Dispute Resolution

The Florida Indefinite Delivery Vehicle (IDV) HQA23 is a statewide dispute resolution service contract for health care providers, focused on facilitating third-party claim dispute resolution across the state. Under this master agreement, MAXIMUS Federal Services, Inc. provides a comprehensive claims dispute resolution program that assists both contracted and non-contracted health care providers and health plans. The vendor operates a toll-free assistance line, reviews claim dispute submissions within 10 days, issues recommendations within 60 days, and provides monthly reports to the Agency for Health Care Administration. Services include maintaining operational standards such as interpreter services, call center availability from 8:00 AM to 5:00 PM EST, and an emergency operations plan.

The contract was originally awarded to MAXIMUS Federal Services, Inc. by the Florida Agency for Health Care Administration on July 29, 2016, with multiple amendments extending its performance period. The most recent amendment (Amendment No. 5) extends the contract through June 30, 2023, following a series of renewals and extensions. The IDV is a no-cost agreement covering the entire state of Florida, structured as a Master Agreement that allows for flexible claim dispute resolution services. The contract is authorized under Section 408.7057, F.S., and has undergone multiple modifications to ensure continuous service, with each amendment maintaining the original contract's core provisions while adjusting the performance timeline.