exhibit 10. 1 medical services agreement florida healthy kids corporation and healthease for citrus, duval, escambia, highlands, jefferson, lake, madison, martin, putnam and wakulla counties and wellcare hmo / staywell health plan for brevard, broward, charlotte, collier, miami - dade, desoto, hernando, hillsborough, lee, manatee, orange, osceola, palm beach, pinellas, sarasota and seminole counties october 1, 2005 — effective date healthease and staywell hmo effective date : october 1, 2005 page 1 of 44 florida healthy kids corporation agreement for medical services table of contents section 1 general provisions 1 - 1 definitions section 2 florida healthy kids corporation responsibilities section 2 - 1 2 - 2 2 - 3 3 3 - 1 3 - 2 3 - 2 - 1 participant identification payments reduced fee arrangements 2 - 3 - 1specialty fee arrangements 2 - 3 - 2children ’ s medical services 2 - 4quarterly program updates 2 - 5 change in benefit schedule 2 - 6marketing 2 - 7forms and reports 2 - 8coordination of benefits 2 - 9entitlement to reimbursement insurer benefits access to care access and appointment standards 3 - 2 - 2 integrity of professional advice to enrollees 3 - 3 3 - 4 3 - 5 3 - 6 3 - 7 3 - 8 fraud and abuse membership materials use of name eligibility effective date of coverage termination of participation 3 - 9 continuation of coverage upon termination of this agreement 3 - 10 3 - 11 3 - 12 3 - 13 3 - 14 3 - 15 3 - 16 3 - 17 indi vidual contracts refusal of coverage extended coverage grievances and complaints claims payment notification requirements rates rate modification 3 - 17 - 1 annual adjustment 3 - 17 - 2 denial of rate request 3 - 18 conditions of services 3 - 19medical records requirements 3 - 19 - 1medical quality review and audit 3 - 19 - 2 privacy of medical records 3 - 19 - 3 requests by participants for medical records healthease and staywell hmo effective date : october 1, 2005 section 3 - 20 3 - 21 3 - 22 3 - 23 3 - 24 3 - 25 3 - 26 3 - 27 3 - 28 3 - 29 3 - 30 4 4 - 1 4 - 2 4 - 3 4 - 4 quality enhancement 3 - 20 - 1 authority 3 - 20 - 2 staff 3 - 20 - 3