4-HSS-26-019 - Agency with Choice - Attachment 4 - Exceptions Form.docx

This document is an Attachment 4 Exceptions Form for a contract (HSS-26-019) issued by the Delaware Health and Social Services Division of Developmental Disabilities (DDDS) for an Agency with Choice (AWC) program. The contract seeks a Financial Management Services (FMS) provider to support individuals with intellectual and developmental disabilities who are living at home, with the selected provider serving as the Common Law Employer responsible for managing self-directed personal care and respite services.

The document includes a Confidential Information Form where vendors can indicate whether they are submitting any confidential or proprietary information for potential production under the Delaware Freedom of Information Act. While specific pricing, funding sources, and contract term details are not fully elaborated in this attachment, the related contract opportunity description indicates this is a professional services contract for supporting individuals with developmental disabilities through a self-directed service model. The form appears to be part of the initial contracting documentation and provides a mechanism for vendors to declare any sensitive information they may be submitting as part of their proposal.