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

This master agreement establishes a Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) vehicle designed to provide integrated healthcare services to individuals eligible for both Medicare and Medicaid benefits. Through this Fully Integrated Dual Eligible (FIDE) SNP contracting mechanism, beneficiaries receive comprehensive coverage including primary and acute care services, behavioral health services, long-term support and services, home health services, and medical supplies and equipment. The vehicle operates across multiple service regions in Florida and serves diverse eligibility categories including Qualified Medicare Beneficiary (QMB), QMB Plus, Specified Low-Income Medicare Beneficiary (SLMB), SLMB Plus, Qualifying Individual (QI), and Full Benefit Dual Eligible (FBDE) populations. The plan coordinates both Medicare and Medicaid benefits under a single capitated contract structure, ensuring beneficiaries receive coordinated care across the full spectrum of covered services while maintaining compliance with federal requirements under 42 CFR Part 422 and Title XIX of the Social Security Act.

Preferred Care Partners, Inc. serves as the prime contractor for this master agreement, with the Florida Agency for Health Care Administration (AHCA) as the contracting organization. The contract, designated as AHCA Contract No. FP133, is effective from January 1, 2026, through December 31, 2028, with optional renewal periods of up to three years. The agreement covers service delivery across multiple Florida regions (Regions B through I) with a total contract value capped at $125,063,287.08, subject to legislative appropriation and fund availability. The vendor is required to maintain a performance bond of $12,506,328.71 throughout the contract term.