202605084 ECE TA Provider Packet Template.xlsx

XLSX spreadsheet 31 KB Posted

Attached to
Early Care and Education (ECE) Technical Assistance
Solicitation number
RFP - 10A - 202605084
Issued by
Maine

About this file

This is a Provider Packet Template document issued by the Maine Department of Health and Human Services, Office of Child and Family Services (DHHS/OCFS) for Early Care and Education (ECE) Technical Assistance providers. The packet requires providers to report quarterly performance metrics and program data for a two-year contract period spanning from January 1, 2027 through December 31, 2028. Quarterly reports are due within 30 days of quarter completion, with specific due dates of April 30th, July 30th, October 30th, and January 30th for Years 1 and 2. Additionally, providers must submit monthly data reports by the 15th of each month detailing services delivered, and an annual marketing outreach and engagement plan due July 30th. The contract encompasses two primary performance measures: contacting 95% of child care providers or early childhood educators requesting technical assistance within two business days of Department referral, and ensuring 95% of coaching and consultation services include completion of a Classroom Assessment Scoring System (CLASS) observation or Department-approved assessment tool.

The packet requires providers to maintain comprehensive staff information including new hires, departures, and completed training, reported quarterly alongside monthly service delivery data. Providers must attest under electronic signature that all reported information is accurate and that their agency maintains compliance with all Federal and State regulations and established agency policies. Submissions are directed to the assigned Program Manager and Program Administrator, with copies sent to OCFS-PMR.DHHS@maine.gov. The template does not specify contract pricing, funding amounts, or award information, indicating this is a standardized reporting mechanism for existing or newly awarded ECE technical assistance providers operating under DHHS/OCFS agreements.

View the file

Other files

File Type Posted
RFP 202605084 Q —
202605084 ECE TA Proposed Services Response Form.docx DOCX document
202605084 ECE TA Rate Base Cost Form.xlsx XLSX spreadsheet
RFP 202605084 Early Care and Education_FINAL.docx DOCX document

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Cover Sheet & Instructions

DHHS/OCFS PROVIDER PACKET
***Do not create additional tabs to this document***
Provider Name:Quarter Being Reported:
Agreement #:Date Completed:
Vendor Code:
Service Group:

Dear Provider, This Provider Packet collects information that is required as part of your Agreement with OCFS. Please complete all shaded gray areas of this form before submitting. You will also complete each tab with the requested information and submit any other required material listed below in the supplemental information area. A list of due dates has been provided below. This information must be reported no later than 30 days from the end of each quarter.

Once complete, you will submit by email to the PROGRAM MANAGER and PROGRAM ADMINISTRATOR listed in your Agreement along with the following: OCFS-PMR.DHHS@maine.gov. We thank you for your efforts in providing this information to ensure compliance with your OCFS contract.

QUARTERS REPORTED:DUE BY:
Y1Q1:01/01/2027 to 03/31/2027April 30th
Y1Q2:04/01/2027 to 06/30/2027July 30th
Y1Q3:07/01/2027 to 09/30/2027October 30th
Y1Q4:10/01/2027 to 12/31/2027January 30th
Y2Q1:01/01/2028 to 03/31/2028April 30th
Y2Q2:04/01/2028 to 06/30/2028July 30th
Y2Q3:07/01/2028 to 09/30/2028October 30th
Y2Q4:10/01/2028 to 12/31/2028January 30th
Supplemental Information being requested:
Data Report - Due by the 15th of each month with data from the prior month
Outreach Plan - Annual marketing outreach and engagement plan, due July 30th
I,the undersigned on behalf of
attest the information included is true to the best of my abilities and knowledge. I do attest to the agency being in compliance with all Federal and State rules and regulations and adherence to all agency established policies and procedures.
Electronic Signature:
Date:

Performance Measures

Quarter Being Reported:
Date Completed:01/01/2027 to 03/31/202704/01/2027 to 06/30/202707/01/2027 to 09/30/202710/01/2027 to 12/31/202701/01/2028 to 03/31/202804/01/2028 to 06/30/202807/01/2028 to 09/30/202810/01/2028 to 12/31/2028
YEAR 1 - QUARTER 1YEAR 1 - QUARTER 2YEAR 1 - QUARTER 3YEAR 1 - QUARTER 4YEAR 2 - QUARTER 1YEAR 2 - QUARTER 2YEAR 2 - QUARTER 3YEAR 2 - QUARTER 4
Performance MeasureNumerator DefinitionDenominator DefinitionTarget %Q1 NumeratorQ1 DenominatorActual %Q2 NumeratorQ2 DenominatorActual %Q3 NumeratorQ3 DenominatorActual %Q4 NumeratorQ4 DenominatorActual %Q1 NumeratorQ1 DenominatorActual %Q2 NumeratorQ2 DenominatorActual %Q3 NumeratorQ3 DenominatorActual %Q4 NumeratorQ4 DenominatorActual %
Ninety five percent (95%) of Child Care Providers or early childhood educators who request TA, shall be contacted within two (2) business days of the Provider receiving the referral from the Department, and shall receive information about services provided.Number of requests/referrals for technical assistance the Provider received this quarter through referral from the Department and that the Provider contacted within two (2) business days.Number of requests/referrals for technical assistance the Provider received this quarter through referral from the Department.100%ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!
Ninety five (95%) of coaching and consultation services for early childhood classrooms include the completion of a Classroom Assessment Scoring System (CLASS) observation or another Department provided tool as part of TA services.Number of coaching and consultation services during this quarter with a completed Classroom Assessment Scoring System (CLASS) observation.Number of coaching and consultation services completed during this quarter.95%ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!

Technical Assistance

Provider Name:Quarter Being Reported:
Agreement #:Date Completed:
Monthly Data Reports
Date the Monthly Data Report was Submitted to the DepartmentNumber of Services Delivered that Month
< Y1 M1
< Y1 M2
< Y1 M3
< Y1 M4
< Y1 M5
< Y1 M6
< Y1 M7
< Y1 M8
< Y1 M9
< Y1 M10
< Y1 M11
< Y1 M12
< Y2 M1
< Y2 M2
< Y2 M3
< Y2 M4
< Y2 M5
< Y2 M6
< Y2 M7
< Y2 M8
< Y2 M9
< Y2 M10
< Y2 M11
< Y2 M12

Staff Information

Provider Name:Quarter Being Reported:
Agreement #:Date Completed:

New or Updated Staff Member Name Role Date of Hire (if new) New Education or Training Completed (if applicable) End Date (if leaving)

File details come from the government source that posted it. Updated .