YH19-0025_Amendment_4_Fully_Executed_with_attachments.pdf

This document is a Contract Amendment issued by the Arizona Health Care Cost Containment System (AHCCCS) for an existing contract with Sandata Technologies, located in Port Washington, NY. The amendment is specifically related to the EVV (Electronic Visit Verification) Program and involves Contract Number YH19-0025, with Amendment Number 4 for the DHCM (Department of Health Care Management) program.

The amendment increases the total five-year contract value from $44,615,361.44 to $44,624,811.44, adding $9,450 through two change orders: $7,200 for Reason & Resolution Code Updates and $2,250 for Contingency Plan updates. The technical proposal outlines changes to the EVV program, including new reason codes for live-in caregivers, modifications to scheduling requirements, and updates to the contingency plan default values. Sandata will be responsible for updating system configurations, technical documentation, and interfaces to accommodate these changes. The change order involves a one-time fee of $7,200, to be invoiced 50% upon execution and 50% upon completion of the work.