FIRST AMENDMENT CONTRACT BETWEEN THE OFFICE OF MEDICAID POLICY AND PLANNING, THE OFFICE OF THE CHILDREN?S HEALTH INSURANCE PROGRAM

Exhibit 10.2

FIRST AMENDMENT

TO

CONTRACT BETWEEN

THE OFFICE OF MEDICAID POLICY AND PLANNING,

THE OFFICE OF THE CHILDREN’S HEALTH INSURANCE PROGRAM

AND

Coordinated Care Corporation Indiana, Inc.

This FIRST AMENDMENT to the above-referenced Contract is made and entered into by and between the State of Indiana [hereinafter “State” or “State of Indiana”], through the Office of Medicaid Policy and Planning and Office of the Children’s Health Insurance Program [hereinafter called “State” or “Offices”], of the Indiana Family and Social Services Administration, 402 West Washington Street, Room W382, Indianapolis, Indiana 46204, and Coordinated Care Corporation Indiana, Inc. [hereinafter called “Contractor”], 1099 North Meridian Street, Suite 400, Indianapolis, Indiana 46204.

WHEREAS, the State of Indiana and Contractor have previously entered into a contract for a term beginning January 1, 2005, and ending December 31, 2006, [hereinafter “the original contract”] to arrange for the provision of covered health care services for certain Hoosier Healthwise members enrolled in Benefit Packages A, B and C, as procured through Request for Proposal (RFP) # 4-79;

WHEREAS, the parties are desirous to enter into this FIRST AMENDMENT to include coordination with the First Steps program, to revise the claims dispute process, and, due to the expansion of Hoosier Healthwise mandatory RBMC to include all Indiana counties, to adjust the capitation rates and add exception requirements for designated rural RBMC counties;

NOW THEREFORE, the parties enter into this FIRST AMENDMENT for the consideration set out below, all of which is deemed to be good and sufficient consideration in order to make this FIRST AMENDMENT a binding legal instrument.

In accordance with 42 CFR 438.52(b)(2)(ii), in those counties which have been designated as “rural counties” by the Office and approved by the Centers for Medicare and Medicaid Services (CMS), the MCO must allow rural county members to obtain services from out-of-network providers under any of the following circumstances:

a) The service or type of provider is not available within the MCO’s network.

b) The out-of-network provider is the main source of a service to the member, provided that the provider is given the opportunity to become a participating provider. If the provider chooses not to join the network, or does not meet the necessary requirements to join, the enrollee will be transitioned to a participating provider within 60 days, after being given an opportunity to select a network provider.

(c) The only plan or provider available to the member does not, because of moral or religious objections, provide the service the member seeks.

(d) The member’s PMP or other provider determines that the member needs related services that would subject the member to unnecessary risk if received separately and not all the related services are available within the network.

(e) The Office determines that other circumstances warrant out-of-network treatment.

CAPITATION RATES

		North			Central			South
Packages A/B
Newborns		$	323.69		$	302.69		$	295.85
Preschool			72.99			81.89			78.00
Children			70.30			78.87			75.12
Adolescents			101.04			113.37