Residential care for individuals with intellectual and developmental disabilities under government programs. Find active federal and state residential intellectual and developmental disability facilities contracts — AI-scored against your profile across SAM.gov and 200+ portals.
Annual federal spend under NAICS 623210 is estimated at $2–3 billion, primarily through Medicaid Home and Community-Based Services (HCBS) waivers and state DD agency contracts. Competition is moderate, with many small, local providers and a few national chains. Contracts are typically structured as fee-for-service or cost-reimbursement agreements, often awarded via state-level RFPs or Medicaid managed care organizations. Demand is driven by federal mandates for community-based care (e.g., Olmstead decision) and aging caregiver populations. Direct federal procurement is less common; most funding flows through state block grants and waivers.
These agencies are the largest buyers of residential intellectual and developmental disability facilities services and products in the federal government. Each awards contracts under NAICS 623210 regularly — build relationships with their small business offices first.
Winning contracts requires deep familiarity with Medicaid HCBS waiver requirements and state-specific procurement processes. Set-asides for this NAICS are rare; most awards are unrestricted or use HUBZone/SDVOSB preferences where applicable. The single highest-leverage move is to partner with a state DD agency as a subcontractor or provider network member to gain insight into upcoming RFPs and compliance standards. Bid on state-level RFPs for residential habilitation or supported living services, not just federal IDIQs.
Contracts are mostly LPTA (lowest price technically acceptable) due to standardized service requirements. Common vehicles include state-specific HCBS waivers, Medicaid managed care contracts, and GSA PSS (Professional Services Schedule). Some use 8(a) STARS III for IT-related support. Evaluation focuses on staff qualifications, facility compliance, and cost per patient day.
Providers must hold state-specific residential care licenses (e.g., Community Residential Facility license) and comply with CMS HCBS settings rules. Additionally, staff may need QIDP or DSP certifications depending on the state.
Bonding is rarely required for fee-for-service Medicaid contracts, but state RFPs for large residential programs may require performance bonds. Check each state's procurement terms; small providers often need surety bonds for multi-year agreements.
CARF accreditation is highly valued. Also, certifications like HUBZone or SDVOSB can provide preference in some state procurements. CMS compliance with HCBS final rule is mandatory.
Moderately competitive. Local providers dominate due to facility-based care requirements. National chains compete for large state contracts. Typical award sizes range from $500k to $10M annually per contract.
Yes, many large IDIQs (e.g., GSA PSS) allow subcontracting for residential services. Teaming with a prime that holds a state contract is a common entry point for small businesses.