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

The Florida Department of Health issued contract C7691B, effective July 1, 2026 through June 30, 2027, with a contract value of $12,500.00. The contract establishes a fee-for-service arrangement for the delivery of professional healthcare services to department clients utilizing Current Procedural Terminology (CPT) coding standards. Reimbursement for Specialty Provider professional services is established at 86% of Medicare rates, while Ancillary, Imaging, and (J) codes are reimbursed at 101% of Medicaid rates in accordance with applicable Medicaid guidelines and limitations. The compensation structure was authorized by acting Medical Director Dr. U. Choe, with pricing parameters referenced through Medicare and Florida Agency for Health Care Administration (AHCA) rate schedules.

The contract contemplates up to 12,500 billable units of service delivery, with the initial purchase order amount subject to increase based on reimbursement requirements throughout the contract period. Service provision is contingent upon adherence to established procedural coding standards and rate schedules maintained in the department's Health Management System (HMS). The prime contractor is responsible for delivering covered services consistent with Medicare and Medicaid guidelines as published on the referenced rate schedule websites, enabling flexible scaling of reimbursement as service utilization demands warrant during the fiscal year.