5. Technical Quotation Information Packet.docx
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Federal Bureau of Prisons Community Treatment Services Contract
IMPORTANT INFORMATION TO KNOW:
Technical Quotation Information 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 Information must reference only the quote submitted.
All information must be answered on the Technical Quotation Information 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.
Please ensure that attachments are sequential, labeled correctly, and correspond to the appropriate question on the Technical Quotation Information.
The Decision Rule Criteria (DRC) is located on second page of this document and also located on the solicitation posted on 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.
Quoters who fail to furnish any of the below submission requirements shall be excluded from consideration.
The Authorized Negotiator must be identified on the prime contractor’s form, and sign all of the Technical Personnel form(s) submitted.
Community Treatment Services Decisional Rule Criteria Lowest Price Technically Acceptable:
Each quotation will be initially reviewed to determine that all document submission requirements listed under Addendum to FAR 52.212-1, Instructions to Offerors-Commercial Items, are met. By using the documentation submitted with each quotation, an initial review will also be conducted to determine whether or not it meets the minimum requirements contained in the Decisional Rule Criteria below. Any quotation not meeting this criteria shall not receive any further consideration for award.
Quotes must clearly demonstrate at the time of submission, unless otherwise stated, the capability to meet the Decisional Rule Criteria below. Quotes will be rated "Acceptable" or "Unacceptable" based on the Decisional Rule Criteria. Quoters receiving an "Unacceptable" rating will be advised of their elimination from the procurement. Quoters receiving an "Acceptable" rating shall be considered for award.
DECISION RULE CRITERIA – LPTA-COMMUNITY TREATMENT SERVICES 2020
| 1. | Facility Requirement – Proposed Location(s): The Quoter must provide treatment at the performance site specified in the contract, unless authorized by the Bureau, and ensure the counseling space is private. [SOW 7.1 & 7.1.1] |
| a. | Submit a statement that all Substance Use Disorder and Mental Health Services, including those rendered by subcontractors, are capable of being performed at the following location: All services must be conducted at Greenbriar Medical Group, Inc, 4374 Denmar Road, Hillsboro, WV 24946. |
| b. | Provide the methods and means that will be used to ensure individual and group rooms will be private and confidential during treatment sessions. [SOW 7.1.1] |
| 2. | Facility Requirement – Facility License (If Applicable): The facility must be appropriately licensed and/or certified to provide all required services on, or by, the contract effective date by the state authority where services will be rendered. [SOW 7.4] |
| a. | Submit the required state facility license and/or certification to provide all treatment services at the solicitation’s restriction listed in the Decisional Rule Criteria (2.1 of SF 1449). |
| • | If in the process of obtaining a valid license, submit the completed application, provisional license, official email correspondence, and/or other official documentation as proof. Documentation must show that the Quoter may begin services on, or by, the contract effective date. |
| 3. | 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. [SOW 5.1] |
| 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 3a below. All key personnel must be identified on this document. [SOW 5.2] |
| b. | Submit copies of current and valid professional licenses for clinical staff. Clinical licenses submitted must be listed in table 3b 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. |
| c. | Psychiatric/Medication Monitoring: 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] |
| 4. | 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 two cognitive behavioral methods or techniques that will be used with Bureau inmates in the delivery of Community Treatment Services (CTS). Limit response to listing the methods or techniques that will be used; do not provide explanations or descriptions of the methods or techniques, unless not a widely known form of treatment. [SOW 2.2.1] |
| 5. | Operational Requirement – Crisis Interventions: The Quoter must provide emergency crisis intervention assessments, when necessary. The Quoter must have the ability to complete a Crisis Intervention Evaluation and Report, contract line item number (CLIN) 6000, within 24 hours of the request made by CTS staff. [SOW 4.3.9] |
| a. | Identify on the Technical Personnel document key personnel able to conduct a comprehensive diagnostic interview and submit a written report within 24 hours of referral for emergency crisis interventions. |
3a. 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 Crisis Intervention Services
Key Personnel for Psychiatric Services
3b. Professional Licensing Requirements for Clinical Staff
All clinicians must be licensed or certified in the state of West Virginia and must be able to practice independently, without supervision, in the state of West Virginia.
| Mental Health/Substance Use |
| Substance Use |
Licensed Social Worker Licensed Graduate Social Worker Licensed Certified Social Worker Licensed Independent Clinical Social Worker Licensed Professional Counselor Advanced Alcohol and Drug Counselor
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 detailed and concise written responses to all of the areas below and submit all supplementary documentation as a complete technical quotation packet. Please limit your responses to what is requested in this document.
1. Facility Requirement – Proposed Location(s): The Quoter must provide treatment at the performance site specified in the contract, unless authorized by the Bureau, and ensure the counseling space is private. [SOW 7.1 & 7.1.1]
a. Submit a statement that all required services, including those rendered by subcontractors, are capable of being performed at the solicitation’s restriction listed in the Decisional Rule Criteria (2.1 of SF 1449).
RESPONSE: Click or tap here to enter text.
b. Provide the methods and means that will be used to ensure individual and group rooms will be private and confidential during treatment sessions. [SOW 7.1.1]
RESPONSE: Click or tap here to enter text.
2. Facility Requirement – Facility License (If Applicable): The facility must be appropriately licensed and/or certified to provide all required services on, or by, the contract effective date by the state authority where services will be rendered. [SOW 7.4]
a. Submit the required state facility license and/or certification to provide all treatment services at the solicitation’s restriction listed in the Decisional Rule Criteria (2.1 of SF 1449).
· If in the process of obtaining a valid license, submit the completed application, provisional license, official email correspondence, and/or other official documentation as proof. Documentation must show that the Quoter may begin services on, or by, the contract effective date.
RESPONSE: Attach facility documents for all addresses listed in 1a. ☐
3. 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. [SOW 5.1]
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: Attach completed Technical Personnel document. ☐
b. 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: Attach professional licenses for all clinical staff listed as key personnel on 3a. ☐
c. Psychiatric/Medication Monitoring: 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, medication monitoring, and MAT services, as applicable. [SOW 5.4.5]
RESPONSE: Attach DEA certificates for qualified practitioners listed on 3a. ☐
4. 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 two (2) cognitive behavioral methods or techniques that will be used with Bureau inmates in the delivery of Community Treatment Services (CTS). Limit response to listing the methods or techniques that will be used; do not provide explanations or descriptions of the methods or techniques, unless not a widely known form of treatment. [SOW 2.2.1]
RESPONSE 1: Click or tap here to enter text.
RESPONSE 2: Click or tap here to enter text.
5. Operational Requirement – Crisis Interventions: The Quoter must provide emergency crisis intervention assessments, when necessary. The Quoter must have the ability to complete a Crisis Intervention Evaluation and Report, contract line item number (CLIN) 6000, within 24 hours of the request made by CTS staff. [SOW 4.3.9]
a. Identify on the Technical Personnel document key personnel able to conduct a comprehensive diagnostic interview and submit a written report within 24 hours of the referral for emergency crisis interventions.
RESPONSE: Attach completed Technical Personnel document listing key personnel for crisis intervention assessments. ☐
Technical Personnel List – Table 3A Name of Company:
| Click or tap here to enter text. |
| Proposed Performance Site Address: |
| Click or tap here to enter text. |
| Solicitation Number: |
Click or tap here to enter text.
| Last Name, First Name |
| Required Key Personnel |
| Professional License and Numb. or Admin Position Title |
| License Expiration Date |
| Employee or Subcontractor? |
| EVALUATION |
USE ONLY
| AN |
| SU |
| MH |
| CRISIS INTERV |
| P |
S Y
| SO |
| M |
A T
| 1 | ||||||||||
| Click or tap here to enter text. | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | **** | Click or tap to enter a date. | Choose an item. |
| ☐ L ☐ PA |
| 2 | ||||||||||
| Click or tap here to enter text. | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | **** | Click or tap to enter a date. | Choose an item. |
| ☐ L ☐ PA |
| 3 | ||||||||||
| Click or tap here to enter text. | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | **** | Click or tap to enter a date. | Choose an item. |
| ☐ L ☐ PA |
| 4 | ||||||||||
| Click or tap here to enter text. | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | **** | Click or tap to enter a date. | Choose an item. |
| ☐ L ☐ PA |
| 5 | ||||||||||
| Click or tap here to enter text. | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | **** | Click or tap to enter a date. | Choose an item. |
| ☐ L ☐ PA |
| 6 | ||||||||||
| Click or tap here to enter text. | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | **** | Click or tap to enter a date. | Choose an item. |
| ☐ L ☐ PA |
| 7 | ||||||||||
| Click or tap here to enter text. | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | **** | Click or tap to enter a date. | Choose an item. |
| ☐ L ☐ PA |
| 8 | ||||||||||
| Click or tap here to enter text. | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | **** | Click or tap to enter a date. | Choose an item. |
| ☐ L ☐ PA |
| 9 | ||||||||||
| Click or tap here to enter text. | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | **** | Click or tap to enter a date. | Choose an item. |
| ☐ L ☐ PA |
| 10 | ||||||||||
| Click or tap here to enter text. | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | **** | Click or tap to enter a date. | Choose an item. |
| ☐ L ☐ PA |
Professionals Scope of Practice Summary – Table 3B
| State: |
| Click or tap here to enter text. |
| Profession |
| Licensing Board and Website |
| Scope of Practice |
| Scope of |
License
| Click or tap here to enter text. | Click or tap here to enter text. | Click or tap here to enter text. | Choose an item. |
| Click or tap here to enter text. | Click or tap here to enter text. | Click or tap here to enter text. | Choose an item. |
| Click or tap here to enter text. | Click or tap here to enter text. | Click or tap here to enter text. | Choose an item. |
| Click or tap here to enter text. | Click or tap here to enter text. | Click or tap here to enter text. | Choose an item. |
Professionals Scope of Practice Summary ***EXAMPLE***
| State: |
| Somewhere (SW), USA |
| Profession |
| Licensing Board and Website |
| Scope of Practice |
| Scope of |
License
| Licensed Professional Clinical Counselors (LPCC) |
| SW Board of Behavioral Health and Therapy |
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
| Licensed Independent Clinical Social Worker (LICSW) |
| SW Board of Social Work |
www.socialwork.state.sw.us May engage in clinical practice. Clinical practice is the diagnosis and treatment of psychosocial function, disability, or impairment, including addictions and emotional, mental, and behavioral disorders, including plans based on a differential diagnosis. Treatment may include psychotherapy.
(S.W. 148D.050) Practice Independently
| Licensed Social Worker (LSW) |
| SW Board of Social Work |
http://www.socialwork.state.sw.us/ Practices under supervision. May not engage in clinical practice.
Practice includes:
1. assessment
1. case management ‘
1. client-centered advocacy
1. client education and counseling
1. crisis intervention
1. referral
(S.W. 148D.050) Requires Supervision
Technical Quotation Checklist Check each criteria for correct and complete information submitted in technical quotation packet:
| ☐ | Provide completed technical quotation packet. Absence of a completed technical quotation that addresses each Decisional Rule Criteria may result in no further evaluation of Quoter’s submitted response |
| ☐ | Provide statement that all required services will be performed only at site listed in solicitation |
| ☐ | Submit information for ensuring confidentiality and privacy of treatment rooms |
| ☐ | Provide Facility License (if applicable) |
| ☐ | Submit Technical Personnel document listing all key personnel |
| ☐ | Provide clinical licenses for all key personnel |
| ☐ | Provide verification sheets & photo ID’s when unable to provide copy of original clinical license |
| ☐ | Submit DEA registration certificates for all qualified prescribing practitioners |
| ☐ | Identify on Technical Personnel document key personnel to conduct crisis intervention assessments |
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