Request for Proposals - Agency with Choice Services

The Oregon Department of Human Services (ODHS) and Oregon Health Authority (OHA) are issuing Request for Proposals (RFP 6124) to procure Agency with Choice (AwC) services, a self-directed service delivery model for older adults, individuals with physical disabilities, and those with behavioral health conditions. The state intends to award up to four contracts, with a maximum of two successful proposers, to provide comprehensive administrative support for individuals directing their own care services. Contractors will be responsible for managing Direct Support Workers (DSWs), ensuring administrative functions, and facilitating person-centered care planning while maintaining individual autonomy. The fully loaded Medicaid reimbursable hourly rate is $42.12 per hour for DSWs, with a strict requirement that at least 85% of the total hourly rate must be used for DSW compensation, including wages, benefits, and insurance. The RFP specifies an administrative fee cap of 15%, with additional compensation including $0.70 per mile for mileage and a 3-hour annual assessment fee per individual. Proposals are due on August 25, 2025, at 9 AM PST, with an initial contract term anticipated to be two years and potential renewals up to a cumulative maximum of five years.

The state strongly encourages participation from diverse business enterprises, specifically targeting small businesses, minority-owned businesses, woman-owned businesses, service-disabled veteran-owned businesses, and emerging small businesses certified under ORS 200.055 by the Oregon Certification Office for Business Inclusion and Diversity (COBID). Proposers must complete a Certified Disadvantaged Business Outreach Plan, detailing their strategy for soliciting and including certified firms in potential subcontracting opportunities. Contractors must also comply with extensive regulatory requirements, including obtaining a Pay Equity Compliance Certificate for contracts exceeding $500,000 or involving 50 or more full-time workers. The procurement includes specific labor relations requirements under House Bill 4129, mandating proposers to provide documentation about interactions with labor organizations representing Direct Support Workers. While specific total contract value is not explicitly stated, the comprehensive nature of the services and the potential for multiple awards suggest a significant investment in home and community-based services. Successful contractors will be subject to quarterly reporting, rigorous background check requirements, and must maintain detailed financial transparency with administrative overhead strictly limited to 15% of total payments.