Florida

On April 14, 2026, AHCA released 4 infrastructure Requests for Quote (RFQ) via Florida DMS State Term Contract (STC) — not listed on MFMP public search: (1) Grant Management Technology Solution for sub-award tracking and deliverables; (2) Independent Evaluation Services for compliance, data governance, and efficacy monitoring; (3) Technical Assistance Services for RHTP sub-awardees; (4) Education & Outreach Services to assist Medicare/Medicaid beneficiaries in selecting integrated health plans. Responses were solicited only from existing STC contract holders per Ch. 287, F.S.

Event schedule: - AHCA RFA 038-25/26 RHTP Health Lifestyle (Initiative 9) Addendum No. 4 workflow and protocol-encoding technology layer identifying and putting forth the entity under that lead applicant's RFA 036 application. The type that is most appropriate for their questions below concern the lead applicant's proposed program. Please also see eligibility classification, not Purity Health's own. We Addendum No. 3, Item 2 - General are submitting on the lead applicant's behalf during RHTP Questions and Answers, their pre-application due diligence. answer to Question #12. Question 1 — § 3.1 Category Selection The prospective lead applicant operates multiple Florida clinic sites delivering women's-health primary care, OB/GYN, and behavioral health services. Clinical leadership at the Florida sites combines MD medical directors with certified nurse-midwives and women's-health nurse practitioners delivering primary obstetric and gynecologic care. Under § 3.1, would the Agency consider this entity profile better suited to filing as a "physician group and multi-specialty medical practice" or as a "nurse practitioner- or physician assistant-led primary care practice"? Are there specific elements of Section C — Organizational Capacity and Eligibility documentation that the Agency would expect to see to distinguish a successful Stage 1 review under each category? Purity Health § 3.2 Min Qual #4 Five-Year Continuous-Operation See Addendum No. 3, Item 2 - Test Where the Florida Filing Entity Is a Subsidiary General RHTP Questions and The prospective lead applicant is structured as a Answers, answer to Question #12. Florida-authorized legal entity that is a subsidiary of a parent organization headquartered outside Florida. The parent organization has more than five years of continuous operation delivering primary care and women's-health services across multiple states. The Florida subsidiary itself was registered with the Florida Department of State in 2025 and may have less than five years of standalone Florida operating history as of the , 2026 application deadline. May the application reference the parent organization's enterprise-level operational history to satisfy § 3.2 Minimum Qualification #4, with the Florida subsidiary serving as the filing entity for purposes of Minimum Qualification #1 (Florida authorization)? If so, what documentation linking the parent organization's history to the Florida filing entity will the Agency expect to see in Section C — Organizational Capacity and Eligibility? We appreciate the Agency's guidance on these points in advance of the application deadline. Please let me know if any further clarification on the entity profile or the partnership structure would help the Agency provide a complete response. QHS Labs Are there pre-application convenings, informational No. sessions, or stakeholder forums organized by AHCA where QHSLab could present its platform capabilities to prospective lead applicants? MedCerts Are you able to help us locate the opportunity within See Addendum No. 3, Item 2 - the MyFloridaMarketPlace Vendor Information Portal General RHTP Questions and and/or register for the webinar? Answers, answer to Question #1. AHCA RFA 038-25/26, Addendum No. 4, Page 2 of 3 - June 10 - AHCA RFA 038-25/26 RHTP Health Lifestyle (Initiative 9) Addendum No. 4 The RFAs can be accessed here: https://vendor.myfloridamarketplace. com/search/bids , put RHTP in the Title search box on the left. OVID We need immediate clarification on whether Taylor See the updated Super Region Solutions County and Madison County are part of the Table in Addendum No. 2. Northwest Super Region to continue with the partnership and application development. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK AHCA RFA 038-25/26, Addendum No. 4, Page 3 of 3

This addendum answers applicant questions and clarifies eligibility, partnership, and fiscal requirements for the Initiative 9 RFA. It sets strict rules for capital leases and indirect cost limits, and details screening, referral, and EHR integration expectations. Event schedule: - 13 - North Walton Doctors Hospital | -Attachment I, RHTP Standard Terms and Administrative Requirements, Section 5.1 (Baseline Organizational Eligibility), bullet regarding “continuous operation for a minimum of five (5) years as of the application deadline” -Attachment II, Required Applicant Response Documents, Section C Form, Item C.A4 (“5+ years of continuous operation as of the application deadline”) | If the latter, would the Agency consider the following documentation acceptable under the “any other verifiable document demonstrating five years of continuous operation” option in C.A4: (a) AHCA hospital licensure history at 4413 US Highway 331 S under predecessor ownership; (b) historically active AHCA healthcare licenses at the site, including clinical laboratory licensure; (c) CMS Medicare provider enrollment and certification history prior to transition; (d) chain-of-title documentation evidencing the ownership succession and continuous title dedication to acute care delivery; (e) federal rural development investment documentation, including the $8.0M USDA loan bilat ion, the $2.0M USDA REDL (referenced in USDA’s 2026 Budget Explanatory Notes), the $3.4M NMTC allocation, and the Walton County loan guarantee, all of which reflect coordinated federal and local commitment to the facility’s continuous service to the rural community; and (f) documentation of the current operational period under the successor entity, from September 9, 2024 through the application deadline? | The Agency cannot pre-authorize specific forms of alternative documentation. The Agency will review all alternative documentation provided on a case-by-case basis. Please see the response to Question #12. - 14 | North Walton Doctors Hospital | -Attachment I, RHTP Standard Terms and Administrative Requirements, Section 5.1 (Baseline Organizational Eligibility), bullet regarding “continuous operation for a minimum of five (5) years as of the application deadline” -Attachment II, Required Applicant Response Documents, Section C Form, Item C.A4 (“5+ years of continuous operation as of the application deadline”) | Given that the C.A4 requirement is not imposed by the federal NOFO or cooperative agreement, does the Agency intend to interpret it in a manner that excludes rural hospitals which (a) have been identified as rural development priorities by USDA and cited in the Department’s 2026 Congressional Budget Justification materials; (b) have been restored from closure through coordinated federal rural investment programs (USDA B&I, USDA REDL, NMTC) specific to acute hospital or bulk healthcare infrastructure, and (c) are currently serving as the sole acute care hospital in their rural county — or does the Agency’s interpretation accommodate both closed facility-continuity requirements for rural hospitals in this factual category, consistent with RHTP’s statutory purpose of building rural healthcare infrastructure? | The Agency cannot pre-authorize specific forms of alternative documentation. The Agency will review all alternative documentation provided on a case-by-case basis. Please see the response to Question #12. - 51 - PinPoint Results, LLC | | CMS’ FAQ at II.2 provides, in relevant part, that “[funds may go towards clinician salaries and wage support if the clinician is not subject to a non-compete agreement and the salary/wage support is being funded as part of an approved initiative.” AHCA’s February 2, 2026 FAQ similarly states at FA.0 48 that this is a federal requirement established by CMS and that Florida must comply as a condition of its award. FAQ 48 further explains that the restriction applies to salaries and wages paid with RHTP cooperative agreement funds under an approved initiative and covers a broad range of clinical workforce roles, including clinicians, allied health professionals, behavioral health providers, non-clinician providers, community health workers, clinical support staff, and EMTs. It also states that CMS’ non-compete requirement applies specifically to new positions or clinicians recruited through RHTP workforce initiatives, and that such staff may not be subject to non-compete agreements. - However, AHCA states at FAQ 50 that “Florida’s RHTP funds cannot be used to pay for a medical director or any other clinician salaries or direct care services.” FAQ 50 appears to impose a broader restriction than the federal rule described by CMS and by AHCA in FAQ 48. How does AHCA harmonize FAQ 48, which appears to recognize that clinician salaries and wage support may be allowable when tied to an approved initiative and not subject to a non-compete agreement, with FAQ 50, which states that Florida RHTP funds cannot be used for clinician salaries or direct care services? | The FAQ you are referencing is not part of this RFA. As indicated in the RFA, clinician salaries tied to direct patient services are not allowed. - As noted in the Florida Agency for Health Care Administration’s , 2026, webinar materials (attached, pg. 19), minor renovations or alterations projects require “CMS prior approval” to be considered eligible. - February 18 - For reference, page 19 states:

Event schedule: - RFA Posted / Open for Applications - 2026-04-21 - Technical Assistance Webinar Series Begins - 2026-04-28 - Deadline for Written Questions - 2026-05-06 - Anticipated Agency Responses to Questions Posted - 2026-05-20 - Application Submission Deadline - 2026-06-10 - 14:00 ET - Anticipated Technical Review / Scoring - 2026-06-17 to 2026-07-10 - Anticipated Notice of Award (NOA) Issued - 2026-07-20 - Anticipated Subaward Execution - 2026-08-01

Event schedule: - Period of Performance Start - 2025-12-29 - Florida - Period of Performance End - 2030-10-30 - Florida - Budget Period 1 Start - 2026-08-01 - Florida - Budget Period 1 End - 2027-07-30 - Florida - RFA Posted / Open for Applications - 2026-04-21 - MyFloridaMarketPlace Vendor Information Portal; link provided on RHTP website - Technical Assistance Webinar Series - 2026-04-28 - Deadline for Written Questions - 2026-05-06 - Anticipated Agency Responses to Questions Posted - 2026-05-20 - MyFloridaMarketPlace Vendor Information Portal; link provided on RHTP website

Core Initiatives

1. Increase the number of paid EMS providers
2. Increase the number of volunteer EMS providers
3. Increase the number of advanced trained EMS providers

This addendum issues formal edits and clarifications to the RHTP Workforce Development RFA, including administrative requirements, travel/convening mandates, allowable and unallowable costs, and subrecipient monitoring provisions. Q&A sections explain eligibility for clinical training pipelines, the requirement for five-year rural service commitments, rules for mobile health unit leases, and the administrative cap. The addendum underscores compliance, regional eligibility adjustments, and clarifies core procurement process details for all applicants. Event schedule: - Application Question Deadline - 05/06/2025 - Technical Assistance Webinar Series - 2026-04-28

Event schedule: - AHCA RFA 033-25/26 RHTP Preventive Care & Care-at-Home (Bundle One) Addendum No. 4 profile better suited to filing as a "physician group and multi-specialty medical practice" or as a "nurse practitioner- or physician assistant-led primary care practice"? Are there specific elements of Section C — Organizational Capacity and Eligibility documentation that the Agency would expect to see to distinguish a successful Stage 1 review under each category? Purity Health § 3.2 Min Qual #4 Five-Year Continuous-Operation See Addendum No. 3, Item 2 - Test Where the Florida Filing Entity Is a Subsidiary General RHTP Questions and The prospective lead applicant is structured as a Answers, answer to Question #12. Florida-authorized legal entity that is a subsidiary of a parent organization headquartered outside Florida. The parent organization has more than five years of continuous operation delivering primary care and women's-health services across multiple states. The Florida subsidiary itself was registered with the Florida Department of State in 2025 and may have less than five years of standalone Florida operating history as of the , 2026 application deadline. May the application reference the parent organization's enterprise-level operational history to satisfy § 3.2 Minimum Qualification #4, with the Florida subsidiary serving as the filing entity for purposes of Minimum Qualification #1 (Florida authorization)? If so, what documentation linking the parent organization's history to the Florida filing entity will the Agency expect to see in Section C — Organizational Capacity and Eligibility? We appreciate the Agency's guidance on these points in advance of the application deadline. Please let me know if any further clarification on the entity profile or the partnership structure would help the Agency provide a complete response. QHS Labs Are there pre-application convenings, informational No. sessions, or stakeholder forums organized by AHCA where QHSLab could present its platform capabilities to prospective lead applicants? MedCerts Are you able to help us locate the opportunity within See Addendum No. 3, Item 2 - the MyFloridaMarketPlace Vendor Information Portal General RHTP Questions and and/or register for the webinar? Answers, answer to Question #1. The RFAs can be accessed here: https://vendor.myfloridamarketplace. com/search/bids , put RHTP in the Title search box on the left. OVID We need immediate clarification on whether Taylor See the updated Super Region Solutions County and Madison County are part of the Table in Addendum No. 2. Northwest Super Region to continue with the partnership and application development. AHCA RFA 033-25/26, Addendum No. 4, Page 2 of 2 - June 10

The Florida Agency for Health Care Administration announced over $188 million in new RHTP funding opportunities supported 100% by CMS/HHS grants. The program will fund rural health care initiatives across the state with special focus on innovation, workforce expansion, and partnerships to expand care models in underserved communities. RFAs have been released for multiple competitive funding bundles including workforce, care-at-home, specialty care, value-based purchasing, and more.