6-DHHS26149 Document Submission Checklist.docx
DOCX document 18 KB Posted
- Attached to
- Residential Treatment Services
- Solicitation number
- DHHS26149
- Issued by
- Utah
About this file
This document submission checklist outlines the required documentation for the Utah Department of Health and Human Services (DHHS) procurement for residential treatment services. Bidders must submit comprehensive proposals to provide either an 8-bed moderate-level residential treatment program for males with problematic sexual behaviors (DSE program) or a 12-bed high-level mental and behavioral health residential treatment program for females (DMF program). The checklist specifies mandatory submission components including completed proposal forms, organizational documentation, service delivery plans, staffing qualifications, and compliance certifications. Prospective vendors must adhere to the specified submission format and include all required exhibits and supporting documentation to be considered for award.
The checklist establishes specific administrative requirements for proposal evaluation, including verification of vendor credentials, licensing status, insurance coverage, and financial stability documentation. Bidders are required to demonstrate experience in providing comparable residential treatment services, detail their clinical protocols and quality assurance measures, and provide evidence of adequate facilities and equipment. All submissions must include certification of compliance with state regulations, background check clearances for proposed staff, and references from previous service contracts. The document functions as a gatekeeping mechanism ensuring that only qualified vendors meeting DHHS standards proceed through the evaluation process.
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Other files
| File | Type | Posted |
|---|---|---|
| 7-DHHS26149 Attachment D Facility Service Selection.docx | DOCX document | |
| 5-DHHS26149 Attachment E Facility Org Chart.docx | DOCX document | |
| 1-DHHS26149 Attachment F Past Perfomance.docx | DOCX document | |
| 4-DHHS26149 Form 4 - Mandatory Minimum Requirements.docx | DOCX document | |
| 13-DHHS26149 Attachment C Established Rates.docx | DOCX document | |
| 3-DHHS26149 RFP Template Residential 9.29.26.docx | DOCX document | |
| 8-DHHS26149 Form 1 - DHHS Data Sheet.pdf | ||
| 12-DHHS26149 Attachment A DHHS Client Service Terms.docx | DOCX document | |
| 14-26089 Form 2 W-9.pdf | ||
| 11-DHHS26149 Attachment B Scope of Work 9.29.26.docx | DOCX document | |
| 9-DHHS26149 Score Sheet.xlsx | XLSX spreadsheet | |
| 2-DHHS26149 Attachment G Medicaid Services Attachment.docx | DOCX document | |
| 10-DHHS26149 Form 3 Conflict of Interest Disclosure Statement.pdf |
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Text version
DHHS Residential Treatment Services
Document Submission Checklist
Solicitation # DHHS26149
Forms
Form 1 - Data Sheet
Form 2 - State of Utah DHS Substitute Form W9
Form 3 - Conflict of Interest
Form 4 – Mandatory Minimum Requirements
Attachment D: Facility Service Selection Template
Attachment E: Facility Organization Chart
Attachment F: Past Performance
Attachment G: Medicaid Services Attachment
Technical Proposal including a sample aftercare plan.
Mandatory Minimum Requirements Offerors must demonstrate the ability to meet or exceed the mandatory minimum requirements by completing and submitting Form 4 Mandatory Minimum Requirements.
Offeror must have 2 years of experience serving similar populations.
Offeror must have a physical facility located in the State of Utah.
Prior to the contract start date, the Contractor must have a current license from the DHS Office of Licensing (“DHS/OL”) for residential treatment or intermediate secure care.
Offeror must have a Clinical Evaluation, Treatment, Wrap Services and Forensic Evaluations contract for psychotherapy services; pharmacological evaluation and management of services; psychosocial rehabilitation services; therapeutic behavioral services; mentoring services; day treatment services; and clinical consultation prior to contracting.
Technical Proposal
Provide a response to all of the evaluation criteria listed below for each facility: 12 point Times New Roman
Scoreable Technical Criteria
A. APPLICANTS PROGRAM
A1. Describe how the applicant will adhere to the admission criteria identified in the scope of work and admit all Persons that meet criteria referred to their program.
A2. Describe the program's length of stay and how it aligns with the targeted length of stay criteria described in the scope of work.
A3. Submit program manual that describes the evidence- based model used that is shown to reduce recidivism. How it is implemented from clinical intervention to group milieu. Describe the evidence-based treatment models utilized. If you utilize multiple evidence-based models, describe specifically how they are integrated.
A4. Describe the behavior intervention system and how it is related to your evidence-based treatments.
B. Family Engagement
B1. Describe Family Treatment including behavioral skills training for the family.
B2. Describe the program’s family visitation and other contact.
C. Aftercare
Submit an example of an aftercare plan.
File details come from the government source that posted it. Updated .