Attached files
| file | filename |
|---|---|
| 10-K - FORM 10-K - IASIS Healthcare LLC | c92860e10vk.htm |
| EX-10.15 - EXHIBIT 10.15 - IASIS Healthcare LLC | c92860exv10w15.htm |
| EX-10.13 - EXHIBIT 10.13 - IASIS Healthcare LLC | c92860exv10w13.htm |
| EX-10.16 - EXHIBIT 10.16 - IASIS Healthcare LLC | c92860exv10w16.htm |
| EX-10.11 - EXHIBIT 10.11 - IASIS Healthcare LLC | c92860exv10w11.htm |
| EX-10.17 - EXHIBIT 10.17 - IASIS Healthcare LLC | c92860exv10w17.htm |
| EX-10.12 - EXHIBIT 10.12 - IASIS Healthcare LLC | c92860exv10w12.htm |
| EX-21 - EXHIBIT 21 - IASIS Healthcare LLC | c92860exv21.htm |
| EX-31.2 - EXHIBIT 31.2 - IASIS Healthcare LLC | c92860exv31w2.htm |
| EX-31.1 - EXHIBIT 31.1 - IASIS Healthcare LLC | c92860exv31w1.htm |
| EX-10.18 - EXHIBIT 10.18 - IASIS Healthcare LLC | c92860exv10w18.htm |
Exhibit 10.14
|
ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION DIVISION OF BUSINESS AND FINANCE SECTION A: CONTRACT |
1. AMENDMENT
|
2. CONTRACT | 3. EFFECTIVE DATE OF | 4. PROGRAM | |||
NUMBER:
|
NO.: | AMENDMENT: | ||||
5
|
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
410 N. 44th Street, Suite 900
Phoenix, AZ 85008
6. PURPOSE OF AMENDMENT: To amend Section B, Capitation Rates, effective October 1, 2008.
7. THE CONTRACT REFERENCED ABOVE FOLLOWS
ADD
to Section B, CAPITATION RATES after first subparagraph add the following language:
“The Contractor will be paid the attached Contractor specific capitation rates
retroactively, per member per month, for the period of October 1, 2008 through December
31, 2008, to increase rural hospital inpatient reimbursement. The retroactive rate
adjustment is applied to the risk adjusted capitation rates. Only the impacted rates are
included on the attachment; all other rates remain unchanged. The Administration requires
that the Contractor then make one-time payments to each rural hospital as prescribed on
the attached schedule, pursuant to ARS § 36-2905.02, to increase inpatient reimbursement
to these small rural hospitals.
The retroactive capitation rate payment for rural hospital reimbursement will be paid
after the retroactive risk adjustment capitation is paid. The Contractor shall make the
prescribed payments to the rural hospitals 15 days from receipt of the funds and submit
proof of payment to the rural hospitals to the Assistant Director of the Division of
Health Care Management 30 days from receipt of the funds.
The capitation rates for the period of January 1, 2009 through September 30, 2009,
are not impacted by this amendment.”
NOTE: Please sign and date all copies and 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
|
10. SIGNATURE OF AHCCCSA CONTRACTING | |
REPRESENTATIVE:
|
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
10/1/08-12/31/08
REVISED CAPITATION RATE SUMMARY — ACUTE RATES
Health Choice Arizona
10/1/08-12/31/08
| TANF | TANF | TANF | SSI | SSI | ||||||||||||||||||||
| Title XIX and KidsCare Rates: | <1, M/F | 1-13, M/F | 14-44, F | w/ Med | w/o Med | Non-MED | ||||||||||||||||||
4 Apache/Coconino/Mohave/Navajo |
$ | 548.07 | $ | 120.39 | $ | 305.79 | $ | 194.72 | $ | 829.54 | $ | 621.64 | ||||||||||||
10 Prima/Santa Cruz |
$ | 451.00 | $ | 103.70 | $ | 239.79 | $ | 146.21 | $ | 723.04 | $ | 492.11 | ||||||||||||
Two percent Premium tax is included in the Capitation Rates.
Payments stated without Premium Tax.
Payments stated without Premium Tax.
| Health Choice Arizona | Payment | |||
Benson Hospital |
$ | — | ||
Carondelet Holy Cross |
$ | 270,760.88 | ||
Cobre Valley Community Hospital |
$ | — | ||
Copper Queen Community Hospital |
$ | 7,317.94 | ||
La Paz Regional Hospital |
$ | 60,575.13 | ||
Little Colorado Medical Center |
$ | 350,785.77 | ||
Mount Graham Regional Medical Center |
$ | — | ||
Navapache Regional Medical Center |
$ | 1,298,323.31 | ||
Northern Cochise Community Hospital |
$ | — | ||
Page Hospital |
$ | 130,195.80 | ||
Payson Regional Medical Center |
$ | — | ||
Sage Memorial Hospital |
$ | 158,128.18 | ||
Sierra Vista Regional Health |
$ | — | ||
Southeastern Az Medical Center |
$ | — | ||
Valley View Medical Center |
$ | 645,706.65 | ||
Verde Valley Medical Center |
$ | — | ||
White Mountain Regional Medical Center |
$ | 63,693.11 | ||
Wickenburg Regional Health Center |
$ | — | ||
YRMC East |
$ | — | ||
Total |
$ | 2,985,486.77 | ||