6-HSS-26-019 - Agency with Choice - Attachment 5 - Business References Form.docx

This document is a Business References Form issued by the Delaware Health and Social Services Division of Developmental Disabilities for the Agency with Choice (AWC) contract opportunity. The form requires bidders to provide a minimum of three business references, including business name, contact information, years of business association, and type of work performed. The form specifically prohibits listing state employees as references and requests separate documentation for any state contracts held within the past five years.

The related contract opportunity seeks a Financial Management Services (FMS) provider using the Agency with Choice model to support individuals with intellectual and developmental disabilities living at home. The selected Agency with Choice Provider will serve as the Common Law Employer and be responsible for providing financial management services to participants or their representatives who choose self-directed personal care and respite services. The solicitation indicates that full details of the scope of services are outlined in APPENDIX B, which was not included in the provided documentation.