202605084 ECE TA Provider Packet Template.xlsx
XLSX spreadsheet 31 KB Posted
- 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 |
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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 03/31/2027 | April 30th |
| Y1Q2: | 04/01/2027 to 06/30/2027 | July 30th |
| Y1Q3: | 07/01/2027 to 09/30/2027 | October 30th |
| Y1Q4: | 10/01/2027 to 12/31/2027 | January 30th |
| Y2Q1: | 01/01/2028 to 03/31/2028 | April 30th |
| Y2Q2: | 04/01/2028 to 06/30/2028 | July 30th |
| Y2Q3: | 07/01/2028 to 09/30/2028 | October 30th |
| Y2Q4: | 10/01/2028 to 12/31/2028 | January 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 03/31/2027 | 04/01/2027 to 06/30/2027 | 07/01/2027 to 09/30/2027 | 10/01/2027 to 12/31/2027 | 01/01/2028 to 03/31/2028 | 04/01/2028 to 06/30/2028 | 07/01/2028 to 09/30/2028 | 10/01/2028 to 12/31/2028 |
| YEAR 1 - QUARTER 1 | YEAR 1 - QUARTER 2 | YEAR 1 - QUARTER 3 | YEAR 1 - QUARTER 4 | YEAR 2 - QUARTER 1 | YEAR 2 - QUARTER 2 | YEAR 2 - QUARTER 3 | YEAR 2 - QUARTER 4 |
| Performance Measure | Numerator Definition | Denominator Definition | Target % | Q1 Numerator | Q1 Denominator | Actual % | Q2 Numerator | Q2 Denominator | Actual % | Q3 Numerator | Q3 Denominator | Actual % | Q4 Numerator | Q4 Denominator | Actual % | Q1 Numerator | Q1 Denominator | Actual % | Q2 Numerator | Q2 Denominator | Actual % | Q3 Numerator | Q3 Denominator | Actual % | Q4 Numerator | Q4 Denominator | Actual % |
| 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 Department | Number 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)
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