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State Contract Reporting System

Florida Department of Financial Services: F.A.C.T.S

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Contract Information

 

Summary

Agency Name: DEPARTMENT OF HEALTH

Agency Contract ID: COQAA

Long Title: CMS Health Plan

Vendor Name: SUNSHINE STATE HEALTH PLAN INC

Total Contract Amount: $15,677,095,269.10

Total Budgetary Amount: $15,676,095,269.09

Total Payment To Date: $14,301,762,491.36

Date of Execution: 01/31/2019

General Description: This contract will assist with the administration of the CMS Health Plan, which services children with special health care needs who are eligible for Title XIX (Medicaid) and Title XXI (Children’s Health Insurance Program).

Main Information

Agency Contract ID: COQAA

FLAIR Contract ID: COQAA

Short Title: CMSHP

Long Title: CMS Health Plan

Contract Type: Standard Two Party Agreement by Statute

Contract Status: Active

Date of Execution: 01/31/2019

Date of Beginning: 02/01/2019

Original End Date: 01/31/2024

New Ending Date: 09/30/2025

Agency Service Area: Multi

Statutory Authority: 391 & 409, FS, PT II & IV, 409.974(4), FS, TITLE XIX & XXI

Contract Involves State or Federal Financial Assistance: Yes

Recipient Type: FOR PROFIT ORGANIZATION INCLUDES SOLE PROPRIETOR

Provide for Administrative Cost: No

Provide for Periodic Increase: No

Procurement Information

Authorized Advanced Payment: No

Method of Procurement: Agency Invitation to Negotiate [s. 287.057(1)(c), F.S.]

State Term Contract ID:

Contract’s Exemption Justification:

Agency Reference Number: ITN DOH17-026

Business Case Study Done: No

Legal Challenges to Procurement: Yes

Legal Challenge Description: DOH-18-1419-OFO-BID DOAH Case # 18-4242BID Agency Final Order issued on 12/12/2018 Petitioner did not prove that the Department's intended award of the contract to Intervenor was contrary to its governing statutes, rules, or the ITN's specifications.

Outsourcing / Capital Improvements

Was the Contracted Function Previously Performed by the State: No

Was the Contracted Function Considered for Insourcing back to the State: No

Did the Vendor Make Capital Improvements on State Property: No

Budget Information

Original Contract Amount: $7,778,524,106.22

Total Contract Amount: $15,677,095,269.10

Total Recurring Budgetary Amount: $11,892,808,332.25

Total Non-Recurring Budgetary Amount: $3,783,286,936.84

Total Budgetary Amount: $15,676,095,269.09

Total Unfunded Amount: $1,000,000.01

As of Date: 8/12/2025

Recurring Budgetary Amount Account Code Fiscal Year Effective Date FY Cost Accumulator Agency Amendment Reference
$1,427,091,070.89 64-20-2-168001-64300100-00-100497-00 02/01/2025 2024-2025 TXIXM A11
$233,355,726.19 64-20-2-168001-64300100-00-100497-00 02/01/2025 2024-2025 TXIXM A11
$1,069,132,596.92 64-10-1-000319-64300100-00-100497-00 02/01/2025 2024-2025 TXIXM A11
$220,377,277.44 64-10-1-000319-64300100-00-100497-00 07/01/2023 2023-2024 TXIXM
$359,309,328.92 64-20-2-168001-64300100-00-100497-00 07/01/2023 2023-2024 TXIXM
$25,928,413.69 64-20-2-168001-64300100-00-100497-00 07/01/2023 2023-2024 TXXIM
$1,031,346,199.99 64-10-1-000319-64300100-00-100497-00 07/01/2022 2022-2023 TXIXM
$1,309,210,302.95 64-20-2-168001-64300100-00-100497-00 07/01/2022 2022-2023 TXIXM
$311,140,964.25 64-20-2-168001-64300100-00-100497-00 07/01/2022 2022-2023 TXXIM
$708,709,974.12 64-10-1-000319-64300100-00-100497-00 07/01/2021 2021-2022 TXIXM
$708,709,974.12 64-20-2-168001-64300100-00-100497-00 07/01/2021 2021-2022 TXIXM
$311,140,964.25 64-20-2-168001-64300100-00-100497-00 07/01/2021 2021-2022 TXXIM
$708,709,974.12 64-10-1-000319-64300100-00-100497-00 07/01/2020 2020-2021 TXIXM
$708,709,974.12 64-20-2-168001-64300100-00-100497-00 07/01/2020 2020-2021 TXIXM
$311,140,964.25 64-20-2-168001-64300100-00-100497-00 07/01/2020 2020-2021 TXXIM
$708,709,974.12 64-10-1-000319-64300100-00-100497-00 07/01/2019 2019-2020 TXIXM
$708,709,974.12 64-20-2-168001-64300100-00-100497-00 07/01/2019 2019-2020 TXIXM
$311,140,964.25 64-20-2-168001-64300100-00-100497-00 07/01/2019 2019-2020 TXXIM
$295,295,822.55 64-10-1-000319-64300100-00-100497-00 02/01/2019 2018-2019 TXIXM
$129,642,068.44 64-20-2-168001-64300100-00-100497-00 02/01/2019 2018-2019 TXXIM
$295,295,822.55 64-20-2-168001-64300100-00-100497-00 02/01/2019 2018-2019 TXIXM


Non-Recurring Budgetary Amount Account Code Fiscal Year Effective Date FY Cost Accumulator Agency Amendment Reference
$2,192,793,108.59 64-20-2-168001-64300100-00-100497-00 05/22/2024 2023-2024 TXIXM A9
$1,590,493,828.25 64-10-1-000319-64300100-00-100497-00 05/22/2024 2023-2024 TXIXM A9

Contract Change

Change Type Amendment Amount Agency Amendment Reference Change Description Amendment Effective Date Amendment Execution Date New Ending Date
Amendment $2,729,579,394.00 A11 Increases funding for operations 02/01/2025 06/26/2025
Amendment $0.00 A10 End date was extended to match Prime Contract extension date 02/01/2025 01/28/2025 09/30/2025
Amendment $3,783,286,936.84 A9 Increases contract funds and extends contract end date 05/22/2024 05/22/2024 01/31/2025
Amendment $1,385,704,832.04 A8 add funds 06/30/2023 06/27/2023
Amendment $0.00 A7 Update rates and overall formatting 06/20/2023 06/20/2023
Amendment $0.00 A6 New End Date and Change in Payee Address 02/14/2023 02/14/2023 12/31/2024
Amendment $0.00 A5 Revision to Liquidated Damages and correction of overall for 04/06/2022 04/06/2022 01/31/2024
Amendment $0.00 A4 Provider ownership change 09/30/2021 08/30/2021
Amendment $0.00 A3 E-verify language 06/16/2021 06/16/2021
Amendment $0.00 A2 update MEdicaid & CHIP provider rates 03/16/2021 03/16/2021
Amendment $0.00 A1 Update Method of Payment Section 11/20/2020 11/20/2020

Vendor

Name Line 1Name Line 2City State ZipMinority Vendor Designation
SUNSHINE STATE HEALTH PLAN INC TAMPA FL 336340000 Non-Minority

CFDA

CFDA Code Description
93.767 STATE CHILDREN'S INSURANCE PROGRAM
93.778 DEPARTMENT OF HEALTH AND HUMAN SERVICES/CENTERS FOR MEDICARE

CSFA

No CSFA Codes found for the contract.
More Deliverable Number      Commodity/Service Type Major Deliverable Method of Payment
     
 Pediatric services Deliverables are due as specified in Attachment I, Section XVI.A.3., Summary of Reporting Requiremen... Fixed Fee / Unit Rate
 Displaying 1 to 1 of 1    


Payments are also referred to as expenditures (creating or incurring a legal obligation to disburse money) or disbursements (the payment of expenditures). Payments include disbursements and accounting adjustments made on a contract. Payments are always positive amounts while accounting adjustments may be positive or negative depending on the type of adjustment.

Payment Details

"Date" in the listing below indicates the date the payment voucher was recorded in the system, not the date the payment was issued.
More Fiscal Year Total Amount
     
 2025-2026 $9.00
     
 2024-2025 $3,816,843,097.38
     
 2023-2024 $2,418,682,993.70
     
 2022-2023 $2,182,782,228.44
     
 2021-2022 $2,026,102,025.64
     
 2020-2021 $1,739,861,198.43
     
 2019-2020 $1,471,147,642.64
     
 2018-2019 $646,343,296.13

If a payment or adjustment to a contract was made before July 1, 2012, the information may not be posted in this system.

Contract Documents


Click on the pdf icon or Agency Document Link to view the document
Document Type Document Reference # Executed Date Document Add Date Agency Document Link View
Original Contract Original Contract - COQAA 01/31/2019 2/4/2019 4:21:43 PM
Amendment A1 11/20/2020 11/24/2020 1:19:49 PM
Amendment A10 01/28/2025 1/28/2025 12:14:28 PM
Amendment A11 06/26/2025 8/12/2025 3:33:11 PM
Amendment A2 03/16/2021 3/24/2021 11:25:31 AM
Amendment A3 06/16/2021 6/24/2021 10:44:20 AM
Amendment A4 08/30/2021 9/22/2021 2:24:25 PM
Amendment A5 04/06/2022 4/26/2022 2:48:38 PM
Amendment A6 02/14/2023 2/14/2023 10:17:02 AM
Amendment A7 06/20/2023 6/22/2023 3:08:49 PM
Amendment A8 06/27/2023 7/7/2023 9:01:36 AM
Amendment A9 05/22/2024 5/28/2024 2:47:47 PM


Audit results posted prior to June 30, 2012, appear in a summarized form. As of July 1, 2012, the audit reporting process was expanded to include additional questions and comments from the Bureau of Auditing. As audits are captured in electronic format, they will be posted to this system. If you are interested in seeing audit reports by Fiscal Year and Agency Action Plans, please click here to navigate to the Transparency Florida Contract Audit page.
Audit Type Review Date Fiscal Year View
Contract Review 04/24/2019 2018-2019 View
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