CSA Open Application Period FY22-Q4

Project: CSA Open Application Period FY22-Q4 Ref. #: CSAFY22-Q4 Type: RFP Status: Open Open Date: May 11th 2022, 9:30 AM EDT Questions Due Date: Never Contact Information: CSA Contracts Team, DPMMHMF-CSAContracts@fairfaxcounty.gov Close Date: Jun 30th 2022, 11:30 PM EDT Days Left: < 1 Project Description:Q4 of 4 for ongoing application submissions with quarterly review. Important Events:OngoingOpen DateOnline PortalPosting date for the OpportunityMay 11th 2022, 9:30 AM EDTN/AOngoingQuestions Due DateOnline PortalThe Q and A Period for this Opportunity is OngoingNeverN/AUpcomingClose DateOnline PortalDeadline for SubmissionsJun 30th 2022, 11:30 PM EDTN/A Supporting Documentation:Application FY23--REQUIRED FOR SUBMISSION.docxDocumentationDocument needed to be completed and submitted for application to be considered.Read more...Jan 31st 2022, 9:57 AM EST - businessclass.pdfDocumentationVendor Business

Classification form to be completed.Read more...Jan 31st 2022, 10:26 AM EST - Clinician Qualifications--REQUIRED FOR SUBMISSION.pdfDocumentationDocument needed to be completed by all clinicians offering services under the provider organization and for organization leadership. Attached resume, licenses and verification of certification/training.Read more...Jan 31st 2022, 10:00 AM EST - FY2022 Addendum A Sp Ed sample.pdfOtherSample Addendum A-- Provided so potential providers may be aware of requirements prior to submitting their application. NOT FOR SUBMISSION.Read more...Jan 31st 2022, 10:16 AM EST - FY2022 Addendum B Cong-Res Srv sample.pdfOtherSample Addendum B -- Provided so potential providers may be aware of requirements prior to submitting their application. NOT FOR SUBMISSION.Read more...Jan 31st 2022, 10:17 AM EST - FY2022 Addendum C Community Based sample.pdfOtherSample Addendum C -- Provided so potential providers may be aware of requirements prior to submitting their application. NOT FOR SUBMISSION.Read more...Jan 31st 2022, 10:17 AM EST - FY2022 Addendum D TFC sample.pdfOtherSample Addendum D -- Provided so potential providers may be aware of requirements prior to submitting their application. NOT FOR SUBMISSION.Read more...Jan 31st 2022, 10:17 AM EST - FY2022 Addendum E -- Outpatient Serivce FY20.pdfOtherSample Addendum E -- Provided so potential providers may be aware of requirements prior to submitting their application. NOT FOR SUBMISSION.Read more...Jan 31st 2022, 10:19 AM EST - FY2022 Addendum F EBT sample.pdfOtherSample Addendum F -- Provided so potential providers may be aware of requirements prior to submitting their application. NOT FOR SUBMISSION.Read more...Jan 31st 2022, 10:19 AM EST - FY2022 APOS Final sample.pdfOtherSample Agreement for the Purchase of Services. Provided so potential providers may be aware of requirements prior to submitting their application. NOT FOR SUBMISSION.Read more...Jan 31st 2022, 10:15 AM EST - Provider Application Instructions FY23.pdfOtherApplication Instructions--Includes overview of system of care and requirements of providers.Read more...Jan 31st 2022, 9:56 AM EST - Provider Standard Service Names-- Rate Proposal.xlsxDocumentationRequested rates based on the Office For Children's Services Standard Service Names and the Fairfax-Falls Church CPMT service Addenda to the Agreement for the Purchase of Services. Providers must complete and may submit a supplement with detailed service descriptions.Read more...Jan 31st 2022, 10:13 AM EST - Supporting Documentation: Search FileTypeDescriptionDate CreatedActionsApplication FY23--REQUIRED FOR SUBMISSION.docxDocumentationDocument needed to be completed and submitted for application to be considered.Read more...Jan 31st 2022, 9:57 AM EST - businessclass.pdfDocumentationVendor Business Classification form to be completed.Read more...Jan 31st 2022, 10:26 AM EST - Clinician Qualifications--REQUIRED FOR SUBMISSION.pdfDocumentationDocument needed to be completed by all clinicians offering services under the provider organization and for organization leadership. Attached resume, licenses and verification of certification/training.Read more...Jan 31st 2022, 10:00 AM EST - FY2022 Addendum A Sp Ed sample.pdfOtherSample Addendum A-- Provided so potential providers may be aware of requirements prior to submitting their application. NOT FOR SUBMISSION.Read more...Jan 31st 2022, 10:16 AM EST - FY2022 Addendum B Cong-Res Srv sample.pdfOtherSample Addendum B -- Provided so potential providers may be aware of requirements prior to submitting their application. NOT FOR SUBMISSION.Read more...Jan 31st 2022, 10:17 AM EST - FY2022 Addendum C Community Based sample.pdfOtherSample Addendum C -- Provided so potential providers may be aware of requirements prior to submitting their application. NOT FOR SUBMISSION.Read more...Jan 31st 2022, 10:17 AM EST - FY2022 Addendum D TFC sample.pdfOtherSample Addendum D -- Provided so potential providers may be aware of requirements prior to submitting their application. NOT FOR SUBMISSION.Read more...Jan 31st 2022, 10:17 AM EST - FY2022 Addendum E -- Outpatient Serivce FY20.pdfOtherSample Addendum E -- Provided so potential providers may be aware of requirements prior to submitting their application. NOT FOR SUBMISSION.Read more...Jan 31st 2022, 10:19 AM EST - FY2022 Addendum F EBT sample.pdfOtherSample Addendum F -- Provided so potential providers may be aware of requirements prior to submitting their application. NOT FOR SUBMISSION.Read more...Jan 31st 2022, 10:19 AM EST - FY2022 APOS Final sample.pdfOtherSample Agreement for the Purchase of Services. Provided so potential providers may be aware of requirements prior to submitting their application. NOT FOR SUBMISSION.Read more...Jan 31st 2022, 10:15 AM EST - Provider Application Instructions FY23.pdfOtherApplication Instructions--Includes overview of system of care and requirements of providers.Read more...Jan 31st 2022, 9:56 AM EST - Provider Standard Service Names-- Rate Proposal.xlsxDocumentationRequested rates based on the Office For Children's Services Standard Service Names and the Fairfax-Falls Church CPMT service Addenda to the Agreement for the Purchase of Services. Providers must complete and may submit a supplement with detailed service descriptions.Read more...Jan 31st 2022, 10:13 AM EST - Note To download files, Log in or Register for a Bonfire Account.