CN-680000-FP152-A1.pdf

This document is Amendment No. 1 to AHCA Contract No. FP152, a state contract between the State of Florida, Agency for Health Care Administration (AHCA), and Sunshine State Health Plan, Inc. (Vendor). The amendment reflects the transfer of the Department of Health's Children's Medical Services Managed Care Plan operations to AHCA effective July 1, 2025, pursuant to Chapter 2025-88, Laws of Florida. The contract provides Medicaid services to children and youth with special health care needs eligible for Title XIX (Medicaid) and Title XXI (Children's Health Insurance Program).

The contract amount is $21,819,588,064.09 with a potential increase of $6,143,492,795.00, subject to annual legislative appropriations. The contract period runs from February 1, 2019, or execution date (whichever is later) through September 30, 2026. The amendment establishes the Agency Contract Manager as Sara Kimberly Turner (AHCA, Tallassee, FL) and the Vendor's representative as Warren Moore (Sunshine State Health Plan, Inc., Tallahassee, FL). Payment methodology includes paper check or electronic funds transfers for CMS Health Plan Medicaid and CHIP enrollees. The amendment includes updated Medicaid Provider Identification Numbers, Managed Care Provider Rates effective September 30, 2025, a revised Business Associate Agreement for HIPAA compliance, and a Vendor Certification Form (PUR 7801). All surviving contract provisions remain in effect through their specified end dates, with most reporting requirements surviving until October 30, 2026.