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

The Florida Department of Health awarded contract C799A2 to an unnamed prime contractor effective July 1, 2026, through June 30, 2027, with a contract value of $12,500.00. The contract establishes a reimbursement-based agreement for professional healthcare services rendered in accordance with Current Procedural Terminology (CPT) codes. Services are structured across three reimbursement categories: Specialty Provider professional services at 86% of Medicare rates, Ancillary and Imaging services at 101% of Medicaid rates, and (J) codes at 101% of Medicaid rates, with all reimbursement calculations following established Medicare and Medicaid guidelines and limits. The fee schedule was authorized by acting Medical Director Dr. U. Choe, with pricing references available through medicare.fcso.com and the Agency for Health Care Administration website.

The contract contemplates service delivery to clients on a fee-for-service basis under the established reimbursement structure, with the initial purchase order amount subject to adjustment based on demonstrated reimbursement needs throughout the contract period. The pricing methodology is fixed within the Health Management System (HMS) platform, enabling standardized and transparent cost administration. This arrangement reflects a performance-based model wherein compensation to the prime contractor is contingent upon actual service utilization and the applicable reimbursement rates designated for each service category.