Procurement

The Gulf Coast Center endeavors to contract with providers to serve Galveston and Brazoria County citizens who have mental illness, mental retardation and substance use issues. Contracts for community-based services as well as other goods and services are generally acquired through a Request for Proposal (RFP), Request for Bid (RFB) or the Open Enrollment process.

Request for Proposals

RFP # MHPM10-10
RFP Description: Adult and Child/Adolescent Pharmacological Management (Physician Services)

Open Enrollments

While the Center does publish its Request for Applications at least once every two years as required, Qualified providers are encouraged to submit applications at any time in one or more of the following open enrollment categories for which they are qualified.

Request for Bid

RFA # MHCBT10-10
RFA Description: Adult-Cognitive Behavioral Therapy (CBT)

THE GULF COAST CENTER

IDD Provider of Services

7000 Ave. B
Santa Fe, Texas 77510

Individual Provider
Recipient of Services/Family
Agency Provider

IDD CONTRACTED PROVIDER PACKET

Dear Potential Provider,

Please download the following documents and review the required information to be submitted.

GCC FORMS TO BE COMPLETED (signed/dated) AND RETURNED:

Additional Trainings may be required that are specific to the person to whom you are providing services; for example, High Blood Pressure, Diabetes, Tube Feeding, Transferring(Wheel Chair), etc.

REQUIRED DOCUMENTS TO BE SUBMITTED ANNUALLY OR AS THEY ARE RENEWED OR UPDATED :

Copy of Valid Auto Insurance (updated regularly)
Copy of Valid Driver’s License (to establish residence)
Copy of Social Security Card
Copy of High School Diploma, GED
Three Letters of Reference (only if no High School Diploma or GED)
Email/Home/Cell Phone numbers (updated regularly)
Copy of Homeowners/Renter’s Insurance Policy (if you provide respite in your home)
Home Insurance Waiver (if you provide respite in your home and you do not have insurance)

PROVIDER POOL LIST

If you are applying to provide services to more than one person or to be listed as a provider in the provider pool, you must have the below trainings in addition to the above forms and documents;

Copy of CPR and 1st Aid
Diabetes Study Guide and Training, High Blood Pressure Study Guide and Test, Hypothyroidism Study Guide and Acknowledgement form
Medication Administration(GCC on-line trainings -12.00/yr).
Preventing and Managing Aggressive Behavior (PMAB) (as needed and determined by staff/family members)

Please return packet in the Self Addressed Envelope provided.

The Gulf Coast Center - IDD Provider of Services

7000 Ave. B
Santa Fe, Texas 77510
(409) 944-4453 or (409) 944-4460 / (800) 615-4763 ext. 10358.
Fax# (409) 927-4308
Attention: Deanna David, HCS/Contract Program Manager

*NOTE: if you are receiving more than one of the services listed, you will only need to complete each form denoted by * ONLY ONE TIME (these forms DO NOT need to be completed separately for each service)	If you are requesting Weekend Respite	If you are requesting Contract respite	If you are requesting Community Support	If you are requesting Day Respite (limited respite service participants only -cannot be used in combination with any other service)
* IDD Recipient of services /Family cover letter *	X	X	X	X
* IDD Individual Assessment *	X	X	X	X
* IDD Respite Plan *	X	X		X
Authorization for Administration of Medication	X
Consent for Treatment and Use of Over-the-Counter Meds	X
GCC Release & Waiver of Liability & Assumption of Risk Management rev-11-2011	X			X
IDD Provider Services – Out of Home Respite Services Program Policies	X
IDD Community Support –Emergency Information			X
All About Contract Respite (family/providers)		X

Agency Provider information will be available soon. Please check back.

For More information, contact:

The Gulf Coast Center
Attn: Barry Kusnerik,
7000 Ave B
Santa Fe, TX 77510
(409) 944-4449
barryk@gcmhmr.com

Mental Health:

None at this time.

Recovery/Substance Abuse Services:

None at this time.