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LINE ITEM NUMBER
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COMMODITY TYPE
|
STATE TERM CONTRACT ID
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AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
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|
1
|
Primary care practitioner services
|
|
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41250.0000
|
$1.0000
|
$41,250.00
|
| Line#1 Blanket order July 1, 2026 - June 30, 2027 to cover Ryan White (AOMC) Ambulatory outpatient medical care services per attached rate sheet. All servicing submitted by the 10th of the month with... |
| Line Item Description: Line#1 Blanket order July 1, 2026 - June 30, 2027 to cover Ryan White (AOMC) Ambulatory outpatient medical care services per attached rate sheet. All servicing submitted by the 10th of the month with back up. Submit all updated medical license's and Insurance. Authorized user; Sherri Gizzarelli-Grady. Contract Manager |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64365657113 - |
| Object Code and Description: 132012 - |
| Account Code: 64-20-2-141001-64200700-56-100777-00 |
| Split Amount: $41,250.00 |
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2
|
Primary care practitioner services
|
|
|
13500.0000
|
$1.0000
|
$13,500.00
|
| Line #2 Blanket Order July 1, 2026 - June 30, 2027. Ryan White co-payments. share of cost and deductibles for AOMC Ambulatory medical care services. Rate sheet attached and based on negotiated rates b... |
| Line Item Description: Line #2 Blanket Order July 1, 2026 - June 30, 2027. Ryan White co-payments. share of cost and deductibles for AOMC Ambulatory medical care services. Rate sheet attached and based on negotiated rates between provider and insurance companies which will vary for Ryan White clients. Contract Manager; Sherri Gizzarelli-Grady |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64365657113 - |
| Object Code and Description: 461023 - |
| Account Code: 64-20-2-141001-64200700-56-100777-00 |
| Split Amount: $13,500.00 |
|
|
|
3
|
Primary care practitioner services
|
|
|
3750.0000
|
$1.0000
|
$3,750.00
|
| Line#3 Blanket Order- July 1, 2026 - June 30, 2027 for Ryan White straight Mental Health services per attached rate sheet. Please provide all back up by the 10th of every month. All insurances and lic... |
| Line Item Description: Line#3 Blanket Order- July 1, 2026 - June 30, 2027 for Ryan White straight Mental Health services per attached rate sheet. Please provide all back up by the 10th of every month. All insurances and license's must be updated. Contract Manager Sherri Gizzarelli-Grady |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64365657113 - |
| Object Code and Description: 132007 - |
| Account Code: 64-20-2-141001-64200700-56-100777-00 |
| Split Amount: $3,750.00 |
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|
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4
|
Primary care practitioner services
|
|
|
4500.0000
|
$1.0000
|
$4,500.00
|
| Line #4 July 1, 2026 - June 30, 2027 for Ryan White Nutrition Therapy straight pay services per attached rate sheet. All invoicing in by the 10th of the following month to include backup . Contract m... |
| Line Item Description: Line #4 July 1, 2026 - June 30, 2027 for Ryan White Nutrition Therapy straight pay services per attached rate sheet. All invoicing in by the 10th of the following month to include backup . Contract manager Sherri Gizzarelli-Grady. |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64365657113 - |
| Object Code and Description: 132011 - |
| Account Code: 64-20-2-141001-64200700-56-100777-00 |
| Split Amount: $4,500.00 |
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