Agency with Choice

The Delaware Health and Social Services Division of Developmental Disabilities (DDDS) is seeking a provider for Agency with Choice (AWC) Financial Management Services through a Request for Proposal (RFP) issued on September 5, 2025, with proposals due on October 31, 2025, at 1:00 PM EST. The procurement aims to support self-directed personal care and respite services for individuals with intellectual and developmental disabilities living at home, under the DDDS Lifespan 1915(c) HCBS Medicaid Waiver. The selected vendor will be responsible for comprehensive services including employer responsibilities, budget management, payroll and tax reporting, customer service, data security, and quality assurance. Key deliverables include maintaining robust internal controls, providing detailed reporting, ensuring HIPAA compliance, and supporting participants in self-directing their personal care services. The initial contract term is one year with four optional one-year extensions, targeting an estimated participant increase from 475 individuals in State Fiscal Year 2027 to 675 individuals by State Fiscal Year 2031.

The RFP does not explicitly specify set-aside designations or restrictions on respondent types. Compensation for the selected vendor will be structured through a one-time startup fee per enrolled participant and a monthly Per Member Per Month (PMPM) administrative fee, payable only during months when service payments are rendered. The vendor must demonstrate a strong person-centered philosophy and adhere to self-determination principles while maintaining the confidentiality and integrity of participant information. While specific budget ranges are not detailed in the provided summary, the escalating participant numbers suggest potential for significant administrative fee revenue. The procurement emphasizes the importance of comprehensive financial management services that enable individuals with developmental disabilities to have greater control and choice in their personal care arrangements. Vendors will need to showcase robust technological capabilities, data security protocols, and a deep understanding of Medicaid waiver program requirements to be competitive in this solicitation.