08DOA-S2299 Bid Q and A answered~1.pdf

QUESTION_NBR CREATED_BY QUESTION_SUBJECT QUESTION_TEXT ANSWER_TEXT

1 DCHEMERS Nevada Benefit partners for cross referral Who is the State medical plan partner?

The Public Employees' Benefits Program (https://pebp.state.nv.us/) administers the State of Nevada's group health insurance program.

2 DCHEMERS Cost proposal What was the program pepm in 2020, 2021, 2022 and 2023? The rate in the State of Nevada's current contract (July 1, 2019 - June 30, 2023) is $0.66.

3 DCHEMERS Utilization data How many critical incident hours were provided in 2020. 2021 and 2023? How many training hours in the same years?

The State of Nevada's current contract provides 20 hours of onsite critical incident hours per year and 40 hours of training per year.

4 DCHEMERS DOT evaluations

Paragraph F states DOT SAP cost will not be a part of this contract.

Who will pay for the DOT SAP case cost for an evaluation and DOT paperwork? How many DOT cases were seen in 2020, 2021 and 2022?

DOT SAP costs typically are an employee's responsibility. The Division of Human Resource Management is unable to provide the number of DOT cases as the data was not reported to the Division.

5 DCHEMERS Current satisfaction Is the State satisfied with the current program performance? Are there any areas of concern?

The Division of Human Resource Management declines to respond.

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@ALLONEHEALTH.COM Rates

What is Nevada currently paying for their EAP services?

The State of Nevada's current contract rate is $0.66 per employee per month. The current number of employees is provided monthly. See the 4. COST SCHEDULE in the Solicitation document for the base number of employees for cost evaluation.

The State of Nevada's current session model is 4 sessions per employee per issue per year.

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@ALLONEHEALTH.COM Dollar Spend What was the total dollar spend for the EAP in the most recent contract year? July 1, 2021 - June 30, 2022, $148,622.76.

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@ALLONEHEALTH.COM Utilization

Can you provide recent utilization reports or provide specific utilization statistics?

o Specifically, can you provide total number of initial inquiry/assessment calls to the EAP in the most recent contract year?

o Can you provide the total number of EAP counseling cases in the most recent contract year?

o Can you provide the total number of EAP counseling sessions provided in the most recent contract year?

o Can you provide the total number of EAP counseling sessions provided in the prior contract year?

o Can you provide the average number of EAP counseling sessions provided per counseling case in the most recent contract year?

The Division of Human Resource Management declines to provide utilization reports. The Division of Human Resource Management is unable to provide the number of initial calls to the EAP as the data was not reported. In the State of Nevada's last complete fiscal year (July 1 , 2021 - June 30, 2022), 983 EAP cases and 1004 sessions were reported. Between July 1, 2020 and June 30, 2021, 1,014 cases and 1,209 sessions.

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@ALLONEHEALTH.COM Orientation, training, etc.

Can you provide the number of orientation, training, benefit fair hours provided in the most recent contract year? How many of those hours were provided in-person?

o How many hours are included annually in the current contract?

The Division of Human Resource Management declines to provide the number of orientations and training conducted in the most recent contract year. Under the current contract, orientations and training have not been provided in-person. See Question 3 response for how many hours of training are included in the State of Nevada's current contract.

RFP 08DOA-S2299 Employee Assistance Program Bid Q&A

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@ALLONEHEALTH.COM Critical Incident

? How many Critical Incident events were responded to in the most recent contract year?

? How many Critical Incident events were responded to in the prior contract year?

? How many hours of Critical Incident support were provided in the most recent contract year?

? How many hours of Critical Incident support were provided in the prior contract year?

? How many hours of on-site Critical Incident support are currently provided in the contracted rate?

Between July 1, 2021 and June 30, 2022, 7 critical incident events utilizing 15.5 hours of critical incident services. Between July 1, 2020 and June 30, 2021, 8 critical incident events. See the response to Question 3 for the number of critical incident hours provided in the State of Nevada's current contract.

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@ALLONEHEALTH.COM Promotional Materials

In an effort to be a ?green? company, we generally provide promotional materials electronically. Given that it appears printed materials are desired, how many printed brochures and how many printed flyers are requested annually?

In the initial State of Nevada fiscal year, approximately 19,000 brochures/bifolds and approximately 1,500 to 2,000 in subsequent fiscal years.

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@ALLONEHEALTH.COM Project Overview 2.2

Regarding 2.2 ? ?While the Nevada System of Higher Education and political subdivisions (e.g., counties, cities) are not part of this contract, they may individually choose to negotiate an addendum to this contract for services with additional terms and conditions.? Can that State share if any other entities have chosen to negotiate an addendum to this contract, and if yes, can the names of those entities be shared?

The state does not have records local government use. An interested party would need to request that information from individual local governments.

QUESTION_NBR CREATED_BY QUESTION_SUBJECT QUESTION_TEXT ANSWER_TEXT

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@ALLONEHEALTH.COM Scope of Work 3.1.1 A. 3.

Regarding 3.1.1 A.3. ? ?Intake assessments performed by masters-level clinicians.? ? Will it be acceptable to the State, if a bidder has options that allow clinicians and non-clinicians to answer calls/take initial intake assessment, but always has a clinician available for those desiring/needing to speak with a clinician?

Section 3.1.1.A.3 is a program minimum requirement.

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@ALLONEHEALTH.COM Scope of Work 3.1.1 A. 5.

Regarding 3.1.1 A.5. ? ?One (1) assessment session (not including phone intake/assessment) and two (2) additional counseling sessions? ? I thought the current program provided one (1) assessment session and three (3) additional counseling sessions, for a total of up to four (4) sessions. Could the state confirm if this is accurate, and that it is not looking to lower the total session level to three (3) or should 3.1.1 A.3 be amended?

The State of Nevada is seeking the most comprehensive program within budgetary constraints. The State of Nevada's current contract provides 4 sessions. The Solicitation's minimum requirement is outlined in Section 3.1 of the Solicitation.

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@ALLONEHEALTH.COM Scope of Work 3.1.1 E.

Regarding 3.1.1 E ? ?Non ? DOT substance abuse evaluation costs will be part of this contract.? ? Can the State provide what the annual number of requests averages for Non ? DOT substance abuse evaluations, or how many it expects to have included in the contract/contracted rate?

"E. Provide mandatory not regulated by the U.S. Department of Transportation (non – DOT) substance abuse evaluations (required by Nevada Revised Statutes 284.4062 for substance abuse violations) to include evaluation, referral, case management and follow up to meet current State statutory and regulatory criteria, see NRS and NAC Regulations Attachment. Non – DOT substance abuse evaluation costs will be part of this contract."

Between July 1, 2021 and June 30, 2022, 5 non-DOT substance abuse evaluations were reported.

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@ALLONEHEALTH.COM Scope of work 3.1.1 F.

Regarding 3.1.1 F ? ?DOT SAP costs will not be part of this contract.? ? Can the State share insight into why DOT SAP costs are not to be part of this contract? Are these to be provided on a fee-for-service basis? How many DOT SAP?s are averaged annually?

The cost of U.S. Department of Transportation regulated substance abuse evaluations are not a program minimum requirement. However, it is a program minimum requirement for the vendor to be able to direct (i.e., provide contact information for qualified providers in an employee's geographic area) employees and agencies to substance abuse professionals. The Division of Human Resource Management declines to explain why DOT SAP costs are not a program minimum requirement. The Division of Human Resource Management is unable to provide the number of DOT SAP cases as the data was not captured.

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@ALLONEHEALTH.COM Scope of Work 3.1.1 H.

Regarding 3.1.1 H. ? ?A screening test to detect the general presence of a controlled substance or any other drug, must be conducted by an independent laboratory? ? This seems out of place in conjunction with the work provided by the EAP; is the State asking that the EAP conduct/coordinate these tests? If yes, how many are anticipated annually, and is the cost to be included within the EAP contract? Also, if this is a requirement of the current bid, is it in place today and is there a particular organization(s) conducting the screening test on behalf of the incumbent EAP provider?

The State of Nevada is not asking for the conducting of alcohol and drug testing under this contract, the State has a separate contract for employee alcohol and drug testing services. Referral for testing can be a component of substance abuse services. The statute is referenced to ensure that a possible referral for testing under this program does not violate Nevada Revised Statutes.

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@ALLONEHEALTH.COM Scope of Work 3.1.1. K.

Regarding 3.1.1 K. ? ?When applicable, provide transition assistance as requested by the Division to facilitate transfer of services to a new vendor to include technical and service support.?

? Can the State provide details regarding the current contract and how this transition is to take place, if the State selects a new vendor? Can the State confirm that if a new EAP vendor is selected that cases authorized, up to the term date of the existing contract, will not need to transition to the new vendor, and that the cases will be allowed a reasonable time period for the sessions to be utilized after the term of the contract (example 90 days)? This allows for the least amount of disruption to an employee/family member.

Our current vendor's response (in part, as part of their response to the solicitation leading to our current contract) when asked how they would provide a smooth transition : It is typically industry standard for the current provider to finish out sessions for all cases defined as self-referred for continuity of care purposes. We will facilitate discussions regarding any clinically complex or unique situations with the current vendor in order to determine the best plan. For all open formal and mandatory cases, it is generally preferred to transition to the new vendor.

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@ALLONEHEALTH.COM Scope of Work 3. 2. 1 F.

Regarding 3.2.1 F. ? ?Additional session models? ? does the State have a preference for what it may like to see? Also, please confirm what the requested session model is for this Bid, and that F. is truly asking for additional pricing options for different counseling session models.

The State of Nevada is seeking the most comprehensive program within budgetary constraints. See 3.1 PROGRAM MINIMUM REQUIREMENTS for the program minimum requirements.

Section 3.2.1.F is asking for respondents to describe their ability to provide additional counseling session models.

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@ALLONEHEALTH.COM Scope of Work 3.3.1 A.

Regarding 3.3.1 A. ? ?Describe how you will provide a smooth transition with minimal impact to service for qualifying employees and dependents utilizing the service at the time of the transition. ?

As indicated in earlier question, can the State share what may or not be its expectations and/or requirements in an existing agreement.

See the response to Question 18.

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@ALLONEHEALTH.COM Scope of Work 3.4.1

Regarding 3.4.1 ? ?The State will provide on-site service locations only for critical incident services.? ? Are things like orientation, training, benefit/health fairs to be included in the EAP, and if so, are they all provided virtually?

The State of Nevada is seeking the most comprehensive program within budgetary constraints. Under the current contract, orientations and trainings have been provided virtually.

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@ALLONEHEALTH.COM Scope of Work 3.4.4 C.

Regarding 3.4.4 C. ? ?Written documentation that the employee can return to duty? ? In the State?s opinion is this the same or different from providing a Fitness for Duty evaluation and confirmation? I ask as Fitness for Duty is typically beyond what is included within EAP, and must be conducted by a Psychiatrist.

Section 3.4.4.C outlines requirements mandated by State of Nevada Administrative Code for a substance abuse mandatory referral to an employee assistance program, see NRS and NAC Regulations attachment.

QUESTION_NBR CREATED_BY QUESTION_SUBJECT QUESTION_TEXT ANSWER_TEXT

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@ALLONEHEALTH.COM Critical Items - Subcontractors

Regarding Critical Items ? Subcontractors ? we do use third parties to fulfill aspects of the EAP program, but no third party is guaranteed a specific amount/value of work. We therefore do not feel it is necessary to complete a Vendor Information Response form for this parties. A primary example would be our Affiliate providers (Counselors) that provide counseling. We are happy to provide information related to third parties, as outlined within A, B, C and D of this section. If the State feels another approach by a bidder is needed please further define.

The described approach is acceptable.

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@ALLONEHEALTH.COM Insurance Schedule

Regarding Insurance Schedule, please confirm that the Certificate of Insurance needs to be provided post award, and that a sample is not needed with the proposal.

Confirmed. The Certificate of Insurance must be provided before the start of work.

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@ALLONEHEALTH.COM 3.3.20 - Local Representative

Regarding 3.3.20 - "Do you currently have in Nevada:

A. A local representative?" - Is it required that a Vendor have a local Nevada representative? Does the incumbent have a local Nevada representative and if so, is the representative an employee of the incumbent or someone the contract with?

A vendor's account manager is not required to be located in Nevada. The current vendor's account manager is not located in the State of Nevada.

26 DEEROAKS EAP Is the State?s current EAP account manager located in Nevada? See the response to Question 25.

27 DEEROAKS EAP

SOW H. A screening test to detect the general presence of a controlled substance or any other drug, must be conducted by an independent laboratory that is certified by the United States Department of Health and Human Services. (Nevada Revised Statutes 284.4067).

a. Is this service to be provided by the EAP vendor?

b. Is this service currently being provided by the EAP?

c. How many screening tests have been conducted in each of the last three years?

See the response to Question 17.

28 DEEROAKS Signatures Will you accept electronic signatures on all proposal forms? Yes

29 DEEROAKS EAP Who is the current EAP provider and how long have they been providing services to the State? Kepro Acquisitions, LLC, since July 1, 2019.

30 DEEROAKS EAP Please confirm that pricing should be based on 17,753 employees. For cost evaluation only, confirmed.

31 DEEROAKS EAP Confirm that the 3-session counseling model is currently in place. The State of Nevada currently has a 4-session model.

32 DEEROAKS EAP Please provide the current rate and a rate history throughout the contract term for the EAP.

See the response to Question 2 for the current rate. The rate has not changed during the current contract.

33 DEEROAKS EAP

How many hours of the following services are included within the current EAP contract per year?

? Onsite training/orientation/educational seminars ? Onsite health fair/event participation ? Onsite critical incident support events (# events/# hours) ? Webinar training

See the response to Question 3.

34 DEEROAKS EAP

How many total hours of the following services were utilized in each of the last two (2) years?

? Onsite training/orientation/educational seminars ? Onsite health fair/event participation ? Onsite critical incident support events (# events/# hours) ? Webinar training

For critical incident usage, see the response to Question 10. The Division of Human Resource Management declines to respond regarding training utilization.

35 DEEROAKS Utilization Please provide copies of 2021 and 2022 EAP utilization reports. The Division of Human Resource Management declines to provide utilization reports.

QUESTION_NBR CREATED_BY QUESTION_SUBJECT QUESTION_TEXT ANSWER_TEXT

36 DEEROAKS Utilization

If reports are not available, please provide the following for each of the last 2 years and YTD:

In the State of Nevada's last complete fiscal year (July 1 , 2021 - June 30, 2022), 55 work-life consultation/referrals were reported.

Between July 1, 2020 and June 30, 2021, 75 work-life consultations/referrals were reported. The other requested information was not reported, thus the Division of Human Resource Management is unable to respond.

37 DEEROAKS EAP How do you utilize the EAP in managing employee health and well-being?

The Division of Human Resource Management administers the program for multiple State agencies which utilize the program as best works for their organization and workforce.

38 DEEROAKS EAP How do you currently track the effectiveness of the EAP program? Feedback from State agencies and employees and review of reported data.

39 DEEROAKS EAP How do you currently track and manage contract compliance? A contract monitor and a contract manager will monitor the vendor compliance of the contract.

40 DEEROAKS DOT How many employees covered under the EAP fall under Department of Transportation (DOT) regulations?

This data is not reported to the Division of Human Resource Management.

41 DEEROAKS DOT

Are DOT Substance Abuse Professional (SAP) evaluations included within the EAP contract? If yes, is there a cap on the number of evaluations included each year within the EAP rate or are evaluations provided on a fee-for-service basis?

The cost of U.S. Department of Transportation regulated substance abuse evaluations are not a program minimum requirement. However, it is a program minimum requirement for the vendor to be able to direct (i.e., provide contact information for qualified providers in an employee's geographic area) employees and agencies to substance abuse professionals.

42 DEEROAKS EAP

1Please provide insight into the condition of the workforce. Are your employees facing:

? Stress?

? Morale?

? Inflation?

? Financial challenges?

? Burnout?

The Division of Human Resource Management declines to respond.

43 DEEROAKS EAP What are the three components that are most important to you in an EAP? Section 3.1 outlines the program minimum requirements.

44 SMUTHKEPRO Subcontractors - 9.6, page 10

Does the State define organizations such as legal and financial providers that are Business Associates of the EAP as subcontractors? Or would these groups be defined as third parties who provide support and incidental services?

Third parties

45 SMUTHKEPRO Testing - Section 3.1.1.H, page 3

Could the State please clarify this requirement? ?A screening test to detect the general presence of a controlled substance or any other drug, must be conducted by an independent laboratory that is certified by the United States Department of Health and Human Services. (Nevada Revised Statutes 284.4067)?.

Is it the expectation that the EAP refer employees for reasonable suspicion alcohol/drug testing? Typically, the EAP would be referred an employee following a positive alcohol/drug test and would not be involved in the testing process.

See the response to Question 17.

Bid Q&A for Export Report