under the provider type. You must be eligible to bill for Medicaid at the time of this application through established Provider Type(s). Tab 8 State Required Documents – Technical Statement for RFA Attachment B – Insurance Schedule Attachment C – RFA TIMELINE The following represents the proposed timeline for this project. All times stated are Pacific Standard Time (PST). These dates represent a tentative schedule of events. The State reserves the right to modify these dates at any time. Task Date/Time Release Date of RFA February 5, 2016 Letter (Email of Intent) submitted to February 11, 2016, 4:00 p.m. PST Deadline for submitting questions regarding the RFA process. February 12, 2016, Questions to be submitted to . You must include RFA in 4:00 p.m. PST the heading for the questions to be considered. Answers provided via to all organizations who provided a On or before February 17, 2016, 8:00 PST letter (email of intent) Technical Assistance Call specific to RFA process. Call in February 19, 2016, number (775) 687-0999, Code: 45676. Technical Assistance call 4:00 p.m. PST may end early, if there are no callers are on the phone. March 9, 2016, Deadline for RFA submittal 4:00 p.m. PST 21, 2016, 12:00 p.m. PST On or before 22 10, 2016 through Evaluation period (approximate time frame); which may include March 25, 2016 interviews with applicant’s leadership team. April 7, 2016 On or before March 28, 2016 Selection of applicant(s) 12, 2016 SUBMISSION CHECKLIST This checklist is provided for applicant’s convenience only and identifies documents that must be submitted with each package in order to be considered responsive. Any RFAs received without these requisite documents may be deemed non-responsive and not considered for contract award. Part I A– Technical RFA Submission Requirements Completed Document should be tabbed with the following section Required number of copies of General Minimum Qualifications per submission requirements (five copies) Tab I Agency or Non-Profit Information Tab II CCRT Assessment Tool Completed (20-pages reserved for the Assessment in the application) Tab III Description of Applicant Agency and/or DCO’s if appropriate Tab IV Program Director Resume (Example, Appendix G) not to exceed two –
under the provider type. You must be eligible to bill for Medicaid at the time of this application through established Provider Type(s). Tab 8 – State Required Documents Attachment B – Technical Statement for RFA Attachment C – Insurance Schedule RFA TIMELINE The following represents the proposed timeline for this project. All times stated are Pacific Standard Time (PST). These dates represent a tentative schedule of events. The State reserves the right to modify these dates at any time. Task Date/Time Release Date of RFA February 5, 2016 Letter (Email of Intent) submitted to February 11, 2016, 4:00 p.m. PST Deadline for submitting questions regarding the RFA process. Questions to be submitted to . You must include RFA in the heading for the questions to be considered. February 12, 2016, 4:00 p.m. PST Answers provided via to all organizations who provided a letter (email of intent) On or before February 17, 2016, 8:00 PST Technical Assistance Call specific to RFA process. Call in number (775) 687-0999, Code: 45676. Technical Assistance call may end early, if there are no callers are on the phone. February 19, 2016, 4:00 p.m. PST Deadline for RFA submittal March 9, 2016, 4:00 p.m. PST 21, 2016, 12:00 p.m. PST Evaluation period (approximate time frame); which may include interviews with applicant’s leadership team. On or before 22 10, 2016 through March 25, 2016 April 7, 2016 Selection of applicant(s) On or before March 28, 2016 12, 2016 SUBMISSION CHECKLIST This checklist is provided for applicant’s convenience only and identifies documents that must be submitted with each package in order to be considered responsive. Any RFAs received without these requisite documents may be deemed non-responsive and not considered for contract award. Part I A– Technical RFA Submission Requirements Document should be tabbed with the following section Completed Required number of copies of General Minimum Qualifications per submission requirements (five copies) Tab I Agency or Non-Profit Information Tab II CCRT Assessment Tool Completed (20-pages reserved for the Assessment in the application) Tab III Description of Applicant Agency and/or DCO’s if appropriate Tab IV Program Director Resume (Example, Appendix G) – not to exceed two