Addendum 1.pdf

Addendum to Request for Proposal Log #2027-0905 This addendum serves as a supplement to the Request for Proposal (RFP) document for RFP Log #2027- 0905, “ConnecƟcut Ryan White Part B Core and Support Services 2027-2030” and aims to correct or clarify informaƟon stated in the RFP. Edits and addiƟons will be bold and underlined to help prospecƟve proposers quickly idenƟfy updated informaƟon. A reason for change will be included aŌer each secƟon to help summarize the changes for prospecƟve proposers.

“2.1. Defined Scope of Services”, Page 15: This section is deleted in its entirety, and the following is substituted in lieu thereof:

2.1 Defined Scope of Services

The RWPB program provides funding for two Regional Planning Areas and one statewide service under this RFP. This includes:

Eastern RPA Hub: Capitol, Lower CT River, Northeastern, Southeastern COG Regions.

Western RPA Hub: Greater Bridgeport-Metro, Naugatuck Valley, Northwest Hills, South

Central, Western COG Regions.

Statewide: TLC Coordination services statewide.

Proposers must specify whether they intend to serve as the Eastern or Western RPA Hub to ensure the availability of all eight (8) Core services and six (6) of the seven

(7) Support services (all but Non-Medical Case Management Services) for People with HIV or whether they will serve as the Statewide TLC Coordinator.

The Proposer is responsible for ensuring that all required services are delivered— either directly or through qualified subcontractors—within the selected RPA (Eastern, Western or Statewide, as applicable). The Proposer must also indicate how it will provide services to the areas within the RPA if it does not have a physical presence there by providing proof of service contract agreements with potential subcontractors.

The justification for providing the proposed services within the RPA should be based on surveillance data, needs of the Priority Populations, community mapping, needs assessments, and prior experience serving the population(s). Detailed surveillance data can be found at:

Detailed surveillance data can be found at: https://portal.ct.gov/dph/aids--chronic-diseases/surveillance/hiv-surveillance-program/ct-hiv-statistics?language=en_US

Funding Distribution by RPA for 2027-2030 | Each FY is $6,500,000.00; Total RFP is $19,500,000.00

Eastern HUB Western HUB Statewide TLC Coordinator

Core Services $2,076,922.00 $1,823,078.00 $75,000.00

Support Services $692,307.00 $607,693.00 $225,000.00

Expanded Services* $500,000.00 $500,000.00 $0.00

Total $3,269,229.00 $2,930,771.00 $300,000.00

No specific amount of funds will be earmarked to fund Core and Support services prior to proposal review. HRSA RWPB funding distribution requires allocation of no less than seventy-five percent (75%) of an award to Core services and no more than twenty-five percent (25%) of the award for Support Services. No more than ten percent (10%) of the Core and Support allocations may be charged towards administrative expenses and general costs. Proposers may charge five percent (5%) of the Core and Support allocations towards Clinical Quality Management (CQM) costs, excluding the ten percent (10%) cap on administrative expenses.

Administrative and general expenses and CQM charges may not exceed fifteen percent (15%) of the combined Core and Support Service allocations. The allocations listed in the chart above are preliminary and will be finalized based on the availability of funds and resources within each RPA.

RWPB RFP 2027-0905 Addendum #1

Note: Statewide Services Non-Medical Case Management/ TLC: A proposal for the Statewide TLC Coordinator must include short-term transitional case management services to HIV-positive inmates upon release from incarceration. The Statewide TLC Coordinator is exempt from the 75% Core Medical Service requirement, as its primary purpose is to provide non-medical case management, which is a support service.

*Expanded Service: The funding for this line item is only available if the proposal contains service sites that have not previously been funded by RWPB in the last five (5) years. A list of service providers and their locations funded by DPH in the last five (5) years is available in Appendix G. If the Proposer chooses to apply for this additional funding, the proposal must detail who the service provider will be (either the Proposer or a subcontractor), their experience in working with PWH, what services they will provide, how the Proposer will train the individual(s) responsible for the services, and how the Proposer will monitor the individual(s) providing the services. Funding in this line item that is allocated to service sites that have received RWPB funding in the last five (5) years will be considered non-responsive to this section. Failure to adhere to the requirements outlined in this section will disqualify the proposal from funding consideration for this line item only. The Expanded Service option is not available for the Statewide TLC Coordinator Proposer.

The Core and Support Services description is directly below each of the listed Core and Support Services in Tables 2.1 and 2.2, respectively. Proposers for the Eastern or Western Regional HUBs must describe in detail how they will implement the eight (8) Core and six (6) Support Services in their chosen RPA. Proposers for the Statewide TLC Coordinator must describe the Core and Support Services they propose to provide. The descriptions must include, for each service, the demographics of the Priority Population, the projected number of units of service (each time a client receives a service) to be delivered, and outcome measures. If the Proposer is not directly providing all services in the specified RPA, they must list at least one subcontractor per service and the designated area within the RPA to be served.

Reason for change: The funding for Core and Support services for the Statewide TLC Coordinator was incorrect. The TLC Coordinator is exempt from the 75% Core Medical Service requirement.

“Table 2.2 Support Services”, page 18: This table is deleted in its entirety, and the following is substituted in lieu thereof:

Table 2.2 Support Services (maximum of twenty-five percent (25%) of budget)

PROPOSER EXPECTATIONS

Support Services RPA SERVICE ACTIVITIES PRIORITY

POPULATION

UNIT OF

SERVICE

OUTCOME

MEASURES

Emergency Financial Assistance (Housing) Limited one-time or short-term payments to assist a HRSA RWHAP client with an urgent need for essential items or services necessary to improve health outcomes. This service is limited to housing, associated utilities to maintain housing, and internet services. Emergency Financial Assistance (housing) must occur as a direct payment to an agency or through a voucher program.

Describe the mechanism that will be used to provide and track emergency financial assistance services that will be provided in the RPA proposed

PWH

needing emergency housing in urban and rural areas

Number of housing assistance payments, inclusive of associated utilities and internet

Increased housing assistance payments for PWH

Food Bank/Home Delivered Meals The provision of food items, hot meals, or a voucher program to purchase food. This also includes the provision of essential non-food items limited to the following: personal hygiene products, household cleaning supplies, and water filtration and/or purification systems in communities where issues of water safety exist.

Describe the mechanism that will be used to provide and track the food bank/home-delivered meals services that will be provided in the RPA proposed

HIV-positive clients in need of assistance with food

Number of boxed meals or food vouchers distributed

Increased food security

Improved nutritional status

Maintenanc e of weight

Housing Support Service Case Management (Housing CM) The Housing CM assists with transitional, short-term, or emergency housing assistance to enable a client or family to gain or maintain outpatient/ambulatory health services and treatment, including temporary assistance necessary to prevent homelessness and to gain or maintain access to medical care. Activities within the Housing CM category must also include the development of an individual housing plan, updated annually, to guide the client’s link to permanent housing.

Describe the Housing CM client-centered services that assist clients with access to supportive housing services in the proposed RPA.

All HIV-positive clients needing housing assistance

Number of

PWH

assisted with housing navigation

Increased number of PWH placed in stable housing

Legal Services Describe the legal services that will be provided by a CT-licensed or certified legal professional for assistance with RWPB-related services.

HIV-positive clients in need of legal services

Number of legal consultation s provided

Clients resolve legal barriers to care.

Medical Transportation The provision of nonemergency transportation that enables a client to access or be retained in Core and Support services.

Describe transportation service area and type of services to be delivered (bus pass, tokens, voucher/, taxi, Uber/Lyft, provider van/car service with licensed driver, insurance, etc., and/or private operator agreement).

HIV-

positive clients in need of medical transportati on

Number of medical transportatio n trips provided

Increased attendance of scheduled medical appointment s

Table 2.2 Support Services (maximum of twenty-five percent (25%) of budget) (continued)

PROPOSER EXPECTATIONS

Support Services RPASERVICE ACTIVITIES

PRIORITY

POPULATION

UNIT OF

SERVICE

OUTCOME

MEASURES

Non-Medical Case Management (NMCM) (to be provided by the Transitional Linkage to the Community Coordinator only)

A range of client-centered activities focused on improving access to and retention in needed Core and Support Services. NMCM includes coordination, guidance, and assistance in accessing medical, social, community, legal, financial, employment, vocational, and/or other needed services.

Describe client-centered services that ensure timely referral to a MCM provider for access to medical care, treatment adherence, care coordination, monitoring of health outcomes, and Support Services.

Describe the implementation of individualized written Client Care Plans that include a description of a client’s support needs including non-medical needs, action steps and timeframes to resolve the need(s), identification of the person responsible for completing action steps and Client Care Plan documents, for monitoring and reassessing the client’s health status, and for preparing a Discharge Plan that transitions a client out of NMCM services upon discharge from incarceration and refers them to a provider within the community.

HIV-positive clients with

NMCM

needs

Number of

PWH

receiving

NMCM

Increased connection to NMCM

Psychosocial Support Services Group or individual support and counseling services to assist HRSA RWHAP clients in addressing behavioral and psychosocial health concerns.

Detail services and interventions to be provided to the group and/or individuals to address behavioral and psychosocial health concerns.

HIV-positive individuals in need of psychosocia l support

Number of counseling and/or support sessions delivered

Improved emotional well-being

Reason for change: The description for Emergency Financial Assistance was incorrect.

Emergency Financial Assistance can be used for housing, associated utilities to maintain housing, and internet services.

“6. Budget Expectations”, page 22: This section is deleted in its entirety, and the following is substituted in lieu thereof:

6. Budget Expectations Proposers must submit a detailed line-item budget with justifications for each line item. HRSA RWPB funding distribution requires allocation of no less than seventy-five percent (75%) of an award to Core services and no more than twenty-five percent (25%) of the award for Support Services for the Eastern and Western Hub proposers. The Statewide TLC Coordinator is exempt from the 75% Core services requirement and may allocate up to 100% of the service dollars to Support services. No more than ten percent (10%) of the Core and Support allocations may be charged towards administrative expenses and general costs.

Proposers may charge five percent (5%) of the Core and Support allocations towards CQM costs, excluding the ten percent (10%) cap on administrative expenses. Administrative and general expenses and CQM charges may not exceed fifteen percent (15%) of the combined Core and Support Service allocations. The Proposer must describe budget expectations in detail, which could include, but are not limited to, cost standards, program funding sources, total available funding for the period of award, proration, third party reimbursement, flat fees, fee-for-service revenues, and subcontractor cost schedules. RWPB is the payer of last resort, and the response to this proposal must demonstrate that the Proposer’s services will be provided in accordance with that requirement.

Reason for change: The Statewide TLC Coordinator primarily provides non-medical case management, which is a support service and is therefore exempt from the 75% Core service requirement.

“APPENDIX E1 – RWPB RFP Budget Template – Core Services”, page 42:

This appendix shall be included with the addendum as a separate and fillable document as originally stated.

Reason for change: A separate and fillable document shall accompany this addendum to honor the original intent to accompany the RFP

“APPENDIX E2 – RWPB RFP Budget Template – Support Services”, page 43:

This appendix shall be included with the addendum as a separate and fillable document as originally stated.

Reason for change: A separate and fillable document shall accompany this addendum to honor the original intent to accompany the RFP