7-DHHS26149 Attachment D Facility Service Selection.docx
DOCX document 19 KB Posted
- Attached to
- Residential Treatment Services
- Solicitation number
- DHHS26149
- Issued by
- Utah
About this file
This is a Facility Service Selection attachment document prepared by the Utah Department of Health and Human Services (DHHS) for residential treatment services. The document outlines facility requirements for two distinct programs: an 8-bed male residential treatment facility for youth with problematic sexual behaviors at a moderate service level (DSE), and a 12-bed female residential treatment facility providing high-level mental and behavioral health services (DMF). The attachment serves as a selection tool to identify qualified facilities capable of meeting the clinical, safety, and operational standards required to serve these specialized populations. Bidders are required to demonstrate facility capacity, physical infrastructure compliance, staffing capabilities, and adherence to state licensing and regulatory standards for residential treatment programs.
The document establishes facility-specific criteria including physical plant requirements, safety standards, capacity specifications, and service delivery capabilities. Facilities must meet Utah Department of Health and Human Services licensing requirements and demonstrate readiness to serve the identified populations immediately upon contract award. The selection process evaluates whether prospective providers possess appropriate facility specifications, certified staff, therapeutic programming infrastructure, and compliance documentation. This attachment functions as a mandatory component of the bidding process, requiring applicants to certify facility adequacy and readiness prior to contract execution.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-DHHS26149 Attachment F Past Perfomance.docx | DOCX document | |
| 6-DHHS26149 Document Submission Checklist.docx | DOCX document | |
| 4-DHHS26149 Form 4 - Mandatory Minimum Requirements.docx | DOCX document | |
| 13-DHHS26149 Attachment C Established Rates.docx | DOCX document | |
| 5-DHHS26149 Attachment E Facility Org Chart.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
ATTACHMENT D FACILITY SERVICE SELECTION
#DHHS26149
PART I – OFFEROR AND FACILITY INFORMATION
1. Offeror:
Offeror Name: _
Address
City, State and Zip Code: _ _ _
2. Facility:
Name of Facility: _
Address
City, State and Zip Code: _ _ _
3. Total Number of Licensed Beds in the Facility: _
PART II – CLIENT POPULATION TO BE SERVED
4. Client population and risk/need level to be served at the Facility.
(Select ONLY ONE)
· DSE Male Moderate Level Youth with Problematic Sexual Behaviors NON-AJUDICATED - 8 Beds ASE: Absence Code for DSE (Male)
· DMF Female High Level Mental & Behavioral Health - 12 Beds AMF: Absence code for DMF (Female)
File details come from the government source that posted it. Updated .