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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: MED170

Long Title: Florida Medicaid Financial Institution Service

Vendor Name: WELLS FARGO BANK, N.A.

Total Contract Amount: $349,461.13

Total Budgetary Amount: $349,461.13

Total Payment To Date: $235,787.94

Date of Execution: 01/23/2015

General Description: Provide banking services related to the Florida Medicaid Dis

Main Information

Agency Contract ID: MED170

FLAIR Contract ID: ME170

Short Title: FMFIS

Long Title: Florida Medicaid Financial Institution Service

Contract Type: Standard Two Party Agreement by Statute

Contract Status: Closed or Expired

Date of Execution: 01/23/2015

Date of Beginning: 01/23/2015

Original End Date: 02/28/2016

New Ending Date: 02/28/2021

Agency Service Area:

Statutory Authority: 287.042(16)

Contract Involves State or Federal Financial Assistance: No

Recipient Type:

Provide for Administrative Cost: No

Provide for Periodic Increase: No

Procurement Information

Authorized Advanced Payment: No

Method of Procurement: State term contract with Request For Quote requirement [s. 287.012 (24), s. 287.012 (28), s. 287.042(2), and s. 287.056, F.S.] & [Rule 60A-1.043, F.A.C.]

State Term Contract ID: TR174

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: $67,830.23

Total Contract Amount: $349,461.13

Total Recurring Budgetary Amount: $349,461.13

Total Non-Recurring Budgetary Amount: $0.00

Total Budgetary Amount: $349,461.13

Total Unfunded Amount: $0.00

As of Date: 6/21/2022

Recurring Budgetary Amount Account Code Fiscal Year Effective Date FY Cost Accumulator Agency Amendment Reference
$5,000.00 68-20-2-474001-68500200-00-102086-00 07/01/2020 2020-2021 ZT000 A5
$1,666.67 68-10-1-000298-68500200-00-102086-00 07/01/2020 2020-2021 ZT000 A5
$7,267.53 68-10-1-000298-68500200-00-102086-00 07/01/2020 2020-2021 ZT000 A7
$21,802.57 68-20-2-474001-68500200-00-102086-00 07/01/2020 2020-2021 ZT000 A7
$38,605.15 68-20-2-474001-68500200-00-102086-00 07/01/2019 2019-2020 ZT000 A5
$1,666.67 68-10-1-000298-68500200-00-102086-00 07/01/2019 2019-2020 ZT000 A4
$5,000.00 68-20-2-474001-68500200-00-102086-00 07/01/2019 2019-2020 ZT000 A4
$12,868.38 68-10-1-000298-68500200-00-102086-00 07/01/2019 2019-2020 ZT000 A5
$29,070.10 68-20-2-474001-68500200-00-102086-00 07/01/2018 2018-2019 ZT000 A1
$9,690.03 68-10-1-000298-68500200-00-102086-00 07/01/2018 2018-2019 ZT000 A1
$3,333.33 68-10-1-000298-68500200-00-102086-00 07/01/2018 2018-2019 ZT000 A4
$10,000.00 68-20-2-474001-68500200-00-102086-00 07/01/2018 2018-2019 ZT000 A4
$43,605.15 68-20-2-474001-68500200-00-102086-00 07/01/2017 2017-2018 ZT000 A1
$14,535.05 68-10-1-000298-68500200-00-102086-00 07/01/2017 2017-2018 ZT000 A1
$43,605.15 68-20-2-474001-68500200-00-102086-00 07/01/2016 2016-2017 ZT000 A1
$14,535.05 68-10-1-000298-68500200-00-102086-00 07/01/2016 2016-2017 ZT000 A1
$14,535.05 68-20-2-474001-68500200-00-102086-00 07/01/2015 2015-2016 ZT000 A1
$4,845.02 68-10-1-000298-68500200-00-102086-00 07/01/2015 2015-2016 ZT000 A1
$29,070.10 68-20-2-474001-68500200-00-102086-00 07/01/2015 2015-2016 2T000
$9,690.03 68-10-1-000298-68500200-00-102086-00 07/01/2015 2015-2016 2T000
$21,802.58 68-20-2-474001-68500200-00-102086-00 07/01/2014 2014-2015 2T000
$7,267.52 68-10-1-000298-68500200-00-102086-00 07/01/2014 2014-2015 2T000


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 $29,070.10 A7 1874.Amendment 7 provides a six month emergency extension of 09/01/2020 08/12/2020
Amendment $0.00 A6 1741.Vendor Contract Manager Name Change 03/27/2020 03/27/2020
Amendment $58,140.20 A5 1694.Emergency Extension through 8/31/20 and increase of $58 08/22/2019 08/22/2019
Amendment $20,000.00 A4 543.Amendment No. 4 provides six month extension and funding 01/29/2019 03/01/2019
Amendment $0.00 A3 542.Amendment No. 3 changes the Agency Contract Manager to J 06/26/2018 01/23/2015
Amendment $0.00 A2 541.Agency CM Change 07/20/2017 01/23/2015
Amendment $174,420.60 A1 540.Budget increase of 174,420.60 01/23/2015 01/23/2015

Vendor

Name Line 1Name Line 2City State ZipMinority Vendor Designation
WELLS FARGO BANK, N.A. JACKSONVILLE FL 322020000 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
     
Public health administration Online Banking System- Provide uninterrupted electronic access to Vendor's online banking system. Du... Fixed Fee / Unit Rate
     
Public health administration Print and distribute checks. Fixed Fee / Unit Rate
     
Public health administration Provide project plan for Check printing services. Plan shall include an approach to implementation, ... Fixed Fee / Unit Rate
     
Public health administration Perform Annual Disaster Recovery test. Annually Fixed Fee / Unit Rate
     
Public health administration Vendor shall provide the Agency with the amount of ACH debits to be settled each Federal Business Da... Fixed Fee / Unit Rate
     
Public health administration Process state Check fraud investigations. Provide a monthly report listing all the forged and improp... Fixed Fee / Unit Rate
     
Public health administration The Vendor shall accept and process deposited items delivered to the local branch. Deposits into the... Fixed Fee / Unit Rate
     
Public health administration Provide all bank supplies at no additional charge to the Agency. Fixed Fee / Unit Rate
     
Public health administration System Interface files must be approved by the Agency no later than sixty (60) days after Contract e... Fixed Fee / Unit Rate
     
Public health administration Notification of system changesDue as occurs Fixed Fee / Unit Rate
     
Public health administration The Vendor must have an established secure back-up system for wire transfer and report delivery if t... Fixed Fee / Unit Rate
     
Public health administration Confirm receipt of check Payment File. Due Daily upon initiation of optional services. Fixed Fee / Unit Rate
     
Public health administration Certification of destruction of forms, documents, and other items that provide the ability to produc... Fixed Fee / Unit Rate
     
Public health administration Develop Exit Transition Plan. Plan shall include an approach to transition, risk management, communi... Fixed Fee / Unit Rate
     
Public health administration Provide a Statement on Standards for Attestation Engagements Statement (SSAE) 16. For any time not c... Fixed Fee / Unit Rate
     
Public health administration Wire transfers will be executed by the Vendor. Fixed Fee / Unit Rate
     
Public health administration DVDs of paid Check images to the Agency. Fixed Fee / Unit Rate
     
Public health administration Provide images for checks through the Vendor's online banking system. Fixed Fee / Unit Rate
     
Public health administration Correct ACH reconciliation discrepancies in accordance with NACHA rules. Fixed Fee / Unit Rate
     
Public health administration The Vendor shall process ACH files received from the Agency. Fixed Fee / Unit Rate
     
Public health administration The Vendor shall negotiate checks drawn on the Returns account. Fixed Fee / Unit Rate
     
Public health administration Test plan for services provided to the Agency forapproval within thirty (30) days of Contract execut... Fixed Fee / Unit Rate
     
Public health administration On each Federal Business Day, the Vendor shall provide a daily detailed listing of all checks paid a... Fixed Fee / Unit Rate
     
Public health administration Production Implementation Guide which outlines the requirements to move into production and the ongo... Fixed Fee / Unit Rate
     
Public health administration Positive pay information will be available for decision by 10 a.m. EST on the Vendors online.Daily- ... Fixed Fee / Unit Rate
 Displaying 1 to 25 of 31     1 2 Next  Last


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
     
2021-2022 $46.61
     
2020-2021 $24,051.41
     
2019-2020 $35,327.05
     
2018-2019 $38,343.88
     
2017-2018 $38,879.78
     
2016-2017 $40,015.39
     
2015-2016 $43,493.47
     
2014-2015 $15,630.35

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 - ME170 01/23/2015 8/21/2020 6:31:04 AM
Amendment A1 01/23/2015 3/11/2018 9:50:13 PM
Amendment A2 01/23/2015 3/11/2018 9:50:38 PM
Amendment A3 01/23/2015 6/30/2018 9:30:05 PM
Amendment A4 03/01/2019 2/2/2019 9:30:19 PM
Amendment A5 08/22/2019 10/17/2019 2:38:03 PM
Amendment A6 03/27/2020 3/31/2020 9:30:05 PM
Amendment A7 08/12/2020 8/24/2020 6:24:19 AM


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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