Kyle L. Janek , M.D., Executive Commissioner VENDOR CONFERENCE

Kyle L. Janek, M.D., Executive Kyle L. Janek, M.D., Executive CommissionerCommissioner

VENDOR CONFERENCEVENDOR CONFERENCEConsulting Services Regarding Consulting Services Regarding

DADS Rider 39 and DSHS Rider 83DADS Rider 39 and DSHS Rider 83

Request for Proposal No. 529-14-Request for Proposal No. 529-14-00660066

January 15, 2014January 15, 201411

WelcomeWelcome

IntroductionsIntroductions Mike Labinski,Mike Labinski, HHSC HHSC Procurement and Procurement and

Contracting Services (PCS)Contracting Services (PCS) Robert Hall, PCSRobert Hall, PCS Eugenia Andrew, Department of Aging Eugenia Andrew, Department of Aging

and Disability Services (DADS) and Disability Services (DADS) Mike Maples, Department of State Mike Maples, Department of State

Health Services (DSHS)Health Services (DSHS) Lachelle Greif, HHSC Facility Support Lachelle Greif, HHSC Facility Support

Services & OversightServices & Oversight Meghan W. Frkuska, HHSC Legal Meghan W. Frkuska, HHSC Legal

Housekeeping ItemsHousekeeping Items22

HHSC Procurement RolesHHSC Procurement Roles

PCS- Responsible for procurement activityPCS- Responsible for procurement activity

HUB Program- Responsible for compliance HUB Program- Responsible for compliance with HUB Subcontracting Planwith HUB Subcontracting Plan

Programs (DADS and DSHS)- Responsible Programs (DADS and DSHS)- Responsible for for project scope, requirements, project scope, requirements, performance, results, contract performance, results, contract management/monitoring management/monitoring

Legal- Questions/answers and legal Legal- Questions/answers and legal activityactivity

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Vendor Conference OverviewVendor Conference Overview

Procurement ActivitiesProcurement Activities HUB Subcontracting PlanHUB Subcontracting Plan RFP OverviewRFP Overview QuestionsQuestions Break Break Preliminary Responses to Preliminary Responses to

QuestionsQuestions ClosingClosing

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Procurement ActivitiesProcurement Activities

Sole Point of Contact – Section 1.2Sole Point of Contact – Section 1.2 Procurement Schedule – Section 1.3 Procurement Schedule – Section 1.3 Solicitation Changes – Section 1.10Solicitation Changes – Section 1.10 Solicitation Access Solicitation Access

http://www.hhsc.state.tx.us/about_hhsc/BusOpp/BO_opportunities.asp

Submission Requirements – Submission Requirements – Sections 3.14, 3.15, & 4Sections 3.14, 3.15, & 4

Proposal Screening and Evaluation Proposal Screening and Evaluation – Section 5.1 & 5.2– Section 5.1 & 5.2

Award InformationAward Information

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Procurement ScheduleProcurement Schedule

RFP Release Date January 6, 2014RFP Release Date January 6, 2014 Vendor Conference Vendor Conference January 15, 2014January 15, 2014 Respondent Questions Due January 16, 2014Respondent Questions Due January 16, 2014 Post Response to Questions Post Response to Questions (est.) (est.) January 22, 2014January 22, 2014 Proposals Due Proposals Due (3:00 PM Central Time)(3:00 PM Central Time) February 7, 2014 February 7, 2014 Deadline for Proposal Deadline for Proposal WithdrawalWithdrawal February 7, February 7,

20142014 Tentative Award PostingTentative Award Posting (est.) (est.) March 14, 2014March 14, 2014 Anticipated Contract Start Date April 1, 2014Anticipated Contract Start Date April 1, 2014

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Historically Underutilized Historically Underutilized Business (HUB) RequirementsBusiness (HUB) Requirements

Robert L. HallRobert L. HallDirector, Enterprise Operations Director, Enterprise Operations

for Client Services Procurements / for Client Services Procurements / HHS HUB Coordinator, PCSHHS HUB Coordinator, PCS

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HUB TopicsHUB Topics

I.I. RFP Section 4.0 Historically RFP Section 4.0 Historically Underutilized Underutilized Business Business Participation Requirements Participation Requirements

II.II. HUB Subcontracting Plan HUB Subcontracting Plan Development Development and and SubmissionSubmission

III.III. HSP Quick Checklist – HSP Quick Checklist – Handout Handout

IV.IV. HSP Methods – HSP Methods – Section 4.6.3-4.6.6 Section 4.6.3-4.6.6

V. V. HSP Prime Contractor Progress HSP Prime Contractor Progress Assessment Report – Assessment Report – Section 4.8 Section 4.8

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I.I. Historically Underutilized Historically Underutilized

Business Participation Business Participation

RequirementsRequirements

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•HUB Participation Goals – Section 4.3

•Potential Subcontracting Opportunities – Section 4.5

•Centralized Master Bidders List and HUB Directory – Section 4.5

•Vendor Intends to Subcontract – Section 4.6

I.I. RFP Section 4.0 Historically RFP Section 4.0 Historically

Underutilized Business Underutilized Business

Participation RequirementsParticipation Requirements

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• Minority or Women Trade Organizations – Section 4.6.6

• Self Performance – Section 4.6.7

• HSP Changes After Contract Award – Section 4.8

• Reporting and Compliance with the HSP – Section 4.8

I.I. RFP Section 4.0 Historically RFP Section 4.0 Historically

Underutilized Business Underutilized Business

Participation Requirements Participation Requirements (cont.)(cont.)

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II. HUB Subcontracting Plan HUB Subcontracting Plan (HSP)(HSP)

Development and SubmissionDevelopment and Submission

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If HSP is inadequate, response will be rejected

HUB GOALS

Special reminders and instructions

HSP Information Page

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III.III. HSP Quick ChecklistHSP Quick Checklist

** See Checklist Handout**** See Checklist Handout**

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IV.IV. HSP MethodsHSP Methods

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METHOD OPTIONSA Respondent may choose from one of the following methods when completing the HSP:

•Method I – if 100% of your subcontracting opportunities will be performed using only HUB vendors;

•Method II – if one or more of the subcontracting opportunities identified will be performed using HUB protégé’s;

•Method III – if a combination of HUBs and Non-HUBs are used to perform the subcontracting work identified AND the HUB goal identified in the solicitation is met or exceeded;

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METHOD OPTIONS

A Respondent may choose from one of the following methods when completing the HSP (cont.):

•Method IV – if a combination of HUBs and Non-HUBs are used to perform the subcontracting work identified AND the HUB goal identified in the solicitation is not met or exceeded.

•Method V - if the Respondent intends to self perform all of the work utilizing their own resources, equipment, employees, and supplies.

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ALL METHODS

For ALL Methods the following steps are required to be completed on the HSP Form:

•Page 1 - Section 1 - Respondent and Page 1 - Section 1 - Respondent and Requisition Information; Requisition Information;

•Page 2 - Company and Requisition Information Page 2 - Company and Requisition Information

•Page 2 - Section 2(a) – Subcontracting Page 2 - Section 2(a) – Subcontracting Intentions Intentions

•Section 4 – Affirmation and SignSection 4 – Affirmation and Sign1818

Respondent and Requisition Information

HSP Information Page

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Company Name and Requisition #SubcontractingIntentions:

If Yes, Complete Section 2a

If No, Complete Section 2b

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Section 4; Affirmation

Signature Affirms that Information Provided isTrue and Correct.

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METHOD IIf all (100%) of your subcontracting opportunities will be performed using only HUB vendors, complete:

•All of the steps in Slides 19 and 20;All of the steps in Slides 19 and 20;

•Section 2 b. – List all the portions of work you Section 2 b. – List all the portions of work you will subcontract, and indicate the percentage will subcontract, and indicate the percentage of the contract you expect to award to HUB of the contract you expect to award to HUB vendors;vendors;

•Section 2 c. – Yes; Section 2 c. – Yes;

•HSP GFE Method A (Attachment A) – Complete HSP GFE Method A (Attachment A) – Complete this attachment for each subcontracting this attachment for each subcontracting opportunity. opportunity. 2222

Complete Section 2-c; Yes if you will be using only HUBs to perform all Subcontracting Opportunities in 2-b.

Complete Section 2-b; List all the portions of work you will subcontract, and indicate the % of the contract you expect to award to all HUBs.

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Complete this attachment (Sections A-1 and A-2) and List Line # and Subcontracting Opportunity.

HSP GFE Method A (Attachment A)

HUB Subcontractor Selection for this Subcontracting Opportunity

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METHOD II

If any of your subcontracting opportunities will be performed using HUB protégés, complete:

•All of the steps in Slides 19 and 20;All of the steps in Slides 19 and 20;

•Section 2 b. – List all the portions of work Section 2 b. – List all the portions of work you will subcontract, and indicate the you will subcontract, and indicate the percentage of the contract you expect to percentage of the contract you expect to award to HUB vendors;award to HUB vendors;

•HSP GFE Method B (Attachment B) – HSP GFE Method B (Attachment B) – Complete Section B-1 and Section B-2 only Complete Section B-1 and Section B-2 only for each subcontracting opportunity as for each subcontracting opportunity as applicable. applicable. 2525

Skip Sections 2-c and 2-d.

Complete Section 2-b; List all the portions of work you will subcontract, and indicate the % of the contract you expect to award to HUB Protégés.

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HSP GFE Method B (Attachment B)

Complete Sections B-1; and

B-2 only for each HUB Protégé subcontracting opportunity.

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List the HUB Protégé(s)

HSP GFE Method B

(Attachment B)

METHOD IIIIf you are subcontracting with HUBs and Non-HUBs, and the aggregate percentage of subcontracting with HUBs in which the HUB Goal identified in the solicitation is met or exceeded , complete:

•All of the steps in Slides 19 and 20;All of the steps in Slides 19 and 20;

•Section 2 b. – List all the portions of work you will Section 2 b. – List all the portions of work you will subcontract, and indicate the percentage of the subcontract, and indicate the percentage of the contract you expect to award to HUB vendors and contract you expect to award to HUB vendors and Non HUB vendors;Non HUB vendors;

•Section 2 c. – No;Section 2 c. – No;

•Section 2 d. – Yes; Section 2 d. – Yes;

•HSP GFE Method A (Attachment A) – Complete this HSP GFE Method A (Attachment A) – Complete this attachment for each subcontracting opportunity.attachment for each subcontracting opportunity. 2929

Complete Section 2-c; No to using only HUBs to perform all Subcontracting Opportunities in 2-b.

Complete Section 2-b; List all the portions of work you will subcontract, and indicate the % of the contract you expect to award to HUBs and Non-HUBs.

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Complete Section 2-d; Yes, to the Aggregate % of the contract expected to be subcontracted to HUBs to meet or exceed the HUB goal, which you have a contract agreement in place for five (5) years or less.

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Complete this attachment (Sections A-1 and A-2) for each subcontracting opportunity.

HSP GFE Method A (Attachment A)

Subcontractor Selection (HUBs and Non-HUBs)

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METHOD IVIf you are subcontracting with HUBs and Non-HUBs, and the aggregate percentage of subcontracting with HUBs, holding an existing contract with HUBs for 5 years or less, does not meet or exceed the HUB Goal identified in the solicitation, complete:

• All of the steps in Slides 19 and 20;All of the steps in Slides 19 and 20;

• Section 2 b. – List all the portions of work you Section 2 b. – List all the portions of work you will subcontract, will subcontract, and indicated the percentage of and indicated the percentage of the contract you expect to award to HUB the contract you expect to award to HUB vendors and Non HUB vendors;vendors and Non HUB vendors;

• Section 2 c. – No;Section 2 c. – No;

• Section 2 d. – No; Section 2 d. – No;

• HSP GFE Method B (Attachment B) – Complete HSP GFE Method B (Attachment B) – Complete this attachment for each subcontracting this attachment for each subcontracting opportunity.opportunity.

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Complete Section 2-c; No, to using only HUBs to perform all Subcontracting Opportunities in 2-b.

Complete Section 2-b; List all the portions of workyou will subcontract, and indicated the % of the contract you expect to award to HUBs and Non-HUBs.

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Complete Section 2-d; No, to the Aggregate % of the contract expected to be subcontracted to HUBs to meet or exceed the HUB goal, which you have a contract agreement in place for five (5) years or less. 3535

HSP GFE Method B (Attachment B)

Complete Section B-1; and

Section B-2 only for each subcontracting opportunity.

Good Faith Efforts to find Texas Certified HUB Vendors

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HSP GFE Method B (Attachment B)

Written Notification Requirements

List 3 HUBs Contacted for this Subcontracting Opportunity

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HSP GFE Method B (Attachment B)

Written Notification To Trade Organizations

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HSP GFE Method B (Attachment B)

List Trade Organizations Notified with Dates Sent/Accepted.

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Provide written justification why a HUB was not selected for this Subcontracting Opportunity

HSP GFE Method B (Attachment B)

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METHOD V

If you are not subcontracting any portion of the contract and will be fulfilling the entire contract with your own resources (i.e., equipment, supplies, materials, and/or employees), complete:

• All of the steps in Slides 19 and 20;All of the steps in Slides 19 and 20;

• Section 3 – Self Performing JustificationSection 3 – Self Performing Justification

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List the specific page(s)/section(s) of your proposal response, OR in the space provided, which explains how your company will perform the entire contract with its own equipment, supplies, materials and/or employees.

Section 3; Self Performing Justification

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HUB Subcontracting HUB Subcontracting Opportunity Opportunity

Notification FormNotification Form

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Sample for Respondent’s Use.

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V.V. HSP Prime Contractor HSP Prime Contractor Progress Assessment ReportProgress Assessment Report

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• Required with ALL Pay Requests

• Required even if not subcontracting

• List ALL Sub payments (HUBs & Non-HUBs)

HSP Prime Contractor Progress Assessment Report

Mission ObjectivesMission Objectives Project OverviewProject Overview

Project ObjectivesProject Objectives

Project ScopeProject Scope

Resources Available To The Resources Available To The ConsultantConsultant

Available CAFM DataAvailable CAFM Data

Additional Stated RequirementsAdditional Stated Requirements

Evaluation CriteriaEvaluation Criteria

RFP OverviewRFP Overview

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Mission ObjectivesMission Objectives

HHSC’s objective for this procurement is to obtain assistance from a consultant with expertise to submit to HHSC a final report including recommendations that will:

• Assess existing State Supported Living Centers (SSLCs) and state psychiatric hospitals (State Hospitals) infrastructure and services as well as anticipated future needs.• Define the issues and concerns related to individuals residing in and/or receiving care in SSLCs and state hospitals.• Reflect appropriate stakeholder input obtained by the Consultant so that well informed recommendations and models may be provided to DADS and DSHS respectively. • Assess the current and anticipated future needs of the SSLC system and state psychiatric hospital system in regards to operational and infrastructure needs, timely access to patient care in the least restrictive settings as clinically appropriate, opportunities for individuals to receive care closer to their homes, and efficient use of state resources.

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Project OverviewProject Overview

The 2014-15 state budget enacted by the 83rd Texas Legislature, Regular Session, 2013, included riders requiring DADS (Rider 39) and DSHS (Rider 83) to respectively develop a ten-year plan for theprovision of services to persons residing in SSLCs and a ten-year plan for the provision of psychiatric inpatient hospitalization through the state psychiatric hospital system. Both DADS and DSHS were directed to coordinate in the development and implementation of the plans in order to ensure consideration of cross agency issues impacting both SSLCs and state hospitals. Rider 83 authorizes DSHS to contract for necessary technical expertise to assist in the development of the state psychiatric hospital system plan.

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Project ObjectivesProject Objectives

Obtain a Consultant to conduct a study of the SSLCs and State Hospitals in support of the requirements stated in DADS Rider 39 and DSHS Rider 83. The Consultant shall: (a) thoroughly assess the current SSLC and State Hospital systems; (b) conduct research; (c) analyze results of assessments and research; and (d) develop all recommendations necessary for DADS and DSHS to fulfill the requirements of the riders.

At all times, the Consultant must comply with any applicable state or federal regulations. Based on this study, the Consultant shall produce a report that includes the findings of the study and recommendations for the long-term provision of services in the SSLC and State Hospital systems. The information and recommendations provided in the report will be used by DADS and DSHS to produce the ten-year plans as required by the respective riders.

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Project Scope – DADS Rider 39Project Scope – DADS Rider 39All requirements in the RFP Section 2 et al and especially Section 2.3, Requirements Regarding the Study and Recommendations Concerning the State Supported Living Center System, apply.

Rider 39: Assess operational and infrastructure needs along with the associated costs of the state supported living centers to ensure:• Current and future capacity and demand needs for individuals requiring services• Individuals are served in the most integrated setting appropriate to their needs• Opportunities for individuals to receive services close to their geographic preference• Effective and efficient use of state resources• Monitoring and oversight of the quality of services• Effective transition of individuals into community settings• Compliance with state and federal regulations 5151

Project Scope – DADS Rider 39Project Scope – DADS Rider 39

Background: At a minimum, the study should address the following:• Management and structure of the SSLCs,• Demographic characteristics and census of individuals residing in SSLCs,• Deferred maintenance and bond indebtedness, • Analysis of maintaining existing facilities versus building new facilities reflective of modern facility design, • Resourceful use of real estate holdings, • Cost and benefit of owning and operating facilities versus purchasing care from the marketplace, • Adequacy of the workforce including clinical and support staff and training requirements.

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Project Scope – DADS Rider 39Project Scope – DADS Rider 39

Operational Needs:• Review of the current population demographic composition

and census served by the SSLCs• Review of current staffing and training requirements and

concerns including the availability of medical and support staff in all regions of Texas

• Current delivery of care and outcomes provided to individuals residing in SSLCs

• Current monitoring and oversight of the quality of services provided to individuals residing in SSLCs

• Assessment of the current availability of community living options and capacity for services within the SSLC system

• Analysis of the current economic impact of SSLC system on local communities

• Current state funded SSLC capacity for individuals requiring services

• The associated costs for each of these areas as applicable• Anticipated changes in each of these areas over the next ten

years.

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Project Scope – DADS Rider 39Project Scope – DADS Rider 39

Infrastructure:• 12 campuses throughout the state • Conduct a minimum of three on-site visits:o An urban centero A rural centero The forensic center in Mexia• Evaluate current and future building and

infrastructure uses• Evaluate current and future land uses• Evaluate costs, benefits and efficiencies of

existing facilities versus replacements• Evaluate costs and benefits of consolidating

functions

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Project Scope – DADS Rider 39Project Scope – DADS Rider 39

Research: Conduct research to support analysis and recommendations

• National trends • Best practices• Resident/guardian surveys and/or

interviews• Stakeholder input from public, providers,

and advocates

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Project Scope – DADS Rider 39Project Scope – DADS Rider 39

Recommendations: • Include interim steps required to achieve

recommendation• Opportunities for innovative models such as private/public

partnerships, shared facilities or joint operations with other governmental entities or private sector entities

• Funding implications of the recommendations over the next ten years

• Economic implications for the communities in which the current SSLCs operate and how they are addressed

• Address the specific needs of the SSLC population including alleged offender residents, children, and the medically complex

• Staffing requirements and associated costs• Address regional needs for long-term services

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Project Scope – DSHS Rider 83Project Scope – DSHS Rider 83

All requirements in the RFP Section 2 et al and especially Section 2.4, Requirements Regarding the Study and Recommendations Concerning the State Psychiatric Hospital System , apply.

Rider 83: Assess in-patient psychiatric system, including operational and infrastructure needs and associated costs, to ensure:• Current and future capacity across various regions of the state• Timely access to care • Services provided in the least restrictive setting as clinically appropriate• Utilization of best practices in the provision of inpatient psychiatric care• Opportunities for patients to receive care closer to home• Effective and efficient use of state resources• Seek public input during development of plan

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Project Scope – DSHS Rider 83Project Scope – DSHS Rider 83

Scope of Consultant Services:• Inform planning and decision-making in the

development of the 10 year plan• Assess the delivery of inpatient psychiatric care and

the impact of alternatives to inpatient care• Assess the operational and infrastructure needs of

the state hospital system including analysis of maintaining existing facilities versus building new facilities reflective of modern facility design

• Assess costs/benefits of owning and operating hospitals versus purchasing care in the marketplace

• Develop a recommended management structure for the state hospital system and recommended changes to the system to meet future capacity needs and standards of care in a cost efficient and effective manner

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Project Scope – DSHS Rider 83Project Scope – DSHS Rider 83

Challenges for the State Hospital System• Aging physical infrastructure with deferred maintenance

and bond indebtedness• Provision of services close to the person’s home• Adequacy of community services that may prevent

inpatient hospitalization• Increased number of persons on forensic commitments• Increased acuity of persons served in the state hospital

system• Physical infrastructure that facilitates best practices in

inpatient care• Recruitment and retention of a trained and competent

workforce• Management system that promotes innovation and best

practices• Financing system that ensures effective services and the

efficient use of state resources

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Resources Available to the ConsultantResources Available to the Consultant

As listed in the RFP, Section 2.5 Resources are available to the Consultant, available resources include:• "State Land Reports" from the Texas General Land Office• "Transform State Residential Services for Persons with Intellectual and Developmental Disabilities" from the Legislative Budget Board Report, 2011• "State Mental Health Facilities Quarterly Performance Indicators" from DSHS• Rider 55 “Study of Feasibility of Facility Closures and Consolidations-Fiscal Year 2005-Report

Also, data from the HHSC - Facility Support Services Computer Aided Facility Management (CAFM) System

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Available CAFM DataAvailable CAFM Data

Buildings• Number• Name• Classification/Use (Sleeping, Administration, etc.)• Year constructed• Gross constructed square feet by floor• Occupancy status• Description• Building systems, such as electrical, HVAC, doors,

windows, roof, conveying, etc.

Site Systems• Number• Name (Electrical Distribution, Water Distribution,

Steam Distribution, Streets, Playgrounds, etc.)• Description

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Available CAFM DataAvailable CAFM Data

Facility• Acreage

Building Maintenance – corrective and preventive• Work orders that track labor, materials, and vendor

costs and dates• Categorized by building or site system, room number,

building system, activity code, and maintenance shop

Deferred Maintenance• Deficiencies – large ticket issues that cannot be

repaired due to lack of resources• Deficiency priorities – 1=Critical, 2=Almost Critical,

3=Soon to Be Critical• Cost to correct deficiencies – used to develop Capital

Construction biennium requests for the Legislative Appropriations Request (LAR)

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Available CAFM DataAvailable CAFM Data

Strategic Planning• Current Replacement Value (CRV) – cost to build

new building of like size and kind• Facility Condition Index (FCI) – Industry-standard

value to represent relative condition of buildings – calculated by dividing the CRV by the cost of deficiencies priority 1, 2, & 3.

CAD Drawings• Facility (campus) site plans – schematic

representation of infrastructure including buildings, roads, sidewalks, utility lines, etc.

• Building plans – schematic representation by floor that depict rooms, hallways, elevators, and their dimensions

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Additional Stated RequirementsAdditional Stated Requirements

Section 2.8.7, Background Checks

Consultant shall obtain a criminal background check, including fingerprinting, on any employees, including Subcontractors and subcontractor employees, who perform any site visit at either a SSLC or at a state psychiatric hospital, or who may have contact with any stakeholders, patients, residents, or their family members. The Consultant shall also perform checks against the Nurse Aide Registry and the Employee Misconduct Registry maintained on the DADS website. Criminal background checks shall be performed at the Consultant’s expense and are for the United States of America.

Consultant shall not utilize an employee, subcontractor or subcontractor's employee to perform a site visit or have any contact with stakeholders, patients, residents, or their family members for this study if the Consultant determines, as a result of a criminal background check, that the person has been convicted of an offense listed in Section 250.006 of the Texas Health and Safety Code that bars employment or if the Consultant makes a reasonable determination that a conviction may pose a risk to any stakeholders, patients, residents, or their family members, or if the employee or subcontractor or subcontractor's employee is listed in the Nurse Aide Registry or the Employee Misconduct Registry maintained on DADS website.

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RFP Evaluation CriteriaRFP Evaluation Criteria

HHSC will evaluate proposals based on demonstrated competence, knowledge and qualifications, and on the reasonableness of the proposed fee for the services. To evaluate these criteria, HHSC will consider the following factors:

1. Past performance on similar projects and qualifications of key project personnel, including without limitation a demonstrated understanding as stated in the criteria listed in Section 5.1, item 1.

2. Reasonableness of the proposed cost.

3. The ability to meet the deadline for delivering the final report

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Permissible ContactPermissible Contact

The sole point of contact for inquiries The sole point of contact for inquiries concerning this RFP is Mike Labinski.concerning this RFP is Mike Labinski.

As a reminder, all communications As a reminder, all communications relating to this RFP must be directed to relating to this RFP must be directed to the sole HHSC contact person for this the sole HHSC contact person for this procurement. Otherwise procurement. Otherwise failure to failure to comply with these requirements may comply with these requirements may result in proposal disqualification.result in proposal disqualification.

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Texas Health and Human Services Texas Health and Human Services CommissionCommission

Questions SubmittalQuestions Submittal

Followed by BreakFollowed by Break

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Vendor Question/ResponseVendor Question/Response

Verbal answers to vendor questions will Verbal answers to vendor questions will be provided to the extent practicable.be provided to the extent practicable.

Responses are not binding until the Responses are not binding until the final written addendum is posted on the final written addendum is posted on the HHSC website. HHSC estimates the HHSC website. HHSC estimates the addendum will post by January 22, addendum will post by January 22, 2014.2014.

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Closing CommentsClosing Comments

Texas Health and Human Services Texas Health and Human Services CommissionCommission

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