CTR066099_Assisted_Living_Facility_LLC_Amendment_3__.pdf

PDF 170 KB Posted

Attached to
Master Agreement AZ|CTR066099
Contract number
CTR066099
Issued by
Arizona

About this file

This document is a Contract Amendment issued by the Arizona Department of Economic Security (DES), specifically Amendment Number Three for Contract Number CTR066099. The amendment involves Las Palmas Assisted Living Home LLC, a contractor providing assisted living facility services. The document originates from Phoenix, Arizona, and pertains to modifications in the existing contract's terms.

The amendment focuses on revising Section 17.1 of the DDD Special Terms and Conditions regarding subcontracts. Specifically, it requires that any subcontract entered into by the contractor must incorporate the original contract and AHCCCS (Arizona Health Care Cost Containment System) Minimum Subcontract Provisions. A web link is provided that details these minimum subcontract requirements. While the amendment does not specify changes to pricing, services, or contract duration, it ensures that all subcontracts will adhere to specific standardized provisions. The amendment will be executed through electronic approval in an application system referred to as "APP".

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Text version

CONTRACT AMENDMENT

Arizona Department of Economic Security

1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007

CONTRACT NUMBER: AMENDMENT NUMBER:

CTR066099 Three (3)

DESCRIPTION/ LABEL: Assisted Living Facility

CONTRACTOR NAME: Las Palmas Assisted Living Home LLC

THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:

1. In accordance with the Uniform Terms and Conditions, Section 5 Contract Changes, Subsection 5.1 Amendments, the DDD Special Terms and Conditions Section 17.1 Subcontracts, is hereby revised as follows:

17.1 Any subcontract that the Contractor enters into shall incorporate by reference this Contract and the AHCCCS Minimum Subcontract Provisions.

17.1.1 The following link constitutes requirements for AHCCCS Minimum Subcontract Provisions:

https://azahcccs.gov/PlansProviders/HealthPlans/minimumsubcontractprovisions.html

ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED

ACKNOWLEDGEMENT AND AUTHORIZATION

This Amendment shall be fully executed by means of electronic approval in APP.

File details come from the government source that posted it. Updated .