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

The Florida Department of Health issued contract C76B64 effective July 1, 2026, through June 30, 2027, with a contract value of $18,750.00. The award encompasses medical and ancillary services delivered on a fee-for-service reimbursement basis. Services are billed using Current Procedural Terminology (CPT) codes and include specialty provider professional services, ancillary services, imaging, and J codes. Reimbursement for specialty provider services is established at 86 percent of Medicare rates, while ancillary, imaging, and J code services are reimbursed at 101 percent of Medicaid rates in accordance with applicable Medicaid guidelines and limitations.

The contract was authorized by Dr. U. Choe, acting Medical Director, with pricing structures maintained within the Department's Health Management System and referenced against Medicare fee schedules accessible via medicare.fcso.com and the Agency for Healthcare Administration's Medicaid resources at ahca.myflorida.com. The initial purchase order amount is subject to adjustment based on reimbursement requirements. The contract structure allows for flexible utilization of the appropriated funds contingent upon actual covered service delivery to program participants.