Open Enrollment: HHS0014260

Agency: DSHS
Procurement Number: HHS0014260
Procurement Name: Open Enrollment Federally Qualified Health Center Incubator Program Project Based Program
Program Name: Open Enrollment Federally Qualified Health Center Incubator Program
Release Date: January 9, 2024
Submission Deadline: April 12, 2024 — 05:00 pm CDT

Executive Summary

DSHS is seeking Applications for the purpose of establishing contracts under the Federally Qualified Health Center (FQHC) Incubator Project Based Program. Contracts will be awarded to existing Federally Qualified Health Centers (FQHCs) and FQHC Look-alikes for $650,000 under this OE. The aim of this program is to expand services or access to care at existing FQHCs and FQHC Look-alikes.

Documents

0-HHS0014260 Open Enrollment Project Based Program (142.05 KB)

1-HS0014260 Exhibit A - HHS Solicitation Affirmations (3.25 MB)

2-HS0014260 Exhibit B - HHS Uniform Terms and Conditions - Vendor (365.82 KB)

3-HS0014260 Exhibit C - Federal Assurances, Non-Construction (64.23 KB)

4-HS0014260 Exhibit D - Federal Assurances - Construction (47.12 KB)

5-HS0014260 Exhibit E - Certification Regarding Lobbying (61.49 KB)

6-HS0014260 Exhibit F - FFATA_Certification_Form (72.05 KB)

7-HHS0014260 OE Application - Forms A-F (83.34 KB)

8-HHS0014260 Form G Workplan Budget Template (18.68 KB)

9-HHS0014260 APPENDIX A- PBP Enrichment Activities (26.56 KB)

10-HHS0014260 APPENDIX B- PBP Staffing List (24.01 KB)

11-HHS0014260 APPENDIX C- PBP Capital Improvement Activities (38.44 KB)

12-HHS0014260 Appendix D - PBP Progress Statement (33.33 KB)

13-HHS0014260 APPENDIX E- PBP Budget Sheet (20.08 KB)

14-HHS0014260 Addendum 1 FQHC OE PBP Required Documents (66.13 KB)

15-HHS0014260 Addendum to Close FQHC OE PBP (60.62 KB)