Exhibit 10.3
Wellcare of Florida, Inc. d/b/a Staywell Health Plan of Florida
Medicaid HMO Contract
AHCA CONTRACT NO. FA615
AMENDMENT NO. 1
THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and WELLCARE OF FLORIDA, INC. D/B/A STAYWELL HEALTH PLAN OF FLORIDA, hereinafter referred to as the "Vendor", 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 $1,246,085,621.00 (an increase of $28,056,746.00), subject to availability of funds. |
| 2. | Standard Contract, Section III, Item C., Contract Managers, sub-item 2. is hereby amended to now read as follows: |
| 2. | The Vendor’s Contract Manager’s name, address and telephone number for this Contract is as follows: |
| HealthEase Health Plan of Florida, Inc. |
| 3. | 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, the sum of total capitation payments under this Contract shall not exceed the total Contract amount of $1,246,085,621.00 (an increase of $28,056,746.00). |
| 4. | Attachment I, Exhibit I, Maximum Enrollment Levels, is hereby deleted in its entirety and replaced with Exhibit I-A, Revised Maximum Enrollment Levels, attached hereto and made a part of the Contract. All references in the Contract to Exhibit I, Maximum Enrollment Levels shall, hereinafter refer to Exhibit I-A, Revised Maximum Enrollment Levels. |
| 5. | Attachment I, Exhibit II, Capitation Rates, is hereby deleted in its entirety and replaced with Exhibit II-A, Revised Capitation Rates, attached hereto and made a part of the Contract. All references in the Contract to Exhibit II, Capitation Rates, shall hereinafter refer to Exhibit II-A, Revised Capitation Rates. |
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.
AHCA CONTRACT No. FA615, Amendment No.1, Page 1 of 2
Wellcare of Florida, Inc. d/b/a Staywell Health Plan of Florida
Medicaid HMO Contract
This Amendment cannot be executed unless all previous amendments to this Contract have been fully executed.
IN WITNESS WHEREOF, the parties hereto have caused this four (4) page amendment (which includes all attachments hereto) to be executed by their officials thereunto duly authorized.
WELLCARE OF FLORIDA, INC. D/B/A STAYWELL HEALTH PLAN OF FLORIDA | STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION |
SIGNED BY: /s/ Todd S. Farha | SIGNED BY: /s/ Andrew C. Agwunobi |
| NAME: Todd S. Farha | NAME: Andrew C. Agwunobi, M.D. |
| TITLE: President and CEO | TITLE: Secretary |
| DATE: 5/29/2007 | DATE: 5/31/2007 |
List of Attachments/Exhibits included as part of this Amendment:
Specify Type | Letter/ Number | Description |
| Exhibit | I-A | Revised Maximum Enrollment Levels (1 Page) |
| Exhibit | II-A | Revised Capitation Rates (1 Page) |
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
AHCA CONTRACT No. FA615, Amendment No.1, Page 2 of 2
EXHIBIT I-A REVISED MAXIMUM ENROLLMENT LEVELS
TABLE 1
ENROLLMENT LEVELS
County | Maximum Enrollment Level |
| Brevard | 14,000 |
| Broward | 25,000 |
| Dade | 25,000 |
| Hernando | 15,000 |
| Hillsborough | 28,000 |
| Lee | 15,000 |
| Manatee | 12,000 |
| Palm Beach | 15,000 |
| Pasco | 7,000 |
| Pinellas | 15,000 |
| Polk | 25,000 |
| Orange | 38,000 |
| Osceola | 12,000 |
| Sarasota | 6,000 |
| Seminole | 6,000 |
| St. Lucie | 4,500 |
| Sumter | 4,500 |
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
AHCA Contract No. FA615, Exhibit I-A, Page 1 of 1
EXHIBIT II-A
REVISED CAPITATION RATES
A. Table 2 - General Capitation Rates plus Mental Health Rates:
Area 3 Counties:
County | Provider Number |
| Sumter | 015016916 |
Area 9 Counties:
County | Provider Number |
| St. Lucie | 015016915 |
B. Table 4 - General Capitation Rates plus Mental Health Rates plus Transportation:
Area 3 Counties:
County | Provider Number |
| Hernando | 015016901 |
Area 5 Counties:
County | Provider Number |
| Pasco | 015016903 |
| Pinellas | 015016904 |
Area 6 Counties:
County | Provider Number |
| Hillsborough | 015016902 |
| Manatee | 015016912 |
| Polk | 015016905 |
Area 7 Counties:
County | Provider Number |
| Orange | 015016906 |
| Seminole | 015016908 |
| Osceola | 015016907 |
| Brevard | 015016913 |
Area 8 Counties:
County | Provider Number |
| Lee | 015016911 |
| Sarasota | 015016914 |
Area 9 Counties:
County | Provider Number |
| Palm Beach | 015016910 |
Area 10 Counties:
County | Provider Number |
| Broward | 015016900 |
Area 11 Counties:
County | Provider Number |
| Miami-Dade | 015016909 |
AHCA Contract No. FA615, Exhibit II-A, Page 1 of 1
