9-Item 1 Cover Letter EOI rev070124.docx

17 KB Posted

Attached to
DHHS BHS CCS Ancillary Services Open Enrollment EOI
Solicitation number
Not on record
Issued by
Milwaukee County, Mattoon Village, Wisconsin

About this file

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This document is a sample cover letter for an Expression of Interest (EOI) issued by the Milwaukee County Department of Health and Human Services (DHHS) for the Year 2026 Comprehensive Community Services (CCS) Ancillary Network Open Enrollment. The EOI seeks to identify and expand community providers for ancillary services for both adult and youth programs, with specific services open to new providers and current providers looking to expand their service offerings in 2026. The document outlines required submission materials, including a cover letter, technical requirements, provider service site information, references, and various certification documents.

The EOI targets community agencies, organizations, and interested parties capable of providing services across multiple participant groups. Current providers seeking to continue existing services are explicitly instructed not to use this EOI process. The document emphasizes that providers can apply to serve various targeted participant groups and potentially add new service codes to their existing contracts. The cover letter template requires authorized signatories to certify the completeness and accuracy of submitted information, with space for signatures, printed names, titles, and agency details. This opportunity is specifically located in Wisconsin and is being administered by Milwaukee County's Behavioral Health Services (BHS) Comprehensive Community Services leadership.

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Other files

File Type Posted
10-Submission Instructions - DHHS-BHS-EOI-CCS Ancillary.docx DOCX document
11-Preliminary QA CCS Ancillary EOI 080325.pdf PDF
12-Final QA CCS Ancillary EOI 080725.pdf PDF
6-Item TBE Targeted Business Enterprise Certification rev042525.docx DOCX document
2-Item 26 Provider Service Site Information rev0051724.docx DOCX document
8-Expression of Interest Open Enrollment CCS Ancillary.docx DOCX document
4-Item DCPI Designation of Confidential and Proprietary Information rev051724.docx DOCX document
5-Quick Reference Service Type List General 5.19.2025.xlsx XLSX spreadsheet
7-Item EOI Open Enrollment Questionnaire.docx DOCX document
1-Item 16 Additional Disclosures rev051724.docx DOCX document
3-ITEM 26a Agency Site Info Rev 1.xlsx XLSX spreadsheet
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SAMPLE COVER LETTER ITEM # 1

(ON PROPOSER LETTERHEAD)

DATE:

Ms. Shakita L. LaGrant-McClain, Director Milwaukee County Department of Health and Human Services Marcia P. Coggs Center, 1230 W. Cherry Street Milwaukee, WI 53205

Dear Ms. LaGrant-McClain:

I am familiar with the "Year 2026 CCS Adult and Youth Ancillary Network Open Enrollment Expression of Interest Guidelines: Program and Technical Requirements" set forth by the Milwaukee County Department of Health and Human Services and am submitting the attached proposal which, to the best of my knowledge, is a true and complete representation of the requested materials.

I hereby also certify that the information contained in following forms are true, complete, and correct to the best of my knowledge.

Technical Requirements
Item Description

Item #

1
Cover Letter
16
Additional Disclosures
26
Provider Service Site Information
26A
Agency & Site Info Spreadsheet
DCPI
Designation of Confidential and Proprietary Information
EOI
Item EOI Open Enrollment Questionnaire
TBE
Targeted Business Enterprise Certification
References
Two (2) Reference Letters from entities that the agency has contracted with to provide the services described in this RFP

I hereby certify that I have the authority to submit this proposal on behalf of the agency identified below and am authorized to negotiate with DHHS and bind the agency in a service contract.

Sincerely, Authorized Signature: ___________________________ Date: _________________

Printed Name: ____________________________________

Title: __________________________

Agency: _________________________________________________________

File details come from the government source that posted it. Updated .