CN-680000-AA386-A1.pdf
PDF 186 KB Posted
- Contract number
- AA386
- Issued by
- Florida
About this file
This document is Amendment No. 1 to AHCA Agreement No. AA386, an interagency agreement between the State of Florida, Agency for Health Care Administration (AHCA) and the Florida Department of Children and Families (DCF). The amendment updates contact information and extends the agreement's term, with both agencies located in Tallahassee, Florida.
The amendment extends the original agreement's term from the initial start date of June 18, 2019, to a new end date of June 17, 2025, representing a three-year renewal option. The amendment updates contact information for key personnel, including the Agency Agreement Manager, DCF IT Manager, DCF Business Manager, and DCF Chief Information Officer. All other provisions of the original agreement not in conflict remain in effect, and the amendment was signed and dated on June 17, 2022 by Cole Sousa (CIO of DCF) and Kristin Sokoloski (Deputy Secretary for Medicaid at AHCA).
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CN-680000-AA386.pdf | ||
| CN-680000-AA386-A2.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
AHCA AGREEMENT NO. AA386
AMENDMENT NO. 1
AHCA Agreement No. AA386, Amendment No. 1, Page 1 of 2 April 2020
THIS AGENCY AGREEMENT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency," and THE DEPARTMENT OF CHILDREN AND FAMILIES, hereinafter referred to as the "DCF,” is hereby amended as follows:
1. Agency Agreement Preamble, is hereby amended and now reads as follows:
In exchange for the mutual promises contained herein, this Agreement is entered into between the State of Florida, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the “Agency,” whose address is 2727 Mahan Drive, Tallahassee, Florida 32308, and THE DEPARTMENT OF CHILDREN AND FAMILIES, hereinafter referred to as the “DCF,” whose address is 2415 North Monroe Street, Tallahassee, FL 32303-4190.
2. In accordance with Agency Agreement, Section IV., Term, Sub-Section B., Renewal, which provides for renewal of this Agreement for a period that may not exceed three (3) years or the original term of this Agreement, whichever is longer, both Parties hereby agree to exercise the renewal option for a period of three (3) years, ending June 17, 2025.
Therefore, Agency Agreement, Section IV., Term, Sub-Section A., Term, is hereby amended to now read as follows:
This Agreement shall begin June 18, 2019, and end June 17, 2025, inclusive, unless terminated.
3. Agency Agreement, Section VI., Contact Information is hereby amended and now reads as follows:
VI. CONTACT INFORMATION
A. The Agency’s Agreement Manager’s contact information is as follows:
Larry Strickland Agency for Health Care Administration Medicaid Fiscal Agent Operations 2727 Mahan Drive. MS22, Tallahassee, FL. 32308
(850) 412-3469 Larry.Strickland@ahca.myflorida.com
B. The DCF IT Manager for this Agreement is as follows:
Nathan McPherson Florida Department of Children and Families 2415 N. Monroe Street MS215 Tallahassee, FL 32303-4190
(850) 320-9181 Nathan.McPherson@myflfamilies.com
DocuSign Envelope ID: E0EA95BD-7BE8-4D1B-A4EF-466DB35650F0 mailto:Larry.Strickland@ahca.myflorida.com mailto:Nathan.McPherson@myflfamilies.com
AHCA AGREEMENT NO. AA386
AMENDMENT NO. 1
AHCA Agreement No. AA386, Amendment No. 1, Page 2 of 2 April 2020
C. The DCF Business Manager for this Agreement is as follows:
Christi L. Anderson, M.A.
2415 North Monroe Street Tallahassee, FL 32303-4190
(850) 717-4621 Christi.Anderson@myflfamilies.com
D. The DCF CIO for this Agreement is as follows:
Cole Sousa
2415 N. Monroe Street Tallahassee, FL 32303-4190
(850) 320-9166 Cole.Sousa@myflfamilies.com
E. All matters pertaining to this Agreement shall be directed to the Agreement
Managers for appropriate action or disposition. A change in Agreement Manager by any Party shall be reduced to writing an amendment to this Agreement by the Agency.
All provisions not in conflict with this Agreement are still in effect and are to be performed at the level specified in this Agreement.
This Amendment is hereby made a part of this Agreement.
IN WITNESS WHEREOF, the Parties hereto have caused this Amendment to be executed by their officials thereunto duly authorized. This Amendment is not valid until signed and dated by both Parties.
STATE OF FLORIDA, DEPARTMENT OF
CHILDREN AND FAMILIES
STATE OF FLORIDA, AGENCY FOR
HEALTH CARE ADMINISTRATION
SIGNED
BY:
SIGNED
BY:
NAME: NAME:
TITLE: TITLE:
DATE: DATE:
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
DocuSign Envelope ID: E0EA95BD-7BE8-4D1B-A4EF-466DB35650F0
6/17/2022
Cole Sousa
CIO
Kristin Sokoloski
6/17/2022
Delete/ Deputy Secretary for Medicaid mailto:Christi.Anderson@myflfamilies.com mailto:Cole.Sousa@myflfamilies.com
| 1. Agency Agreement Preamble, is hereby amended and now reads as follows: |
| In exchange for the mutual promises contained herein, this Agreement is entered into between the State of Florida, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the “Agency,” whose address is 2727 Mahan Drive, Tallahassee, Florida ... |
| 2. In accordance with Agency Agreement, Section IV., Term, Sub-Section B., Renewal, which provides for renewal of this Agreement for a period that may not exceed three (3) years or the original term of this Agreement, whichever is longer, both Parties... |
| 3. Agency Agreement, Section VI., Contact Information is hereby amended and now reads as follows: |
| VI. CONTACT INFORMATION |
File details come from the government source that posted it. Updated .