D.10 REQUEST FOR EXTENSION.pdf
PDF 149 KB Posted
- Solicitation number
- 36C25524R0023
About this file
This document outlines the requirements for a federal contract opportunity to provide Contracted Emergency Residential Services (CERS) through a facility located within 30 miles of the VA John J. Pershing Veterans Affairs Medical Center in Poplar Bluff, Missouri. The contractor shall provide housing and supportive services for up to 52 homeless veterans at a time through a CERS model. Required services include room and board, laundry facilities, a safe room, internet and computer access, case management, on-site office space for a VA liaison, transportation assistance, and outreach. The contractor must employ staff including a clinical director, case manager, licensed practical nurse, and behavioral health technician. The performance period is from March 29, 2024 to March 28, 2029. The contractor will be paid a daily per diem rate for each eligible veteran residing at the facility and receiving services, not to exceed 120 days without approval.
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Text version
VA CRS Extension Request Form
Complete form and email to VA CERS Liaison 7 days prior to the end of previous referral or if requested by CERS Liaison.
Veteran: Bed Days:
Contract Case Manager:
Housing goals:
Progress toward housing goals:
Justification for extension:
COR use only below this line
Date of Request:
Projected discharge date: Referrals:
Approved: Denied: Date processed:
Comments:
Contract CM Signature:
File details come from the government source that posted it. Updated .