Appendix 3 Bidder's Staff Qualification Checklist - Community Evaluations.pdf

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Attached to
COMMUNITY-BASED BEHAVIORAL HEALTH EVALUATIONS FOR MULTIPLE REGIONS
Solicitation number
BPM053561
Issued by
Maryland

About this file

This is a Bidder's Staff Qualification Checklist document for the Maryland Department of Juvenile Services' Community-Based Behavioral Health Evaluations solicitation (25-Multi-CS-BH-001). The document establishes staffing qualifications requirements that bidders must meet for clinicians providing psychological, psychiatric, and psychosexual evaluations to adjudicated and alleged youth ages 12-20 across multiple regions. The solicitation encompasses three geographic regions (Eastern, Capital South, and Western) with bids due April 1, 2026 at 2:00 p.m., a virtual pre-bid conference scheduled for March 18, 2026 at 11:00 a.m., and a five-year contract term from June 1, 2026 through May 31, 2031 with no renewal options. The department anticipates awarding up to three contracts, one per region, with estimated annual volumes including 150 psychological evaluations, 15 consultations each for psychological and psychiatric services, 50 psychosexual evaluations, 5 court appearances, and 100 missed appointments across all regions.

The checklist requires bidders to provide clinicians with current Maryland licenses in good standing, CVs not exceeding three pages, and evidence of at least two years of experience within the past five years providing behavioral health evaluations to court-involved youth. Clinicians must submit redacted evaluation reports demonstrating their competency and comply with criminal background checks through Maryland State Police, CPS, and FBI clearances prior to assignment. A 5% Minority Business Enterprise subcontracting participation goal applies, with MBE-certified prime contractors permitted to self-perform 2.5% and fulfill the remaining 2.5% through subcontractors. Insurance requirements include Commercial General Liability ($1 million per occurrence/$3 million aggregate), Professional Liability ($1 million per claim/$3 million aggregate), Cyber Security/Data Breach ($5 million per occurrence), and Workers' Compensation. Virtual evaluations are billed at a 20% reduction from set fees, while in-person evaluations receive full compensation under fixed-price bidding with no federal funding involved.

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Other files

File Type Posted
Professional Services Supplemental- BPM053561- Behavioral Health Evals- 26-MULTI-CS-BH-001.pdf PDF
Appendix 6 Psychiatric Eval & Certificate of Need Templates.pdf PDF
FINAL IFB- 26-MULTI-CS-BH-001- Community Behavioral Health Evals 2.17.26 TW.SJ.OAG.RC.JG (amended).pdf PDF
Attachment-F.-Bidder-Offeror-Information-Sheet.pdf PDF
Appendix 8 DJS Policy List - Community Evaluation Contract.pdf PDF
Appendix 4 Psychological Report Template.pdf PDF
Appendix 2 Community Office Locations.pdf PDF
eMMA COVER Letter- 26-MULTI-CS-BH-001.pdf PDF
Appendix 1 Abbreiviations and Definitions.pdf PDF
Attendee List, Meeting Agenda & Q & A's- Community Behavioral Health Evals @ Multi Regions- 26-MULTI-CS-BH-001.pdf PDF
Attachment-U.-Contract-Affidavit.pdf PDF
Attachment-A.-Bid-Proposal-Affidavit.pdf PDF
Attachment-2.-Pre-Bid_-Pre-Proposal-Conference-Response-Form-26-MULTI-CS-BH-001.pdf PDF
Amendment #1- Community Based Behavioral Health Evals @ Multi Regions- 26-MULTI-CS-BH-001.pdf PDF
BID FORM- BH Evals Regions Capital, Eastern, Western 5 Year Contract- .xlsx XLSX spreadsheet
Appendix 7 Psychosexual Eval Report Template.pdf PDF
5.1 Appendice Table.pdf PDF
Appendix 1 Abbreiviations and Definitions.pdf PDF
Appendix 5 Updated TOJ Template January 2025.pdf PDF
Attachment-F.-Bidder-Offeror-Information-Sheet.pdf PDF
Appendix 8 DJS Policy List - Community Evaluation Contract.pdf PDF
Appendix 7 Psychosexual Eval Report Template.pdf PDF
5.1 Appendice Table.pdf PDF
FINAL IFB- 26-MULTI-CS-BH-001- Community Behavioral Health Evals 2.17.26 TW.SJ.OAG.RC.JG.pdf PDF
Professional Services Supplemental- BPM053561- Behavioral Health Evals- 26-MULTI-CS-BH-001.pdf PDF
Attendee List, Meeting Agenda & Q & A's- Community Behavioral Health Evals @ Multi Regions- 26-MULTI-CS-BH-001.pdf PDF
Appendix-4.-MBE-Participation-Goal.pdf PDF
Appendix 4 Psychological Report Template.pdf PDF
Appendix 2 Community Office Locations.pdf PDF
Attachment-I.-Conflict-of-Interest-Affidavit.pdf PDF
eMMA COVER Letter- 26-MULTI-CS-BH-001.pdf PDF
Amendment #1- Community Based Behavioral Health Evals @ Multi Regions- 26-MULTI-CS-BH-001.pdf PDF
Attachment-U.-Contract-Affidavit.pdf PDF
Attachment-2.-Pre-Bid_-Pre-Proposal-Conference-Response-Form-26-MULTI-CS-BH-001.pdf PDF
FINAL IFB- 26-MULTI-CS-BH-001- Community Behavioral Health Evals 2.17.26 TW.SJ.OAG.RC.JG.pdf PDF
Appendix 6 Psychiatric Eval & Certificate of Need Templates.pdf PDF
Appendix 1 Abbreiviations and Definitions.pdf PDF
Attachment-U.-Contract-Affidavit.pdf PDF
Appendix 8 DJS Policy List - Community Evaluation Contract.pdf PDF
Appendix 5 Updated TOJ Template January 2025.pdf PDF
Attachment-F.-Bidder-Offeror-Information-Sheet.pdf PDF
Attachment-A.-Bid-Proposal-Affidavit.pdf PDF
BID FORM- BH Evals Regions Capital, Eastern, Western 5 Year Contract- .xlsx XLSX spreadsheet
5.1 Appendice Table.pdf PDF
Professional Services Supplemental- BPM053561- Behavioral Health Evals- 26-MULTI-CS-BH-001.pdf PDF
eMMA COVER Letter- 26-MULTI-CS-BH-001.pdf PDF
Appendix-4.-MBE-Participation-Goal.pdf PDF
Appendix 4 Psychological Report Template.pdf PDF
Appendix 2 Community Office Locations.pdf PDF
Appendix 7 Psychosexual Eval Report Template.pdf PDF
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Text version

Community-Based Behavioral Health Evaluations for Multiple Regions Solicitation #: 25-Multi-CS-BH-001

IFB Document

IFB for DEPARTMENT OF JUVENILE SERVICES Page 83 of 101

Bidders Staff Qualifications Coversheet Checklist

Full Name of the Clinician:

Licensure Type:

Bidder Completed

DJS

Confirmation

Copy of current license (in good standing) included (Yes or No):

Copy of CV/ Resume included (Yes or No):

1. Does the attached CV/ Resume indicate at least two (2) years of experience providing PSYCHOLOGICAL EVALUATIONS to youth between the ages of 12 and 20, who are alleged or adjudicated youth . (Yes or No) The CV/Resume shall be not more than three (3) pages.

Their experience while employed by entities or organizations other than the Bidder may be considered determining whether this minimum qualification is met by the Bidder.

2. If the answer to the question #1 is YES, is a redacted copy of a psychological evaluation report, completed by the above named person, included? (Yes or No)

3. Does the attached CV/ Resume indicate at least two (2) years of experience providing PSYCHIATRIC EVALUATIONS to youth between the ages of 12 and 20, who are alleged or adjudicated youth. (Yes or No) The CV/Resume shall be not more than three (3) pages.

4. If the answer to the question #3 is YES, is a redacted copy of a psychiatric evaluation report, completed by the above named person, included? (Yes or No)

5. Will the person named above be completing psycho-sexual evaluations?

(Yes or No)

6. Does the attached CV/ Resume indicate at least two (2) years of experience in adolescent psychosexual evaluations? (Yes or No)

7. Is a redacted copy (no more than 3 years old) of a psychological, psychiatric and/or psychosexual evaluation report (or a closely related adolescent assessment report applicable to their licensure) from the above named person attached? (Yes or No)

8. Pursuant to Section 3.3.2 Criminal Background Check – Are the Maryland State Police, CPS and/or FBI background check results for the above named person attached? (Yes or No)

Appendix 4. - Bidder’s Staff Qualification Coversheet

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