4-26053 Document Submission Checklist.xlsx

This is a Document Submission Checklist for a peer support services contract opportunity issued by the Utah Department of Health and Human Services, Division of Services for People with Disabilities (DHHS). The contract seeks to provide time-limited peer support services to persons and their families on the DSPD Wait List to support their ability to remain in home and community-based settings while awaiting Home and Community Based Services (HCBS). Services will be delivered by individuals with lived experience who will identify needs, provide support and guidance, navigate systems, and connect persons and families to available resources. The checklist establishes the required documentation and forms that prospective bidders must submit as part of their proposal response.

Bidders are required to submit six forms: a Data Sheet, a W-9, a Conflict of Interest Disclosure Statement, a Business Associate Agreement, a Region Selection Form, and a Technical Proposal that includes resumes detailing required experience. The technical proposal component must specifically address the experience requirements outlined in the Region Selection Form. The checklist does not specify response deadlines, contract award dates, contract terms, pricing structures, or funding amounts, indicating that these details are contained in separate solicitation documents.