WellCare Health Plans 10-Q 2012 Q2 Quarterly report

Back to 10-Q WellCare of Florida, Inc.	Exhibit 10.1  Medicaid HMO Non-Reform Contract
d/b/a Staywell Health Plan of Florida

AHCA CONTRACT NO. FA904 AMENDMENT NO. 8

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" or “Health Plan”, is hereby amended as follows:

  1. Effective May 1, 2012, Attachment I, Scope of Services, Capitated Health Plans, is hereby amended to include Attachment I, Exhibit 1-B, Revised Maximum Enrollment Levels, attached hereto and made a part of the Contract. All references in the Contract to Attachment I, Exhibits 1 and 1-A, shall hereinafter also refer to Attachment I, Exhibit 1- B, as appropriate.

Unless otherwise stated, this amendment is effective upon execution by both parties.

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.

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 STATE OF FLORIDA, AGENCY FOR

STAYWELL HEALTH PLAN OF FLORIDA   HEALTH CARE ADMINISTRATION

SIGNED BY:	/s/Christina Cooper	SIGNED BY:	/s/Elizabeth Dudek
NAME:	Christina Cooper	NAME:	Elizabeth Dudek
TITLE:	President, Florida and Hawaii Division	TITLE:	Secretary
DATE:	5/7/12	DATE:	5/9/2012

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

Specify Letter/

Type Number Description

Attachment I Exhibit 1-B Revised Maximum Enrollment Levels (3 Pages)

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AHCA Contract No. FA904, Amendment No. 8, Page 1 of 1

WellCare of Florida, Inc.	Medicaid HMO Non-Reform Contract
d/b/a Staywell Health Plan of Florida

ATTACHMENT I

EXHIBIT 1-B

REVISED MAXIMUM ENROLLMENT LEVELS

Maximum enrollment levels and Health Plan provider numbers associated with the counties and populations served. Exhibit 2-NR-C provide the capitation rate tables respective to the areas of operation listed below.

A. Non-Reform

See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates

Area 3 Counties: Hernando, Sumter

Effective Date: 09/01/09
County	Enrollment Level	Provider Number
Hernando	15,000	015016901
Sumter	4,500	015016916

See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates

Area 5 Counties: Pasco, Pinellas

Effective Date: 09/01/09
County	Enrollment Level	Provider Number
Pasco	7,000	015016903
Pinellas	15,000	015016904

See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates

 Area 6 Counties: Hillsborough, Manatee, Polk

Effective Date: 09/01/09
County	Enrollment Level	Provider Number
Hillsborough	28,000	015016902
Manatee	12,000	015016912
Polk	25,000	015016905

AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 1 of 3

WellCare of Florida, Inc.	Medicaid HMO Non-Reform Contract
d/b/a Staywell Health Plan of Florida

See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates

Area 7 Counties: Orange, Seminole, Osceola, Brevard

Effective Date: 09/01/09
County	Enrollment Level	Provider Number
Orange	38,000	015016906
Seminole	6,000	015016908
Osceola	12,000	015016907
Brevard	14,000	015016913

See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates

Area 8 Counties: Lee, Sarasota, Charlotte, DeSoto

Effective Dates: 09/01/09 Lee and Sarasota, 08/01/11 Charlotte, 05/01/12 DeSoto
County	Enrollment Level	Provider Number
DeSoto	4,100	TBD
Lee	15,000	015016911
Sarasota	6,000	015016914
Charlotte	27,000	015016917

See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates

Area 9 Counties: Palm Beach, St. Lucie, Indian Rive

Effective Dates: 09/01/09, and 08/01/11 Indian River
County	Enrollment Level	Provider Number
Palm Beach	15,000	015016910
St. Lucie	4,500	015016915
Indian River	10,500	015016918

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AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 2 of 3

WellCare of Florida, Inc.	Medicaid HMO Non-Reform Contract
d/b/a Staywell Health Plan of Florida

See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates

Area 10 County: Broward

Effective Date: 09/01/09
County	Enrollment Level	Provider Number
Broward	25,000	015016900

See Exhibit 2-NR-C Table 2, General Capitation Rates plus Mental Health Rates

Area 11 County: Miami-Dade

Effective Date: 09/01/09
County	Enrollment Level	Provider Number
Miami-Dade	25,000	015016909

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AHCA Contract No. FA904, Attachment I, Exhibit 1-B, Page 3 of 3