CN-680000-ME235-A1.pdf

PDF 379 KB Posted Jul 1, 2023

Attached to: Master Agreement FL|ME235|7e0eec8553a331951e916011274aaabe
Contract number: ME235
Issued by: Florida

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Written by GovTribe AI · Jul 17, 2025

This document is Amendment No. 1 to Contract No. MED235, an agreement between the State of Florida's Agency for Health Care Administration (the "Agency") and Qlarant Quality Solutions, Inc. (the "Vendor"). The amendment modifies an existing contract that appears to involve quality assurance and review services for healthcare providers and programs.

The amendment updates various contract provisions, including service delivery requirements, reporting schedules, and payment terms for a five-year period from July 1, 2023, through June 30, 2028. The total contract value is $27,486,255.00, with annual appropriations of $5,497,251.00 per year. Key deliverables include Person-Centered Reviews, Provider Discovery Reviews, web-based training, Quality Council coordination, and various reporting requirements. The contract includes specific performance standards and liquidated damages for non-compliance, with reimbursement rates varying by service type (e.g., $1,038.32 per Person-Centered Review in the first quarter, decreasing to $1,024.42 in subsequent quarters).

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AHCA Contract No. MED235, Amendment No. 1, Page 1 of 8 April 2020

AHCA CONTRACT NO. MED235

AMENDMENT NO.1

THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and QLARANT QUALITY SOLUTIONS, INC., hereinafter referred to as the "Vendor," is hereby amended as follows:

1. Attachment I., Scope of Services, Section II., Manner of Service(s) Provision, Sub- Section B., Services Provided by the Vendor, Item 3., Discovery Process, Sub-Item a., Person Centered Review (PCR), Sub-Item a.i., is hereby deleted in its entirety and replaced as follows:

i. The Vendor shall develop and submit a quarterly schedule for the PCRs to the Agency thirty (30) calendar days prior to the Quarter, unless otherwise directed by the Agency. The schedule for the first quarter of SFY2023-2024 shall be due to the Agency within thirty (30) days from execution of this contract. Updates to the schedule shall be reported to the Agency and APD.

2. Attachment I., Scope of Services, Section II., Manner of Service Provision, Sub-Section B., Services Provided by the Vendor, Item 3., Discovery Process, Sub-Item b., Provider Discovery Review (PDR), Sub-Item v.1., is hereby deleted in its entirety and replaced as follows:

1. PDR QO

The Vendor shall, at minimum, gather information for the PDR QO from the following:

a. Sampled PCR reviews associated with the QO;

b. Review of Medicaid claims information and associated QO billing records;

c. Review of QO administrative records, including but not limited to table of organization, mentoring process, staff records, training records, incident reporting, and payroll information; and

d. Interview and discussion with staff, recipient family members, and other stakeholders, as needed.

3. Attachment I., Scope of Services, Section II., Manner of Service Provision, Sub-Section B., Services Provided by the Vendor, Item 5., Vendor Staffing, Sub-Item a., General Staffing Requirements, is hereby amended to now include Sub-Item xii as follows:

xii. The Vendor shall fully respond to Agency inquiries (e.g., voice mail, email) within one (1) business day, unless otherwise approved by the Agency.

4. Attachment I., Scope of Services, Section III., Method of Payment, Sub-Section A., Payment, Table 2, Yearly Totals, is hereby deleted in its entirety and replaced with Table 2-A, Revised Annual Appropriations, as follows. All references in this contract to Table 2 shall hereinafter refer to Table 2-A.

DocuSign Envelope ID: 3801D737-2CCA-44FB-BA34-54E864AED4CE

AHCA CONTRACT NO. MED235

AMENDMENT NO.1

AHCA Contract No. MED235, Amendment No. 1, Page 2 of 8 April 2020

TABLE 2-A

R E V I S E D A N N U A L APPROPRIATIONS

Year 1 (July 1, 2023, thru June 30, 2024) $5,497,251.00 Year 2 (July 1, 2024, thru June 30, 2025) $5,497,251.00 Year 3 (July 1, 2025, thru June 30, 2026) $5,497,251.00 Year 4 (July 1, 2026, thru June 30, 2027) $5,497,251.00 Year 5 (July 1, 2027, thru June 30, 2028) $5,497,251.00

TOTAL $27,486,255.00

5. Effective October 1, 2023, Attachment I., Scope of Services, Section III., Method of Payment, Sub-Section A., Payment, Table 3, FSQAP Payable Services (Deliverables) and Associated Payments, is hereby deleted in its entirety and replaced with Table 3-A, Revised FSQAP Payable Services (Deliverables) and Associated Payments, as follows.

All references in this contract to Table 3 shall hereinafter refer to Table 3-A.

The unit cost for each deliverable is outlined in Table 3-A. The targeted reimbursement amounts in Table 3-A may vary depending on the units of each deliverable completed.

The reimbursement amount shall not exceed the Annual Appropriations shown in Table 2-A.

TABLE 3-A

REVISED FSQAP PAYABLE SERVICES (DELIVERABLES) AND ASSOCIATED

PAYMENTS

Contract Year 1, Quarter 1 (July 1, 2023 – September 30, 2023)

Service Name Unit Reimbursement Amount

Allowable Range Units

Target Units

Target Reimbursement Amount

Person-Centered Review

(PCR)

$1,038.32 1,125-2,100 131 $136,019.92

Provider Discovery Review – All Providers

$1,951.91 1,400-3,000 531 $1,036,464.21

Provider Discovery Review – Qualified Organization

$2,868.52 175-250 13 $37,290.76

Live Web-Based Training $2,285.65 1-8 0 $0.00 Quality Council Coordination

$41,476.67 3 1 $41,476.67

Web-based Resource and Reporting Center Monthly Maintenance (Refresh data)

$4,412.59 12 3 $13,237.77

AHCA Contract No. MED235, Amendment No. 1, Page 3 of 8 April 2020

Contract Year 1, Quarters 2, 3, and 4 (October 1, 2023 – June 30, 2024)

Service Name Unit Reimbursement Amount

Allowable Range Units

Target Units

Target Reimbursement Amount*

Person-Centered Review

(PCR)

$1,024.42 1,125-2,100 1430 $1,464,920.60

Provider Discovery Review – All Providers

$1,951.91 1,400-3,000 1083 $2,113,918.53

Provider Discovery Review – Qualified Organization

$2,832.60 175-250 187 $529,696.20

Live Web-Based Training $2,285.65 1-8 6 $13,713.90 Quality Council Coordination

$35,090.77 3 2 $70,181.54

Web-based Resource and Reporting Center Monthly Maintenance (Refresh data)

$4,412.59 12 9 $39,713.31

TOTAL CONTRACT YEAR 1 $5,496,633.41

Contract Year Two (2) July 1, 2024 – June 30, 2025 Service Name Unit

Reimbursement Amount

Allowable Range Units

Target Units*

Target Reimbursement Amount*

Person-Centered Review

(PCR)

$1,024.42 1,125-2,100 1565 $1,603,217.30

Provider Discovery Review – All Providers

$1,951.91 1,400-3,000 1625 $3,171,853.75

Provider Discovery Review – Qualified Organization

$2,832.60 175-250 194 $549,524.40

Live Web-Based Training $2,285.65 1-8 6 $13,713.90 Quality Council Coordination

$35,090.77 3 3 $105,272.31

Web-based Resource and Reporting Center Monthly Maintenance (Refresh data)

$4,412.59 12 12 $52,951.08

TOTAL CONTRACT YEAR 2 $5,496,532.74

Contract Year Three (3) July 1, 2025 – June 30, 2026 Service Name Unit

Reimbursement Amount

Allowable Range Units

Target Units*

Target Reimbursement Amount*

Person-Centered Review

(PCR)

$1,024.42 1,125-2,100 1565 $1,603,217.30

Provider Discovery Review – All Providers

$1,951.91 1,400-3,000 1625 $3,171,853.75

AHCA Contract No. MED235, Amendment No. 1, Page 4 of 8 April 2020

Provider Discovery Review – Qualified Organization

$2,832.60 175-250 194 $549,524.40

Live Web-Based Training $2,285.65 1-8 6 $13,713.90 Quality Council Coordination

$35,090.77 3 3 $105,272.31

Web-based Resource and Reporting Center Monthly Maintenance (Refresh data)

$4,412.59 12 12 $52,951.08

TOTAL CONTRACT YEAR 3 $5,496,532.74

Contract Year Four (4) July 1, 2026 – June 30, 2027 Service Name Unit

Reimbursement Amount

Allowable Range Units

Target Units*

Target Reimbursement Amount*

Person-Centered Review

(PCR)

$1,024.42 1,125-2,100 1565 $1,603,217.30

Provider Discovery Review – All Providers

$1,951.91 1,400-3,000 1625 $3,171,853.75

Provider Discovery Review – Qualified Organization

$2,832.60 175-250 194 $549,524.40

Live Web-Based Training $2,285.65 1-8 6 $13,713.90 Quality Council Coordination

$35,090.77 3 3 $105,272.31

Web-based Resource and Reporting Center Monthly Maintenance (Refresh data)

$4,412.59 12 12 $52,951.08

TOTAL CONTRACT YEAR 4 $5,496,532.74

Contract Year Five (5) July 1, 2027 – June 30, 2028 Service Name Unit

Reimbursement Amount

Allowable Range Units

Target Units*

Target Reimbursement Amount*

Person-Centered Review

(PCR)

$1,024.42 1,125-2,100 1565 $1,603,217.30

Provider Discovery Review – All Providers

$1,951.91 1,400-3,000 1625 $3,171,853.75

Provider Discovery Review – Qualified Organization

$2,832.60 175-250 194 $549,524.40

Live Web-Based Training $2,285.65 1-8 6 $13,713.90 Quality Council Coordination

$35,090.77 3 3 $105,272.31

Web-based Resource and Reporting Center Monthly

$4,412.59 12 12 $52,951.08

AHCA Contract No. MED235, Amendment No. 1, Page 5 of 8 April 2020

Maintenance (Refresh data)

TOTAL CONTRACT YEAR 5 $5,496,532.74

*Target units and target reimbursement amounts may vary between the service line items above; however, the total Contract amount will not change.

6. Attachment I., Scope of Services, Section IV., Attorney’s Fees, Sub-Section A., Financial Consequences as Liquidated Damages, Item 1., Table 4, Performance Standards and Liquidated Damages, is hereby deleted in its entirety and replaced with Table 4-A, Revised Performance Standards and Liquidated Damages, as follows. All references in this contract to Table 4 shall hereinafter refer to Table 4-A.

TABLE 4-A

REVISED PERFORMANCE STANDARDS AND LIQUIDATED DAMAGES

Performance Standard Requirement Liquidated Damages to be Imposed Performance Bond

A performance bond in the amount of ten percent (10%) of the total annual amount of the Contract shall be furnished to the Agency by the Vendor within thirty (30) calendar days after execution of the Contract and prior to commencement of any work under the Contract.

$500.00 per calendar day for each calendar day after the due date until an acceptable performance bond is furnished to the Agency.

A performance bond shall be furnished on an annual basis, thirty (30) calendar days prior to the new Contract year and be in the amount of ten percent (10%) of the current annual Contract amount.

$500.00 per calendar day for each calendar day after the due date until an acceptable performance bond is furnished to the Agency.

HIPAA

The Vendor shall comply with the provisions of Health Insurance Portability and Accountability Act (HIPAA) / Health Information Technology for Economic and Clinical Health (HITECH).

$500.00 to $5,000.00, per incident, per occurrence, depending upon the severity. In addition, Federal penalties may apply in accordance with the HIPAA Act of 1996.

The Vendor shall not inappropriately release PHI.

$500.00 to $5,000.00, per incident, per occurrence, depending upon the severity.

Records The Vendor shall comply with public records laws, in accordance with Section 119.0701, F.S.

$5,000.00 for each incident in which the Vendor does not comply with a public records request.

The Vendor shall submit to the Agency or its designee, all records and data generated by this Contract no later than sixty (60) calendar days from the expiration or

The Agency may withhold the final monthly payment amount until all records are submitted.

AHCA Contract No. MED235, Amendment No. 1, Page 6 of 8 April 2020

TABLE 4-A

REVISED PERFORMANCE STANDARDS AND LIQUIDATED DAMAGES

Performance Standard Requirement Liquidated Damages to be Imposed termination of this Contract. This obligation survives termination of this Contract (Section IX., Contract Transition).

Background Screening Complete initial and renewal background screenings within required timeframes.

$250.00 per occurrence.

Submit policies and procedures within thirty

(30) calendar days of Contract execution.

$250.00 per calendar day beyond the due date.

Security Rating Score Annually maintain a top tier security rating score from the Agency’s selected information security rating service.

$5,000.00 per occurrence and $250.00 per calendar day, if the Vendor does not improve to a top tier security rating score within three (3) months after its initial failure notification by the Agency, to annually obtain a top tier security rating score.

Service Organization Controls (SOC) 2 Type II Audit Annually submit the SOC 2 Type II audit report by September 1st of each Contract year.

$1,000.00 per calendar day for each calendar day beyond the due date.

Services

The Vendor shall fully respond to Agency inquiries (e.g., voice mail, email) within one (1) business day, unless otherwise approved by the Agency.

$100.00 per day beyond the due date until provided to the Agency or APD.

The Vendor shall comply with the requirements as outlined in Attachment I., Scope of Services, Section VII., Corrective Action Plan (CAP) and implement the approved CAP by the Agency specified date.

$500.00 per calendar day for each calendar day that the approved CAP is not implemented to the satisfaction of the Agency.

One hundred percent (100%) of the Quality Assurance Reviewers and Region Managers shall meet the minimum licensure and experience requirements.

Monthly payment reduced by one percent (1%) for any failure to meet this standard.

The Vendor shall complete PDR reconsiderations no later than thirty (30) days after the request was received.

$300.00 per calendar day for each calendar day beyond the due date.

Web-based Resource and Reporting Center The Vendor shall provide immediate notice to the Agency's Contract Manager and APD users via email of any unexpected and non-

$5,000.00 per missed occurrence.

AHCA Contract No. MED235, Amendment No. 1, Page 7 of 8 April 2020

TABLE 4-A

REVISED PERFORMANCE STANDARDS AND LIQUIDATED DAMAGES

Performance Standard Requirement Liquidated Damages to be Imposed scheduled system downtime within one (1) hour of such discovery, as outlined in Attachment I, Scope of Services, Section II., Manner of Service(s) Provision, Sub- Section B., Services Provided by the Vendor, Item 10., Web-Based Resources and Reporting Center The Vendor shall resolve all issues requiring non-scheduled system downtime within four (4) hours, unless otherwise agreed to by the Agency, as outlined in Attachment I, Scope of Services, Section II., Manner of Service(s) Provision, Sub- Section B., Services Provided by the Vendor, Item 10., Web-Based Resource and Reporting Center.

$5,000.00 per missed occurrence.

The Vendor shall notify the Agency and impacted providers via email of scheduled system downtime for routine maintenance at least seventy-two (72) hours in advance and shall schedule downtime after 10:00 PM and 6:00 AM EST, as outlined in Attachment I, Scope of Services, Section II., Manner of Service(s) Provision, Sub- Section B., Services Provided by the Vendor, Item 10., Web-Based Resource and Reporting Center

$5,000.00 per missed occurrence.

Customer Service

The Vendor shall return all calls for voicemails received by the close of business the next business day.

$250.00 per occurrence.

The Vendor shall resolve all written and verbal inquiries as soon as possible but no later than five (5) business days from initial receipt, as outlined in Attachment I, Scope of Services, Section II., Manner of Service(s) Provision, Sub-Section B., Services Provided by the Vendor, Item 6.

Customer Service.

$500.00 per calendar day beyond the due date.

Staffing Requirements

The Vendor shall notify the Agency in writing of any key staff resignations, dismissals, or personnel changes within one (1) business day of the occurrence.

$200.00 per business day beyond the due date.

AHCA Contract No. MED235, Amendment No. 1, Page 8 of 8 April 2020

TABLE 4-A

REVISED PERFORMANCE STANDARDS AND LIQUIDATED DAMAGES

Performance Standard Requirement Liquidated Damages to be Imposed Should the Contract Manager become vacant, the Vendor shall notify the Agency immediately and provide information on the replacement within ten (10) business days.

7. Attachment I, Scope of Services, Exhibit A, Deliverables, Associated Payment, and Financial Consequences, is hereby deleted in its entirety and replaced with Exhibit A-1, Revised Deliverables, Associated Payment, and Financial Consequences, as follows. All references in this Contract to Exhibit A shall hereinafter refer to Exhibit A-1.

All provisions not in conflict with this Amendment are still in effect and are to be performed at the level specified in this Contract.

This Amendment and all its attachments are hereby made a part of this Contract.

This Amendment cannot be executed unless all previous Amendments to this Contract have been fully executed.

IN WITNESS WHEREOF, the Parties hereto have caused this eighteen (17) page Amendment to be executed by their officials thereunto duly authorized. This Amendment is not valid until signed and dated by both Parties.

QLARANT QUALITY SOLUTIONS, INC. STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION

SIGNED

BY:

SIGNED

BY:

NAME: NAME:

TITLE: TITLE:

DATE: DATE:

List of Attachments included as part of this Amendment:

Specify Type Number Description Attachment I Exhibit A-1 Revised Deliverables, Associated

Payment, and Financial Consequences

DocuSign Envelope ID: 3801D737-2CCA-44FB-BA34-54E864AED4CE

Ronald G. Forsythe, Jr.

CEO

2/23/2024

Jason Weida

Secretary

3/7/2024

ATTACHMENT I

EXHIBIT A-1

REVISED DELIVERABLES, ASSOCIATED PAYMENT, AND FINANCIAL CONSEQUENCES

AHCA Contract No. MED235, Amendment No. 1, Exhibit A-1, Page 1 of 9 April 2020

DELIVERABLE

Operational Policies and Procedures

SUPPORTING DOCUMENTATION

The Vendor’s Operational Policies and Procedures shall detail the implementation of all aspects of the Contract.

EVALUATION CRITERIA

The Agency’s Contract Manager shall evaluate the Vendor’s policies and procedures as outlined in Attachment I., Scope of Services, Section II., Manner of Service Provision, Sub-section B., Services Provided by the Vendor, Item 1. Operational Policies and Procedures.

DUE DATE(S)

Draft due within fifteen (15) days after contract execution Final due within five (5) calendar days of receiving Agency feedback on the draft Operational Policies and Procedures.

AMOUNT

No Cost

PERFORMANCE STANDARDS

The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time.

LIQUIDATED DAMAGES

$1,000.00 per day for each business day past the due date that the Agency has not received the supporting documentation.

DELIVERABLE

Internal Quality Assurance Program (IQAP)

SUPPORTING DOCUMENTATION

The Vendor shall submit an Internal Quality Assurance Program plan and annual activity reports.

EVALUATION CRITERIA

The Agency’s Contract Manager shall evaluate the Vendor’s IQAP as outlined in Attachment I, Scope of Services, Section II, Manner of Service Provision, Sub-section B, Services Provided by the Vendor, Item 9. Internal Quality Assurance Program

DUE DATE(S)

Draft due within fifteen (15) days after contract execution Final due within five (5) calendar days of receiving Agency feedback on the draft IQAP plan.

Annual report of activity due sixty (60) days after Contract year end.

AMOUNT

No Cost

PERFORMANCE STANDARDS

The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time.

LIQUIDATED DAMAGES

$1,000.00 per day for each business day past the due date that the Agency has not received the supporting documentation.

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

REVISED DELIVERABLES, ASSOCIATED PAYMENT, AND FINANCIAL CONSEQUENCES

AHCA Contract No. MED235, Amendment No. 1, Exhibit A-1, Page 2 of 9 April 2020

DELIVERABLE

Disaster Recovery Plan

SUPPORTING DOCUMENTATION

The vendor shall develop and maintain a Disaster Recovery Plan and submit test results annually as outlined in this Contract.

EVALUATION CRITERIA

The Agency’s Contract Manager shall evaluate the Vendor’s compliance with Attachment I, Scope of Services, Section XII, Disaster Recovery

DUE DATE(S)

No later than thirty (30) calendar days prior to this Contract effective date.

AMOUNT

No Cost

PERFORMANCE STANDARDS

The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time.

LIQUIDATED DAMAGES

$1,000.00 per incidence of failure to meet the disaster recovery requirements described in Section XII., Disaster Recovery.

DELIVERABLE

Person-Centered Review Schedule

SUPPORTING DOCUMENTATION

The Vendor shall develop and submit a quarterly Person-Centered review (PCR) schedule to the Agency.

EVALUATION CRITERIA

The Agency’s Contract Manager shall evaluate the Vendor’s compliance with Attachment I., Scope of Services, Section II., Manner of Service Provision, Sub-section B., Services Provided by the Vendor, Item 3. Discovery Process, Sub-Item a. Person-Centered Review (PCR), Sub- Item i.

DUE DATE(S)

First quarter schedule is due no later than thirty (30) days after contract execution; all other schedules due thirty (30) days prior to the quarter unless otherwise directed by the Agency.

AMOUNT

No cost

PERFORMANCE STANDARDS

The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time.

LIQUIDATED DAMAGES

$300.00 per calendar day the schedule is late.

REVISED DELIVERABLES, ASSOCIATED PAYMENT, AND FINANCIAL CONSEQUENCES

AHCA Contract No. MED235, Amendment No. 1, Exhibit A-1, Page 3 of 9 April 2020

DELIVERABLE

Person-Centered Review (SFY 2023-2024 Quarter 1)

SUPPORTING DOCUMENTATION

The Vendor shall post all approved PCRs to the secure web-based reporting site and submit cycle-time reports monthly. The Vendor shall complete the number of PCRs in accordance with the requirements outlined in this contract.

EVALUATION CRITERIA

The Agency’s Contract Manager shall perform a random fifteen percent (15%) sample to evaluate the Vendor’s compliance with Attachment I., Scope of Services, Section II., Manner of Service Provision, Sub-section B., Services Provided by the Vendor, Item 3. Discovery Process, Sub-Item a. Person-Centered Review (PCR)

DUE DATE(S)

Forty-five (45) days after last review activity as described in Table 1

AMOUNT

Effective July 1, 2023, through September 30, 2023, $1,038.32 per completed PCR, not to exceed one-hundred and thirty-one (131) units for SFY2324 Quarter 1.

PERFORMANCE STANDARDS

Ninety-five percent (95%) of PCRs shall be completed within forty-five (45) calendar days from date of last review activity, posted to the secure site within forty-five (45) days of completion, and with no errors.

LIQUIDATED DAMAGES

$500.00 per occurrence, per calendar day.

DELIVERABLE

Provider Discovery Review Schedule

SUPPORTING DOCUMENTATION

The Vendor shall develop and submit an annual Provider Discovery Review (PDR) schedule to the Agency.

EVALUATION CRITERIA

DUE DATE(S)

No later than thirty (30) calendar days after contract execution for Contract year one (1), and no later than forty-five (45) days prior to the start of each subsequent Contract year.

AMOUNT

No Cost

PERFORMANCE STANDARDS

The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time.

LIQUIDATED DAMAGES

$300.00 per calendar day the schedule is late.

REVISED DELIVERABLES, ASSOCIATED PAYMENT, AND FINANCIAL CONSEQUENCES

AHCA Contract No. MED235, Amendment No. 1, Exhibit A-1, Page 4 of 9 April 2020

DELIVERABLE

Provider Discovery Review

SUPPORTING DOCUMENTATION

The Vendor shall post all completed PDRs to the secure web-based reporting site and submit cycle-time reports monthly. The Vendor shall complete the number of PDRs in accordance with the requirements outlined in this contract.

EVALUATION CRITERIA

DUE DATE(S)

Forty-five (45) days after last review activity as described in Table 1

AMOUNT

$1,951.91 per completed PDR, not to exceed 3,000 units per contract year.

PERFORMANCE STANDARDS

Ninety-five percent (95%) of PDRs shall be completed within forty-five (45) calendar days from date of last review activity, posted to the secure site within forty-five (45) days of completion, with no errors.

LIQUIDATED DAMAGES

$500.00 per occurrence, per calendar day.

DELIVERABLE

Provider Discovery Review – Qualified Organizations (SFY 2023-2024 Quarter 1)

SUPPORTING DOCUMENTATION

The Vendor shall post all approved PDR QOs to the secure web-based reporting site and submit cycle-time reports monthly. The Vendor shall complete the number of PDR QOs in accordance with the requirements outlined in this contract.

EVALUATION CRITERIA

The Agency’s Contract Manager shall perform a random twenty-five percent (25%) sample to evaluate the Vendor’s compliance with Attachment I., Scope of Services, Section II., Manner of Service Provision, Sub-section B., Services Provided by the Vendor, Item 3. Discovery Process, Sub-Item b. Provider Discovery Review (PDR).

DUE DATE(S)

Forty-five (45) days after last review activity as described in Table 1.

AMOUNT

Effective July 1, 2023, through September 30, 2023, $2,868.52 per completed PDR QO, not to exceed thirteen (13) units for SFY2324 Quarter 1.

PERFORMANCE STANDARDS

LIQUIDATED DAMAGES

$500.00 per occurrence, per calendar day.

REVISED DELIVERABLES, ASSOCIATED PAYMENT, AND FINANCIAL CONSEQUENCES

AHCA Contract No. MED235, Amendment No. 1, Exhibit A-1, Page 5 of 9 April 2020

DELIVERABLE

Web-based Resource and Reporting Center

SUPPORTING DOCUMENTATION

The Vendor shall develop and maintain the Web-based Resource (public) and Reporting (secure) Center. The Vendor shall submit any postings for the Resource center to the Agency for approval.

EVALUATION CRITERIA

The Agency’s Contract Manager shall review the Vendor’s monthly activity report and public and secure sites to evaluate the Vendor’s compliance with Attachment I., Scope of Services, Section II., Manner of Service Provision, Sub-section B., Services Provided by the Vendor, Item 10. Web-Based Resource and Reporting Center.

DUE DATE(S)

Monthly refresh of content and activity report due fifteen (15) calendar days following the end of each reporting month.

AMOUNT

$4,412.59 per unit, not to exceed twelve (12) units per contract year.

PERFORMANCE STANDARDS

The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time.

LIQUIDATED DAMAGES

$250.00 per calendar day the website is not updated.

10.

DELIVERABLE

Live Web-Based Training

SUPPORTING DOCUMENTATION

The Vendor shall develop, and present live web-based training as directed by the Agency for providers, recipients, and other stakeholders.

EVALUATION CRITERIA

The Agency’s Contract Manager shall evaluate the Vendor’s compliance with Attachment I., Scope of Services, Section II., Manner of Service Provision, Sub-section B., Services Provided by the Vendor, Item 8. Training and Education, Sub-Items c., d., and e.

DUE DATE(S)

Materials and presentations to be submitted for approval thirty (30) days prior to use.

AMOUNT

$2,285.65 per unit, not to exceed eight (8) units per contract year.

PERFORMANCE STANDARDS

The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time.

LIQUIDATED DAMAGES

$250.00 per calendar day materials and presentations are submitted late.

REVISED DELIVERABLES, ASSOCIATED PAYMENT, AND FINANCIAL CONSEQUENCES

AHCA Contract No. MED235, Amendment No. 1, Exhibit A-1, Page 6 of 9 April 2020

11.

DELIVERABLE

Quality Council (SFY 2023-2024 Quarter 1)

SUPPORTING DOCUMENTATION

The Vendor shall coordinate three (3) Quality Council Meetings per Contract year. Meetings to be held in July, October, and March of each Contract year.

EVALUATION CRITERIA

DUE DATE(S)

Date and location to be submitted to the Agency for approval two (2) months before the meeting.

AMOUNT

Effective July 1, 2023, through September 30, 2023, $41,476.67 per unit, not to exceed one (1) unit for SFY2324 Quarter 1.

PERFORMANCE STANDARDS

The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time.

LIQUIDATED DAMAGES

$250.00 per calendar day the data and location are not submitted for approval.

$1,000.00 for each Quality Council Meeting not held.

12.

DELIVERABLE

Monthly Reports

SUPPORTING DOCUMENTATION

The Vendor shall submit a Monthly report to the Agency and APD in accordance with Attachment I., Scope of Services, Section II., Manner of Service Provision, Sub-section D., Reporting, Item 2. Monthly Reporting.

EVALUATION CRITERIA

The Agency’s Contract Manager shall review the report to evaluate the Vendor’s compliance with Attachment I., Scope of Services, Section II., Manner of Service Provision, Sub-section D., Reporting, Item 2. Monthly Reporting.

DUE DATE(S)

No later than the 15th of each month following the reporting month.

AMOUNT

No Cost

PERFORMANCE STANDARDS

The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time.

LIQUIDATED DAMAGES

$500.00 per calendar day beyond the due date.

REVISED DELIVERABLES, ASSOCIATED PAYMENT, AND FINANCIAL CONSEQUENCES

AHCA Contract No. MED235, Amendment No. 1, Exhibit A-1, Page 7 of 9 April 2020

13.

DELIVERABLE

CMS Reporting

SUPPORTING DOCUMENTATION

The Vendor shall submit quarterly CMS measures data in Excel format to the Agency and APD in accordance with Attachment I., Scope of Services, Section II., Manner of Service Provision, Sub-section D., Reporting, Item 3. CMS Measures Data Reporting.

EVALUATION CRITERIA

DUE DATE(S)

Thirty (30) calendar days following the end of the preceding quarter. Reports shall be due on October 30th, January 30th, April 30th, and July 30th for each Contract year.

AMOUNT

No Cost

PERFORMANCE STANDARDS

The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time.

LIQUIDATED DAMAGES

$1,000.00 per calendar day beyond the due date.

14.

DELIVERABLE

Annual Report

SUPPORTING DOCUMENTATION

The Vendor shall submit an Annual report to the Agency and APD in accordance with Attachment I., Scope of Services, Section II., Manner of Service Provision, Sub-section D., Reporting, Item 4. Annual Reporting.

EVALUATION CRITERIA

DUE DATE(S)

No later than sixty (60) days following the end of each resulting Contract year.

AMOUNT

No Cost

PERFORMANCE STANDARDS

The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time.

LIQUIDATED DAMAGES

$500.00 per calendar day beyond the due date.

REVISED DELIVERABLES, ASSOCIATED PAYMENT, AND FINANCIAL CONSEQUENCES

AHCA Contract No. MED235, Amendment No. 1, Exhibit A-1, Page 8 of 9 April 2020

15.

DELIVERABLE

Person-Centered Review – Effective October 1, 2023

SUPPORTING DOCUMENTATION

EVALUATION CRITERIA

DUE DATE(S)

Forty-five (45) days after last review activity as described in Table 1

AMOUNT

Effective October 1, 2023, $1,024.42 per completed PCR, not to exceed 2,100 units per contract year.

PERFORMANCE STANDARDS

LIQUIDATED DAMAGES

$500.00 per occurrence, per calendar day.

16.

DELIVERABLE

Provider Discovery Review – Qualified Organizations – Effective October 1, 2023

SUPPORTING DOCUMENTATION

EVALUATION CRITERIA

DUE DATE(S)

Forty-five (45) days after last review activity as described in Table 1.

AMOUNT

Effective October 1, 2023, $2,832.65 per completed PDR QO, not to exceed two-hundred and fifty (250) units per contract year.

PERFORMANCE STANDARDS

LIQUIDATED DAMAGES

$500.00 per occurrence, per calendar day.

REVISED DELIVERABLES, ASSOCIATED PAYMENT, AND FINANCIAL CONSEQUENCES

AHCA Contract No. MED235, Amendment No. 1, Exhibit A-1, Page 9 of 9 April 2020

17.

DELIVERABLE

Quality Council – Effective October 1, 2023

SUPPORTING DOCUMENTATION

The Vendor shall coordinate three (3) Quality Council Meetings per Contract year. Meetings to be held in July, October, and March of each Contract year.

EVALUATION CRITERIA

DUE DATE(S)

Date and location to be submitted to the Agency for approval two (2) months before the meeting.

AMOUNT

Effective October 1, 2023, $35,090.77 per unit, not to exceed two units for SFY2324 and three

(3) units per contract year thereafter.

PERFORMANCE STANDARDS

The Vendor shall submit the required deliverable one hundred percent (100%) complete and on time.

LIQUIDATED DAMAGES

$250.00 per calendar day the data and location are not submitted for approval.

$1,000.00 for each Quality Council Meeting not held.

1. Attachment I., Scope of Services, Section II., Manner of Service(s) Provision, Sub-Section B., Services Provided by the Vendor, Item 3., Discovery Process, Sub-Item a., Person Centered Review (PCR), Sub-Item a.i., is hereby deleted in its entirety ...

File details come from the government source that posted it. Updated Jul 17, 2025.