Molina Medicaid Solutions - DHHR

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exv10w22Fifth Amendment to Credit AgreementSignature PageJEFFERIES FINANCE LLC, as LenderBy:Name:Title:Fifth Amendment to Credit AgreementSignature PageEXHIBIT AtoFifth AmendmentFORM OFCONSENTThis CONSENT, dated as of [_________] [___], 2010 (this “Consent”), to the Agreement referred to below is delivered by each of theundersigned (each a “Guarantor”).W I T N E S S E T H:WHEREAS, in connection with the transactions contemplated by the Amended and Restated Credit Agreement, dated as of March 9, 2005among <strong>Molina</strong> Healthcare, Inc. (the “Borrower”), the lenders from time to time party thereto (the “Lenders”), Bank of America, N.A., asAdministrative Agent, Swing Line Lender and L/C Issuer (the “Administrative Agent”), and the other agents, joint lead arrangers and joint bookmanagers party thereto, as amended by the First Amendment and Waiver dated as of October 5, 2005, the Second Amendment and Waiver dated asof November 6, 2006, and the Third Amendment dated as of May 25, 2007, and as may be amended by the Fourth Amendment upon itseffectiveness, should it become effective, (the “Existing Credit Agreement”) each Guarantor has executed and delivered to the AdministrativeAgent and the Lenders that certain Subsidiary Guaranty dated as of March 9, 2005 (as amended or otherwise modified from time to time, the“Subsidiary Guaranty”);WHEREAS, the Borrower, the Lenders and the Administrative Agent have entered into the Fifth Amendment dated as of the date hereof (the“Fifth Amendment”; capitalized terms not otherwise defined herein to have the meanings provided in the Fifth Amendment and in the ExistingCredit Agreement) to amend certain provisions in the Existing Credit Agreement; andWHEREAS, it is a condition of effectiveness of the Fifth Amendment that each Guarantor deliver to the Administrative Agent and the Lendersan executed counterpart of this Consent;NOW THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, each Guarantorhereby agrees, as follows:1. each Guarantor consents and agrees to the terms of (a) the Fifth Amendment and (b) the Existing Credit Agreement, as amended by the FifthAmendment (the “Amended Credit Agreement”); and2. each Guarantor confirms and agrees that notwithstanding the effectiveness of the Fifth Amendment, the Subsidiary Guaranty is, and shallcontinue to be, in full force and effect and is hereby ratified and confirmed in all respects, except that, on and after the effectiveness of the Fifthhttp://sec.gov/Archives/edgar/data/1179929/000095012310025132/a55407exv10w22.htm[1/6/2012 11:13:03 AM]
exv10w22Amendment, each reference in the Subsidiary Guaranty to the “Credit Agreement”, “thereunder”, “thereof” or words of like import shall mean andbe a reference to the Amended Credit Agreement.Exhibit AA-1IN WITNESS WHEREOF, the undersigned have caused this Consent to be executed by their respective officers thereunto duly authorized, asof the date first above written.[INSERT GUARANTORS’ NAMES]By:Name:Title:Exhibit AA-2http://sec.gov/Archives/edgar/data/1179929/000095012310025132/a55407exv10w22.htm[1/6/2012 11:13:03 AM]
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Molina Medicaid SolutionsResponse t
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Bridging the Rivers ofChange Togeth
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e10vkTable of ContentsItem 1:Overvi
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e10vkDepartment of Health Services
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e10vkservices, and reputation or na
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e10vkIf our government contracts ar
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e10vkIf our cost increases resultin
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e10vkour board of directors. Becaus
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e10vkFirst Quarter $ 44.94 $ 23.46S
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e10vkTable of ContentsCertain compo
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e10vkNevada 8,037 1,106.45 9,099 1,
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e10vkInvestment IncomeInvestment in
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e10vkand 2007, respectively. EBITDA
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e10vk$2.8 million, or $0.10 per dil
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e10vkREPORT OF INDEPENDENT REGISTER
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e10vk65Table of ContentsMOLINA HEAL
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e10vkDelegated Provider InsolvencyC
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e10vk2007 (see Note 11, “Long-Ter
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e10vk$ 252,380 $ 248,039Gross reali
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e10vkTable of ContentsMOLINA HEALTH
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e10vk$10.9 million, and $7.9 millio
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e10vkIn July 2008, our board of dir
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e10vkThe Registrant has an equity i
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e10vkSIGNATURESPursuant to the requ
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exv12w1EX-12.1 2 a51362exv12w1.htm
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e10vkEX-31.1EX-31.2EX-32.1EX-32.2Ta
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e10vkLeverage operational efficienc
Page 392 and 393: e10vkhealth plans. Among such facto
Page 394 and 395: e10vkMissouri and Ohio health plans
Page 396 and 397: e10vkWe are subject to various rout
Page 398 and 399: e10vkIt may be difficult for a thir
Page 400 and 401: e10vkItem 5:PART IIMarket for Regis
Page 402 and 403: e10vkstates to exclude certain bene
Page 404 and 405: e10vkMedical care ratio 86.8% 84.8%
Page 406 and 407: e10vkTable of ContentsMedical care
Page 408 and 409: e10vkare required to pay a fee for
Page 410 and 411: e10vkknown. While we believe our cu
Page 412 and 413: e10vkTable of ContentsMOLINA HEALTH
Page 414 and 415: e10vkYear Ended December 31,2009 20
Page 416 and 417: e10vkCalifornia $ 481,717 $ 417,027
Page 418 and 419: e10vkMOLINA HEALTHCARE, INC.NOTES T
Page 420 and 421: e10vk2008, we had transitioned fewe
Page 422 and 423: e10vknot intend to sell, nor is it
Page 424 and 425: e10vk87Table of ContentsMOLINA HEAL
Page 426 and 427: e10vkDuring 2009, 2008, and 2007, t
Page 428 and 429: e10vk$29.17 - $30.05 9,350 5.9 $ 29
Page 430 and 431: e10vk(1) The Registrant’s condens
Page 432 and 433: e10vkChanges in Internal Controls:
Page 434 and 435: e10vkSignature Title Date/s/ Joseph
Page 436 and 437: exv10w22Commitments exceed the sum
Page 438 and 439: exv10w22Loan Document. The amendmen
Page 440 and 441: exv10w22Name:Title:Fifth Amendment
Page 444 and 445: exv10w24EX-10.24 3 a55407exv10w24.h
Page 446 and 447: exv10w24Molina ECMS ref# 729 Provid
Page 450 and 451: exv10w24HSA — Hospital Services A
Page 452 and 453: exv10w243.2 Member Eligibility Dete
Page 454 and 455: exv10w245.6 Amendment. Health Plan
Page 456 and 457: exv10w24HSA — Hospital Services A
Page 458 and 459: exv10w24License No. StreetNPI (or U
Page 460 and 461: exv10w24Page 23 of 40ATTACHMENT CPr
Page 462 and 463: exv10w24• This reimbursement meth
Page 466 and 467: exv10w24(Rule 53250(e)(4))8. Provid
Page 468 and 469: exv10w241. Right to Audit. Provider
Page 470 and 471: exv10w24Treasurer G. William Hammer
Page 472 and 473: exv10w25unless the situation is one
Page 474 and 475: exv10w25Plan in identifying, proces
Page 476 and 477: exv10w25Page 9that the offset and r
Page 478 and 479: exv10w25under this Agreement.h. Hea
Page 480 and 481: exv10w25Page 16Date 6/1/06ATTACHMEN
Page 482 and 483: exv10w25that Provider is de-delegat
Page 484 and 485: exv10w25the subscriber or Member by
Page 486 and 487: exv10w25discretion, that Provider h
Page 488 and 489: exv10w252.5 Annual Disclosure of Ca
Page 490 and 491: exv10w25Initials of authorizedrepre
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exv10w25the report is true and corr
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e10vk10-K 1 a58840e10vk.htm FORM 10
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e10vkOur StrengthsWe focus on servi
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e10vkevent.CompetitionWe operate in
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e10vkat the funding for these healt
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e10vk18Table of ContentsAlso, many
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e10vkTable of Contentsalleged non-c
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e10vk(fair value of $20.4 million).
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e10vkTable of ContentsSTOCK PERFORM
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e10vkAs of December 31, 2010, our h
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e10vkYear Ended December 31,2010 20
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e10vkAcquisitionsWisconsin Health P
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e10vkspecific performance measures
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e10vkoverestimations were tied to o
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e10vkIntangible assets, net 105,500
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e10vkOur Health Plans segment compr
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e10vkSituations may arise where the
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e10vkinvestment fund. As of Decembe
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e10vk87Table of ContentsMOLINA HEAL
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e10vk7. ReceivablesHealth Plans seg
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e10vkTable of ContentsMOLINA HEALTH
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e10vkindebtedness under the Credit
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e10vkstatutory capital and surplus
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e10vkCash paid in business purchase
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e10vkItem 12.Security Ownership of
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exv10w27EX-10.27 2 a58840exv10w27.h
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exv10w27(f) all transferable or ass
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exv10w27and other charges have been
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exv10w27under or affecting the Prop
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exv10w27BY A GENERAL RELEASE, WHICH
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exv10w27(f) Seller’s share of the
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exv10w2710.6 Items Not to be Prorat
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exv10w27- 21 -(i) Delinquency Repor
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exv10w27executed, and delivered by
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exv10w27MATERIALS THAT PERTAIN TO T
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exv10w27Attn: General CounselTeleph
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exv10w2718.16 Authority. The indivi
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