CN-680000-FP152.pdf
PDF 766 KB Posted
- Contract number
- FP152
- Issued by
- Florida
About this file
Contract Summary
This is an Assignment and Transfer Agreement between the State of Florida, Department of Health and the State of Florida's Agency for Health Care Administration, executed pursuant to Chapter 2025-88, Laws of Florida. The agreement transfers Contract #COQAA from the Department of Health to the Agency for Health Care Administration effective July 1, 2025. The document grants the Agency authority to assume all obligations, duties, liabilities, and services previously held by the Department under the original contract with Sunshine Health Plan.
Contract #COQAA covers Medicaid and Children's Health Insurance Program services provided to children and youth with special health care needs enrolled in the Children's Medical Services Managed Care Plan. The assignment transfers all associated contracts and subcontracts, along with all obligations and duties related to the operation of the managed care plan. The agreement became effective July 1, 2025, and was executed on June 30, 2025, by Shevaun L. Harris, Secretary of the Agency for Health Care Administration, and Antonio Dawkins, Deputy Secretary for Operations of the Department of Health. All provisions in the original contract conflicting with this assignment agreement are amended to conform to the terms of this transfer document.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-680000-FP152-A1.pdf |
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Text version
Docusign Envelope ID: D9EC0B53-46D7-41C6-8214-8F4EA08B92CF
Docusign Envelope ID: D9EC0B53-46D7-41C6-8214-8F4EA08B92CF
Deputy Secretary for Operations
6/30/2025
Antonio Dawkins
Certificate Of Completion Envelope Id: D9EC0B53-46D7-41C6-8214-8F4EA08B92CF Status: Completed
Subject: Complete with Docusign: COQAA-DOH to AHCA Assignment - Bilateral Only-9864828-v3_AHCA Signed.pdf
Source Envelope:
Document Pages: 2 Signatures: 1 Envelope Originator:
Certificate Pages: 1 Initials: 0 Tamara W. McElroy
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada) tamara.mcelroy@flhealth.gov
IP Address: 167.78.4.19
Record Tracking Status: Original
6/30/2025 3:01:47 PM
Holder: Tamara W. McElroy tamara.mcelroy@flhealth.gov
Location: DocuSign
Signer Events Signature Timestamp Antonio Dawkins antonio.dawkins@flhealth.gov
Deputy Secretary for Operations
Carahsoft OBO Florida Department of Health
Security Level: Email, Account Authentication (None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 167.78.4.20
Sent: 6/30/2025 3:03:20 PM
Viewed: 6/30/2025 3:41:49 PM
Signed: 6/30/2025 3:41:56 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 6/30/2025 3:03:21 PM
Certified Delivered Security Checked 6/30/2025 3:41:49 PM
Signing Complete Security Checked 6/30/2025 3:41:56 PM
Completed Security Checked 6/30/2025 3:41:56 PM
Payment Events Status Timestamps
File details come from the government source that posted it. Updated .