Fiscal Fiduciary Agent for HIV Patient Care and Treatment Services

The Florida Department of Health is conducting an Invitation to Negotiate (ITN) for a Fiscal Fiduciary Agent to manage HIV Patient Care and Treatment Services under the Ryan White HIV/AIDS Program Part B for Leon County and statewide. The procurement seeks a qualified respondent to provide comprehensive fiscal fiduciary services, including managing grant funds, procuring a direct client service network of subcontracted providers, managing invoice payments, and ensuring funds are used for allowable direct client services. Key objectives include transitioning from 14 lead agencies to a single fiduciary agent model, with core requirements to establish a provider network by March 31, 2025, and implement an electronic data system within 30 days of contract execution. Procurement timeline critical dates include questions due by November 21, 2024, responses posted December 5, 2024, and replies due December 16, 2024 at 3:00 PM. Negotiations are anticipated to begin January 8-10, 2025, with intent to award posting on March 3, 2025. Evaluation criteria will focus on the respondent's ability to demonstrate sufficient infrastructure, grant fund management experience, and capability to acquire and manage an independent network of contracted service providers.

The procurement specifically prohibits the selected fiduciary agent from being a direct client service provider, with strict requirements for infrastructure and financial capabilities. The respondent must have sufficient cash or credit to make timely payments to service providers for at least three months and demonstrate experience managing grant funds as a subrecipient. The annual allocation for these services is $36,380,000, with a mandatory minimum of 93% ($34,000,000) allocated to direct client services across 21 specified service categories. The remaining 7% can be used for administrative costs, with core medical services required to receive at least 75% of funds. Specific funding allocations include 30.53% ($10,380,200) for outpatient ambulatory health services and 26.06% ($8,860,400) for medical case management. The initial contract term is three years with potential renewal for up to three additional years. No specific set-aside designations for disadvantaged enterprises were explicitly mentioned in the procurement documents, and no incumbent vendors were identified in the provided materials.