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

The Florida Department of Health has awarded contract C76444 for healthcare services reimbursement, effective July 1, 2026, through June 30, 2027. The contract is valued at $1,000.00 and establishes a reimbursement-based compensation structure for covered medical services delivered to Department clients. The contract authorizes services based on Current Procedural Terminology (CPT) codes and was approved by acting Medical Director Dr. U. Choe. Prime contractor information and specific county or place of performance details are not identified in the contract documentation provided.

The reimbursement methodology employs a tiered rate structure: 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 Medicaid guidelines and limits. Pricing schedules are maintained in the Department's Health Management System (HMS) and reference materials are available through medicare.fcso.com and the Agency for Health Care Administration's website at http://ahca.myflorida.com/. The initial purchase order amount may be adjusted based on reimbursement requirements, and the contract accommodates 1,000 billable service units during the performance period.