Solicitation_9594CS19Q0032_-_6-25-19.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

OCS190032 72

9594CS19Q0032

William E. Hall, william.hall@csosa.gov 202-220-5717

Net 30

See Section F Same as Block 9

Court Services and Offender Supervision Agency Office of Financial Management 800 N. Capitol St., NW Washington, DC 20002-4260

See Section B.5 for Contract Line Items and Pricing

Reggie R. James

623220

$15 M

06/25/2019

07/22/2019

12:00 PM EDT

Court Services and Offender Supervision Agency Office of Procurement 800 N. Capitol St., NW, Suite 6119 Washington, DC 20002-4260

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5)

CSOSA-19-Q-0032

Continuation of SF1449

SECTION B – SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 Services

Contractor shall provide services in accordance with the Statement of Work (Section C).

B.2 Contract Type

This is a Fixed Price purchase order with unit rates; quantities are based on anticipated estimates and are Not-to-Exceed the allotted quantities and cost associated with each CLIN.

B.3 Contract Funding

This purchase order is incrementally funded in the amount of $TBD. Additional funding will be added by a purchase order modification. (To be removed upon award if fully funded.) The Contractor is not authorized to exceed the obligated amount on this purchase order. Per Section F.1, this purchase order has a base period of twelve (12) months with four (4) twelve (12) month Option Periods.

B.4 North American Industry Classification System (NAICS) and Small Business Size Standard

The NAICS Code for this acquisition is 623220 Residential Mental Health and Substance Abuse Facilities Contractors, and the small business size standard is $15.0M.

B.5 Contract Line Item Structure

Below is the purchase order price schedule for each period of performance.

B.5.1 Base Period: 12-months following date of award Line Item

Description Quantity Unit Unit Price NTE Amount

0001 Short Term Residential Services - up to 28 Days 2,081 Day

0002 Surge - Short Term Residential Services - up to 28 Days 2,080 Day

0003 LongTerm Residential Services - 90 to 120 Days 4,855 Day

Surge - Long Term Residential Services - 90 to 120 Days

4,854 Day

Long Term Residential Services for Women with up to 2 Children - 90 to 120 Days

547.5 Day

Base Period Total

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5)

CSOSA18Q0032

B.5.2 Option Period 1: 12-months following the end of the Base Period

Item

Description Quantity Unit Unit Price NTE Amount

1001 Short Term Residential Services - up to 28 Days 2,081 Day

1002 Surge - Short Term Residential Services - up to 28 Days 2,080 Day

1003 LongTerm Residential Services - 90 to 120 Days 4,855 Day

Surge - Long Term Residential Services - 90 to 120 Days

4,854 Day

Long Term Residential Services for Women with up to 2 Children - 90 to 120 Days

Option Period 1 Total

B.5.3 Option Period 2: 12-months following the end of Option Period 1

Item

Description Quantity Unit Unit Price NTE Amount

2001 Short Term Residential Services - up to 28 Days 2,081 Day

2002 Surge - Short Term Residential Services - up to 28 Days 2,080 Day

2003 LongTerm Residential Services - 90 to 120 Days 4,855 Day

Surge - Long Term Residential Services - 90 to 120 Days

4,854 Day

Long Term Residential Services for Women with up to 2 Children - 90 to 120 Days

Option Period 2 Total

B.5.4 Option Period 3: 12-months following the end of Option Period 2

Item

Description Quantity Unit Unit Price NTE Amount

3001 Short Term Residential Services - up to 28 Days 2,081 Day

3002 Surge - Short Term Residential Services - up to 28 Days 2,080 Day

3003 LongTerm Residential Services - 90 to 120 Days 4,855 Day

Surge - Long Term Residential Services - 90 to 120 Days

4,854 Day

Long Term Residential Services for Women with up to 2 Children - 90 to 120 Days

Option Period 3 Total

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5)

B.5.5 Option Period 4: 12-months following the end of Option Period 3

Item

Description Quantity Unit Unit Price NTE Amount

4001 Short Term Residential Services - up to 28 Days 2,081 Day

4002 Surge - Short Term Residential Services - up to 28 Days 2,080 Day

4003 LongTerm Residential Services - 90 to 120 Days 4,855 Day

Surge - Long Term Residential Services - 90 to 120 Days

4,854 Day

Long Term Residential Services for Women with up to 2 Children - 90 to 120 Days

Option Period 4 Total

Total Base and All Option Periods ________________

(End of Section B)

SECTION C – STATEMENT OF WORK

Short and Long Term Residential and

Long-Term Residential Services for Women with Up to 2 (ages 0-5) Children

C.1 Agency Background.

The Court Services and Offender Supervision Agency (CSOSA) was established under Section 11232 of the National Capital Revitalization and Self-Government Improvement Act of 1997 to effectuate the reorganization and transition of functions relating to pretrial services, parole, adult probation and offender supervision in the District of Columbia to a Federal Executive Branch agency. The mission of CSOSA is to increase public safety, prevent crime, reduce recidivism, and support the fair administration of justice in close collaboration with the community through the supervision of all probationers, parolees and supervised releases (hereinafter referred to as Client(s)) held under the authority of any United States or District of Columbia statute, or any other lawful authority entrusted to the District.

C.2 Objectives.

C.2.1 The objective of this purchase order is to stabilize Client substance use disorders, enhance supervision compliance, contain further risks of Client recidivating, promote prosocial engagement, enhance Client self-efficacy, coordinate access to community recovery systems, improve program retention, enhance the continuity of care post program

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5) completion, and return Clients to the community free from illicit substance use.

C.2.2 A successful program will have a 70% rate of Clients successfully completing the program and a 30% or less relapse rate while in treatment, which is defined as a reduction of symptoms of substance use and non-compliant behaviors.

C.3 Referrals.

C.3.1 CSOSA will make placements for Short Term Residential, Long Term Residential, and Long Term Residential Services for Women with up to 2 (ages 0-5) Children, to include pregnant women as described below in Section C.4, based upon a Client’s assessed need as determined by CSOSA’s Treatment Management Team (TMT) or Re-Entry and Sanctions Center (RSC) clinicians. The Client also may have been court ordered to be placed in the specified services, either as part of a sentence or pre-sentence, or as a condition of probation, parole or supervised release. CSOSA shall apply the ASAM Criteria 3.5 for referring Clients to the appropriate modalities.

C.3.2 The CSOSA Referral Placement Team (RPT) shall provide a referral package to the Contractor a minimum of twenty-four (24) hours prior to each admission. The referral package shall contain a billing authorization document (Attachment J-1), admission date, projected discharge date, Client information to include: confirmation of pre and post-natal care services, proof of identification for child/children and their medical (i.e. updated immunizations) or educational records, Client supervision contact information, and information relevant to the Client’s transportation requirements (when applicable).

Additionally, the referral package will contain Attachments J-2, Release of Information:

Substance Abuse Treatment; J-3, Release of Information: Health Records; J-4, Release of Information: Mental Health Information; and J-5, Release of Information: Privacy Act Waiver Form.

C.3.3 Duration. The length of placement to be provided may be up to 120 days, to include a minimum thirty day restricted movement period. The length of the placement may be extended by the Contractor based on justifiable recommendations, with input from the Client’s assigned Community Supervision Officer (CSO) and Intervention Specialist (IS). An updated Billing Authorization will be provided to the Contractor to cover any placement extension.

C.3.4 Referral/Billing Authorization. The billing authorization will contain the following:

a. Client name.

b. Admission date.

c. Projected discharge date.

d. Treatment duration.

e. The maximum dollar amount authorized for the treatment duration.

f. The invoicing code.

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5)

C.3.5 The billing authorization is the only document that makes CSOSA financially responsible for Client services provided by the Contractor. No verbal or other authorization are recognized or allowed. CSOSA is not responsible for Client services provided without a billing authorization or for any Client services provided that exceeds the treatment duration, or the maximum dollar amount authorized for the treatment duration.

C.4 Tasks – Short and Long Term Residential Services and Long Term Residential Services for Women with Up to 2 (ages 0-5) Children. The Contractor shall provide substance use disorder treatment services for each of the following placement types: Short Term Residential (28 days) for men and women, Long Term Residential (90 – 120 days) for men and women, and Long Term Residential for women with up to two (2) (ages 0-5) children (90 – 120 days). Short Term Residential services will be provided at the Contractor’s facility located within the District of Columbia, the Maryland counties of Montgomery and Prince Georges, or the Virginia counties of Arlington and Alexandria. Long Term Residential services will be provided at the Contractor’s facility located within the District of Columbia.

C.4.1 Task 1 - Pre-Admission Referral Review. Upon receipt of a referral package from CSOSA staff, the Contractor shall review the referral documentation to determine the individual’s suitability to successfully participate in treatment.

C.4.1.1 When completing the review, the Contractor shall assess the following areas:

a. Complicating Medical Conditions. To ensure the absence of any complicating medical conditions which would require the individual (or their children) to attend frequent external medical appointments (to include pre and post-natal care services) or specialized medical equipment.

b. Medication Compliance. To ensure that any pre-existing medical or mental health conditions are adequately stabilized by appropriate medications.

c. Ambulatory Abilities. To ensure the requisite ambulatory abilities and physical stamina required to participate in treatment.

d. Self-Care. To ensure the individual’s ability to provide basic self-care (i.e., hygiene, etc.) during treatment.

C.4.1.2 The Contractor shall complete the review and render a suitability decision, or request for additional relevant information, to CSOSA staff, in writing, within two (2) business days of receipt of each referral package. When necessary, CSOSA staff will coordinate with the referral source to obtain any additional relevant information requested by the Contractor.

C.4.1.3 Upon receipt of the additional information, the Contractor shall complete a secondary review and render a decision to CSOSA staff, in writing, within one (1) business day of receipt of the additional information. In the event that the referral source is unable to supply the requested information, the Contractor shall render a decision (based on the original referral documentation) within one (1) business day of notification of the unavailability of additional information.

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5)

C.4.2 Task 2 – Intake Process.

C.4.2.1 Admission/No Show Notification. The Contractor shall notify CSOSA of all admissions and no-shows, within 24 hours (or the next business day) of each scheduled admission, utilizing the Admission Notification form that is provided with each referral/billing authorization. This notification must be provided in writing (via email or facsimile (fax)) to the COR, and the Client’s assigned CSO and IS. Specific contact information and notification instructions are found in each referral package.

Failure to adhere with this requirement absolves CSOSA of financial responsibility for the Client.

C.4.2.2 The Contractor shall have the capability to transport Clients from pick-up locations designated in the referral package. All vehicles used to transport CSOSA Clients shall be in good working condition, and conform to all standards/requirements defined by the Department of Motor Vehicles in the jurisdiction where the vehicle is registered.

C.4.2.3 Intake Interview. The Contractor shall conduct an intake interview with each Client within 24 hours of admission, or the next business day. During the intake interview the Contractor shall:

a. Conduct a Mini-Mental Status Exam.

b. Conduct an initial suicide assessment using an evidence-based assessment tool (i.e., Columbia Suicide Severity Rating Scale).

c. Retrieve and secure any medications or prescriptions from the Client.

d. Identify the Client’s primary counselor who will make contact (via email) with the Client’s CSO and primary IS regarding admission.

e. Obtain signed waivers of confidentiality upon the informed consent of the

Client. The waiver of confidentiality shall extend to all therapists and treatment providers treating the Client.

f. Restrict all client movement during the first 30 days and conduct all Task 2, Intake Process requirements. This requirement is necessary to ensure Clients have the opportunity for program acclimation, minimize external distractions, provide an opportunity for the program staff to develop a treatment plan for the clients, review the goals/objectives, and to establish a therapeutic relationship with the Clients. The initial restricted movement length of the time may be extended by the Contractor based on justifiable recommendations, with input from the CSO and IS.

g. Conduct a program orientation.

h. Provide the Client with a program handbook and program schedule.

i. Review the program rules with the Client, as well as the Client’s rights and responsibilities.

j. Conduct urinalysis/oral toxicology.

k. Administer a Patient Health Questionnaire-Version 9 (PHQ-9), Generalized

Anxiety Disorder – Version 7 (GAD-7), and Posttraumatic Check List for DSM 5 (PCL-5). A copy of the pre-test should be emailed to clinicaloutcomes@csosa.gov within 48 hours of assessment completion.

l. Conduct a nutritional assessment within three (3) days of admission.

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5)

C.4.2.4 Client Treatment File. The intake interview shall result in the creation of an individual Client Treatment File that shall initially contain the following:

a. Client personal information sheet.

b. The entire referral package as provided by CSOSA.

c. A signed and dated copy of the Client’s handbook, and rights and responsibilities form (bearing the signatures of both the Client and the Contractor’s staff).

d. Current medical clearance - Clients must have PPD/TB test results that are valid within one (1) year of the actual treatment placement. Clients with a history of past positive PPD results will have to provide evidence of a chest x-ray completed within the last five (5) years, and clearance, on an annual basis, from a pulmonologist or other qualified public health facility, or a physician specializing in pulmonary disease which documents that the Client is currently asymptomatic. Such documentation can be obtained by visiting the D.C. Chest Clinic for assessment and screening. Clients who show signs of disease must adhere to the D.C. Department of Health requirements for medication management and the treatment of Tuberculosis.

e. Signed Treatment Consent Forms. (Attachments J-2, J-3, J-4, and J-5).

f. The Client treatment file shall be maintained in accordance with Part 2 HIPPA

Privacy Act Rule 45 CFR 164.530(c). The files should be maintained at the Contractor’s location in a locked file cabinet with access limited to those individuals who provide direct service to the Client. CSOSA client treatment files must be maintained separately from non-CSOSA client treatment files. At no time should CSOSA Client treatment files be removed from the Contractor’s facility where services are performed.

C.4.2.5 Medical Screening. The Contractor shall ensure that the Client receives a medical screening either on-site at the Contractor’s facility, or in the community, within 72 hours of admission, to determine the Client’s baseline level of physical and mental health functioning. The Contractor’s admission criteria for each of the placement types identified in Section C.4 shall include exclusionary factors such as medical or mental health conditions; arsonist, or specific criminal offenses that would deem the client unacceptable for admission. The Contractor shall have the right to refuse to treat any Client to the extent allowed by relevant laws and regulations who, after a medical screening, is considered to be medically/mentally unstable, or who has a significant medical/mental condition that will unduly interfere with treatment. The RPT staff shall be notified in writing (via email, scanned electronically or facsimile) of any decision to refuse to treat a Client and the rationale for the decision.

C.4.2.6 Individualized Treatment Needs Assessment. The Contractor shall conduct an individualized treatment needs assessment for each Client within seven (7) business days of admission. The individualized treatment needs assessment shall utilize a Comprehensive Bio-Psychosocial assessment and shall be conducted by a Case Manager or other licensed professional (proper interpretation must be within the assessor’s scope of practice).

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5)

C.4.2.7 Comprehensive Bio-Psychosocial Needs Assessment. The Comprehensive Bio-Psychosocial Needs Assessment must include, at a minimum:

a. A detailed description of the Client’s substance use history, mental health history, and any prior treatment experiences.

b. A complete personal history, including information related to the Client’s educational/vocational achievements, and experiences.

c. Any other information that may be helpful in determining Client treatment and individualized needs consistent with ASAM Criteria.

C.4.2.8 Assessments. CSOSA may provide an Addiction Severity Index (ASI), or other Government approved assessment tool(s), that was conducted within six (6) months of the admission date. The Contractor shall incorporate all prior assessment information received from CSOSA, such as the Re-Entry and Sanctions Center (RSC) Discharge Summary, Central Intervention Team (CIT) Assessment, or the Client’s Performance Contract into its initial individualized assessment/treatment plan and also shall include references to relevant factors in its discharge summary to support a seamless continuum of care. Results of this individualized assessment shall be documented and maintained in the Client treatment file.

C.4.2.9 Treatment Plan. The Contractor shall develop an individualized treatment plan for each Client within seven (7) business days of admission, based on the results of the treatment needs assessment and referral information provided by CSOSA.

C.4.2.9.1 The individualized treatment plan shall include problem formulation, short-term and long-term measurable treatment goals, with specific services and activities designed to achieve those goals. It also shall include a schedule for service delivery, identifying frequency and duration of services.

C.4.2.9.2 The individualized treatment plan shall also reflect case management activities conducted by on-site staff, coordination of additional treatment, health, dental, and mental health interventions, and pro-social supports, vocational, and housing services, along with any other services at this and other levels of care shall be noted in this plan.

C.4.2.9.3 The plan shall be developed in collaboration with the Client and reflect the Client’s personal goals. A signed and dated copy of the treatment plan, with signatures of both the Client and Contractor staff, shall be maintained in the Client’s treatment file and a copy provided to the Client. A copy with a signed Release of Information form shall be sent to the assigned IS and CSO.

C.4.2.9.4 At a minimum, treatment plans must be reviewed and reassessed monthly by an inter-disciplinary treatment team which, at minimum, consists of the Clinical Supervisor, Case Manager or Counselor, IS and CSO. Treatment plans also must be reviewed, updated and modified when major clinical changes occur, or when major

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5) life, family, or social circumstances may complicate treatment. When treatment plans are revised and resigned by the Client and Contractor staff, a copy shall be provided to the Client and the IS and CSO with a signed ROI.

C.4.2.9.5 The Contractor shall document the evidence of treatment plan reviews in the Client treatment file. The Contractor shall document treatment plan review by completing a signed and dated entry in the progress notes, or on the Vendor Monitoring Clinical Staffing (Attachment J-9), or in the form of a signed and dated revised treatment plan.

C.4.3 Task 3 –Short and Long Term Residential and Long Term Residential Services for Women with Up to 2 (ages 0–5) Children Programming Expectations.

C.4.3.1 Short and Long Term Residential Services. The expected outcome of Short and Long Term Residential Services is to target the Client’s level of functioning based on the needs identified in one or more of the identified problem areas in accordance with the ASAM Criteria (i.e., substance use disorders, criminal involvement, vocational, housing, medical, mental health, family/social and legal); and to prepare them for successful entry into the community with employment, vocational training, and independent living. The Contractor shall administer a post PHQ-9, GAD-7, and PCL-5 no later than 14 days prior to Client’s discharge. A copy of the post-test should be emailed to clinicaloutcomes@csosa.gov within 48 hours of assessment completion.

C.4.3.2 Long Term Residential Treatment Services for Women with Up to 2 (ages 0-5) Children. The expected outcome of the Long Term Residential Treatment Services for Women with Up to 2 (ages 0-5) Children is to target the Client’s level of functioning in the substance abuse, medical, mental health, family/social, vocational, housing and legal dimensions, to improve the Client’s parenting skills, to provide support in child custody efforts when reunification readiness has been established, and prepare the Client for successful entry into the next phase of the treatment continuum.

The Contractor shall administer a post PHQ-9, GAD-7, and PCL-5 no later than 14 days prior to Client’s discharge. A copy of the post-test should be emailed to clinicaloutcomes@csosa.gov within 48 hours of assessment completion

C.4.3.3 The Contractor shall provide a highly structured, safe and secure, drug and crime free environment that consists of organized programming seven (7) days per week using evidence-based Cognitive Behavioral Interventions (CBI), such as Thinking for a Change, to address anti-social attitudes and cognition or other Government approved best-practiced curriculum targeting criminal thinking and attitudes, motivational enhancement, and expressive therapy. Program services shall include daily clinical practices to educate, and reinforce the information directed at improving the Client’s development and practice of pro-social behaviors. The Contractor’s programming activities schedule shall be posted in plain sight for the Client and staff’s information.

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5)

C.4.3.4 Progress Notes.

C.4.3.4.1 The Contractor shall maintain weekly progress notes for each Client that clearly reflect implementation of the treatment plan, the Client’s response to treatment, and all other therapeutic interventions. A progress note shall be entered for each intervention service within one (1) business day. The individualized progress notes shall be maintained in the Client’s treatment file.

C.4.3.4.2 The Contractor shall maintain weekly progress notes of services provided to the Client’s child/children detailing all services provided, to include: coordinated appointments, referrals made for pediatric health care needs, immunizations, nutrition consults, and or other special needs.

C.4.3.4.3 The notes shall be maintained in the DAP (Data, Assessment, and Plan) or SOAP (Subjective, Objective, Assessment and Plan) format.

C.4.3.4.4 Each weekly progress note must be signed and dated by the Contractor’s staff providing direct care services. All progress notes shall be placed in reverse chronological order, maintained in the Client treatment file with the most recent note on top.

C.4.3.5 The Contractor shall be able to access services to assist Clients to address mental health issues, sexual offenses, housing and or substance use disorders.

C.4.3.6 The Contractor shall use therapeutic interventions specific to the criminal justice involved Client, such as approaches to increase retention in the program, coordination with court hearings, addressing criminal involvement, and cooperation with criminal justice requirements. The Contractor shall coordinate and cooperate with CSOs and IS’, utilizing a team approach for case planning, treatment and behavioral interventions, and case monitoring. The Contractor shall demonstrate evidence of this working relationship by scheduling clinical and crisis intervention staffing’s; coordinating individualized case planning which shall be documented on the CSOSA Vendor Monitoring Clinical Staffing Form (Attachment J-6);

submitting required documents (i.e., monthly reports, discharge planning); and utilizing a team approach for treatment interventions, case monitoring, and individualized discharge and planning for the next continuum of care.

C.4.3.7 The Contractor shall practice cognitive-behavioral (CB) approaches to clinical interventions that focus on teaching clients skills directed towards addressing cognitive distortions/criminal thinking, maintaining abstinence, enhancing self-efficacy, stabilizing housing, and setting independent living goals.

The Contractor shall demonstrate the use of evidence-based practices, including Cognitive-Behavioral Therapy (CBT) and Motivational Interviewing (MI) through curricula, role modeling and the use of techniques that can be observed in groups, Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5) individual sessions, and clinical staffing’s. Program staff shall model appropriate behaviors consistent with this approach.

C.4.3.8 The Contractor shall have a process in place to ensure that Clients have access to the appropriate interventions, through a seamless and integrated collaboration with external partners, if psychopharmacologic and addiction pharmacotherapy interventions are not provided onsite.

C.4.3.9 The Contractor shall ensure that assessment and programming services incorporate other individuals or programs, as clinically indicated, who are likely to support the Client's recovery process as indicated. These might include family psycho-education or multi-family peer support groups or family therapy, and incorporate a focus on the issues of homelessness.

C.4.3.10 While in the Short and Long Term Residential Services and Long Term Residential Services for Women with Up to 2 (ages 0-5) Children program, the Contractor shall provide case management services designed to address specific Client needs that contribute to substance use disorders, addictive and antisocial behaviors, dysfunctional lifestyles, value systems and, independent living skills problems for Clients deemed amenable and appropriate for treatment services.

C.4.3.11 The Contractor shall establish a system of incentives and sanctions (as approved by CSOSA) to increase Client engagement and adherence to program requirements. Additionally, in order to improve outcomes and to gauge Client satisfaction with the program, the Contractor shall survey the Clients prior to discharge.

C.4.3.12 The Contractor shall address substance use disorders in the discharge planning process. Upon discharge, amenable Clients should be connected with recovery and homelessness support services including, but not limited to, recovery check-ups, a referral to telephone peer recovery support and referrals for appropriate housing programs and opportunities.

C.4.3.13 Treatment Expectations for Short Term (28 days) Residential Substance Abuse Treatment.

C.4.3.13.1 The Contractor shall provide supervised short term residential substance abuse treatment services to adult male and female Clients with substance abuse treatment needs that approximates the ASAM Level 3.5 standard of care as identified below.

C.4.3.13.2 The Contractor shall provide professional clinical services designed to address addiction and living skills problems for Clients with substance abuse diagnosis who require short term treatment stays to support and promote recovery.

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5)

C.4.3.13.3 The Contractor shall ensure that the short term residential services includes no less than 20 hours per week of group and individual counseling services.

The counseling/group services shall include:

a. Individual: Three (3) hours per week minimum.

b. Group: Ten (10) hours per week minimum (a minimum of four (4) sessions weekly).

c. Family: To be included during course of treatment as clinically indicated.

C.4.3.13.4 The Contractor shall provide a minimum of seven (7) hours of structured programming daily. (Note: Self-help meetings may be included as part of structured activities.) The structured programming shall include:

a. Didactic group sessions: Eight (8) hours per week minimum

b. Housing stabilization coordination: Two (2) hours per month

c. Mentoring/pro social supports: One (1) hour per month

d. Structured Activities: Seven (7) hours per day of the following are required:

1. Counseling Services (individual, group)

2. Psycho-education

3. Vocational Training

4. Recovery Support Services

5. Recreation

6. Family Education and Information sessions as clinically indicated.

C.4.3.14 Treatment Expectations for Long term (90 days) Residential Substance Abuse Services

C.4.3.14.1 The Contractor shall provide clinically managed, high intensity residential services to adult male and female Clients presenting with substance abuse treatment needs that approximates the ASAM Level 3.5 standard of care as identified below.

C.4.3.14.2 The Contractor shall provide professional clinical services designed to address specific addictions and living skills problems for Clients deemed amenable for treatment in a long term residential program.

C.4.3.14.3 The Contractor shall ensure that the long term residential treatment includes no less than 20 hours per week of groups and individual counseling services.

The counseling/therapy services shall include:

a. Individual: Three (3) hours per week minimum.

b. Group: 10 hours per week minimum (a minimum of four (4) sessions weekly).

c. Family: To be included during course of treatment as clinically indicated.

C.4.3.14.4 The Contractor shall provide a minimum of seven (7) hours of structured programming daily. (Note: Self-help meetings may be included as part of structured activities.) The structured programming shall include:

a. Didactic group sessions: Ten (10) hours per week minimum

b. Housing stabilization coordination: Two (2) hours per month

c. Mentoring/pro social supports: One (1) hour per month

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5)

d. Structured Activities: Seven (7) hours per day of the following are required:

1. Counseling Services (individual, group)

2. Psycho-education classes

3. Vocational Training

4. Recovery Support Services

5. Recreation

6. Family Education and Information sessions as clinically indicated.

C.4.3.15 Treatment Expectations for Long Term Residential Services for Women with Up to 2 (ages 0-5) Children.

C.4.3.15.1 The Contractor shall provide supervised long term residential treatment services to adult female Clients with substance abuse treatment needs who are pregnant and/or have up to two (2) dependent children under the age of five (5), that approximates the ASAM Level 3.5 standard of care as identified below.

C.4.3.15.2 The Contractor shall provide professional clinical services that are designed to address specific addiction and living skills problems for Clients with children who are deemed amenable to treatment interventions.

C.4.3.15.3 The Contractor shall ensure that the Client with children treatment interventions include no less than 20 hours per week of groups and individual counseling services. The counseling/groups services shall include:

a. Individual: Three (3) hours per week minimum.

b. Group: 10 hours per week minimum (a minimum of four (4) sessions weekly)

c. Family: To be included during course of treatment as clinically indicated.

d. Structured Activities: A minimum of seven (7) hours of gender specific structured programming daily. The structured programming shall include:

1. Didactic group sessions; Ten (10) hours per week minimum

2. Housing stabilization coordination: Two (2) hours per month

3. Mentoring/pro-social supports: One (1) hour per month

4. Seven (7) hours per day of the following are required:

a) Counseling Services (individual, group)

b) Substance abuse education

c) Relapse Prevention

d) Recidivism Prevention

e) Recovery Support Services

f) Domestic Violence

g) Parenting Skills

h) Family Support and Education

i) Psycho-education

j) Vocational Training

k) Life Skills

l) Recreation

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5)

C.4.3.15.4 The Contractor shall also make referrals and coordinate appointments for medical, dental, mental health, housing, public assistance and other social services needs for Clients and their child/children. The types of referrals, appointments, and social services shall include, but are not limited to, pediatric health care needs, immunizations, nutrition consults, state issued identification renewals, or other special needs.

C.4.3.15.5 In addition to providing services to the Clients, the Contractor is required to provide services to the children of each Client referred to the program. The services that benefit the child/children shall include daily supervision of non-school aged children during the Client’s participation in group programming, academic support, coordination of school enrollment (for school aged children), and identification and referral for children with special developmental needs or health-related needs.

C.4.3.16 The Contractor shall provide or arrange for Client services in the following need/problem areas:

a. Mental health

b. Medical

c. Laboratory and toxicology services, as appropriate to the severity and urgency of the Client’s condition

d. Comprehensive needs assessment

e. Treatment planning

f. Individual counseling

g. Group counseling

h. Education and vocational advocacy

i. Employment readiness

j. Literacy

k. GED

l. Life skills training

m. Substance abuse education

n. Discharge/aftercare planning (as required)

o. Other essential services as required to stabilize the Client to return them to the community and prepare them for independent living is also required.

C.4.3.17 The Contractor shall hold weekly clinical staffing’s with invited CSOs and IS’, which may include the CSOSA supervisory staff. During these staffing’s, the Contractor shall review the Client’s treatment planning progress, skills development, and positive accomplishments; address behavioral/compliance issues;

and conduct ongoing individualized discharge planning, as well as other meetings and interventions as deemed necessary by CSOSA. The Contractor shall notify the assigned CSO and IS of all scheduled clinical staffings in writing, no later than seven (7) calendar days in advance, and document the notification on the CSOSA Contact Form (Attachment J-9). The treatment plan review shall be documented on the Vendor Monitoring Clinical Staffing form (Attachment J-6) and shall be filed in the Client’s treatment file.

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5)

C.4.3.18 Personnel. All Contractor personnel who handle Personally Identifiable Information (PII) must adhere to Part 2 HIPPA Privacy Act Rule 45 CFR 164.530 c and CSOSA’s security requirements outlined in Section H.9.

C.4.3.19 The Contractor shall assign a co-facilitator for any group that exceeds 25 Clients.

C.4.3.20 Urinalysis/Oral Toxicology. The Contractor shall conduct a random urinalysis or oral toxicology test (if the Client is unable to void a urine sample) on all Clients a minimum of once per seven-day week and within 24 hours of the Client’s return from any activity outside the facility. Random drug screening should be incorporated to shape behavior and reinforce treatment gains, as appropriate to the Client’s individual treatment plan. The Contractor shall observe the following screening levels for all CSOSA Clients:

a. Amphetamines/Methamphetamine 500 ng/ml

b. Cocaine Metabolite 150 ng/ml

c. Marijuana 50 ng/ml

d. Methadone 300 ng/ml

e. Opiates 300 ng/ml

f. Heroin 10 ng/ml

g. PCP 25 ng/ml

h. Alcohol 20 mg/dl

i. Creatinine 20 mg/dl

j. Synthetic Cannabinoids 10 ng/ml

C.4.3.20.1 The Contractor shall comply with the specimen chain of custody protocols of the appropriate regulatory accreditation bodies for DC, MD or VA jurisdictions.

C.4.3.20.2 Results of all urinalysis/oral toxicology tests shall be maintained in the Client treatment file.

C.4.3.20.3 The Contractor shall notify the CSO or IS in writing, within 24 hours (or the next business day), of any Client who receives a positive urinalysis/oral toxicology result, refuses to provide a sample (behavioral positive), adulterates a sample, or submits a waterloaded sample, while in treatment. This information may be transmitted via secured email or facsimile method that protects PII.

C.4.3.20.4 The Contractor shall collaborate with the IS or CSO to coordinate a response to any Client positive test result(s). The Contractor shall be prohibited from discharging any Client from treatment without coordinating a case conference with the IS or CSO.

C.4.3.21 Outings/Visitations. During the first 30 days of programming, after the restricted movement period, Client movement outside the facility shall be limited to

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5) address medical and mental health emergencies and therapeutic activities only.

After 60 days, movement may include employment, vocational, housing searches, or social service appointments that are verified and approved by the Contractor’s staff.

Preferably, these types of appointments shall be approved in advance by the CSO and shall be made under escort of the Contractor’s staff. In all cases, the CSO must be notified in writing via email within the next business day of the appointment.

C.4.3.21.1 The Contractor shall test all Clients for drug and alcohol use via urinalysis within 24 hours of return from activities outside of the facility.

C.4.3.21.2 The Contractor shall conduct a proper search of Client and Client’s personal belongings upon return to the facility.

C.4.3.21.3 The Contractor shall maintain a system of accountability to track Client movement outside of the facility which includes documentation. The Contractor shall confirm the destination, point(s) of contact, departure and return times, and the identified need which requires external movement (i.e., appointments, referrals, CSO office visits, or any other external movement approved by the Government.)

C.4.3.21.4 The Contractor, in conjunction with their tracking procedures, shall maintain security protocols to reduce the introduction of contrabands into the facility (interior and exterior). These may include, but are not limited to, the following: search of the person/belongings, search, urine drug testing upon return from the outside, room search/inspections, and all other residential area searches.

C.4.3.21.5 After the first 30 days of programming, the Contractor may arrange for therapeutic recreational activities regularly based on adequate staffing coverage.

C.4.3.22 Medication Storage and Administration.

C.4.3.22.1 The Contractor shall meet all Federal, State, or District of Columbia requirements and develop policies to support compliance for any drugs administered to include methadone schedule and buprenorphine, including regulations established by the Food and Drug Administration, or the U.S. Drug Enforcement Agency.

C.4.3.22.2 The Contractor shall ensure that all medications are administered in accordance with the prescribing physician’s orders. The Contractor shall ensure that “watch-take” procedures are implemented when each client takes his/her medications, and document any refusal to take their prescribed medication.

C.4.3.22.3 All medication (prescription and non-prescription) must be kept in a locked storage area maintained by the Contractor. Any prescription medication brought into the facility by a Client shall not be administered or self-administered

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5) until the medication can be identified and the attending practitioner’s written order or approval is documented in the Client record. All medications, both prescription and over the counter, brought into the facility must be packaged and labeled in accordance with federal, state, or District of Columbia laws and regulations. All medication dispensation must be performed by a duly trained staff member and shall be recorded on a daily log that indicates the name, dosage, date and time of dispensation. Any changes to the medication type, dosage, or administration frequency shall be approved by a licensed Physician or Psychiatrist.

C.4.3.22.4 Medications requiring refrigeration shall be maintained in a separate and secure refrigerator, labeled “For Medication Only” and shall be maintained at a temperature between thirty-six degrees Fahrenheit (36 F) and forty-six degrees Fahrenheit (46 F). All refrigerators shall have thermometers, which are easily readable, in proper working condition, and accurate within a range of plus or minus two (2) degrees Fahrenheit.

C.4.3.22.5 The Contractor shall track and monitor the Client’s on hand supply of medication(s) to ensure that the Client secures his/her supply of medication no later than seven (7) days prior to the Client’s planned discharge date. In the event that the medication cannot be obtained before the Client discharges, the Contractor shall ensure that the Client has a valid written prescription.

C.4.3.22.6 The Contractor shall ensure that the results for Clients who require monitoring of daily blood sugar levels and high blood pressure levels are documented and stored in the Client’s treatment file.

C.4.3.23 Medical Insurance. The Contractor shall connect Clients with publicly-funded resources for medical care, medication services, or their private insurance as appropriate. To accomplish this goal the Contractor shall ensure that all eligible, uninsured Clients complete the necessary paperwork for enrollment in the District of Columbia’s Health Care System (DC Medicaid Expansion Program or the Affordable Health Care Act) within 72 hours of admission. The Contractor shall track the application status to ensure that the client receives the necessary insurance identification number and card issuance prior to being discharged from the treatment vendor.

C.4.4 Task 4 - Discharge Process.

C.4.4.1 Discharge Planning Staffing. The Contractor shall coordinate the discharge planning staffing with the CSO (or his/her designee), the IS, and the Client, no later than seven (7) calendar days before the proposed discharge planning staffing. This discharge staffing must include a review of the Client’s course of treatment, treatment plan progress, aftercare planning, and recommendations for the next phase of treatment.

C.4.4.2 Discharge Staffing. The Contractor shall conduct a discharge staffing no later than fourteen (14) calendar days prior to the Client’s completion of the program. The

Short / Long Term Residential and Long-Term Residential Services for Women with up to 2 Children (ages 0-5) staffing shall include the submission of a written, comprehensive, and individualized aftercare/relapse prevention plan that summarizes the results of the discharge planning staffing and outlines recommendations for further treatment or other needed services.

CSOSA will assess the outcome of the Short and Long Term Residential Services and Long Term Residential Services for Women with Up to 2 (ages 0-5) Children Program intervention by reviewing the Client’s level of functioning 14 days before his/her discharge date.

C.4.4.3 Discharge Plan. The Contractor shall prepare a written discharge plan no later than ten (10) calendar days prior to the Client’s completion of the program. The discharge plan must contain:

a. The Client’s name.

b. The admission date.

c. The date of the discharge staffing.

d. The individuals in attendance for the discharge staffing.

e. The discharge date.

f. The length of the Client’s stay in the program.

g. Any DSM-5 diagnoses.

h. A summary of the overall treatment experience.

i. An aftercare/relapse prevention plan.

j. The discharge prognosis.

k. A list of the specific programs the Client is required to attend for aftercare services such as community mental health care or community based support meeting times, to include the locations with verified addresses, and the points of contact.

l. The name and telephone number of an individual who can be contacted should CSOSA require additional information.

m. The signature of the preparer and Clinical Supervisor, or Program Director.

n. Once signed, the Contractor shall email a copy of the completed plan to the CSO and IS within three (3) calendar days of the Client’s discharge.

o. The Contractor shall file the original signed discharge plan in the Client’s treatment file.

C.4.4.4 For those Clients who will be entering another treatment modality upon discharge, CSOSA will forward all relevant information from the Client’s treatment file to the appropriate treatment provider. CSOSA will provide the necessary contact information and forwarding instructions prior to the Client’s discharge date. The Contractor is required to provide a copy of the Client treatment file to the subsequent provider at the time of transfer, or within 24 hours of a request from CSOSA.

C.4.4.5 Discharge for Compliance or Behavioral Management Issues. Keeping Clients involved in treatment activities and receiving required services is an expected goal. However, there are three (3) types of discharges or removals from treatment that CSOSA considers to be an intervention of the highest sanction in response to non-compliant behavior(s); they are non-threatening behavior, high-risk or threatening behavior, and abscondences.