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EXHIBIT 10.1
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION
DIVISION OF BUSINESS AND FINANCE
CONTRACT AMENDMENT
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AMENDMENT NUMBER: CONTRACT NUMBER: EFFECTIVE DATE OF AMENDMENT: PROGRAM:
12 YH8-0001-05 OCTOBER 1, 2000 OMC
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CONTRACTOR'S NAME AND ADDRESS:
HEALTH CHOICE ARIZONA
1600 WEST BROADWAY SUITE 260
TEMPE, AZ 85282-1502
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PURPOSE OF AMENDMENT. To extend the term of the contract for one year and to
incorporate changes to contract requirements.
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THE CONTRACT REFERENCED ABOVE IS AMENDED AS FOLLOWS:
A. EXTENSION OF CONTRACT: In accordance with Section D, Paragraph
50, Term of Contract and Option to Renew, this contract is
extended for the period 10/01/00 - 09/30/01. The Contractor's
response affirming or declining the extension must be
received by AHCCCSA no later the 3 PM, SEPTEMBER 15, 2000.
B. CONTRACT RESTATEMENT: this amendment consists of a complete
restatement of Sections B, C, D, E and Attachments A, F, H and
I with new or changed requirements.
C. By signing this contract amendment, the Contractor is (1)
agreeing to perform for an additional year according to the
terms of the contract as amended, and (2) agreeing to the new
and changed requirements contained herein.
NOTE: Please sign and date both and then return one to:
Michael Veit, MD 5700
AHCCCS Contracts and Purchasing
701 East Jefferson Street
Phoenix, Arizona 85034
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EXCEPT AS PROVIDED FOR HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL
CONTRACT NOT HERETOFORE CHANGED AND/OR AMENDED REMAIN UNCHANGED AND IN FULL
EFFECT.
IN WITNESS WHEREOF THE PARTIES HERETO SIGN THEIR NAMES IN AGREEMENT
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SIGNATURE OF AUTHORIZED REPRESENTATIVE: SIGNATURE OF AHCCCSA CONTRACTING
OFFICER:
/s/ Carolyn Rose /s/ Michael Veit
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TYPED NAME: TYPED NAME:
Carolyn Rose Michael Veit
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TITLE: TITLE:
Interim Chief Executive Officer CONTRACTS AND PURCHASING
ADMINISTRATOR
DATE: DATE:
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9/6/00 October 1, 2000
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Acute Care Renewal (CYE 01)
Revised 10/01/00
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