ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS)-THIRD-PARTY AUTHORIZATION (TPA) IGA AMENDMENT #18 EXP 06-30-2025 (1).PDF

INTERGOVERNMENTAL AGREEMENT 
AMENDMENT 
 
1. AMENDMENT 
 
18 
2. AGREEMENT NUMBER: 
 
YH08-0073 
C-26-08-011-0-18 
3. EFFECTIVE DATE OF AMENDMENT: 
 
July 1, 2024 
4. PROGRAM: 
 
DFSM 
5. CONTRACTOR/PROVIDER NAME AND ADDRESS:  
 
Maricopa County on behalf of 
Correctional Health Services 
234 N. Central, Suite 5000 
Phoenix, AZ 85004 
 
6.  PURPOSE:  To extend the term of the agreement for an additional (12) twelve months. 
7. 
The above referenced agreement is hereby amended as stated below: 
A. Pursuant to Paragraph 6.1, Term of Agreement, the contract term is hereby extended for an additional 
twelve months, July 1, 2024 through June 30, 2025.  
 
 
8. 
Except as provided for herein, all terms and conditions of the original agreement not heretofore changed and/or amended 
remain unchanged and in full effect.  In witness whereof the parties hereto sign their names in agreement. 
9.  Maricopa County Board of Supervisors  
10. Arizona Health Care Cost Containment System 
SIGNATURE OF AUTHORIZED INDIVIDUAL: 
 
SIGNATURE: 
TYPED NAME: 
 
 
TYPED NAME: 
 
Meggan LaPorte, MSW, CPPO 
TITLE: 
Chairman, Board of Supervisors 
TITLE: 
Chief Procurement Officer 
DATE: 
 
 
DATE: 
ATTEST: 
 
 
 
Clerk of the Board 
 
 
DATE:   
 
 
 
11. In accordance with state statutes, county rules, and bylaws, 
this agreement has been reviewed by the undersigned who 
has determined that this agreement is in appropriate form 
and is within the power and authority granted to the county.   
 
Approved as to form: 
 
 
BY______________________________________________ 
Deputy County Attorney 
 
Date:   
12. In accordance with § A.R.S. 11-952, this amendment is in proper form and 
is within the power and authority granted to the administration under § 
A.R.S. 36-2903 et seq. and §36-2932 et seq. 
 
 
 
  _____________________________________________________________ 
Nicole Fries, Deputy General Counsel  
 
 
 
Date:   
 
DocuSign Envelope ID: 3F599DC4-498A-4FDE-B63D-9B50FF330C22
5/16/2024
5/16/2024
DocuSign Envelope ID: AFDAEBAA-DA90-4B0A-8F5F-9F1780B9D1EE
5/22/2024