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Contract No.
C020429
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Funding Amount
for Period Based on approved capitation rates
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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.
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CONTRACTOR
SIGNATURE
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STATE AGENCY
SIGNATURE
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/s/ Nasry
Michelen
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By:
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Nasry
Michelen
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Printed Name
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Printed Name
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Chief Executive
Officer
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Title:
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3/12/06
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Date:
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State Agency
Certification.:
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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
copie
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