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Exhibit 10.49.2
APPENDIX X
AGENCY CODE: 12000 CONTRACT NO.: C-015473
PERIOD: JULY 1,1998 - DECEMBER 31,2006 FUNDING AMOUNT FOR PERIOD: $257,106,633
This is an AGREEMENT between THE STATE OF NEW YORK, acting by and through the
Department of Health, having its principal office at Corning Tower, Empire State
Plaza, Albany, NY, (hereinafter referred to as the STATE), and CARE PLUS HEALTH
PLAN hereinafter referred to as the CONTRACTOR), for modification of Contract
Number C-015473 as reflected in the attached provisions to Section I.B.1, of the
Agreement and Appendices E and L, and to extend the period of the contract
through December 31, 2006.
CONTRACTOR acknowledges that the STATE is currently developing a replacement
contract to govern services provided to Child Health Plus enrollees. This
CONTRACT will be cancelled and its terms deemed null and void upon the effective
date of the replacement contract.
All other provisions of said AGREEMENT shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this AGREEMENT as of the
dates appearing under their signatures.
_____________________________________ ________________________________________
CONTRACTOR SIGNATURE STATE AGENCY SIGNATURE
By: By:
--------------------------------- ---------------------------------
------------------------------------- Judith Arnold
Printed Name Printed Name
Title: Title: Deputy Commissioner






