Commonwealth of Kentucky SOLICITATION

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1 Doc ID No: RFP version 1 Page: 1 of 51 TITLE: 729 DBH Medication Assisted Adolescent Treatment DATE ISSUED SOLICITATION CLOSES SOLICITATION NO. 04/05/2017 Date: 04/28/2017 RECORD DATE RFP Time: 15:30:00 04/04/2017 I S S U E D B Y Procurement/Grant Oversight Cassandra Weiss Commonwealth of Kentucky SOLICITATION V E N D O R A D D R E S S T O CHFS01 Buyer CHFS OATS Division of Procurement 275 E. Main St. 4E-C FRANKFORT KY US O R D E R A D D R E S S Name: Address: City, State Zip Code: Phone #: Fax #: P A Y M E N T Name: Address: City, State Zip Code: Phone #: Fax #: Address: Contact Name: Contact Vendor Customer (VC) #: A D D R E S S Address: Contact Name: Contact Vendor Customer (VC) #: FOR INFORMATION CALL: ONLINE BIDDING PROHIBITED OWNERSHIP TYPE: Cassandra Weiss yes Sole Proprietorship Partnership Corporation SIGNATURE OF AUTHORIZED AGENT IS REQUIRED UNLESS RESPONSE IS SUBMITTED ELECTRONICALLY FAILURE TO SIGN SHALL RENDER THE BID INVALID. Signature X FEIN# DATE All offers subject to all terms and conditions contained in this solicitation.

2 Doc ID No: RFP version 1 Page: 2 of 51 Line Items Commodity Group Default Line CL Description Due Date Quantity Unit Issue Unit Cost Line Total Or Contract Amt 1 FY17 Medication Assisted 0.00 Adolescent Treatment Comm Code Comm Description Manufacturer Model # Manuf Part # HUMAN SERVICES Extended Description Cabinet for Health and Family (CHFS), Department for Behavioral Health, Developmental and Intellectual Disabilities (BDHDID), Division of Behavioral Health is issuing this Request for Proposals to seek a qualified agency to provide medication-assisted treatment services for adolescents and transition-age youth in the Northern Kentucky region consisting of the following counties: Boone, Kenton, Campbell, Gallatin, Grant, Pendleton, Carroll, and Owen. Commodity Group Line CL Description Due Date Quantity Unit Issue Unit Cost Line Total Or Contract Amt 2 FY18 Medication Assisted 0.00 Adolescent Treatment Comm Code Comm Description Manufacturer Model # Manuf Part # HUMAN SERVICES Extended Description FY18 Medication Assisted Adolescent Treatment B I L L S CHFS DBHDID DIV BEHAVIORAL/INTELLECTUAL HLTH/SUBS 275 EAST MAIN STREET 4TH FLOOR H I P T o FRANKFORT US KY T o

3 Doc ID No: RFP version 1 Page: 3 of 51 Evaluation Criteria The following criteria will be used when determining the award of this solicitation Code Criteria Description Points Vendor Response (DO NOT LIST PRICES IN THIS SECTION. UNIT PRICES AND TOTAL PRICES MUST BE FILLED IN ADJACENT TO THEIR LINE ITEMS.) See section 8 of RFP 1025

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Commonwealth of Kentucky SOLICITATION

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