Prominence HealthFirst of Florida, Inc.- DSNP

This Master Agreement establishes a Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) designed to deliver coordinated care services to beneficiaries eligible for both Medicare and Medicaid. The contract authorizes the provision of comprehensive aligned and coordinated services including primary care, acute care, behavioral health services, long-term support and services, home health services, medical supplies and equipment, and all services outlined in Florida Medicaid fee schedules and coverage policies. Operating as a Fully Integrated Dual Eligible (FIDE) SNP, the plan provides exclusively aligned enrollment under a single entity holding both Medicare Advantage and Medicaid managed care organization contracts, ensuring seamless integration of Medicare and Medicaid benefits for dual-eligible beneficiaries. The scope encompasses care management for high-risk beneficiaries, enrollee services, marketing compliance, and care coordination with multiple Florida state agencies.

Prominence HealthFirst of Florida, Inc. serves as the prime contractor under this Master Agreement administered by the Florida Agency for Health Care Administration. The contract period runs from January 1, 2026, through December 31, 2028, with options for renewal for up to three additional years contingent upon satisfactory performance and fund availability. Coverage is limited to Region G, specifically Palm Beach County, serving beneficiaries in the QMB, QMB Plus, SLMB Plus, and FBDE Medicaid eligibility categories. The contract is structured as a Master Agreement with a not-to-exceed amount of $123,912.53, subject to appropriation and fund availability, and requires a performance bond of $12,391.25.