SFY 2025 Request for Proposal

Lake County ADAMHS Board

SFY25 Non-Medicaid Request for Proposal Contents

March, 2024

 Section I

1.1       Instructions to Proposers and General Conditions

1.2       *Cover Letter (generated by provider)

1.3      *SFY25 RFP Checklist

 Section II

2.1       *SFY25 Provider Profile

Section III

3.1       Service Specifications

3.2       *Program Narratives (if applicable – generated by provider)

3.3       *Program Summaries

Section IV – Fiscal Documentation

4.1       *Proposal Form

4.2       *Grant Line Item Expense Budget Form

4.3       *Grant Line Item Revenue Budget Form

4.4       *Modified FIS-047

4.5       *Modified FIS-052

4.6       Fiscal Specifications

4.7       Ability to Pay/Fee Schedule

4.8       Medicaid Expansion Policy/Addendum

Section V – Guidance Documents

5.1       Priority Populations

5.2       Lake ADAMHS Strategic Plan

5.3       Lake ADAMHS Quality Improvement Policy

5.4       Marketing and Public Relations

5.5       Compass Line Policy

Section VI

6.1       Reporting Requirements

*Must be submitted (if applicable)