IASIS Healthcare LLC - FORM 10-K - EX-10.13 - EXHIBIT 10.13 - November 25, 2009

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10-K - FORM 10-K - IASIS Healthcare LLCc92860e10vk.htm
EX-10.15 - EXHIBIT 10.15 - IASIS Healthcare LLCc92860exv10w15.htm
EX-10.16 - EXHIBIT 10.16 - IASIS Healthcare LLCc92860exv10w16.htm
EX-10.11 - EXHIBIT 10.11 - IASIS Healthcare LLCc92860exv10w11.htm
EX-10.17 - EXHIBIT 10.17 - IASIS Healthcare LLCc92860exv10w17.htm
EX-10.12 - EXHIBIT 10.12 - IASIS Healthcare LLCc92860exv10w12.htm
EX-21 - EXHIBIT 21 - IASIS Healthcare LLCc92860exv21.htm
EX-31.2 - EXHIBIT 31.2 - IASIS Healthcare LLCc92860exv31w2.htm
EX-31.1 - EXHIBIT 31.1 - IASIS Healthcare LLCc92860exv31w1.htm
EX-10.18 - EXHIBIT 10.18 - IASIS Healthcare LLCc92860exv10w18.htm
EX-10.14 - EXHIBIT 10.14 - IASIS Healthcare LLCc92860exv10w14.htm
Exhibit 10.13
     
(AHCCCS LOGO)
  ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION
DIVISION OF BUSINESS AND FINANCE
SECTION A: CONTRACT
             
1.  AMENDMENT
NUMBER:
 
2.  CONTRACT
NO.:
  
3.  EFFECTIVE DATE OF
AMENDMENT:
   4.  PROGRAM
                4
  YH09-0001-04             August 1, 2009   DHCM — ACUTE
5. CONTRACTOR’S NAME AND ADDRESS:
Health Choice Arizona
410 N. 44th Street, Suite 900
Phoenix, AZ 85008
6. PURPOSE OF AMENDMENT: To amend Section B, Capitation Rates, effective October 1, 2008 and May 1, 2009.
7. THE CONTRACT REFERENCED ABOVE FOLLOWS
To amend Section B, Capitation Rates, effective October 1, 2008 and May 1, 2009.
     
NOTE: Please sign and date all copies and then return one executed original to:
   Mark Held
 
   Sr. Procurement Specialist
 
   AHCCCS Contracts
 
   701 E. Jefferson St., MD 5700
 
   Phoenix, AZ 85034
8. 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
     
9. SIGNATURE OF AUTHORIZED REPRESENTATIVE:
  10. SIGNATURE OF AHCCCSA CONTRACTING
OFFICER:
 
/s/ Carolyn Rose   /s/ Michael Veit
TYPED NAME: CAROLYN ROSE
  MICHAEL VEIT
TITLE: CHIEF EXECUTIVE OFFICER
  CONTRACTS & PURCHASING ADMINISTRATOR
DATE: 7/8/2009
  DATE:

 

 

 

Contract Rates 27 — HCA
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
REVISED CAPITATION RATE SUMMARY — ACUTE RATES
Health Choice Arizona
10/01/2008-9/30/2009
                                                                 
    Effective 10/01/08-4/30/09  
    TANF     TANF     TANF     TANF     TANF     SSI     SSI        
Title XIX and KidsCare Rates:   <1, M/F     1-13, M/F     14-44, F     14-44, M     45+, M/F     w/ Med     w/o Med     Non-MED  
2 Yuma/La Paz
   $ 453.20     $ 103.35     $ 199.61     $ 119.61     $ 341.83     $ 165.83     $ 658.72     $ 431.08  
4 Apache/Coconino/Mohave/Navajo
   $ 475.32     $ 113.25     $ 278.74     $ 161.12     $ 425.28     $ 167.82     $ 801.67     $ 598.27  
10 Pima/Santa Cruz
   $ 439.11     $ 102.38     $ 234.44     $ 129.37     $ 403.87     $ 144.10     $ 714.67     $ 489.61  
12 Maricopa
   $ 560.63     $ 112.55     $ 234.65     $ 141.03     $ 399.17     $ 143.29     $ 725.26     $ 608.77  
                                                                 
    Effective 5/01/09-9/30/09  
    TANF     TANF     TANF     TANF     TANF     SSI     SSI        
PPC Rates:   <1, M/F     1-13, M/F     14-44, F     14-44, M     45+, M/F     w/ Med     w/o Med     Non-MED  
2 Yuma/La Paz
   $ 448.09     $ 101.83     $ 196.55     $ 118.05     $ 336.42     $ 163.00     $ 651.89     $ 425.51  
4 Apache/Coconino/Mohave/Navajo
   $ 470.51     $ 112.00     $ 275.06     $ 159.38     $ 419.72     $ 165.04     $ 795.45     $ 592.00  
10 Pima/Santa Cruz
   $ 434.20     $ 101.19     $ 231.05     $ 127.92     $ 398.31     $ 141.90     $ 708.50     $ 484.03  
12 Maricopa
   $ 555.13     $ 111.15     $ 231.43     $ 139.53     $ 393.96     $ 141.40     $ 719.08     $ 602.64  

 

 

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