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RFGA2027-004 Metabolic Formula Program

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Contract Overview

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The Arizona Department of Health Services, through the PHS Prevention agency, is soliciting applications for RFGA2027-004 to establish a statewide network providing prescribed metabolic formulas. This program serves children, youth, and adults with metabolic disorders who are uninsured or underinsured and lack other means of covering the cost of these specialized dietary manipulations. The grant provides estimated annual funding of 175,000 dollars on a calendar-year basis. Awardees must procure and provide only the approved formulas listed in the contract's specifications and are required to submit monthly contractor expenditure reports and distribution reports to the state. Applications must be submitted electronically via the eCivis platform by October 29, 2026. Evaluation is based on a weighted scoring system, with 70 points allocated to narrative responses and 30 points to the budget workbook. The state reserves the right to issue partial awards or select any application that serves the best interest of Arizona. Compliance requirements are extensive, including adherence to 2 CFR 200, HIPAA regulations, and various civil rights acts. Additionally, grantees must comply with state executive orders regarding non-discrimination and immigration laws, and maintain insurance where the contractor's coverage is primary and the state's is excess.

General Info

Grant for providing prescribed metabolic formulas to uninsured Arizona residents with metabolic disorders.

Documents

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Attachment B: Notices, Correspondence & Payments - RFGA 2027-004

PDF, High priority: read this firstsupporting-document
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Attachment E - Forced Labor of Ethnic Uyghurs Ban (RFGA 2027-004)

PDF, High priority: read this firstcertification
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Attachment F - Proposed Subcontractors (RFGA 2027-004)

PDF, High priority: read this firstsupporting-document
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Attachment G - Narrative Response (RFGA 2027-004)

PDF, High priority: read this firstsow
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Exhibit 10 - List of Approved Metabolic Formulas (RFGA 2027-004)

PDF, High priority: read this firstspecifications
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Exhibit 2 eCivis Budget Instructions - RFGA No. 2027-004

PDF, High priority: read this firstspecifications
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Exhibit 6 Metabolic Formula Agreement (RFGA No. 2027-004)

PDF, High priority: read this firstrfga
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Exhibit 7 Monthly Metabolic Formula Distribution Report Template

PDF, High priority: read this firstspecifications
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Exhibit 8 Monthly Metabolic Formula Denial Report Template (RFGA 2027-004)

PDF, High priority: read this firstspecifications
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Exhibit 9 Annual Metabolic Formula Distribution Report (RFGA 2027-004)

PDF, High priority: read this firstrfga
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Grant Offer and Acceptance - Grant No. RFGA2027-004

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RFGA2027-004 Metabolic Formula - Attachment H Budget Workbook

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RFGA 2027-004 Metabolic Formula Program - Exhibit 4 Insurance Requirements

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RFGA2027-004 Metabolic Formula Program - Instructions to Applicants

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RFGA NO. 2027-004 Metabolic Formula Program Policy

PDF, High priority: read this firstrfga
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RFGA No. 2027-004 Metabolic Formula Program - Scope of Services

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RFGA No. 2027-004 Metabolic Formula Program Terms and Conditions

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Arizona Application Submission User Guide

PDF, Low priorityuser-guide
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Attachment C - Designation of Confidential Trade Secret and Proprietary Information (RFGA 2027-004)

PDF, Low prioritysupporting-document
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Attachment D - Boycott of Israel Disclosure (RFGA 2027-004)

PDF, Low prioritydisclosure-form
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Exhibit 1 Contractors Expenditure Report - RFGA 2027-004

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RFGA2027-004 Metabolic Formula FAQs

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Timeline

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Organization & Contact Information

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AgencyState of Arizona → HSA - PHS Prevention
Contacts1 person available
OfficeAZ, USA
Office AddressAZ, USA

Full Description

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This service establishes a statewide network for the provision of prescribed metabolic formula for children, youth and adults who: Have a metabolic disorder requiring dietary manipulation using metabolic formula. Are uninsured or underinsured without other means of covering the cost of metabolic formula.

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