WellCare Health Plans 8-K Entry into a Material Definitive Agreement

Back to Form 8-K

Exhibit 10.3

HealthEase of Florida, Inc. Medicaid HMO Contract

AHCA CONTRACT NO. FA619

AMENDMENT NO. 8

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 III, Item C, Contract Managers, sub-item 1, is hereby amended to change the Agency's Contract Manager's name to Suzanne S. Gjevukaj. All other contact information remains unchanged.

2. 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 part of the Contract.

This Amendment cannot be executed unless all previous Amendments to this Contract have been fully executed.

IN WITNESS WHEREOF, the parties hereto have caused this six (6) 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/ Heath Schiesser	SIGNED BY: /s/ Holly Benson
NAME: Heath Schiesser	NAME: Holly Benson
TITLE: President and CEO	TITLE: Secretary
DATE:	DATE: 4/22/09

List of attachments/exhibits included as part of this Amendment:

Specify Type	Letter/ Number	Description
Exhibit	III-F	March 1, 2009 - August 31, 2009 Medicaid Non-Reform HMO Capitation Rates (5 Pages)

AHCA Contract No. FA619, Amendment No. 8, Page 1 of 1

AHCA Form 2100-0002 (Rev. NOV03)

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								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+)	BTHM0+2M0	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	1,094.22	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	249.87	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								SSl-N					SSI-B	SSI-AB
Area	BTHMO+2MO	3MO-11MO	AGE (1-5)	AGE (6-13)	AGE (14-20)		AGE (21-54)		AGE (55+)	BTHM0+2M0	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	1,094.24	184.18	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	184.19	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	202.97	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	792.96	341.43	97.29	89.40
04	1,049.15	178.80	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	97.46
05	1,194.07	202.98	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	178.09	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	183.65	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	174.05	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	332.06	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	1,617.12	483.09	261.35	271.58		834.41	801.07	271.50	81.77	75.20

AHCA Contract No. FA619, Exhibit III-F, Page 1 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 3

General + WIH + 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	1,094.24	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	255.39	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	151.56	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 + 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	1,099.50	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	150.19	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. FA619, Exhibit III-F, Page 2 of 5

EXHIBIT III-F

March 1, 2009 -August31, 2009

MEDICAID Non-Reform HMO CAPITATION RATES

By Area, Age and Eligibility Category

Revised on February 16, 2009

TABLE 5

General + Transportation Rates:
	TANF										SSl-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	1,099.48	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										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	1,094.22	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	10,969.70	1,617.06	479.69	224.51	237.61	764.51	774.47	271.94	80.16	73.06

AHCA Contract No. FA619, 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										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	1,099.48	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										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	1,099.50	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	757.53	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	332.26	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. FA619, 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, Marion, Putnam, Sumter, Suwannee, Union
Area 4	Baker, Clay, Duval, Flagler, Nassau, St. Johns, Volusia
Area 5	Pasco, Pinellas
Area 6	Hardee, Highlands, Manatee, Polk
Area 6B *	Hillsborough
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. FA619, Exhibit III-F, Page 5 of 5