Humana Health Insurance Company of Florida, Inc.- DSNP

This Master Agreement establishes a Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) that provides coordinated Medicare and Medicaid services to dual-eligible beneficiaries across Florida. The contract enables the delivery of comprehensive Medicaid-covered services including behavioral health, emergency services, prescribed drugs, home health services, durable medical equipment, nursing facility services, and Medicare cost-sharing for qualified beneficiary categories (QMB, QMB Plus, SLMB Plus, and FBDE). The plan operates as a Highly Integrated Dual Eligible (HIDE) Special Needs Plan across nine Florida counties: Brevard, Broward, Glades, Indian River, Martin, Miami-Dade, Okeechobee, Palm Beach, and St. Lucie. Humana is responsible for comprehensive care coordination, case management, discharge planning, and transition of care services while complying with federal regulations 42 CFR Part 422 and Title XIX of the Social Security Act.

Humana Health Insurance Company of Florida, Inc. serves as the prime contractor under this Master Agreement awarded by the Florida Agency for Health Care Administration. The contract period runs from January 1, 2026, through December 31, 2028, with an option to renew for up to three additional years, subject to satisfactory performance and fund availability. The total contract value does not exceed $9,062,917.27, contingent upon annual legislative appropriation. Humana's CMS contract number is H7284 with Plan Benefit Package 010 designated as a Dual Eligible Zero Cost Share plan, and the contractor is required to maintain a performance bond of $906,291.73 throughout the contract term.