11. Master Respite List of Permitted Application Attachments6.5.17.doc
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- Solicitation number
- BD-18-1022-DMH08-8220A-18593
- Issued by
- Massachusetts
About this file
This document is a list of permitted application attachments for the Department of Mental Health Respite Services - Master Agreement Request For Applications DMH # 2017-DMH-3031-03 and DMH # 2017-DMH-3048-03 issued by the Massachusetts Department of Mental Health (DMH). The RFA seeks to establish a pool of qualified providers from which DMH Areas can purchase Site-Based Respite and/or Mobile Respite Services on an as needed basis. DMH will enter into a Master Agreement with all qualified providers.
The list of permitted application attachments includes organizational charts, risk mitigation protocols, complaint processes, job descriptions, service delivery organizational charts, enrollment protocols, assessment tools/forms, individualized action plan forms, discharge plan forms, medication policies and procedures, two service delivery scenarios, floor plans, licenses, and contract forms. Respondents must submit these attachments as part of their applications to be considered for the Master Agreement.
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Text version
Department of Mental Health
Respite Services – Master Agreement Request For Applications
DMH # 2017-DMH-3031-03
DEPARTMENT OF MENTAL HEALTH
RESPITE SERVICES – MASTER AGREEMENT
DMH # 2017-DMH-3048-03
LIST OF PERMITTED APPLICATION ATTACHMENTS
1. Agency Organizational Chart (Application Requirement 4)
2. Risk Mitigation Protocol (Application Requirement 6)
3. Complaint Process (Application Requirement 11)
4. Job Descriptions (Application Requirement 13)
5. Service Delivery Organizational Chart (Application Requirement 15)
6. Enrollment Protocol (Application Requirement 19)
7. Assessment Tool/Forms (Application Requirement 20)
8. Individualized Action Plan Form (Application Requirement 21)
9. Discharge Plan Form (Application Requirement 22)
10. Medication Policies and Procedure (Application Requirement 24)
11. Two scenarios (Application Requirement 25)
12. Responses to the two scenarios (Application Requirement 25)
13. Floor Plan (Application Requirement 26)
14. License/MCSR (Application Requirement 26)
15. Contract Forms (Application Requirement 30)
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