2-Appendix 2 - Application for Funding.docx

Appendix 2 – Application for Funding

1 – EXECUTIVE SUMMARY

1.1 Please provide an executive summary of your organization and the proposed plan to provide Recovery Support Services (RSS) provided by Youth Recovery Community (YRC) services.

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2 – APPROACH TO WORK

2.1 Provide a statement of your organization’s service approach and describe any unique benefits to Be Well Texas.

2.2 Provide an estimate of the earliest starting date for services following the execution of the Agreement.

2.3 Please detail a Work Plan with key dates and milestones for providing YRC services. The Work Plan, at a minimum, shall include:

a) Identification of tasks to be performed

b) Time frames to perform the identified tasks

c) Project management methodology

d) Implementation strategy, and

e) The expected time frame in which the services will be implemented.

2.4 Please detail your organization’s ability to adhere to the program’s reporting requirements (see Appendix 3, Attachment A, Section VIII), to include information about assigned personnel who will ensure reporting deadlines are met.

2.5 Please identify the electronic health record software that your organization currently uses to store patient healthcare records and treatment plans (example: Epic, CMBHS, Sunrise).

2.6 Describe your organization’s past or current experience offering YRC services.

3- GENERAL REQUIREMENTS

3.1 Please provide summary resumes for proposed key personnel who will be providing services under the Agreement with Be Well Texas, including their specific experiences with similar service projects, and the number of years of employment with your organization.

3.2 Describe any difficulties, if any, in performing duties outlined in the Statement of Work (see Appendix 3, Attachment A) under the Agreement with Be Well Texas, and how your organization plans to manage these difficulties.

3.3 Describe your organization’s plan for sustainability after the period for YRC funding has ended. How will your organization ensure services are maintained or preserved?

4 – SERVICE SUPPORT

4.1 Please describe your organization’s support philosophy, how its implemented, and how your organization measures its success in maintaining its philosophy.

5 – QUALITY ASSURANCE

5.1 Please describe the organization’s quality assurance program, its quality requirements, and how they are measured.

6 – MISCELLANEOUS

6.1 Please provide a list of any additional services or benefits not otherwise identified in this RFA; additional services or benefits must be directly related to the YRC program.

6.2 Please provide details describing any unique or special services or benefits offered, or advantages to be gained by Be Well Texas, from doing business with your organization. Additional services or benefits must be directly related to the YRC program.

6.3 Does your organization have a contingency plan or disaster recovery plan in the event of a disaster (for example, the COVID-19 pandemic)?

6.4 Please detail your organization’s plan, if any, for growth over the next fiscal year. How has the organization’s development over the past year informed your approach to planning for future development for your organization?

7 – HISTORY WITH BE WELL TEXAS

7.1 Please detail your organization’s history, if any, with Be Well Texas.

PROJECT BUDGET JUSTIFICATION

Please include a detailed budget justification for your organization. See Appendix 4, Categorical Budget Descriptions, for detailed explanations of each funding category.

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