Attachment 11 - Contracted Case Management External Inquiry Form.docx
DOCX document 22 KB Posted
- Attached to
- Foster Care Case Management
- Solicitation number
- 300000283718677
- Issued by
- Missouri
About this file
This is an external inquiry form attachment related to contracted case management services for the Missouri Department of Social Services Foster Care Case Management solicitation. The form serves as a standardized document for external parties—including prospective bidders, contractors, and other stakeholders—to submit inquiries regarding the foster care case management contract opportunity. The form is designed to capture and organize questions or requests for clarification about the solicitation, allowing the Department of Social Services to respond systematically to inquiries and maintain documentation of all communications during the procurement process.
The form facilitates the formal inquiry process by requiring submitters to provide their organization name, contact information, inquiry category, and detailed descriptions of their questions or concerns. This structured approach ensures that all stakeholder inquiries are tracked, responded to appropriately, and potentially shared with all bidders if the inquiry raises issues relevant to the entire bidding community. The form supports transparency in the procurement process and helps ensure that all interested parties have access to consistent information regarding the foster care case management contract opportunity.
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Text version
STATE 0000000597SL
Attachment 11
Contracted Case Management External Inquiry (EI) Form
Case Management Consortium:
Case Management Sub-Agency:
Individual to contact: Telephone #:
Individual’s relationship to the case:
Child(ren) name and DCN(s)
Issue of Concern (Include dates if known):
Type of Concern:
1. Concern to CD Constituent Unit
|_| Legislative/Governor/Department Inquiry
|_| Send copy of written response within 3 business days: call individual bringing forth the concern within 24 hrs.
|_| Written Concern
|_| Send copy of written response within 5 business days: call individual bringing forth the concern within 24 hrs.
|_| Phone Call
|_|Complete section below within 5 business days; call individual bringing forth the concern within 24 hours.
2. Concern brought forth by the Juvenile or Family Court
|_| Complete section below within 5 business days; call individual bringing forth the concern within 24 hours.
3. Concern to CD Oversight Staff
|_| Complete section below within 5 business days; call individual bringing forth the concern within 24 hours.
How was the situation resolved? Complete when the constituent unit or CD Oversight staff notifies of a concern needing to be addressed.
State Agency Staff completing the form: Date: _ _
FCCM Staff responding and returning the form: _ Date: _ _
CD Constituent Staff are to cc CD Oversight Staff when sending this form to FCCM
FCCM are to cc CD Oversight staff when returning this form to the CD Constituent staff
File details come from the government source that posted it. Updated .