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The High Risk Infant Follow-up (HRIF) Quality of Care Initiative (QCI) Request for Application (RFA) is a formal solicitation for applications from the California Department of Health Care Services (DHCS) Systems of Care Division, California Children’s Services (CCS) Program.  Interested organizations are invited to review the requirements of the HRIF QCI.  Details of the Scope of Work and the contract are described in the HRIF QCI RFA.

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Cover Letter

Request for Applications 13-001


RFA Attachments

Attachments 1-12 (Fillable Word Document)

Attachment Label Attachment Name
Attachment 1 Application Cover Page
Attachment 2 Certification Checklist
Attachment 3 Business Information Sheet
Attachment 4 CCC307 - Certification
Attachment 5 Payee Data Record
Attachment 6 RFA Clause Certification
Attachment 7 Darfur Contracting Act Certification
Attachment 8 Conflict of Interest Compliance Certification
Attachment 9 Voluntary Letter of Intent
Attachment 10 Budget (Year 1)
Attachment 11 Budget (Year 2)
Attachment 12 Budget (Year 3)



Cover Sheet for Exhibits

 Exhibit Label Exhibit Name
Exhibit A1 STD 213. Standard Agreement
Exhibit A Service Overview and Scope of Work
Exhibit B Budget Detail and Payment Provisions
Exhibit C General Terms and Conditions (GTC 610)
Exhibit D(F) Travel Reimbursement Information
Exhibit E Contractor's Release
Exhibit G HIPAA Business Associate Addendum
Exhibit H Information Confidentiality and Security Requirements


Last modified on: 4/29/2013 1:48 PM