AZ COMPLETE HEALTH - AMENDMENT 1.PDF

AMENDMENT No. 1
To
MEMORANDUM OF UNDERSTANDING
Between
ARIZONA COMPLETE HEALTH – COMPLETE CARE PLAN
&
MARICOPA COUNTY, ARIZONA
WHEREAS, Maricopa County (“County”) and Arizona Complete Health – Complete Care Plan (“Contractor”) have
entered into an Agreement for the purpose of establishing collaborative protocol executed January 29th, 2020
(“Agreement”).
WHEREAS, County and Contractor have agreed to modify the Agreement by changing certain terms and
conditions;
NOW, THEREFORE, the parties hereby agree to the following provisions:
1. The Agreement shall be renewed for a term from January 30th, 2021 and ending January 29th, 2022.
2. The parties hereby agree to amend section 1. titled “PURPOSE” by deleting Policy 1050 and inserting
Policy 541.
3. Contractors contact information under Section 3.14.6 REPORTING OF UNAUTHROTIZED USE OR
DISCLOSURE OF PHI is updated as follows:
OLD CONTACT INFORMATION NEW CONTACT INFORMATION
Arizona Complete Health Arizona Complete Health
Attn: Sarah Darragh Attn: Karin Uhlich
Address: 333 E. Wetmore Road Address: 333 E. Wetmore Road
City, State, Zip Code: Tucson, AZ 85705 City, State, Zip Code: Tucson, AZ 85705
Phone: (520) 809-6402 Phone: (520) 809-6641
Email: Sdarragh@AZCompletehealth.com Email: Kuhlich@AZCompletehealth.com
4. Contact information for section C. NOTICES, shall be renewed with the following contact
information:
OLD CONTACT INFORMATION NEW CONTACT INFORMATION
Arizona Complete Health – Complete Care Plan Arizona Complete Health-Complete Care Plan
Attn: Sarah Darragh, Medicaid Program Director Attn: Karin Uhlich, Senior Director, System of Care
333 E. Wetmore Road 333 E. Wetmore Road
Tucson, AZ 85705 Tucson, AZ 85705
ALL OTHER TERMS AND CONDITION REMAIN UNCHANGED. If there is any conflict between the
terms of the Agreement and this Amendment, in all such events the terms of this Amendment shall
control.
This Amendment is subject to cancellation pursuant to A.R.S. § 38-511.
~ Remainder of page intentionally left blank ~

IN WITNESS WHEREOF, this Contract Amendment is executed on the date set forth below when executed by both
Parties Authorized Representative.
ARIZONA COMPLETE HEALTH MARICOPA COUNTY
COMPLETE CARE PLAN BOARD OF SUPERVISORS
Authorized Signature Authorized Signature
Printed Name and Title Chairman, Board of Supervisors
Address Address
Date Date
ATTEST:
________________________________
Clerk of the Board
Date: ______________________
Approved as to form:
________________________________
Deputy County Attorney
Date: May ______________________ 3, 2021