Technical Proposal Information Workbook.xlsx
XLSX spreadsheet 654 KB Posted
- Solicitation number
- 15BCTS24R00000001
About this file
This document contains a technical proposal workbook and related federal contract opportunity notice for community treatment services providing Medication-Assisted Treatment (MAT) via telehealth. The Federal Bureau of Prisons seeks a contractor to provide MAT services including intake screening, psychiatric evaluation and reporting, follow-up and reporting, and medication administration predominantly via telehealth to Adults in Custody in community placement nationwide. Services will be required over three annual performance periods from July 2024 through June 2027, with an optional six-month extension. The estimated award date is April 29, 2024. The contractor must be licensed and certified to provide MAT in all applicable states and able to administer MAT medications. Minimum and maximum service units are specified by performance period. This is an unrestricted requirement to be awarded as an Indefinite Delivery, Indefinite Quantity contract.
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Text version
1a. MAT Requirements by State
| Name of Company: | ||||
| Solicitation Number: | ||||
| STATE | TeleMAT | TeleMAT Key Personnel | MAT | MAT Key Personnel |
| Alabama | ||||
| Alaska | ||||
| Arizona | ||||
| Arkansas | ||||
| California | ||||
| Colorado | ||||
| Connecticut | ||||
| Delaware | ||||
| District of Columbia | ||||
| Florida | ||||
| Georgia | ||||
| Hawaii | ||||
| Idaho | ||||
| Illinois | ||||
| Indiana | ||||
| Iowa | ||||
| Kansas | ||||
| Kentucky | ||||
| Louisiana | ||||
| Maine | ||||
| Maryland | ||||
| Massachusetts | ||||
| Michigan | ||||
| Minnesota | ||||
| Mississippi | ||||
| Missouri | ||||
| Montana | ||||
| Nebraska | ||||
| Nevada | ||||
| New Hampshire | ||||
| New Jersey | ||||
| New Mexico | ||||
| New York | ||||
| North Carolina | ||||
| North Dakota | ||||
| Ohio | ||||
| Oklahoma | ||||
| Oregon | ||||
| Pennsylvania | ||||
| Rhode Island | ||||
| South Carolina | ||||
| South Dakota | ||||
| Tennessee | ||||
| Texas | ||||
| Utah | ||||
| Vermont | ||||
| Virginia | ||||
| Washington | ||||
| West Virginia | ||||
| Wisconsin | ||||
| Wyoming |
2a. Technical Personnel List
| Name of Company: |
| Solicitation Number: |
| Required Key Personnel | EVALUATION USE ONLY (check applicable items) | ||||||||
| Last Name, First Name | AN | AD | MCC | Practitioner | License | DEA | Resume | PA | |
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2b. Licensure&DEA Certificate
| Name of Company: | |||||||||
| Solicitation Number: | |||||||||
| Identify Issuing State for Professional License | Column1 | Type of Required Services to be Provided in State | Practitioner Name | Professional License Type | License Number | License Expiration Date | DEA Registration Certificate | DEA Registration Certificate Expiration Date | |
| Choose State (in Drop Down) for Each License | Required Key Personnel | Choose (in Drop Down): MAT (in-person) TeleMAT (telehealth) or Both (MAT & TeleMAT) | Last Name, First Name | Identify License Type for each Corresponding State in 1st column | List License Number for each Corresponding State in 1st column | List Expiration Date for each Corresponding State License in 1st column | List DEA Registration Certificate Number | List Expiration Date of DEA Registration Certificate | |
| Alabama | MAT (In-Person) | ||||||||
| Alaska | TeleMAT (Telehealth) | ||||||||
| Arizona | Both (MAT & TeleMAT) | ||||||||
| Arkansas | |||||||||
| California | |||||||||
| Colorado | |||||||||
| Connecticut | |||||||||
| Delaware | |||||||||
| District of Columbia | |||||||||
| Florida | |||||||||
| Georgia | |||||||||
| Hawaii | |||||||||
| Idaho | |||||||||
| Illinois | |||||||||
| Indiana | |||||||||
| Iowa | |||||||||
| Kansas | |||||||||
| Kentucky | |||||||||
| Louisiana | |||||||||
| Maine | |||||||||
| Maryland | |||||||||
| Massachusetts | |||||||||
| Michigan | |||||||||
| Minnesota | |||||||||
| Mississippi | |||||||||
| Missouri | |||||||||
| Montana | |||||||||
| Nebraska | |||||||||
| Nevada | |||||||||
| New Hampshire | |||||||||
| New Jersey | |||||||||
| New Mexico | |||||||||
| New York | |||||||||
| North Carolina | |||||||||
| North Dakota | |||||||||
| Ohio | |||||||||
| Oklahoma | |||||||||
| Oregon | |||||||||
| Pennsylvania | |||||||||
| Rhode Island | |||||||||
| South Carolina | |||||||||
| South Dakota | |||||||||
| Tennessee | |||||||||
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| Vermont | |||||||||
| Virginia | |||||||||
| Washington | |||||||||
| West Virginia | |||||||||
| Wisconsin | |||||||||
| Wyoming |
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