HPMP of Florida, Inc. D/B/A Florida Complete Care- DSNP

This Master Agreement establishes a Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) that provides comprehensive integrated healthcare services to beneficiaries eligible for both Medicare and Medicaid. The contract authorizes the delivery of coordinated care arrangements across nine service regions in Florida (Regions A through I), encompassing 22 counties including Miami-Dade, Broward, Hillsborough, Orange, and Palm Beach. Services available under this IDV include Medicare and Medicaid covered benefits, behavioral health services, acute care, primary care, home health services, durable medical equipment, prescription drug coverage, emergency services, long-term care coordination, disease management, care management, and discharge planning. The plan operates as a Highly Integrated Dual Eligible (HIDE) Special Needs Plan with a Zero Cost Share benefit package, serving beneficiaries in the eligibility categories of Qualified Medicare Beneficiary (QMB), QMB Plus, Specified Low-Income Medicare Beneficiary Plus (SLMB Plus), and Full-Benefit Dual Eligible (FBDE).

HPMP of Florida, Inc., operating as Florida Complete Care, serves as the prime contractor for this Master Agreement with the Florida Agency for Health Care Administration (AHCA). The contract period extends from January 1, 2026, through December 31, 2028, with potential renewal for an additional three-year period contingent upon satisfactory performance. The contract is classified as a Master Agreement under Florida's state Medicaid program, with a maximum contract value not to exceed $736,859.98, subject to legislative appropriation and fund availability. The vendor is required to maintain a performance bond of $73,686.00 and operate statewide across all nine designated Florida service regions, with Medicaid service rates designated as "To Be Determined" pending CMS approval for the 2026 contract period.