Outpatient Treatment Services

Amendment / Modification

This amendment provides responses to additional questions received regarding solicitation 9594CS26Q0003 for Outpatient Treatment Services.

Key clarifications include:

• Attachment J-14 Due Date: The due date for Attachment J-14 (Past Performance Questionnaire) has been adjusted to March 20, 2026, to align with the solicitation's timeline. This attachment was provided as a Word document, allowing for date changes.
• Extension Request: The request to extend the quotation submission deadline by three weeks (to April 3, 2026) is denied. The due date remains March 20, 2026, at 8:00 PM Eastern Daylight Time.
• Relevant Corporate Experience (Factor 2): For bidders who have agreements rather than specific contracts, the "agreement" timeline (within the last five years) should be used. Bidders must identify the agreement, include the value of services performed during this period, and provide contact information for verification, as per solicitation section L.4.3.3.1.

• Clarifications pertain to Attachment J-14 and Factor 2 of the evaluation criteria.

• The deadline for submitting quotations remains March 20, 2026, at 8:00 PM Eastern Daylight Time.

• Offerors must acknowledge receipt of this Amendment 0003, along with Amendments 0001 and 0002, by providing a signed copy of page 1 of this amendment and signed copies of the previous amendments with their submitted quote.

Amendment / Modification

This amendment (0002) to solicitation 9594CS26Q0003 makes the following changes:

• Corrects information on the cover page (SF30) from Amendment 0001.

• Changes the solicitation status from a 100% small business set-aside to unrestricted, meaning it is now open to all businesses.

• Extends the due date for quotes and the Past Performance Questionnaire.

• SF30 Cover Page: Updates to Block 6 (POC information) and Block 9A (Solicitation Number).

• Solicitation Section L.6.3: The due date for quote submissions is extended.

• Solicitation Attachment J-14 (Past Performance Questionnaire): The due date for submission is extended.

• The deadline for submitting quotations and the Past Performance Questionnaire has been extended to March 20, 2026, 8:00 PM Eastern Daylight Time.

• Offerors must acknowledge receipt of this Amendment 0002 by providing a signed copy of page 1 of this amendment, along with a signed copy of Amendment 0001, with their submitted quote.

Amendment / Modification

This amendment (0001) to solicitation 9594CS26Q0004, dated 02/12/2026, serves to:

• Provide responses to vendor questions.

• Make changes to the solicitation.

• Extend the due date for quotations.

• Application Process: Information for participation is posted on SAM.gov under solicitation 9594CS26Q0003. Services are for outpatient treatment in the Washington, DC metropolitan area, with some onsite performance required.

• Group Session Units: Quantities for Outpatient Group Sessions and TAP Group Sessions represent the number of 2-hour group meetings conducted, not participant-attendances.

• Quantity Variance Correction: Inconsistencies in estimated quantities between the Base Year and Option Years have been corrected. Revised solicitation pages 2 and 3, and a revised Attachment J-15 (Solicitation Price Sheet) are provided and must be used for pricing quotes.

• Personnel Licensure: Personnel licensed in Maryland are sufficient to provide services in DC.

• Revised Attachments: Solicitation pages 2 and 3, and Attachment J-15 have been replaced with revised versions.

• Past Performance Questionnaires: Due date is March 13, 2026, 8:00 PM Eastern Daylight Time. Must be emailed directly to catherine.collins@csosa.gov. Subject line: "PPQ – 9594CS26Q0003 insert name of entity submitting PPQ."

• Quotations Due Date: Revised to March 13, 2026, 8:00 PM Eastern Daylight Time.

• Attachment J-14 (Past Performance Questionnaire): Due date changed to March 13, 2026, 8:00 PM Eastern Daylight Time.

• Bidders must use the revised Attachment J-15 for pricing.

• A signed copy of page 1 of this amendment (SF30) must be acknowledged and returned with any submitted quote.

• The due date for quotations has been extended to March 13, 2026.

Amendment / Modification

This amendment (0001) revises Attachment J-15, the Solicitation Price Sheet. It provides a revised breakdown of CLINs (Contract Line Item Numbers) for outpatient treatment services across a base period and multiple option periods.

• Attachment J-15 (Solicitation Price Sheet): This attachment has been revised to include updated pricing structures for various outpatient treatment services.
• CLINs 0001 through 4001: These CLINs, covering the Base Period and Option Periods 1-4 for Outpatient Treatment Services, have been updated with specific service descriptions (e.g., Outpatient Assessment, Group Session, Case Management, Translation Services) and quantities.
• Translation Services Section: A detailed table has been added/revised for bidders to complete, specifying unit of measure and unit price for different types of translation services (American Sign Language, Foreign Language, Video Remote, Document Translation) across Base Period and Option Periods 1-4.

Bidders are required to provide final agreed-to prices for each line item in the revised Attachment J-15. These prices will be incorporated into the final award. The changes are indicated in blue font within the document. Bidders must complete the translation services table on page 2 with their unit prices, which will form the basis of charges for these services throughout the award periods.

Solicitation / RFP / RFQ

This solicitation is for Outpatient Treatment Services (OTS) to be provided to offenders supervised by the Court Services and Offender Supervision Agency (CSOSA). The objective is to offer evidence-based OTS, including Level 1.5 ASAM Criteria services and Early Intervention Services for the Traffic and Alcohol Program (TAP), to offenders ordered by the courts or as a condition of probation/parole. Services are to be delivered in alignment with American Society of Addiction Medicine (ASAM) treatment guidelines.

• Provision of Outpatient Treatment Services (OTS) and Early Intervention Services (TAP offenders only).

• Services include assessments, individualized care plans (ICPs), group sessions, and case management.

• Specific services include: Outpatient Assessment, Outpatient Group Session, Outpatient Case Management, Traffic Alcohol Education Program (TAP) Assessment, TAP Group Session, TAP Case Management, and Translation Services.

• A minimum of 12 group sessions must be conducted face-to-face, with remaining sessions conducted virtually.

• Comprehensive American Sign Language (ASL) interpretation, Foreign Language interpretation, Video Remote Interpreting (VRI), and document translation services are required.

• Contractor shall not purchase, prescribe, or provide medication.

• Strict adherence to CSOSA's electronic treatment file maintenance and closeout procedures.

• Reporting requirements include progress notes, monthly progress reports, and monthly/Year-to-Date (YTD) activity reports.

• Contract Type: Firm-Fixed Unit Price (FFUP) purchase order with estimated quantities.

• Period of Performance: Base Period (12 months from award) plus four option periods (12 months each).

• Estimated Value: $19M (NAICS code 621420).

• Guaranteed Minimum: One outpatient treatment placement.

• Purchase Order Ceiling (Not-to-Exceed): $19M.

• Proposal submission is electronic via email to catherine.collins@csosa.gov.

• Key deadlines: Questions due February 18, 2026; Quotes due March 6, 2026.

• Evaluation Factors: Best value to the Government, considering price and non-price factors (Key Personnel Qualifications, Relevant Corporate Experience, Past Performance). Key Personnel is most important, followed by Corporate Experience and Past Performance (equal importance). Non-price factors combined are more important than price.

• NAICS Code: 621420 Outpatient Mental Health and Substance Abuse Centers.

• Small Business Size Standard: $19M.

• The solicitation includes various small business set-aside provisions (e.g., Total Small Business Set-Aside, HUBZone, SDVOSB, EDWOSB, WOSB).

• Government-furnished equipment, facilities, and information will be provided.

• No travel reimbursement is allowed.

• Security requirements include CSOSA background checks for all personnel.

• Attachments include referral letters, consent forms, release of information forms, security forms, wage determination, and representations and certifications.

Form / Attachment / Pricing Sheet

This document is Attachment J-2, a "Consent for the Release of Sensitive Offender Information: Mental Health Treatment or Sex Offender Treatment." It is a form that an offender must complete to authorize the Court Services and Offender Supervision Agency (CSOSA) to release their mental health or sex offender treatment information to a specified recipient.

• Offender Information: Requires the offender's name, the nature of the information to be disclosed, and the authorized recipient.
• Purpose of Disclosure: The offender must understand and agree to the purpose for which the information will be used.
• Authorization Period: The consent is valid for up to 365 calendar days from the date signed, unless a different expiration date is specified.
• Legal Notice: Informs the offender that unauthorized disclosure violates the District of Columbia Mental Health Information Act of 1978 and carries civil and criminal penalties.
• Rights: Notifies the offender of their right to revoke consent (with exceptions), examine their records, and receive copies of the authorization and disclosure.
• Signature and Witness: Requires the offender's signature and date, and a witness's signature and date.
• Offender Identification: Fields for Offender's Date of Birth, DCDC Number, and PDID Number.

This form is an attachment to the solicitation and must be completed by the selected vendor or their personnel if the opportunity involves handling sensitive offender information related to mental health or sex offender treatment. Bidders should review this form to understand the consent requirements for accessing and handling such information as part of their performance under the contract.

Form / Attachment / Pricing Sheet

This document, "Attachment J-15 Solicitation Price Sheet," is a pricing template that bidders must complete. The prices provided in this sheet, once finalized, will be incorporated into the awarded contract. It requires bidders to provide unit prices for various services across a base period and multiple option periods.

• Base Period and Option Periods: Pricing is required for services across a base period and five option periods (Option Period 1 through Option Period 4 are listed, with a potential for a fifth implied by the structure).
• Service Categories: Includes Outpatient Treatment Services (Assessment, Group Session, Case Management), Traffic Alcohol Education Program (TAP) Services (Assessment, Group Session, Case Management), and Translation Services.
• Translation Services Detail: A separate section requires specific unit pricing for American Sign Language, Foreign Language, Video Remote, and Document Translation Services, including unit of measure and minimum quantity/charge.
• Lump Sum for Translation: The government will provide a lump sum for translation services, which will be a drawdown amount based on incurred and approved services. However, bidders must still provide unit prices for these services.

Bidders must accurately complete this pricing sheet with their proposed unit costs for all listed services. This document is critical for proposal preparation and will directly impact the total contract value and evaluation. Failure to provide complete and accurate pricing may affect award. The government will use the provided unit prices to calculate costs for specific services, particularly for translation, and to establish the final contract price.

Form / Attachment / Pricing Sheet

This document is Attachment J-14, a Past Performance Questionnaire. It is designed to gather feedback from references regarding a contractor's performance on a previous contract. This information will be used by the Court Service and Offender Supervision Agency (CSOSA) as part of the source selection process for the "Outpatient Treatment Services" opportunity.

• Contractor/Project Information: Details about the contractor and the specific contract being referenced.
• Questionnaire Respondent Information: Contact details for the individual completing the questionnaire.
• Contract Performance Information: Questions covering the period of performance, total contract value, and the contractor's role (prime or subcontractor).
• Performance Scale: A rating system (1-6) to evaluate the contractor's performance across various categories including Schedule, Management of Key Personnel, Quality of Services, and Business Relations.
• Narrative Remarks: Space for detailed explanations of ratings, especially for lower scores, and to address specific issues like contract discrepancies, disputes, or terminations.

Bidders must provide this questionnaire to their references. The completed questionnaire will be used by CSOSA to assess the bidder's past performance, which is a critical factor in the evaluation of proposals for the "Outpatient Treatment Services" contract. The deadline for submitting the completed questionnaire is 8:00 PM (local Washington, DC time) on March 6, 2026, to catherine.collins@csosa.gov.

Form / Attachment / Pricing Sheet

This document is Attachment J-13, a Cover Letter that must be completed and submitted with any quote for Solicitation 9594CS26Q0003.

• Quoter Information: Requires full name, address, and point of contact (name, phone, email).
• Tax Identification Number (TIN): Must be provided.
• SAM UEI Number: Must be provided.
• Business Size: Specify business size for NAICS 621420, aligning with SAM registration. If the NAICS code is not in SAM, it must be added prior to quote submission.
• Required Documents: A signed SF1449 and all Solicitation Amendments (SF30) must accompany this Cover Letter.
• Insurance Requirements: Acknowledges review of Section H.11 Insurance requirements and commits to providing a Certificate of Insurance within 10 days of award. Post-award waivers or reductions will not be considered.
• Pricing Validity: States that pricing is valid for 120 calendar days from submittal.
• Assumptions/Exceptions: Any assumptions, exceptions, or conditions must be provided as a separate attachment.

This cover letter is a mandatory submission item for all quotes. Bidders must accurately complete all requested information, ensure their SAM registration is up-to-date for the specified NAICS code, and be prepared to submit required documentation and insurance certificates as outlined. Failure to complete this form correctly may impact quote acceptance.

Form / Attachment / Pricing Sheet

This document, "Attachment J-12 FAR 52.212-3 Offeror Reps & Certs - Comm Items & Svcs.docx," is a standard Federal Acquisition Regulation (FAR) provision that requires offerors to complete representations and certifications. It is crucial for determining offeror eligibility and compliance with various federal regulations.

• Annual Representations and Certifications: Offerors must either have completed these electronically in the System for Award Management (SAM) or complete specific paragraphs (c through v) of this provision.
• Definitions: Provides definitions for terms such as "Covered telecommunications equipment or services," "Economically disadvantaged women-owned small business (EDWOSB) concern," "Inverted domestic corporation," "Place of manufacture," "Service-disabled veteran-owned small business (SDVOSB) concern," and others.
• Specific Representations: Includes sections for offerors to represent their status regarding small business, veteran-owned, SDVOSB, small disadvantaged business, women-owned small business (WOSB), EDWOSB, HUBZone, and other categories. It also covers representations related to Executive Order 11246 (Equal Opportunity), payments to influence Federal transactions, Buy American provisions, Trade Agreements, responsibility matters, child labor, place of manufacture, Service Contract Labor Standards, Taxpayer Identification Number (TIN), restricted business operations in Sudan, inverted domestic corporations, and Iran sanctions.
• Certifications: Requires certifications regarding Buy American, Free Trade Agreements, Israeli Trade Act, and knowledge of child labor.

This attachment is critical for all potential bidders. It outlines the mandatory representations and certifications required to be eligible for award. Bidders must carefully review and accurately complete the relevant sections to ensure their offer is compliant. Failure to provide accurate or complete representations and certifications may result in disqualification. The document guides offerors on how to self-certify their business status and compliance with various federal mandates, which directly impacts their eligibility and the evaluation of their offer.

Form / Attachment / Pricing Sheet

This document is a Contractor Confidentiality and Nondisclosure Agreement (Agreement) that must be entered into by contractors performing services for the Court Services and Offender Supervision Agency (CSOSA). It outlines the terms and conditions under which CSOSA's confidential information will be handled by the contractor.

• Confidential Information Definition: Broadly defined to include all information disclosed by CSOSA, whether written, oral, or by inspection, relating to CSOSA or its business. This includes information generated by the contractor based on CSOSA's information, as well as information from agency employees or third parties. Specific examples include information covered by the Federal Privacy Act, D.C. laws, drug/alcohol treatment records, and FOIA-related information.
• Exclusions: Information that is publicly known, already in the contractor's possession, obtained from a third party without breach, independently developed, or required by a court order (with prior notice to CSOSA).
• Limitations on Use and Disclosure: Contractors must not use or disclose confidential information except for providing services to CSOSA. Measures must be taken to protect secrecy, at least equivalent to the contractor's own highly confidential information. Unauthorized use or disclosure must be reported immediately.
• Copies: Copying of confidential information requires prior written approval.
• Video/Audio Recording: Prohibited without written consent from CSOSA leadership.
• Return of Materials: All confidential information and copies must be promptly returned to CSOSA upon request.
• Governing Law: The Agreement is governed by the laws of the District of Columbia.

Bidders should review this agreement carefully to understand their obligations regarding the handling of sensitive information if awarded a contract. This document will likely need to be signed as part of the contract execution process. It highlights the critical importance of data privacy and security in performing services for CSOSA.

Form / Attachment / Pricing Sheet

This document is a Register of Wage Determinations under the Service Contract Act, specifically Wage Determination No. 2015-4281, Revision No. 35, dated December 3, 2025. It lists the minimum wage rates and fringe benefits required for various occupations performing contract work in the District of Columbia, Maryland (Charles, Prince George's counties), and Virginia (Alexandria, Arlington, Fairfax, Falls Church, Fauquier, Loudoun, Manassas, Manassas Park, Prince William, Stafford counties).

• Occupational Listings: Provides a comprehensive list of job titles, corresponding occupation codes, and their required minimum hourly wage rates.
• Fringe Benefits: Indicates that fringe benefits are required and follow the occupational listing. Specific health and welfare benefits are detailed, including rates for regular pay and for contracts also covered by Executive Order 13706.
• Executive Orders: Notes the applicability of Executive Order 13706 (Paid Sick Leave for Federal Contractors) and Executive Order 13658 (Establishing Minimum Wage for Federal Contractors), outlining their requirements and minimum wage adjustments.
• Vacation and Holidays: Details paid vacation accrual based on years of service and lists eleven paid holidays per year.
• Footnotes and Special Provisions: Includes specific provisions for computer employees, air traffic controllers, weather observers, and hazardous pay differentials. It also outlines uniform allowance requirements and the process for requesting additional classifications and wage rates (Conformance Process).

This document is crucial for bidders to understand the minimum labor costs associated with performing services under a federal contract in the specified geographic areas. It directly impacts proposal pricing by establishing the baseline wages and benefits that must be paid to employees. Bidders must ensure their proposed wages and benefits meet or exceed these requirements to be compliant.

Form / Attachment / Pricing Sheet

This document is a Personal Identity Verification (PIV) Request Form used by the Court Services and Offender Supervision Agency. It is used to request a PIV card and document the process of identity verification and card issuance.

• Section I: PIV Request & Source Documentation: Collects applicant information, sponsor details, and procurement-related information.

• Section II: Card Approval and Identity Proofing: Registrar verifies identity documents and checks for NAC/Background Investigation/FBI Fingerprint results.

• Section III: Card Details: Issuer records PIV card number, expiration date, and issuer information.

• Section IV: Applicant Acknowledgement: Applicant confirms receipt of the card and agrees to abide by rules regarding safeguarding, use, and reporting of loss or theft.

• Sections I, III, and IV are to be completed by the Sponsor, Issuer, and Applicant, respectively.

• Section II is to be completed by the Registrar after identity verification.

• The form requires signatures and dates at various stages.

• Upon completion, the form is to be returned to the Registrar.

This form is relevant to bidders who may be required to obtain a PIV card as part of the contract requirements. It outlines the process and responsibilities associated with obtaining and using such a card.

Form / Attachment / Pricing Sheet

This document is a "CSOSA Credit Release" form, which serves as a memorandum authorizing the Court Services and Offender Supervision Agency (CSOSA) to obtain consumer/credit reports. This is required in connection with an application for employment or during the course of employment with CSOSA.

• The form explicitly states that reports may be obtained for employment purposes, including evaluating fitness for employment, promotion, reassignment, retention, or access to classified information.
• It requires the individual to provide their signature, date, and Social Security Number to grant this authorization.
• The form includes fields for Signature, Date, and Social Security Number.

Bidders responding to opportunities that require background checks or employment verification by CSOSA will likely need to complete and submit this form as part of their application or onboarding process. It is essential for understanding the type of information that may be accessed and the authorization required.

Form / Attachment / Pricing Sheet

This document is a "Security Form for Temporary Contractors" required for individuals performing work under contract with the Court Services and Offender Supervision Agency (CSOSA). It is used to initiate a CSOSA background check for contractor personnel.

Part I - To Be Completed by the Contracting Officer (CO) or Contracting Officer Representative (COR):

• COR Program Office and Tel
• COR Name
• Position Sensitivity
• Desired Performance Start Date
• Contractor Name
• Contract Number
• Applicant Name
• Position Title and Description
• Duration of Assignment
• NCIC/WALES Access (Yes/No)
• CSOSA Network Access (Yes/No)

Part II - To Be Completed by the Applicant:

• Full Name, Other Names Used
• Contact Information (Telephone, Home Address, E-mail)
• Sex, Race, Date of Birth, Place of Birth
• Social Security Number
• U.S. Citizenship status
• Employment history questions (last 7 years) regarding termination/quit due to misconduct or unsatisfactory performance.
• Criminal history questions (last 7 years) regarding arrests, charges, or convictions.
• Certification of truthfulness and understanding that information will be used for records checks.

This form is a mandatory requirement for temporary contractors. Bidders should be aware that their personnel will need to complete this form as part of the onboarding process, and the information provided will be used for background checks conducted by CSOSA's Office of Security.

Form / Attachment / Pricing Sheet

This document is Attachment J-6, an "Authorization for Release of Information and Waiver: General Third Party Disclosure." It is a form used to obtain consent from an offender for the Court Services and Offender Supervision Agency for the District of Columbia to disclose specific information to a third party.

• Offender Information: Requires the Name of the Offender.
• Third Party Information: Requires the Name of the Third Party to whom information will be disclosed.
• Purpose of Disclosure: Requires a description of why the information is being shared.
• Information to be Disclosed: Requires a specification of the exact information that will be shared.
• Consent Duration: The consent remains effective until revoked by the offender or a specified date.
• Redisclosure Clause: States that the disclosed information cannot be further disclosed without written authorization.
• Signatures: Requires the Signature of the Offender, Date Signed, and Witnessed By/Date Signed.
• Offender Identifiers: Includes fields for Offender's Date of Birth, DCDC Number, and PDID Number.

This form is an attachment to a solicitation or contract. Bidders may need to understand its purpose if the contract involves the handling of offender information or if they are the designated third party receiving such information. It outlines the consent process and limitations for information disclosure related to offenders under the supervision of the Court Services and Offender Supervision Agency.

Form / Attachment / Pricing Sheet

This document is Attachment J-5, a Release of Information Privacy Act Waiver. It is used to obtain consent for the disclosure of information by the Court Services and Offender Supervision Agency for the District of Columbia.

• Fields to specify the information to be disclosed.
• Fields to identify the recipient(s) of the information.
• Fields to state the purpose of the disclosure.
• A section for the individual to declare the truthfulness of the information under penalty of perjury.
• Signature and execution date.

Bidders may be required to complete and submit this form as part of their proposal or as directed by the solicitation. It pertains to the handling and disclosure of personal information related to the opportunity.

Form / Attachment / Pricing Sheet

This document, Attachment J-4, is a "Release of Information: Health Records" form. It is used to obtain consent for the disclosure of specific health information related to an offender.

• Nature of Information to be Disclosed: A field to specify the type of health information to be released.
• Authorized Recipient (Person or Organization): A field to identify who will receive the information.
• Purpose of Disclosure: A field to state why the information is being released.
• Offender Information: Fields for the offender's signature, date signed, date of birth, DCDC Number, and PDID Number.
• Witness Information: A field for the witness's signature and date signed.

This form is a consent document that may be required as part of the overall solicitation process. Bidders should understand its purpose and how it pertains to the handling of offender health records, particularly concerning HIV/AIDS and cancer information, which has specific confidentiality protections under District of Columbia law. It is noted that this form is not for mental health information disclosure.

Form / Attachment / Pricing Sheet

This document, "Attachment J-3: RELEASE OF INFORMATION: Substance Abuse Treatment," is a form used to obtain consent for the release of information related to substance abuse treatment.

• Offender Information: Fields for Name of Offender, DCDC No., PDID No., and Date of Birth.
• Consent Options: Provides two types of consent:
  • Criminal Justice Consent: For release of information to criminal justice entities (judge, prosecutor, defense attorney, CSOSA) regarding attendance, progress, diagnosis, and cooperation in treatment. This consent remains effective until involvement in the criminal justice system ends.
  • General Consent: For release of information to a named party regarding participation in drug/alcohol treatment as a condition of release. This consent can be revoked at any time, except for disclosures already made.
• Information to be Disclosed: A section to specify what information can be released and to whom (for General Consent).
• Purpose of Disclosure: A section to state the reason for the disclosure.
• Regulatory Compliance: Notes that disclosures are bound by Title 42, Code of Federal Regulations, Part 2.
• Signatures: Fields for Signature of Offender, Witnessed by, Date Signed, and Date Signed.

This form is likely an attachment to a solicitation or contract that requires individuals to consent to the release of their substance abuse treatment information. Bidders may need to understand the implications of this form if the contract involves services related to offender supervision or treatment, or if they are required to manage or process such consent forms as part of their contractual obligations.

Form / Attachment / Pricing Sheet

This document serves as a Vendor Referral Letter and Billing Authorization for a patient requiring treatment. It provides essential information for the treatment vendor and outlines billing and admission confirmation procedures.

• Patient Information: Includes Name (John Doe), PDID (123456).
• Treatment Details: Maximum duration of treatment is 28 days. The initial referral package specifies a discharge date not to exceed 12/4/06 and a pick-up time of 10:00 am at 601 Indiana. The obligation/invoice shall not exceed $100.00.
• Admission Confirmation: Vendors must confirm admission within 24 hours of the scheduled admission date via email to rpt@csosa.gov.
• Non-Admission Notification: If a scheduled pick-up does not occur, the vendor must email the form back to rpt@csosa.gov within 24 hours to indicate reasons for non-admission.
• Vendor Confirmation Section: A section for the Treatment Vendor to fill out, confirming the patient's admission status, treatment duration (30 days specified in the example), and pick-up location/time.

This document is crucial for potential bidders who are treatment vendors. It details the specific patient referral, the expected duration and cost of treatment, and the mandatory procedures for confirming admission and reporting non-admissions. Bidders must understand these requirements to accurately assess their capacity and pricing for this referral.