11-26053 Form 6 Technical Proposal.docx
DOCX document 3 MB Posted
- Solicitation number
- DHHS26053
- Issued by
- Utah
About this file
This is a Technical Proposal Form for the Utah Department of Health and Human Services, Division of Services for People with Disabilities (DHHS/DSPD) contract DHHS26053 for Peer Support Services for Persons on the DSPD Wait List. The contract seeks to provide time-limited peer support services to individuals with disabilities and their families to help them remain in home and community-based settings while awaiting Home and Community Based Services (HCBS) Waivers. Peer support services will be delivered by individuals with lived experience to identify needs, provide support and guidance, navigate systems, and connect persons and families to resources. Vendors must address nine technical criteria in their proposals, with responses limited to one page per criterion, and must submit required resumes as separate attachments.
The technical proposal requirements mandate that vendors demonstrate specific qualifications across nine areas: at least two years of experience working with families and individuals with various disabilities including intellectual disabilities; providing information and referral services to individuals with disabilities; developing and coordinating disability-related training and information; assisting individuals with Social Security, Medicaid, Department of Workforce Services, and Vocational Rehabilitation benefits; assisting with mental health system navigation; coaching and skills-building for individuals with intellectual disabilities or acquired brain injury; knowledge of HCBS Waivers and DHHS/DSPD wait list requirements; capacity to provide in-person services within specified regions; and established staff comprised of individuals with disabilities or non-disabled individuals who have been caregivers to family members with disabilities to provide peer support. All resumes and explanations or website links documenting these qualifications must accompany the proposal submission.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-26053 RFP.docx | DOCX document | |
| 3-26053 Rate Table.docx | DOCX document | |
| 10-26053 Form 5 Region Selection.docx | DOCX document | |
| 5-26053 Score Sheet.xlsx | XLSX spreadsheet | |
| 2-26053 Scope of Work.docx | DOCX document | |
| 8-26053 Form 3 Conflict of Interest Disclosure Statement.pdf | ||
| 12-26053 DHHS Client Service Terms.docx | DOCX document | |
| 4-26053 Document Submission Checklist.xlsx | XLSX spreadsheet | |
| 7-26053 Form 2 W-9.pdf | ||
| 6-26053 Form 1 Data Sheet.pdf | ||
| 9-26053 Form 4 Business Associate Agreement.pdf |
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Text version
Form 6 – Technical Proposal
DHHS26053
PROVIDER NAME: ________________________________________________________________________
Please provide a response to each of the technical criteria listed below. Please limit your response to no more than one page for each criterion. Please submit the required resume(s) as a separate attachment.
1) Please provide: (1) a resume; AND (2) an explanation or website link(s) that details and demonstrates at least two years of experience working with families and individuals with various types of disabilities, including intellectual disabilities and related conditions. [If you are providing a website link(s), please note that you must provide the URL for all sites you want the evaluation committee to consider. The evaluation committee will only review the content at the URLs provided.]
2) Please provide: (1) a resume; AND (2) an explanation or website link(s) that details and demonstrates at least two years of experience providing individuals with disabilities and their families with information and referral to resources that can be used by individuals with various types of disabilities living in the community. [If you are providing a website link(s), please note that you must provide the URL for all sites you want the evaluation committee to consider. The evaluation committee will only review the content at the URLs provided.]
3) Please provide: (1) a resume; AND (2) an explanation or website link(s) that details and demonstrates at least two years of experience developing, coordinating and providing information and training about disabilities, rights of people with disabilities, and available resources for people with disabilities. [If you are providing a website link(s), please note that you must provide the URL for all sites you want the evaluation committee to consider. The evaluation committee will only review the content at the URLs provided.]
4) Please provide: (1) a resume; AND (2) an explanation that details and demonstrates at least two years of experience assisting individuals to understand, apply for, and maintain Social Security benefits, Medicaid benefits, Department of Workforce Services benefits, and Vocational Rehabilitation benefits.
5) Please provide: (1) a resume; AND (2) an explanation that details and demonstrates at least two years of experience assisting individuals to understand and access mental health systems and resources.
6) Please provide: (1) a resume; AND (2) an explanation that details and demonstrates at least two years of experience coaching and providing skills-building to people with intellectual disabilities, related conditions, or acquired brain injury, and their families.
7) Please explain your knowledge of HCBS Waivers and DHHS/DSPD requirements for Persons to remain on the DHHS/DSPD wait list for services.
8) Please provide an explanation that details and demonstrates the vendor's capacity to provide in-person services within the region it applied for. Please ensure to specify the region in your explanation. If the vendor is applying for multiple regions, please submit a separate explanation for each region in which it is applying.
9) Please provide an explanation or website link(s) that details and demonstrates that the vendor has established staff that includes individuals with disabilities, or individuals without disabilities who have been caregivers to family members with a disability, to provide peer support. The explanation or website link(s) must detail the amount of staff. [If you are providing a website link(s), please note that you must provide the URL for all sites you want the evaluation committee to consider. The evaluation committee will only review the content at the URLs provided.]
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