Department of Assistive and Rehabilitative Services-(DARS) s1

Department of Assistive and Rehabilitative Services-(DARS)

Division: Division of Rehabilitation Services (DRS)

Type of Contract: Community Rehabilitation Program (CRP) – Employment Services

Definitions Related to Posting: Community Rehabilitation Program (CRP) a vendor that directly provides or facilitates the provision of vocational rehabilitation related services to consumers with disabilities in order to enable the individual to maximize their opportunities to secure and retain employment.

Employment Services (ES) are services provided to DARS consumers seeking competitive employment. These services include evaluation, assessment, teaching and assistance in development or reestablishment of skills, attitudes, personal characteristics, interpersonal skills, work behaviors, functional capabilities related to gaining employment, as well as gaining individualized employment placement.

Service Provider (SP) is a term used to represent entities, either agencies or individuals, approved to provide services to individuals with disabilities served by DARS.

Employment Service Provider (ESP) is a term to represent entities, either agencies or individuals, approved to provide Employment Services (ES) to individuals with disabilities served by DARS.

Standards for Providers (SFP) The DARS DRS Standards for Providers manual is available on the Internet at http://www.dars.state.tx.us. Service Providers, under contract, must adhere to the current Standards for Providers (SFP) published for the dates of services for which any consumer received services. Revisions to the SFP are made periodically. Notice of upcoming changes, are published on the website at least 30 days in advance of the effective date of the changes. A revision log noting all of the changes to the SFP is available online. Each provider is contractually responsible for maintaining compliance with the most recent SFP.

Enrollment Period:  12/3/2014 Start Date, 8:00 AM;

 01/03/2015 End Date, 6:00 PM;

All times are Central Daylight Savings Time (CDST).

Type of Posting: Open Enrollment - This is not a competitive bid and there is no bid package.

Posting: The Department of Assistive and Rehabilitative Services, Division for Rehabilitation Services (DARS/DRS) wishes to contract with external entities (organizations or individuals) to provide the Community Rehabilitation Programs (CRP) as described below. External entities must meet all requirements and specifications outlined below. Written communication will be provided to all applicants as their status of their application.

DARS CRP Open Enrollment Posting Template Revised 07/31/2014 Page 1 of 8 Texas Counties included in the Posting: Counties are organized based on the DARS-DRS Region in which they are located and then subdivided into the applicable HHSC Region(s). DARS DRS Regions with an “x” in front to their name are included in this Open Enrollment Posting  Regions marked with an “x” in front to their name are included in this Open Enrollment Posting;

 See this link for a map of the counties: http://esbd.cpa.state.tx.us/docs/538/102341_3.pdf;  In the event that the responding entity does not wish to provide services in the entire region, the counties in which they will serve should be marked with an “x” in front to their name.

DARS-DRS Region 1:

HHSC Region 1

Armstrong Dallam Hansford Lynn Sherman Bailey Deaf Smith Hartley Moore Swisher Briscoe Dickens Hemphill Motley Terry Carson Donley Hockley Ochiltree Wheeler Castro Floyd Hutchinson Oldham Yoakum Childress Garza King Parmer Cochran Gray Lamb Potter Collingsworth Hale Lipscomb Randall Crosby Hall Lubbock Roberts

HHSC Region 2

Archer Comanche Haskell Montague Stephens Baylor Cottle Jack Nolan Taylor Brown Eastland Jones Runnels Throckmorton Callahan Fisher Kent Scurry Wichita Clay Foard Knox Shackelford Wilbarger Coleman Hardeman Mitchell Stonewall Young

HHSC Region 9

Andrews Dawson Kimble Midland Sutton Borden Ector Loving Pecos Terrell Coke Gaines Martin Reagan Tom Green Concho Glasscock Mason Reeves Upton Crane Howard McCulloch Schleicher Ward Crockett Irion Menard Sterling Winkler

DARS CRP Open Enrollment Posting Template Revised 07/31/2014 Page 2 of 8 HHSC Region 10

Brewster El Paso Jeff Davis Culberson Hudspeth Presidio

DARS-DRS Region 2:

HHSC Region 3

Collin Ellis Hood Navarro Somervell Cooke Erath Hunt Palo Pinto Tarrant Dallas Fannin Johnson Parker Wise Denton Grayson Kaufman Rockwall

DARS-DRS Region 3:

HHSC Region 4

Anderson Delta Hopkins Rains Upshur Bowie Franklin Lamar Red River Van Zandt Camp Gregg Marion Rusk Wood Cass Harrison Morris Smith Cherokee Henderson Panola Titus

HHSC Region 5

Angelina Jasper Newton Sabine Shelby Hardin Jefferson Orange San Augustine Trinity Houston Nacogdoches Polk San Jacinto Tyler

HHSC Region 7

Bastrop Burnet Grimes Leon Mills Bell Caldwell Hamilton Limestone Robertson Blanco Coryelle Hays Llano San Saba Bosque Falls Hill Madison Travis

DARS CRP Open Enrollment Posting Template Revised 07/31/2014 Page 3 of 8 Brazos Fayette Lampasas McLennan Washington Burleson Freestone Lee Milam Williamson

DARS-DRS Region 4:

HHSC Region 6:

Austin Colorado Harris Montgomery Wharton Brazoria Fort Bend Liberty Walker Chambers Galveston Matagorda Waller

DARS-DRS Region 5:

HHSC Region 8:

Atascosa Edwards Karnes Medina Wilson Bandera Frio Kendall Real Zavala Bexar Gillespie Kerr Uvalde Calhoun Goliad Kinney Val Verde Comal Gonzales LaSalle Victoria DeWitt Guadalupe Lavaca Wilson Dimmit Jackson Maverick Zavala

HHSC Region 11: Aransas Duval Kenedy Nueces Webb Bee Hidalgo Kleberg Refugio Willacy Brooks Jim Hogg Live Oak San Patricio Zapata Cameron Jim Wells McMullen Starr

Applicants must show evidence they have the capacity to serve all of the counties they requested be included in their contract. This evidence shall include qualified staff as defined in the SFP for the related service, a link for which is included below for each type of service, and proof that the qualified staff person could meet the consumer within 2 hours of travel time. The website http://www.randmcnally.com/ will be used to verify travel time.

(CRP) – Employment Services in this Posting:  Only services marked with an “X” are included in this Open Enrollment Posting Direct SFP Link for Services Service and Staff Qualifications Wage Employment Job Placement Services http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.7 and

DARS CRP Open Enrollment Posting Template Revised 07/31/2014 Page 4 of 8 http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.2 Supported Employment http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.1 Services 1 Self- Employment http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.1 Supported Self Employment 2 Job Coaching http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.9 Job Skills Training/Job and Coaching http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.2 http://www.dars.state.tx.us/drs/providermanual/ch6.htm#6.7 Job Coaching for the Deaf and http://www.dars.state.tx.us/drs/providermanual/ch6.htm#6.2 Job Readiness http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.5 Personal Social Adjustment and Training (PSAT) http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.2 Personal Social Adjustment http://www.dars.state.tx.us/drs/providermanual/ch6.htm#6.3 Training for the Deaf and (PSATD) http://www.dars.state.tx.us/drs/providermanual/ch6.htm#6.2 http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.8 Vocational Adjustment and Training (VAT) http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.2 http://www.dars.state.tx.us/drs/providermanual/ch6.htm#6.6 Vocational Adjustment and Training for the Deaf (VATD) http://www.dars.state.tx.us/drs/providermanual/ch6.htm#6.2 http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.4 Work Adjustment Training and (WAT) http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.2 Assessment and Evaluation http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.3 Vocational Evaluation and http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.2 http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.3 Vocational Assessment and http://www.dars.state.tx.us/drs/providermanual/ch2.htm#2.2

Vendor Fee Schedule: The DARS Fee schedule for the above services may be found at: General Community Rehabilitation Program Fees

Vendor Staff Qualification Requirements:

The CRP must have  at least one person on staff that meets the CRP Director qualifications; and  at least one person who meets the staff qualifications for each service to be included in the contract.

DARS CRP Open Enrollment Posting Template Revised 07/31/2014 Page 5 of 8 A DARS3455, Community Rehabilitation Program Staff Information form shall be included for staff persons in the application process documenting at last one qualified staff person for each service to be included in the contract.

Standards of Conduct for Contracted Vendors and Suppliers: As part of the assessment of the prospective vendor’s response, in accordance with Texas Administrative Code, Part 15, Chapter 391, Subchapter M, Rule §391.453, DARS hereby reserves the right to examine a prospective vendor's or supplier's standards of conduct in the evaluation of a bid, offer, proposal, quote, or other applicable expression of interest in a proposed purchase of goods or services.

Debarred or Excluded Parties and Entities: Parties that are debarred or excluded by the federal government are excluded from receiving federal contracts or certain subcontracts, and certain types of financial and nonfinancial assistance and benefits.

Entities that are debarred or excluded by the State of Texas are excluded from doing business with the state.

DARS will not award a contract under this notice of open enrollment to any vendor currently listed on any of the following sites:  HHS Office of Inspector General Exclusion Program website;  System for Award Management website;  Texas Comptroller of Public Accounts Debarred Vendor List;  DARS Debarment and Suspension Log

Provider Enrollment Packet: Provider enrollment packets will only be accepted when the responding entity accurately completes and submits the entire enrollment packet and meets all of the required criteria and specifications outlined in the open enrollment posting.

All DARS Provider forms can be accessed from the following site and downloaded. http://www.dars.state.tx.us/drs/ProviderManual/forms.htm

The following documents must be included with the application:  DARS 3150 – Provider Application (mailing address must match W9) o http://www.dars.state.tx.us/providerforms/DARS3150.pdf  DARS 1020 – DARS Substitute W9 Form (no other W9 forms accepted) o If W9 shows a DBA designation, attach a copy of County DBA registry letter o http://www.dars.state.tx.us/business/FormW9_DARS1020.pdf o http://www.dars.state.tx.us/business/FormW9inst_DARS1020inst.doc  Attach copy of IRS letter assigning Federal Tax ID#  DARS 3140, Community Rehabilitation Program (CRP) Information Sheet

o http://www.dars.state.tx.us/providerforms/DARS3140.doc

 DARS 3455 – CRP Staff Information Sheet for all staff working for the entity that will be providing services to DRS consumers, attach supporting documentation as applicable to document qualifications; for example, resumes, transcripts, Sign Language Proficiency Interview (SLPI) rating, University of North Texas (UNT) credentials for the applicable. o http://www.dars.state.tx.us/providerforms/DARS3455.doc

DARS CRP Open Enrollment Posting Template Revised 07/31/2014 Page 6 of 8  DARS 1305 Form – Child Support Certification o http://www.dars.state.tx.us/business/terms.shtml o http://darsnetmossx.dars.txnet.state.tx.us/documentcenter/forms/DARS1305.doc o The name and social security number of the individual or sole proprietor and each partner, shareholder, or owner with an ownership interest of at least 25 percent of the business entity is required. o If no one person owns 25% of more of the business, please place N/A in the Name/SSN field and then complete the remaining sections.  Copy of Liability Insurance ACCORD forms or equivalent o All providers must carry liability insurance coverage that protects consumers, employees, and visitors; o Providers that transport consumers in motorized vehicles must carry auto liability insurance coverage  Copy of Current Fire Inspection if the CRP has a facility location  Copy of Occupancy Permit if the CRP has a facility location  If applying for Work Adjustment Training, o must carry Workers’ Compensation on DARS consumers that are employees; and o If not paying minimum wage, a copy of the current Wage Exemption Certificate issued by the Department of Labor  If applying to provide Room Board and Supervised Living services, attach a copy of Facility License

Additional requirements for this posting: (Individualized for each posting as appropriate) DARS is only seeking qualified applicants that meet the qualification(s) to serve:

This posting contains additional requirements Yes no

If yes, provide a description below:

 Contact Information for HHSC to Forward Complete Applications Only:  Contact Name: Frank Donaldson  Position: Contract Manager  Email: [email protected]  Address: 6400 Highway 290 East  Phone: 512 407 1336  Fax: 512 407 1338

 Contact Information for Program Personnel to Respond to Questions from Prospective Applicants requesting the Posting:  Contact Name: Kelly Yarbrough  Position: Regional Program Specialist  Email: Kelly.Yarbrough @dars.state.TX.us

DARS CRP Open Enrollment Posting Template Revised 07/31/2014 Page 7 of 8  Address: 6400 Highway 290 East, Austin TX 78723  Phone: 512 407 1320  Fax: 512 407 1338

DARS CRP Open Enrollment Posting Template Revised 07/31/2014 Page 8 of 8