1-DHHS26377 PATH RFP Instructions and Checklist.docx

Utah Department of Health and Human Services

DHHS26377 RFP

Projects for Assistance in Transition from Homelessness (PATH) Application Instructions and Checklist

Responses should contain only documentation requested in this solicitation. DHHS will not review information submitted by a vendor that is not requested in this solicitation.

Document Submission Instructions

1. Submit documentation which proves the Offeror meets the mandatory minimum requirement of being either a non-profit organization with 501(c)(3) status as determined by the Internal Revenue Services, or be a local government entity (e.g. city, county, or other municipality in Utah); (SOW 3.1 (1)).

2. Submit documentation which proves the Offeror meets the mandatory minimum requirement of the applicant agency having a minimum of three years’ experience providing direct services to the homeless population; (SOW 3.1 (2)).

3. Submit a completed, signed, and dated Form #1 IRS Form W-9.

4. Complete and submit Form #2a: Conflict of Interest Disclosure Statement OR Complete and submit Form #2b: Governmental Entity Conflict of Interest Certification (for government agencies, political subdivisions, municipalities, public schools, etc.).

5. Submit a proposal narrative according to the following instructions.

Proposal Narrative Instructions Section 1: Cover Page

1. Name of the Offeror.

2. Name and title of the Offeror’s primary contact person responsible for management and implementation of this contract, if awarded.

3. Proposal abstract: An abstract of your proposal, not to exceed 250 words.

Section 2: Scorable Technical Criteria (TC). In this section, Offerors must provide a narrative describing how they will meet the scope of work. To do so, provide the following:

1. TC 1: Describe how you will identify and provide services for individuals most in need. (SOW 4.1(1)).

2. TC 2: Describe how you will provide Outreach Services including prioritization of those with SMI who are Experiencing Homelessness or are at Imminent Risk of Becoming Homeless (SOW 4.1(2)(A)).

3. TC 3: Describe how you will provide screening and diagnostic treatment services (SOW 4.1(2)(B)).

4. TC 4: Describe how you will provide habilitation and rehabilitation services (SOW 4.1(2)(C)).

5. TC 5: Describe how you will provide community mental health services, including recovery support services (e.g., peer specialist or recovery coaches) (SOW 4.1(2)(D)).

6. TC 6: Describe how you will provide alcohol or drug treatment services (SOW 4.1(2)(E)).

7. TC 7: Describe how you will provide staff training, including training for people who work in mental health clinics, substance use programs, and other sites where Individuals Experiencing Homelessness require services (SOW 4.1(2)(F)).

8. TC 8: Describe how you will provide case management services, including: (SOW 4.1(2)(G)).

a. preparing a plan for the provision of community mental health services to eligible PATH individuals and reviewing such plan not less than once every month; (SOW 4.1(2)(G)(i));

b. assisting eligible PATH individuals with obtaining and coordinating social and maintenance services, including services related to daily living activities, peer support, personal financial planning, transportation, habilitation and rehabilitation, pre-vocational and vocational training, and housing; (SOW 4.1(2)(G)(ii));

c. helping eligible PATH individuals to get income support, including housing assistance, food stamps, and Supplemental Security Income benefits; (SOW 4.1(2)(G)(iii));

d. referring eligible PATH individuals Experiencing Homelessness for such other services as may be appropriate; (SOW 4.1(2)(G)(iv)); and

e. providing representative payee services in accordance with section 1631(a)(2) of the Social Security Act if the eligible PATH individuals Experiencing Homelessness are receiving aid under Social Security Act Title XVI and if the applicant is designated by the Commissioner of Social Security to provide such services (SOW 4.1(2)(G)(v)).

9. TC 9: Describe how you will provide referrals for primary health services, job training, educational services, and relevant housing services including use of peer providers who can use their lived experience to help ensure services are successfully accessed by homeless individuals with SMI or CODs (SOW 4.1(2)(H)).

10. TC 10: Describe how you will provide housing services, including: (SOW 4.1(2)(I)).

a. minor renovation, expansion, and repair of housing;

b. costs associated with matching eligible PATH individuals who are Experiencing Homelessness with appropriate housing situations;

c. security deposits; and

d. one-time rental payments to prevent eviction.

11. TC 11: Describe how you will partner and collaborate with community services providers within the Continuum of Care region (SOW 4.1(2)(J)).

12. TC 12: Describe how you will participate in local planning, coordinating, and assessment activities with the local homeless council to include support for veterans (SOW 4.1(2)(K)).

13. TC 13: Describe how you will ensure your services reach the intended population to be served. An eligible PATH individual is a person who is Experiencing Homelessness or at risk of homelessness and SMI or Co-Occurring Disorders (“COD”) (SOW 2.1).

14. TC 14: Submit a budget justification narrative. This should be a one page summary describing the budget proposed in Form #4 Budget Utilization Form. The budget must be no more than $219,185.