3 - Technical Quotation Information Sheet.docx

Federal Bureau of Prisons Community Treatment Services Contract

IMPORTANT INFORMATION TO KNOW:

Technical Quotation forms posted with this solicitation must be completed in their entirety and submitted with attachments required; no other format utilized will be accepted for review.

It is imperative that the Technical Quotation information is legible, detailed oriented and limited to the requested information (e.g., do not provide the history of Cognitive Behavioral Therapy, or the benefits of such; do not provide an explanation of what a Clinical Assessment is, or why it is beneficial).

The Technical Quotation forms must reference only the specific location for the quote submitted (e.g., provide specific information such as the hospital that will be utilized during a crisis; if the quotation is for a city in Anchorage, AK).

All information must be answered on the Technical Quotation form provided, unless otherwise specified. Limit the number of attachments submitted to those specifically requested. Information submitted beyond what is required or sections written in as will not be considered for review or evaluation.

The Technical Quotation form provides directions on labeling attachments. Please ensure that attachments are sequential, labeled correctly, and correspond to the appropriate question.

The Decision Rule Criteria (DRC) is located on second page of this document and also located on the solicitation posted on beta.sam.gov. Please refer to this when completing the packet for submission. Failure to provide the requested documentation may exclude submitted quote for consideration in its entirety without discussion.

Technical Quotation information responses with use of subcontractor(s) and/or multiple site locations (within the geographical restrictions) must adhere to the following:

· Submission of one, comprehensive Technical Quotation (from only the Primary Contractor), that addresses all factors on the form, including providing required attachments. Quoters who fail to furnish any of the below submission requirements shall be excluded from consideration.

The Technical Personnel form must be organized per site. The Authorized Negotiator must be identified on the prime contractor’s form, and sign all of the Technical Personnel form(s) submitted.

DECISIONAL RULE CRITERIA – LPTA – COMMUNITY TREATMENT SERVICES 2020

1. Operational Requirement – Cognitive Behavioral Therapy (CBT): The Quoter must demonstrate adherence to the CBT model of treatment or other evidence-based programming compatible with CBT. [SOW 2.2]

a. Submit the cognitive behavioral methods or techniques that will be used with Bureau inmates in the delivery of Community Treatment Services (CTS).

2. Operational Requirement – Crisis Interventions: The Quoter must provide emergency crisis interventions, if necessary. When applicable, the Quoter must have the ability to complete a Crisis Intervention Assessment contract line item number (CLIN) 6000, within 24 hours of the request made by CTS staff. [SOW 4.3.9]

a. Submit a plan to provide an emergency crisis intervention, if the need arises during a clinical session. Include specific local information to include emergency psychiatric care facility, local hospital with crisis unit, or other emergency crisis intervention resources.

b. If applicable, submit a plan to conduct a crisis intervention session within 24 hours of referral, and submit the assessment to CTS within one business day.

3. Operational Requirement – Inmate Accountability: The Quoter must have a comprehensive accountability program that ensures every Bureau inmate is accounted for while at the facility. [SOW 7.2]

a. Submit a plan for notifying CTS and the Residential Reentry Center (RRC) of any late arrivals or absences from scheduled sessions.

b. Submit a plan to maintain accountability of inmates from arrival until departure from the clinical session.

4. Operational Requirement – Confidentiality: The Quoter must ensure complete confidentiality of all Bureau treatment records and sessions.

a. Submit a plan to ensure the privacy and confidentiality of individual and group sessions. [SOW 7.1.1]

b. Submit the agency’s policies and procedures to comply with all applicable provisions of HIPAA. [SOW 7.6]

c. Telehealth: Identify the communication system and software application that will be used. Submit evidence of the proposed system’s ability to meet the Bureau’s electronic security requirements: HIPAA-compliant, FIPS 140-2 certified, 256- bit encryption, and housed in Continental US. [SOW 3.9.1.1]

d. Telehealth: Submit a plan that specifically addresses the telehealth policies and regulations for the state where services will be rendered. [SOW 3.9.1.2]

5. Staffing Requirement: The Quoter must have key personnel to meet the solicitation requirements. The Quoter must ensure all personnel providing clinical services to Bureau inmates meet the experiential, educational, and appropriate licensure/certification as required by the state authority where the services will be rendered.

a. Submit the Technical Personnel document that identifies the position and responsibility of all personnel proposed to meet or exceed the minimum staffing requirements of key personnel in table 7a below. All key personnel must be identified on this document. [SOW 5.2]

b. Submit resumes for personnel providing direct clinical services to Bureau inmates. [SOW 5.3]

c. Submit copies of current and valid professional licenses for clinical staff. Clinical licenses submitted must be listed in table 7c below and must correspond to the respective clinical duties performed. [SOW 5.4]

· If unable to produce an original license, provide a license verification sheet with a copy of a government-issued photo identification card for the staff member.

· If submitting a non-medical license that is not listed on the table below, complete the Mental Health/Behavioral Health Professionals Scope of Practice Summary. Any licenses other than those listed below will be reviewed on a case-by-case basis.

d. Psychiatric (if applicable): Submit a Drug Enforcement Agency Controlled Substance Registration Certificate for a qualified practitioner with prescriptive authority who meets the standards of practice established by the state’s professional regulatory board to provide psychiatric evaluations and medication monitoring. [SOW 5.4.5]

5a. Minimum Staffing Requirements of Key Personnel

Identify the following on the Technical Personnel Document:

Authorized Negotiator

Key Personnel for Substance Use Disorder Services

Key Personnel for Mental Health Services

Key Personnel for Psychiatric Services

5c. Clinical Licensing Requirements for Counselors

All clinicians must be licensed or certified in the state of Alaska and must be able to practice independently, without supervision, in the state of Alaska.

Licensed Clinical Professional Counselor Licensed Clinical Social Worker Licensed Psychologist Chemical Dependency Counselor I and II

Licensed Marriage and Family Therapist

FEDERAL BUREAU OF PRISONS

COMMUNITY TREATMENT SERVICES

TECHNICAL QUOTATION INFORMATION

Name of Company: Click or tap here to enter text.

Authorized Negotiator: Click or tap here to enter text.

Solicitation Number: Click or tap here to enter text.

Directions: Provide a detailed and concise written response to all of the areas below and submit all supplementary documentation as a completed technical quotation packet. Please limit your responses to what is requested in this document.

1. Operational Requirement – Cognitive Behavioral Therapy (CBT): The Quoter must demonstrate adherence to the CBT model of treatment or other evidence-based programming compatible with CBT. [SOW 2.2]

a. Submit the cognitive behavioral methods or techniques that will be used with Bureau inmates in the delivery of Community Treatment Services (CTS).

RESPONSE: Click or tap here to enter text.

2. Operational Requirement – Crisis Interventions: The Quoter must provide emergency crisis interventions, if necessary. When applicable, the Quoter must have the ability to complete a Crisis Intervention Assessment, contract line item number (CLIN) 6000, within 24 hours of the request made by CTS staff. [SOW 4.3.9]

a. Submit a plan to provide an emergency crisis intervention, if the need arises during a clinical session. Include specific local information to include emergency psychiatric care facility, local hospital with crisis unit, or other emergency crisis intervention resources.

RESPONSE: Click or tap here to enter text.

b. If applicable, submit a plan to conduct a crisis intervention session within 24 hours of referral, and submit the assessment within one business day.

3. Operational Requirement – Inmate Accountability: The Quoter must have a comprehensive accountability program that ensures every Bureau inmate is accounted for during a clinical session. [SOW 7.2]

a. Submit a plan for notifying CTS and the Residential Reentry Center (RRC) of any late arrivals or absences from scheduled sessions.

RESPONSE: Click or tap here to enter text.

b. Submit a plan to maintain accountability of inmates from arrival until departure from the clinical session.

4. Operational Requirement – Confidentiality: The Quoter must ensure complete confidentiality of all Bureau treatment records and sessions.

a. Submit a plan to ensure the privacy and confidentiality of individual and group sessions. [SOW 7.1.1]

RESPONSE: Click or tap here to enter text.

b. Submit the agency’s policies and procedures to comply with all applicable provisions of HIPAA.

[SOW 7.6]

RESPONSE: Click or tap here to enter text.

c. Telehealth: Identify the communication system and software application that will be used. Submit evidence of the proposed system’s ability to meet the Bureau’s electronic security requirements: HIPAA-compliant, FIPS 140-2 certified, 256- bit encryption, and housed in Continental US. [SOW 3.9.1.1] RESPONSE: System specifications addressing security requirements attached ☐

d. Telehealth: Submit a plan that specifically addresses the telehealth policies and regulations for the state where services will be rendered. [SOW 3.9.1.2]

5. Staffing Requirement: The Quoter must have key personnel to meet the solicitation requirements. The Quoter must ensure all personnel providing clinical services to Bureau inmates meet the experiential, educational, and appropriate licensure/certification as required by the state authority where the services will be rendered.

a. Submit the Technical Personnel document that identifies the position and responsibility of all personnel proposed to meet or exceed the minimum staffing requirements of key personnel identified in the Decisional Rule Criteria (2.1 of SF 1449). All key personnel must be identified on this document. [SOW 5.2]

RESPONSE: Technical Personnel document is completed and attached ☐

b. Submit resumes for personnel providing direct clinical services to Bureau inmates. [SOW 5.3]

RESPONSE: Resumes for clinical staff listed on 5a attached ☐

c. Submit copies of current and valid professional licenses for clinical staff. Clinical licenses submitted must be listed in the Decisional Rule Criteria (2.1 of SF 1449) and correspond to the respective clinical duties performed. [SOW 5.4]

· If unable to produce an original license, provide a license verification sheet with a copy of a government-issued photo identification card for the staff member.

· If submitting a non-medical license that is not listed on the table below, complete the Mental Health/Behavioral Health Professionals Scope of Practice Summary. Any licenses other than those listed below will be reviewed on a case-by-case basis.

RESPONSE: Professional licenses for clinical staff listed on 5a attached ☐

d. Psychiatric (if applicable): Submit a Drug Enforcement Agency Controlled Substance Registration Certificate for a qualified practitioner with prescriptive authority who meets the standards of practice established by the state’s professional regulatory board to provide psychiatric evaluations and medication monitoring. [SOW 5.4.5] RESPONSE: DEA certificate for psychiatric staff listed on 5a attached ☐

Technical Personnel List – Table 5A

Last Name, First Name

and Numb. or Admin Position Title

Technical Personnel List – Table 5A Key Personnel: AN (authorized negotiator), SU (substance use tx), MH (mental health tx), PY (psychiatric tx), SO (sex offender tx)

Professionals Scope of Practice Summary – Table 5C

Click or tap here to enter text.

Choose an item.

Professionals Scope of Practice Summary – Table 5C

Professionals Scope of Practice Summary ***EXAMPLE***

www.bbht.state.sw.us/Home/tabid/10 The scope of practice of a licensed professional clinical counselor includes, but is not limited to:

1. implementation of professional counseling treatment interventions including evaluation, treatment planning, assessment, and referral;

2. direct counseling services to individuals, groups, and families;

3. counseling strategies that effectively respond to multicultural populations;

4. knowledge of relevant laws and ethics impacting practice;

5. crisis intervention;

6. consultation; and

7. program evaluation and applied research.

(S.W. 148B.50) Practice Independently

(S.W. 148D.050) Practice Independently

1. assessment

2. case management ‘

3. client-centered advocacy

4. client education and counseling

5. crisis intervention

6. referral

(S.W. 148D.050) Requires Supervision