Intellectual Disabilities, Related Conditions (ID.RC) and Acquired Brain Injury (ABI) Services (DHHS91172)
Services for DHHS clients including people with Intellectual Disabilities, Related Conditions (ID.RC) and/or Acquired Brain Injury (ABI). Services are focused on inclusion and integration in all facets of community life for people with disabilities to safely lead self-determined lives in the community. Services provided must be delivered in compliance with the Centers for Medicare & Medicaid Services Home and Community Based services Settings Rule. DHHS91172 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. All vendors must complete the Pre-Solicitation process prior to submitting an application. Instructions for the pre-solicitation process are below in the Application Instructions.
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
Scope of Work (Effective 6/24/2024) Historical and Redlined Versions
DHHS Client Service Terms
Rate Table
DHHS91172 Award List
Questions and Answers