My Florida Marketplace #AHCA RFA 035-25/26

Florida Rural Health Value-Based Purchasing Infrastructure Grant Opportunity

This opportunity invites rural health providers in Florida to apply for funding under the Rural Health Transformation Program (RHTP) Initiative 11: Value-Based Purchasing (VBP). - Government Buyer: - Florida Agency for Health Care Administration (AHCA), Bureau of Purchasing and Contract Administration - Program Overview: - Federally funded, five-year grant program (supported by CMS Cooperative Agreement No. 1RHTSSCMS332067-01-00) - Multiple awards possible across four rural Super Regions in Florida - Year 1 statewide funding total is $10 million, with decreasing budgets in subsequent years - Eligible Applicants: - Rural hospitals, clinics, Federally Qualified Health Centers (FQHCs), and regional collaboratives - Products and Services Requested: - Equipment (e.g., IT systems, office equipment, furnishings) with per-unit cost of $10,000 or more - Supplies (e.g., laptops, tablets, software subscriptions, office supplies) under $10,000 per unit - Organizational infrastructure development (governance, contract management, financial modeling) - Care coordination staffing and systems (teams, closed-loop referral tracking) - Population health and data analytics platforms for Medicaid MCO VBP requirements - HIE integration and interoperability (HL7/FHIR standards) - Accreditation support (NCQA PCMH or equivalent) - Personnel, fringe benefits, travel, other direct costs, and subcontractual costs - Unique or Notable Requirements: - Must execute at least one VBP contract within 24 months - Active participation in the Florida Health Information Exchange (HIE) - Pursuit of NCQA PCMH or equivalent accreditation within 36 months - Compliance with federal and state grant management standards - Funds must be used for infrastructure development, not direct clinical service delivery or inpatient hospital operations - Administrative costs capped at 3% of total operational costs - Sustainability planning required for transition to financial self-sufficiency by Year 5 - Place of Performance: - Four Florida Super Regions: Northwest, Northeast, Southwest, Southeast (covering specified counties)

Description

The Florida Agency for Health Care Administration (Agency) is issuing this Request for Applications (RFA) to establish grant agreements with eligible subrecipients under Florida’s Rural Health Transformation Program (RHTP). This five-year federally funded initiative supports rural healthcare providers in transitioning from fee-for-service reimbursement to performance-based payment models that reward quality, improved outcomes, cost efficiency, and care coordination. The initiative funds organizational infrastructure, data systems, care coordination capabilities, and workforce capacity necessary for rural health providers to participate in Value-Based Purchasing arrangements, particularly with Medicaid Managed Care Organizations. The program is organized around five strategic goals and implemented through 14 distinct initiatives.

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