Devoted Health Plan of Florida, Inc.- DSNP

This Master Agreement establishes a Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) through which Devoted Health Plan of Florida provides coordinated Medicare and Medicaid benefits to dual-eligible beneficiaries across Florida. The contract encompasses comprehensive Medicaid covered services including behavioral health services, long-term support and services, home health services, medical supplies and equipment, emergency services, prescribed drugs, and specialized clinical services as defined by Florida Medicaid coverage policies. Devoted Health operates under multiple service delivery models—including Coordination-Only (CO), Highly Integrated Dual Eligible (HIDE), and Fully Integrated Dual Eligible (FIDE) models—across nine designated service regions (A through I) throughout the state. The vendor is responsible for care coordination, case management, discharge planning, transitional care services, and compliance with extensive federal and state operational requirements including toll-free support lines, multilingual materials, provider directory maintenance, and quality standards enforcement.

Devoted Health Plan of Florida, Inc. serves as the prime contractor under this Master Agreement, with the Florida Agency for Health Care Administration (AHCA) as the contracting organization. The contract period extends from January 1, 2026, through December 31, 2028, with potential renewal provisions for up to three additional years contingent upon satisfactory performance evaluation and fund availability. The total contract value is not to exceed $38,473,347.52, subject to annual state appropriation. Devoted Health is classified as a Fully Integrated Dual Eligible (FIDE) Special Needs Plan and must furnish a performance bond of $3,847,334.75. The agreement is governed by federal regulations under 42 CFR Part 422 and Title XIX of the Social Security Act, requiring full alignment of Medicare Part C benefits with Medicaid coverage for eligible beneficiaries throughout Florida.