3202600208 Open Enrollment (OE) for Assistive Technology (AT) Services for Customers with Visual Impairments

This Open Enrollment is for Assistive Technology (AT) Services for Customers with Visual Impairment. Assistive technology (AT) services for Customers with Visual Impairment are provided to customers with visual impairments and include AT baseline and post-training assessments, AT evaluations, and AT training. These services help customers who are blind or have significant visual impairments make informed choices about which AT products meet their needs and how to use them.

• NAICS92440

• ESBD_547773_1786134167156_Attachment 01-VR OE T&Cs (12-18-2025).pdf

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• ESBD_547773_1786134193455_Attachment 02-OE Application Submission Checklist.pdf

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• ESBD_547773_1786134218698_Attachment 03-Chapter 01.pdf

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• ESBD_547773_1786134239554_Attachment 04-Chapter 02.pdf

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• ESBD_547773_1786134265734_Attachment 05-Chapter 03 and Sample Forms.pdf

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• ESBD_547773_1786134306569_Attachment 06-Chapter 09 and Sample Forms.pdf

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• ESBD_547773_1786134330806_Form 01-Execution of Offer.pdf

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• ESBD_547773_1786134353239_Form 02-W-9 and Direct Deposit Form (VR1020).pdf

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• ESBD_547773_1786134406583_Form 03-Child Support Certification (VR 1305).pdf

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• ESBD_547773_1786134426674_Form 04-TWC VR Standards for Provider Cert(VR 3443).pdf

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• ESBD_547773_1786134447143_Form 05-Conflict of Interest Certification (VR 3444).pdf

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• ESBD_547773_1786134486465_Form 06-Provider Insurance Verification (VR 3445).pdf

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• ESBD_547773_1786134504697_Form 07-Entity Headquarters Info Manage Form (VR 3441A).pdf

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• ESBD_547773_1786134524765_Form 08-Entity Headquarters Info-Services (VR 3441B).pdf

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• ESBD_547773_1786134548942_Form 09-Entity Headquarters Info-Location(s) (VR 3441C).pdf

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• ESBD_547773_1786134575634_Form 10-Entitys Physical Location(s) Part A (VR 3442A).pdf

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• ESBD_547773_1786134599071_Form 11-Entitys Physical Location(s) Part B (VR3442B).pdf

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• ESBD_547773_1786134627172_Form 12-Provider Staff Info Form Supporting Doc (VR 3455).pdf

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• ESBD_547773_1786134674374_Open Enrollment (OE) for Assistive Tech (AT) 3202600208.pdf

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• Meghan Osborn
  procurement.oe@twc.texas.gov(737) 295-0326