Document:

exhibit102.htm

Exhibit 10.2

 

 

EXPLANATORY NOTE: “***” INDICATES THE PORTION OF THIS EXHIBIT THAT HAS BEEN OMITTED AND SEPARATELY FILED WITH THE SECURITIES AND EXCHANGE COMMISSION PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT.

 

 

HHSC Contract No. 529-06-0280-00014-S

 

Version 1.18.1

	  	  
	
Part 1: Parties to the Contract:

	
This Contract Amendment (the “Amendment”) is between the Texas Health and Human Services Commission (HHSC), an administrative agency within the executive department of the State of Texas, having its principal office at 4900 North Lamar Boulevard, Austin, Texas 78751, and Superior HealthPlan, Inc. (HMO) a corporation organized under the laws of the State of Texas, having its principal place of business at: 2100 South IH-35, Suite 202, Austin, Texas 78704.  HHSC and HMO may be referred to in this Amendment individually as a “Party” and collectively as the “Parties.”   

 

The Parties hereby agree to amend their original contract, HHSC contract number 529-06-0280-00014 (the “Contract”) as set forth herein.  The Parties agree that the terms of the Contract will remain in effect and continue to govern except to the extent modified in this Amendment.   

 

This Amendment is executed by the Parties in accordance with the authority granted in Attachment A to the HHSC Managed Care Contract document, “HHSC Uniform Managed Care Contract Terms & Conditions,” Article 8, “Amendments and Modifications.”

	
Part 2: Effective Date of Amendment:

	
Part 3: Contract Expiration Date

	
Part 4: Operational Start Date:

	
March 1, 2011

	
August 31, 2013

	
STAR and CHIP HMOs:  September 1, 2006 

STAR+PLUS HMOs:  February 1, 2007 

CHIP Perinatal HMOs:  January 1, 2007

	
Part 5: Project Managers:

	
HHSC: 

Scott Schalchlin

Director, Health Plan Operations

11209 Metric Boulevard, Building H 

Austin, Texas 78758 

Phone: 512-491-1866

Fax: 512-491-1969

 

HMO: 

Susan Erickson

Director of Contract Management 

2100 South IH-35, Suite 202 

Austin, Texas 78704 

Phone: 512-692-1465 

Fax: 512-692-1474 

E-mail: serickson@centene.com

	
Part 6: Deliver Legal Notices to:

	
HHSC: 

General Counsel 

4900 North Lamar Boulevard, 4th Floor 

Austin, Texas 78751 

Fax: 512-424-6586

 

HMO:

Superior HealthPlan 

2100 South IH-35, Suite 202 

Austin, Texas 78704 

Fax: 512-692-1435

	
Part 7: HMO Programs and Service Areas:

	
This Contract applies to the following HHSC HMO Programs and Service Areas (check all that apply). All references in the Contract Attachments to HMO Programs or Service Areas that are not checked are superfluous and do not apply to the HMO.

 x Medicaid STAR HMO Program

    Service Areas:

    x Bexar                          x Lubbock  

    o Dallas                         x Nueces

    x El Paso                       o Tarrant

    o Harris                         x Travis

See Attachment B-6, “Map of Counties with HMO Program Service Areas,” for listing of counties included within the STAR Service Areas.

	
  x Medicaid STAR+PLUS HMO Program

    Service Areas:

    xBexar                            x Nueces

    oHarris                            oTravis

See Attachment B-6.1, “Map of Counties with STAR+PLUS HMO Program Service Areas,” for listing of counties included within the STAR+PLUS Service Areas.

	
 xCHIP HMO Program

    Core Service Areas:

  x Bexar         x Nueces

  o     Dallas        oTarrant   

  x El Paso      x Travis

  o Harris        

  x Lubbock       

 

    Optional Service Areas:

  x Bexar                  x Lubbock   

  x   El Paso               xNueces

  o Harris                  xTravis

     

  See Attachment B-6, “Map of Counties with HMO Program Service Areas,” for listing of counties included within the CHIP Core Service Areas and CHIP Optional Service Areas.

 

	
xCHIP Perinatal Program

    Core Service Areas:

    xBexar         x Nueces

    o Dallas        oTarrant   

    xEl Paso       x Travis

    oHarris          

    xLubbock       

 

    Optional Service Areas:

    xBexar                 x Lubbock   

    xEl Paso               xNueces

   oHarris                  xTravis

     

  See Attachment B-6.2, “Map of Counties with CHIP Perinatal HMO Program Service Areas,” for a list of counties included within the CHIP Perinatal Service Areas.

	
Part 8: Payment

	
Part 8 of the HHSC Managed Care Contract document, “Payment,” is modified to add the capitation rates for Rate Period 5.

 

xMedicaid STAR HMO PROGRAM

Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the STAR Program. The following Rate Cells and Capitation Rates will apply to Rate Period 5:

***

 

Delivery Supplemental Payment:  See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the methodology for establishing the Delivery Supplemental Payment for the STAR Program.

 

Bariatric Supplemental Payment:  See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the methodology for establishing the Bariatric Supplemental Payment for the STAR Program.

 

xMedicaid STAR+PLUS HMO Program

 

Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the STAR+PLUS Program.  The following Rate Cells and Capitation Rates will apply to Rate Period 5:

***

 

Bariatric Supplemental Payment:  See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the methodology for establishing the Bariatric Supplemental Payment for the STAR+PLUS Program.

 

xCHIP HMO PROGRAM

Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the CHIP Program. The following Rate Cells and Capitation Rates will apply to Rate Period 5:

***

 

xCHIP Perinatal Program

 

Capitation: See Attachment A, “HHSC Uniform Managed Care Contract Terms and Conditions,” Article 10, for a description of the Capitation Rate-setting methodology and the Capitation Payment requirements for the CHIP Perinatal Program.

 

***

 

 

	
Part 9: Contract Attachments:

	  

Modifications to Part 9 of the HHSC Managed Care Contract document, “Contract Attachments,” are italicized below:

A: HHSC Uniform Managed Care Contract Terms & Conditions - Version 1.18 is replaced with Version 1.18.1

B: Scope of Work/Performance Measures – Version 1.18 is replaced with Version 1.18.1 for all attachments, except if noted.

    B-1: HHSC RFP 529-04-272, Sections 6-9

    B-2: Covered Services

       B-2.1 STAR+PLUS Covered Services

       B-2.2 CHIP Perinatal Program Covered Services

    B-3: Value-added Services

       B-3.1 STAR+PLUS Value-added Services

       B-3.2 CHIP Perinatal Program Value-added Services

    B-4: Performance Improvement Goals

       B-4.1 SFY 2008 Performance Improvement Goals

    B-5: Deliverables/Liquidated Damages Matrix

    B-6: Map of Counties with STAR and CHIP HMO Program Service Areas

       B-6.1 STAR+PLUS Service Areas

       B-6.2 CHIP Perinatal Program Service Areas

    B-7: STAR+PLUS Attendant Care Enhanced Payment Methodology

C: HMO’s Proposal and Related Documents

    C-1: HMO’s Proposal

    C-2: HMO Supplemental Responses

    C-3: Agreed Modifications to HMO’s Proposal

 

	
Part 10: Special Provision for Nueces Service Area

	  

 

Attachment A, Section 10.04 is amended to include sub-part (b) as follows:

(b) In addition to the reasons set forth in Section 10.04(a), the Parties expressly understand and agree that HHSC may, at any time, unilaterally adjust the Rate Period 2 STAR Program Capitation Rates for the Nueces Service Area. HHSC is entitled to unilaterally adjust such rates, prospectively and/or retrospectively, if it determines that: (1) the cumulative Rate Period 2 Encounter Data for all HMOs in the Nueces Service Area does not support the Capitation Rates; or (2) economic factors in the Nueces Service Area significantly and measurably impact providers or the delivery of Covered Services to Members. For adjustments made pursuant to this Section 10.04(b), HHSC will provide written notice at least ten (10) Business Days before: (1) the effective date of a prospective adjustment; (2) offsetting Capitation Payments to recover retrospective adjustments. Any adjustments to the Rate Period 2 Capitation Rates must meet the actuarial soundness requirements of Attachment A, Section 10.03, “Certification of Capitation Rates.”

 

	
Part 11:  Signatures:

	
The Parties have executed this Contract Amendment in their capacities as stated below with authority to bind their organizations on the dates set forth by their signatures.  By signing this Amendment, the Parties expressly understand and agree that this Amendment is hereby made part of the Contract as though it were set out word for word in the Contract.

 

Texas Health and Human Services Commission

/s/ Charles E. Bell, M.D.

Charles E. Bell, M.D.

Deputy Executive Commissioner for Health Services

Date: 6/13/11

 

Superior HealthPlan, Inc.

/s/ Thomas Wise

By:  Thomas Wise

Title: President and CEO

Date: 5/10/11exh10-1_17158.htm

EXHIBIT 10.1

 

 

 

 

 

July 25, 2011

Mr. Harvey C. Gross

3 Holbrook Lane

Westford, MA  01886

Dear Harvey:

The purpose of this letter is to memorialize the terms of your eligibility for severance with Datawatch Corporation (“the Company”) in the event that you are involuntarily terminated by the Company without Cause (as defined in Paragraph 3) or if you terminate your employment for Good Reason (as defined in Paragraph 2).

1.           As an at-will employee, either you or the Company may terminate your employment at any time for any or no reason with or without notice.  Neither this letter nor its terms constitute a contract for continued employment or a contract for a specific term of employment.  Instead, this letter sets forth the terms of our agreement with respect to your eligibility for severance.

2.           In the event that you voluntarily terminate your employment with the Company at your own election and without Good Reason, you shall be entitled to no severance.  For the purpose of this Agreement, “Good Reason” is defined as a material diminution in the nature or scope of your responsibilities, duties or authority; provided, however, that the transfer of certain job responsibilities, or the assignment to others of your duties and responsibilities while you are out of work due to a disability or on a leave of absence for any reason, shall not constitute a material diminution in the nature or scope of the your responsibilities, duties or authority as set forth in this Section.

3.           In the event that the Company terminates your employment for “Cause,” you shall be entitled to no severance. Termination by the Company shall constitute a termination for Cause under this Paragraph 3 if such termination is for one or more of the following reasons:

(a)           the willful and continuing failure or refusal by you to render services to the Company in accordance with your obligations to the Company;

(b)           gross negligence, dishonesty, breach of fiduciary duty or breach of the terms of any other agreements executed in connection herewith;

  

  

  

(c)           the commission by you of an act of fraud, embezzlement or substantial disregard of the rules or policies of the Company;

(d)           acts which, in the judgment of the Board of Directors, would tend to generate significant adverse publicity toward the Company;

(e)           the commission, or plea of nolo contendere, by you of a felony; or

(f)           a breach by you of the terms of the Proprietary Information, Inventions and Non-Competition Agreement executed by you.

4.           In the event that the Company terminates your employment for any reason other than those stated in Paragraph 3 above or if you terminate your employment for Good Reason as defined in Paragraph 2, and you sign a comprehensive release in the form, and of a scope, acceptable to the Company (the “Release”), the Company will pay you severance payments in equal monthly installments at your then monthly base salary for six months following your termination (the “Severance Period”).  Such payments shall be made in accordance with the Company’s customary payroll practices and shall be subject to all applicable federal and state withholding, payroll and other taxes.

If you breach your post-employment obligations under your Proprietary Information Inventions and Non-Competition Agreement, the Company may immediately cease payment of all severance and/or benefits described in this Agreement.  This cessation of severance and/or benefits shall be in addition to, and not as an alternative to, any other remedies in law or in equity available to the Company, including the right to seek specific performance or an injunction.

5.           The terms of this agreement constitute the entire understanding relating to your employment and supersede and cancel all agreements, written or oral, made prior to the date hereof between you and the Company relating to your employment with the Company; provided, however, that nothing herein shall be deemed to limit or terminate the provisions of Proprietary Information, Inventions and Non-Competition Agreement executed by you or in any manner alter the terms of any stock option entered into between you and the Company.

6.           This Agreement, the employment relationship contemplated herein and any claim arising from such relationship, whether or not arising under this Agreement, shall be governed by and construed in accordance with the internal laws of Massachusetts, without giving effect to the principles of choice of law or conflicts of law of Massachusetts and this Agreement shall be deemed to be performable in Massachusetts.  Any claims or legal actions by one party against the other arising out of the relationship between the parties contemplated herein (whether or not arising under this Agreement) shall be commenced or maintained in any state or federal court located in Massachusetts, and Executive hereby submits to the jurisdiction and venue of any such court.

  

  

  

7.           No waiver by either party of any breach by the other or any provision hereof shall be deemed to be a waiver of any later or other breach thereof or as a waiver of any other provision of this Agreement.  This Agreement and its terms may not be waived, changed, discharged or terminated orally or by any course of dealing between the parties, but only by an instrument in writing signed by the party against whom any waiver, change, discharge or termination is sought.  No modification or waiver by the Company shall be effective without the consent of the Board of Directors then in office at the time of such modification or waiver.

8.           You acknowledge that the services to be rendered by you to the Company are unique and personal in nature. Accordingly, you may not assign any of your rights or delegate any of your duties or obligations under this Agreement.  The rights and obligations of the Company under this Agreement may be assigned by the Company and shall inure to the benefit of, and shall be binding upon, the successors and assigns of the Company.

If this letter correctly states the understanding we have reached, please indicate your acceptance by countersigning the enclosed copy and returning it to me.

Very truly yours,

DATAWATCH CORPORATION

/s/ Michael A. Morrison                                      

Michael A. Morrison

Chief Executive Officer

YOU REPRESENT THAT YOU HAVE READ THE FOREGOING AGREEMENT, THAT YOU FULLY UNDERSTAND THE TERMS AND CONDITIONS OF SUCH AGREEMENT AND THAT YOU ARE VOLUNTARILY EXECUTING THE SAME.

ACCEPTED:

/s/ Harvey C. Gross                                                                   July 25, 2011

Harvey C. Gross                                                                                Date

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