Molina Medicaid Solutions - DHHR

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exv10w25the report is true and correct to the best knowledge and belief of a principal officer of Provider, and signed by a principal officer, as defined byRule 1300.45(o).3.6 Notification to DMHC & Health Plan. Provider agrees to notify the DMHC and Health Plan no later than five (5) business days fromdiscovering that Provider has experienced any event that materially alters its financial situation or threatens its solvency.3.7 DMHC Evaluation of Provider. Provider shall:(a) Permit the DMHC to make any examination that it deems reasonable and necessary to implement section 1375.4 of the Health and SafetyCode, and provide to the DMHC for inspection and copying, upon request, any books or records that the DMHC deems relevant or usefulin such examination, as permitted by law.Initials of authorizedrepresentative of Provider:Page 38(b) Comply with the DMHC’s review and audit process that is used to determine Provider’s compliance with the Grading Criteria.(c) Permit the DMHC to obtain and evaluate supplemental financial information pertaining to Provider when:(i) Provider fails to satisfactorily demonstrate its compliance with the Grading Criteria;(ii) Provider experiences an event that materially alters its ability to remain compliant with the Grading Criteria;(iii) The External Party’s review or audit process indicates that Provider may have insufficient financial capacity to continue to acceptfinancial risk for the delivery of health care services consistent with the requirements of Rules 1300.70(b)(2)(H)(1);(iv) The DMHC receives information from complaints submitted to the HMO Help Center, Health Plan reporting, medical audits andsurveys or any other source that indicates Provider may be delaying referrals or authorizations or failing to meet access standards forbasic health care services based on financial considerations.IV. OBLIGATIONS OF MEDICAL GROUP & HEALTH PLAN4.1 Corrective Action Plans. Provider and Health Plan shall comply with the DMHC’s Corrective Action Plan (“CAP”) process as set forth below.(a) Beginning with the financial survey submission filed for the third quarter of calendar year 2005, in the event Provider has deficiencies inany of the Grading Criteria, it shall simultaneously submit a self-initiated CAP proposal, in an electronic format developed by the DMHC,to the DMHC and Health Plan that meets the following requirements:(i) Identifies the Grading Criteria that Provider has failed to meet;(ii) Identifies the amount by which Provider has failed to meet the Grading Criteria;(iii) Identifies Health Plan and other Contracted Plans, including the identification of the name, title, telephone and facsimile numbers,and postal and e-mail addresses for the person responsible at Health Plan and each Contracted Plan for monitoring compliance withthe CAP;Initials of authorizedrepresentative of Provider:Page 39http://sec.gov/Archives/edgar/data/1179929/000095012310025132/a55407exv10w25.htm[1/6/2012 11:13:13 AM]
exv12w1EX-12.1 5 a55407exv12w1.htm EX-12.1Exhibit 12.1<strong>Molina</strong> Healthcare, Inc.Computation of Ratio of Earnings to Fixed ChargesYear Ended December 31,2009 2008(1) 2007(1) 2006 2005(Dollars in thousands)Earnings:Income before income taxes $43,616 $ 99,374 $ 92,722 $73,458 $43,851Add fixed charges:Interest expense, including amortization of debtdiscount and exp 13,777 13,231 5,605 2,353 1,529Estimated interest portion of rental expense 5,181 4,370 3,988 2,682 2,852Total fixed charges 18,958 17,601 9,593 5,035 4,381Total earnings available for fixed charges $62,574 $116,975 $102,315 $78,493 $48,232Fixed Charges from above $18,958 $ 17,601 $ 9,593 $ 5,035 $ 4,381Ratio of Earnings to Fixed Charges 3.3 6.6 10.7 15.6 11.0Total rent expense $20,723 $ 17,481 $ 18,127 $12,193 $ 9,505Interest factor 25% 25% 22% 22% 30%Interest component of rental expense $ 5,181 $ 4,370 $ 3,988 $ 2,682 $ 2,852(1) The Registrant’s condensed statements of income for the years ended December 31, 2008 and 2007 have been recast toreflect the adoption of FASB ASC Subtopic 470-20, Debt with Conversion and Other Options (see Note 1 of the notes toconsolidated financial statements).http://sec.gov/Archives/edgar/data/1179929/000095012310025132/a55407exv12w1.htm[1/6/2012 11:13:18 AM]
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Molina Medicaid SolutionsResponse t
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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
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e10vkhealth plans. Among such facto
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e10vkMissouri and Ohio health plans
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e10vkWe are subject to various rout
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e10vkIt may be difficult for a thir
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e10vkItem 5:PART IIMarket for Regis
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e10vkstates to exclude certain bene
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e10vkMedical care ratio 86.8% 84.8%
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e10vkTable of ContentsMedical care
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e10vkare required to pay a fee for
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e10vkknown. While we believe our cu
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e10vkTable of ContentsMOLINA HEALTH
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e10vkYear Ended December 31,2009 20
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e10vkCalifornia $ 481,717 $ 417,027
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e10vkMOLINA HEALTHCARE, INC.NOTES T
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e10vk2008, we had transitioned fewe
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e10vknot intend to sell, nor is it
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e10vk87Table of ContentsMOLINA HEAL
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e10vkDuring 2009, 2008, and 2007, t
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e10vk$29.17 - $30.05 9,350 5.9 $ 29
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e10vk(1) The Registrant’s condens
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e10vkChanges in Internal Controls:
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e10vkSignature Title Date/s/ Joseph
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exv10w22Commitments exceed the sum
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exv10w22Loan Document. The amendmen
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exv10w22Name:Title:Fifth Amendment
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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
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Page 480 and 481: exv10w25Page 16Date 6/1/06ATTACHMEN
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Page 488 and 489: exv10w252.5 Annual Disclosure of Ca
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Page 500 and 501: e10vk10-K 1 a58840e10vk.htm FORM 10
Page 502 and 503: e10vkOur StrengthsWe focus on servi
Page 504 and 505: e10vkevent.CompetitionWe operate in
Page 506 and 507: e10vkat the funding for these healt
Page 508 and 509: e10vk18Table of ContentsAlso, many
Page 510 and 511: e10vkTable of Contentsalleged non-c
Page 512 and 513: e10vk(fair value of $20.4 million).
Page 514 and 515: e10vkTable of ContentsSTOCK PERFORM
Page 516 and 517: e10vkAs of December 31, 2010, our h
Page 519 and 520: e10vkYear Ended December 31,2010 20
Page 521 and 522: e10vkAcquisitionsWisconsin Health P
Page 523 and 524: e10vkspecific performance measures
Page 525 and 526: e10vkoverestimations were tied to o
Page 527 and 528: e10vkIntangible assets, net 105,500
Page 529 and 530: e10vkOur Health Plans segment compr
Page 531 and 532: e10vkSituations may arise where the
Page 533 and 534: e10vkinvestment fund. As of Decembe
Page 535 and 536: e10vk87Table of ContentsMOLINA HEAL
Page 537 and 538: e10vk7. ReceivablesHealth Plans seg
Page 539 and 540: e10vkTable of ContentsMOLINA HEALTH
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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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