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

The master IDV establishes a coordinated care delivery mechanism for Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) services in Florida. This vehicle enables the provision of fully integrated Medicare and Medicaid covered services to individuals who are eligible for both programs. Available services include acute care, primary care, behavioral health services, long-term support and services, home health services, and medical supplies and equipment. Freedom Health, Inc. operates this Fully Integrated Dual Eligible (FIDE) Special Needs Plan, offering two Plan Benefit Packages: PBP 087 for full dual eligible beneficiaries with zero cost share and PBP 078 for partial dual eligible beneficiaries. The contract encompasses service delivery across 24 Florida counties, including Brevard, Broward, Charlotte, Citrus, Collier, Hernando, Hillsborough, Indian River, Lake, Lee, Manatee, Marion, Martin, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Seminole, St. Lucie, Sumter, and Volusia counties.

Freedom Health, Inc., headquartered in Tampa, Florida, serves as the prime contractor under this master agreement with the State of Florida's Agency for Health Care Administration (AHCA). The contract runs from January 1, 2026, through December 31, 2028, with renewal options available for up to three additional years contingent upon satisfactory performance. The total contract value is not to exceed $7,727,909.28, subject to legislative appropriation, with a performance bond requirement of $772,790.93. Medicaid rates for eligible service categories are designated as "To Be Determined" pending Centers for Medicare & Medicaid Services (CMS) approval, with payment processed within thirty-five calendar days of eligibility determination.