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

The Florida Department of Health has awarded contract C769C8 to an unnamed prime contractor for the delivery of healthcare services. The contract, valued at $20,000.00, became effective July 1, 2026, and will conclude on June 30, 2027. Services will be provided to clients utilizing Current Procedural Terminology (CPT) codes across specialty provider, ancillary, and imaging service categories, with compensation structured on a reimbursement basis authorized by Acting Medical Director Dr. U. Choe.

Reimbursement under this agreement follows 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 is fixed within the Health Management System (HMS) and references established Medicare and Medicaid fee schedules accessible through medicare.fcso.com and http://ahca.myflorida.com/. The initial purchase order amount may be increased based on reimbursement needs during the contract performance period.