Provider Enrollment (pen)



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Provider Enrollment (PEN)

For


HIP Program: Helping Through Intervention and Prevention

Regions: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 and 11
Procurement Number: HHS0000069
Enrollment Period Opens: February 7, 2014
Enrollment Period Closes: August 31, 2019

Contains Revisions:

Addendum #28 (April 25, 2018)

Addendum #27 (November 21, 2017)

Addendum #26 (August 4, 2017)

Addendum #25 (June 7, 2017)

Addendum #24 (February 27, 2017)

Addendum #23 (January 18, 2017)

Addendum #22 (December 16, 2016)

Addendum #21 (November 4, 2016)

Addendum #20 (September 27, 2016)

Addendum #19 (September 6, 2016)

Addendum #18 (August 4, 2016)

Addendum #17 (June 29, 2016)

Addendum #16 (June 22, 2016)

Addendum #15 (June 15, 2016)

Addendum #14 (May 11, 2016)

Addendum # 13 (January 11, 2016)

Addendum # 12 (July 07, 2015)

Addendum # 11 (June 29, 2015)

Addendum # 10 (May 14, 2015)

Addendum # 9 (April 29, 2015)

Addendum # 8 (March 06, 2015)

Addendum # 7 (February 20, 2015)

Addendum # 6 (November 4, 2014)

Addendum # 5 (October 21, 2014)

Addendum # 4 (September 12, 2014)

Addendum # 3 (July 14, 2014)

Addendum # 2 (May 30, 2014)

Addendum # 1 (February 26, 2014)

TABLE OF CONTENTS
(Hold down the "Ctrl" key while clicking on the page number below to go directly to that PEN Section.)


1.General Information 4

1.1.Introduction 4

1.2.Scope 4

1.3.DFPS Mission 4

1.4.Point of Contact 5

1.5.Procurement Schedule 5

1.6.Amendments and Announcements Regarding this PEN 5

1.7.Eligible Applicants 5

1.8.Delivery of Notices 6

1.9.Information Security and Privacy Initial Inquiry (SPI) 6



2.Statement of Work 7

2.1.Program Purpose 7

2.2.Need for Service 7

2.3.Service Delivery Area (SDA) 7

2.4.Eligible Population 8

2.5.Client Service Provisions 8

2.6.Minimum Qualifications 8

2.7.Resource Materials Provided by DFPS 11

2.8.EIR Accessibility Clause 11

2.9.Insurance Standards 12

2.10.Service Authorization 13

2.11.Initial Contact 14

2.12.Missed or Cancelled Appointments 15

2.13.Records Management 15

2.14Major Service Deliverables 16

2.15Required Record Keeping 17

2.16Required Reports 19

2.17Goal and Performance Measures 19

2.18Transition Planning 20

3Utilization and Compensation 21

3.14Utilization 21

3.15Compensation 21

4Historically Underutilized Businesses 25

5Application Information and Requirements 26

5.1Use of Ideas by the State of Texas 26

5.2Property of HHSC 26

5.3Copyright Restrictions 26

5.4News Releases 26

5.5Hold Firm Statement 26

5.6Costs Incurred 26

5.7Terms or Conditions Attached by Applicant 27

5.8Errors within PEN 27

5.9PEN Cancellation/Partial Award/Non-Award 27

5.10Right to Reject Applications or Portions of Applications 27

5.11Amendments to Applications 27

5.12Joint Applications 27

5.13Withdrawal of Applications 27

5.14Debriefing 27

5.15Protest Procedures 27

5.16Application Submission Instructions 28

6Eligibility Determination 30

6.1Screening 30

6.2Best Value Factors 30

6.3Non-Responsive Applications 32

6.4Corrections to an Application 33

6.5Review and Validation of Applications 33

6.6Additional Information 33

6.7Contract Award 33



7Glossary 34

8ATTACHMENTS AND FORMS 38

8.1A-1: Performance Measures 38

8.2A-2: Fee Schedule 38

8.3A-3: PEN Application and Contract 39

8.4A-3: Contractor Service Information 39

8.5B: Required Forms 39





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