Exhibit 10.13

		ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
		DIVISION OF BUSINESS AND FINANCE
		SECTION A: CONTRACT AMENDMENT

Health Choice Arizona

410 N. 44th Street, Suite 900

Phoenix, AZ 85008

The Contractor will be paid the attached supplemental payment amounts to increase rural hospital inpatient reimbursement. The supplemental payment amounts are allocated to the appropriate risk groups based on historical utilization. AHCCCS requires that the Contractor make one-time payments to each rural hospital as prescribed on the attached schedule, pursuant to A.R.S. §36-2905.02, to increase inpatient reimbursement to these small rural hospitals.

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 Finance Manager of the Division of Health Care Management 30 days from receipt of the funds.

The regular per member per month capitation rates for the period of October 1, 2015 through September 30, 2016 remain unchanged unless otherwise modified by contract amendment.

IN WITNESS WHEREOF THE PARTIES HERETO SIGN THEIR NAMES IN AGREEMENT

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