State of Delaware

HEALTHY LIVING IN RURAL DELAWARE: DIABETES

WELLNESS PROGRAM

Request for Proposal HSS HSS-26-063 For

Division of Public Health

February 12, 2026

- Deadline to Respond – April 16, 2026 at 1:00 PM (EDT)

REQUEST FOR PROPOSALS FOR PROFESSIONAL SERVICES

HEALTHY LIVING IN RURAL DELAWARE: DIABETES WELLNESS PROGRAM

ISSUED BY DIVISION OF PUBLIC HEALTH

CONTRACT NUMBER HSS 26-063

Contents:

I. Overview II. Scope of Services

III. Required Information

IV. Professional Services RFP Administrative Information V. Contract Terms and Conditions

VI. RFP Miscellaneous Information VII. Attachments

Appendix A – Minimum Mandatory Submission Requirements Appendix B – Scope of Work and Tenhnical Requirements Appendix C – Vendor Forms o Attachment 2 - Vendor Information Form o Attachment 3 - Non-Collusion Statement o Attachment 4 - Exception Form o Attachment 5 - Confidentiality Form o Attachment 6 - Business References o Attachment 7 - Subcontractor Form – if applicable

Appendix D – Templates/Sample Agreements o Professional Services Agreement o Business Associate Agreement o DTI Terms & Conditions

Appendix E – Workplan Template Appendix F – Project Cost Template

** Ctrl + Click on the headings above will take you directly to the section.

STATE OF DELAWARE

DIVISON OF PUBLIC HEALTH

I. Overview

The State of Delaware Department of Health and Social Services, Division of Public Health, seeks professional services to provide up to 500 rural Delaware residents with diabetes will receive continuous glucose monitoring (CGM) devices, when not otherwise covered by insurance, to support real-time monitoring and timely adjustments in health behaviors and medication use. This request for proposals (“RFP”) is issued pursuant to 29 Del. C. §§ 6981 and 6982.

The proposed schedule of events subject to the RFP is outlined below:

Public Notice February 12, 2026

Deadline for Questions March 5, 2026 at 4:30 PM EST

Pre-Bid Meeting - Mandatory/Non-Mandatory March 19, 2026 at 11:00 AM EDT

Response to Questions Posted by: April 2, 2026

Deadline for Receipt of Proposals April 16, 2026 at 1:00 PM EDT

Estimated Notification of Award May 29, 2026

Estimated Project Start Date July 1, 2026

Each proposal must be accompanied by a transmittal letter which briefly summarizes the proposing firm’s interest in providing the required professional services. The transmittal letter must also clearly state and justify any exceptions to the requirements of the RFP which the applicant may have taken in presenting the proposal. (Applicant exceptions must also be recorded on Attachment 4).

Furthermore, the transmittal letter must attest to the fact, at a minimum, that the Vendor shall not store or transfer non-public State of Delaware data outside of the United States.

For technology related solicitations, Vendors may refer to the Delaware Department of Technology and Information identified terms and conditions included in this solicitation.

The State of Delaware reserves the right to deny any and all exceptions taken to the RFP requirements.

NON-MANDATORY PRE-BID MEETING

A non-mandatory pre-bid meeting has been scheduled for March 19, 2026 at 11:00

AM EDT.

http://delcode.delaware.gov/title29/c069/sc06/index.shtml

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Questions may be submitted no later than March 5, 2026 @ 4:30 PM EST.

All inquiries must be submitted in the Q/A section of the project listing in the Euna Procurement (formerly Bonfire) Portal (https://dhss.bonfirehub.com).

The Department’s response to questions will be posted, according to the procurement schedule, under the project listing in Euna Procurement (formerly Bonfire) and to the State of Delaware Bid Solicitation Directory Website: http://www.bids.delaware.gov/ by April 2, 2026.

II. Scope of Services

A. Background

The mission of the Division of Public Health (DPH) is to protect and enhance the health of the people of Delaware. The Division accomplishes its mission by:

• working together with others;

• addressing issues that affect the health of Delawareans;

• keeping track of the State’s health;

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• promoting positive lifestyles;

• responding to critical health issues and disasters;

• promoting the availability of health services.

Delawareans experience higher rates of diabetes and prediabetes than the national average, with prevalence nearly doubling since 2003. Diabetes represents the most costly chronic condition for both Delaware Medicaid and the Delaware State Group Health Insurance Plan, driving significant healthcare utilization and long-term complications.

Evidence shows that early intervention, effective self-management, and coordinated care improve outcomes while reducing preventable costs.

In 2021, 12.0 percent of Delaware adults (more than 95,000, individuals) reported having been diagnosed with diabetes, with prevalence increasing significantly with age and disproportionately affecting Non-Hispanic Black Delawareans. Adults living with disabilities experience sustainably higher rates of diabetes and prediabetes, reflecting compounded risks associated with social, economic and access-related barriers. These disparities underscore the need for targeted, data-driven interventions that address both clinical management and the social determinants of health.

Rural communities in Sussex County face additional barriers to effective diabetes prevention and management, including limited access to specialty care, workforce shortages, transportation challenges, and gaps in care coordination. These challenges contribute to delayed treatment, poorer disease control, and increased risk of preventable complications. Addressing diabetes in rural Delaware requires approaches that extend care beyond traditional clinical settings and leverage technology to support continuous, patient-centered management.

Sussex County experiences higher prevalence of diabetes, prediabetes, obesity, and hypertension compared to other regions of the state, further intensifying the need for enhanced chronic disease management strategies. Evidence from prior Division of Public Health initiatives demonstrates that technology-enabled self-monitoring paired with structured care coordination can yield clinically meaningful improvements in health outcomes, particularly among rural and underserved populations.

The Healthy Living in Rural Delaware: Diabetes Wellness Program is designed to address these challenges through a series of initiatives as well as a three-year pilot initiative that combines hands-on care management with consumer-facing, technology-enabled solutions. The initiative brings together the Delaware Health Information Network (DHIN), acting as the State’s health information exchange and all-payer claims database, along with rural healthcare providers, payers (such as Medicaid managed care organizations, Medicare advantage plans, commercial insurers, and accountable care organizations) technology partners, and community stakeholders to evaluate the impact of continuous glucose monitoring (CGM) paired with enhanced care coordination.

Through these initiatives, up to 500 rural Delaware residents with diabetes will receive

CGM devices, when not otherwise covered by insurance, to support real-time monitoring and timely adjustments in health behaviors and medication use. Physician-led care teams, including diabetes care coordinators, will use predictive and prescriptive analytics to identify health and cost trends and tailor individualized care plans. Patient guidance and engagement will be supported through a combination of clinical care teams and AI-enabled virtual platforms, with integrated data systems enabling seamless exchange of CGM and health record data.

Community engagement is embedded throughout the pilot, with rural patients, primary care providers, Federally Qualified Health Centers), and care coordinators involved in project design, recruitment, and ongoing feedback. Input from patients and providers will be collected at baseline, mid-pilot, and annually thereafter to inform continuous improvement of care management protocols, digital tools, and patient-facing guidance, ensuring the intervention remains responsive to community needs.

The Rural Delaware Diabetes Wellness Pilot Program builds upon the Division of Public

Health’s Diabetes and Heart Disease Prevention and Control Program, which implements evidence-based and promising practices endorsed by the Centers for Disease Control and Prevention (CDC), the National Association of Chronic Disease Directors, and other national partners. These approaches emphasize measurable outcomes, continuous quality improvement and the integration of clinical and community-based strategies to reduce health disparities and improve population health.

The Healthy Living in Rural Delaware initiatives directly align with DPH’s commitment to addressing the vital conditions necessary for people to thrive, including:

• Equitable access to high-quality health care, through technology-enabled chronic disease management and coordinated clinical support

• Reliable access to appropriate care, by expanding preventive, ambulatory, and ongoing diabetes management services in rural communities

• Strong social and community connections, through collaboration among providers, community-based organizations, and patients

• Economic security, by reducing preventable complications and long-term healthcare costs associated with poorly controlled diabetes

By strengthening technology-enabled care delivery and fostering collaboration across rural healthcare systems, the Healthy Living in Rural Delaware: Diabetes Wellness Program seeks to improve health outcomes, promote sustainable access to high-quality care, and inform statewide approaches to chronic disease management in rural Delaware.

B. Project Goals

The Healthy Living in Rural Delaware: Diabetes Wellness Program aims to improve diabetes prevention, management, and health outcomes for individuals living in rural Sussex County through the deployment of technology-enabled, patient-centered, evidence-based models of care. Aligned with the strategic goal of Sustainable Access, this initiative addresses persistent gaps in chronic disease management while strengthening care coordination, provider capacity, data-driven decision-making, and long-term system sustainability.

Through a coordinated, systems-based approach, the initiative supports the integration of consumer-facing technology, enhanced care management, and advanced analytics to improve outcomes for rural residents with diabetes. The program emphasizes collaboration among providers, payers, and community partners and prioritizes solutions that can be sustained beyond the pilot period.

Goal 1: Expand access to evidence-based diabetes prevention and chronic disease management in rural communities.

1.1 Provide continuous glucose monitoring (CGM) devices to rural residents with diabetes when not otherwise covered by insurance.

1.2 Increase access to proactive, ongoing diabetes management services that extend beyond traditional in-person clinical visits.

1.3 Support early identification of trends and risks to prevent disease progression and avoid complications.

Goal 2: Improve diabetes-related health outcomes through technology-enabled, patient-centered care

2.1 Support improved glucose control through real-time monitoring, individualized care plans, and timely clinical intervention.

2.2 Promote sustained patient engagement in diabetes self-management through digital tools, education, and ongoing feedback.

2.3 Use predictive and prescriptive analytics to inform clinical decision-making and optimize care plans over time.

Goal 3: Strengthen care coordination and provider capacity to deliver enhanced diabetes care

3.1 Support physician-led care teams, including diabetes care coordinators, to deliver enhanced, individualized diabetes management.

3.2 Increase provider engagement through virtual care interactions and data-informed clinical oversight.

3.3 Facilitate coordination among primary care providers, FQHCs, and other participating rural healthcare entities.

Goal 4: Advance data integration and analytic capacity to support population health management

4.1 Integrate CGM data with existing health records and claims data through standards-based platforms.

4.2 Leverage the DHIN and the state’s all-payer claims database to track utilization, outcomes, and cost trends.

4.3 Generate actionable insights to support continuous quality improvement and inform future program expansion.

Goal 5: Promote sustainable and scalable models of rural chronic disease care.

5.1 Demonstrate the clinical and operational effectiveness of technology-enabled diabetes management in rural settings.

5.2 Support adoption of models aligned with existing reimbursement structures, including Medicare and commercial insurance parity for CGM and remote patient monitoring.

5.3 Foster collaboration among providers, payers, and community partners to inform long-term sustainability and replication.

C. Scope of Work/Bidders Requirements: All components listed in Appendix B are mandatory.

Please refer to Appendix B for additional details/requirements for the Scope of Services.

III. Required Information The following information shall be provided in each proposal in the order listed below. Failure to respond to any request for information within this proposal may result in rejection of the proposal at the sole discretion of the State.

A. Minimum Requirements

1. Provide Delaware license(s) and/or certification(s) necessary to perform services as identified in the scope of work.

Prior to the execution of an award document, the successful Vendor shall either furnish the Agency with proof of State of Delaware Business Licensure or initiate the process of application where required.

2. Vendor shall provide responses to the Request for Proposal (RFP) scope of work and clearly identify capabilities as presented in the General Evaluation Requirements below.

3. Complete all appropriate attachments and forms as identified within the RFP.

4. Proof of insurance and amount of insurance shall be furnished to the Agency prior to the start of the contract period and shall be no less than as identified in the bid solicitation, Section V, Item G, subsection 8 (Insurance).

B. General Evaluation Requirements

1. Administrative Oversight

2. Relevant experience

3. Quality Assurance and Continuous Improvement

4. Organizational Resources and partnerships.

5. Alignment with RFP Goals and Requirements

6. Logic & Sequencing of Activities

7. Quality of Workplan and Timeline

8. Integration with Existing Systems

9. Completeness of Response

10. Feasibility of Proposed Strategies

11. Technology and Care Coordination Integration

12. Staffing Structure & Qualifications

13. Recruitment and Retention Capacity

14. Training and Supervision Plan

15. Budget Transparency and Justification

16. Cost Effectiveness

IV. Professional Services RFP Administrative Information A. RFP Issuance

1. Public Notice Public notice has been provided in accordance with 29 Del. C. § 6981.

2. Obtaining Copies of the RFP This RFP is available in electronic form through the State of Delaware Procurement website at https://mmp.delaware.gov/Bids/ and on Euna Procurement (formerly Bonfire) at https://dhss.bonfirehub.com.

https://bids.delaware.gov/.

Paper copies of this RFP will not be available.

3. Assistance to Vendors with a Disability Vendors with a disability may receive accommodation regarding the means of communicating this RFP or participating in the procurement process. For more information, contact the Designated Contact no later than ten days prior to the deadline for receipt of proposals.

4. RFP Designated Contact All requests, questions, or other communications about this RFP shall be made through Euna Procurement (formerly Bonfire) at https://dhss.bonfirehub.com.

Communications made to other State of Delaware personnel or attempting to ask questions by phone or in person will not be allowed or recognized as valid and may disqualify the vendor.

http://delcode.delaware.gov/title29/c069/sc06/index.shtml#6981 https://mmp.delaware.gov/Bids/ https://bids.delaware.gov/

Vendors should rely only on written statements issued by the RFP designated Contracts, Management and Procurement contact.

The RFP designated contact is:

Rick Williamson 417 Federal Street Dover, DE 19904 Ricky.Williamson@delaware.gov

Contracts, Management and Procurement Contact:

Eddie Mui Management Analyst III DHSS_DMS_dmsprocure@delaware.gov

5. Consultants and Legal Counsel

The State of Delaware may retain consultants or legal counsel to assist in the review and evaluation of this RFP and the vendors’ responses. Bidders shall not contact the State’s consultant or legal counsel on any matter related to the RFP.

6. Contact with State Employees Direct contact with State of Delaware employees other than the State of Delaware Designated Contact regarding this RFP is expressly prohibited without prior consent.

Vendors directly contacting State of Delaware employees risk elimination of their proposal from further consideration. Exceptions exist only for organizations currently doing business in the State who require contact in the normal course of doing that business.

7. Organizations Ineligible to Bid Any individual, business, organization, corporation, consortium, partnership, joint venture, or any other entity including subcontractors currently debarred or suspended is ineligible to bid. Any entity ineligible to conduct business in the State of Delaware for any reason is ineligible to respond to the RFP.

8. Exclusions The Proposal Evaluation Team reserves the right to refuse to consider any proposal from a vendor who:

a. Has been convicted for commission of a criminal offense as an incident to obtaining or attempting to obtain a public or private contract or subcontract, or in the performance of the contract or subcontract:

b. Has been convicted under State or Federal statutes of embezzlement, theft, forgery, bribery, falsification or destruction of records, receiving stolen property, or other offense indicating a lack of business integrity or business honesty that currently and seriously affects responsibility as a State contractor:

c. Has been convicted or has had a civil judgment entered for a violation under State or Federal antitrust statutes:

d. Has violated contract provisions such as:

mailto:Ricky.Williamson@delaware.gov

1) Known failure without good cause to perform in accordance with the specifications or within the time limit provided in the contract; or

2) Failure to perform or unsatisfactory performance in accordance with terms of one or more contracts;

e. Has violated ethical standards set out in law or regulation; and

f. Any other cause listed in regulations of the State of Delaware determined to be serious and compelling as to affect responsibility as a State contractor, including suspension or debarment by another governmental entity for a cause listed in the regulations.

B. RFP Submissions

1. Acknowledgement of Understanding of Terms By submitting a bid, each vendor shall be deemed to acknowledge that it has carefully read all sections of this RFP, including all forms, schedules and exhibits hereto, and has fully informed itself as to all existing conditions and limitations.

2. Proposals To be considered, all proposals must be submitted in through Euna Procurement (formerly Bonfire) at https://dhss.bonfirehub.com/ and respond to the items outlined in this RFP.

The State reserves the right to reject any non-responsive or non-conforming proposals.

Responses submitted by hard copy, mail, facsimile, or e-mail will not be accepted.

All proposals must be submitted prior to 1:00 PM EDT on April 16, 2026.

PROPOSAL REQUIREMENTS

a. Proposals must be received before the Proposal Due Date and Time, as identified in the Procurement Schedule for this RFP.

Responses received after the Proposal Due Date and Time will not be accepted.

b. Upload your submission at: https://dhss.bonfirehub.com/

Important Notes:

• Logging in and/or uploading the file(s) does not mean the response is submitted. Users must successfully upload all the file(s) and MUST click the submit button before the proposal due date and time.

• Users will receive an email confirmation receipt with a unique confirmation number once the submission has been finalized. This will confirm that the proposal has been submitted successfully.

• Each submitted item of Requested Information will only become visible to DHSS after the proposal due date and time.

• If the file is mandatory, you will not be able to complete your submission until the requirement is met.

• Uploading large documents may take significant time depending on the size of the file(s) and your Internet connection speed. The maximum upload file size is 1000 MB.

• Minimum system requirements: Microsoft Edge, Google Chrome, or Mozilla Firefox. Java Script must be enabled.

• Notarizations are no longer required.

Need Help? Please contact Euna Procurement (formerly Bonfire) directly at Bonfire Hub, email to support.bonfire@eunasolutions.com, or call 1- 844- 226- EUNA (3862) press 1 for customer support/technical questions or issues related to your submission. You can also visit their help forum at https://customer.eunasolutions.com/public/s/contactsupport.

Any proposal submitted after the Deadline for Receipt of Proposals date will not be accepted. The contents of any proposal shall not be disclosed as to be made available to competing entities during the negotiation process.

Upon receipt of vendor proposals, each vendor shall be presumed to be thoroughly familiar with all specifications and requirements of this RFP. The failure or omission to examine any form, instrument or document shall in no way relieve vendors from any obligation in respect to this RFP.

3. Proposal Modifications Any changes, amendments or modifications to a proposal must be submitted through Euna Procurement (formerly Bonfire) prior to the proposal due date. Changes, amendments, or modifications to proposals shall not be accepted or considered after the hour and date specified as the deadline for submission of proposals.

4. Proposal Costs and Expenses The State of Delaware will not pay any costs incurred by any Vendor associated with any aspect of responding to this solicitation, including proposal preparation, printing or delivery, attendance at vendor’s conference, system demonstrations or negotiation process.

5. Proposal Expiration Date Prices quoted in the proposal shall remain fixed and binding on the bidder at least through June 30, 2027. The State of Delaware reserves the right to ask for an extension of time if needed.

6. Late Proposals Proposals submitted after the specified date and time will not be accepted by the Euna Procurement (formerly Bonfire) Portal. Evaluation of the proposals is expected to begin shortly after the proposal due date. To document https://gcc02.safelinks.protection.outlook.com/?url=http%3A%2F%2Furl4919.eunasolutions.com%2Fls%2Fclick%3Fupn%3Du001.syxhiKOBMQwkqQd3CJXRd-2Bvmf2ZSoc5fuXR7LCDuZimxKS-2Fw1nV5tLWVtxtqBS7VWpEAZY-2B2Tvhglh2BqpkQQk0QvYRMhcLOl2ZA47uuvWM-3DrFc__zqBH9ExdcHz8y5jmZhTFl6SBari0kH0rdXxG9jHnC5t1FCEoGaiS2bSlXSh28CEe4JFr5QK94WL0dsmC4482bZZ5DYfSKESgtw5mbePcSoJzvA-2BxRNScsJ5UBEIbDEKy-2F8QPIvgx5dnbs5q7GF29FYMuMIxpw2IEPBwlbJvsihjjfc3fd94W9B4owu814Qj5tI1mpBaxljHhWDOCrDhFbQ-3D-3D&data=05%7C02%7CEddie.Mui%40delaware.gov%7C2923a66c548a49fa154b08de2ba02938%7C8c09e56951c54deeabb28b99c32a4396%7C0%7C0%7C638996164056480281%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=Nogbf5OKiSpSP9m1fyCpN4aXSSMU5i%2FPIkqOiSsUI7k%3D&reserved=0 mailto:support.bonfire@eunasolutions.com https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fcustomer.eunasolutions.com%2Fpublic%2Fs%2Fcontactsupport&data=05%7C02%7CEddie.Mui%40delaware.gov%7C69ea393b14fc42003ede08de2b8615e1%7C8c09e56951c54deeabb28b99c32a4396%7C0%7C0%7C638996052074795826%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=FiJnLz25IAouYKqd3sgfyn4INaRSs%2F6IxtN3ryDOKNk%3D&reserved=0 compliance with the deadline, the proposal will be date and time stamped upon receipt by Euna Procurement (formerly Bonfire).

7. Proposal Opening The State of Delaware will receive proposals via Euna Procurement (formerly Bonfire) until the date and time shown in this RFP. Proposals will be opened in the presence of State of Delaware personnel.

There will be no public opening of proposals, but a public log will be kept of the names of all vendor organizations that submitted proposals. The contents of any proposal shall not be disclosed in accordance with 29 Del. C. § 10001, et seq. (“FOIA”).

8. Non-Conforming Proposals Non-conforming proposals will not be considered. Non-conforming proposals are defined as those that do not meet the requirements of this RFP. The determination of whether an RFP requirement is substantive, or a mere formality shall reside solely within the State of Delaware.

9. Concise Proposals The State of Delaware discourages overly lengthy and costly proposals. It is the desire that proposals be prepared in a straightforward and concise manner. Unnecessarily elaborate brochures or other promotional materials beyond those sufficient to present a complete and effective proposal are not desired. The State of Delaware’s interest is in the quality and responsiveness of the proposal.

10. Realistic Proposals It is the expectation of the State of Delaware that vendors can fully satisfy the obligations of the proposal in the manner and timeframe defined within the proposal.

Proposals must be realistic and must represent the best estimate of time, materials and other costs including the impact of inflation and any economic or other factors that are reasonably predictable.

The State of Delaware shall bear no responsibility or increase obligation for a vendor’s failure to accurately estimate the costs or resources required to meet the obligations defined in the proposal.

11. Confidentiality of Documents The State of Delaware and its constituent agencies are required to comply with the State of Delaware Freedom of Information Act, 29 Del. C. § 10001, et seq. (“FOIA”).

FOIA requires that the State of Delaware’s records are public records (unless otherwise declared by FOIA or other law to be exempt from disclosure) and are subject to inspection and copying by any person upon a written request. All proposals are subject to FOIA’s public disclosure obligations.

The State of Delaware wishes to create a business-friendly environment and procurement process. As such, the State respects the vendor community’s desire to protect its intellectual property, trade secrets, and confidential business information (collectively referred to herein as “confidential business information”). Proposals must contain sufficient information to be evaluated. If a vendor feels that they cannot submit http://delcode.delaware.gov/title29/c100/index.shtml https://delcode.delaware.gov/title29/c100/index.html their proposal without including confidential business information, they must adhere to the following procedure, or their proposal may be deemed unresponsive, may not be recommended for selection, and any applicable protection for the vendor’s confidential business information may be lost.

In order to allow the State to assess its ability to protect a vendor’s confidential business information, vendors will be permitted to designate appropriate portions of their proposal as confidential business information.

Vendor(s) may submit portions of a proposal considered to be confidential business information in separate file(s) identified as “Confidential Business Information” and include the specific RFP number. The file must contain a letter from the vendor’s legal counsel describing the documents in the file, representing in good faith that the information in each document is not “public record” as defined by 29 Del. C. § 10002, and briefly stating the reasons that each document meets the said definitions.

Upon receipt of a proposal accompanied by such separate file(s), the State of Delaware will open the file to determine whether the procedure described above has been followed. A vendor’s allegation as to its confidential business information shall not be binding on the State. The State shall independently determine the validity of any vendor designation as set forth in this section. Any vendor submitting a proposal or using the procedures discussed herein expressly accepts the State’s absolute right and duty to independently assess the legal and factual validity of any information designated as confidential business information. Accordingly, vendor(s) assume the risk that confidential business information included in a proposal may enter the public domain.

12. Multi-Vendor Solutions (Joint Ventures) Multi-vendor solutions (joint ventures) will be allowed only if one of the venture partners is designated as the “prime contractor”. The “prime contractor” must be the joint venture’s contact point for the State of Delaware and be responsible for the joint venture’s performance under the contract, including all project management, legal and financial responsibility for the implementation of all vendor systems. If a joint venture is proposed, a copy of the joint venture agreement clearly describing the responsibilities of the partners must be submitted with the proposal. Services specified in the proposal shall not be subcontracted without prior written approval by the State of Delaware, and approval of a request to subcontract shall not in any way relieve Vendor of responsibility for the professional and technical accuracy and adequacy of the work. Further, vendor shall be and remain liable for all damages to the State of Delaware caused by negligent performance or non-performance of work by its subcontractor or its sub-subcontractor.

Multi-vendor proposals must be a consolidated response with all cost included in the cost summary. Where necessary, RFP response pages are to be duplicated for each vendor.

a. Primary Vendor https://delcode.delaware.gov/title29/c100/index.html

The State of Delaware expects to negotiate and contract with only one “prime vendor”. The State of Delaware will not accept any proposals that reflect an equal teaming arrangement or from vendors who are co-bidding on this RFP. The prime vendor will be responsible for the management of all subcontractors.

Any contract that may result from this RFP shall specify that the prime vendor is solely responsible for fulfillment of any contract with the State as a result of this procurement. The State will make contract payments only to the awarded vendor.

Payments to any-subcontractors are the sole responsibility of the prime vendor (awarded vendor).

Nothing in this section shall prohibit the State of Delaware from the full exercise of its options under Section IV.B.18 regarding multiple source contracting.

b. Sub-contracting The vendor selected shall be solely responsible for contractual performance and management of all subcontract relationships. This contract allows subcontracting assignments; however, vendors assume all responsibility for work quality, delivery, installation, maintenance, and any supporting services required by a subcontractor.

Use of subcontractors must be clearly explained in the proposal, and major subcontractors must be identified by name.

The prime vendor shall be wholly responsible for the entire contract performance whether or not subcontractors are used.

Any sub-contractors must be approved by State of Delaware.

c. Multiple Proposals A primary vendor may not participate in more than one proposal in any form. Sub-contracting vendors may participate in multiple joint venture proposals.

13. Sub-Contracting

The vendor selected shall be solely responsible for contractual performance and management of all subcontract relationships. This contract allows subcontracting assignments; however, vendors assume all responsibility for work quality, delivery, installation, maintenance, and any supporting services required by a subcontractor.

The use of subcontractors WILL be permitted for this project.

If a subcontractor is going to be used, this needs to be specified in the proposal, with an identification of the proposed subcontractor by name, the service(s) to be provided, and its qualifications to provide such service(s).

Subcontractors will be held to the same requirements as the primary contractor.

The contract with the primary contractor will bind sub or co-contractors to the primary contractor by the terms, specifications, and standards of the RFP. All such terms, specifications, and standards shall preserve and protect the rights of the agency under the RFP and any subsequent proposals and contracts with respect to the services performed by the sub or co-contractor, so that the sub or co-contractor will not prejudice such rights. Nothing in the RFP shall create any contractual relation between any sub or co-contractor and the agency.

14. Discrepancies and Omissions Vendor is fully responsible for the completeness and accuracy of their proposal, and for examining this RFP and all addenda. Failure to do so will be at the sole risk of vendor. Should vendor find discrepancies, omissions, unclear or ambiguous intent or meaning, or should any questions arise concerning this RFP, vendor shall notify the State of Delaware’s Designated Contact, in writing, of such findings at least ten (10) days before the proposal opening. This will allow issuance of any necessary addenda.

It will also help prevent the opening of a defective proposal and exposure of vendor’s proposal upon which award could not be made. All unresolved issues should be addressed in the proposal.

Protests based on any omission or error, or on the content of the solicitation, will be disallowed if these faults have not been brought to the attention of the Designated Contact, in writing, at least ten (10) calendar days prior to the time set for opening of the proposals.

15. State’s Right to Reject Proposals The State of Delaware reserves the right to accept or reject any or all proposals or any part of any proposal, to waive defects, technicalities or any specifications (whether they be in the State of Delaware’s specifications or vendor’s response), to sit and act as sole judge of the merit and qualifications of each product offered, or to solicit new proposals on the same project or on a modified project which may include portions of the originally proposed project as the State of Delaware may deem necessary in the best interest of the State of Delaware.

16. State’s Right to Cancel Solicitation The State of Delaware reserves the right to cancel this solicitation at any time during the procurement process, for any reason or for no reason. The State of Delaware makes no commitments expressed or implied, that this process will result in a business transaction with any vendor.

This RFP does not constitute an offer by the State of Delaware. Vendor’s participation in this process may result in the State of Delaware selecting your organization to engage in further discussions and negotiations toward execution of a contract. The commencement of such negotiations does not, however, signify a commitment by the State of Delaware to execute a contract nor to continue negotiations. The State of Delaware may terminate negotiations at any time and for any reason, or for no reason.

17. State’s Right to Award Multiple Source Contracting Pursuant to 29 Del. C. § 6986, the State of Delaware may award a contract for a particular professional service to two or more vendors if the agency head makes a determination that such an award is in the best interest of the State of Delaware.

18. Potential Contract Overlap https://delcode.delaware.gov/title29/c069/sc06/index.html

Vendors shall be advised that the State, at its sole discretion, shall retain the right to solicit for goods and/or services as required by its agencies and as it serves the best interest of the State. As needs are identified, there may exist instances where contract deliverables, and/or goods or services to be solicited and subsequently awarded, overlap previous awards. The State reserves the right to reject any or all bids in whole or in part, to make partial awards, to award to multiple vendors during the same period, to award by types, on a zone-by-zone basis or on an item-by-item or lump sum basis item by item, or lump sum total, whichever may be most advantageous to the State of Delaware.

19. Supplemental Solicitation The State reserves the right to advertise a supplemental solicitation during the term of the Agreement if deemed in the best interest of the State.

20. Notification of Withdrawal of Proposal Vendor may modify or withdraw its proposal by written request, provided that both proposal and request is received by the State of Delaware prior to the proposal due date. Proposals may be re-submitted in accordance with the proposal due date in order to be considered further.

Proposals become the property of the State of Delaware at the proposal submission deadline. All proposals received are considered firm offers at that time.

21. Revisions to the RFP If it becomes necessary to revise any part of the RFP, an addendum will be posted on the State of Delaware’s website at www.bids.delaware.gov and https://dhss.bonfirehub.com. The State of Delaware is not bound by any statement related to this RFP made by any State of Delaware employee, contractor or its agents.

22. Exceptions to the RFP Any exceptions to the RFP, or the State of Delaware’s terms and conditions, must be recorded on Attachment 4. Acceptance of exceptions is within the sole discretion of the evaluation committee.

23. Business References Provide at least three (3) business references consisting of current or previous customers of similar scope and value using Attachment 6. Include business name, mailing address, contact name and phone number, number of years doing business with, and type of work performed. Personal references cannot be considered.

24. Award of Contract The final award of a contract is subject to approval by the State of Delaware. The State of Delaware has the sole right to select the successful vendor(s) for award, to reject any proposal as unsatisfactory or non-responsive, to award a contract to other than the lowest priced proposal, to award multiple contracts, or not to award a contract, as a result of this RFP.

Notice in writing to a vendor of the acceptance of its proposal by the State of Delaware and the subsequent full execution of a written contract will constitute a contract, and no vendor will acquire any legal or equitable rights or privileges until the occurrence of both such events.

https://mmp.delaware.gov/Bids/ https://dhss.bonfirehub.com/projects

a. RFP Award Notifications

After reviews of the evaluation committee report and its recommendation, and once the contract terms and conditions have been finalized, the State of Delaware will award the contract.

The contract shall be awarded to the vendor whose proposal is most advantageous, taking into consideration the evaluation factors set forth in the RFP.

It should be explicitly noted that the State of Delaware is not obligated to award the contract to the vendor who submits the lowest bid or the vendor who receives the highest total point score, rather the contract will be awarded to the vendor whose proposal is the most advantageous to the State of Delaware. The award is subject to the appropriate State of Delaware approvals.

After a final selection is made, the winning vendor will be invited to negotiate a contract with the State of Delaware; remaining vendors will be notified in writing of their selection status.

25. Cooperatives

Vendors, who have been awarded similar contracts through a competitive bidding process with a cooperative, are welcome to submit the cooperative pricing for this solicitation. State of Delaware terms will take precedence.

C. RFP Evaluation Process

An evaluation team composed of representatives of the State of Delaware will evaluate proposals on a variety of quantitative criteria. Neither the lowest price nor highest scoring proposal will necessarily be selected.

The State of Delaware reserves full discretion to determine the competence and responsibility, professionally and/or financially, of vendors. Vendors are to provide in a timely manner any and all information that the State of Delaware may deem necessary to decide.

1. Proposal Evaluation Team

The Proposal Evaluation Team shall be comprised of representatives of the State of Delaware. The Team shall determine which vendors meet the minimum requirements pursuant to selection criteria of the RFP and procedures established in 29 Del. C. §§ 6981 and 6982. Professional services for this solicitation are considered under 29 Del.

C. § 6982(b). The Team may negotiate with one or more vendors during the same period and may, at its discretion, terminate negotiations with any or all vendors. The Team shall make a recommendation regarding the award to the director of the Division of Public Health, who shall have final authority, subject to the provisions of this RFP and 29 Del. C. § 6982(b), to award a contract to the successful vendor in the best interests of the State of Delaware.

2. Proposal Selection Criteria The Proposal Evaluation Team shall assign up to the maximum number of points for each Evaluation Item to each of the proposing vendor’s proposals. All assignments of points shall be at the sole discretion of the Proposal Evaluation Team.

The proposals shall contain the essential information on which the award decision shall be made. The information required to be submitted in response to this RFP has been determined by the State of Delaware to be essential for use by the Team in the bid evaluation and award process. Therefore, all instructions contained in this RFP shall be met in order to qualify as a responsive and responsible contractor and participate in the Proposal Evaluation Team’s consideration for award. Proposals which do not meet or comply with the instructions of this RFP may be considered non-conforming and deemed non-responsive and subject to disqualification at the sole discretion of the Team.

The Team reserves the right to:

• Select for contract or for negotiations a proposal other than that with lowest costs.

• Reject any and all proposals or portions of proposals received in response to this

RFP or to make no award or issue a new RFP.

• Waive or modify any information, irregularity, or inconsistency in proposals received.

• Request modification to proposals from any or all vendors during the contract review and negotiation.

• Negotiate any aspect of the proposal with any vendor and negotiate with more than one vendor at the same time.

• Select more than one vendor pursuant to 29 Del. C. § 6986.

Criteria Weight All proposals shall be evaluated using the same criteria and scoring process. The following criteria shall be used by the Evaluation Team to evaluate proposals:

Criteria Weight Administrative oversight -Clarity of leadership structure, governance, project oversight plan. 7 Relevant experience - Experience implementing diabetes management, CGM, analytics-driven care, or rural health initiatives. 7 Quality Assurance and Continuous Improvement - QA/QI processes, data validation, performance monitoring, and compliance capacity. 6 Organizational Resources and partnerships. - Adequacy of staffing, technology, DHIN coordination, and partner relationships. 5 Alignment with RFP Goals and Requirements - Proposed approach aligns with program goals and allowable uses of funds 7 Logic & Sequencing of Activities - Activities form a coherent, feasible pilot implementation model and/or a rural diabetes prevention and control program. 6 Quality of Workplan and Timeline - Workplan includes clear activities, deliverables, responsible staff, and realistic timelines. 10 Integration with Existing Systems - Effective integration with DHIN, all-payer claims database, provider workflows, payer systems, and secure health IT platforms.

Completeness of Response - Addresses all required elements of scope of service. 8

Criteria Weight Feasibility of Proposed Strategies - Proposed approach is realistic, implementable, and appropriate for rural Sussex County. 6 Technology and Care Coordination Integration - Strength of CGM, analytics, care coordination, and technology-enabled service integration, including evaluation readiness.

Staffing Structure & Qualifications - Completeness and expertise of staffing model. 6 Recruitment and Retention Capacity - Ability to support sustained provider and care team participation. 5 Training and Supervision Plan - Clarity and adequacy of training, technical assistance, and workforce support for sustained technology-enabled care deliver.

Budget Transparency and Justification - Clear itemization and justification of all costs 5 Cost Effectiveness - Reasonable costs relative to expected deliverables and rural needs 4 Alignment with Workplan - Costs logically support activities and staffing description in the proposals 3

Total 100%

Vendors are encouraged to review the evaluation criteria and to provide a response that addresses each of the scored items. Evaluators will not be able to make assumptions about a vendor’s capabilities so the responding vendor should be detailed in their proposal responses.

3. Proposal Clarification The Evaluation Team may contact any vendor in order to clarify uncertainties or eliminate confusion concerning the contents of a proposal. Proposals may not be modified as a result of any such clarification request.

4. References The Evaluation Team may contact any customer of the vendor, whether or not included in the vendor’s reference list, and use such information in the evaluation process.

Additionally, the State of Delaware may choose to visit existing installations of comparable systems, which may or may not include vendor personnel. If the vendor is involved in such site visits, the State of Delaware will pay travel costs only for State of Delaware personnel for these visits.

5. Oral Presentations After initial scoring and a determination that vendor(s) are qualified to perform the required services, selected vendors may be invited to make oral presentations to the Evaluation Team. All vendor(s) selected will be given an opportunity to present to the Evaluation Team.

The selected vendors will have their presentations scored or ranked based on their ability to successfully meet the needs of the contract requirements, successfully demonstrate their product and/or service, and respond to questions about the solution capabilities.

The vendor representative(s) attending the oral presentation shall be technically qualified to respond to questions related to the proposed system and its components.

All of the vendor's costs associated with participation in oral discussions and system demonstrations conducted for the State of Delaware are the vendor’s responsibility.

V. Contract Terms and Conditions A. Contract Use by Other Agencies

REF: Title 29, Chapter 6904(e) Delaware Code. If no state contract exists for a certain good or service, covered agencies may procure that certain good or service under another agency's contract so long as the arrangement is agreeable to all parties. Agencies, other than covered agencies, may also procure such goods or services under another agency's contract when the arrangement is agreeable to all parties.

B. Cooperative Use of Award As a publicly competed contract awarded in compliance with 29 DE Code Chapter 69, this contract is available for use by other states and/or governmental entities through a participating addendum. Interested parties should contact the State Contract Procurement Officer identified in the contract for instruction. Final approval for permitting participation in this contract resides with the Director of Government Support Services and in no way places any obligation upon the awarded vendor(s).

C. General Information

1. The term of the contract between the successful bidder and the State shall be for one (1) year with four (4) optional extensions for a period of one (1) year for each extension.

2. As a Service subscription license costs shall be incurred at the individual license level only as the individual license is utilized within a fully functioning solution. Subscription costs will not be applicable during periods of implementation and solution development prior to the State’s full acceptance of a working solution.