Joint Operating Agreement

The Master Agreement AA402 is a joint operating information exchange agreement focused on facilitating data sharing between the Centers for Medicare & Medicaid Services (CMS) and the Florida Agency for HealthCare Administration. The primary purpose of this IDV is to support healthcare program integrity by enabling monthly data exchanges that detect potential fraud, waste, and abuse. The contract allows for comprehensive data sharing, including managed care encounters, crossover claims, eligibility files, and provider information, utilizing the Decision Support System (DSS) to match and analyze data elements from Medicare and Medicaid programs.

The master agreement is awarded to the Centers for Medicare & Medicaid Services, with the Florida Agency for HealthCare Administration serving as the contracting organization. The contract was initiated on September 19, 2019, and is set to complete on September 18, 2024, covering the state of Florida. As a master agreement, this IDV provides a structured framework for ongoing data exchange and collaboration, with specific provisions for data confidentiality and security. The contract type is classified as a Master Agreement, designed to support critical interagency information sharing and fraud detection efforts within the state's healthcare system.