STAR Procurement #530-09-0003



[pic] Texas Department of Family and Protective Services

ADDENDA

To

Open Enrollment

HHS0000071

For

Evaluation and Treatment Services

________________________________________________

Notice is hereby given to prospective applicants to the above referenced open enrollment that changes have been made to requirements or information in the open enrollment, as noted in the addenda below.

(Note: In the column with the heading "Open Enrollment Reference", the references to "Package" refer to the link, as listed on the Electronic State Business Daily (ESBD) posting of this open enrollment.)

|Addendum #20 |

|November 17, 2020 |

|Item |

|Open Enrollment Reference |

|Previous |

|Revised Language |

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| |

|1. |Package 2 – Application and |Service Deliver Area – Counties to Be Served – Region 6 |Updating Service Delivery Area – Counties to Be Served – Region 6: to close|

| |Required Forms | |all counties for selection. |

|Addendum #19 |

|October 26, 2020 |

|Item |

|Open Enrollment Reference |

|Previous |

|Revised Language |

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|1. |Section 2.5.4 Service Delivery |Section 2.5.4 Telehealth services consist of services provided that|Updating Section to add: “and counties” |

| |Area(s) |involve direct face-to-face interactive video communication between| |

| | |the client and the provider. In order to provide telehealth |Section 2.5.4 Telehealth services consist of services provided that involve|

| | |services, the Contractor must also provide either In-Office, |direct face-to-face interactive video communication between the client and |

| | |Out-of-Office or Home-based services in the same region(s) in which|the provider. In order to provide telehealth services, the Contractor must|

| | |they are electing to provide telehealth services. |also provide either In-Office, Out-of-Office or Home-based services in the |

| | | |same region(s) and counties in which they are electing to provide |

| | | |telehealth services. |

|2. |Package 2 Applications and Required|Section 5. Service Delivery Locations |Updating Section 5 to add “and counties”: |

| |Forms |e. Will you, your staff, or other subcontractors be delivering |e. Will you, your staff, or other subcontractors be delivering telehealth |

| | |telehealth services in addition to at least one of the locations |services in addition to at least one of the locations listed in Sections a |

| | |listed in Sections a – d of this application? Note: If you elect |– d of this application? Note: If you elect to provide telehealth |

| | |to provide telehealth services, you must also provide either |services, you must also provide either In-Office, Out-of-Office or |

| | |In-Office, Out-of-Office or Home-based services in the same |Home-based services in the same region(s) and counties in which you are |

| | |region(s) in which you are electing to provide telehealth services.|electing to provide telehealth services. |

| | | | |

| | |0 Yes 0 No |0 Yes 0 No |

| | | | |

| | |NOTE: If yes, telehealth services must be billed as In-Office. |NOTE: If yes, telehealth services must be billed as In-Office. |

|Addendum #18 |

|October 15, 2020 |

|Item |

|Open Enrollment Reference |

|Previous |

|Revised Language |

| |

| |

|1. |Section 2.5 Service Delivery |Section 2.5 Service Delivery Area(s) |Updating Section to add Section 2.5.4. Telehealth as a service delivery |

| |Area(s) | |option. |

|2. |Package 2 Applications and Required|Section 5. Service Delivery Locations |Updating Section 5 to add: |

| |Forms | |e. Will you, your staff, or other subcontractors be delivering telehealth |

| | | |services in addition to at least one of the locations listed in Sections a |

| | | |– d of this application? Note: If you elect to provide telehealth |

| | | |services, you must also provide either In-Office, Out-of-Office or |

| | | |Home-based services in the same region(s) in which you are electing to |

| | | |provide telehealth services. |

| | | | |

| | | |0 Yes 0 No |

| | | | |

| | | |NOTE: If yes, telehealth services must be billed as In-Office. |

|3. |Package 2 Applications and Required|Attachment A-2 Fee Schedules Tables A through D |Updating Attachment A-2 Fee Schedules to add telehealth fees in Tables A, |

| |Forms | |B, C and D. |

|Addendum #17 |

|August 20, 2020 |

|Item |

|Open Enrollment Reference |

|Previous |

|Revised Language |

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| |

|1. |8 |Attachments and Forms |Updating sections to remove Package 5 – BIPP Performance Measures. |

| | | | |

| | | |A-1: Performance Measures |

| | | | |

| | | |•Package 3 – E&T and BIPP Performance Measures |

| | | |•Package 4 – Form S – FBSS Performance Metrics”, effective September 1, |

| | | |2018 |

| | | | |

| | | |A-3 Open Enrollment Application and Contract |

| | | | |

| | | |•Attachment A-3 Application and Contract Information (Package 2) |

| | | | |

| | | |A-4 Service Delivery Areas |

| | | | |

| | | |•Attachment A-4 Service Delivery Areas (Attachment 2) |

| | | | |

| | | |A-5 Required Forms |

| | | | |

| | | |•Attachment A-5 Required Forms (Package 2) |

|Addendum #16 |

|August 6, 2020 |

|Item |

|Open Enrollment Reference |

|Previous |

|Revised Language |

| |

| |

|1. |1.5.1. |DFPS Vendor UTCs |Updated to insert current DFPS Vendor UTCs |

|2. |1.5.2. |DFPS Vendor Special Conditions |Updated to insert current DFPS Special Conditions |

|3. |1.5.3. |DFPS General Affirmations – |Updated to remove the General Affirmations and said subsection now contains|

| | |Form 5647 |the following language: |

| | | | |

| | | |Additional Terms and Conditions |

| | | |In addition to the Uniform Terms and Conditions, the following are |

| | | |additional terms and conditions that govern the application and any |

| | | |resulting contract. |

|4. |2.15.1.1 |The direct service provider must provide TF-CBT Web Certificate of |The direct service provider must complete the Trauma-Informed Care Training|

| | |Completion of training in trauma-informed child welfare practice by|which is a web-based learning course for children and their families. of |

| | |completing TF-CBT Web, a web-based learning course for |training in trauma-informed child welfare practice by completing Training |

| | |Trauma-Focused Cognitive Behavioral Therapy for children and their |may be accessed on the following DFPS website: |

| | |families. Access this training at the following website: | |

| | | | |

|5. |5.7 |File Folder 3: Required Forms |Forms D-K have been removed and can now be found on the following link: |

| | | | |

| | | |

| | | |nal_CPS_Contracts/forms.asp |

|6. |8 |Attachments and Forms |Updating sections to reflect new package numbers |

| | | | |

| | | |A-1: Performance Measures |

| | | | |

| | | |•Package 3 – E&T and BIPP Performance Measures |

| | | |•Package 4 – Form S – FBSS Performance Metrics”, effective September 1, |

| | | |2018 |

| | | | |

| | | |A-3 Open Enrollment Application and Contract |

| | | | |

| | | |•Attachment A-3 Application and Contract Information (Package 2) |

| | | | |

| | | |A-4 Service Delivery Areas |

| | | | |

| | | |•Attachment A-4 Service Delivery Areas (Attachment 2) |

| | | | |

| | | |A-5 Required Forms |

| | | | |

| | | |•Attachment A-5 Required Forms (Package 2) |

|Addendum #15 |

|March 21, 2019 |

|Item |

|Open Enrollment Reference |

|Previous |

|Revised Language |

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|1. |5.9.1. |Delivery Option |Delivery Option |

| | |Physical Address for Delivery |Physical Address for Delivery |

| | |(Operating Hours – 8:00 A.M. to 5:00 P.M.) |(Operating Hours – 8:00 A.M. to 5:00 P.M.) |

| | |Texas Department of Protective Services |Texas Department of Protective Services |

| | |Attn: Lee Williams, Response Coordinator |Attn: Delayne Williams, Response Coordinator |

| | |801 Austin Avenue |701 W. 51st Street; MC E-541 |

| | |Waco, Texas 76701 |Austin, Texas 78751 |

|2. |1.5.1. |Old DFPS Vendor UTCs |Updated to insert current DFPS Vendor UTCs |

|3. |2.9.5. |Broken link to Form 5624 |Replaced with working link to Form 5642 |

|4. |Package 2 – Form S - Required Forms|Form S |Replaced with correct Form C - Required Forms |

|5. |Package 7 – Form H – PCS102-ET |Form H |Updated Form H |

|Addendum #14 |

|August 31, 2018 |

|Item |Open Enrollment Reference |Previous |Revised Language |

| | | |Updated Posting: |

| | | |Package 1 – E&T Services OE – page 95 was updated |

| | | |Application and Additional Documents – includes Forms A & B and Fee Schedules |

| | | |Package 2 – Required Forms – references corrected |

| | | | |

| | | |Adding New: |

| | | |Form S – FBSS Performance Metrics |

|Addendum #13 |

|July 12, 2017 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |The following Subsection 2.15.1.3 and 2.15.1.6 language has been | |

| |(Provider |removed: | |

| |Enrollment for: Evaluation and |2.15.1.3 The direct service provider may apply for a waiver from|Subsection 2.15.1.3 and 2.15.1.6 is no longer a requirement / option for this |

| |Treatment Services) |the 2-year experience requirements in Section 2.15.1.2 by |open enrollment. |

| | |submitting Form K909-5625 Waiver Request. Contractor and/or direct| |

| | |service provider may also apply for a waiver for a subcontractor, | |

| | |employee, or volunteer by submitting Form K909-5626 Waiver Request| |

| | |- Subcontractor. | |

| | |[pic] [pic] | |

| | |2.15.1.6 The direct service provider may apply for a waiver from | |

| | |the two (2) reference letters as required in Section 2.15.1.5 by | |

| | |submitting Form K909-5625 Waiver Request. Contractor and/or direct| |

| | |service provider may also apply for a waiver for a subcontractor, | |

| | |employee, or volunteer by submitting Form K909-5626 Waiver Request| |

| | |- Subcontractor. | |

| |Package 1 |Subsection 2.15.1.5 contained the following language: |Said subsection now contains as the following language: |

| |(Provider |Direct service provider must provide DFPS two (2) reference |Direct service provider must provide DFPS two (2) reference letters from |

| |Enrollment for: Evaluation and |letters from agencies with prior or current knowledge of similar |agencies with prior or current knowledge of similar items or services |

| |Treatment Services) |items or services purchased from the direct service provider |purchased from the direct service provider within the last five (5) years. |

| | |within the last five (5) years. References must indicate direct |References must indicate direct service provider's character, specific |

| | |service provider's character, specific examples describing direct |examples describing direct service provider's area of expertise, agency name, |

| | |service provider's area of expertise, agency name, contact person,|contact person, address, email address, and phone number. Contractor's and/or |

| | |address, email address, and phone number. Contractor's and/or |direct service provider employees and the agency must not be included as |

| | |direct service provider employees and the agency must not be |references. |

| | |included as references. Direct service provider may apply for a | |

| | |waiver from the (2) reference letter requirements, only if direct | |

| | |service provider has at least 2 years of experience providing | |

| | |evaluation and treatment services to DFPS clients and are | |

| | |currently in good standing with their DFPS contract agreement. | |

| |Package 1 |Subsection 8 A-4: Service Delivery Areas contained the following |Said subsection now contains as the following document: |

| |(Provider |document: |The following counties have been added to Region 8 as undeserved counties: |

| |Enrollment for: Evaluation and | | |

| |Treatment Services) |[pic] |Atascosa, Bandera, Dimmit, Edwards, Gillespie, Goliad, Jackson, Karnes, |

| | | |Kendall, Kerr, Kinney, La Salle, and Real |

| | | | |

| | | |[pic] |

|Addendum #12 |

|May 2, 2017 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |Additional language has been added to the open enrollment giving |Subsection listed below has been added as section 5.7.1, about the instruction|

| |(Provider |instructions on how to submit the application packet for Battering|on how to submit the application packet. |

| |Enrollment for: Evaluation and |Intervention and Prevention Program (BIPP). |[pic] |

| |Treatment Services) | | |

|Addendum #14 |

|August 31, 2018 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. | | |Updated Posting: |

| | | |Package 1 – E&T Services OE – page 95 was updated |

| | | |Application and Additional Documents – includes Forms A & B and Fee Schedules |

| | | |Package 2 – Required Forms – references corrected |

| | | | |

| | | |Adding New: |

| | | |Form S – FBSS Performance Metrics |

|Addendum #13 |

|July 12, 2017 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |The following Subsection 2.15.1.3 and 2.15.1.6 language has been | |

| |(Provider |removed: | |

| |Enrollment for: Evaluation and |2.15.1.3 The direct service provider may apply for a waiver from|Subsection 2.15.1.3 and 2.15.1.6 is no longer a requirement / option for this |

| |Treatment Services) |the 2-year experience requirements in Section 2.15.1.2 by |open enrollment. |

| | |submitting Form K909-5625 Waiver Request. Contractor and/or direct| |

| | |service provider may also apply for a waiver for a subcontractor, | |

| | |employee, or volunteer by submitting Form K909-5626 Waiver Request| |

| | |- Subcontractor. | |

| | |[pic] [pic] | |

| | |2.15.1.6 The direct service provider may apply for a waiver from | |

| | |the two (2) reference letters as required in Section 2.15.1.5 by | |

| | |submitting Form K909-5625 Waiver Request. Contractor and/or direct| |

| | |service provider may also apply for a waiver for a subcontractor, | |

| | |employee, or volunteer by submitting Form K909-5626 Waiver Request| |

| | |- Subcontractor. | |

|2. |Package 1 |Subsection 2.15.1.5 contained the following language: |Said subsection now contains as the following language: |

| |(Provider |Direct service provider must provide DFPS two (2) reference |Direct service provider must provide DFPS two (2) reference letters from |

| |Enrollment for: Evaluation and |letters from agencies with prior or current knowledge of similar |agencies with prior or current knowledge of similar items or services |

| |Treatment Services) |items or services purchased from the direct service provider |purchased from the direct service provider within the last five (5) years. |

| | |within the last five (5) years. References must indicate direct |References must indicate direct service provider's character, specific |

| | |service provider's character, specific examples describing direct |examples describing direct service provider's area of expertise, agency name, |

| | |service provider's area of expertise, agency name, contact person,|contact person, address, email address, and phone number. Contractor's and/or |

| | |address, email address, and phone number. Contractor's and/or |direct service provider employees and the agency must not be included as |

| | |direct service provider employees and the agency must not be |references. |

| | |included as references. Direct service provider may apply for a | |

| | |waiver from the (2) reference letter requirements, only if direct | |

| | |service provider has at least 2 years of experience providing | |

| | |evaluation and treatment services to DFPS clients and are | |

| | |currently in good standing with their DFPS contract agreement. | |

|3. |Package 1 |Subsection 8 A-4: Service Delivery Areas contained the following |Said subsection now contains as the following document: |

| |(Provider |document: |The following counties have been added to Region 8 as undeserved counties: |

| |Enrollment for: Evaluation and | | |

| |Treatment Services) |[pic] |Atascosa, Bandera, Dimmit, Edwards, Gillespie, Goliad, Jackson, Karnes, |

| | | |Kendall, Kerr, Kinney, La Salle, and Real |

| | | | |

| | | |[pic] |

|Addendum #12 |

|May 2, 2017 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |Additional language has been added to the open enrollment giving |Subsection listed below has been added as section 5.7.1, about the instruction|

| |(Provider |instructions on how to submit the application packet for Battering|on how to submit the application packet. |

| |Enrollment for: Evaluation and |Intervention and Prevention Program (BIPP). |[pic] |

| |Treatment Services) | | |

|Addendum #11 |

|March 11, 2017 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |Subsection 1.5.1 contained the following language: |Said subsection now contains as the following language: |

| |(Provider | | |

| |Enrollment for: Evaluation and |1.5.1 The HHSC Vendor Uniform Contract Terms and Conditions that |1.5.1 The current version of HHSC Uniform Terms and Conditions (UTC), Vendor |

| |Treatment Services) |the Contractor can access in the following embedded document. |UTC that the Contractor can access at the following website: |

| | | | |

| | |[pic] | |

| | |1.5.3 HHSC Vendor General Affirmations that the Contractor can |1.5.3The current version of HHSC Vendor General Affirmations that the |

| | |access in the following embedded document. |Contractor can access at the following website: |

| | |[pic] | |

| | | | |

|2. |Package 1 |Language has been changed to the open enrollment. |Subsections listed below has revised language added or removed to the section.|

| |(Provider | | |

| |Enrollment for: Evaluation and | |2.9.6.1.1 |

| |Treatment Services) | |2.9.6.1.1.2.1 |

| | | |2.9.6.1.1.2.3 |

| | | |2.9.6.1.1.2.3.2 |

| | | |2.9.6.1.1.2.4.1 |

| | | |2.9.6.1.1.2.4.2 |

| | | |2.9.6.2.4 |

| | | |2.9.6.3.1.1 |

| | | |2.9.6.3.1.2 |

| | | |2.9.6.3.1.4.2 |

| | | |2.9.7 |

| | | |2.9.7.1.4 |

| | | |2.9.7.2 |

| | | |2.9.7.2.2 |

| | | |2.9.7.2.2.1 |

| | | |2.9.7.2.3.2 |

| | | |2.9.7.2.4 |

| | | |2.9.7.2.4.1 |

| | | |2.9.7.2.4.2 |

| | | |2.9.7.2.5.10 |

| | | |2.9.7.3.3.2 |

| | | |2.9.7.4.2 |

| | | |2.9.7.4.2.1 |

| | | |2.9.7.4.2.1.1 |

| | | |2.9.7.4.2.1.2 |

| | | |2.9.7.4.2.4 |

| | | |2.9.7.5.1 |

| | | |2.9.7.5.2.3.3 |

| | | |2.9.8.5.1 |

| | | |2.9.8.5.2.2 |

| | | |2.12.1.3 |

| | | |2.13.3.3 |

| | | |2.13.3.4 |

| | | |2.14 |

| | | |2.14.1.2 |

| | | |2.17.2 |

| | | |2.17.3 |

| | | |2.18 |

| | | |2.19.2.1 |

| | | |3.2.2.6.1 |

|3. |Package 1 |Subsection 8 A-2 contained the following attachment: |Said subsection now contains as the following attachments: |

| |(Provider | | |

| |Enrollment for: Evaluation and |A-2 Fee Schedule |A-2 Fee Schedule |

| |Treatment Services) | |[pic][pic][pic] |

| | |[pic][pic][pic] | |

|Addendum #10 |

|February 14, 2017 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |Additional language has been added to the open enrollment about |Subsections listed below has new additional language added to the section, |

| |(Provider |Battering Intervention and Prevention Program (BIPP). |about the new BIPP Revision. |

| |Enrollment for: Evaluation and | | |

| |Treatment Services) | |2.3.2.4 |

| | | |2.4.3 |

| | | |2.5.1 |

| | | |2.8 |

| | | |2.9.5.1 |

| | | |2.9.6.3 thru 2.9.6.3.1.4.2 |

| | | |2.9.7.2.1 |

| | | |2.9.7.2.5 thru 2.9.7.2.5.10 |

| | | |2.12.1.3 |

| | | |2.13.1.4 |

| | | |2.15.1 |

| | | |2.15.2 |

| | | |2.15.2.4 thru 2.15.2.4.4 |

| | | |Column C has been added for Domestic Violence Assessment Report - Battering |

| | | |Intervention and Prevention Program (BIPP) |

| | | |3.2.2.2.4 |

|2. |Package 1 |Additional documents has been added to the open enrollment about |New documents provided below has been added to Subsection 8 of the Open |

| |(Provider |Battering Intervention and Prevention Program (BIPP). |Enrollment as listed for the new BIPP Revision. |

| |Enrollment for: Evaluation and | | |

| |Treatment Services) | | |

| | | |A-1 Performance Measures |

| | | |[pic] |

| | | | |

| | | |A-2 Fee Schedule |

| | | |[pic] |

|3. |Package 1 |Subsection 8 contained the following attachment: |Said subsection now contains as the following: |

| |(Provider | | |

| |Enrollment for: Evaluation and |A-3 Open Enrollment Application and Contract | |

| |Treatment Services) |[pic] |A-3 Open Enrollment Application and Contract |

| | | |[pic] |

|Addendum #9 |

|January 27, 2017 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |Subsection 8 contained the following attachment: |Said subsection now contains as the following: |

| |(Provider | | |

| |Enrollment for: Evaluation and |A-2 Fee Schedule: |Diagnostic Consultation has been added. |

| |Treatment Services) | |[pic] |

| | |[pic] | |

|Addendum #8 |

|January 18, 2017 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |Subsection 2.15.1.3 and 2.15.1.4 contained the following |Said subsection now contains as the following: |

| |(Provider |attachments: | |

| |Enrollment for: Evaluation and | | |

| |Treatment Services) |[pic] [pic] [pic] |[pic] [pic] |

| | | |[pic] |

|Addendum #7 |

|January 10, 2017 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |Subsection 1.3 contained the following language: |Said subsection now contains as the following: |

| |(Provider | | |

| |Enrollment for: Evaluation and |Enrollment Period Closes: 2:00PM CST August 31, 2021 | |

| |Treatment Services) | |Enrollment Period Closes: 5:00PM CST August 31, 2021 |

|2. |Package 1 |Subsection 5.9.1 contained the following language: |Said subsection now contains as the following: |

| |(Provider | | |

| |Enrollment for: Evaluation and |Physical Address for Delivery |Physical Address for Delivery |

| |Treatment Services) |(Operating Hours – 8:00 A.M. to 2:00 P.M.) |(Operating Hours – 8:00 A.M. to 5:00 P.M.) |

|3. |Package 1 |Subsection 8 contained the following attachment: |Said subsection now contains as the following: |

| |(Provider | | |

| |Enrollment for: Evaluation and |A-2 Fee Schedule: | |

| |Treatment Services) |[pic][pic] |A-2 Fee Schedule: |

| | | | |

| | | |[pic][pic] |

|4. |Package 1 |Subsection 2.8.3.2 contained the following attachment: |Said subsection now contains as the following: |

| |(Provider | | |

| |Enrollment for: Evaluation and |Additional language was added to this section. |Contractor must provide the authorized service(s) within ten (10) business |

| |Treatment Services) | |days of receipt of the 2054 and Referral Form K-903-2036. |

|5. | |Subsections listed below has new additional language added to this|Said subsection contains as the following: |

| | |section, please see column to the right for additional language: | |

| | | |2.9.6.1.1.2.1.6 Date and manner in which the report was submitted to the |

| | |2.9.6.1.1.2.1.6 |CPS caseworker. |

| | |2.9.6.1.1.2.1.21 |2.9.6.1.1.2.1.21 Date and manner in which the report was submitted to the |

| | |2.9.6.1.1.2.2 |CPS caseworker. |

| | |2.9.6.1.1.2.4.2 |2.9.6.1.1.2.2 Date, signature and credential(s) of the performing provider. |

| | |2.9.6.1.1.2.4.6 |2.9.6.1.1.2.4.2 Contractor must bill based on number of units authorized and |

| | |2.9.6.2.4.2 |provided. Billing increments are: |

| | |2.9.7.4.2.1.6 |1 hour = 1 unit |

| | |2.9.7.4.2.2.3 |45 minutes = .75 unit |

| | |2.9.7.4.2.4.9 |30 minutes = .50 unit |

| | |2.9.8.4.3.7 |15 minutes = .25 unit |

| | |2.9.8.5.4.3 | |

| | |2.12.2.4 |2.9.6.1.1.2.4.6 DFPS unit of service rate is based on the site of service |

| | | |delivery and is payable as either in office or out of office, or home based. |

| | | |2.9.6.2.4.2 Contractor must bill based on number of units authorized and |

| | | |provided. Billing increments are: |

| | | |1 hour = 1 unit |

| | | |45 minutes = .75 unit |

| | | |30 minutes = .50 unit |

| | | |15 minutes = .25 unit |

| | | | |

| | | |2.9.7.4.2.1.6 Date, signature and credential(s) of the performing provider. |

| | | |2.9.7.4.2.2.3 Date and manner in which the report was provided to the client |

| | | |and submitted to the CPS caseworker. |

| | | |2.9.7.4.2.4.9 Date, signature and credential(s) of the performing provider. |

| | | |2.9.8.4.3.7 Date and manner in which the report was submitted to the CPS |

| | | |caseworker, if required by CPS. |

| | | |2.9.8.5.4.3 Refer to Invoicing Procedures for Psychological and Treatment |

| | | |Services located on the DFPS website at the following URL. |

| | | | |

| | | |2.12.2.4 Services cancelled by the Contractor are not billable. |

|Addendum #6 |

|December 16, 2016 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |Subsection 2.4.1 contained the following language: |Said subsection now contains as the following: |

| |(Provider | | |

| |Enrollment for: Evaluation and |Evaluation Services |2.4.1 Evaluation Services |

| |Treatment Services) |Psychosocial Assessment (A psychosocial assessment is required in |Psychosocial Assessment (A psychosocial assessment is required in order to |

| | |order to provide treatment services.) |provide treatment services.) |

| | | |Psychological Services (Evaluation & Testing) |

|Addendum #5 |

|November 7, 2016 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |Subsection 2.15.1.3 contained the following attachments: |Said subsection now contains as the following: |

| |(Provider | | |

| |Enrollment for: Evaluation and |2.15.1.3 |2.15.1.3 |

| |Treatment Services) | | |

| | |[pic] [pic] |[pic] [pic] |

| | | |Subsection B - Conditions for Waiver has been revised. |

|Addendum #4 |

|October 26, 2016 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |Subsection 2.4.1 contained the following language: |Said subsection now contains as the following: |

| |(Provider | | |

| |Enrollment for: Evaluation and |2.4.1 Evaluation Services |2.4.1 Evaluation Services |

| |Treatment Services) |Psychosocial Assessment |Psychosocial Assessment (A psychosocial assessment is required in order to |

| | |Psychological Services (Evaluation & Testing) |provide treatment services.) |

|2. |Package 1 (Provider Enrollment |Subsection 2.9.6.1.1 contained the following language: |Said subsection now contains as the following: |

| |for: Evaluation and Treatment | | |

| |Services) |Description |2.9.6.1.1 Description |

| | |A Psychosocial Assessment is a face-to-face mental health |A Psychosocial Assessment is a face-to-face mental health assessment conducted|

| | |assessment conducted by a clinician with a current and valid |by a clinician with a current and valid license to operate in the state of |

| | |license to operate in the state of Texas. |Texas. A psychosocial assessment is required in order to provide Treatment |

| | | |Services. |

|3. |Package 1 (Provider Enrollment |Subsection 2.9.7 contained the following language: |Said subsection now contains as the following: |

| |for: Evaluation and Treatment | | |

| |Services) |2.9.7 Treatment Services |2.9.7 Treatment Services |

| | |Recommendations from the Psychosocial Assessment and/or |Recommendations from the Psychosocial Assessment and/or Psychological |

| | |Psychological Evaluation serve as a foundation for treatment |Evaluation serve as a foundation for treatment services. A Psychosocial |

| | |services. Treatment services include Individual, Family, and Group|Assessment is required, in order to provide Treatment services. Treatment |

| | |Counseling; programs for children with developmental delays; and |services include Individual, Family, and Group Counseling; programs for |

| | |intellectual and developmental disabilities. |children with developmental delays; and intellectual and developmental |

| | | |disabilities. |

|4. |Package 1 (Provider Enrollment |Subsection A-3: (Application) contained the following language: |Said subsection now contains as the following: |

| |for: Evaluation and Treatment | | |

| |Services) |A-3: Open Enrollment Application and Contract |A-3: Open Enrollment Application and Contract |

| | | | |

| | |[pic] |[pic] |

| | | | |

| | |Changes to Application: |Changes to Application: |

| | |4…Services to be Provided |4….Services to be Provided |

| | |Contractor may provide Evaluation and/or Treatment Services |Contractor may provide Psychological Evaluation and Testing and/or |

| | |specified in Provider Enrollment HHS0000071. Contract must |Psychosocial Assessment and Treatment Services specified in Provider |

| | |provide all Support Services specified in HHS0000071 upon DFPS |Enrollment HHS0000071. Contractor must provide all Support Services specified|

| | |request. |in HHS0000071 upon DFPS request. |

|Addendum #3 |

|October 18, 2016 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |Subsection A-5: Required Forms |Said subsection now contains as the following attachment: |

| |(Provider | |A-5: Required Forms |

| |Enrollment for: Evaluation and |Form 4732 Request to Determination of Ability to Contract has been|Form 4732 has been removed. |

| |Treatment Services) |removed and is no longer a required form. | |

| | | |[pic] |

| | |[pic] | |

|Addendum #2 |

|September 20, 2016 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |Clarification language was added to Section 8: |Said subsection now contains the following language: |

| |(Provider | |A-4: Service Delivery Areas |

| |Enrollment for: Evaluation and |A-4, Service Delivery Areas |Applicants may apply for multiple regions using one application. Please check|

| |Treatment Services) | |the boxes for the counties you wish to serve. |

| | | | |

|2. |Package 3 |Question and Answer #8 contained the following in part: |The answer to Question #8 was amended as follows: |

| |(Question and Answer Document) | | |

| | |If we are currently contracted in two regions, does this |No, applicants may apply to more than one region through one application by |

| | |application need to be filled out twice?   |checking the boxes for the counties you wish to serve in Section 8, form A-4: |

| | | |Service Delivery Areas. You must have sufficient staffing and resources to |

| | |Yes, applicants may apply to more than one region.  An application|provide services within each county you indicate that you will serve and will |

| | |must be submitted for each region. You must have sufficient |need to submit one PCS-102ET form for each region you indicate that you will |

| | |staffing and resources to provide services within each county you |serve. |

| | |indicate that you will serve. | |

|Addendum #1 |

|September 13, 2016 |

|Item |Open Enrollment Reference |Previous |Revised Language |

|1. |Package 1 |Subsection 2.15.1., General Qualifications, contained the word |Paragraphs 2.15.1.1. - 2.15.1.4 were amended to replace the word "Contractor" |

| |(Provider |"Contractor" in subsections 2.15.1.1. - 2.15.1.5. |with "direct service provider". |

| |Enrollment for: Evaluation and | | |

| |Treatment Services) | |Paragraph 2.15.1.5. was amended to replace the word "Contractor" with "direct |

| | | |service provider" or add "and/or direct service provider" as appropriate. |

|2. |Package 1 |Paragraph 2.15.1.6. contained the following language: |New subsection 2.15.1.6 was added as follows: |

| |(Provider | | |

| |Enrollment for: Evaluation and |Contractor must complete six (6) hours of Child Welfare Practice |The direct service provider may apply for a waiver from the two (2) reference |

| |Treatment Services) |related training annually. Child Welfare Training consists of |letters as required in Section 2.15.1.5 by submitting Form K909-5625 Waiver |

| | |trainings and workshops that address outcomes of safety, |Request. Contractor and/or direct service provider may also apply for a waiver|

| | |permanency, and well-being for children and families involved in |for a subcontractor, employee, or volunteer by submitting Form K909-5626 |

| | |Child Protective Services. |Waiver Request - Subcontractor. |

| | | | |

| | | |Subsequent paragraphs under subsection 2.15.1., General Qualifications, were |

| | | |renumbered. |

|3. |Package 1 |A-3: Open Enrollment Application and Contract embedded document |Said language was deleted. |

| |(Provider |contained the following language in part: | |

| |Enrollment for: Evaluation and | |August 31, 2021 was added for the "End Date of Contract". |

| |Treatment Services) |"The initial contract period will begin on the effective date | |

| | |stated below, with the total contract term not to exceed sixty | |

| | |(60) months." | |

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