Exhibit
10.1
Contract No.
FA615
STATE OF
FLORIDA
AGENCY FOR HEALTH CARE
ADMINISTRATION
STANDARD CONTRACT
THIS
CONTRACT is entered
into between the State of Florida, AGENCY FOR HEALTH CARE
ADMINISTRATION , hereinafter referred to as the “
Agency” , whose address is 2727 Mahan Drive,
Tallahassee, Florida 32308, and WELLCARE OF FLORIDA, INC.
D/B/A STAYWELL HEALTH PLAN OF FLORIDA, hereinafter
referred to as the “ Vendor” or
“ Health Plan
”, whose address is 8735 Henderson Road, Renaissance 1,
Tampa, Florida 33634, a Florida For-Profit Corporation,
to provide Health Care Services to Medicaid
Beneficiaries.
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I.
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THE
VENDOR HEREBY AGREES:
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To provide
services according to the terms and conditions set forth in this
Contract, Attachment I , Scope of Services, and
Attachment II , Medicaid Prepaid Health Plan Model
Contract and all other attachments named herein which are attached
hereto and incorporated by reference.
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2.
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To perform as
an independent vendor and not as an agent, representative, or
employee of the Agency.
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3.
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To recognize
that the State of Florida, by virtue of its sovereignty, is not
required to pay any taxes on the services or goods purchased under
the terms of this Contract.
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B.
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Federal
Laws and Regulations
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If this
Contract contains federal funds, the Vendor shall comply with the
provisions of 45 CFR, Part 74, and/or 45 CFR, Part 92, and other
applicable regulations as specified in Attachments
I and II .
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If this
Contract contains federal funding in excess of $100,000, the Vendor
must, upon Contract execution, complete the Certification Regarding
Lobbying form, Attachment IV. If a Disclosure of
Lobbying Activities form, Standard Form LLL, is required, it may be
obtained from the Agency’s Contract Manager. All disclosure
forms as required by the Certification Regarding Lobbying form must
be completed and returned to the Agency’s Contract
Manager.
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Pursuant to 45
CFR, Part 76, if this Contract contains federal funding in excess
of $25,000, the Vendor must, upon Contract execution, complete the
Certification Regarding Debarment, Suspension, Ineligibility, and
Voluntary Exclusion Contracts/Subcontracts, Attachment
V .
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To maintain
books, records, and documents (including electronic storage media)
pertinent to performance under this Contract in accordance with
generally accepted accounting procedures and practices which
sufficiently and properly reflect all revenues and expenditures of
funds provided by the Agency under this Contract.
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To assure that
these records shall be subject at all reasonable times to
inspection, review, or audit by state personnel and other personnel
duly authorized by the Agency, as well as by federal
personnel.
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To maintain and
file with the Agency such progress, fiscal and inventory reports as
specified in Attachment II , and other reports as
the Agency may require within the period of this Contract. In
addition, access to relevant computer data and applications which
generated such reports should be made available upon
request.
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To ensure that
all related party transactions are disclosed to the Agency Contract
Manager. Additional audit requirements are specified in
Attachment II , Special Provisions,
Section XII.
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To include
these aforementioned audit and record keeping requirements in all
approved subcontracts and assignments.
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To retain all
financial records, supporting documents, statistical records, and
any other documents (including electronic storage media) pertinent
to performance under this Contract for a period of five (5) years
after termination of this Contract, or if an audit has been
initiated and audit findings have not been resolved at the end of
five (5) years, the records shall be retained until resolution of
the audit findings.
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2.Persons duly authorized by the Agency and
federal auditors, pursuant to 45 CFR, Part 74 and/or 45 CFR, Part
92, shall have full access to and the right to examine any of said
records and documents.
3.The rights of access in this section must not
be limited to the required retention period but shall last as long
as the records are retained.
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To provide
reports as specified in Attachment II . These
reports will be used for monitoring progress or performance of the
contractual services as specified in Attachments I
and II.
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To permit
persons duly authorized by the Agency to inspect any records,
papers, documents, facilities, goods and services of the Vendor
which are relevant to this Contract.
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The Vendor
shall save and hold harmless and indemnify the State of Florida and
the Agency against any and all liability, claims, suits, judgments,
damages or costs of whatsoever kind and nature resulting from the
use, service, operation or performance of work under the terms of
this Contract, resulting from any act, or failure to act, by the
Vendor, his subcontractor, or any of the employees, agents or
representatives of the Vendor or subcontractor.
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To the extent
required by law, the Vendor will be self-insured against, or will
secure and maintain during the life of the Contract, Worker’s
Compensation Insurance for all his employees connected with the
work of this project and, in case any work is subcontracted, the
Vendor shall require the subcontractor similarly to provide
Worker’s Compensation Insurance for all of the latter’s
employees unless such employees engaged in work under this Contract
are covered by the Vendor’s self insurance program. Such self
insurance or insurance coverage shall comply with the Florida
Worker’s Compensation law. In the event hazardous work is
being performed by the Vendor under this Contract and any class of
employees performing the hazardous work is not protected under
Worker’s Compensation statutes, the Vendor shall provide, and
cause each subcontractor to provide, adequate insurance
satisfactory to the Agency, for the protection of his employees not
otherwise protected.
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The Vendor
shall secure and maintain Commercial General Liability insurance
including bodily injury, property damage, personal &
advertising injury and products and completed operations. This
insurance will provide coverage for all claims that may arise from
the services and/or operations completed under this Contract,
whether such services and/or operations are by the Vendor or anyone
directly, or indirectly employed by him. Such insurance shall
include a Hold Harmless Agreement in favor of the State of Florida
and also include the State of Florida as an Additional Named
Insured for the entire length of the Contract. The Vendor is
responsible for determining the minimum limits of liability
necessary to provide reasonable financial protections to the Vendor
and the State of Florida under this Contract.
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All insurance
policies shall be with insurers licensed or eligible to transact
business in the State of Florida. The Vendor’s current
certificate of insurance shall contain a provision that the
insurance will not be canceled for any reason except after thirty
(30) days written notice to the Agency’s Contract
Manager.
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H.
Assignments and Subcontracts
To neither assign the responsibility of this
Contract to another party nor subcontract for any of the work
contemplated under this Contract without prior written approval of
the Agency. No such approval by the Agency of any assignment or
subcontract shall be deemed in any event or in any manner to
provide for the incurrence of any obligation of the Agency in
addition to the total dollar amount agreed upon in this Contract.
All such assignments or subcontracts shall be subject to the
conditions of this Contract and to any conditions of approval that
the Agency shall deem necessary.
To provide
financial reports to the Agency as specified in Attachment
II .
To return to the Agency any overpayments due to
unearned funds or funds disallowed pursuant to the terms of this
Contract that were disbursed to the Vendor by the Agency. The
Vendor shall return any overpayment to the Agency within forty (40)
calendar days after either discovery by the Vendor, its independent
auditor, or notification by the Agency, of the
overpayment.
It is expressly
understood and agreed that any articles which are the subject of,
or required to carry out this Contract shall be purchased from the
corporation identified under Chapter 946, Florida Statutes, if
available, in the same manner and under the same procedures set
forth in Section 946.515(2), (4), Florida Statutes; and for
purposes of this Contract the person, firm or other business entity
carrying out the provisions of this Contract shall be deemed to be
substituted for this agency insofar as dealings with such
corporation are concerned.
The
“Corporation identified” is PRISON REHABILITATIVE
INDUSTRIES AND DIVERSIFIED ENTERPRISES, INC. (P.R.I.D.E.) which may
be contacted at:
Tallahassee, Florida 32301
Toll Free: 1-800-643-8459
It is expressly understood and agreed that any
articles that are the subject of, or required to carry out, this
Contract shall be purchased from a nonprofit agency for the blind
or for the severely handicapped that is qualified pursuant to
Chapter 413, Florida Statutes, in the same manner and under the
same procedures set forth in Section 413.036(1) and (2), Florida
Statutes; and for purposes of this Contract the person, firm, or
other business entity carrying out the provisions of this Contract
shall be deemed to be substituted for the state agency insofar as
dealings with such qualified nonprofit agency are
concerned.
The "nonprofit agency” identified is
RESPECT of Florida which may be contacted at:
2475 Apalachee
Parkway, Suite 205
Tallahassee,
Florida 32301-4946
Website:
www.respectofflorida.org
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3.
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Procurement of Products or
Materials with Recycled Content
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It is expressly understood and agreed that any
products which are required to carry out this Contract shall be
procured in accordance with the provisions of Section 403.7065,
Florida Statutes.
L.
Civil Rights Requirements/Vendor
Assurance
The Vendor assures that it will comply
with:
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Title VI of the
Civil Rights Act of 1964, as amended, 42 U.S.C. 2000d et seq.,
which prohibits discrimination on the basis of race, color, or
national origin.
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Section 504 of
the Rehabilitation Act of 1973, as amended,
29 U.S.C. 794, which prohibits discrimination on the
basis of handicap.
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Title IX of the
Education Amendments of 1972, as amended, 20 U.S.C. 1681
et seq., which prohibits discrimination on the basis of
sex.
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The Age
Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq.,
which prohibits discrimination on the basis of age.
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Section 654 of
the Omnibus Budget Reconciliation Act of 1981, as amended,
42 U.S.C. 9849, which prohibits discrimination on the
basis of race, creed, color, national origin, sex, handicap,
political affiliation or beliefs.
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The Americans
with Disabilities Act of 1990, P.L. 101-336, which prohibits
discrimination on the basis of disability and requires reasonable
accommodation for persons with disabilities.
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All
regulations, guidelines, and standards as are now or may be
lawfully adopted under the above statutes.
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The Vendor
agrees that compliance with this assurance constitutes a condition
of continued receipt of or benefit from funds provided through this
Contract, and that it is binding upon the Vendor, its successors,
transferees, and assignees for the period during which services are
provided. The Vendor further assures that all contractors,
subcontractors, subgrantees, or others with whom it arranges to
provide services or benefits to participants or employees in
connection with any of its programs and activities are not
discriminating against those participants or employees in violation
of the above statutes, regulations, guidelines, and
standards.
An entity or affiliate who has been placed on
the discriminatory vendor list may not submit a bid, proposal, or
reply on a contract to provide any goods or services to a public
entity; may not submit a bid, proposal, or reply on a contract with
a public entity for the construction or repair of a public building
or public work; may not submit bids, proposals, or replies on
leases of real property to a public entity; may not be awarded or
perform work as a contractor, supplier, subcontractor, or
consultant under a contract with any public entity; and may not
transact business with any public entity. The Florida Department of
Management Services is responsible for maintaining the
discriminatory vendor list and intends to post the list on its
website. Questions regarding the discriminatory vendor list may be
directed to the Florida Department of Management Services, Office
of Supplier Diversity at (850) 487-0915.
N.
Requirements of Section
287.058, Florida Statutes
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To submit bills
for fees or other compensation for services or expenses in
sufficient detail for a proper pre-audit and post-audit
thereof.
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Where
applicable, to submit bills for any travel expenses in accordance
with Section 112.061, Florida Statutes.
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To provide
units of deliverables, including reports, findings, and drafts, in
writing and/or in an electronic format agreeable to both parties,
as specified in Attachment I and
Attachment II , to be
received and accepted by the Contract Manager prior to
payment.
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To comply with
the criteria and final date by which such criteria must be met for
completion of this Contract as specified in Section III, Paragraph
A. of this Contract.
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To allow public
access to all documents, papers, letters, or other material made or
received by the Vendor in conjunction with this Contract, unless
the records are exempt from Section 24(a) of Article I of the State
Constitution and Section 119.07(1), Florida Statutes. It is
expressly understood that substantial evidence of the Vendor's
refusal to comply with this provision shall constitute a breach of
Contract.
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As required by
Section 286.25, Florida Statutes, if the Vendor is a
nongovernmental organization which sponsors a program financed
wholly or in part by state funds, including any funds obtained
through this Contract, it shall, in publicizing, advertising or
describing the sponsorship of the program, state:
"Sponsored by
WELLCARE OF FLORIDA, INC. D/B/A STAYWELL HEALTH PLAN OF
FLORIDA and the State of Florida, AGENCY FOR HEALTH
CARE ADMINISTRATION".
If the
sponsorship reference is in written material, the words "State of
Florida, AGENCY FOR HEALTH CARE ADMINISTRATION" shall appear in the
same size letters or type as the name of the
organization.
The Vendor must submit the final invoice for
payment to the Agency no more than 90 days after
the Contract ends or is terminated. If the Vendor fails to do so,
all right to payment is forfeited and the Agency will not honor any
requests submitted after the aforesaid time period. Any payment due
under the terms of this Contract may be withheld until all reports
due from the Vendor and necessary adjustments thereto have been
approved by the Agency.
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Use Of
Funds For Lobbying Prohibited
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To comply with the provisions of Section
216.347, Florida Statutes, which prohibits the expenditure of
Contract funds for the purpose of lobbying the Legislature, the
judicial branch or a state agency.
A person or affiliate who has been placed on the
convicted vendor list following a conviction for a public entity
crime may not be awarded or perform work as a contractor, supplier,
subcontractor, or consultant under a contract with any public
entity, and may not transact business with any public entity in
excess of the threshold amount provided in Section 287.017, Florida
Statutes, for category two, for a period of 36 months from the date
of being placed on the convicted vendor list.
S.
Health Insurance Portability and Accountability
Act
To comply with the Department of Health and
Human Services Privacy Regulations in the Code of Federal
Regulations, Title 45, Sections 160 and 164, regarding disclosure
of protected health information as specified in Attachment
III .
T.
Confidentiality of
Information
Not to use or disclose any confidential
information, including social security numbers that may be supplied
under this Contract pursuant to law, and also including the
identity or identifying information concerning a Medicaid recipient
or services under this Contract for any purpose not in conformity
with state and federal laws, except upon written consent of the
recipient, or his/her guardian.
To comply with Section 274A (e) of the
Immigration and Nationality Act. The Agency shall consider the
employment by any contractor of unauthorized aliens a violation of
this Act. If the Vendor knowingly employs unauthorized aliens, such
violation shall be cause for unilateral cancellation of this
Contract. The Vendor shall be responsible for including this
provision in all subcontracts with private organizations issued as
a result of this Contract.
Penalties or sanctions for unsatisfactory
performance under this Contract are specified in Attachment
I and Attachment II , if applicable
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II.
THE AGENCY HEREBY
AGREES:
To pay for contracted services according to the
conditions of Attachment I in an amount not to
exceed $1,218,028,875.00 , subject to the
availability of funds. The State of Florida's performance and
obligation to pay under this Contract is contingent upon an annual
appropriation by the Legislature.
Section 215.422, Florida Statutes, provides that
agencies have 5 working days to inspect and approve goods and
services, unless bid specifications, Contract or purchase order
specifies otherwise. With the exception of payments to health care
providers for hospital, medical, or other health care services, if
payment is not available within forty (40) days, measured from the
latter of the date the invoice is received or the goods or services
are received, inspected and approved, a separate interest penalty
set by the Comptroller pursuant to Section 55.03, F. S., will be
due and payable in addition to the invoice amount. To obtain the
applicable interest rate, please contact the Agency’s Fiscal
Section at (850) 488-5869, or utilize the Department of Financial
Services website at www.dfs.state.fl.us/interest.html .
Payments to health care providers for hospitals, medical or other
health care services, shall be made not more than 35 days from the
date of eligibility for payment is determined, and the daily
interest rate is .0003333%. Invoices returned to a vendor due to
preparation errors will result in a payment delay. Invoice payment
requirements do not start until a properly completed invoice is
provided to the Agency. A Vendor Ombudsman, whose duties include
acting as an advocate for vendors who may be experiencing problems
in obtaining timely payment(s) from a State agency, may be
contacted at (850) 410-9724 or by calling the State
Comptroller’s Hotline, 1-800-848-3792.
III.
THE VENDOR AND AGENCY HEREBY
MUTUALLY AGREE:
This Contract shall begin upon execution by both
parties or September 1, 2006, (whichever is later)
and end August 31, 2009 , inclusive.
This Contract
may be terminated by either party upon no less than thirty (30)
calendar days written notice, without cause, unless a lesser time
is mutually agreed upon by both parties. Said notice shall be
delivered by certified mail, return receipt requested, or in person
with proof of delivery.
2.
Termination Due To Lack of
Funds
In the event
funds to finance this Contract become unavailable, the Agency may
terminate the Contract upon no less than twenty-four (24) hours
written notice to the Vendor. Said notice shall be delivered by
certified mail, return receipt requested, or in person with proof
of delivery. The Agency shall be the final authority as to the
availability of funds.
3.
Termination for
Breach
Unless the
Vendor's breach is waived by the Agency in writing, the Agency may,
by written notice to the Vendor, terminate this Contract upon no
less than twenty-four (24) hours written notice. Said notice shall
be delivered by certified mail, return receipt requested, or in
person with proof of delivery. If applicable, the Agency may employ
the default provisions in Chapter 60A-1.006(4), Florida
Administrative Code.
Waiver of
breach of any provisions of this Contract shall not be deemed to be
a waiver of any other breach and shall not be construed to be a
modification of the terms of this Contract. The provisions herein
do not limit the Agency's right to remedies at law or to
damages.
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The
Agency’s Contract Manager’s name, address and telephone
number for this Contract is as follows:
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Agency
for Health Care Administration
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2.
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The
Vendor’s Contract Manager’s name, address and telephone
number for this Contract is as follows:
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WellCare of Florida,
Inc.
d/b/a Staywell Health Plan
of Florida
8735 Henderson Road,
Renaissance 1
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All matters
shall be directed to the Contract Managers for appropriate action
or disposition. A change in Contract Manager by either party shall
be reduced to writing through an amendment to this Contract by the
Agency.
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D.
Renegotiation or
Modification
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Modifications
of provisions of this Contract shall only be valid when they have
been reduced to writing and duly signed during the term of the
Contract. The parties agree to renegotiate this Contract if federal
and/or state revisions of any applicable laws, or regulations make
changes in this Contract necessary.
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The rate of
payment and the total dollar amount may be adjusted retroactively
to reflect price level increases and changes in the rate of payment
when these have been established through the appropriations process
and subsequently identified in the Agency's operating
budget.
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E.
Name, Mailing and Street
Address of Payee
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The name
(Vendor name as shown on Page 1 of this Contract) and mailing
address of the official payee to whom the payment shall be
made:
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WellCare of Florida,
Inc.
d/b/a Staywell Health Plan
of Florida
8735 Henderson Road,
Renaissance 1
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The name of the
contact person and street address where financial and
administrative records are maintained:
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8735 Henderson Road,
Renaissance 1
F.
All Terms and
Conditions
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This Contract
and its attachments as referenced herein contain all the terms and
conditions agreed upon by the parties.
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REMAINDER OF PAGE
INTENTIONALLY LEFT BLANK
IN
WITNESS THEREOF, the
parties hereto have caused this three-hundred twelve (312) page
Contract, which includes any referenced attachments, to be executed
by their undersigned officials as duly authorized. This Contract is
not valid until signed and dated by both parties.
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WELLCARE OF FLORIDA, INC.
D/B/A
STAYWELL HEALTH PLAN
OF
FLORIDA
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STATE
OF FLORIDA, AGENCY FOR
HEALTH
CARE ADMINISTRATION
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SIGNED
BY:
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/s/ Paul
Behrens
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SIGNED
BY:
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/s/ Christa
Calamas
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NAME:
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Paul Behrens
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NAME:
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Christa Calamas
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TITLE:
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SVP and Chief Financial Officer
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TITLE:
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Secretary
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DATE:
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8/31/06
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DATE:
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9/1/06
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FEDERAL
ID NUMBER (or SS Number for an individual):
59-2583622
VENDOR
FISCAL YEAR ENDING DATE:
12/31
List of
attachments/exhibits included as part of this Contract:
Attachment I Scope of Services (9 Pages)
Attachment II Medicaid Prepaid Health Plan Model Contract
(288) Pages
Attachment III Business Associate Agreement (3
Pages)
Attachment IV Lobbying Certification (1 Page)
Attachment V Debarment Certification (1 Page)
REMAINDER OF PAGE
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ATTACHMENT
I
SCOPE OF
SERVICES
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Manner of Service (s)
Provision:
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The Health Plan
shall comply with all provisions of this Contract and any
subsequent amendments, and shall act in good faith in the
performance of the Contract's provisions. The Health Plan shall
develop, maintain and implement written policies and procedures
covering all provisions of this Contract. All policies and
procedures shall be prior-approved by the Agency in writing. The
Health Plan agrees that failure to comply with all provisions of
this Contract shall result in the assessment of penalties and/or
termination of this Contract, in whole or in part, as set forth in
this Contract.
Notwithstanding
the payment amounts which may be computed with the rate tables
specified in Exhibit III, the sum of total capitation payments
under this Contract shall not exceed the total Contract amount of
$1,218,028,875.00 .
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The Health Plan
shall be paid capitation payments for each Agency Service Area,
based upon Exhibit II, Table 4, attached hereto.
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All payments
made to the Health Plan shall be in accordance with this section
(Section B, Method of Payment) and Attachment II, Section XIII,
Method of Payment.
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The Agency
assigns the Health Plan an authorized maximum Enrollment level for
each operational county. The authorized maximum Enrollment level is
in effect on September 1, 2006, or upon Contract execution,
whichever is later.
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a.
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The Agency must
approve, in writing, any increase in the Health Plan’s
maximum Enrollment level for each operational county and
subpopulation to be served, as applicable. Such approval shall not
be unreasonably withheld, and shall be based upon the Health
Plan’s satisfactory performance of terms of the Contract and
upon the Agency’s approval of the Health Plan’s
administrative and service resources, as specified in this
Contract, in support of each Enrollment level.
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b.
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Exhibit I,
Table 1, attached hereto, indicates the Health Plan’s maximum
authorized Enrollment levels for each Medicaid Reform county and
each applicable authorized eligibility category.
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3.
Health Plan Capitation
Rate
Exhibit II,
Table 4 provides the capitation rates respective to the authorized
areas of operation, as identified in subsection B, Method of
Payment, Item 2, above. The Capitation Rate payment shall be in
accordance with Attachment II, Section XIII, Payment
Methodology.
4.
Capitation Rate
Tables
Exhibit III
lists the Capitation Rates for the Health Plan’s authorized
Service Areas.
REMAINDER OF PAGE
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MAXIMUM ENROLLMENT LEVELS
TABLE 1
ENROLLMENT
LEVELS
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County
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Maximum Enrollment
Level
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Brevard
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14,000
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Broward
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25,000
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Dade
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25,000
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Hernando
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15,000
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Hillsborough
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28,000
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Lee
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15,000
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Manatee
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12,000
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Palm Beach
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15,000
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Pasco
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7,000
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Pinellas
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15,000
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Polk
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25,000
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Orange
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38,000
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Osceola
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12,000
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Sarasota
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6,000
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Seminole
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6,000
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REMAINDER OF PAGE
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EXHIBIT
II
CAPITATION
RATES
A.
Table 4 - General Capitation Rates
plus Mental Health Rates plus Transportation:
Area 3
Counties:
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County
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Provider
Number
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Hernando
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015016901
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Area 5
Counties:
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County
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Provider
Number
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Pasco
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015016903
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Pinellas
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015016904
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Area 6
Counties:
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County
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Provider
Number
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Hillsborough
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015016902
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Polk
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015016905
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Manatee
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015016912
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Area 7
Counties:
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County
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Provider
Number
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Orange
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015016906
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Seminole
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015016908
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Osceola
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015016907
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Brevard
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015016913
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Area 8
Counties:
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County
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Provider
Number
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Lee
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015016911
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Sarasota
|
015016914
|
Area 9
Counties:
|
County
|
Provider
Number
|
|
Palm Beach
|
015016910
|
Area 10
Counties:
|
County
|
Provider
Number
|
|
Broward
|
015016900
|
Area 11
Counties:
|
County
|
Provider
Number
|
|
Miami-Dade
|
015016909
|
|
EXHIBIT
III
|
|
|
September 1, 2006- August 31, 2007 HMO RATES
|
|
(MEDICAID Non-Reform HMO
CAPITATION RATES)
|
|
By Area , Age and
Eligibility Category
|
|
Effective from September 1,
2006 thru August 31, 2007
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TABLE
1
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
General
Rates:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TANF
|
|
|
|
|
|
|
|
|
|
SSI-B
|
SSI-AB
|
|
|
Area
|
BTHMO
+2MO
|
3MO-11MO
|
AGE
(1-5)
|
AGE
(6-13)
|
AGE
(14-20)
|
AGE
(21-54)
|
AGE
(55+)
|
BTHMO
+2MO
|
3MO-11MO
|
AGE
(1-5)
|
AGE
(6-13)
|
AGE
(14-20)
|
AGE
(21-54)
|
AGE
(55+)
|
|
|
|
|
|
|
|
|
|
|
Female
|
Male
|
Female
|
Male
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
01
|
984.41
|
187.77
|
94.20
|
59.28
|
124.19
|
65.47
|
240.45
|
153.59
|
321.77
|
9,105.00
|
1,514.90
|
418.36
|
193.71
|
221.49
|
689.79
|
663.38
|
224.43
|
81.78
|
72.80
|
|
|
02
|
984.41
|
187.77
|
94.20
|
59.28
|
124.19
|
65.47
|
240.45
|
153.59
|
321.77
|
9,105.00
|
1,514.90
|
418.36
|
193.71
|
221.49
|
689.79
|
663.38
|
224.43
|
81.78
|
72.80
|
|
|
03
|
1,119.04
|
215.12
|
108.14
|
68.68
|
142.53
|
75.76
|
277.34
|
177.97
|
374.11
|
9,838.59
|
1,650.55
|
455.86
|
214.24
|
243.93
|
761.80
|
733.75
|
222.99
|
76.64
|
68.22
|
|
|
04
|
977.46
|
188.43
|
94.81
|
60.52
|
124.94
|
66.54
|
243.67
|
156.49
|
329.66
|
9,496.04
|
1,594.91
|
440.11
|
207.52
|
236.40
|
737.11
|
710.51
|
281.10
|
80.69
|
71.81
|
|
|
05
|
1,067.14
|
205.69
|
103.55
|
66.12
|
136.51
|
72.78
|
266.02
|
170.99
|
360.08
|
10,493.86
|
1,761.79
|
486.26
|
229.33
|
261.00
|
813.88
|
784.20
|
227.89
|
75.00
|
66.73
|
|
|
06
|
952.19
|
184.52
|
93.11
|
59.80
|
122.69
|
65.63
|
239.77
|
154.53
|
326.30
|
9,506.98
|
1,600.98
|
441.82
|
209.34
|
238.56
|
743.00
|
716.54
|
266.50
|
71.11
|
63.33
|
|
|
07
|
995.57
|
192.16
|
96.69
|
61.72
|
127.53
|
68.03
|
248.61
|
159.82
|
336.93
|
9,869.04
|
1,664.31
|
459.14
|
218.22
|
247.85
|
773.41
|
746.36
|
258.48
|
74.69
|
66.44
|
|
|
08
|
891.16
|
172.27
|
86.81
|
55.56
|
114.42
|
61.12
|
223.35
|
143.81
|
303.33
|
8,573.17
|
1,440.41
|
397.64
|
187.66
|
213.40
|
665.88
|
641.84
|
199.48
|
70.72
|
62.90
|
|
|
09
|
959.78
|
184.64
|
92.88
|
59.08
|
122.41
|
65.01
|
238.25
|
152.88
|
321.72
|
9,678.19
|
1,630.65
|
450.09
|
213.75
|
242.41
|
757.35
|
730.08
|
187.44
|
75.59
|
67.24
|
|
|
10
|
949.98
|
183.45
|
92.43
|
59.18
|
121.83
|
65.12
|
237.80
|
153.08
|
322.61
|
12,128.14
|
2,049.58
|
566.06
|
269.77
|
306.61
|
956.09
|
922.33
|
227.28
|
85.14
|
75.76
|
|
|
11
|
1,250.56
|
239.79
|
120.51
|
76.32
|
158.78
|
84.09
|
308.55
|
197.83
|
415.51
|
13,040.05
|
2,192.54
|
605.29
|
286.46
|
325.12
|
1,014.84
|
978.59
|
283.70
|
121.23
|
107.80
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TABLE
2
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
General
+ Mental Health Rates:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SSI-B
|
SSI-AB
|
|
|
Area
|
BTHMO
+2MO
|
3MO-11MO
|
AGE
(1-5)
|
AGE
(6-13)
|
AGE
(14-20)
|
AGE
(21-54)
|
AGE
(55+)
|
BTHMO
+2MO
|
3MO-11MO
|
AGE
(1-5)
|
AGE
(6-13)
|
AGE
(14-20)
|
AGE
(21-54)
|
AGE
(55+)
|
|
AGE
(65-)
|
AGE
(65+)
|
|
|
|
|
|
|
|
Female
|
Male
|
Female
|
Male
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
01
|
984.43
|
187.79
|
95.93
|
71.39
|
136.48
|
77.76
|
244.40
|
157.54
|
325.26
|
9,105.08
|
1,514.98
|
430.15
|
264.67
|
289.33
|
793.42
|
700.39
|
227.58
|
94.88
|
85.90
|
|
|
02
|
984.43
|
187.79
|
96.79
|
78.05
|
138.03
|
79.31
|
243.59
|
156.73
|
324.95
|
9,105.09
|
1,514.99
|
432.97
|
271.86
|
269.95
|
740.56
|
685.53
|
246.33
|
96.76
|
87.78
|
|
|
03
|
1,119.05
|
215.13
|
109.27
|
76.84
|
148.55
|
81.78
|
278.71
|
179.34
|
375.49
|
9,838.63
|
1,650.59
|
462.53
|
249.94
|
266.07
|
784.99
|
743.87
|
230.86
|
84.31
|
75.89
|
|
|
04
|
977.47
|
188.44
|
96.10
|
69.88
|
131.84
|
73.44
|
245.24
|
158.06
|
331.24
|
9,496.10
|
1,594.97
|
450.87
|
265.05
|
272.08
|
774.49
|
726.81
|
300.20
|
98.57
|
89.69
|
|
|
05
|
1,067.15
|
205.70
|
104.70
|
74.42
|
142.63
|
78.90
|
267.41
|
172.38
|
361.49
|
10,493.90
|
1,761.83
|
492.59
|
263.20
|
282.00
|
835.88
|
793.80
|
232.83
|
83.72
|
75.45
|
|
|
06
|
952.21
|
184.54
|
95.20
|
74.40
|
137.52
|
80.46
|
244.53
|
159.29
|
330.50
|
9,507.04
|
1,601.04
|
451.42
|
267.12
|
293.80
|
827.38
|
746.67
|
267.56
|
74.98
|
67.20
|
|
|
07
|
995.59
|
192.18
|
98.58
|
75.44
|
137.65
|
78.15
|
250.91
|
162.12
|
339.25
|
9,869.10
|
1,664.37
|
468.64
|
269.01
|
279.35
|
806.41
|
760.75
|
264.02
|
87.29
|
79.04
|
|
|
08
|
891.17
|
172.28
|
87.87
|
63.26
|
120.10
|
66.80
|
224.64
|
145.10
|
304.63
|
8,573.21
|
1,440.45
|
403.68
|
219.96
|
233.43
|
686.87
|
650.99
|
205.52
|
83.04
|
75.22
|
|
|
09
|
959.79
|
184.65
|
94.38
|
69.92
|
130.40
|
73.00
|
240.06
|
154.69
|
323.55
|
9,678.23
|
1,630.69
|
457.28
|
252.19
|
266.25
|
782.32
|
740.97
|
192.43
|
85.84
|
77.49
|
|
|
10
|
950.00
|
183.47
|
94.50
|
74.19
|
132.90
|
76.19
|
240.31
|
155.59
|
325.15
|
12,128.19
|
2,049.63
|
574.97
|
317.41
|
336.15
|
987.04
|
935.83
|
232.19
|
91.90
|
82.52
|
|
|
11
|
1,250.58
|
239.81
|
122.43
|
90.20
|
169.02
|
94.33
|
310.87
|
200.15
|
417.86
|
13,040.10
|
2,192.59
|
613.63
|
331.07
|
352.78
|
1,043.82
|
991.23
|
291.36
|
127.80
|
114.37
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TABLE
3
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
General
+ MH + Dental Rates:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TANF
|
|
|
|
|
|
|
|
|
|
SSI-B
|
SSI-AB
|
|
|
Area
|
BTHMO
+2MO
|
3MO-11MO
|
AGE
(1-5)
|
AGE
(6-13)
|
AGE
(14-20)
|
AGE
(21-54)
|
AGE
(55+)
|
BTHMO
+2MO
|
3MO-11MO
|
AGE
(1-5)
|
AGE
(6-13)
|
AGE
(14-20)
|
AGE
(21-54)
|
AGE
(55+)
|
|
AGE
(65-)
|
AGE
(65+)
|
|
|
|
|
|
|
|
Female
|
Male
|
Female
|
Male
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
01
|
984.43
|
187.80
|
98.41
|
76.67
|
142.09
|
82.41
|
245.26
|
158.28
|
326.24
|
9,105.08
|
1,515.00
|
432.51
|
268.70
|
292.89
|
795.68
|
702.46
|
227.77
|
96.63
|
86.76
|
|
|
02
|
984.43
|
187.80
|
99.27
|
83.33
|
143.64
|
83.96
|
244.45
|
157.47
|
325.93
|
9,105.09
|
1,515.01
|
435.33
|
275.89
|
273.51
|
742.82
|
687.60
|
246.52
|
98.51
|
88.64
|
|
|
03
|
1,119.05
|
215.14
|
112.34
|
83.37
|
155.49
|
87.52
|
281.35
|
181.61
|
378.51
|
9,838.63
|
1,650.61
|
465.60
|
255.18
|
270.70
|
788.49
|
747.08
|
231.90
|
87.26
|
77.34
|
|
|
04
|
977.47
|
188.45
|
98.28
|
74.52
|
136.78
|
77.53
|
247.57
|
160.06
|
333.90
|
9,496.10
|
1,594.99
|
453.16
|
268.97
|
275.55
|
777.64
|
729.71
|
301.57
|
101.51
|
91.14
|
|
|
05
|
1,067.16
|
205.72
|
108.38
|
82.24
|
150.94
|
85.79
|
275.45
|
179.28
|
370.68
|
10,493.91
|
1,761.87
|
497.23
|
271.12
|
289.01
|
842.94
|
800.28
|
237.48
|
92.44
|
79.75
|
|
|
06
|
952.21
|
184.55
|
97.98
|
80.32
|
143.81
|
85.67
|
248.64
|
162.82
|
335.19
|
9,507.05
|
1,601.07
|
454.57
|
272.52
|
298.58
|
832.70
|
751.55
|
270.73
|
80.85
|
70.09
|
|
|
07
|
995.59
|
192.19
|
100.95
|
80.49
|
143.01
|
82.60
|
253.93
|
164.71
|
342.70
|
9,869.10
|
1,664.39
|
471.63
|
274.11
|
283.87
|
810.02
|
764.07
|
266.03
|
90.77
|
80.76
|
|
|
08
|
891.17
|
172.29
|
90.51
|
68.89
|
126.08
|
71.75
|
227.84
|
147.84
|
308.28
|
8,573.21
|
1,440.47
|
406.25
|
224.35
|
237.32
|
691.37
|
655.12
|
207.65
|
87.12
|
77.23
|
|
|
09
|
959.79
|
184.66
|
97.52
|
76.58
|
137.48
|
78.87
|
242.05
|
156.40
|
325.82
|
9,678.23
|
1,630.71
|
460.05
|
256.93
|
270.44
|
784.62
|
743.09
|
193.17
|
88.23
|
78.67
|
|
|
10
|
950.00
|
183.48
|
97.54
|
80.65
|
139.77
|
81.87
|
242.34
|
157.32
|
327.46
|
12,128.20
|
2,049.66
|
578.71
|
323.81
|
341.82
|
989.96
|
938.51
|
234.27
|
94.95
|
84.02
|
|
|
11
|
1,250.59
|
239.83
|
126.08
|
97.97
|
177.28
|
101.17
|
312.69
|
201.72
|
419.94
|
13,040.11
|
2,192.62
|
617.59
|
337.84
|
358.76
|
1,047.74
|
994.82
|
294.22
|
131.90
|
116.39
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TABLE
4
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
General
+ MH + Transportation Rates:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TANF
|
|
|
|
|
|
|
|
|
|
SSI-B
|
SSI-AB
|
|
|
Area
|
BTHMO
+2MO
|
3MO-11MO
|
AGE
(1-5)
|
AGE
(6-13)
|
AGE
(14-20)
|
AGE
(21-54)
|
AGE
(55+)
|
BTHMO
+2MO
|
3MO-11MO
|
AGE
(1-5)
|
AGE
(6-13)
|
AGE
(14-20)
|
AGE
(21-54)
|
AGE
(55+)
|
|
AGE
(65-)
|
AGE
(65+)
|
|
|
|
|
|
|
|
Female
|
Male
|
Female
|
Male
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
01
|
989.41
|
189.41
|
97.06
|
72.23
|
138.71
|
79.17
|
248.03
|
159.83
|
329.39
|
9,129.34
|
1,535.05
|
440.25
|
267.63
|
294.48
|
813.36
|
714.87
|
239.52
|
112.65
|
93.54
|
|
|
02
|
989.41
|
189.41
|
97.92
|
78.89
|
140.26
|
80.72
|
247.22
|
159.02
|
329.08
|
9,129.35
|
1,535.06
|
443.07
|
274.82
|
275.10
|
760.50
|
700.01
|
258.27
|
114.53
|
95.42
|
|
|
03
|
1,124.90
|
217.03
|
110.60
|
77.82
|
151.16
|
83.44
|
282.97
|
182.02
|
380.34
|
9,868.98
|
1,675.69
|
475.17
|
253.66
|
272.53
|
809.95
|
761.99
|
241.15
|
110.17
|
87.01
|
|
|
04
|
981.69
|
189.81
|
97.06
|
70.59
|
133.73
|
74.63
|
248.31
|
160.00
|
334.75
|
9,525.59
|
1,619.35
|
463.16
|
268.67
|
278.36
|
798.72
|
744.42
|
307.55
|
122.56
|
100.01
|
|
|
05
|
1,070.82
|
206.90
|
105.54
|
75.03
|
144.28
|
79.94
|
270.09
|
174.06
|
364.54
|
10,513.00
|
1,777.63
|
500.55
|
265.53
|
286.05
|
851.58
|
805.21
|
239.28
|
100.41
|
82.63
|
|
|
06
|
956.09
|
185.80
|
96.08
|
75.05
|
139.25
|
81.56
|
247.35
|
161.07
|
333.72
|
9,527.20
|
1,617.71
|
459.82
|
269.59
|
298.08
|
843.95
|
758.71
|
273.49
|
90.97
|
74.07
|
|
|
07
|
998.64
|
193.18
|
99.28
|
75.95
|
139.01
|
79.01
|
253.13
|
163.52
|
341.78
|
9,889.65
|
1,681.36
|
477.19
|
271.52
|
283.71
|
823.30
|
773.02
|
269.96
|
103.51
|
86.01
|
|
|
08
|
896.29
|
173.95
|
89.03
|
64.12
|
122.39
|
68.25
|
228.37
|
147.45
|
308.88
|
8,596.82
|
1,459.97
|
413.52
|
222.85
|
238.44
|
706.27
|
665.08
|
214.93
|
101.16
|
83.01
|
|
|
09
|
964.64
|
186.23
|
95.47
|
70.73
|
132.56
|
74.37
|
243.58
|
156.91
|
327.57
|
9,702.53
|
1,650.78
|
467.40
|
255.16
|
271.41
|
802.29
|
755.47
|
198.62
|
107.13
|
86.64
|
|
|
10
|
953.74
|
184.69
|
95.35
|
74.82
|
134.57
|
77.25
|
243.04
|
157.31
|
328.25
|
12,156.21
|
2,072.80
|
586.63
|
320.83
|
342.12
|
1,010.07
|
952.55
|
239.40
|
118.00
|
93.74
|
|
|
11
|
1,253.13
|
240.64
|
123.00
|
90.63
|
170.16
|
95.05
|
312.73
|
201.33
|
419.99
|
13,058.07
|
2,207.46
|
621.12
|
333.27
|
356.60
|
1,058.59
|
1,001.97
|
296.79
|
144.07
|
121.37
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TABLE
5
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
General
+ Transportation Rates:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SSI-B
|
SSI-AB
|
|
|
Area
|
BTHMO
+2MO
|
3MO-11MO
|
AGE
(1-5)
|
AGE
(6-13)
|
AGE
(14-20)
|
AGE
(21-54)
|
AGE
(55+)
|
BTHMO
+2MO
|
3MO-11MO
|
AGE
(1-5)
|
AGE
(6-13)
|
AGE
(14-20)
|
AGE
(21-54)
|
AGE
(55+)
|
|
AGE
(65-)
|
AGE
(65+)
|
|
|
|
|
|
|
|
Female
|
Male
|
Female
|
Male
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
01
|
989.39
|
189.39
|
95.33
|
60.12
|
126.42
|
66.88
|
244.08
|
155.88
|
325.90
|
9,129.26
|
1,534.97
|
428.46
|
196.67
|
226.64
|
709.73
|
677.86
|
236.37
|
99.55
|
80.44
|
|
|
02
|
989.39
|
189.39
|
95.33
|
60.12
|
126.42
|
66.88
|
244.08
|
155.88
|
325.90
|
9,129.26
|
1,534.97
|
428.46
|
196.67
|
226.64
|
709.73
|
677.86
|
236.37
|
99.55
|
80.44
|
|
|
03
|
1,124.89
|
217.02
|
109.47
|
69.66
|
145.14
|
77.42
|
281.60
|
180.65
|
378.96
|
9,868.94
|
1,675.65
|
468.50
|
217.96
|
250.39
|
786.76
|
751.87
|
233.28
|
102.50
|
79.34
|
|
|
04
|
981.68
|
189.80
|
95.77
|
61.23
|
126.83
|
67.73
|
246.74
|
158.43
|
333.17
|
9,525.53
|
1,619.29
|
452.40
|
211.14
|
242.68
|
761.34
|
728.12
|
288.45
|
104.68
|
82.13
|
|
|
05
|
1,070.81
|
206.89
|
104.39
|
66.73
|
138.16
|
73.82
|
268.70
|
172.67
|
363.13
|
10,512.96
|
1,777.59
|
494.22
|
231.66
|
265.05
|
829.58
|
795.61
|
234.34
|
91.69
|
73.91
|
|
|
06
|
956.07
|
185.78
|
93.99
|
60.45
|
124.42
|
66.73
|
242.59
|
156.31
|
329.52
|
9,527.14
|
1,617.65
|
450.22
|
211.81
|
242.84
|
759.57
|
728.58
|
272.43
|
87.10
|
70.20
|
|
|
07
|
998.62
|
193.16
|
97.39
|
62.23
|
128.89
|
68.89
|
250.83
|
161.22
|
339.46
|
9,889.59
|
1,681.30
|
467.69
|
220.73
|
252.21
|
790.30
|
758.63
|
264.42
|
90.91
|
73.41
|
|
|
08
|
896.28
|
173.94
|
87.97
|
56.42
|
116.71
|
62.57
|
227.08
|
146.16
|
307.58
|
8,596.78
|
| |
