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

The Florida Department of Health has awarded contract C76940 for professional medical services, effective July 1, 2026, through June 30, 2027. The contract carries a total value of $17,500 and provides for reimbursement of healthcare services rendered to clients according to established fee schedules authorized by Acting Medical Director Dr. U. Choe. The contract encompasses Specialty Provider professional services, Ancillary services, Imaging services, and services identified by J codes, with pricing established through Current Procedural Terminology (CPT) code-based billing.

Compensation under the agreement is structured as a reimbursement model with differentiated rates: 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 compliance with applicable Medicaid guidelines and limitations. Pricing reference materials are maintained in the HMS system with Medicare rates accessible through medicare.fcso.com and Medicaid rates available through the Florida Agency for Health Care Administration website at ahca.myflorida.com. The initial purchase order amount may be adjusted according to reimbursement requirements throughout the contract term.