Common use of Required Staff/Providers Clause in Contracts

Required Staff/Providers. The Health Plan shall submit contracted and subcontracted staffing information by position, name and FTE for all behavioral health direct service positions on a quarterly basis in accordance with Table 14, Required Staff/Providers, below. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK Table 13 Required Staff/Providers Plan Name: Plan 7-Digit Medicaid ID#: As of Date (3rd Month of the Qtr/Year): AHCA Area: Positions Total Non-Clinical Specialties Therapeutic Specialty Areas With 2 Years Clinical Experience Bi-Lingual Expert Witness Court Ordered Evals Adoption/ Attachment Issues Post Traumatic Stress Syndrome Dual Diagnosis (Mental Disorder / Substance Abuse) Gender / Sexual Issues Geriatrics / Aging Issues Separation, Grief & Loss Eating Disorders Adolescent/ Children's Issues Sexual/ Physical Abuse-Child Sexual/ Physical Abuse-Adult Domestic Violence-Child Domestic Violence-Adult Adult Psychiatrists Child Psychiatrists Other Physicians Psychiatric ARNPs Psychologists Master Level Clinicians (LCSW, LMFT, LMHC, MFCC) Bachelor Level Unduplicated Totals This report provides a snapshot of the required staff/providers on a day in the 3rd month of the quarter: March, June, September, and December. The report is due within 45 days at the end of the quarter: May 15th, August 15th, November 15th, and February 15th.

Required Staff/Providers. The Health Plan shall submit contracted and subcontracted staffing information by position, name and FTE for all behavioral health direct service positions on a quarterly basis in accordance with Table 14, Required Staff/Providers, below. REMAINDER OF PAGE XXXX INTENTIONALLY LEFT BLANK AHCA Contract No. FAR - , Amendment No. 1, Page 91 of 107 Amerigroup Florida, Inc. Medicaid HMO Contract d/b/a Amerigroup Community Care Table 13 Required Staff/Providers Plan Name: Plan 7-Digit Medicaid ID#: As of Date (3rd Month of the Qtr/Year): AHCA Area: Positions Total Non-Clinical Specialties Therapeutic Specialty Areas With 2 Years Clinical Experience Bi-Lingual Expert Witness Court Ordered Evals Adoption/ Attachment Issues Post Traumatic Stress Syndrome Dual Diagnosis (Mental Disorder / Substance Abuse) Gender / Sexual Issues Geriatrics / Aging Issues Separation, Grief & Loss Eating Disorders Adolescent/ Children's Issues Sexual/ Physical Abuse-Abuse- Child Sexual/ Physical Abuse-Abuse- Adult Domestic Violence-Violence- Child Domestic Violence-Violence- Adult Adult Psychiatrists Child Psychiatrists Other Physicians Psychiatric ARNPs Psychologists Master Level Clinicians (LCSW, LMFT, LMHC, MFCC) Bachelor Level Unduplicated Totals This report provides a snapshot of the required staff/providers on a day in the 3rd month of the quarter: March, June, September, and December. The report is due within 45 days at the end of the quarter: May 15th, August 15th, November 15th, and February 15th.. AHCA Contract No. FAR - , Amendment No. 1, Page 92 of 107 Amerigroup Florida, Inc. Medicaid HMO Contract d/b/a Amerigroup Community Care W. FARS/CFARS

Required Staff/Providers. The Health Plan shall submit contracted and subcontracted staffing information by position, name and FTE for all behavioral health direct service positions on a quarterly basis in accordance with Table 14, Required Staff/Providers, below. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA Contract No. FAR - , Amendment No. 1, Page 91 of 107 Amerigroup Florida, Inc. Medicaid HMO Contract d/b/a Amerigroup Community Care Table 13 Required Staff/Providers Plan Name: Plan 7-Digit Medicaid ID#: As of Date (3rd Month of the Qtr/Year): AHCA Area: Positions Total Non-Clinical Specialties Therapeutic Specialty Areas With 2 Years Clinical Experience Bi-Lingual Expert Witness Court Ordered Evals Adoption/ Attachment Issues Post Traumatic Stress Syndrome Dual Diagnosis (Mental Disorder / Substance Abuse) Gender / Sexual Issues Geriatrics / Aging Issues Separation, Grief & Loss Eating Disorders Adolescent/ Children's Issues Sexual/ Physical Abuse-Abuse- Child Sexual/ Physical Abuse-Abuse- Adult Domestic Violence-Violence- Child Domestic Violence-Violence- Adult Adult Psychiatrists Child Psychiatrists Other Physicians Psychiatric ARNPs Psychologists Master Level Clinicians (LCSW, LMFT, LMHC, MFCC) Bachelor Level Unduplicated Totals This report provides a snapshot of the required staff/providers on a day in the 3rd month of the quarter: March, June, September, and December. The report is due within 45 days at the end of the quarter: May 15th, August 15th, November 15th, and February 15th.. XXXX Xxxxxxxx Xx. XXX - , Xxxxxxxxx Xx. 0, Page 92 of 107 Amerigroup Florida, Inc. Medicaid HMO Contract d/b/a Amerigroup Community Care W. FARS/CFARS