Medicare Advantage Dual Eligible Special Needs Plan (D-SNP)

The Florida Indefinite Delivery Vehicle (IDV) FP128 is a Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) master agreement designed to provide comprehensive integrated healthcare services for dual-eligible beneficiaries. The contract encompasses a wide range of medical services, including primary care, behavioral health, emergency services, prescription drugs, and care coordination. Specifically targeted at Qualified Medicare Beneficiaries (QMB), QMB Plus, Specified Low-Income Medicare Beneficiaries (SLMB), and Full Benefit Dual Eligible (FBDE) individuals, the IDV enables the delivery of coordinated Medicare and Medicaid services across multiple Florida regions.

The master agreement is awarded to CarePlus Health Plans Inc. by the Florida Agency for Health Care Administration (AHCA), with a contract performance period from January 1, 2026, through December 31, 2028. The contract covers multiple Florida counties, including Broward, Miami-Dade, Palm Beach, Brevard, Clay, Duval, and other specified regions. Classified as a Highly Integrated Dual Eligible (HIDE) Special Needs Plan, the contract operates on a capitated payment model with a total contract value of $82,821,396.38. The IDV includes provisions for performance monitoring, quality improvement, and potential sanctions to ensure high-quality healthcare delivery for dual-eligible beneficiaries.