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AMENDED CONTRACTOR AGREEMENT

Independent Contractor Agreement

AMENDED CONTRACTOR AGREEMENT You are currently viewing:
This Independent Contractor Agreement involves

AMERIGROUP CORP | CarePlus, LLC

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Title: AMENDED CONTRACTOR AGREEMENT
Date: 5/9/2006
Industry: INSACC    

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exv10w29w1
 

Exhibit 10.29.1

APPENDIX X

 

 

 

Agency Code 12000

 

Contract No. C020429

Period 10/1/05 – 9/30/08

 

Funding Amount for Period Based on approved capitation rates

This is an AGREEMENT between THE STATE OF NEW YORK, acting by and through The New York State Department of Health, having its principal office at Corning Tower, Room 2001, Empire State Plaza, Albany NY 12237, (hereinafter referred to as the STATE), and CarePlus, LLC, (hereinafter referred to as the CONTRACTOR), to modify Contract Number C020429 by substituting the attached Appendix L “Approved Capitation Payment Rates.” The effective date of these modifications is October 1, 2005.

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:

 

/s/ Nasry Michelen

 

 

 

By:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nasry Michelen

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Printed Name

 

 

 

 

 

Printed Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title:

 

Chief Executive Officer

 

 

 

Title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date:

 

3/12/06

 

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State Agency Certification.:

 

 

 

 

 

 

In addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all other exact copies of this contract.

 

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