7-Item EOI Open Enrollment Questionnaire.docx

Item EOI

OPEN ENROLLMENT QUESTIONNAIRE

1. Please state the service(s) from the Open Enrollment list on Page 10 of the EOI Booklet that you are proposing to provide in 2026.

Response:

2. If you’re applying to become part of the CCS network based on your agency’s established expertise and/or mission serving a specialized population (e.g. LGBTQIA+; Latino (bi-lingual); Native American; Deaf and Hard of Hearing), please describe the service(s) from the Quick Reference Service Type List; the population to be served; and your approach to serving them.

Response:

3. Respondents should provide a comprehensive description of current programming.

a. Existing program, including specific programmatic activities for current services provided in the CCS network or elsewhere.

Response:

b. Describe Evidenced-Based Practices you are involved in and how you ensure fidelity.

Response:

4. Provide data on the outcomes of current services you provide for at least the preceding year. Pertinent outcomes may include (but are not limited to) total number of services provided, successful discharges, recidivism rates for substance abuse treatment etc.

Response:

5. Provide data on the outcomes of any client satisfaction surveys that have been conducted over the course of the preceding year.

6. Does the mission/vision of your agency reflect the population that you are looking to serve within the CCS Network?

_____Yes ____ No

Please describe: ___________________________________________________________

7. Provide information on linguistic and cultural capacity to serve diverse populations.

Response:

8. Does the agency have at least three years of experience providing the service(s) you would like to provide within the CCS network?

Please describe: ___________________________________________________________

9. Can you demonstrate that you and/or your staff, have the required licensure, training and certification, if applicable, to perform the services you’ve selected?

Please describe: ___________________________________________________________

10. Does your organization hold additional licensure through the Division of Quality Assurance (DQA) to perform the service(s) selected (if applicable)? i.e. Mental Health Outpatient Clinic (DHS 35); Substance Abuse Treatment (DHS 75).

_____Yes ____ No ____ N/A

Please describe: ___________________________________________________________

11. Discuss your promotion and use of informal and natural supports (e.g. participant-defined family focus, use of informal supports to extend treatment experience and connection with the community, resources for informal supports, etc.).

Response:

12. Comprehensive Community Services (CCS) places a strong value on the use of multidisciplinary teams. Please provide information pertaining to your agency's experience working as part of a multidisciplinary team and describe strategies you've put in place as a vendor to promote high degrees of ongoing collaboration and coordination among team members (both internal and external to the agency).

Response:

13. For agencies employing paraprofessional staff, or staff who have minimal experience working with the behavioral health population, what strategies do you utilize, as an organization, to ensure your staff are adequately equipped with the skills and oversight necessary to competently serve our target population?

Response:

14. CCS services are intended to be provided face to face, within Milwaukee County, throughout the term of the contract. Is this a service modality you can offer?

15. Does your agency have the ability to meet the Clinical Supervision requirements outlined by DHS 36.11 This requires employing or having access to a licensed Mental Health Professional as described in the DHS 36 Administrative code, for the purpose of conducting Clinical Supervision?

16. The CCS program has initial and ongoing training requirements. Is your agency committed to adhering to these requirements and providing the required documentation to demonstrate compliance with DHS 36.12?