Compensation: Reimbursement is to be based solely on the attached Fee Schedule as was agreed…

The Florida Department of Health executed contract C76420 effective July 1, 2026, through June 30, 2027, with a contract value of $18,750.00. The contract establishes a reimbursement-based agreement for healthcare services provided to state clients, with compensation structured according to a fee schedule authorized by acting Medical Director Dr. U. Choe. Services are delivered using Current Procedural Terminology (CPT) codes, with pricing fixed in the Healthcare Management System and accessible through specified Medicare and Medicaid reference websites.

The compensation structure implements a tiered reimbursement model: Specialty Provider professional services are reimbursed at 86 percent of Medicare rates, while Ancillary, Imaging, and (J) code services are reimbursed at 101 percent of Medicaid rates in accordance with applicable Medicaid guidelines and limits. The initial purchase order amount is subject to adjustment based on reimbursement needs. Reference pricing is maintained at medicare.fcso.com and the Florida Agency for Health Care Administration website (http://ahca.myflorida.com/).