Attachment F, Managed Service Staff Request.pdf

This is a Managed Services Staff Request form issued by the Department of Health and Human Services (HHS) under RFO No. HHS0017021. The form functions as a template for HHS to request staffing support from a managed services contractor across four categories: transition staff, operations staff, replacement staff, and removal/backfill staff. The requesting organization must complete sections identifying the program area, point of contact information, and specific position details including position titles, number of individuals needed, target start dates, and work locations. Upon receipt of a staffing request, the contractor must submit a comprehensive candidate package within five business days that includes a candidate cover sheet (Exhibit T), original resume, signed candidate acknowledgment of requirements (Exhibit R), and responses to HHS-specified requirements. The contractor is also required to obtain written HHSC approval before assigning any candidate and must resubmit two alternative candidates within five calendar days if the initial submission is rejected.

The form addresses special requirements and constraints that may include unique skills or certifications, schedule constraints, security or access requirements, and other project assumptions or limitations. Submission of the staffing request by an authorized HHSC requestor constitutes a formal written request that initiates the candidate submission requirements outlined in section STF-06 of the master contract. The form requires signature and date authentication from the authorized requestor to validate the staffing request and trigger the contractual performance obligations for candidate identification and submission.