Amerigroup 10-Q 2009 Q1 Quarterly report

Exhibit 10.2

Amerigroup Florida, Inc.
d/b/a Amerigroup Community Care Medicaid HMO Contract

AHCA CONTRACT NO. FA614
AMENDMENT NO. 13

THIS CONTRACT,entered into between theSTATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the “Agency” andAMERIGROUP FLORIDA, INC. D/B/A AMERIGROUP COMMUNITY CARE,hereinafter referred to as the “Vendor” or “Health Plan”, is hereby amended as follows:

1. Standard Contract, Section III, Item C., Contract Managers, sub-item 1, is hereby amended to now read as follows:

     1. The Agency’s Contract Manager’s name, address and telephone number for this Contract is as follows:

Felicia Wilhelmy
Agency for Health Care Administration
2727 Mahan Drive, MS#50
Tallahassee, FL 32308
(850) 487-2355

2.

Effective March 1, 2009, Attachment I, Scope of Services, is hereby amended to include Exhibit I-E, Fifth Revised Maximum Enrollment Levels, attached hereto and made a part of the Contract. All references in the Contract to Exhibit I-D, Fourth Revised Maximum Enrollment Levels, shall hereinafter also refer to Exhibit I-E, Fifth Revised Maximum Enrollment Levels, as appropriate.

3.

Effective March 1, 2009, Attachment I, Scope of Services, is hereby amended to include Exhibit III-F, March 1, 2009 — August 31, 2009 Medicaid Non-Reform HMO Capitation Rates, attached hereto and made a part of the Contract. All references in the Contract to Exhibit III-E, February 1, 2009 — August 31, 2009 Medicaid Non-Reform HMO Capitation Rates, shall hereinafter also refer to Exhibit III-F, March 1, 2009 — August 31, 2009 Medicaid Non-Reform HMO Capitation Rates, as appropriate.

     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.

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AHCA Contract No. FA614, Amendment No. 13, Page 1 of 2

Amerigroup Florida, Inc.
d/b/a Amerigroup Community Care Medicaid HMO Contract

     IN WITNESS WHEREOF, the parties hereto have caused this eight (8) page Amendment (which includes all attachments hereto) to be executed by their officials thereunto duly authorized.

AMERIGROUP FLORIDA, INC. D/B/A/ AMERIGROUP COMMUNITY CARE			STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION
Signed By:	/s/ William L. McHugh		Signed By:	/s/ Holly Benson
	NAME:	William L. McHugh		NAME:	Holly Benson
	TITLE:	CEO		TITLE:	Secretary
	DATE:	3/20/09		DATE:	3/26/09

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

Specify	Letter/
Type	Number	Description
Exhibit	I-E	Fifth Revised Maximum Enrollment Levels (1 Page)
Exhibit	III- F	March 1, 2009 — August 31, 2009 Medicaid Non-Reform HMO Capitation RatesS (5 Pages)

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AHCA Contract No. FA614, Amendment No. 13, Page 2 of 2

Amerigroup Florida, Inc.
d/b/a Amerigroup Community Care Medicaid HMO Contract

EXHIBIT I-E

FIFTH REVISED MAXIMUM ENROLLMENT LEVELS

TABLE 1
FOURTH REVISED ENROLLMENT LEVELS

County	Maximum Enrollment Level
Brevard		8,000
Broward		14,000
Miami-Dade		25,000
Hernando		8,000
Hillsborough		40,000
Lake		8,000
Lee		18,000
Manatee		8,000
Orange		30,000
Osceola		8,500
Pasco		15,000
Pinellas		25,000
Polk		30,000
Sarasota		8,000
Seminole		8,000
Volusia		8,000

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AHCA Contract No. FA614, Exhibit I-E, Page 1 of 1

Amerigroup Florida, Inc.
d/b/a Amerigroup Community Care Medicaid HMO Contract

EXHIBIT III-F
March 1, 2009 — August 31, 2009
Medicaid Non-Reform HMO Capitation Rates
By Area , Age and Eligibility Category
Revised on February 16, 2009

TABLE 1

General Rates:

									TANF
									AGE (14-20)				AGE (21-54)												SSI-N										SSI-AB
Area	BTHM0+2M0		3M0.11MO		AGE (1-5)		AGE (6-13)		Female		Male		Female		Male		AGE (55+)		BTHMO+2M0		3M0-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)		AGE (21-54)		AGE (55+)		SSI-B		AGE (65-)		AGE (65+)
01		1,094.22		184.16		99.63		60.40		127.26		68.32		250.84		150.73		313.03		10,249.54		1,491.48		438.21		195.46		209.48		684.74		688.27		300.62		93.17		84.30
02		1,094.22		184.16		99.63		60.40		127.26		68.32		250.84		150.73		313.03		10,249.54		1,491.48		438.21		195.46		209.48		684.74		688.27		300.62		93.17		84.30
03		1,196.62		202.96		110.34		67.92		140.84		76.51		278.65		168.47		353.53		11,246.01		1,651.16		486.56		222.16		237.31		773.96		781.87		334.70		88.46		80.57
04		1,049.14		178.79		97.34		60.45		124.13		68.04		246.51		149.64		315.69		10,783.85		1,587.50		468.19		215.03		229.34		748.28		757.29		292.70		88.80		80.98
05		1,194.06		202.97		110.37		68.18		140.78		76.87		279.19		169.16		355.65		12,038.26		1,765.98		519.70		236.81		252.51		825.86		834.51		221.32		79.80		74.00
06		1,038.39		178.07		97.17		60.92		124.01		68.48		247.03		150.57		319.86		10,970.19		1,617.13		476.72		220.10		233.82		764.56		774.50		270.21		77.95		71.38
07		1,074.14		183.63		100.12		62.40		127.54		70.12		253.83		154.32		326.38		11,607.26		1,714.80		505.56		234.47		249.97		814.51		826.24		367.55		83.10		76.28
08		1,015.73		174.04		95.01		59.33		121.03		66.85		241.01		146.72		311.46		10,344.94		1,523.63		449.17		206.42		220.49		718.78		727.41		251.83		77.41		70.98
09		1,049.42		178.45		97.12		60.00		123.89		67.48		245.50		148.81		312.90		10,887.75		1,607.33		473.84		219.83		233.26		762.25		772.33		215.52		82.97		75.87
10		1,064.83		182.89		99.98		62.78		127.46		70.63		254.09		155.07		330.14		14,097.57		2,095.67		618.54		292.06		308.77		1,009.40		1,026.88		316.67		92.40		84.73
11		1,348.59		228.59		124.07		76.21		158.52		85.96		313.61		189.56		397.28		14,238.94		2,095.21		617.24		284.21		302.64		987.26		998.51		364.12		137.86		124.45
6B*		1,038.25		178.05		97.16		60.91		123.99		68.47		247.00		150.55		319.81		10,969.70		1,617.05		476.70		220.09		233.81		764.51		774.47		270.21		77.95		71.38

TABLE 2

General + Mental Health Rates:

									TANF
									AGE (14-20)				AGE (21-54)												SSI-N										SSI-AB
Area	BTHM0+2M0		3M0.11MO		AGE (1-5)		AGE (6-13)		Female		Male		Female		Male		AGE (55+)		BTHMO+2M0		3M0-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)		AGE (21-54)		AGE (55+)		SSI-B		AGE (65-)		AGE (65+)
01		1,094.24		184.16		101.24		71.89		138.00		79.06		255.20		155.09		316.71		10,249.62		1,491.56		445.52		242.68		252.71		764.74		718.72		300.83		104.62		95.75
02		1,094.25		184.16		102.49		80.31		140.45		81.51		254.19		154.08		315.93		10,249.69		1,491.63		451.77		272.92		253.92		736.51		712.72		320.48		107.92		99.05
03		1,196.63		202.96		111.64		76.94		146.82		82.49		280.17		169.99		354.85		11,246.08		1,651.23		492.71		257.30		257.47		797.45		791.96		341.43		97.29		89.40
04		1,049.15		178.79		98.69		69.84		130.36		74.27		248.09		151.22		317.06		10,783.96		1,587.61		477.78		269.81		260.77		784.90		774.58		316.83		105.28		97.45
05		1,194.07		202.97		111.56		76.71		148.75		84.84		282.43		172.40		358.38		12,038.31		1,766.03		524.64		268.67		281.68		879.83		855.05		224.00		92.40		86.60
06		1,038.41		178.07		98.99		73.94		136.17		80.64		251.97		155.51		324.03		10,970.26		1,617.20		483.13		261.48		271.70		834.66		801.18		271.50		81.77		75.20
07		1,074.16		183.63		101.87		74.87		139.19		81.77		258.57		159.06		330.38		11,607.32		1,714.86		511.58		273.30		285.42		880.29		851.28		370.10		93.44		86.62
08		1,015.74		174.04		96.25		67.97		126.75		72.57		242.47		148.18		312.72		10,345.01		1,523.70		455.07		240.11		239.83		741.30		738.04		258.56		90.40		83.97
09		1,049.44		178.47		98.64		70.62		130.92		74.51		247.29		150.60		314.45		10,887.82		1,607.40		480.06		255.35		253.65		785.99		783.54		222.25		92.39		85.29
10		1,064.85		182.91		101.87		75.91		136.16		79.33		256.30		157.28		332.60		14,097.66		2,095.76		626.75		338.95		335.68		1,040.74		1,041.68		323.40		100.32		92.65
11		1,348.61		228.61		125.66		87.31		165.88		93.32		315.48		191.43		398.90		14,239.02		2,095.29		624.09		323.33		325.08		1,013.40		1,010.85		371.22		145.78		132.37
6B*		1,038.27		178.07		98.88		73.21		135.48		79.96		251.67		155.22		323.75		10,969.77		1,617.72		483.09		261.35		271.58		834.41		801.07		271.50		81.77		75.20

AHCA Contract No. FA614, Exhibit III-F, Page 1 of 1

EXHIBIT III-F
March 1, 2009 — August 31, 2009
Medicaid Non-Reform HMO Capitation Rates
By Area , Age and Eligibility Category
Revised on February 16, 2009

TABLE 3

General + MH + Dental Rates:

	TANF								AGE (14-20)				AGE (21.54)								SSI-N														SSI-AB
Area	BTHM0+2M0		3M0.11MO		AGE (1-5)		AGE (6-13)		Female		Male		Female		Male		AGE (55+)		BTHMO+2M0		3M0-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)		AGE (21-54)		AGE (55+)		SSI-B		AGE (65-)		AGE (65+)
01		1,094.24		184.19		102.89		74.95		141.13		81.70		256.40		156.33		319.45		10,249.62		1,491.56		447.11		245.04		254.73		766.05		720.55		301.27		105.72		96.60
02		1,094.25		184.20		104.14		83.37		143.58		84.15		256.39		155.32		318.67		10,249.69		1,491.63		453.36		275.28		255.94		737.82		714.55		320.92		109.02		99.90
03		1,196.64		202.99		114.64		82.50		152.49		87.29		281.88		171.74		358.75		11,246.08		1,651.24		495.79		261.86		261.39		799.30		795.56		342.44		98.91		90.64
04		1,049.16		178.81		100.50		73.20		133.80		77.17		249.73		152.91		320.81		10,783.96		1,587.61		479.53		272.40		263.00		786.75		777.17		318.97		106.84		98.65
05		1,194.08		203.00		114.91		82.93		155.11		90.22		285.78		175.85		366.04		12,038.32		1,766.04		528.79		274.83		286.97		883.47		860.16		227.60		96.12		89.44
06		1,038.42		178.10		101.61		78.81		141.14		84.85		253.82		157.42		328.26		10,970.26		1,617.21		486.12		265.90		275.50		837.12		804.63		273.23		83.98		76.88
07		1,074.17		183.66		104.23		79.24		143.65		85.54		259.88		160.40		333.37		11,607.32		1,714.87		514.53		277.66		289.17		881.81		853.42		370.57		94.93		87.76
08		1,015.75		174.07		99.83		74.59		133.52		78.30		244.46		150.21		317.24		10,345.01		1,523.71		458.43		245.10		244.12		743.54		741.18		260.07		92.04		85.22
09		1,049.45		178.49		101.52		75.97		136.38		79.13		248.23		151.66		316.60		10,887.82		1,607.41		482.61		259.13		256.90		787.15		785.16		224.05		93.44		86.09
10		1,064.86		182.92		104.26		80.34		140.69		83.16		257.02		158.02		333.69		14,097.66		2,095.77		629.49		343.02		339.18		1,041.67		1,042.99		324.21		101.60		93.61
11		1,348.62		228.62		129.33		94.86		173.71		99.92		316.33		192.29		400.83		14,239.03		2,095.31		628.29		330.59		331.44		1,015.15		1,013.31		374.50		147.90		133.99
6B*		1,038.28		178.08		101.50		78.08		140.45		84.17		251.67		155.22		323.75		10,969.77		1,617.13		486.08		265.77		275.38		834.41		801.07		273.23		83.98		76.88

TABLE 4

General + Mental Health + Transportation Rates:

									TANF
									AGE (14-20)				AGE (21-54)												SSI-N										SSI-AB
Area	BTHM0+2M0		3M0.11MO		AGE (1-5)		AGE (6-13)		Female		Male		Female		Male		AGE (55+)		BTHMO+2M0		3M0-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)		AGE (21-54)		AGE (55+)		SSI-B		AGE (65-)		AGE (65+)
01		1,099.50		185.53		102.06		72.38		140.00		80.38		258.44		157.56		320.16		10,288.04		1,516.79		450.72		245.07		258.73		784.45		735.36		308.17		118.10		104.44
02		1,099.51		185.54		103.31		80.80		142.45		82.83		257.43		156.55		319.38		10,288.11		1,516.86		456.97		275.31		259.94		756.22		729.36		327.82		121.40		107.74
03		1,202.95		204.60		112.62		77.53		149.22		84.07		284.07		172.96		359.00		11,294.54		1,683.05		499.28		260.32		265.06		822.32		813.95		349.99		116.72		101.92
04		1,053.64		179.96		99.39		70.26		132.07		75.40		250.86		153.32		320.01		10,821.63		1,612.34		482.87		272.15		266.67		804.22		790.89		323.89		120.86		107.50
05		1,197.87		203.96		112.15		77.06		160.19		85.79		284.77		174.18		360.87		12,069.58		1,786.55		528.88		270.62		286.57		895.87		868.59		230.44		106.24		95.51
06		1,042.14		179.05		99.57		74.29		137.59		81.57		254.28		157.27		326.48		11,001.22		1,637.53		487.33		263.40		276.55		850.54		814.59		277.11		93.13		82.52
07		1,078.12		184.66		102.49		75.24		140.69		82.77		261.02		160.93		332.97		11,641.47		1,737.28		516.20		275.41		290.77		897.81		866.07		375.39		105.36		94.30
08		1,020.94		175.39		97.07		68.46		128.74		73.88		245.67		150.62		316.13		10,382.57		1,548.36		460.15		242.45		245.71		760.56		754.32		264.39		104.94		93.33
09		1,054.46		179.77		99.43		71.09		132.83		75.77		250.39		152.96		317.74		10,926.48		1,632.80		485.30		257.76		259.70		805.82		800.29		228.70		107.92		95.29
10		1,067.79		183.68		102.33		76.19		137.28		80.07		258.11		158.66		333.99		14,123.46		2,112.70		630.24		340.55		339.72		1,053.97		1,052.85		328.61		112.45		100.46
11		1,351.65		229.39		126.13		87.60		167.04		94.09		317.36		192.86		400.90		14,265.93		2,112.95		627.73		325.00		329.30		1,027.20		1,022.51		376.25		158.01		140.24
6B*		1,042.00		179.03		99.46		73.56		136.90		80.89		253.98		156.98		326.20		11,000.73		1,637.45		487.29		263.27		276.43		850.29		814.48		277.11		93.13		82.52

AHCA Contract No. FA614, Exhibit III-F, Page 2 of 5

EXHIBIT III-F
March 1, 2009 — August 31, 2009
Medicaid Non-Reform HMO Capitation Rates
By Area , Age and Eligibility Category
Revised on February 16, 2009

TABLE 5

General + Transportation Rates:

	TANF								AGE (14-20)				AGE (21.54)								SSI-N														SSI-AB
Area	BTHM0+2M0		3M0.11MO		AGE (1-5)		AGE (6-13)		Female		Male		Female		Male		AGE (55+)		BTHMO+2M0		3M0-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)		AGE (21-54)		AGE (55+)		SSI-B		AGE (65-)		AGE (65+)
01		1,099.48		185.51		100.45		60.89		129.26		69.64		254.08		153.20		316.48		10,287.96		1,516.71		443.41		197.85		215.50		704.45		704.91		307.96		106.65		92.99
02		1,099.48		185.51		100.45		60.89		129.26		69.64		254.08		153.20		316.48		10,287.96		1,516.71		443.41		197.85		215.50		704.45		704.91		307.96		106.65		92.99
03		1,202.94		204.59		111.32		68.51		143.24		78.09		282.55		171.44		357.68		11,294.47		1,682.98		493.13		225.18		244.90		798.83		802.86		343.26		107.89		93.09
04		1,053.63		179.95		98.04		60.87		125.84		69.17		249.28		151.74		318.64		10,821.52		1,612.23		473.28		217.37		235.24		767.60		773.60		299.76		104.38		91.02
05		1,197.86		203.95		110.96		68.53		142.22		77.82		281.53		170.94		358.14		12,069.53		1,786.50		523.94		238.76		257.40		841.90		848.05		227.76		93.64		82.91
06		1,042.12		179.03		97.75		61.27		125.43		69.41		249.34		152.33		322.31		11,001.15		1,637.46		480.92		222.02		238.67		780.44		787.91		275.82		89.31		78.70
07		1,078.10		184.64		100.74		62.77		129.04		71.12		256.28		156.19		328.97		11,641.41		1,737.22		510.18		236.58		255.22		832.03		841.03		372.84		95.02		83.96
08		1,020.93		175.38		95.83		59.82		123.02		68.16		244.21		149.16		314.87		10,382.50		1,548.29		454.25		208.76		226.37		738.04		743.69		257.66		91.95		80.34
09		1,054.44		179.75		97.91		60.47		125.80		68.74		248.60		151.17		316.19		10,926.41		1,632.73		479.08		222.24		239.31		782.08		789.08		221.97		98.50		85.87
10		1,067.77		183.66		100.44		63.06		128.58		71.37		255.90		156.45		332.07		14,123.37		2,112.61		622.03		293.66		312.81		1,022.63		1,038.05		321.88		104.53		92.54
11		1,351.63		229.37		124.54		76.50		159.68		86.73		315.49		190.99		399.28		14,265.85		2,112.87		620.88		285.88		306.86		1,001.06		1,010.17		369.15		150.09		132.32
6B*		1,041.98		179.01		97.74		61.26		125.41		69.40		249.31		152.31		322.26		11,000.66		1,637.38		480.90		222.01		238.66		780.39		787.88		275.82		89.31		78.70

TABLE 6

General + Dental Rates:

	TANF								AGE (14-20)				AGE (21-54)								SSI-N														SSI-AB
Area	BTHM0+2M0		3M0.11MO		AGE (1-5)		AGE (6-13)		Female		Male		Female		Male		AGE (55+)		BTHMO+2M0		3M0-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)		AGE (21-54)		AGE (55+)		SSI-B		AGE (65-)		AGE (65+)
01		1,094.22		184.17		101.28		63.46		130.39		70.96		252.04		151.97		315.77		10,249.54		1,491.48		439.80		197.82		211.50		686.05		690.10		301.06		94.27		85.15
02		1,094.22		184.17		101.28		63.46		130.39		70.96		252.04		151.97		315.77		10,249.54		1,491.48		439.80		197.82		211.50		686.05		690.10		301.06		94.27		85.15
03		1,196.63		202.98		113.34		73.48		146.51		81.31		280.36		170.22		357.43		11,246.01		1,651.17		489.64		226.72		241.23		775.81		784.47		335.71		90.08		81.81
04		1,049.15		178.80		99.15		63.81		127.57		70.94		248.15		151.33		319.44		10,783.85		1,587.50		469.94		217.62		231.57		750.13		759.88		294.84		90.36		82.17
05		1,194.07		202.99		113.72		74.40		147.14		82.25		282.54		172.61		363.31		12,038.27		1,765.99		523.85		242.97		257.80		829.50		839.62		224.92		83.52		76.84
06		1,038.40		178.08		99.79		65.79		128.98		72.69		248.88		152.48		324.09		10,970.19		1,617.14		479.71		224.52		237.62		767.02		777.95		271.94		80.16		73.06
07		1,074.15		183.64		102.48		66.77		132.00		73.89		255.14		155.66		329.37		11,607.26		1,714.81		508.51		238.83		253.62		816.03		828.38		368.02		84.59		77.42
08		1,015.74		174.06		98.59		65.95		127.80		72.58		243.00		148.75		315.98		10,344.94		1,523.64		452.53		211.41		224.78		721.02		730.55		253.34		79.05		72.23
09		1,049.43		178.47		100.00		65.35		129.35		72.10		246.44		149.77		315.05		10,887.75		1,607.34		476.39		223.61		236.51		763.41		773.95		217.32		84.02		76.67
10		1,064.84		182.90		102.37		67.21		131.99		74.46		254.81		155.81		331.77		14,097.57		2,095.68		621.28		296.13		312.27		1,010.33		1,028.19		317.48		93.68		85.69
11		1,348.60		228.60		127.74		83.76		166.35		92.56		314.46		190.42		399.21		14,238.95		2,095.23		621.44		291.47		309.00		989.01		1,000.97		367.40		139.98		126.07
6B*		1,038.26		178.06		99.78		65.78		128.96		72.68		247.00		150.55		319.81		10,969.71		1,617.06		479.69		224.51		237.61		764.51		774.47		271.94		80.16		73.06

AHCA Contract No. FA614, Exhibit III-F, Page 3 of 5

EXHIBIT III-F
March 1, 2009 — August 31, 2009
Medicaid Non-Reform HMO Capitation Rates
By Area , Age and Eligibility Category
Revised on February 16, 2009

TABLE 7

General + Dental + Transportation Rates:

	TANF								AGE (14-20)				AGE (21.54)								SSI-N														SSI-AB
Area	BTHM0+2M0		3M0.11MO		AGE (1-5)		AGE (6-13)		Female		Male		Female		Male		AGE (55+)		BTHMO+2M0		3M0-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)		AGE (21-54)		AGE (55+)		SSI-B		AGE (65-)		AGE (65+)
01		1,099.48		185.52		102.10		63.95		132.39		72.28	��	255.28		154.44		319.22		10,287.96		1,516.71		445.00		200.21		217.52		705.76		706.74		308.40		107.75		93.84
02		1,099.48		185.52		102.10		63.95		132.39		72.28		255.28		154.44		319.22		10,287.96		1,516.71		445.00		200.21		217.52		705.76		706.74		308.40		107.75		93.84
03		1,202.95		204.61		114.32		74.07		148.91		82.89		284.26		173.19		361.58		11,294.47		1,682.99		496.21		229.74		248.82		800.68		805.46		344.27		109.51		94.33
04		1,053.64		179.96		99.85		64.23		129.28		72.07		250.92		153.43		322.39		10,821.52		1,612.23		475.03		219.96		237.47		769.45		776.19		301.90		105.94		92.21
05		1,197.87		203.97		114.31		74.75		148.58		83.20		284.88		174.39		365.80		12,069.54		1,786.51		528.09		244.92		262.69		845.54		853.16		231.36		97.36		85.75
06		1,042.13		179.04		100.37		66.14		130.40		73.62		251.19		154.24		326.54		11,001.15		1,637.47		483.91		226.44		242.47		782.90		791.36		277.55		91.52		80.38
07		1,078.11		184.65		103.10		67.14		133.50		74.89		257.59		157.53		331.96		11,641.41		1,737.23		513.13		240.94		258.97		833.55		843.17		373.31		96.51		85.10
08		1,020.94		175.40		99.41		66.44		129.79		73.89		246.20		151.19		319.39		10,382.50		1,548.30		457.61		213.75		230.66		740.28		746.83		259.17		93.59		81.59
09		1,054.45		179.77		100.79		65.82		131.26		73.36		249.54		152.13		318.34		10,926.41		1,632.74		481.63		226.02		242.56		783.24		790.70		223.77		99.55		86.67
10		1,067.78		183.67		102.83		67.49		133.11		75.20		256.62		157.19		333.70		14,123.37		2,112.62		624.77		297.73		316.31		1,023.56		1,039.36		322.69		105.81		93.50
11		1,351.64		229.38		128.21		84.05		167.51		93.33		316.34		191.85		401.21		14,265.86		2,112.89		625.08		293.14		313.22		1,002.81		1,012.63		372.43		152.21		133.94
6B*		1,041.99		179.02		100.36		66.13		130.38		73.61		249.31		152.31		322.26		11,000.66		1,637.39		483.89		226.43		242.46		780.39		787.88		277.55		91.52		80.38

TABLE 8

General + Mental Health + Dental + Transportation Rates:

	TANF								AGE (14-20)				AGE (21-54)								SSI-N														SSI-AB
Area	BTHM0+2M0		3M0.11MO		AGE (1-5)		AGE (6-13)		Female		Male		Female		Male		AGE (55+)		BTHMO+2M0		3M0-11MO		AGE (1-5)		AGE (6-13)		AGE (14-20)		AGE (21-54)		AGE (55+)		SSI-B		AGE (65-)		AGE (65+)
01		1,099.50		185.54		103.71		75.44		143.13		83.02		259.64		158.80		322.90		10,288.04		1,516.79		452.31		247.43		260.75		785.76		737.19		308.61		119.20		105.29
02		1,099.51		185.55		104.96		83.86		145.58		85.47		258.63		157.79		322.12		10,288.11		1,516.86		458.56		277.67		261.96		787.53		731.19		328.26		122.50		108.59
03		1,202.96		204.62		115.62		83.09		154.89		88.87		285.78		174.71		362.90		11,294.54		1,683.06		502.36		264.88		268.98		824.17		816.55		351.00		118.34		103.16
04		1,053.65		179.97		101.20		73.62		135.51		78.30		252.50		155.01		323.76		10,821.63		1,612.34		484.62		274.74		268.90		806.07		793.48		326.03		122.42		108.69
05		1,197.88		203.98		115.50		83.28		156.55		91.17		288.12		177.63		368.53		12,069.59		1,786.56		533.03		276.78		291.86		899.51		873.70		234.04		109.96		98.35
06		1,042.15		179.06		102.19		79.16		142.56		85.78		256.13		159.18		330.71		11,001.22		1,637.54		490.32		267.82		280.35		853.00		818.04		278.84		95.34		84.20
07		1,078.13		184.67		104.85		79.61		145.15		86.54		262.33		162.27		335.96		11,641.47		1,737.29		519.15		279.77		294.52		899.33		868.21		375.86		106.85		95.44
08		1,020.95		175.41		100.65		75.08		135.51		79.61		247.66		152.65		320.65		10,382.57		1,548.37		463.51		247.44		250.00		762.80		757.46		265.90		106.58		94.58
09		1,054.47		179.79		102.31		76.44		138.29		80.39		251.33		153.92		319.89		10,926.48		1,632.81		487.85		261.54		262.95		806.98		801.91		230.50		108.97		96.09
10		1,067.80		183.69		104.72		80.62		141.81		83.90		258.83		159.40		335.62		14,123.46		2,112.71		632.98		344.62		343.22		1,054.90		1,054.16		329.42		113.73		101.42
11		1,351.66		229.40		129.80		95.15		174.87		100.69		318.21		193.72		402.83		14,265.94		2,112.97		631.93		322.26		335.66		1,028.95		1,024.97		379.53		160.13		141.86
6B*		1,042.01		179.04		102.08		78.43		141.87		85.10		253.98		156.98		326.20		11,000.73		1,637.46		490.28		267.69		280.23		850.29		814.48		278.84		95.34		84.20

AHCA Contract No. FA614, Exhibit III-F, Page 4 of 5

EXHIBIT III-F
March 1, 2009 — August 31, 2009
Medicaid Non-Reform HMO Capitation Rates
By Area , Age and Eligibility Category
Revised on February 16, 2009

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, Hamilton, Hernando, Lafayette, Lake, Levy, Marlon, 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

AHCA Contract No. FA614, Exhibit III-F, Page 5 of 5