CN-640000-CL066.pdf

This is a standard contract between the State of Florida, Department of Health and Florida Woman Care, LLC for comprehensive tubal ligation services. The contract is issued under Florida Statutes and involves federal regulations, specifically referencing Title X of the Public Health Service Act and federal regulations on family planning programs. The contract is specifically for providing tubal ligation and/or salpingectomy services to clients who have been counseled and referred by the Department.

The contract is for a fixed price, unit cost arrangement with a total contract amount not to exceed $6,175.00, subject to fund availability. The provider will be paid $475.00 per tubal ligation and/or salpingectomy service, with a maximum of 13 units/services. Payment is contingent upon completed procedures, including pre- and post-procedure office visits, and proper documentation. The contract is effective from 07/01/2024 to 06/30/2025, with potential renewal for up to three years based on satisfactory performance and fund availability. Services will be provided at the Surgery Center of Naples, and the provider must comply with specific federal and state regulations regarding informed consent, client eligibility, and medical standards.