2-WholeYouNYC Social Care Network Application - Health-Related Social Need (HRSN) Service Provider Application.pdf

WholeYouNYC Social Care Network: Health-Related Social Need (HRSN) Service Provider Application Page | 1

WholeYouNYC Social Care Network

Health-Related Social Need (HRSN) Service Provider Application

Solicitation #: 2025.01.SCN.01.01 Application Due Date: This is an open-ended application.

Applications are accepted on a rolling basis Application Form: https://forms.office.com/r/CQyX7eg78x

The State of New York has selected Public Health Solutions (PHS) as the Social Care Network (SCN) lead entity for the boroughs of Manhattan, Queens, and Brooklyn, in connection with the New York State (NYS) Department of Health, Office of Health Insurance Programs’ RFA #20417, entitled “New York Health Equity Reform: Social Care Networks”. As a SCN lead entity, PHS will create and maintain a comprehensive SCN that will screen, navigate, and deliver social care services to eligible Medicaid members to address their health-related social needs (HRSN). PHS is soliciting applications from HRSN Service Providers to participate in our SCN, the WholeYouNYC Social Care Network (such network maintained by PHS is referred to here as the “Network”) and be reimbursed for eligible services provided on behalf of the Network.

I. Eligibility Criteria

1. Requirements for all HRSN Service Providers to Join the WholeYouNYC SCN

a. Provide at least one HRSN service directly to Medicaid members (see the supporting document “Public Health Solutions SCN HRSN Fee Schedule” for a list of HRSN services).

b. Maintain a service coverage area that includes at least one zip code in the WholeYouNYC SCN region.

c. Provide sufficient staffing and operational capacity to manage screenings, navigation and/or social care services provided on behalf of the Network.

d. Designate and maintain a dedicated point person(s) for services provided on behalf of the Network. Notify PHS immediately of any change in the dedicated point person(s).

https://forms.office.com/r/CQyX7eg78x

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e. If a Network screening partner, use the Accountable Health Communities (AHC) HRSN Screening Tool, including “question zero” consent, and ensure the capability to conduct screenings on behalf of the Network both in-person and virtually (for example, via telephone, video, and/or the web) and in culturally and linguistically competent ways.

f. Actively participate in the Network implementation and ongoing training and technical assistance activities, including but not limited to confirming Network service offerings, setting up your organization’s information and service offerings in the Network’s data and IT platform, attending required and optional Network trainings (e.g., data and IT platform, HIPAA compliance, screening members for HRSN, serving a new target population, etc.).

g. As requested by PHS, participate in a capabilities assessment to inform the Network’s capacity-building needs and implement recommendations as may be specified by PHS identified via such capabilities assessment (the CBO Network participant and PHS may enter into such additional documents as may be needed (e.g., Scope of Work (SOW), Task Order, addendum, amendment to the CBO Participant Agreement, etc.) to address such recommendations, which may include capacity-building funds for specific purposes).

h. Agree to be reimbursed by PHS (on behalf of the Network) for eligible Network services provided to eligible managed Medicaid members in accordance with a NYS defined fee schedule and other Network requirements for payment (e.g., services entered in the data and IT platform).

i. Agree to your organization’s platform (organization details, service delivery, payments) data being shared with NYS and other key stakeholders to support Network payments, performance, evaluation and reporting.

j. Appoint representative(s) to participate in Network convenings and learning collaboratives with PHS and/or other Network partners, as reasonable.

k. Agree to be listed as a Network participant in marketing materials, on the WholeYouNYC website, applications and/or proposals for Network funding opportunities, directories of Network participants, presentations about the Network, and other media or materials listing out Network participants.

l. Support Network sustainable funding/collaborative partnership opportunities, in good faith, and ensure a timely response to requests for documentation for proposals, grant writing, and other new business development opportunities as needed.

2. Additional Requirements Organizations must choose to join the network as a Community-Based Organization (CBO) or a Healthcare Provider.

WholeYouNYC Social Care Network: Health-Related Social Need (HRSN) Service Provider Application Page | 3

To join the WholeYouNYC SCN as a Community-Based Organization (CBO) and be eligible to apply for SCN Capacity Building Funds, your organization must, in addition to the General Requirements described above

a. At all times maintain (i) status as a not-for-profit charitable organization that works at the local level to meet community needs and (ii) valid registration as a 501(c)(3) or 501(c)(4).

If at any time not-for-profit status is lost, notify PHS immediately;

b. Onboard onto (which may include entering or accepting any end-user license agreements, Network participation agreements, terms and conditions, and/or any other agreements) and use the Network’s data and IT platform, Unite Us, as your sole referral technology solution for the Network to:

o validate Medicaid member eligibility for Network services.

o respond to Network referrals within 48 business hours of the referral being sent.

o screen regional Medicaid members for HRSNs on behalf of the Network utilizing an electronic, standardized screening tool.

o navigate regional Medicaid members to the Network and/or pre-existing state, federal, and local programs that most appropriately meet their HRSNs.

o provide evidence-based, enhanced HRSN services to eligible, regionally managed

Medicaid members.

o ensure referral and case documentation quality and closure adequacy.

o proactively maintain your organization’s relevant Network service and contact information (e.g. services, service capacity, addresses, hours of service, languages spoken, screening modalities offered, etc.).

To join the WholeYouNYC SCN as a Healthcare Provider, your organization must, in addition to the General Requirements detailed above:

a. Provide physical and/or behavioral health care to individuals, including Medicaid members. Healthcare providers may include, but are not limited to, hospitals, health systems, primary care practices, health centers, behavioral health providers, and other licensed practitioners.

b. If providing screening only, utilize one of the following data and IT solutions:

• PHS’ data and IT platform, Unite Us – Onboard onto (which may include entering or accepting any end-user license agreements, Network participation agreements, terms and conditions, and/or any other agreements) and use Unite Us as your sole screening technology solution for the Network; or

• An alternative data and IT platform that is interoperable with the Network’s data and IT platform – Your organization will be responsible for establishing interoperability according to NYS requirements (to be defined).

c. If providing navigation and/or HRSN services, use Unite Us as your sole referral technology solution for the Network to:

• validate Medicaid member eligibility for Network services.

WholeYouNYC Social Care Network: Health-Related Social Need (HRSN) Service Provider Application Page | 4

• respond to Network referrals within 48 business hours of the referral being sent.

• screen regional Medicaid members for HRSNs on behalf of the Network utilizing an electronic, standardized screening tool.

• navigate regional Medicaid members to the Network and/or pre-existing state, federal, and local programs that most appropriately meet their HRSNs.

• provide evidence-based, enhanced HRSN services to eligible, regionally managed Medicaid members.

• ensure referral and case documentation quality and closure adequacy.

The above-listed SCN Requirements, for both CBO’s and Healthcare Providers, may be subject to change based on the final service provider agreement from the NYS Department of Health. These changes will be reflected in the Master Services Agreement (template agreement from the State of New York for the SCN).

II. Requirements for Application Submission Applicants are required to complete all components listed below:

• Complete and submit the HRSN Service Provider Application (via Microsoft Forms Link):

o HRSN Service Provider Application link: https://forms.office.com/r/CQyX7eg78x

• Using the PHS Procurement Portal, upload into your vendor record, the following documents:

o New York State Certificate of Incorporation/Certificate of Authority/Certificate of

Formation (full copy, including any amendments) o Internal Revenue Service 501(c)(3) or 501(c)(4) Determination Letter (if applicable) o IRS form 990 or equivalent o Completed Attachment B: HRSN Services*

Note: The mentioned Attachments D, E, and F in this document refer to attachments that will be included in the Provider Services Agreement and are not included in this solicitation release.

o Completed Attachment I: Languages, Formats and Service Availability* *Please complete these documents accurately, as they will form an integral part of your contract.

III. Notice for Previous Applicants Organizations who have applied to the previous WholeYouNYC Social Care Network Community-Based Organization (CBO) Application or WholeYouNYC Social Care Network Healthcare Providers Application, need not apply to this application. This is a re-release of those applications for new applicants only.

https://forms.office.com/r/CQyX7eg78x

WholeYouNYC Social Care Network: Health-Related Social Need (HRSN) Service Provider Application Page | 5

IV. Application Timeline

• Application Release Date: January 21, 2025

• Application Review: Rolling basis

• Application Close Date: Open-ended

Next Steps Application submissions will be reviewed on a rolling basis. PHS’ Procurement department will review all application submissions to ensure that they are complete. If an application is incomplete, PHS’ Procurement team will reach out via email for a resolution. Applicants with complete applications will then be contacted by PHS’ contract management team via the applicant’s provided contact email to move forward with the onboarding process.

V. How to Apply - PHS Procurement Portal To use the PHS Procurement Portal, you must first register for a New Vendor Account:

https://healthsolutions.bonfirehub.com/portal/?tab=login

• Step 1: Account Confirmation (required) o Fill out all listed fields and click on Create Account. If the account was created successfully, you will see a “Success” message.

o To continue with the registration process, check your email inbox for confirmation. Open the email and click on the “Complete your registration” button, where a new page will open prompting you to create a password.

• Step 2: Account Information (required) o Fill out all required (marked with an asterisk) fields.

• Step 3: Documentation (required for this application) o Upload all the required documents listed in the Requirements for

Application Submission section

• Step 4: Commodity Codes (optional)

• Step 5: Complete Registration (required)

Note: Any optional steps can also be completed after registration. Including upload of required documents listed in Section II.

To Submit an Application via the PHS Procurement Portal:

All the documents listed in the Requirements for Application Submission section must be completed and/or uploaded via the PHS Procurement Portal.

To submit an application:

1. If you have already registered for a vendor account and have not uploaded the required documentation, navigate to your Organization Vendor Record to update your profile to upload all the required documentation.

https://healthsolutions.bonfirehub.com/portal/?tab=login https://vendorsupport.gobonfire.com/hc/en-us/articles/6831123977495-How-do-I-upload-my-vendor-documents-during-registration https://vendorsupport.gobonfire.com/hc/en-us/articles/6831123977495-How-do-I-upload-my-vendor-documents-during-registration https://vendorsupport.gobonfire.com/hc/en-us/articles/6831643773847-How-do-I-update-the-documents-on-my-vendor-profile-after-registration https://vendorsupport.gobonfire.com/hc/en-us/articles/6831643773847-How-do-I-update-the-documents-on-my-vendor-profile-after-registration

WholeYouNYC Social Care Network: Health-Related Social Need (HRSN) Service Provider Application Page | 6

2. Select ‘Portal’ at the top of navigation menu bar and navigate to the ‘Open Public Opportunities’ tab and select the ’View Opportunity’ button to the right of the appropriate RFA.

2. Scroll down to the segment titled ‘Submission’. Indicate ‘Yes’ to the question asking for your intention to bid on this opportunity. Click ‘Submit’.

3. After confirmation, the ‘Prepare’ Tab will open, it is recommended to watch the accompanying video for a quick overview of the submission process. When you are ready, select ‘Prepare Your Submission’.

4. On the Submission page, accept and confirm any required attestations and submit to finalize your application.

You should NOT submit a hard copy of your application or submit via email. Use of the PHS Procurement Portal is REQUIRED. Applications sent by hard copy or email will NOT be considered as submitted.

Questions Regarding the Application Questions regarding this application must be submitted via the PHS Procurement Portal.

Select the “View Opportunity” button for this solicitation. From the Project Details page, click the “Ask a Question” button which will prompt you to the “Vendor Discussion” tab. Click on “Ask a Question” to begin the process of submitting your questions. For more information on how to ask a question through the PHS Procurement Portal please visit the Bonfire Vendor Help Center.

Questions submitted via the PHS Procurement Portal may be addressed in a public response through the PHS Procurement Portal. Please note that not all written inquiries will receive written responses.

All inquiries concerning this application, from the date of issuance to Network acceptance announcements, must be submitted via the PHS Procurement Portal. Organizations are advised that the PHS Procurement Department is the authorized contact for all matters concerning this application. If you have questions regarding the status of your application, please contact Procurement@healthsolutions.org.

https://vendorsupport.gobonfire.com/hc/en-us/articles/6832480724503-How-do-I-contact-the-Project-Owner-https://vendorsupport.gobonfire.com/hc/en-us/articles/6832480724503-How-do-I-contact-the-Project-Owner-mailto:Procurement@healthsolutions.org