State of Vermont
Department of Mental Health
166 Horseshoe Drive, Weeks Building
Waterbury, VT 05671-2010
http://mentalhealth.vermont.gov/
Agency of Human Services
[phone] 802-241-0090
[fax] 802-241-0100
[tty] 800-253-0191
RFP # 142 Mental Health Urgent Care- Rutland County
Questions and Answers-Addendum
RFP ISSUE DATE: 7/10/2026
QUESTIONS DUE: 7/17/2026– 4:00 PM (EDT)
ANSWERS POSTED: 7/20/2026
ADDENDUM ANSWERS POSTED: 8/5/2026
RFP RESPONSES DUE BY: 8/7/2026– 4:00 PM (EDT) via VTBuys
This addendum includes questions received and responded to by DMH through the course
of a general conversation about operating Mental Health Urgent Care programs in
Vermont, after the close of the RFP Q&A period.
1. Question: What is the scope of work for a MHUC program in Vermont?
Answer: The SOW for Vermont Mental Health Urgent Care (MHUC) programs
includes typical crisis services including assessment, peer support, and some case
management. Further details related to the Scope of work are outlined in section 2
of the RFP.
2. Question: Are there set costs and what range is the State looking for.
Answer: The state is interested in bidders best and most competitive pricing
proposal. Cost proposals will be evaluated in accordance with the criteria outlined
in the RFP and proposals demonstrating overall value to the State may receive
stronger consideration.
3. Question: Why Rutland county?
Answer: DMH is interested in establishing equitable distribution of services across
the state and Rutland is currently a county without these services. It is the goal for
DMH that all Vermonters have access to a Mental Health Urgent Care (MHUC)
within a 60 minute drive. This isn’t possible for all Vermonters due to some rural
areas but remains a goal for the Department.
4. Question: Can anyone open an urgent care or only specifically DAs?
Answer: Any qualified provider can submit a proposal for consideration.
5. Question: Must the entity operating a facility be CARF certified?
Answer: CARF accreditation is not a requirement to establish or operate a MHUC
in Vermont.
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State of Vermont
Department of Mental Health
166 Horseshoe Drive, Weeks Building
Waterbury, VT 05671-2010
http://mentalhealth.vermont.gov/
Agency of Human Services
[phone] 802-241-0090
[fax] 802-241-0100
[tty] 800-253-0191
6. Question: Are there established Licensing and certifications for MHUC programs?
Answer: There are no established licensing regulations or certifications required in
Vermont for MHUC programs.
Original Q&A posted on 7/20/26:
1) Question: Is the RFP seeking a psychiatrist and/or PMHNP to provide services
within an existing, established clinic, or is it intended for an organization to develop
and operate the clinic itself, including staffing and provider recruitment?
Answer: It’s intended for an organization to develop and operate the clinic itself,
including staffing and provider recruitment.
2) Question: Re: 2.4.1.4 Subcontractors: Does the subcontractor requirement apply
to vendors engaged for short-term, project-specific work, such as facility
modifications, or only to subcontractors involved in the ongoing operation or
delivery of the program?
Answer: Only to subcontractors involved in the ongoing operation or delivery of the
program.
3) Question: Re: 2.1: If a phased implementation is proposed- for example, expanding
the ages served or hours of operation- should the two-year budget reflect lower
operating costs during the initial ramp-up period and higher costs once full
implementation is reached? Or should both years be budgeted at full operating
capacity because the duration of the ramp-up period is not yet known?
Answer: The two-year budget should reflect lower operating costs during the initial
ramp-up period and higher costs once full implementation is reached.
4) Question: Re: 2.3.51 Sustainability: Is it the intent of DMH to incorporate the costs
of operating a mental health urgent care program in the CCBHC PPS-1 rate at the
conclusion of the federal RHT grant period?
Answer: Moving costs in the CCBHC payment model can be a discussion with DMH
as part of the sustainability plan conversation. But as of right now, there is not a
plan to move these services into CCBHC
5) Question: Must a specific site or address be identified at the time of proposal
submission, or is a plan to secure a site during the ramp-up/planning phase
acceptable?
Answer: A plan to secure a site during the ramp-up/planning phase is acceptable.
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State of Vermont
Department of Mental Health
166 Horseshoe Drive, Weeks Building
Waterbury, VT 05671-2010
http://mentalhealth.vermont.gov/
Agency of Human Services
[phone] 802-241-0090
[fax] 802-241-0100
[tty] 800-253-0191
6) Question: What level of detail would the reviewers like to see regarding the facility
layout and structure? For example, are sample floor plans preferred?
Answer: Floor plans are not needed. Reviewers need enough detail of the physical
environment to determine it is safe, functional, and clinically appropriate.
7) Question: The RFP states that the services should be available 24/7 for all ages.
Can you please confirm this includes adolescents?
Answer: Yes, that includes adolescents. Proposals that are not 24/7 are
encouraged to bid.
8) Question: Given that renovation costs must go through case-by-case CMS
approval, should the awardee be prepared for potential budgetary changes post-
award?
Answer: Yes, it’s appropriate to acknowledge that the final renovation budget may
change after award.
9) Question: Could you clarify whether grant funds may be used to renovate an
existing building to prepare it for providing Mental Health Urgent Care services?
Specifically, would renovations that are necessary to make the facility operational
be considered eligible considering the list of published ineligible expenses?
Answer: Grant funds to renovate an existing building will be taken into
consideration by CMS. The State will support this. However, funds cannot be used
for construction or building expansion, purchasing or significant retrofitting of
buildings, cosmetic upgrades, or any other cost that materially increases the value
of the capital.
10) Question: Is there a cap on the total grant value per year, or is pricing entirely
bidder-proposed?
Answer: The state is interested in bidders best and most competitive pricing
proposal. Cost proposals will be evaluated in accordance with the criteria outlined
in the RFP and proposals demonstrating overall value to the State may receive
stronger consideration.
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