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 prepared by the Maryland Department of Juvenile Services for the Community-Based Behavioral Health Evaluations solicitation #25-Multi-CS-BH-001. The checklist establishes mandatory staff qualification requirements for clinicians providing psychological, psychiatric, and psychosexual evaluations to adjudicated and alleged youth ages 12-20 across multiple regions in Maryland. The Department is seeking bids to award up to three contracts, one per geographic region (Eastern, Capital South, and Western), with bids due April 1, 2026 at 2:00 p.m. and a virtual pre-bid conference scheduled for March 18, 2026 at 11:00 a.m. The contract term runs five years from June 1, 2026 through May 31, 2031 with no renewal options. Estimated annual service volumes include 150 psychological evaluations, 50 psychosexual evaluations, 15 consultations of each type, 5 court appearances, and up to 50 updated evaluations depending on region.

All clinical staff must meet specific experience requirements verified through the checklist: psychologists must demonstrate at least two years of post-doctoral experience providing psychological evaluations to court-involved youth and must submit redacted sample evaluation reports; psychiatrists similarly require two years of post-fellowship experience with psychiatric evaluations and supporting documentation; clinicians performing psychosexual evaluations must provide two years of adolescent psychosexual evaluation experience with sample reports not exceeding three years old. All submitted CVs or resumes are limited to three pages, and bidders must include copies of current licenses in good standing. Maryland State Police, Child Protective Services, and Federal Bureau of Investigation background check results are mandatory for all assigned personnel prior to service delivery. The document serves as the qualification verification mechanism requiring bidders to confirm compliance with criminal background screening requirements and professional licensure standards established in Section 3.3.2 of the solicitation.

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Appendix 3 Bidder's Staff Qualification Checklist - Community Evaluations.pdf PDF
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Appendix 5 Updated TOJ Template January 2025.pdf PDF
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FINAL IFB- 26-MULTI-CS-BH-001- Community Behavioral Health Evals 2.17.26 TW.SJ.OAG.RC.JG.pdf PDF
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eMMA COVER Letter- 26-MULTI-CS-BH-001.pdf PDF
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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 .