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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, Af}. --=-::'-.;.'.' ~~'" ..... .,....,L' t>." ~"".'.'.. :,A>fJ' . ,'':', ',.:.;:- :;;-::~,.,:: /1i~/~ ,',t ~ L. KOLHAGE, CLERK //!~t;,~/ c~- ,'b .., ~~;i: ;-~~; '>;'I!~ ' ......f. 'V~;1~?iit.;i:'& "'~ < .~'.~ A BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA By ~~ >n ~~ Mayor Dixie M. Spehar KEYS PHYSICIAN-HOSPITAL ALLIANCE By ~~,.w ROBIN LOCKWOOD, M.D., #y