This solicitation seeks providers to deliver “S‑Rate” specialized behavioral Adult Long‑Term Residential (ALTR) services for adults with intense behavioral challenges. The contract is a master‑agreement, unit‑rate arrangement that will run for up to eight years plus four months, with an estimated total procurement value of roughly $3.8 billion across all awardees. Providers must already be qualified under the existing ALTR‑24 program, possess a robust multidisciplinary clinical staff (including BCBA‑level analysts, nurses, psychologists, etc.), and meet strict staffing ratios and training requirements. The award is open to any qualified vendor; two firms—American Training and Judge Rotenberg—were listed as awarded as of April 2025. Key points include:
• Mandatory staffing of qualified behavior analysts and clinical personnel;
• Requirement to accept all DDS referrals and maintain a 24‑hour supervision model;
• Supplier‑Diversity commitment of at least 1 % of contract revenue (for contracts > $250 k).