RFA-25-60-IDDS-PROVIDER

Agency:	Alamo Area Council of Governments
State:	Texas
Type of Government:	State & Local
Posted Date:	Jun 10, 2025
Due Date:	Jun 3, 2026
Solicitation No:	Open Enrollment for Intellectual and Developmental Disabilities Services Array Program Years 2025–2
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Request for Applications (RFA)

Open Enrollment for Intellectual and Developmental Disabilities Services Array

Program Years 2025–2026

Alamo Area Council of Governments (AACOG)

Intellectual and Developmental Disability Services Array

OPEN ENROLLMENT APPLICATION

INTRODUCTION

In order to ensure an effective, efficient, and equitable intellectual and developmental disabilities

service delivery system, Alamo Area Council of Governments (AACOG) as the Local Intellectual

and Developmental Disability Authority (LIDDA) for Bexar County subcontracts the Intellectual

and Developmental Disabilities Service Array to a network of public and private Provider

organizations. This creates an alliance, which implements the Intellectual and Developmental

Disabilities Service System described throughout this application.

The alliance’s mission is to:

• Coordinate the delivery of authorized services to eligible individuals

• Integrate a network of public and private Providers

• Ensure that services are equitably distributed

• Provide barrier-free access to services

AACOG staff, in conjunction, with public and private stakeholders, the Intellectual and

Developmental Services Advisory Committee (IDDSAC), and the AACOG’s Board of Directors

adopted the service methodology known as “Open Enrollment” in order to implement the Network

Service Delivery System.

AACOG’s role as the LIDDA is to develop and manage a coordinated service system for Bexar

County’s Priority Population. The system is designed to provide the best value for the public dollar.

Best value is defined as services delivered in a cost effective, equitable, and high-quality manner.

As the LIDDA, we accept accountability and responsibility for our actions as the stewards of public

funds.

AACOG RFA – 21-53-IDDS-PROVIDER

AACOG Form 3000-003-003

Page 1 of 35

Rev. 4/25/24

Request for Applications (RFA)

RFA-25-60-IDDS-PROVIDER

Open Enrollment for Intellectual and Developmental Disabilities Services Array

Program Years 2025–2026

AACOG’S MISSION

AACOG's Mission is to enhance the lives of all residents of the Alamo Region by working in

mutual respect and partnership with all levels of government, the business sector, and the

community at large to meet regional challenges and to create regional strengths.

LIDDA’S MISSION

To ensure people with intellectual and developmental disabilities who live in Bexar County

receive necessary quality services. Our core values include individual worth, quality,

integrity, dedication, innovation, teamwork, education, and family.

AACOG is About Choices

The Alamo Area Council of Governments continually strives to offer access and choice to

adults and children with intellectual and developmental disabilities and their families:

• Choice of services and support

• Choice of providers

PRINCIPLES

Personal Choice

The development of a provider network will provide the person with choice and access to

services. AACOG will ensure choice, access, and best value.

Personal Input

With input from the persons, families, and other stakeholders in the community, AACOG will

continue with the development of a network of providers.

Personal Access

AACOG will provide the person with convenient access to services.

Person Driven

The person is to be an active partner with AACOG in treatment planning, policy-making, and

local planning

AACOG Demographics

As the IDD Local Authority for the Bexar County service area, AACOG is responsible for

providing community-based IDD services and to assist individuals and families with access to

certain Medicaid funded services, as a part of the State Medicaid Plan.

Request for Application

AACOG RFA – 21-53-IDDS-PROVIDER

AACOG Form 3000-003-003

Page 2 of 35

Rev. 4/25/24

Request for Applications (RFA)

RFA-25-60-IDDS-PROVIDER

Open Enrollment for Intellectual and Developmental Disabilities Services Array

Program Years 2025–2026

As a result of the passage of HB 2377, of the 74th legislature, the Texas Health and Human Services

Commission (formerly DADS, formerly TDMHMR) has mandated that LIDDA’s assemble a network

of service providers to serve of persons with intellectual and developmental disabilities. The AACOG

Board of Directors has requested that the Executive Director develop a network of qualified

providers willing to provide the following safety net services to persons with intellectual and

developmental disabilities and/or related conditions in the least restrictive environment and the most

integrated setting within the community.

Safety Net Services

1. Applied Behavior Analysis

Specialized interventions that assist a participant to increase helpful behaviors and

decrease harmful ones and or modify maladaptive or socially unacceptable

behaviors that prevent or interfere with the participant’s inclusion in home and family

life or community life. ABA emphasizes environmental factors and uses interventions

to modify behaviors. The person must have a determination of Autism, PDD or

Asperger.

2. Behavioral Support

Specialized interventions that assist a participant to increase adaptive behaviors to

replace or modify maladaptive or socially unacceptable behaviors that prevent or

interfere with the participant’s inclusion in home and family life or community life.

3. Community Support

Provides habilitation or support activities that provide, foster improvement of, or

facilitate an individual’s ability and opportunity to participate in typical community

activities.

4. Day Habilitation, Site-Based

Provide assistance with acquiring, retaining, or improving self-help, socialization, and

adaptive skills necessary to live successfully in the community and participate in

home and community life

5. Day Habilitation/ Head Start Course, Site based

The Head Start Course is a site-based training course spanning over six (6) weeks.

The training involves twelve topics, all geared toward persons independence. A

maximum of six (6) persons may participate in each course. The duration of each

training session is one and one-half (1.5) hours twice per week for 6 weeks

6. Day Habilitation Summer Camp

Provide assistance with acquiring, retaining, or improving self-help, socialization, and

adaptive skills necessary to live successfully in the community and participate in

home and community life. Must include community outing.

7. Respite hourly out of home Services

Supports provided for the planned or emergency short-term relief of the unpaid

caregiver of a participant when the caregiver is temporarily unavailable to provide

AACOG RFA – 25-60-IDDS-PROVIDER

AACOG Form 3000-003-003

Page 3 of 35

Rev.4/29/25

Request for Applications (RFA)

RFA-25-60-IDDS-PROVIDER

Open Enrollment for Intellectual and Developmental Disabilities Services Array

Program Years 2025–2026

supports due to non-routine circumstances. In any setting other than the person’s

home.

8. Respite daily out of home Services

Supports provided for the planned or emergency short-term relief of the unpaid

caregiver of a participant when the caregiver is temporarily unavailable to provide

supports due to non-routine circumstances. In any setting other than the person’s

home. Should occur 6 hours or more in the day.

9. Respite hourly in home Services

Supports provided for the planned or emergency short-term relief of the unpaid

caregiver of a participant when the caregiver is temporarily unavailable to provide

supports due to non-routine circumstances.

10. Respite daily in home Services

Supports provided for the planned or emergency short-term relief of the unpaid

caregiver of a participant when the caregiver is temporarily unavailable to provide

supports due to non-routine circumstances. Should occur 6 hours or more in the day.

11. Speech/Language Therapy Services provided to assist an individual to participate in

age-appropriate community activities and educational services. This includes

assessment and treatment by licensed or certified professionals for speech and

language therapy.

12. Transportation Services

Supports provided to a person from his/her home to his/her community activity site

or day habilitation site, a person’s employment opportunities and participation in

community activities.

Eligibility Determination

1. Psychological Evaluation and Testing

A diagnostic interview and clinical assessment conducted by a Licensed

Psychologist (PhD) or Physician (MD) to determine if an individual has an

intellectual disability, developmental disability or related condition; and resulting in

a written report that includes a standardized measure of the individual’s intellectual

functioning, a standardized measure of the individual’s adaptive behavior level, and

a review of evidence supporting origination during the individual’s developmental

period. This service must be conducted in accordance with the Texas Health and

Safety Code 593.005, and 40 TAC Chapter 5, Subchapter D.

Pre-Admission Screening and Resident Review (“PASRR”) Specialized Services

1. PASRR Behavioral Support

The Behavioral Support service component provides specialized interventions by a

qualified service provider that assist an individual to increase adaptive behaviors to

replace or modify maladaptive or socially unacceptable behaviors that prevent or

interfere with the individual's inclusion in home and family life or community life.

AACOG RFA – 25-60-IDDS-PROVIDER

AACOG Form 3000-003-003

Page 4 of 35

Rev.4/29/25

Request for Applications (RFA)

RFA-25-60-IDDS-PROVIDER

Open Enrollment for Intellectual and Developmental Disabilities Services Array

Program Years 2025–2026

2. PASRR Independent Living Skills Training

Individualized activities that include the provision of assistance, training and

support necessary for the person to complete personal care, health maintenance,

and independent living tasks; participation in community activities, and develop,

retain and improve community living skills.

3. PASRR Supported Employment

The Supported Employment service component provides ongoing individualized

supports needed by an individual to sustain paid work in an integrated work setting.

4. PASRR Employment Assistance

The Employment Assistance service component assists an individual to locate paid

employment in the community.

5. PASRR Day Habilitation

The Day Habilitation service component assists an individual to acquire, retain, or

improve self-help, socialization, and adaptive skills necessary to live successfully in

the community and participate in home and community life and does not include

services that are funded under §110 of the Rehabilitation Act of 1973 or §602(16)

and (17) of the Individuals with Disabilities Education Act.

Crisis Services

1. In-Home Crisis Respite

In-home crisis respite provides therapeutic support to an individual, who is

demonstrating a crisis, in the individual’s residence when it is deemed clinically

appropriate for the individual to remain in his or her natural environment, and it is

anticipated the crisis can be stabilized within a 72-hour period. “Crisis” means a

situation in which: the individual presents an immediate danger to self or others; or

the individual’s mental or physical health is at risk of serious deterioration; or an

individual believes he or she presents an immediate danger to self or others or that

his or her mental or physical health is at risk of serious deterioration.

Service Activities include:

• The 72 Hour Response Team Shall Consist of at least one (1) Board Certified

Behavior Analyst (BCBA) and multiple Registered Behavior Technicians

(RBTs)

• The 72 Hour Response Team shall provide 72 hours of 1:1 crisis respite care

including the writing and implementation of crisis intervention plan (Preliminary

Behavior Support Plan) and coordinating client follow up care.

• If the 72 Hour Response Team has begun the process of 1:1 crisis intervention

but is terminated for any reason including discharge, then Contractor can bill

for hours provided up to the point of cancellation.

AACOG RFA – 25-60-IDDS-PROVIDER

AACOG Form 3000-003-003

Page 5 of 35

Rev.4/29/25

This page summarizes the opportunity, including an overview and a preview of the attached documents.

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