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

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Contract Information

 

Summary

Agency Name: AGENCY FOR HEALTH CARE ADMINISTRATION

Agency Contract ID: FP060

Long Title: Statewide Medicaid Managed Care Services

Vendor Name: SUNSHINE STATE HEALTH PLAN INC.

Total Contract Amount: $56,429,400,940.02

Total Budgetary Amount: $56,429,400,940.02

Total Payment To Date: NA

Date of Execution: 08/23/2018

General Description: Provides Comprehensive and Child Welfare Services to Eligibl

Main Information

Agency Contract ID: FP060

FLAIR Contract ID: FP060

Short Title: SMMC

Long Title: Statewide Medicaid Managed Care Services

Contract Type: Standard Two Party Agreement by Statute

Contract Status: Closed or Expired

Date of Execution: 08/23/2018

Date of Beginning: 08/23/2018

Original End Date: 12/31/2023

New Ending Date: 01/31/2025

Agency Service Area:

Statutory Authority: 409.966

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: N/A

Agency Reference Number:

Business Case Study Done: No

Legal Challenges to Procurement: No

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: $14,739,247,736.36

Total Contract Amount: $56,429,400,940.02

Total Recurring Budgetary Amount: $56,429,400,940.02

Total Non-Recurring Budgetary Amount: $0.00

Total Budgetary Amount: $56,429,400,940.02

Total Unfunded Amount: $0.00

As of Date: 1/13/2026

Recurring Budgetary Amount Account Code Fiscal Year Effective Date FY Cost Accumulator Agency Amendment Reference
$0.00 68-20-2-474001-68501400-00-102673-00 01/13/2026 2025-2026 FEESV A14
$0.00 68-10-1-000298-68501400-00-102673-00 01/13/2026 2025-2026 FEESV A14
$0.00 68-20-2-474001-68501400-00-102673-00 01/13/2026 2025-2026 FEESV A13
$0.00 68-10-1-000298-68501400-00-102673-00 01/13/2026 2025-2026 FEESV A13
$0.00 68-20-2-474001-68501400-00-102673-00 01/13/2026 2025-2026 FEESV A12
$0.00 68-10-1-000298-68501400-00-102673-00 01/13/2026 2025-2026 FEESV A12
$0.00 68-20-2-474001-68501400-00-102673-00 01/13/2026 2025-2026 FEESV A10
$0.00 68-10-1-000298-68501400-00-102673-00 01/13/2026 2025-2026 FEESV A10
$0.00 68-20-2-474001-68501400-00-102673-00 01/13/2026 2025-2026 FEESV A9
$0.00 68-10-1-000298-68501400-00-102673-00 01/13/2026 2025-2026 FEESV A9
$0.00 68-20-2-474001-68501400-00-102673-00 01/13/2026 2025-2026 X4000 A7
$0.00 68-10-1-000298-68501400-00-102673-00 01/13/2026 2025-2026 X4000 A7
$0.00 68-20-2-474001-68501400-00-102673-00 01/13/2026 2025-2026 X4000 A6
$0.00 68-10-1-000298-68501400-00-102673-00 01/13/2026 2025-2026 X4000 A6
$0.00 68-10-1-000298-68501400-00-102673-00 01/13/2026 2025-2026 X4000 A2
$0.00 68-20-2-474001-68501400-00-102673-00 01/13/2026 2025-2026 X4000 A2
$0.00 68-10-1-000298-68501400-00-102673-00 01/13/2026 2025-2026 FEESV A1
$0.00 68-10-1-000298-68501400-00-102673-00 01/13/2026 2025-2026 X4000 A1
$0.00 68-20-2-474001-68501400-00-102673-00 01/13/2026 2025-2026 FEESV A1
$0.00 68-10-1-000298-68501400-00-102673-00 01/13/2026 2025-2026 X4000 A1
$0.00 68-10-1-000298-68501400-00-102673-00 01/13/2026 2025-2026 X4000 A1
$0.00 68-20-2-474001-68501400-00-102673-00 01/13/2026 2025-2026 FEESV A1
$0.00 68-20-2-474001-68501400-00-102673-00 01/13/2026 2025-2026 X4000 A1
$0.00 68-20-2-474001-68501400-00-102673-00 01/13/2026 2025-2026 X4000 A1
$0.00 68-20-2-474001-68501400-00-102673-00 01/13/2026 2025-2026 X4000 A1
$0.00 68-10-1-000298-68501400-00-102673-00 01/13/2026 2025-2026 FEESV A1
$1,388,147,956.66 68-20-2-474001-68501400-00-102673-00 07/01/2024 2024-2025 FEESV A15
$1,031,492,895.10 68-10-1-000298-68501400-00-102673-00 07/01/2024 2024-2025 FEESV A15
$3,200,625,165.20 68-20-2-474001-68501400-00-102673-00 07/01/2023 2023-2024 FEESV A11
$2,200,362,288.73 68-10-1-000298-68501400-00-102673-00 07/01/2023 2023-2024 FEESV A11
$1,250,421,143.69 68-20-2-474001-68501400-00-102673-00 07/01/2023 2023-2024 FEESV A8
$785,432,232.56 68-10-1-000298-68501400-00-102673-00 07/01/2023 2023-2024 FEESV A8
$554,343,107.37 68-10-1-000298-68501400-00-102673-00 07/01/2023 2023-2024 FEESV
$919,581,666.27 68-20-2-474001-68501400-00-102673-00 07/01/2023 2023-2024 FEESV
$467,885,026.80 68-20-2-474001-68501400-00-102673-00 07/01/2023 2023-2024 FEESV A4
$282,050,903.32 68-10-1-000298-68501400-00-102673-00 07/01/2023 2023-2024 FEESV A4
$533,442,038.63 68-20-2-474001-68501400-00-102673-00 07/01/2022 2022-2023 FEESV A11
$307,949,189.49 68-10-1-000298-68501400-00-102673-00 07/01/2022 2022-2023 FEESV A11
$2,476,412,046.85 68-20-2-474001-68501400-00-102673-00 07/01/2022 2022-2023 FEESV A8
$1,595,294,705.61 68-10-1-000298-68501400-00-102673-00 07/01/2022 2022-2023 FEESV A8
$931,120,450.82 68-20-2-474001-68501400-00-102673-00 07/01/2022 2022-2023 FEESV A4
$568,751,409.40 68-10-1-000298-68501400-00-102673-00 07/01/2022 2022-2023 FEESV A4
$10,379,301.20 68-20-2-474001-68501400-00-102673-00 07/01/2022 2022-2023 FEESV A3
$6,302,314.36 68-10-1-000298-68501400-00-102673-00 07/01/2022 2022-2023 FEESV A3
$1,117,824,548.32 68-10-1-000298-68501400-00-102673-00 07/01/2022 2022-2023 FEESV
$1,830,024,998.95 68-20-2-474001-68501400-00-102673-00 07/01/2022 2022-2023 FEESV
$1,068,849,275.55 68-20-2-474001-68501400-00-102673-00 07/01/2021 2021-2022 FEESV A11
$515,570,047.83 68-10-1-000298-68501400-00-102673-00 07/01/2021 2021-2022 FEESV A11
$1,965,412,849.45 68-20-2-474001-68501400-00-102673-00 07/01/2021 2021-2022 FEESV A8
$1,088,367,214.95 68-10-1-000298-68501400-00-102673-00 07/01/2021 2021-2022 FEESV A8
$571,151,204.37 68-10-1-000298-68501400-00-102673-00 07/01/2021 2021-2022 FEESV A4
$928,720,655.85 68-20-2-474001-68501400-00-102673-00 07/01/2021 2021-2022 FEESV A4
$6,397,399.57 68-10-1-000298-68501400-00-102673-00 07/01/2021 2021-2022 FEESV A3
$10,284,215.99 68-20-2-474001-68501400-00-102673-00 07/01/2021 2021-2022 FEESV A3
$1,825,308,439.67 68-20-2-474001-68501400-00-102673-00 07/01/2021 2021-2022 FEESV
$1,122,541,107.60 68-10-1-000298-68501400-00-102673-00 07/01/2021 2021-2022 FEESV
$3,004,901,851.37 68-20-2-474001-68501400-00-102673-00 07/01/2020 2020-2021 FEESV A11
$1,411,473,591.56 68-10-1-000298-68501400-00-102673-00 07/01/2020 2020-2021 FEESV A11
$570,551,255.63 68-10-1-000298-68501400-00-102673-00 07/01/2020 2020-2021 X4000 A4
$929,320,604.59 68-20-2-474001-68501400-00-102673-00 07/01/2020 2020-2021 X4000 A4
$10,210,816.88 68-20-2-474001-68501400-00-102673-00 07/01/2020 2020-2021 X4000 A3
$6,470,798.68 68-10-1-000298-68501400-00-102673-00 07/01/2020 2020-2021 X4000 A3
$1,121,361,967.78 68-10-1-000298-68501400-00-102673-00 07/01/2020 2020-2021 X4000
$1,826,487,579.49 68-20-2-474001-68501400-00-102673-00 07/01/2020 2020-2021 X4000
$2,677,319,757.16 68-20-2-474001-68501400-00-102673-00 07/01/2019 2019-2020 FEESV A11
$1,478,718,363.24 68-10-1-000298-68501400-00-102673-00 07/01/2019 2019-2020 FEESV A11
$921,971,232.48 68-20-2-474001-68501400-00-102673-00 07/01/2019 2019-2020 X4000 A4
$577,900,627.74 68-10-1-000298-68501400-00-102673-00 07/01/2019 2019-2020 X4000 A4
$6,534,188.81 68-10-1-000298-68501400-00-102673-00 07/01/2019 2019-2020 X4000 A3
$10,147,426.75 68-20-2-474001-68501400-00-102673-00 07/01/2019 2019-2020 X4000 A3
$1,812,043,116.71 68-20-2-474001-68501400-00-102673-00 07/01/2019 2019-2020 X4000
$1,135,806,430.56 68-10-1-000298-68501400-00-102673-00 07/01/2019 2019-2020 X4000
$3,743,715,051.99 68-20-2-474001-68501400-00-102673-00 07/01/2018 2018-2019 FEESV A11
$2,383,478,159.12 68-10-1-000298-68501400-00-102673-00 07/01/2018 2018-2019 FEESV A11
$293,449,929.46 68-10-1-000298-68501400-00-102673-00 07/01/2018 2018-2019 X4000 A4
$456,486,000.66 68-20-2-474001-68501400-00-102673-00 07/01/2018 2018-2019 X4000 A4
$6,527,516.17 68-10-1-000298-68501400-00-102673-00 07/01/2018 2018-2019 X4000 A3
$10,154,099.39 68-20-2-474001-68501400-00-102673-00 07/01/2018 2018-2019 X4000 A3
$897,178,009.71 68-20-2-474001-68501400-00-102673-00 07/01/2018 2018-2019 X4000
$576,746,763.93 68-10-1-000298-68501400-00-102673-00 07/01/2018 2018-2019 X4000


No Non-Recurring Budgetary records found for this contract.

Contract Change

Change Type Amendment Amount Agency Amendment Reference Change Description Amendment Effective Date Amendment Execution Date New Ending Date
Amendment $2,419,640,851.76 A15 2608.SMMC General Amendment; Includes Rates for RY 24/25; Ex 12/30/2024 12/30/2024
Amendment $0.00 A14 2507.SMMC General Amendment; Includes Rates for RY 23/24; an 10/01/2023 07/23/2024
Amendment $0.00 A13 2437.SMMC General Amendment and Update Agency Contract Manag 10/05/2023 10/05/2023
Amendment $0.00 A12 2314.Amendment 12 includes Rate Year (RY) 22/23 Rates, Expan 02/15/2023 02/15/2023
Amendment $22,526,404,779.87 A11 2262.Amendment 11 is an SMMC General Amendment; Includes Rat 10/12/2022 10/12/2022
Amendment $0.00 A10 2183.Amendment 10 adds Exhibit I-Q, Florida American Rescue 06/03/2022 06/03/2022
Amendment $0.00 A9 2148.Amendment 9 is an SMMC General Amendment; Includes Rate 05/02/2022 05/02/2022
Amendment $9,161,340,193.11 A8 2090.Amendment 8 incorporates merger of Sunshine with WellCa 10/01/2021 09/30/2021
Amendment $0.00 A7 1922.Amendment 7 replaces rate tables/fee schedules for RY 2 11/16/2020 11/16/2020
Amendment $0.00 A6 1854.Amendment 6 replaces rate tables/fee schedules for RY 2 08/18/2021 08/18/2020
Amendment $0.00 A5 1721.Amendment No. 5 adds revised Business Associate Agreeme 04/17/2020 04/17/2020
Amendment $7,499,359,301.12 A4 448.Amendment No. 4 is a general amendment and includes an i 03/02/2020 03/02/2020
Amendment $83,408,077.80 A3 447.Amendment No. 3 aligns Total Contract Amount with Amend 07/11/2019 07/11/2019
Amendment $0.00 A2 446.Amendment No. 2 is a general amendment and also updates 02/21/2019 02/21/2019
Amendment $0.00 A1 445.Amendment No. 1 will incorporate language for transition 11/29/2018 11/29/2018

Vendor

Name Line 1Name Line 2City State ZipMinority Vendor Designation
SUNSHINE STATE HEALTH PLAN INC.SUNSHINE STATE HEALTH PLAN LAUDERHILL FL 333130000 Non-Minority

CFDA

CFDA Code Description
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
     
1 Personal care services in specialized institutions Provision of required Florida Medicaid services to enrollees, in compliance with all contractual req... 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.
  

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 - FP060 08/23/2018 8/26/2021 9:30:48 PM
Amendment A1 11/29/2018 8/26/2021 9:30:48 PM
Amendment A10 06/03/2022 6/3/2022 9:30:31 PM
Amendment A11 10/12/2022 10/14/2022 9:30:27 PM
Amendment A12 02/15/2023 2/17/2023 9:30:13 PM
Amendment A13 10/05/2023 4/17/2024 2:58:37 PM
Amendment A14 07/23/2024 7/24/2024 9:30:43 PM
Amendment A15 12/30/2024 1/8/2025 9:30:14 PM
Amendment A2 02/21/2019 8/26/2021 9:30:50 PM
Amendment A3 07/11/2019 8/26/2021 9:30:50 PM
Amendment A4 03/02/2020 8/26/2021 9:30:51 PM
Amendment A5 04/17/2020 8/26/2021 9:30:51 PM
Amendment A6 08/18/2020 8/26/2021 9:30:52 PM
Amendment A7 11/16/2020 8/26/2021 9:30:53 PM
Amendment A8 09/30/2021 10/1/2021 9:30:50 PM
Amendment A9 05/02/2022 5/3/2022 9:30:10 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.

  • No audits have been conducted on this contract at this time.
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