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

The Florida Department of Health executed contract C764C5 effective July 1, 2026 through June 30, 2027, with a contract value of $37,500.00. The contract provides healthcare provider services rendered on a reimbursement basis for covered professional and ancillary services. Specialty Provider professional services are reimbursed at 86 percent of Medicare rates, while Ancillary, Imaging, and (J) codes are reimbursed at 101 percent of Medicaid rates in accordance with Medicaid guidelines and limitations. Services are classified and billed using Current Procedural Terminology (CPT) codes, with pricing determined by the contractor's Health Management System (HMS) and referenced against rates published on Medicare.fcso.com and the Florida Agency for Health Care Administration website.

The contract was authorized by Dr. U. Choe, acting Medical Director, with provisions allowing for adjustment of the initial purchase order amount based on reimbursement needs throughout the contract period. The contractor delivers services to departmental clients utilizing the established fee schedule and reimbursement methodology outlined in the agreement. The contract structure establishes predetermined pricing mechanisms tied to both Medicare and Medicaid fee schedules to ensure cost containment and regulatory compliance in the delivery of healthcare services.