EX-10.3
from 10-Q
170 pages
Arizona Health Care Cost Containment System Division of Business and Finance Section A: Contract 1. Amendment Number: 17 2. Contract No.: Yh09-0001 •effective Date of Contract: October 1, 2011 4. Program Dhcm - Acute 5. Contractor's Name and Address: VHS Phoenix Health Plan, LLC 7878 N. 16th St., Suite 105 Phoenix, Az 85020 •purpose of Amendment: To Amend Section B, Capitation Rates, Effective October 1, 2011 Through September 30, 2012. •the Contract Referenced Above Is Amended as Follows: •section B – To Amend Section B, Capitation Rates, Effective October 1, 2011 Through September 30. (See Attached Rate Sheet) Please Refer to the Individual Sections for Details. Note: Please Sign, Date, and Return Executed File by E-Mail To: Mark Held at MARK.HELD@AZAHCCCS.GOV Sr. Procurement Specialist, Ahcccs Contracts and Purchasing and P.J. Schoenstene at PJ.SCHOENSTENE@AZAHCCCS.GOV Contracts and Policy Administrator, Division of Health Care Management 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: /S/ Nancy Novick 10. Signature of Ahcccsa Contracting Officer: /S/ Michael Veit Typed Name: Nancy Novick Typed Name: Michael Veit Title: Chief Executive Officer Title: Contracts & Purchasing Administrator Date: 2/29/2012 Date: February 21, 2012
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