Addendum 4.pdf

County of Santa Clara Addendum #4

RFSQ-BHS-FY23-0210

Adult and Older Adult System of Care Services

ADDENDUM #4

ISSUED ON APRIL 3, 2024

BY

ANGELEAH MACATIAG

CONTRACTS MANAGER

ELECTRONIC REQUEST FOR STATEMENT OF QUALIFICATIONS

ADULT AND OLDER ADULT SYSTEM OF CARE SERVICES

The following document shall be incorporated as part of the above-mentioned RFSQ:

• Addendum #4 –

A. Revisions to Periscope Q&A Deadline B. Revisions to Appendix H C. Revisions to Attachment A18

ALL OTHER SPECIFICATIONS, TERMS and CONDITIONS REMAIN UNCHANGED

ADDENDUM #4

A. Revisions to Periscope Q&A Deadline The questions and answers (Q&A) deadline in Periscope has been revised to March 1, 2028 at 3:00pm Pacific Time.

B. Revisions to Appendix H

Appendix H, Offeror’s Electronic Health Record Status, has been replaced in its entirety.

C. Revisions to Attachment A18

1. A revised version of Attachment A18 for the Assisted Outpatient Treatment program was uploaded to Periscope on April 3, 2024, to address formatting issues throughout the document and to replace the following section:

a. Section IV. is hereby replaced in its entirety by the following:

IV. Target Population

A. The program shall serve adult (ages 18 through 59) and older adult (age 60 and over) clients with severe and persistent mental health and/or co-occurring conditions that result in substantial functional impairments or symptoms and who meet AOT criteria. Due to the recalcitrant nature of their symptoms, clients are more likely to experience a high utilization and repetitive cycle of incarceration, homelessness, substance use, crisis, and/or hospitalization. Clients shall meet the following prerequisites, including but not limited to:

1. Have Medi-Cal benefits designated to County 43 (Santa Clara County), be uninsured, or otherwise be deemed eligible per the BHSD policy.

2. Meet Medi-Cal medical necessity criteria in accordance with all laws and regulations governing Medi-Cal and Medicare programs mandated by federal, state, and local statutes, including but not limited to California Code of Regulations (CCR) Title 9 and Social Security Act Title XXII Regulations.

B. Clients served in the program shall meet the following criteria:

1. 18 years of age or older and has a severe mental illness.

2. Clinically determined that, in view of the client’s treatment history and current behavior, at least one (1) of the following is true:

a. Is unlikely to survive safely in the community without supervision and the condition is substantially deteriorating.

b. Is in need of AOT in order to prevent relapse or deterioration that would likely to result in grave disability or serious harm to the client or to others, as defined in Section 5150 of the California Welfare and Institutions Code (WIC).

3. Has historical lack of compliance with voluntary treatment and at least one (1) of the following is true:

a. Within the last thirty-six (36) months has been hospitalized at least twice due to mental illness including mental health unit of a correctional facility.

b. Within the last forty-eight (48) months has had one (1) or more acts of serious and violent behaviors or threats or attempts to cause serious physical harm to self or others.

4. Has been offered an opportunity to participate in a treatment plan but continued to fail to engage.

5. Participation in the program is the least restrictive placement necessary to ensure recovery and stability.

6. Clients would benefit from receiving AOT services.