Addendum 5.pdf

County of Santa Clara Addendum #5

RFSQ-BHS-FY23-0225

Behavioral Health Treatment Facility Continuum of Care

ADDENDUM #5

ISSUED ON JANUARY 25, 2024

BY

ANGELEAH MACATIAG

CONTRACTS MANAGER

ELECTRONIC REQUEST FOR STATEMENT OF QUALIFICATIONS

BEHAVIORAL HEALTH TREATMENT FACILITY CONTINUUM OF CARE

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

• Addendum #5 –

A. Revisions to the RFSQ B. Revisions to Appendices:

• Appendix A

• Appendix B1

• Appendix B2a

• Appendix E C. Addition of Appendices:

• Appendix B4a-c

• Appendix K D. Revisions to Attachments:

• Attachment A1

• Attachments A2a-b

• Attachments A3a-d

• Attachment E E. Addition of Attachments:

• Attachments A4a-c

• Attachment C6

• Attachment F

ALL OTHER SPECIFICATIONS, TERMS and CONDITIONS REMAIN UNCHANGED

ADDENDUM #5

A. Revisions to the RFSQ: Template

1. A revised version of the RFSQ template has been uploaded to Periscope on January 25, 2024 to reflect the following change:

a. The Table of Contents has been updated to add the following:

i. Appendix B4 – Category 4, Supplemental Residential Care Facilities Evaluation Criteria and Qualifications

a. Basic Supplemental Residential Care Services Evaluation Criteria and Qualifications

b. Intermediate Supplemental Residential Care Services Evaluation Criteria and Qualifications

c. Residential Care Services for Clients with Severe Mental Illness (SMI) and Traumatic Brain Injury (TBI) Evaluation Criteria and Qualifications

ii. Appendix K – Proposed Rates Form

iii. Attachment A4 – Category 4, Supplemental Residential Care Facilities

a. Basic Supplemental Residential Care Services Scope of Work

b. Intermediate Supplemental Residential Care Services Evaluation Criteria and Qualifications Scope of Work

c. Residential Care Services for Clients with Severe Mental Illness (SMI) and Traumatic Brain Injury (TBI) Evaluation Criteria and Qualifications Scope of Work

iv. Attachment C – Sample Agreements:

6. Residential Care Facility

v. Attachment F – Sample Critical Incident Sentinel Event Report Form

b. The Table of Contents has been updated to remove "Attachment E - Contractor Certification of Compliance with Covid-19 Vaccine Requirements" to replace with "Attachment E - Rates for Supplemental Residential Care Facility Services" (Contractor Certification of Compliance with Covid-19 Vaccine is no longer a County requirement).

c. Section I.A.1 has been amended to the following:

The County of Santa Clara (“County”) Health System (“Health System”) Behavioral Health Services Department (BHSD) is seeking statements of qualifications (“Responses”) from qualified and experienced firms, hereafter (“Offerors”) to provide a variety of services which support the Behavioral Health Treatment Facility Continuum of Care (COC).

d. Section I.A.2 has been amended to change the number of programs from seven (7) to ten (10).

e. Section I.A.6. has been amended to change the number of categories from three (3) to four (4).

f. Section I.A.6, Table 1: Category Names has been reformatted to add the following:

Category 4 Supplemental Residential Care Facilities

g. Section I.A.6 has been amended to add the following:

Category 4 Supplemental Residential Care Facilities

See Attachment A4 “Category 4 -Supplemental Residential Care Facilities Scope of Work” for a detailed description of each programs Scope of Work specifications, and requirements. Offerors may apply for one or both levels of care listed in the Attachment:

h. A4a: Basic Supplemental Residential Care Services – The BHSD is seeking Offerors interested in providing supplemental residential care services to clients who are dual diagnosed with SMI in combination with some medical conditions that preclude them from being placed in a regular, independent Residential Care Facility (RCF).

i. A4b: Intermediate Supplemental Residential Care Services – The BHSD is seeking Offerors interested in providing supplemental residential care services to clients who are diagnosed with SMI with significant co-morbid medical conditions and have a level of functioning, symptoms, and psychiatric history that necessitates supplemental service interventions.

j. A4c: Residential Care Services for Clients with Severe Mental Illness (SMI) and Traumatic Brain Injury (TBI) – The BHSD is seeking Offerors interested in providing supplemental residential care services to clients who are diagnosed with SMI and have co-morbid conditions of TBI, anoxia (absence of oxygen in the brain), stroke or seizure disorders.

Clients required additional supervision to ensure safety due to wandering behaviors.

h. Section I.A.7.d has been amended to the following:

d. For Offerors on the QP that are awarded a contract, any of the following contract types may be used, as deemed appropriate, to execute the agreement for the programs A1 – A4 listed above:

• Short-Doyle/Mental Health Services Act (SD/MHSA) agreement, or an addition to an existing contract for additional programs;

• Acute Psychiatric Hospital, or an addition to an existing contract for additional programs;

• Mental Health Rehabilitation Center, or an addition to an existing contract for additional programs;

• Skilled Nursing Facility, or an addition to an existing contract for additional programs;

• SUTS Master Agreement, or an addition to an existing contract for additional programs; and/or.

• Residential Care Facility, or an addition to an existing contract for additional programs.

i. Section II.A, Table 3: Calendar Year 2023-2024 Dates for Evaluations has been reformatted to add the following:

Note that dates are for new providers and existing CCPs applying for new programs. CCPs interested in auto-qualification of existing programs may submit auto-qualification documents at any time and will be evaluated on a rolling basis.

j. Section IV.D.4.iii has been amended to the following:

iii. Attachment 5: Appendix I, “Cost Proposal Response Form” (affects programs A1, A2a, and A2b) or Appendix J, “Budget Narrative” per program (affects programs A3) or Appendix K, “Proposed Rates Form” (affects programs A4)

k. Section IV.E.1 has been amended to add “Table 4” at the top of the table.

The table has been reformatted to add the following:

4 Appendix E “Declaration Submittal Form”

Word document provided on Periscope.

Offeror should complete the Declaration Submittal Form containing:

• Non-Collusion Declaration,

• Declaration of Compliance with Equal Opportunity/Nondiscriminatio n,

• Wage Theft Prevention, and

• Declaration of Intent to Comply with County COVID-19 Requirements.

• Declaration of Compliance with the Levine Act

7 Appendix H “Offeror’s Electronic Health Record Status”

Word document provided on Periscope.

Text in the “Compilation” column of Table 4 has been updated to read “Items 1-8…”

l. Section IV.E.2 has been amended to the following:

Organization of Response Submission per program:

• Attachment 3: A# [Program Name] Response.

• Attachment 4: Appendix B#, “Evaluation Criteria and Qualifications”

(affects all programs under A1-A4)

• Attachment 5: Appendix I, “Cost Proposal Response Form” (affects programs under A1 and A2) or

Attachment 5: Appendix J, “Budget Narrative” per program (affects programs under A3) or Attachment 5: Appendix K “Proposed Rates Form” (affects programs under A4)

m. Section IV.E.2 has been amended to add “Table 5” at the top of the table.

The table has been reformatted to add the following:

i. The following footnote has been added to the Formatting column for item 3: Five (5) page limit applies only to the response to Section 2 of Appendix B#.

ii. The language in the Compilation column has been amended to change the Item 5 requirement from an Excel document to a Word document or

PDF.

iii. Table 5, Item 6 has been reformatted to the following:

6 Appendix I, “Cost Proposal Response Form” (affects programs A1-A2) or

Appendix J, “Budget Narrative” per program (affects programs under A3) or

Appendix K, “Proposed Rates Form” (affects programs under A4)

Word document provided on

Excel document

Word document

Item 6 must be attached as ONE stand-alone Word or Excel document and submitted through email to BHSD.Solicitations @hhs.sccgov.org labeled “5.

[Offeror Name] Appendix I – [Program Name]” OR “5. [Offeror Name] Appendix J

– [Program Name]” OR “5. [Offeror Name] Appendix K

– [Program Name]”.

n. Section IV.H has been amended change the listed Appendices from “B1 through B3” to “B1 through B4”

B. Revisions to Appendices:

1. Appendix A, Cover Sheet

a. The table in Section I has been reformatted to add the following:

CATEGORY 4: Supplemental Residential Care Facilities

☐ A4a: Basic Supplemental Residential Care Services

☐ A4b: Intermediate Supplemental Residential Care Services

☐ A4c: Residential Care Services for Clients with Severe Mental Illness (SMI) and Traumatic Brain Injury (TBI) mailto:BHSD.Solicitations@hhs.sccgov.org mailto:BHSD.Solicitations@hhs.sccgov.org

b. The table in Section II has been reformatted to add the following:

CATEGORY 4: Supplemental Residential Care Facilities

Application for Qualification Indicate Programs as applicable

Bed Capacity per Program

Daily Rate/Range per Program

Response/ Initials

A4: Supplemental Residential Care Facilities

☐ A4a: Basic Supplemental Residential Care Services

A4a: A4a: Initials:

☐ A4b: Intermediate Supplemental Residential Care Services

A4b: A4b: Initials:

☐ A4c: Residential Care Services for Clients with Severe Mental Illness (SMI) and Traumatic Brain Injury (TBI)

A4c: A4c: Initials:

2. Appendix B1 has been updated to remove “withdrawal symptom” language from Section 1.h.

3. Appendix B2a has been updated to remove “withdrawal symptom” language from Section 1.i and “STP” language from Section 1.a, Section 1.d, and Section 1.h.

4. Appendix E, Declaration Submittal Form has been replaced in its entirety.

C. Addition of Appendices:

1. The following Appendices have been added to the RFSQ:

a. Appendix B4a, Basic Supplemental Residential Care Services Evaluation Criteria and Qualifications

b. Appendix B4b, Intermediate Supplemental Residential Care Services Evaluation Criteria and Qualifications

c. Appendix B4c, Residential Care Services for Clients with Severe mental Illness (SMI) and Traumatic Brain Injury (TBI) Evaluation Criteria and Qualifications

d. Appendix K, Proposed Rates Form

D. Revisions to Attachments:

1. Attachment A1 has been amended to revise the COVID-19 vaccination requirement language on Section VIII.B.

2. Attachment A2a and A2b have been amended to revise the COVID-19 vaccination requirement language on Section VIII.B.

3. Attachment A3a through A3d have been amended to:

a. Revise the COVID-19 vaccination requirement language on Section VIII.B of Attachment A3a.

b. Revise the COVID-19 vaccination requirement language on Section VIII.B of Attachment A3b.

c. Revise the COVID-19 vaccination requirement language on Section IX.B of Attachment A3c.

d. Revise the COVID-19 vaccination requirement language on Section VIII.B of Attachment A3d.

4. Attachment E, Contractor Certification of Compliance with COVID-19 Vaccine Requirements has been replaced in its entirety with Attachment E, Rates for Supplemental Residential Care Facility Services.

E. Addition of Attachments:

1. The following Attachments have been added to the RFSQ:

a. Attachment A4a, Basic Supplemental Residential Care Services Scope of Work

b. Attachment A4b, Intermediate Supplemental Residential Care Services Scope of Work

c. Attachment A4c, Residential Care Services for Clients with Severe mental Illness (SMI) and Traumatic Brain Injury (TBI) Scope of Work

d. Attachment C6, Sample Residential Care Facility Agreement

e. Attachment F, Sample Critical Incident Sentinel Event Report Form