Care Improvement Health Care- DSNP

This master agreement establishes a Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) vehicle designed to provide coordinated and integrated healthcare services to dual-eligible beneficiaries throughout Florida. The contract authorizes the delivery of comprehensive Medicaid-covered services including primary care, acute care, behavioral health services, long-term support and services, home health services, and medical supplies and equipment. Care Improvement Plus South Central operates as a Fully Integrated Dual Eligible (FIDE) SNP, meaning it delivers aligned and coordinated Medicare and Medicaid benefits under a single entity across nine authorized service regions (Regions A through I). The plan serves individuals with multiple Medicaid eligibility categories including Qualified Medicare Beneficiary (QMB), QMB Plus, Specified Low-Income Medicare Beneficiary (SLMB), SLMB Plus, Qualifying Individual (QI), Qualified Disabled and Working Individual (QDWI), and Full Benefit Dual Eligible (FBDE) status.

Care Improvement Plus South Central Insurance Company serves as the prime contractor under this master agreement administered by the Florida Agency for Health Care Administration (AHCA). The contract period extends from January 1, 2026, through December 31, 2028, with renewal options available for up to three additional years contingent upon satisfactory performance evaluation and fund availability. The contract is structured as a Master Agreement with a total compensation amount not to exceed $172,016,081.85, subject to annual legislative appropriation. The vendor is required to maintain a performance bond of $17,201,608.18 and must comply with all federal and state regulatory requirements, including HIPAA standards, background screening protocols, and comprehensive performance monitoring standards established by both CMS and AHCA.