Item 10

Authorize to enter into a sole source amendment to an existing contract with Cognosante Consulting LLC, McLean, VA (originally approved by G&C on 12-1-04, late item #E), for continuation of quality assurance services in compliance with the requirements of the Centers for Medicare and Medicaid Services, by increasing the price limitation by $1,694,582 from $23,145,719 to a new amount not to exceed $24,840,301. Effective upon G&C approval through June 30, 2017. 90% Federal, 10% General Funds.