Services for DHHS Clients including Persons with ID.RC and/or ABI under the Limited Supports Waiver (DHHS26100)
Services include attendant care, integrated community learning, employment supports, board certified behavior supports, and other behavior supports. DHHS26100 is an Invitation for Applications (IFA) that will result in qualified vendors receiving contracts. Responses are to be submitted outside of U3P as per the instructions in the IFA document. DO NOT SUBMIT RESPONSES THROUGH U3P as such responses are inaccessible to DHHS.
Application Instructions
Attachment A Data Sheet
Attachment B Conflict of Interest Disclosure Statement
Attachment C W-9
Attachment D Service Application Form
Attachment E Business Associate Agreement
Attachment F Medicaid Enrollment Documentation
Evaluation Scoresheet