1st Amendment 05/18/2005
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
July 14, 2005
TO:
Sheila Barker, Director
Administrative Services
ATTN:
FROM:
Maria Z. Fernandez
Group Insurance Administrator
Pamela G. Hanc~
Deputy Clerk U
At the May 18, 2005, Board of County Commissioner's meeting the Board granted
approval and authorized execution of a Contract Amendment between Monroe County and Keys
Physician-Hospital Alliance to amend wording under #3 - Utilization Management and Quality
Assurance to reflect change in procedure with regards to utilization and large case management
documentation retention.
Enclosed is a duplicate original of the above-mentioned for your handling. Should you
have any questions please do not hesitate to contact this office.
cc: County Attorney
Finance
File ,/
CONTRACT AMENDMENT
This amendment to agreement is made and entered into this 18th day of May, 2005, between
the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter
referred to as "EMPLOYER" and KEYS PHYSICIAN-HOSPITAL ALLIANCE, hereinafter referred
to as "KPHA".
WHEREAS, EMPLOYER and KPHA entered into an agreement on March 1, 2004 for the
purpose of providing a provider network, utilization review and case management; and
WHEREAS, it is now necessary for the KPHA to retain large case and utilization review
documentation in their system;
Now therefore, the parties agree as follows:
1. Paragraph four under #3 - Utilization Management and Quality Assurance of the agreement
dated March 1, 2004 shall be revised, effective May 1, 2005, to read as follows:
"Utilization Review and Large Case Management services will be performed according to pre-
set protocols developed in conjunction with the claims administrator's (Acordia National)
standards and all documentation will be maintained by the KPHA."
2. All other provisions of the Agreement entered March 1,2004, not inconsistent herewith, shall
remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this agreement amendment the day ftrst
written above,
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BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By
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Mayor Dixie M. Spehar
KEYS PHYSICIAN-HOSPITAL ALLIANCE
By ~~,.w
ROBIN LOCKWOOD, M.D., #y