Leon Health, Inc.- DSNP

This master agreement establishes a Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) framework designed to deliver integrated healthcare services to dual-eligible beneficiaries in Florida. The IDV encompasses comprehensive Medicaid and Medicare benefits including primary care, acute care, behavioral health services, long-term supports and services, home health, emergency services, prescription drugs, clinic services, and specialty services as defined under Florida Medicaid policies. The plan operates as a Fully Integrated Dual Eligible (FIDE) SNP with exclusively aligned enrollment, ensuring that Medicare and Medicaid benefits are provided through a single entity. Three plan benefit packages are available (MediDual, MediMax, and MediSilver Dual SNPs) with two designated as zero cost-share plans for qualified beneficiaries, serving eligible populations including Qualified Medicare Beneficiaries (QMB), QMB Plus, Specified Low-Income Medicare Beneficiaries (SLMB), SLMB Plus, and Qualifying Individuals (QI).

Leon Health Plans Inc. serves as the prime contractor for this master agreement under the Agency for Health Care Administration (AHCA) in Florida, with a performance period running from January 1, 2026, through December 31, 2028. The contract is classified as a Master Agreement and is limited to geographic coverage in Miami-Dade County and Leon County service areas within Florida. The total maximum compensation for this agreement is $49,446,121.13, contingent upon annual legislative appropriation and fund availability, with a required performance bond of $4,944,612.11. The contract may be renewed for up to three additional one-year periods subject to satisfactory performance evaluations and continued funding availability.