Enhanced Provider Network Audit

The Master Agreement ME246 establishes an Indefinite Delivery Vehicle for the Enhanced Provider Network Auditing (EPNA) program, which provides comprehensive provider network validation and monitoring services for Florida's Statewide Medicaid Managed Care (SMMC) program. The scope of services includes development and maintenance of web-based reporting portals, internal and external performance dashboards, and HIPAA-compliant databases that support network adequacy assessments. The contractor is responsible for conducting monthly automated network analyses, executing quarterly secret shopper activities (both telephonic and on-site) with a commitment to 3,000 on-site visits monthly, staffing field operations across the state, and delivering detailed monthly, quarterly, and annual compliance reports to the Agency. These services apply to all SMMC plans, including Managed Medical Assistance (MMA), Long-Term Care (LTC), and Dental plans, ensuring alignment with federal managed care regulations.

Myers and Stauffer LC serves as the prime contractor for this IDV awarded by the Florida Agency for Health Care Administration. The contract is structured as a fixed-price Master Agreement with a total value of $29,133,495.66 over a three-year initial performance period from January 1, 2026 through December 31, 2028, with optional renewal periods of up to three additional years at reduced monthly rates contingent upon satisfactory performance. The contract includes a 10% performance bond requirement, liquidated damages provisions for performance failures, and cost-sharing arrangements whereby Managed Care Plans reimburse the Agency for proportionate contract costs. Coverage extends statewide throughout Florida.