5442 BHWI Round 2 Clinical Supervision Expansion Program RFGP Final~3.pdf

STATE OF OREGON

COVER PAGE

Oregon Health Authority (OHA) Is issuing this Request for Grant Proposals (RFGP)

OHA Number 5442 under OregonBuys Bid Number S-44300-00004435 for

Behavioral Health Workforce Initiative (BHWI) Clinical Supervision Expansion Round 2

Date of Issue: October 4, 2022 Deadline/Closing Date: November 4, 2022, at 3:00pm (PST)

Single Point of Contact (SPC):

Danielle Pompe, Contracts Specialist Oregon Health Authority Office of Contracts and Procurement Phone: 971-374-3474 Email: Danielle.A.Pompe@dhsoha.state.or.us

The State of Oregon promotes equal opportunity for all individuals without regard to age, color, disability, marital status, national origin, race, religion or creed, sex or gender, sexual orientation, or veteran status mailto:Danielle.A.Pompe@dhsoha.state.or.us

Table of Contents

1. Background

2. Purpose

3. Proposal Requirements and Parameters

4. Notice of Non-discrimination

5. Proposal Guidelines

6. Submission Process and Details

7. Proposal Review Process

8. Evaluation Criteria and Scoring

9. Recipient Requirements

10. Payments and Funding

11. Form Grant Agreement Sample

LIST OF ATTACHMENTS

ATTACHMENT A PROPOSER INFORMATION SHEET

ATTACHMENT B BUDGET TABLE

ATTACHMENT C OUTCOMES AND PROJECT TIMELINE

ATTACHMENT D SCORING RUBRIC

ATTACHMENT E SAMPLE GRANT AGREEMENT

ATTACHMENT F SCHEDULE

In compliance with the Americans with Disabilities Act, this document is available in alternate formats such as Braille, large print, audio recordings, Web-based communications, and other electronic formats. To request an alternate format, please send an e-mail to dhs-oha.publicationrequest@state.or.us or call 503-378-3486 (voice) or 503-378-3523 (TTY) to arrange for the alternative format.

1. Background The Behavioral Health Workforce Initiative (BHWi)1 was created through House Bill 2949, passed by the 2021 Legislature. One goal of the legislation is to provide grants that provide supervised clinical experience to associates or other clinicians who have the necessary education but who need supervised clinical experience to obtain a license to practice.

The State of Oregon is committed to all Oregonians having the opportunity for optimal health. In keeping with that commitment, it is important to ensure that the distribution of the behavioral health care workforce appropriately meets the needs of all Oregonians and is reflective of the communities being served, and that behavioral health professionals are working in a supportive, culturally, and linguistically responsive, and dynamic environment.

To help advance this goal, the Legislature has approved $20 million for the BHWi over the 2021- 23 biennium to expand clinical supervision in the behavioral health system through a Clinical Supervision Program that increases or enhances support of tribal members, communities of color, rural communities, linguistically diverse, and individuals who identify as Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex, Asexual and Two-Spirit (LGBTQIA2S+).

This solicitation intends to provide financial awards to expand clinical supervision for behavioral health providers working toward licensure. The distribution of this funding provides up to $8.6 million for private profit and not-for-profit behavioral health providers.

OHA, on behalf of the State of Oregon, encourages county mental health programs and private behavioral health providers to apply for the amount appropriate for the needs at their practice site(s). No single award will be made in excess of:

a. $300,000 to large employers with 50 or more clinicians.

b. $200,000 to other behavioral health organizations.

c. $150,000 to any single clinical supervisor.

2. Purpose The intent and purpose of the BHWi and its Clinical Supervision Program is to help establish an equitable behavioral health system and break down the systemic barriers that reduce access and exacerbate inequities in people of color, tribal members, and other communities harmed by historical and contemporary injustices.

The Clinical Supervision Program will provide grants to licensed psychologists, licensed marriage and family therapists, licensed professional counselors, and licensed clinical social workers to provide supervised clinical experience to associates. In addition, Substance Use Disorder Treatment Staff (as that term is defined in OAR 309-080-0105) who are certified supervisors also qualify to receive funding awarded through this RFGP.

3. Proposal Requirements and Parameters.

1 HB 2949 Section 1 created the Behavioral Health Incentive Subaccount in the Health Care Provider Incentive Fund established in ORS 676.450. This RFGP is to award grants under 2949 Section 4 and Section 5.

mailto:dhs-oha.publicationrequest@state.or.us

a. Definitions.

(1) Culturally and Linguistically Responsive Services means the provision of effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs.

(2) Culturally and Linguistically Specific Services means provision of Culturally and Linguistically Responsive Services designed for a specific population by a provider who shares the culture, language, or identity with the individual seeking services.

(3) Health Equity means Oregon will have established a health system where all people can reach their full health potential and well-being and are not disadvantaged by their race, ethnicity, language, disability, age, gender, gender identity, sexual orientation, social class, intersections among these communities or identities, or other socially determined circumstances. Achieving health equity requires the ongoing collaboration of all regions and sectors of the state, including tribal governments to address:

• The equitable distribution or redistribution of resources and power; and

• Recognizing, reconciling, and rectifying historical and contemporary injustices.

(In 2019, the Oregon Health Policy Board and OHA adopted this definition of health equity).

(4) Key Project Personnel means the person or persons on proposer’s staff to be assigned to perform the work under the resultant grant. For Key Project Personnel (or persons) not identified prior to proposers’ submission, a position description must be submitted.

(5) Measurable Outcome means an observable end-result that describes how a particular intervention benefits program participant. It demonstrates the impact of the intervention.

A Measurable Outcome is not a measurable output, such as the number of individuals served or the number of training sessions held.

(6) Project Goal means a broad statement of what proposer wishes to accomplish with the grant funding and should be linked to the problem statement found in Attachment A of the RFGP.

(7) Project Objective means the information on what the project will do to accomplish the project goal. It is stated in action terms, defines the population to be served, is measurable, and includes a timeline.

b. Core Values.

The following is the lens through which proposals will be viewed. Does the proposed program:

(1) Increase the behavioral health system’s capacity to provide Culturally and

Linguistically Specific Services care that is deeply embedded in equity centered Culturally and Linguistically Responsive Services, de-stigmatization of services, promotion of restorative healing, and community empowerment?

(2) Develop and invest in culturally and linguistically specific workforce and increase access to Culturally and Linguistically Responsive Services and interventions rooted in culturally based practices?

(3) Include thoughtful and deliberate engagement of communities in shared decision-making to build structures/processes/resources/supports for increasing recruitment and retention of a Culturally and Linguistically Specific Services behavioral health workforce?

c. Eligibility Criteria.

(1) A qualifying practice site is a behavioral health care site that is:

(a) A private non-profit behavioral health site,

(b) A private for-profit behavioral health site,

(c) Tribal Behavioral Health Program, or a

(d) Urban Indian Health Program,

(2) Proposers awarded Behavioral Health Workforce Initiative (BHWI) Clinical Supervision Expansion Round 1 agreement are not eligible to be awarded for this RFGP Round 2.

d. Proposal Criteria.

Only one proposal per organization may be submitted. Proposals:

(1) Focused on increasing the diversity of the behavioral health workforce are strongly encouraged and will be prioritized.

(2) Are to be centered on advancing equity, expanding Culturally and Linguistically

Responsive care, expanding linguistically appropriate services, and serving historically underserved communities—including tribal members, communities of color, LGBTQIAS2S+, veterans, persons with disabilities, individuals with intellectual and developmental disabilities, individuals with limited English proficiency, individuals in correctional facilities, and other underserved communities.

(3) That leverage existing community resources, partnerships, and demonstrate a financial investment beyond the funds sought in the proposal will receive increased priority for funding.

(4) Must include a detailed plan to evaluate outcomes.

(5) Must be for approved supervisor, or supervisor candidates.

e. Funding Guidelines.

The following provides an outline of how funding may be requested and used for this RFGP. Funding may be:

(2) Requested for a project period of up to 2 years from proposal award date.

(3) Requested for up to:

(a) $300,000 for large employers with 50 or more clinicians.

(b) $200,000 for other behavioral health organizations.

(c) $150,000 for any single clinical supervisor.

(4) Used to compensate new supervisors who are bicultural, bilingual, or who otherwise provide Culturally and Linguistically Specific Services.

(5) Used to offer increased compensation for existing supervisors who are bicultural, bilingual, or who otherwise provide Culturally and Linguistically Specific Services so long as the application clearly demonstrates that the increased compensation is in response to an increase in supervision activities. .

(6) Used to offer trainings required for clinical staff to become clinical supervisors, trainings to build clinical competencies of supervisors and supervisees, or trainings required to maintain clinical supervisor qualifications.

The following provides an outline of how funding may not be used for this RFGP. Funding may not be:

(1) Used for ongoing maintenance of effort of existing activities.

(2) Used to compensate or increase wages of existing staff that will not directly contribute to an increase in clinical supervision activities.

(3) Used for hiring, compensating, or funding non-licensed behavioral health workers, associates, non-certified behavioral health workers, pre-certified clinicians, or certified/licensed clinicians not on track to become a supervisor.

(4) Used for scholarships, loan repayment, office space, or any other initiative not directly related to clinical supervision.

4. Notice of Non-discrimination.

Grant recipient must represent that it does not and will not discriminate against anyone on the basis of age, ancestry, disability, race, color, citizenship, national origin, creed, political or religious affiliation, sex (including pregnancy-related conditions), familial or marital status, sexual orientation, gender identity or expression, marital status, military status, unfavorable discharge from the military, status as a protected veteran, or other groups protected by law.

5. Proposal Guidelines.

a. Schedule.

The table shown in Attachment F-Schedule represents a tentative schedule of events for this RFGP.

All times are listed in Pacific Time. All dates listed are subject to change.

b. Submission Deadline.

OHA must receive proposals by the date and time specified on the cover page of the RFGP. Proposals received after the closing date and time will not be considered.

c. RFGP Single Point of Contact (SPC).

All communications concerning this RFGP must be directed only to the SPC named on the cover page of this RFGP. Any unauthorized contact regarding this RFGP with other state employees or officials may result in proposal rejection. Any oral communications will be considered unofficial and non-binding.

d. Change, Modification, and Clarifications When appropriate, the SCP will issue revisions, substitutions, or clarifications as addenda to this RFGP and post an addendum document on OregonBuys. Changes and modifications to the RFGP will only be recognized if in the form of written addenda issued by SPC.

e. RFGP Questions/Requests for Clarifications.

All inquiries, whether relating to the RFGP process, administration, deadline, or method of award, or to the intent or technical aspects of the RFGP must:

• Be delivered to the SPC via email as provided on the cover page;

• Reference OHA RFGP Number 5442/OregonBuys bid number S-44300-00004435;

• Identify proposer’s name and contact information;

• Refer to the specific area of the RFGP being questioned (i.e. page, section and paragraph num-ber); and

• Be received by the due date and time for Questions/Requests for Clarification identified in the Timeline in Section 5. a. above.

The SPC will compile Questions/Requests for Clarification and post a response document on OregonBuys (https://OregonBuys.gov) by the date indicated in the Timeline.

OHA is not obligated to provide additional answers after the end of the date identified in the Timeline. All updates to the RFGP will be posted on OregonBuys. Potential proposers are encouraged to check OregonBuys often for the latest addendum(s), question/requests for clarification responses, and recorded webinar(s) or any other communications.

6. Submission Process and Details Proposal submission must be done electronically through OregonBuys (https://OregonBuys.gov).

Detailed instructions on how to submit a proposal can be found at OregonBuys Vendor Formal Solicitation Response.pdf.

Should you need further assistance, you can contact the OregonBuys helpdesk at support.oregonbuys@das.oregon.gov or by phone at 1-855-800-5046.

The deadline date and time for proposal submission is found on the cover page of this RFGP.

Proposals received after the submission deadline date and time are late and will not be considered.

a. Content and Form of Proposal.

The following forms (Attachments A-C) have been provided and must be used for proposal submission. (Please adhere to the word number limits, if applicable, noted in the Attachments).

(1) Proposer Information Sheet (Attachment A): This form includes

(a) Part I: Proposer Information

(b) Part II: Problem Statement

(c) Part III: Program Narrative, Key Personnel, Evaluation, and Sustainability.

(d) Part IV: Budget Narrative.

(2) Budget Table (Attachment B):

(a) Ensure that the completed Budget Table (Attachment B) and Budget

Narrative items (located in Attachment A-Proposer Information Sheet, Part IV-Budget Narrative) are aligned.

https://oregonbuys.gov/ https://oregonbuys.gov/ https://www.oregon.gov/das/ORBuys/Documents/OregonBuys%20Vendor%20Formal%20Solicitation%20Response.pdf https://www.oregon.gov/das/ORBuys/Documents/OregonBuys%20Vendor%20Formal%20Solicitation%20Response.pdf mailto:support.oregonbuys@das.oregon.gov

(b) Use the Budget Table Definitions in Section 6.a.(2)(c) below for the object class descriptions and justification and ensure narrative items (Attachment A-Proposer Information Sheet, Part IV-Budget Narrative) are aligned.

(c) Budget Table Definitions:

• “Object class category” budget: Use the provided Budget Table and list with definitions (provided below) for items through the life of the proposed program.

• Personnel Description: Cost of staff salaries and wages, excluding benefits.

• Personnel Justification: Identify the program director or principal investigator, if known at the time of proposal. Provide personnel costs detailing for each proposed staff person: the title; full name (if known at time of proposal), time commitment to the program as a percentage or full-time equivalent; annual salary and annual wage rate. (Do not include the costs of consultants, personnel costs of delegate agencies, or of specific program(s) and businesses to be financed by the proposer. Contractors and consultants should not be placed under this category).

• Fringe Benefits Description: Costs of employee fringe benefits unless treated as part of an approved indirect cost rate.

• Fringe Benefits Justification: Provide a breakdown of the amounts and percentages that comprise fringe benefit costs such as health insurance, Federal Insurance Contributions Act (FICA) taxes, retirement, insurance, and taxes.

• Travel Description: Costs of travel by staff of the proposer organization.

• Travel Justification: For each trip, show the date of the proposed travel, total number of traveler(s); travel destination; duration of trip; per diem; mileage allowances, if privately owned vehicles will be used; and other transportation costs and subsistence allowances.

• Equipment Description: "Equipment" means an article of nonexpendable, tangible personal property having a useful life of more than one year per unit and an acquisition cost that equals or exceeds the lesser of: (a) the capitalization level established by the organization for the financial statement purposes, or (b) $5,000.

(Note: Acquisition cost means the net invoice unit price of an item of equipment, including the cost of any modifications, attachments, accessories, or auxiliary apparatus necessary to make it usable for the purpose for which it is acquired. Ancillary charges, such as taxes, duty, protective in-transit insurance, freight, and installation, shall be included in or excluded from acquisition cost in accordance with your organization's regular written accounting practices.)

• Equipment Justification: For each type of equipment requested, proposers must provide a description of the equipment; the cost per unit; the number of units; the total cost; and a plan for use of the equipment in the program; as well as a plan for the use, and/or disposal of, the equipment after the program ends. A proposer that uses a created definition for equipment should provide a copy of the relevant policy, or section of policy, that includes the equipment definition as an Appendix. Reference the policy in this justification.

• Supplies Description: Costs of all tangible personal property other than those included under the Equipment category. This includes office and other consumable supplies with a per-unit cost of less than $5,000.

• Supplies Justification: Specify general categories of supplies and their costs. Show computations and provide other information that supports the amount requested.

• Contractual Description: Include costs of all contracts or subawards for services and goods except for those that belong under other categories such as equipment, supplies, construction, etc.

Include third-party evaluation contracts, if applicable, and contracts or subawards with subrecipient organizations (with budget detail), including delegate agencies and specific program(s) and/or businesses to be financed by the proposer. This line item is not for individual consultants.

• Contractual Justification: Demonstrate that all procurement transactions will be conducted in a manner to provide, to the maximum extent practical, open, and free competition. Recipients may be required to make pre-award review and procurement documents, such as requests for proposals or invitations for bids, independent cost estimates, etc., available upon request.

• Other Description: Enter the total of all other costs. Such costs, where applicable and appropriate, may include but are not limited to consultants; insurance; professional services (including audit charges); space and equipment rent; printing and publication;

training, such as tuition and stipends; staff development costs; and any other costs not addressed elsewhere in the budget. Food is not generally allowed unless an allowable program expense within the applying organization.

• Other Justification: Provide computations, a narrative description, and a justification for each cost under this category.

(3) Outcomes and Project Timeline (Attachment C).

(a) Clearly identify the Goals, Project Objectives and Measurable Outcome(s) that will result from the proposed program.

(b) Ensure you have answered all the questions in the provided form (Attachment C).

b. Formatting and Naming of Proposal

(1) The documents described in Section 6.a above are required and must be uploaded to https://OregonBuys.gov/ as one single pdf. The pdf should be named as follows:

OHA5442_Organization Name_BHWiRound2_CombinedProposal

(2) Proposals should use a 12-point font, double spaced, with 1” margins.

(3) Proposers must follow the proposal Guidelines in Section 5 of this RFGP.

(4) Any proposal exceeding the maximum word limits listed will not be reviewed and the entire proposal will be returned to the proposer.

(5) If upon administrative review, a proposal is determined to not meet RFGP requirements the entire proposal may be returned to the proposer.

(6) While there is no required format for citing references, we suggest AMA Style, with a reference list at the end of the proposal included as an Appendix.

(7) Proposers are encouraged to attend the webinars scheduled in Attachment F- Schedule. Webinars will provide guidance and information so that proposers will need to submit proposals for this RFGP.

7. Proposal Review Process.

a. Proposal Evaluations.

Upon the RFGP closing, SPC will perform an initial administrative review of proposals received by the Submission Deadline for completeness. Those that are determined to be complete will move forward to the Grant Review Committee (GRC) for further review.

The GRC will review their assigned proposals independently and will excuse themselves from the review process if there is a conflict of interest (all reviewers will sign a Conflict-of-Interest Form).

Reviewers will document their review of each proposal using Attachment D-Scoring Rubric. Upon conclusion of individual reviews, the GRC will come together to discuss proposals and finalize the justifications and recommendations for grant awards.

b. Final Proposal Selection.

Selection of the proposals to receive grant awards under this RFGP will be made by OHA based on the scores and justifications provided by the GRC in Attachment D-Scoring Rubric. Priority will be granted to proposals based on Culturally and Linguistically Specific and Responsive Services, underserved communities, and projects which advance health equity, trauma informed, and advance anti-racism in the behavioral health workforce. Once final proposals are selected, all proposers will be informed of award results in accordance with the RFGP timeline.

Upon notification of award results, proposers not selected to receive a grant award may email the SPC to arrange a debrief meeting to go over the Attachment D-Scoring Rubric https://oregonbuys.gov/ used as justification. Proposer may request additional technical assistance and guidance on future proposals, if available.

c. Proposal Rejection.

OHA may reject a proposal if the proposer attempts to influence a member of the GRC or for non-compliance with any provision of this RFGP. Incomplete proposals will not be considered.

d. Negotiable Items.

OHA may negotiate the following items with a successful proposer:

(1) The amount of the grant award and payment provisions subject to a maximum grant limit as stated in this RFGP.

(2) The description of program activities provided; and

(3) The approved budget line items of the grant award.

e. Reservation of OHA Rights OHA reserves all rights regarding this RFGP, including, without limitation, the right to:

(1) Amend or cancel this RFGP without liability if it is in the best interest of OHA to do so;

(2) Waive any minor informality or non-conformance with the provisions or procedures of this RFGP;

(3) Seek clarification of any proposal;

(4) Negotiate the program activities described in this RFGP;

(5) Amend or extend the term of any Agreement issued as a result of this RFGP;

(6) Engage proposer(s) by selection or procurement for different or additional program activities independent of this RFGP process and any agreements entered into pursuant hereto;

(7) Enter direct negotiations to execute grant agreement with a successful proposer, if the proposer is the sole proposer to this RFGP, and OHA determines the proposer satisfies the minimum RFGP requirements; and

(8) Reject any proposal upon finding that to accept the proposal may impair the integrity of the solicitation process or that rejecting the proposal is in the best interest of OHA.

f. Selection Notice Apparent successful proposer(s) will be notified in writing by OHA’s SPC.

g. Release of Information No information will be given to any proposer (or any other individual) relative to its standing in relation to other proposers during this RFGP process.

h. Public Information After recipients are notified, the grant solicitation file is subject to public disclosure in accordance with the Oregon Public Records Law (ORS 192.311-192.478). If any part of a proposal is considered a trade secret as defined in Oregon Revised Statues 192.502(2) or otherwise exempt from disclosure under Oregon Public Records Law, the proposer shall submit one additional copy of their proposal that redacts only the exempt language. Any person may request copies of public information. However, copies of proposals will not be provided until the evaluation process has been completed and the recipients have been notified. Requests for copies of public information shall be in writing. Requestors will be charged according to the current OHA policies and rates for public records requests in effect at the time OHA receives the written request for public information. Fees, if applicable, must be received by OHA before the records are delivered to the requestor.

Information on how to request public information may be found here:

https://www.oregon.gov/oha/ERD/Pages/Records.aspx

i. Cost of Proposals and Obligation All costs incurred in preparing and submitting a proposal in response to this RFGP will be the responsibility of the proposer and will not be reimbursed by OHA. All proposers who submit a proposal in response to this RFGP understand and agree that OHA is not obligated to select any proposer and, further has no financial obligation to any proposer arising from this RFGP.

8. Evaluation Criteria and Scoring Proposals found to be complete and submitted by the Submission Deadline will be reviewed by the GRC. The GRC will be comprised of OHA staff or designees who will review and score each proposal based on the Scoring Rubric in Attachment D.

9. Recipient Requirements.

Recipient(s) who are awarded a grant agreement will be required to:

a. Provide a certificate of Insurance along with their signed grant agreement, showing proof that they meet the following minimum Insurance Requirements:

• $1,000,000 per occurrence and $2,000,000 in aggregate in Commercial General Liability Insurance.

• $1,000,000 per occurrence and $2,000,000 in the aggregate in Professional Liability Insurance.

• Other insurance as required depending upon the nature of the project (i.e., auto insurance, etc.).

https://www.oregon.gov/oha/ERD/Pages/Records.aspx

b. Recipient Required Documents after Notice to Award:

• Risk Self-Assessment Form. A two-page template will be provided.

• Federal Funding Accountability and Transparency Act (FFATA) form with a Unique En-tity Identity Number (UEI). A FFATA form will be provided. A UEI number can be ob-tained from registering at SAM.GOV.

c. Submit a Project Performance Plan within 45 days of the grant agreement execution. A sample template can be found in Attachment E-Sample grant agreement. A final form will be provided by the Agreement Administrator at the time of the grant agreement execution.

d. Submit quarterly Detailed Expenditure Report and Project Status Update. A sample template can be found in Attachment E-Sample grant agreement. A final form will be provided by the Agreement Administrator at the time of the grant agreement execution.

• The Detailed expenditure report is expected to include financial summaries of grant expenditures.

• The Project Status Update report will include program progress, barriers and risks to work described in the proposal, and an explanation of mitigation steps taken if goals were not or will not be met.

e. Submit an Annual Project Report by July 5th annually during the project period. A final form will be provided by the Agreement Administrator at the time of the grant agreement execution.

f. Submit a Final Project Status Report at the end of the grant agreement period summarizing the work achieved throughout the grant period and the outcomes in relation to those described in the proposal. The Final Progress Report will describe how program will be maintained following the end of the award.

g. Submit a Final Detailed Expenditure report to close out the project. OHA reserves the right to perform a site visit.

10. Payments and Funding.

Upon execution of an awarded grant agreement and receipt of Recipient’s Project Performance Plan described in Section 9.b above, an initial disbursement will be made to Recipient.

Subsequent payments will be distributed, quarterly and in accordance with the amounts submitted in Attachment B-Budget Table-upon receipt and approval of Recipient’s invoice and required reports as described above and will be further detailed in awarded grant agreements. Requirements outlined above may be subject to change.

11. Form Grant Agreement Sample.

The final grant agreement(s) for awardees of this RFGP will be substantially in the form of Attachment E-Sample Grant Agreement.

https://sam.gov/