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

The Florida Department of Health awarded contract C799B4 for healthcare reimbursement services effective July 1, 2026, through June 30, 2027, with a contract amount of $20,000. The contract authorizes reimbursement for professional medical services delivered by specialty providers based on Current Procedural Terminology (CPT) codes. Compensation is structured on a reimbursement basis, with specialty provider professional services compensated at 86 percent of Medicare rates, while ancillary services, imaging services, and J codes are reimbursed at 101 percent of Medicaid rates in accordance with applicable Medicaid guidelines and limitations. The fee schedule was established and authorized by Acting Medical Director Dr. U. Choe.

Service delivery under this contract involves the provision of medical and ancillary services to eligible clients with pricing determined through the Healthcare Management System (HMS) utilizing established Medicare and Medicaid fee schedules accessible via medicare.fcso.com and the Florida Agency for Health Care Administration website (ahca.myflorida.com). The line item specifies a quantity of 20,000 units of service at a unit price of $1, with provisions allowing for increases to the initial purchase order amount based on documented reimbursement needs. The contract places of performance and prime contractor name are not specified in the provided documentation.