI-AB

                
	
                  Area

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                  (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE
                    (14-20)

                	
                  AGE
                    (21-54)

                	
                  AGE

                  (55+)

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                   (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE

                  (14-20)

                	
                  AGE

                  (21-54)

                	
                  AGE

                  (55+)

                	 	
                  AGE

                  (65-)

                	
                  AGE

                  (65+)

                
	 	 	 	 	 	
                  Female

                	
                  Male

                	
                  Female

                	
                  Male

                	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  01

                	
                  1,113.27

                	
                  198.95

                	
                  103.84

                	
                  65.12

                	
                  132.96

                	
                  71.10

                	
                  261.06

                	
                  165.11

                	
                  341.74

                	
                  9,915.13

                	
                  1,434.75

                	
                  428.74

                	
                  197.94

                	
                  218.40

                	
                  704.25

                	
                  692.24

                	
                  266.36

                	
                  96.67

                	
                  79.38

                
	
                  02

                	
                  1,113.27

                	
                  198.95

                	
                  103.84

                	
                  65.12

                	
                  132.96

                	
                  71.10

                	
                  261.06

                	
                  165.11

                	
                  341.74

                	
                  9,915.13

                	
                  1,434.75

                	
                  428.74

                	
                  197.94

                	
                  218.40

                	
                  704.25

                	
                  692.24

                	
                  266.36

                	
                  96.67

                	
                  79.38

                
	
                  03

                	
                  1,274.97

                	
                  229.73

                	
                  120.11

                	
                  76.19

                	
                  153.87

                	
                  83.11

                	
                  303.58

                	
                  192.99

                	
                  401.92

                	
                  11,138.97

                	
                  1,629.39

                	
                  486.94

                	
                  229.48

                	
                  252.31

                	
                  812.92

                	
                  803.12

                	
                  268.11

                	
                  89.89

                	
                  74.16

                
	
                  04

                	
                  1,110.20

                	
                  200.37

                	
                  105.01

                	
                  66.79

                	
                  134.42

                	
                  72.81

                	
                  265.41

                	
                  168.95

                	
                  352.65

                	
                  10,499.42

                	
                  1,537.71

                	
                  460.11

                	
                  217.21

                	
                  238.35

                	
                  768.93

                	
                  759.32

                	
                  324.10

                	
                  92.63

                	
                  76.37

                
	
                  05

                	
                  1,239.65

                	
                  223.90

                	
                  117.11

                	
                  74.70

                	
                  150.07

                	
                  81.25

                	
                  296.43

                	
                  188.63

                	
                  393.68

                	
                  11,579.76

                	
                  1,692.54

                	
                  506.42

                	
                  237.96

                	
                  262.13

                	
                  843.24

                	
                  832.21

                	
                  224.84

                	
                  86.91

                	
                  72.45

                
	
                  06

                	
                  1,093.25

                	
                  198.54

                	
                  104.28

                	
                  66.96

                	
                  133.36

                	
                  72.80

                	
                  264.61

                	
                  168.97

                	
                  354.37

                	
                  10,652.91

                	
                  1,564.02

                	
                  468.08

                	
                  222.16

                	
                  243.74

                	
                  785.88

                	
                  776.94

                	
                  278.82

                	
                  84.03

                	
                  69.54

                
	
                  07

                	
                  1,111.11

                	
                  201.05

                	
                  105.33

                	
                  67.26

                	
                  134.84

                	
                  73.19

                	
                  266.60

                	
                  169.92

                	
                  355.07

                	
                  10,979.12

                	
                  1,613.56

                	
                  482.68

                	
                  229.82

                	
                  251.86

                	
                  810.88

                	
                  802.37

                	
                  320.94

                	
                  87.44

                	
                  72.54

                
	
                  08

                	
                  1,042.42

                	
                  189.18

                	
                  99.15

                	
                  63.67

                	
                  127.01

                	
                  69.25

                	
                  251.65

                	
                  160.56

                	
                  336.69

                	
                  9,334.29

                	
                  1,365.81

                	
                  408.73

                	
                  192.99

                	
                  211.83

                	
                  682.67

                	
                  674.08

                	
                  187.79

                	
                  83.02

                	
                  68.67

                
	
                  09

                	
                  1,080.64

                	
                  194.68

                	
                  101.92

                	
                  64.82

                	
                  130.37

                	
                  70.43

                	
                  257.53

                	
                  163.82

                	
                  341.26

                	
                  10,421.98

                	
                  1,530.82

                	
                  457.89

                	
                  217.75

                	
                  238.53

                	
                  769.06

                	
                  760.32

                	
                  201.31

                	
                  90.28

                	
                  74.77

                
	
                  10

                	
                  1,100.94

                	
                  199.64

                	
                  104.76

                	
                  67.19

                	
                  133.94

                	
                  73.01

                	
                  265.61

                	
                  169.34

                	
                  354.88

                	
                  13,515.72

                	
                  1,994.98

                	
                  596.62

                	
                  285.93

                	
                  313.86

                	
                  1,009.79

                	
                  999.91

                	
                  251.29

                	
                  103.32

                	
                  85.55

                
	
                  11

                	
                  1,424.99

                	
                  256.12

                	
                  134.00

                	
                  84.75

                	
                  171.50

                	
                  92.47

                	
                  338.04

                	
                  214.66

                	
                  446.26

                	
                  14,158.43

                	
                  2,076.63

                	
                  621.17

                	
                  294.21

                	
                  323.57

                	
                  1,040.93

                	
                  1,029.21

                	
                  329.75

                	
                  157.24

                	
                  128.37

                
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  TABLE
                    2

                	 	 
	
                  General
                    + Mental Health
                    Rates:

                	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	
                  TANF

                	
                  SSI-N

                	
                  SSI-B

                	
                  SSI-AB

                
	
                  Area

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                  (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE
                    (14-20)

                	
                  AGE
                    (21-54)

                	
                  AGE

                  (55+)

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                   (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE

                  (14-20)

                	
                  AGE

                  (21-54)

                	
                  AGE

                  (55+)

                	 	
                  AGE

                  (65-)

                	
                  AGE

                  (65+)

                
	 	 	 	 	 	
                  Female

                	
                  Male

                	
                  Female

                	
                  Male

                	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  01

                	
                  1,113.29

                	
                  198.97

                	
                  105.45

                	
                  76.61

                	
                  143.70

                	
                  81.84

                	
                  265.43

                	
                  169.48

                	
                  345.42

                	
                  9,915.21

                	
                  1,434.83

                	
                  436.06

                	
                  245.19

                	
                  261.65

                	
                  784.29

                	
                  722.71

                	
                  266.57

                	
                  108.13

                	
                  90.84

                
	
                  02

                	
                  1,113.30

                	
                  198.98

                	
                  106.70

                	
                  85.04

                	
                  146.15

                	
                  84.29

                	
                  264.41

                	
                  168.46

                	
                  344.65

                	
                  9,915.29

                	
                  1,434.91

                	
                  442.30

                	
                  275.44

                	
                  262.86

                	
                  756.05

                	
                  716.70

                	
                  286.23

                	
                  111.42

                	
                  94.13

                
	
                  03

                	
                  1,274.98

                	
                  229.74

                	
                  121.41

                	
                  85.22

                	
                  159.85

                	
                  89.09

                	
                  305.10

                	
                  194.51

                	
                  403.24

                	
                  11,139.04

                	
                  1,629.46

                	
                  493.10

                	
                  264.64

                	
                  272.48

                	
                  836.42

                	
                  814.21

                	
                  274.85

                	
                  98.72

                	
                  82.99

                
	
                  04

                	
                  1,110.21

                	
                  200.38

                	
                  106.36

                	
                  76.19

                	
                  140.65

                	
                  79.04

                	
                  266.99

                	
                  170.53

                	
                  354.02

                	
                  10,499.53

                	
                  1,537.82

                	
                  469.70

                	
                  272.02

                	
                  269.79

                	
                  805.57

                	
                  776.62

                	
                  348.24

                	
                  109.12

                	
                  92.86

                
	
                  05

                	
                  1,239.66

                	
                  223.91

                	
                  118.30

                	
                  83.23

                	
                  158.04

                	
                  89.22

                	
                  299.67

                	
                  191.87

                	
                  396.42

                	
                  11,579.81

                	
                  1,692.59

                	
                  511.36

                	
                  269.84

                	
                  291.31

                	
                  897.24

                	
                  852.76

                	
                  227.52

                	
                  99.51

                	
                  85.05

                
	
                  06

                	
                  1,093.27

                	
                  198.56

                	
                  106.10

                	
                  79.99

                	
                  145.53

                	
                  84.97

                	
                  269.56

                	
                  173.92

                	
                  358.55

                	
                  10,652.98

                	
                  1,564.09

                	
                  474.49

                	
                  263.57

                	
                  281.64

                	
                  856.02

                	
                  803.63

                	
                  280.11

                	
                  87.85

                	
                  73.36

                
	
                  07

                	
                  1,111.13

                	
                  201.07

                	
                  107.08

                	
                  79.74

                	
                  146.50

                	
                  84.85

                	
                  271.34

                	
                  174.66

                	
                  359.07

                	
                  10,979.18

                	
                  1,613.62

                	
                  488.70

                	
                  268.67

                	
                  287.42

                	
                  876.69

                	
                  827.42

                	
                  323.49

                	
                  97.78

                	
                  82.88

                
	
                  08

                	
                  1,042.43

                	
                  189.19

                	
                  100.39

                	
                  72.32

                	
                  132.74

                	
                  74.98

                	
                  253.11

                	
                  162.02

                	
                  337.95

                	
                  9,334.36

                	
                  1,365.88

                	
                  414.63

                	
                  226.70

                	
                  231.18

                	
                  705.20

                	
                  684.72

                	
                  194.53

                	
                  96.02

                	
                  81.67

                
	
                  09

                	
                  1,080.66

                	
                  194.70

                	
                  103.44

                	
                  75.45

                	
                  137.41

                	
                  77.47

                	
                  259.32

                	
                  165.61

                	
                  342.81

                	
                  10,422.05

                	
                  1,530.89

                	
                  464.12

                	
                  253.29

                	
                  258.93

                	
                  792.81

                	
                  771.54

                	
                  208.05

                	
                  99.71

                	
                  84.20

                
	
                  10

                	
                  1,100.96

                	
                  199.66

                	
                  106.65

                	
                  80.33

                	
                  142.64

                	
                  81.71

                	
                  267.82

                	
                  171.55

                	
                  356.80

                	
                  13,515.81

                	
                  1,995.07

                	
                  604.83

                	
                  332.84

                	
                  340.78

                	
                  1,041.14

                	
                  1,014.71

                	
                  258.03

                	
                  111.24

                	
                  93.47

                
	
                  11

                	
                  1,425.01

                	
                  256.14

                	
                  135.59

                	
                  95.85

                	
                  178.86

                	
                  99.83

                	
                  339.91

                	
                  216.53

                	
                  447.88

                	
                  14,158.51

                	
                  2,076.71

                	
                  628.03

                	
                  333.34

                	
                  346.02

                	
                  1,067.09

                	
                  1,041.56

                	
                  336.86

                	
                  165.16

                	
                  136.29

                
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 

        

         

        AHCA 
Contract
          No.
          FA619, Exhibit III-C, Page 1 of 5

         

        
          
            
            

          

          
            
            

            
              

            

          

          
            
            

          

        

        
          	
                  EXHIBIT
                    III-C

                
	
                  January
                    1, 2008 - August 31, 2008

                
	
                  MEDICAID
                    Non-Reform HMO CAPITATION RATES

                
	
                  By
                    Area , Age and Eligibility
                    Category

                

        

        
          	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  TABLE
                    3

                	 	 	 	 	 	 	 
	
                  General
                    + MH + Dental
                    Rates:

                	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	
                  TANF

                	
                  SSI-N

                	
                  SSI-B

                	
                  SSI-AB

                
	
                  Area

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                  (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE
                    (14-20)

                	
                  AGE
                    (21-54)

                	
                  AGE

                  (55+)

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                  (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE

                  (14-20)

                	
                  AGE

                  (21-54)

                	
                  AGE

                  (55+)

                	 	
                  AGE

                  (65-)

                	
                  AGE

                  (65+)

                
	 	 	 	 	 	
                  Female

                	
                  Male

                	
                  Female

                	
                  Male

                	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  01

                	
                  1,113.30

                	
                  198.98

                	
                  107.51

                	
                  80.86

                	
                  148.10

                	
                  85.55

                	
                  267.24

                	
                  171.09

                	
                  348.77

                	
                  9,915.21

                	
                  1,434.84

                	
                  438.23

                	
                  248.95

                	
                  264.93

                	
                  787.11

                	
                  726.07

                	
                  267.06

                	
                  110.40

                	
                  92.29

                
	
                  02

                	
                  1,113.31

                	
                  198.99

                	
                  108.76

                	
                  89.29

                	
                  150.55

                	
                  88.00

                	
                  266.22

                	
                  170.07

                	
                  348.00

                	
                  9,915.29

                	
                  1,434.92

                	
                  444.47

                	
                  279.20

                	
                  266.14

                	
                  758.87

                	
                  720.06

                	
                  286.72

                	
                  113.69

                	
                  95.58

                
	
                  03

                	
                  1,274.99

                	
                  229.75

                	
                  124.44

                	
                  91.46

                	
                  166.32

                	
                  94.55

                	
                  308.06

                	
                  197.14

                	
                  408.70

                	
                  11,139.05

                	
                  1,629.48

                	
                  496.42

                	
                  270.39

                	
                  277.50

                	
                  839.92

                	
                  818.38

                	
                  275.38

                	
                  101.75

                	
                  84.93

                
	
                  04

                	
                  1,110.22

                	
                  200.39

                	
                  108.37

                	
                  80.34

                	
                  144.96

                	
                  82.68

                	
                  269.75

                	
                  172.98

                	
                  359.12

                	
                  10,499.53

                	
                  1,537.83

                	
                  471.87

                	
                  275.78

                	
                  273.08

                	
                  808.82

                	
                  780.50

                	
                  350.21

                	
                  112.15

                	
                  94.80

                
	
                  05

                	
                  1,239.67

                	
                  223.93

                	
                  121.70

                	
                  90.26

                	
                  165.34

                	
                  95.37

                	
                  306.75

                	
                  198.16

                	
                  409.49

                	
                  11,579.82

                	
                  1,692.61

                	
                  516.20

                	
                  278.22

                	
                  298.64

                	
                  904.66

                	
                  861.60

                	
                  231.88

                	
                  107.72

                	
                  90.31

                
	
                  06

                	
                  1,093.28

                	
                  198.57

                	
                  108.70

                	
                  85.35

                	
                  151.09

                	
                  89.66

                	
                  273.12

                	
                  177.08

                	
                  365.12

                	
                  10,652.98

                	
                  1,564.10

                	
                  477.61

                	
                  268.98

                	
                  286.37

                	
                  860.37

                	
                  808.82

                	
                  281.92

                	
                  92.55

                	
                  76.38

                
	
                  07

                	
                  1,111.14

                	
                  201.08

                	
                  109.20

                	
                  84.12

                	
                  151.04

                	
                  88.68

                	
                  273.83

                	
                  176.87

                	
                  363.67

                	
                  10,979.18

                	
                  1,613.63

                	
                  491.76

                	
                  273.97

                	
                  292.05

                	
                  879.75

                	
                  831.07

                	
                  325.09

                	
                  100.89

                	
                  84.88

                
	
                  08

                	
                  1,042.44

                	
                  189.20

                	
                  103.37

                	
                  78.47

                	
                  139.11

                	
                  80.35

                	
                  256.08

                	
                  164.65

                	
                  343.42

                	
                  9,334.36

                	
                  1,365.89

                	
                  417.70

                	
                  232.02

                	
                  235.83

                	
                  708.74

                	
                  688.94

                	
                  195.98

                	
                  99.12

                	
                  83.66

                
	
                  09

                	
                  1,080.67

                	
                  194.71

                	
                  106.32

                	
                  81.39

                	
                  143.57

                	
                  82.66

                	
                  261.04

                	
                  167.14

                	
                  345.98

                	
                  10,422.05

                	
                  1,530.90

                	
                  466.81

                	
                  257.94

                	
                  263.00

                	
                  794.47

                	
                  773.52

                	
                  208.76

                	
                  101.52

                	
                  85.36

                
	
                  10

                	
                  1,100.97

                	
                  199.67

                	
                  109.45

                	
                  86.12

                	
                  148.64

                	
                  86.77

                	
                  269.62

                	
                  173.15

                	
                  360.11

                	
                  13,515.82

                	
                  1,995.09

                	
                  608.51

                	
                  339.22

                	
                  346.35

                	
                  1,043.21

                	
                  1,017.18

                	
                  260.05

                	
                  113.76

                	
                  95.09

                
	
                  11

                	
                  1,425.02

                	
                  256.15

                	
                  139.31

                	
                  103.51

                	
                  186.81

                	
                  106.53

                	
                  341.50

                	
                  217.94

                	
                  450.82

                	
                  14,158.52

                	
                  2,076.73

                	
                  632.27

                	
                  340.68

                	
                  352.44

                	
                  1,070.67

                	
                  1,045.82

                	
                  341.18

                	
                  169.15

                	
                  138.85

                
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  TABLE
                    4

                	 	 	 	 	 	 	 
	
                  General
                    + MH + Transportation
                    Rates:

                	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	
                  TANF

                	
                  SSI-N

                	 	 	 	 	 	 	
                  SSI-B

                	
                  SSI-AB

                	 
	
                  Area

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                  (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE
                    (14-20)

                	
                  AGE
                    (21-54)

                	
                  AGE

                  (55+)

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                  (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE

                  (14-20)

                	
                  AGE

                  (21-54)

                	
                  AGE

                  (55+)

                	 	
                  AGE

                  (65-)

                	
                  AGE

                  (65+)

                
	 	 	 	 	 	
                  Female

                	
                  Male

                	
                  Female

                	
                  Male

                	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  01

                	
                  1,118.75

                	
                  200.33

                	
                  106.30

                	
                  77.12

                	
                  145.59

                	
                  83.08

                	
                  268.47

                	
                  171.82

                	
                  348.55

                	
                  9,957.91

                	
                  1,462.40

                	
                  441.61

                	
                  247.63

                	
                  267.67

                	
                  803.95

                	
                  738.94

                	
                  273.23

                	
                  121.63

                	
                  99.45

                
	
                  02

                	
                  1,118.76

                	
                  200.34

                	
                  107.55

                	
                  85.55

                	
                  148.04

                	
                  85.53

                	
                  267.45

                	
                  170.80

                	
                  347.78

                	
                  9,957.99

                	
                  1,462.48

                	
                  447.85

                	
                  277.88

                	
                  268.88

                	
                  775.71

                	
                  732.93

                	
                  292.89

                	
                  124.92

                	
                  102.74

                
	
                  03

                	
                  1,281.58

                	
                  231.39

                	
                  122.43

                	
                  85.84

                	
                  162.13

                	
                  90.58

                	
                  308.77

                	
                  197.34

                	
                  407.02

                	
                  11,192.94

                	
                  1,664.26

                	
                  500.10

                	
                  267.71

                	
                  280.08

                	
                  861.25

                	
                  834.72

                	
                  283.33

                	
                  118.23

                	
                  95.44

                
	
                  04

                	
                  1,115.15

                	
                  201.61

                	
                  107.13

                	
                  76.65

                	
                  142.36

                	
                  80.16

                	
                  269.73

                	
                  172.65

                	
                  356.86

                	
                  10,543.16

                	
                  1,565.99

                	
                  475.37

                	
                  274.51

                	
                  275.95

                	
                  825.67

                	
                  793.21

                	
                  355.09

                	
                  124.64

                	
                  102.76

                
	
                  05

                	
                  1,243.79

                	
                  224.94

                	
                  118.94

                	
                  83.62

                	
                  159.46

                	
                  90.15

                	
                  301.97

                	
                  193.65

                	
                  398.78

                	
                  11,614.53

                	
                  1,714.99

                	
                  515.87

                	
                  271.82

                	
                  296.21

                	
                  913.23

                	
                  865.96

                	
                  233.30

                	
                  113.31

                	
                  93.85

                
	
                  06

                	
                  1,097.25

                	
                  199.55

                	
                  106.72

                	
                  80.36

                	
                  146.91

                	
                  85.87

                	
                  271.77

                	
                  175.63

                	
                  360.83

                	
                  10,687.23

                	
                  1,586.20

                	
                  478.95

                	
                  265.53

                	
                  286.48

                	
                  871.79

                	
                  816.65

                	
                  285.34

                	
                  99.27

                	
                  80.64

                
	
                  07

                	
                  1,115.00

                	
                  202.04

                	
                  107.68

                	
                  80.11

                	
                  147.83

                	
                  85.72

                	
                  273.49

                	
                  176.32

                	
                  361.29

                	
                  11,015.88

                	
                  1,637.32

                	
                  493.47

                	
                  270.76

                	
                  292.60

                	
                  893.60

                	
                  841.37

                	
                  329.04

                	
                  109.71

                	
                  90.50

                
	
                  08

                	
                  1,047.92

                	
                  190.56

                	
                  101.24

                	
                  72.83

                	
                  134.64

                	
                  76.22

                	
                  256.16

                	
                  164.37

                	
                  341.09

                	
                  9,375.02

                	
                  1,392.12

                	
                  419.92

                	
                  229.03

                	
                  236.92

                	
                  723.92

                	
                  700.18

                	
                  200.51

                	
                  110.58

                	
                  90.96

                
	
                  09

                	
                  1,085.95

                	
                  196.02

                	
                  104.26

                	
                  75.95

                	
                  139.24

                	
                  78.67

                	
                  262.26

                	
                  167.88

                	
                  345.85

                	
                  10,464.52

                	
                  1,558.31

                	
                  469.65

                	
                  255.72

                	
                  264.93

                	
                  812.36

                	
                  787.69

                	
                  214.85

                	
                  115.26

                	
                  94.12

                
	
                  10

                	
                  1,104.68

                	
                  200.59

                	
                  107.22

                	
                  80.68

                	
                  143.93

                	
                  82.55

                	
                  269.89

                	
                  173.15

                	
                  358.93

                	
                  13,554.29

                	
                  2,019.92

                	
                  609.83

                	
                  335.04

                	
                  346.22

                	
                  1,058.87

                	
                  1,029.34

                	
                  265.22

                	
                  128.61

                	
                  104.55

                
	
                  11

                	
                  1,428.21

                	
                  256.94

                	
                  136.08

                	
                  96.15

                	
                  179.96

                	
                  100.55

                	
                  341.69

                	
                  217.91

                	
                  449.71

                	
                  14,187.41

                	
                  2,095.37

                	
                  631.78

                	
                  334.99

                	
                  350.10

                	
                  1,080.40

                	
                  1,052.54

                	
                  341.70

                	
                  177.46

                	
                  144.14

                

        

         

        AHCA  Contract No. FA619,
          Exhibit III-C, Page 2 of 5

         

        
          
            
            

          

          
            
            

            
              

            

          

          
            
            

          

          
            	
                    EXHIBIT
                      III-C

                  
	
                    January
                      1, 2008 - August 31, 2008

                  
	
                    MEDICAID
                      Non-Reform HMO CAPITATION RATES

                  
	
                    By
                      Area , Age and Eligibility
                      Category

                  

          

        

        
          	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  TABLE
                    5

                	 	 	 	 	 	 	 	 	 
	
                  General
                    + Transportation
                    Rates:

                	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	
                  TANF

                	 	 	 	 	 	 	 	 	
                  SSI-N

                	 	 	 	 	 	 	
                  SSI-B

                	
                  SSI-AB

                	 
	
                  Area

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                  (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE
                    (14-20)

                	
                  AGE
                    (21-54)

                	
                  AGE

                  (55+)

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                  (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE

                  (14-20)

                	
                  AGE

                  (21-54)

                	
                  AGE

                   (55+)

                	 	
                  AGE

                  (65-)

                	
                  AGE

                  (65+)

                
	 	 	 	 	 	
                  Female

                	
                  Male

                	
                  Female

                	
                  Male

                	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  01

                	
                  1,118.73

                	
                  200.31

                	
                  104.69

                	
                  65.63

                	
                  134.85

                	
                  72.34

                	
                  264.10

                	
                  167.45

                	
                  344.87

                	
                  9,957.83

                	
                  1,462.32

                	
                  434.29

                	
                  200.38

                	
                  224.42

                	
                  723.91

                	
                  708.47

                	
                  273.02

                	
                  110.17

                	
                  87.99

                
	
                  02

                	
                  1,118.73

                	
                  200.31

                	
                  104.69

                	
                  65.63

                	
                  134.85

                	
                  72.34

                	
                  264.10

                	
                  167.45

                	
                  344.87

                	
                  9,957.83

                	
                  1,462.32

                	
                  434.29

                	
                  200.38

                	
                  224.42

                	
                  723.91

                	
                  708.47

                	
                  273.02

                	
                  110.17

                	
                  87.99

                
	
                  03

                	
                  1,281.57

                	
                  231.38

                	
                  121.13

                	
                  76.81

                	
                  156.15

                	
                  84.60

                	
                  307.25

                	
                  195.82

                	
                  405.70

                	
                  11,192.87

                	
                  1,664.19

                	
                  493.94

                	
                  232.55

                	
                  259.91

                	
                  837.75

                	
                  823.63

                	
                  276.59

                	
                  109.40

                	
                  86.61

                
	
                  04

                	
                  1,115.14

                	
                  201.60

                	
                  105.78

                	
                  67.25

                	
                  136.13

                	
                  73.93

                	
                  268.15

                	
                  171.07

                	
                  355.49

                	
                  10,543.05

                	
                  1,565.88

                	
                  465.78

                	
                  219.70

                	
                  244.51

                	
                  789.03

                	
                  775.91

                	
                  330.95

                	
                  108.15

                	
                  86.27

                
	
                  05

                	
                  1,243.78

                	
                  224.93

                	
                  117.75

                	
                  75.09

                	
                  151.49

                	
                  82.18

                	
                  298.73

                	
                  190.41

                	
                  396.04

                	
                  11,614.48

                	
                  1,714.94

                	
                  510.93

                	
                  239.94

                	
                  267.03

                	
                  859.23

                	
                  845.41

                	
                  230.62

                	
                  100.71

                	
                  81.25

                
	
                  06

                	
                  1,097.23

                	
                  199.53

                	
                  104.90

                	
                  67.33

                	
                  134.74

                	
                  73.70

                	
                  266.82

                	
                  170.68

                	
                  356.65

                	
                  10,687.16

                	
                  1,586.13

                	
                  472.54

                	
                  224.12

                	
                  248.58

                	
                  801.65

                	
                  789.96

                	
                  284.05

                	
                  95.45

                	
                  76.82

                
	
                  07

                	
                  1,114.98

                	
                  202.02

                	
                  105.93

                	
                  67.63

                	
                  136.17

                	
                  74.06

                	
                  268.75

                	
                  171.58

                	
                  357.29

                	
                  11,015.82

                	
                  1,637.26

                	
                  487.45

                	
                  231.91

                	
                  257.04

                	
                  827.79

                	
                  816.32

                	
                  326.49

                	
                  99.37

                	
                  80.16

                
	
                  08

                	
                  1,047.91

                	
                  190.55

                	
                  100.00

                	
                  64.18

                	
                  128.91

                	
                  70.49

                	
                  254.70

                	
                  162.91

                	
                  339.83

                	
                  9,374.95

                	
                  1,392.05

                	
                  414.02

                	
                  195.32

                	
                  217.57

                	
                  701.39

                	
                  689.54

                	
                  193.77

                	
                  97.58

                	
                  77.96

                
	
                  09

                	
                  1,085.93

                	
                  196.00

                	
                  102.74

                	
                  65.32

                	
                  132.20

                	
                  71.63

                	
                  260.47

                	
                  166.09

                	
                  344.30

                	
                  10,464.45

                	
                  1,558.24

                	
                  463.42

                	
                  220.18

                	
                  244.53

                	
                  788.61

                	
                  776.47

                	
                  208.11

                	
                  105.83

                	
                  84.69

                
	
                  10

                	
                  1,104.66

                	
                  200.57

                	
                  105.33

                	
                  67.54

                	
                  135.23

                	
                  73.85

                	
                  267.68

                	
                  170.94

                	
                  357.01

                	
                  13,554.20

                	
                  2,019.83

                	
                  601.62

                	
                  288.13

                	
                  319.30

                	
                  1,027.52

                	
                  1,014.54

                	
                  258.48

                	
                  120.69

                	
                  96.63

                
	
                  11

                	
                  1,428.19

                	
                  256.92

                	
                  134.49

                	
                  85.05

                	
                  172.60

                	
                  93.19

                	
                  339.82

                	
                  216.04

                	
                  448.09

                	
                  14,187.33

                	
                  2,095.29

                	
                  624.92

                	
                  295.86

                	
                  327.65

                	
                  1,054.24

                	
                  1,040.19

                	
                  334.59

                	
                  169.54

                	
                  136.22

                
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  TABLE
                    6

                	 	 	 	 	 	 	 	 
	
                  General
                    + Dental
                    Rates:

                	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	
                  TANF

                	 	 	 	 	 	 	 	 	
                  SSI-N

                	 	 	 	 	 	 	
                  SSI-B

                	
                  SSI-AB

                	 
	
                  Area

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                  (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE
                    (14-20)

                	
                  AGE
                    (21-54)

                	
                  AGE

                  (55+)

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                  (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE

                  (14-20)

                	
                  AGE

                  (21-54)

                	
                  AGE

                  (55+)

                	 	
                  AGE

                  (65-)

                	
                  AGE

                  (65+)

                
	 	 	 	 	 	
                  Female

                	
                  Male

                	
                  Female

                	
                  Male

                	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  01

                	
                  1,113.28

                	
                  198.96

                	
                  105.90

                	
                  69.37

                	
                  137.36

                	
                  74.81

                	
                  262.87

                	
                  166.72

                	
                  345.09

                	
                  9,915.13

                	
                  1,434.76

                	
                  430.91

                	
                  201.70

                	
                  221.68

                	
                  707.07

                	
                  695.60

                	
                  266.85

                	
                  98.94

                	
                  80.83

                
	
                  02

                	
                  1,113.28

                	
                  198.96

                	
                  105.90

                	
                  69.37

                	
                  137.36

                	
                  74.81

                	
                  262.87

                	
                  166.72

                	
                  345.09

                	
                  9,915.13

                	
                  1,434.76

                	
                  430.91

                	
                  201.70

                	
                  221.68

                	
                  707.07

                	
                  695.60

                	
                  266.85

                	
                  98.94

                	
                  80.83

                
	
                  03

                	
                  1,274.98

                	
                  229.74

                	
                  123.14

                	
                  82.43

                	
                  160.34

                	
                  88.57

                	
                  306.54

                	
                  195.62

                	
                  407.38

                	
                  11,138.98

                	
                  1,629.41

                	
                  490.26

                	
                  235.23

                	
                  257.33

                	
                  816.42

                	
                  807.29

                	
                  268.64

                	
                  92.92

                	
                  76.10

                
	
                  04

                	
                  1,110.21

                	
                  200.38

                	
                  107.02

                	
                  70.94

                	
                  138.73

                	
                  76.45

                	
                  268.17

                	
                  171.40

                	
                  357.75

                	
                  10,499.42

                	
                  1,537.72

                	
                  462.28

                	
                  220.97

                	
                  241.64

                	
                  772.18

                	
                  763.20

                	
                  326.07

                	
                  95.66

                	
                  78.31

                
	
                  05

                	
                  1,239.66

                	
                  223.92

                	
                  120.51

                	
                  81.73

                	
                  157.37

                	
                  87.40

                	
                  303.51

                	
                  194.92

                	
                  406.75

                	
                  11,579.77

                	
                  1,692.56

                	
                  511.26

                	
                  246.34

                	
                  269.46

                	
                  850.66

                	
                  841.05

                	
                  229.20

                	
                  95.12

                	
                  77.71

                
	
                  06

                	
                  1,093.26

                	
                  198.55

                	
                  106.88

                	
                  72.32

                	
                  138.92

                	
                  77.49

                	
                  268.17

                	
                  172.13

                	
                  360.94

                	
                  10,652.91

                	
                  1,564.03

                	
                  471.20

                	
                  227.57

                	
                  248.47

                	
                  790.23

                	
                  782.13

                	
                  280.63

                	
                  88.73

                	
                  72.56

                
	
                  07

                	
                  1,111.12

                	
                  201.06

                	
                  107.45

                	
                  71.64

                	
                  139.38

                	
                  77.02

                	
                  269.09

                	
                  172.13

                	
                  359.67

                	
                  10,979.12

                	
                  1,613.57

                	
                  485.74

                	
                  235.12

                	
                  256.49

                	
                  813.94

                	
                  806.02

                	
                  322.54

                	
                  90.55

                	
                  74.54

                
	
                  08

                	
                  1,042.43

                	
                  189.19

                	
                  102.13

                	
                  69.82

                	
                  133.38

                	
                  74.62

                	
                  254.62

                	
                  163.19

                	
                  342.16

                	
                  9,334.29

                	
                  1,365.82

                	
                  411.80

                	
                  198.31

                	
                  216.48

                	
                  686.21

                	
                  678.30

                	
                  189.24

                	
                  86.12

                	
                  70.66

                
	
                  09

                	
                  1,080.65

                	
                  194.69

                	
                  104.80

                	
                  70.76

                	
                  136.53

                	
                  75.62

                	
                  259.25

                	
                  165.35

                	
                  344.43

                	
                  10,421.98

                	
                  1,530.83

                	
                  460.58

                	
                  222.40

                	
                  242.60

                	
                  770.72

                	
                  762.30

                	
                  202.02

                	
                  92.09

                	
                  75.93

                
	
                  10

                	
                  1,100.95

                	
                  199.65

                	
                  107.56

                	
                  72.98

                	
                  139.94

                	
                  78.07

                	
                  267.41

                	
                  170.94

                	
                  358.19

                	
                  13,515.73

                	
                  1,995.00

                	
                  600.30

                	
                  292.31

                	
                  319.43

                	
                  1,011.86

                	
                  1,002.38

                	
                  253.31

                	
                  105.84

                	
                  87.17

                
	
                  11

                	
                  1,425.00

                	
                  256.13

                	
                  137.72

                	
                  92.41

                	
                  179.45

                	
                  99.17

                	
                  339.63

                	
                  216.07

                	
                  449.20

                	
                  14,158.44

                	
                  2,076.65

                	
                  625.41

                	
                  301.55

                	
                  329.99

                	
                  1,044.51

                	
                  1,033.47

                	
                  334.07

                	
                  161.23

                	
                  130.93

                

        

         

        AHCA  Contract No. FA619,
          Exhibit III-C, Page 3 of 5

         

        
          
            
            

          

          
            
            

            
              

            

          

          
            
            

          

        

        
          	
                  EXHIBIT
                    III-C

                
	
                  January
                    1, 2008 - August 31, 2008

                
	
                  MEDICAID
                    Non-Reform HMO CAPITATION RATES

                
	
                  By
                    Area , Age and Eligibility
                    Category

                

        

        
          	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  TABLE
                    7

                	 	 	 	 	 	 	 	 	 
	
                  General
                    + Dental + Transportation
                    Rates:

                	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	
                  TANF

                	 	 	 	 	 	 	 	 	
                  SSI-N

                	 	 	 	 	 	 	
                  SSI-B

                	
                  SSI-AB

                	 
	
                  Area

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                  (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE
                    (14-20)

                	
                  AGE
                    (21-54)

                	
                  AGE

                  (55+)

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                  (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE

                  (14-20)

                	
                  AGE

                  (21-54)

                	
                  AGE

                  (55+)

                	 	
                  AGE

                  (65-)

                	
                  AGE

                  (65+)

                
	 	 	 	 	 	
                  Female

                	
                  Male

                	
                  Female

                	
                  Male

                	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  01

                	
                  1,118.74

                	
                  200.32

                	
                  106.75

                	
                  69.88

                	
                  139.25

                	
                  76.05

                	
                  265.91

                	
                  169.06

                	
                  348.22

                	
                  9,957.83

                	
                  1,462.33

                	
                  436.46

                	
                  204.14

                	
                  227.70

                	
                  726.73

                	
                  711.83

                	
                  273.51

                	
                  112.44

                	
                  89.44

                
	
                  02

                	
                  1,118.74

                	
                  200.32

                	
                  106.75

                	
                  69.88

                	
                  139.25

                	
                  76.05

                	
                  265.91

                	
                  169.06

                	
                  348.22

                	
                  9,957.83

                	
                  1,462.33

                	
                  436.46

                	
                  204.14

                	
                  227.70

                	
                  726.73

                	
                  711.83

                	
                  273.51

                	
                  112.44

                	
                  89.44

                
	
                  03

                	
                  1,281.58

                	
                  231.39

                	
                  124.16

                	
                  83.05

                	
                  162.62

                	
                  90.06

                	
                  310.21

                	
                  198.45

                	
                  411.16

                	
                  11,192.88

                	
                  1,664.21

                	
                  497.26

                	
                  238.30

                	
                  264.93

                	
                  841.25

                	
                  827.80

                	
                  277.12

                	
                  112.43

                	
                  88.55

                
	
                  04

                	
                  1,115.15

                	
                  201.61

                	
                  107.79

                	
                  71.40

                	
                  140.44

                	
                  77.57

                	
                  270.91

                	
                  173.52

                	
                  360.59

                	
                  10,543.05

                	
                  1,565.89

                	
                  467.95

                	
                  223.46

                	
                  247.80

                	
                  792.28

                	
                  779.79

                	
                  332.92

                	
                  111.18

                	
                  88.21

                
	
                  05

                	
                  1,243.79

                	
                  224.95

                	
                  121.15

                	
                  82.12

                	
                  158.79

                	
                  88.33

                	
                  305.81

                	
                  196.70

                	
                  409.11

                	
                  11,614.49

                	
                  1,714.96

                	
                  515.77

                	
                  248.32

                	
                  274.36

                	
                  866.65

                	
                  854.25

                	
                  234.98

                	
                  108.92

                	
                  86.51

                
	
                  06

                	
                  1,097.24

                	
                  199.54

                	
                  107.50

                	
                  72.69

                	
                  140.30

                	
                  78.39

                	
                  270.38

                	
                  173.84

                	
                  363.22

                	
                  10,687.16

                	
                  1,586.14

                	
                  475.66

                	
                  229.53

                	
                  253.31

                	
                  806.00

                	
                  795.15

                	
                  285.86

                	
                  100.15

                	
                  79.84

                
	
                  07

                	
                  1,114.99

                	
                  202.03

                	
                  108.05

                	
                  72.01

                	
                  140.71

                	
                  77.89

                	
                  271.24

                	
                  173.79

                	
                  361.89

                	
                  11,015.82

                	
                  1,637.27

                	
                  490.51

                	
                  237.21

                	
                  261.67

                	
                  830.85

                	
                  819.97

                	
                  328.09

                	
                  102.48

                	
                  82.16

                
	
                  08

                	
                  1,047.92

                	
                  190.56

                	
                  102.98

                	
                  70.33

                	
                  135.28

                	
                  75.86

                	
                  257.67

                	
                  165.54

                	
                  345.30

                	
                  9,374.95

                	
                  1,392.06

                	
                  417.09

                	
                  200.64

                	
                  222.22

                	
                  704.93

                	
                  693.76

                	
                  195.22

                	
                  100.68

                	
                  79.95

                
	
                  09

                	
                  1,085.94

                	
                  196.01

                	
                  105.62

                	
                  71.26

                	
                  138.36

                	
                  76.82

                	
                  262.19

                	
                  167.62

                	
                  347.47

                	
                  10,464.45

                	
                  1,558.25

                	
                  466.11

                	
                  224.83

                	
                  248.60

                	
                  790.27

                	
                  778.45

                	
                  208.82

                	
                  107.64

                	
                  85.85

                
	
                  10

                	
                  1,104.67

                	
                  200.58

                	
                  108.13

                	
                  73.33

                	
                  141.23

                	
                  78.91

                	
                  269.48

                	
                  172.54

                	
                  360.32

                	
                  13,554.21

                	
                  2,019.85

                	
                  605.30

                	
                  294.51

                	
                  324.87

                	
                  1,029.59

                	
                  1,017.01

                	
                  260.50

                	
                  123.21

                	
                  98.25

                
	
                  11

                	
                  1,428.20

                	
                  256.93

                	
                  138.21

                	
                  92.71

                	
                  180.55

                	
                  99.89

                	
                  341.41

                	
                  217.45

                	
                  451.03

                	
                  14,187.34

                	
                  2,095.31

                	
                  629.16

                	
                  303.20

                	
                  334.07

                	
                  1,057.82

                	
                  1,044.45

                	
                  338.91

                	
                  173.53

                	
                  138.78

                
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  TABLE
                    8

                	 	 	 	 	 	 	 	 
	
                  General
                    + Mental Health + Dental +
                    Transportation Rates:

                	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	
                  TANF

                	 	 	 	 	 	 	 	 	
                  SSI-N

                	 	 	 	 	 	 	
                  SSI-B

                	
                  SSI-AB

                	 
	
                  Area

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                  (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE
                    (14-20)

                	
                  AGE
                    (21-54)

                	
                  AGE

                  (55+)

                	
                  BTHMO

                  +2MO

                	
                  3MO-11MO

                	
                  AGE

                  (1-5)

                	
                  AGE

                  (6-13)

                	
                  AGE

                  (14-20)

                	
                  AGE

                  (21-54)

                	
                  AGE

                  (55+)

                	 	
                  AGE

                  (65-)

                	
                  AGE

                  (65+)

                
	 	 	 	 	 	
                  Female

                	
                  Male

                	
                  Female

                	
                  Male

                	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  01

                	
                  1,118.76

                	
                  200.34

                	
                  108.36

                	
                  81.37

                	
                  149.99

                	
                  86.79

                	
                  270.28

                	
                  173.43

                	
                  351.90

                	
                  9,957.91

                	
                  1,462.41

                	
                  443.78

                	
                  251.39

                	
                  270.95

                	
                  806.77

                	
                  742.30

                	
                  273.72

                	
                  123.90

                	
                  100.90

                
	
                  02

                	
                  1,118.77

                	
                  200.35

                	
                  109.61

                	
                  89.80

                	
                  152.44

                	
                  89.24

                	
                  269.26

                	
                  172.41

                	
                  351.13

                	
                  9,957.99

                	
                  1,462.49

                	
                  450.02

                	
                  281.64

                	
                  272.16

                	
                  778.53

                	
                  736.29

                	
                  293.38

                	
                  127.19

                	
                  104.19

                
	
                  03

                	
                  1,281.59

                	
                  231.40

                	
                  125.46

                	
                  92.08

                	
                  168.60

                	
                  96.04

                	
                  311.73

                	
                  199.97

                	
                  412.48

                	
                  11,192.95

                	
                  1,664.28

                	
                  503.42

                	
                  273.46

                	
                  285.10

                	
                  864.75

                	
                  838.89

                	
                  283.86

                	
                  121.26

                	
                  97.38

                
	
                  04

                	
                  1,115.16

                	
                  201.62

                	
                  109.14

                	
                  80.80

                	
                  146.67

                	
                  83.80

                	
                  272.49

                	
                  175.10

                	
                  361.96

                	
                  10,543.16

                	
                  1,566.00

                	
                  477.54

                	
                  278.27

                	
                  279.24

                	
                  828.92

                	
                  797.09

                	
                  357.06

                	
                  127.67

                	
                  104.70

                
	
                  05

                	
                  1,243.80

                	
                  224.96

                	
                  122.34

                	
                  90.65

                	
                  166.76

                	
                  96.30

                	
                  309.05

                	
                  199.94

                	
                  411.85

                	
                  11,614.54

                	
                  1,715.01

                	
                  520.71

                	
                  280.20

                	
                  303.54

                	
                  920.65

                	
                  874.80

                	
                  237.66

                	
                  121.52

                	
                  99.11

                
	
                  06

                	
                  1,097.26

                	
                  199.56

                	
                  109.32

                	
                  85.72

                	
                  152.47

                	
                  90.56

                	
                  275.33

                	
                  178.79

                	
                  367.40

                	
                  10,687.23

                	
                  1,586.21

                	
                  482.07

                	
                  270.94

                	
                  291.21

                	
                  876.14

                	
                  821.84

                	
                  287.15

                	
                  103.97

                	
                  83.66

                
	
                  07

                	
                  1,115.01

                	
                  202.05

                	
                  109.80

                	
                  84.49

                	
                  152.37

                	
                  89.55

                	
                  275.98

                	
                  178.53

                	
                  365.89

                	
                  11,015.88

                	
                  1,637.33

                	
                  496.53

                	
                  276.06

                	
                  297.23

                	
                  896.66

                	
                  845.02

                	
                  330.64

                	
                  112.82

                	
                  92.50

                
	
                  08

                	
                  1,047.93

                	
                  190.57

                	
                  104.22

                	
                  78.98

                	
                  141.01

                	
                  81.59

                	
                  259.13

                	
                  167.00

                	
                  346.56

                	
                  9,375.02

                	
                  1,392.13

                	
                  422.99

                	
                  234.35

                	
                  241.57

                	
                  727.46

                	
                  704.40

                	
                  201.96

                	
                  113.68

                	
                  92.95

                
	
                  09

                	
                  1,085.96

                	
                  196.03

                	
                  107.14

                	
                  81.89

                	
                  145.40

                	
                  83.86

                	
                  263.98

                	
                  169.41

                	
                  349.02

                	
                  10,464.52

                	
                  1,558.32

                	
                  472.34

                	
                  260.37

                	
                  269.00

                	
                  814.02

                	
                  789.67

                	
                  215.56

                	
                  117.07

                	
                  95.28

                
	
                  10

                	
                  1,104.69

                	
                  200.60

                	
                  110.02

                	
                  86.47

                	
                  149.93

                	
                  87.61

                	
                  271.69

                	
                  174.75

                	
                  362.24

                	
                  13,554.30

                	
                  2,019.94

                	
                  613.51

                	
                  341.42

                	
                  351.79

                	
                  1,060.94

                	
                  1,031.81

                	
                  267.24

                	
                  131.13

                	
                  106.17

                
	
                  11

                	
                  1,428.22

                	
                  256.95

                	
                  139.80

                	
                  103.81

                	
                  187.91

                	
                  107.25

                	
                  343.28

                	
                  219.32

                	
                  452.65

                	
                  14,187.42

                	
                  2,095.39

                	
                  636.02

                	
                  342.33

                	
                  356.52

                	
                  1,083.98

                	
                  1,056.80

                	
                  346.02

                	
                  181.45

                	
                  146.70

                
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 

        

         

         

        AHCA  Contract No. FA619,
          Exhibit III-C, Page 4 of 5

         

         

        
          
            
            

          

          
            
            

            
              

            

          

          
            
            

          

          
            	
                    EXHIBIT
                      III-C

                  
	
                    January
                      1, 2008 - August 31, 2008

                  
	
                    MEDICAID
                      Non-Reform HMO CAPITATION RATES

                  
	
                    By
                      Area , Age and Eligibility
                      Category

                  

          

        

        
          	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  Area

                	 	
                  Corresponding
                    Counties

                	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  Area
                    1

                	 	
                  Escambia,
                    Okaloosa, Santa Rosa,
                    Walton

                
	
                  Area
                    2

                	 	
                  Bay,
                    Calhoun, Franklin, Gadsden,
                    Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor,
                    Washington, Wakulla

                
	
                  Area
                    3

                	 	
                  Alachua,
                    Bradford, Citrus,
                    Columbia, Dixie, Gilchrist, Hamiliton, Hernando, Lafayette, Lake,
                    Levy,
                    Marion, Putnam, Sumter, Suwannee, Union

                
	
                  Area
                    4

                	 	
                  Baker,
                    Clay, Duval, Flagler,
                    Nassau, St. Johns, Volusia

                
	
                  Area
                    5

                	 	
                  Pasco,
                    Pinellas

                
	
                  Area
                    6

                	 	
                  Hardee,
                    Highlands, Hillsborough,
                    Manatee, Polk

                
	
                  Area
                    7

                	 	
                  Brevard,
                    Orange, Osceola,
                    Seminole

                
	
                  Area
                    8

                	 	
                  Charlotte,
                    Collier, De Soto,
                    Glades, Hendry, Lee, Sarasota

                
	
                  Area
                    9

                	 	
                  Indian
                    River, Okeechobee, St.
                    Lucie, Martin, Palm Beach

                
	
                  Area
                    10

                	 	
                  Broward

                
	
                  Area
                    11

                	 	
                  Dade,
                    Monroe

                
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	
                  created
                    on August 19,
                    2006

                	 	 
	
                  modified
                    on September 11, 2006 -
                    incresing dental
                    rates.

                

        

      

      
         

        AHCA  Contract No. FA619,
          Exhibit III-C, Page 5 of 5

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00136-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00136-of-00352.parquet"}]]