0000950123-09-057587 Sample Contracts

STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION STANDARD CONTRACT
Attachment • November 4th, 2009 • Amerigroup Corp • Hospital & medical service plans • Florida

The Health Plan shall deliver covered services as defined in Attachment II to the specific population(s) approved below with “X” and as listed in Attachment II, Section III, Eligibility and Enrollment:

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AMENDMENT NUMBER 4 CONTRACTOR RISK AGREEMENT BETWEEN THE STATE OF TENNESSEE, d.b.a. TENNCARE AND AMERIGROUP TENNESSEE, INC. CONTRACT NUMBER: FA- 07-16936-00
Contractor Risk Agreement • November 4th, 2009 • Amerigroup Corp • Hospital & medical service plans • Tennessee

For and in consideration of the mutual promises herein contained and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree to clarify and/or amend the Contractor Risk Agreement (CRA) by and between the State of Tennessee TennCare Bureau, hereinafter referred to as TENNCARE, and AMERIGROUP TENNESSEE, INC., hereinafter referred to as the CONTRACTOR as specified below.

AMENDMENT #7 TO CONTRACT NO. 0652 BETWEEN GEORGIA DEPARTMENT OF COMMUNITY HEALTH AND AMERIGROUP GEORGIA MANAGED CARE COMPANY, INC.
Amerigroup Corp • November 4th, 2009 • Hospital & medical service plans • Georgia

This Amendment is between the Georgia Department of Community Health (hereinafter referred to as “DCH” or the “Department”) and AMERIGROUP Georgia Managed Care Company, Inc. (hereinafter referred to as “Contractor”) and is made effective this 23 day of September, 2009 (hereinafter referred to as the “Effective Date”). Other than the changes, modifications and additions specifically articulated in this Amendment #7 to Contract # 0652, RFP#41900-001-0000000027, the original Contract shall remain in effect and binding on and against DCH and Contractor. Unless expressly modified or added in this Amendment #7, the terms and conditions of the original Contract are expressly incorporated into this Amendment #17 as if completely restated herein.

Subject: HHSC Managed Care Contract HHSC Contract No. 529-06-0280-00002-M
Amerigroup Corp • November 4th, 2009 • Hospital & medical service plans

This Contract Amendment (the “Amendment”) is between the Texas Health and Human Services Commission (HHSC), an administrative agency within the executive department of the State of Texas, having its principal office at 4900 North Lamar Boulevard, Austin, Texas 78751, and Amerigroup Texas, Inc. (HMO) a corporation organized under the laws of the State of Texas, having its principal place of business at: 2505 N. Highway 360, Suite 300, Grand Prairie, Texas 75050. HHSC and HMO may be referred to in this Amendment individually as a “Party” and collectively as the “Parties.”

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