AddQa ME ITN 12.8.23.pdf

Addendum No. 03 with Written Inquiry Responses Behavior Health Services Managing Entity

Addendum with Written Inquiries (PMT-08-2122) Effective April 2022

Solicitation Number: DCF ITN 2223 009 through DCF ITN 2223 014 Solicitation Title: Behavior Health Services Managing Entity Addendum Number: 03 Addendum Date: 12/08/2023

FAILURE TO FILE A PROTEST WITHIN THE TIME PRESCRIBED IN SECTION 120.57(3),

FLORIDA STATUTES, OR FAILURE TO POST THE BOND OR OTHER SECURITY REQUIRED

BY LAW WITHIN THE TIME ALLOWED FOR FILING A BOND SHALL CONSTITUTE A WAIVER

OF PROCEEDINGS UNDER CHAPTER 120, FLORIDA STATUTES.

DCF ITN 2223 009 through DCF ITN 2223 014 is hereby amended as follows, all other terms and conditions of the solicitation remain in effect. All additions are highlighted in yellow, and words stricken are deletions:

Change No. 1

Table of Contents is replaced in its entirety with the below:

Table of Contents SECTION 1. INTRODUCTION ..................................................... Error! Bookmark not defined.

1.1 Introduction to the Procurement ....................................... Error! Bookmark not defined.

1.2 Mandatory Qualifications .................................................. Error! Bookmark not defined.

1.3 Term of the Agreement ...................................................... Error! Bookmark not defined.

1.4 Contact Person and Procurement Officer ........................ Error! Bookmark not defined.

1.5 Official Notices ................................................................... Error! Bookmark not defined.

1.6 Protests .............................................................................. Error! Bookmark not defined.

SECTION 2. SOLICITATION PROCESS..................................... Error! Bookmark not defined.

2.1 General Overview of the Process...................................... Error! Bookmark not defined.

2.2 Limitations on Contacting Department Personnel and Others .... Error! Bookmark not defined.

2.3 Limitations During Negotiations ....................................... Error! Bookmark not defined.

2.4 Timeline .............................................................................. Error! Bookmark not defined.

2.5 Woman--, Veteran--, and Minority-owned Small Businesses Participation ........ Error!

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2.6 Pre-solicitation Conference ............................................... Error! Bookmark not defined.

2.7 Written Questions and Department Answers ................... Error! Bookmark not defined.

2.8 Receipt of Replies .............................................................. Error! Bookmark not defined.

2.9 Form PUR 1001................................................................... Error! Bookmark not defined.

2.10 Department’s Discretion .................................................... Error! Bookmark not defined.

Addendum with Written Inquiries (PMT-08-2122) Effective April 2022

SECTION 3. SPECIFICATIONS .................................................. Error! Bookmark not defined.

3.1 Managing Entity Contract Documents .............................. Error! Bookmark not defined.

3.2 Definitions .......................................................................... Error! Bookmark not defined.

3.3 Minimum Programmatic Specifications ............................ Error! Bookmark not defined.

3.4 Minimum Financial Specifications .................................... Error! Bookmark not defined.

3.5 Composition of the Contract ............................................. Error! Bookmark not defined.

3.6 Order of Precedence .......................................................... Error! Bookmark not defined.

3.7 Supporting Documentation

SECTION 4. INSTRUCTIONS FOR RESPONDING TO THE ITN Error! Bookmark not defined.

4.1 How to Submit a Reply ...................................................... Error! Bookmark not defined.

4.2 Contents of the Reply ........................................................ Error! Bookmark not defined.

4.3 Public Records and Trade Secrets ................................... Error! Bookmark not defined.

SECTION 5. THE SELECTION METHODOLOGY ...................... Error! Bookmark not defined.

5.1 Selection Criteria ................................................................ Error! Bookmark not defined.

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5.3 Negotiation Phase Methodology ....................................... Error! Bookmark not defined.

5.4 Notice of Intent to Award ................................................... Error! Bookmark not defined.

APPENDIX I: CERTIFICATE OF SIGNATURE AUTHORITY.......... Error! Bookmark not defined.

APPENDIX II: VENDOR’S CERTIFICATIONS ................................ Error! Bookmark not defined.

APPENDIX III: QUESTION SUBMITTAL FORM........................... Error! Bookmark not defined.

APPENDIX IV: SUBCONTRACTOR FORM ................................. Error! Bookmark not defined.

APPENDIX V: BUDGET SUMMARY AND DETAIL INSTRUCTIONS ....... Error! Bookmark not defined.

APPENDIX VI: PROJECT BUDGET SUMMARY.......................... Error! Bookmark not defined.

APPENDIX VII: PROPOSED COST ALLOCATION PLAN ........... Error! Bookmark not defined.

APPENDIX VIII: STANDARD CONTRACT PART 1 ........................ Error! Bookmark not defined.

APPENDIX IX: STANDARD CONTRACT PART 2 .......................... Error! Bookmark not defined.

APPENDIX XI: SCORING CRITERIA .............................................. Error! Bookmark not defined.

APPENDIX XII: EXECUTIVE COMPENSATION ANNUAL REPORTError! Bookmark not defined.

THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK

Addendum with Written Inquiries (PMT-08-2122) Effective April 2022

Change No. 2

3.7 Supporting Documentation

This table lists the supporting documentation and the associated link.

TABLE 3. Supporting Documentation Subject Description Link

Security of Data and Information Technology Resources

CFOP 50-2

https://www.myflfamilies.com/admin/publicatio ns/cfops/CFOP%20050-xx%20Systems%20Management/CFOP%205 0- 02,%20Security%20of%20Data%20and%20In formation%20Technology%20Resources.pdf https://www2.myflfamilies.com/admin/publicati ons/cfops/CFOP%20050-xx%20Systems%20Management/CFOP%205 0- 02,%20Security%20of%20Data%20and%20In formation%20Technology%20Resources.pdf

Actual Expenses and Revenues Schedule CF-MH 1037 https://eds.myflfamilies.com/DCFFormsIntern et/Search/DCFFormSearch.aspx

Standard Contract Part 2

(APPENDIX IX)

Incorporated Documents

Guidance Documents and Reporting Templates https://www.myflfamilies.com/services/substa nce-abuse-and-mental-health/samh-providers/managing-entities/managing-entities-fy22 https://www.myflfamilies.com/services/substa nce-abuse-and-mental-health/samh-providers/managing-entities/managing-entities-fy23

SAMH Projected Operating and Capital Budget

CF-MH 1042 https://eds.myflfamilies.com/DCFFormsIntern et/Search/DCFFormSearch.aspx

Change No. 3

Bullet Points have been replaced by section numbers:

4.2.6.1.1. Network Planning

Describe the vendor’s approach to network development and planning, in accordance with section 394.9082, F.S., including how the vendor will ensure participation in the planning process by consumers and their families, https://www.myflfamilies.com/admin/publications/cfops/CFOP%20050-xx%20Systems%20Management/CFOP%2050-02,%20Security%20of%20Data%20and%20Information%20Technology%20Resources.pdf https://www.myflfamilies.com/admin/publications/cfops/CFOP%20050-xx%20Systems%20Management/CFOP%2050-02,%20Security%20of%20Data%20and%20Information%20Technology%20Resources.pdf https://www.myflfamilies.com/admin/publications/cfops/CFOP%20050-xx%20Systems%20Management/CFOP%2050-02,%20Security%20of%20Data%20and%20Information%20Technology%20Resources.pdf https://www.myflfamilies.com/admin/publications/cfops/CFOP%20050-xx%20Systems%20Management/CFOP%2050-02,%20Security%20of%20Data%20and%20Information%20Technology%20Resources.pdf https://www.myflfamilies.com/admin/publications/cfops/CFOP%20050-xx%20Systems%20Management/CFOP%2050-02,%20Security%20of%20Data%20and%20Information%20Technology%20Resources.pdf https://www.myflfamilies.com/admin/publications/cfops/CFOP%20050-xx%20Systems%20Management/CFOP%2050-02,%20Security%20of%20Data%20and%20Information%20Technology%20Resources.pdf https://www2.myflfamilies.com/admin/publications/cfops/CFOP%20050-xx%20Systems%20Management/CFOP%2050-02,%20Security%20of%20Data%20and%20Information%20Technology%20Resources.pdf https://www2.myflfamilies.com/admin/publications/cfops/CFOP%20050-xx%20Systems%20Management/CFOP%2050-02,%20Security%20of%20Data%20and%20Information%20Technology%20Resources.pdf https://www2.myflfamilies.com/admin/publications/cfops/CFOP%20050-xx%20Systems%20Management/CFOP%2050-02,%20Security%20of%20Data%20and%20Information%20Technology%20Resources.pdf https://www2.myflfamilies.com/admin/publications/cfops/CFOP%20050-xx%20Systems%20Management/CFOP%2050-02,%20Security%20of%20Data%20and%20Information%20Technology%20Resources.pdf https://www2.myflfamilies.com/admin/publications/cfops/CFOP%20050-xx%20Systems%20Management/CFOP%2050-02,%20Security%20of%20Data%20and%20Information%20Technology%20Resources.pdf https://www2.myflfamilies.com/admin/publications/cfops/CFOP%20050-xx%20Systems%20Management/CFOP%2050-02,%20Security%20of%20Data%20and%20Information%20Technology%20Resources.pdf https://eds.myflfamilies.com/DCFFormsInternet/Search/DCFFormSearch.aspx https://eds.myflfamilies.com/DCFFormsInternet/Search/DCFFormSearch.aspx https://www.myflfamilies.com/services/substance-abuse-and-mental-health/samh-providers/managing-entities/managing-entities-fy22 https://www.myflfamilies.com/services/substance-abuse-and-mental-health/samh-providers/managing-entities/managing-entities-fy22 https://www.myflfamilies.com/services/substance-abuse-and-mental-health/samh-providers/managing-entities/managing-entities-fy22 https://www.myflfamilies.com/services/substance-abuse-and-mental-health/samh-providers/managing-entities/managing-entities-fy22 https://eds.myflfamilies.com/DCFFormsInternet/Search/DCFFormSearch.aspx https://eds.myflfamilies.com/DCFFormsInternet/Search/DCFFormSearch.aspx

Addendum with Written Inquiries (PMT-08-2122) Effective April 2022

Community-Based Care Lead Agencies, local governments, law enforcement agencies, service providers, community partners and other stakeholders.

Specifically, the reply must address the vendor’s approach to:

4.2.6.1.1.1 Building network capacity.

4.2.6.1.1.2 Addressing the essential elements of a coordinated system of care according to the programmatic standards in this solicitation.

4.2.6.1.1.3 Developing a consumer-focused system of care

designed to meet the unique cultural and linguistic needs of the community.

4.2.6.1.1.4 Ensuring the availability of co-occurring services to ensure appropriate access to a comprehensive array of mental health and substance abuse crisis intervention, support, and stabilization services, including programs of prevention, intervention or diversion.

4.2.6.1.1.5 Planning and implementation of receiving and treatment facilities and treatment systems, pursuant to section 394.461, F.S.

4.2.6.1.1.6 Transportation planning for individuals subject to involuntary examination to a facility within the designated receiving system, pursuant to section 394.462, F.S.

4.2.6.1.1.7 Implementation of new programs and initiatives identified by the Department.

4.2.6.1.1.8 Assisting the Department with development of the state master plan for behavioral health services, pursuant to section 394.75, F.S., and the Long-Range Program Plan, pursuant to Chapter 216, F.S.

4.2.6.1.1.9 Assessing community behavioral health care needs, pursuant to section 394.4573, F.S., including a description of the process and frequency for conducting assessments and related enhancement plans identifying priority needs for services, describing strategies for enhancing services, implementation of strategies, and including stakeholders.

4.2.6.1.1.10 Annual planning with each county designed to increase the capacity of and access to acute care services and reduce the utilization of hospital emergency departments for uninsured or underinsured individuals in behavioral health crisis after they are medically cleared.

4.2.6.1.1.11 Developing and implementing an Annual Business

Operations Plan, including a description of the vendor’s capacity to develop, review, update and implement associated plans for:

Addendum with Written Inquiries (PMT-08-2122) Effective April 2022

4.2.6.1.1.11.1 Annual planning for the coordination of

services for mental health residents in an assisted living facility (ALF) that holds a limited mental health license pursuant to section 394.4574, F.S.

4.2.6.1.1.11.2 Reintegration of individuals ready for discharge from State Mental Health Treatment Facilities to a less restrictive level of care pursuant to section 394.4573, F.S.

4.2.6.1.1.11.3 Triennial needs assessment.

4.2.6.1.1.11.4 Care coordination.

4.2.6.1.1.11.5 Quality assurance.

4.2.6.1.1.11.6 Identifying and prioritizing service needs and the manner in which the vendor proposes to identify appropriate strategies to address the identified needs.

4.2.6.1.1.11.7 Identifying and developing additional

resources, including third-party payments for services, grants, local matching funds and in-kind services and employing other methods needed to ensure that services are available and accessible.

4.2.6.1.1.11.8 Collaborating with agencies and stakeholders

for coordinated Children’s System planning, pursuant to section 394.955, F.S.

4.2.6.1.1.12 Strategies for improving the system’s capacity for timely access to care pursuant to Section C-1.1.6.6 and Section E-3.

4.2.6.1.1.13 Strategies for expanding the availability and

sustainability of respite services, short term residential treatment, Recovery Peer Specialists, Recovery Community Organizations, board-certified Behavior Analysts, Federally Qualified Health Centers pursuant to rule 59G-4.100, F.A.C, Hospital Bridge Programs and Mobile Buprenorphine Clinics.

4.2.6.1.1.14 Summary information on Managing Entity Specific

Initiatives;

4.2.6.1.1.15 The Managing Entity shall submit a Marketing Plan for the Department’s review and approval. The plan shall address how the Managing Entity will ensure that the community is aware of how to access behavioral health services and supports.

Addendum with Written Inquiries (PMT-08-2122) Effective April 2022

Change No. 4

1.1. Evaluation Criteria 3: Development and Planning Function

Reply Section Vendor’s articulation of their overall approach to network development and planning to ensure a comprehensive array of services throughout the geographic area.

Score (0-4) Weight Total

4.2.6.1.1

1. How well does the vendor's approach demonstrate the capacity for collaboration and participation by a variety of stakeholders, community partners, and consumers and their families in:

4.2.6.1.1.1 & 4.2.6.1.1.2

a. building network capacity and addressing the essential elements of a coordinated system of care according to the programmatic standards in this solicitation?

4.2.6.1.1.3

b. developing consumer-focused system of care designed to meet the unique cultural and linguistic needs of the community?

4.2.6.1.1.4

c. ensuring co-occurring services and access to a comprehensive array of mental health and substance abuse crisis intervention, support, and stabilization services, including programs of prevention, intervention, or diversion?

4.2.6.1.1.5 d. planning and implementation of receiving and treatment facilities for behavioral health services? 6

4.2.6.1.1.6

e. transportation planning for individuals subject to involuntary examination to a facility within the designated receiving system?

4.2.6.1.1.7 f. implementation of new programs and initiatives identified by the Department? 6

4.2.6.1.1.8 & 4.2.6.1.1.9

g. assessing community behavioral healthcare needs and assisting with development of the state master plan for behavioral health services, and the Long-Range Program Plan?

4.2.6.1.1.10

e. h. annual planning with each county designed to increase the capacity of and access to acute care services and reduce the utilization of hospital emergency departments for uninsured or underinsured individuals in behavioral health crisis after they are medically cleared?

4.2.6.1.1.110

2. How well does the vendor’s approach address developing and implementing an Annual Business Operations Plan, inclusive of:

Addendum with Written Inquiries (PMT-08-2122) Effective April 2022

4.2.6.1.1.110.1

4.2.6.1.1.110.2

a. coordinating services for mental health residents in an assisted living facility with a limited health license and reintegration of individuals ready for discharge from a State Mental Health Treatment Facility?

4.2.6.1.1.110.3

4.2.6.1.1.110.6

b. conducting a triennial needs assessment and identifying and prioritizing service needs and identifying strategies to addressing these needs?

4.2.6.1.1.110.4 c. care coordination? 5

4.2.6.1.1.110.5 d. quality assurance? 2

4.2.6.1.1.110.7 e. identifying and developing additional resources? 4

4.2.6.1.1.110.8 f. children’s system planning? 5

4.2.6.1.9 4.2.6.1.1.12

g. Strategies for improving the system’s capacity for timely access to care pursuant to Section C-

1.1.6.6 and Section E-3.

4.2.6.1.10 4.2.6.1.1.13

h. Strategies for expanding the availability and sustainability of respite services, short term residential treatment, Recovery Peer Specialists, Recovery Community Organizations, board-certified Behavior Analysts, Federally Qualified Health Centers pursuant to rule 59G-4.100, F.A.C, Hospital Bridge Programs, and Mobile Buprenorphine Clinics.

4.2.6.1.1.14 i. Summary information on Managing Entity Specific Initiatives; 4

4.2.6.1.1.15

j. The Managing Entity shall submit a Marketing Plan for the Department’s review and approval. The plan shall address how the Managing Entity will ensure that the community is aware of how to access behavioral health services and supports;

CRITERIA 3 TOTAL (328)

Change No.5

4.2.6.5.1 Describe the vendor’s current financial management and accounting systems ability to track and report the expenditure of funds associated with the provision of services and the capability to generate financial reports on utilization, cost, claims, billing and collections for the Department and other stakeholders. The reply must include sample reports to demonstrate financial reporting capability as an attachment in the programmatic supporting documentation in Tab 6 (see Section 4.2.7) to the Reply.

Addendum with Written Inquiries (PMT-08-2122) Effective April 2022

Change No. 6

Standard Contract Part 2, Exhibit C – Task List, Section C.1.1.1

C.1.1.1.7 Includes a sufficient selection of Network Service Providers to provide the full array of services identified in Section 65E-14.021 and Chapter 65E-30 65D-30, F.A.C.

Change No. 7

Standard Contract Part 2, Section C.1.3.1.6.1

C.1.3.1.6.1 Level 1 and 2 screening;

Change No. 8

Standard Contract Part 2, Exhibit E, Table 3 - Managing Entity Performance Measures, Section E.1.11 & E.1.12, Financial Consequence

Table 3 – Managing Entity Performance Measures

Measure Description Financial Consequence

Reporting Frequency

Implementation of General Appropriations Act: The Managing Entity shall meet 100% of the following requirements:

E.1.11 Implementation of Specific Appropriations demonstrated by executed contracts with Network Service Providers no later than 30 days after execution of the initial Schedule of Funds amendment each fiscal year; and E.1.12 Submission of all plans, pursuant to Exhibit C3 by September 30.

$500 per day for each subcontract not executed by the September 30 within 30 days of SOF amendment execution.

Response to Written Inquires:

# Vendor Name Solicitation Section Region Question Department Response

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Introduction to Procurement 2.7- Written Questions and Department Answers

Northeast Region

Where will the answers to questions be posted? Will all answers to all questions be posted in the same place, regardless of which Region the questions came from?

Please refer to the following locations for all postings related to this ITN. All questions and answers will be made simultaneously available regardless of the region from which the questions came from.

Behavioral Health Services Managing Entity - Northeast Region:

https://vendor.myfloridamarketplace .com/search/bids/detail/6605 Behavioral Health Services Managing Entity - Central Region:

https://vendor.myfloridamarketplace .com/search/bids/detail/6606 Behavioral Health Services Managing Entity - Southern Region:

https://vendor.myfloridamarketplace .com/search/bids/detail/6608 Behavioral Health Services Managing Entity - Northwest Region -https://vendor.myfloridamarketplace .com/search/bids/detail/6621 Behavioral Health Services Managing Entity - Suncoast Region https://vendor.myfloridamarketplace .com/search/bids/detail/6622 https://vendor.myfloridamarketplace.com/search/bids/detail/6605 https://vendor.myfloridamarketplace.com/search/bids/detail/6605 https://vendor.myfloridamarketplace.com/search/bids/detail/6606 https://vendor.myfloridamarketplace.com/search/bids/detail/6606 https://vendor.myfloridamarketplace.com/search/bids/detail/6608 https://vendor.myfloridamarketplace.com/search/bids/detail/6608 https://vendor.myfloridamarketplace.com/search/bids/detail/6621 https://vendor.myfloridamarketplace.com/search/bids/detail/6621 https://vendor.myfloridamarketplace.com/search/bids/detail/6622 https://vendor.myfloridamarketplace.com/search/bids/detail/6622

# Vendor Name Solicitation Section Region Question Department Response

Behavioral Health Services Managing Entity - Southeast Region -https://vendor.myfloridamarketplace .com/search/bids/detail/6623

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

ITN Section 3.4.1 Schedule of funds – See Standard Contract Part 2 (Appendix IX) Exhibit F1, ME Schedule of funds, for a detailed listing of current fund sources

Northeast Region

In the Standard Contract Part 2, and the Exhibit F1 is blank. When will a current detailed listing of fund sources be available and where will it be posted?

Refer to the annual GAA funding determined by the Legislature on an annual basis. Historically this is a mix of federal and state funds.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

ITN 3.7-Supporting Documentation

Northeast Region

The link to Security of Data and Information Technology Resources - CFOP 50-2 is invalid.

Will the ITN be revised to correct this link?

See Change No. 2.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

ITN 3.7 – Supporting Documentation

Northeast Region

The link to Standard Contract Part 2 (APPENDIX IX) Incorporated Documents Guidance Documents and Reporting Templates references the previous FY 22-23.

Will the ITN be revised to correct the link to FY 23-24?

Yes, this will be updated in the subsequent awarded contracts.

See Change No. 2.

Lutheran Services

Florida, Inc.

d/b/a LSF

ITN 4.2.8.1 Financial (Evaluation Criteria

9) Budget Summary- The budget totals

Northeast Region

The referenced document, Exhibit F1- Schedule of Funds is left blank in the Standard Contract Part 2 and contains no available

Per Section 4.2.8.1 Financial (Evaluation Criteria 9) Budget Summary is a tool the Department will utilize to score the Financial components and budget submitted https://vendor.myfloridamarketplace.com/search/bids/detail/6623 https://vendor.myfloridamarketplace.com/search/bids/detail/6623

# Vendor Name Solicitation Section Region Question Department Response

Health Systems should be based on the available funding projection and specifications in the Standard Contract Part 2 (Appendix IX0- Exhibit F1, Schedule of Funds funding projection data. When will this information be updated and provided?

in the Vendor Replies, in response to the Department’s ITN. Vendors will propose to the Department what it will cost to complete the services as required in the ITN.

The awarded Vendor’s resulting contract, including the Exhibit F1-will reflect the budget submitted by the awarded Vendor. This information will be input into the Standard Contract Part 1 and Part 2, following ITN award.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 1- 1.7 MyFloridaMarketPlac e transaction fee

Northeast Region

a. If the awarded Provider is a designated non-profit under the Internal Revenue Code or by the Florida Secretary of State, are they exempt from the transaction fee under this Contract as per 60A-1.032 F.A.C?

b. If so, does the provider need to submit an exemption form and by what date?

If a Vendor is a non-profit or government entity, they are generally exempt from the transaction fee. MFMP has information regarding the 1 percent transaction fee exemption process here: Transaction Fee and Reporting / MFMP Vendors / MyFloridaMarketPlace / State Purchasing / Business Operations / Florida Department of Management Services - DMS

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 2 – C.1.2.2.10 Federally Qualified Health Center

Northeast Region

For services listed below that the ME does not fund directly, i.e FQHC, is an MOU addressing access sufficient to meet this requirement?

The Vendor’s Reply, Section 4.2.6.2, Administration Function, should address innovative ways to coordinate care with individuals that are referred for primary health care or urgent care and to ensure referral mechanisms are in place to both receive referrals for individuals with behavioral health needs and to send referrals for individuals with https://www.dms.myflorida.com/business_operations/state_purchasing/myfloridamarketplace/mfmp_vendors/transaction_fee_and_reporting https://www.dms.myflorida.com/business_operations/state_purchasing/myfloridamarketplace/mfmp_vendors/transaction_fee_and_reporting https://www.dms.myflorida.com/business_operations/state_purchasing/myfloridamarketplace/mfmp_vendors/transaction_fee_and_reporting https://www.dms.myflorida.com/business_operations/state_purchasing/myfloridamarketplace/mfmp_vendors/transaction_fee_and_reporting https://www.dms.myflorida.com/business_operations/state_purchasing/myfloridamarketplace/mfmp_vendors/transaction_fee_and_reporting https://www.dms.myflorida.com/business_operations/state_purchasing/myfloridamarketplace/mfmp_vendors/transaction_fee_and_reporting

# Vendor Name Solicitation Section Region Question Department Response primary health care or urgent care needs.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 2 - C.1.1.6.6, C.1.1.6.6.1, C.1.1.6.6.2 – Time and distance Standards for outpatient services

Northeast Region

Does availability of telehealth services meet these requirements?

The Vendor’s Reply, Section 4.2.5.2, Experience, should address how individuals are given a choice regarding service delivery.

For those that prefer in-person services, time and distance standards will apply. Services provided through the use of telehealth will not be included in the methodology to calculate time and distance standards.

Telehealth should not be the only option available to individuals seeking care.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 2- C.1.2.4 – Accepting all willing providers

Northeast Region

a. Is there a definition for “standard credentialing requirements?

b. With finite resources, if all resources are committed, what is the expectation for funding “any willing provider”?

c. If the ME has had a negative experience with a willing provider, i.e., failure to meet contract requirements resulting in multiple corrective actions, failure to cooperate with monitoring requirements, threats of legal action, is there a process to exclude these providers from consideration?

a. The Vendor’s Reply, Section 4.2.4.3, Accreditation, may speak to their current credentialing process considering any requirements under Florida Statutes, Federal and Administrative Codes, industry standards, and best practices.

b. The expectation is to allow willing providers to apply for consideration using existing or proposed standard credentialling requirements.

c. The Vendor’s Reply submitted in response to the Department’s ITN should

# Vendor Name Solicitation Section Region Question Department Response address the process for oversight/management and selection of Providers and process regarding corrective action.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 2- C.1.2.13 The Managing Entity shall increase capacity in the system of care and ensure that uninsured and underinsured individuals with medical issues that exceed the capability of a standalone crisis stabilize unit to manage have access to crisis stabilization services in a hospital that can meet their needs through purchasing bed space within hospitals that are a designated receiving facility.

Northeast Region

Does this mean the ME must purchase beds in hospitals when hospitals already receive LIP funding for uninsured and underinsured individuals? With finite funding, are we to reduce other community-based services like outpatient services to fund this expectation?

The Managing Entity is responsible for providing behavioral health inpatient services to individuals who are uninsured or underinsured.

Per Section 4.2.6.1.10.he Vendor’s Reply submitted in response to the Department’s ITN should explore how this can be achieved to ensure individuals have access to care (through a unique solution with hospitals, single case agreements or other funding arrangement).

Lutheran Services

Florida, Inc.

Standard Contract Part 2 – C.1.2.19.2- Contracts with

Northeast Region

a. Currently MOU’s are in place with Community-Based Care Lead

a. A contract with Community Based

# Vendor Name Solicitation Section Region Question Department Response d/b/a LSF Health

Systems

Community-Based Care Lead Agencies

Agencies. Are these sufficient to meet this requirement?

b. Must contracts with CBC lead agencies require funding? Can they be $0 contracts?

Care Lead Agencies is required.

b. No funding amount is specified.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 2- C.1.2.19.2- Increase coordination between Network Service Providers and the child welfare system, law enforcement agencies, the criminal justice system, the juvenile justice system, the Medicaid program, offices of the public defender, offices of criminal conflict and offices of the civil regional counsel within the geographic area.

Northeast Region

How will increased coordination be measured?

What is the source of data?

The Vendor may utilize its own data collection to demonstrate improvement in this area. The Vendor can obtain copies of agreements between providers and identified entities and review care coordination practices.

Lutheran Services

Florida, Inc.

d/b/a LSF

Standard Contract Part 2- C.1.2.2.21.1- CORE subcontract execution no later

Northeast Region

Is this for existing CORE projects or expansion counties? For expansion counties, 30 days is not sufficient to get through the contract negotiation and approval process especially

This language originally referred to CORE counties existing at the time of new ME contract execution.

However, CORE timelines for both onboarding existing counties and

# Vendor Name Solicitation Section Region Question Department Response

Health Systems than 30 days following contract execution for EMS partners that require County legal review and BOCC approval, subject to County timelines for getting reviewed and approved documents on the BOCC agenda.

expanding into new counties must be executed no later than six months.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 2-C.1.3.4 –

Internal capacity of Managing Entity shall be adequate to perform high quality monitoring and care coordination functions, in comparison to leadership roles within the organizational structure. The Managing Entity shall participate in a minimum of 80% of local and regional review team, and other multidisciplinary staffing.

Northeast Region

a. What does the phrase “in comparison to leadership roles within the organizational structure” mean?

b. How will participation in local and regional review team and other multidisciplinary staffing be measured.

What is the source of data?

Per Section 4.2.5.3, the Vendor’s Reply must address how they will ensure adequate staff in supporting roles compared to those in leadership positions.

Lutheran Services

Florida, Inc.

d/b/a LSF

Standard Contract Part 2- E.1.2.1- The Managing Entity

Northeast Region

How will this be measured and what is the data source?

The Vendor may utilize existing data or propose a methodology to use to measure this requirement.

The baseline is the Vendor’s

# Vendor Name Solicitation Section Region Question Department Response

Health Systems actively seeks to expand its provider network, per C.1.1.1, and the provider network is increased by 5% over its baseline in the first year and then 2% per year thereafter.

current provider network or proposed provider network required to meet established access standards.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 2- E.1.2.2 Per C.1.1.3.2, the Managing Entity shall increase capacity of and access to acute care services each quarter.

Northeast Region

a. How will this be measured and what is the data source? How is increase of access defined and measured?

b. What is the expectation to increase capacity if there are no additional resources? Is the expectation that community-based services like outpatient will be reduced to shift funding to increase acute care capacity?

a. The Vendor may utilize existing data or propose a methodology to use to measure this requirement.

b. Increased access can mean reducing waitlists or time to services. The Vendor’s Reply may include innovative and best practices shown to reduce the instances of crisis and the need for acute care. See also response to Question #38.

Lutheran Services

Florida, Inc.

d/b/a LSF

Standard Contract Part 2- E.1.2.3 Per C.1.1.3.2, the Managing Entity shall

Northeast Region

a. What is the source of data for this metric? See response to Question #16(a).

# Vendor Name Solicitation Section Region Question Department Response

Health Systems demonstrate a reduction in utilization of hospital emergency department for uninsured or underinsured individuals in behavioral health crisis after they are medically cleared.

b. How will it be collected and measured?

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 2- E.1.3.1 Per C.1.2.4, the Managing Entity shall accept 100% of willing providers that meet standard credentialling requirements.

Northeast Region

What is the source of data for this and how will it be collected and measured? See response to Question #15.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 2- E.1.3.2 Per C.1.2.10, the Managing Entity shall respond to 95% of same-day referral requests received during business hours.

Northeast Region

What is the source of data for this and how will it be collected and measured?

Per Section 4.2.6.4, the Department requests the Provider’s Replies include their proposed solution of collected and measurable data sources. These details are also an area that may be a topic of negotiation, should the Vendor’s Reply be selected for negotiations.

# Vendor Name Solicitation Section Region Question Department Response

E.1.3.3 Per C.1.2.10, the Managing Entity shall respond to 95% of after-hours referral requests on the following business day.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 2- Table 3 E.1.11- Implementation of Specific Appropriations

Northeast Region

The measure is for the ME to execute contracts with Network Service Providers no later than 30 days after the initial Schedule of Funds amendment. Financial penalties begin for contracts not executed by September 30.

Will the penalties be imposed if the ME does not have the schedule of funds that includes all specific appropriations by September 1, to allow for the 30 day timeframe?

See Change No. 8.

If selected for negotiations, the Vendor may discuss in negotatioans alterations to terms and conditions of the contract.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 2- Marketing

C.4.4 The Managing Entity shall submit all co-branded marketing materials to the Department for approval. The Managing Entity is responsible for ensuring the accuracy and compliance of all

Northwest Region

a. What specific co-branded marketing materials require DCF approval?

b. Can blanket approval be given for materials that use the approved DCF language and logo, for use on marketing materials for programming funded by DCF/SAMH via the ME contract?

c. Sometimes marketing campaigns are time sensitive. What timeframes are in place for the approval of materials once submitted?

a. Per Section C.4.4, all co-branded materials are to be submitted to the Department for approval.

b. A blanket approval would not be given.

c. Approval times will vary based on the request.

# Vendor Name Solicitation Section Region Question Department Response marketing materials that it or its subcontractors distribute that includes the Department’s logo.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 2- E.1.4.1 The Managing Entity shall demonstrate progress by reducing the number of individuals served on the Wait List. This measure is not met if the number on the wait list remainsthe same or increases.

Northeast Region

The waitlist is fluid and individuals are added and moved off monthly, how will this be measured? What services are included in this measure?

The Vendor may propose a methodology to measure waitlist to demonstrate improvement over the course of a fiscal year or other appropriate time range.

Any services carrying a waitlist, including but not limited to residential, FACT, FIT, CAT, outpatient, and psychiatric can be included.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 2- E.7- Table 7

Northeast Region

a. LATTERS – How is improved quality of life measured?

b. For Stable Housing goal of 95%- is this realistic, in an environment of an acknowledged housing crisis in Florida and nationally, especially when financial penalties are involved?

c. For admissions of 15% or fewer and 10% or fewer, what are the numerator and denominator for this metric?

a. The DLA assessment measures functional improvements and is used to show how parts of life that are impacted by mental illness are maintained or improved over time from initiation of services throughout the treatment process. When combined with other outcomes such as stable housing, reduced instances of crisis and/or justice involvement, these

# Vendor Name Solicitation Section Region Question Department Response are indicators of improvements to the individual's quality of life.

b. This is a current requirement of Guidance 36 in the Managing Entity contract.

c. For the 15% outcome measure, the numerator is the total number of enrolled individuals who were admitted to a Baker Act Receiving Facility, and the denominator is the total number of individuals enrolled to receive services from the team. For the 10% outcome measure, the numerator is the total number of individuals who completed the Program and who were admitted to a Baker Act Receiving Facility within three months of discharge, and the denominator is the total number of individuals who completed the Program within the past three (3) months.

# Vendor Name Solicitation Section Region Question Department Response

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

Standard Contract Part 2- F.1.2 – Funding

The contract total dollar amount shall not exceed the amount specified in Section 1.1, subject to the availability of funds, as specified in Table 8.

Northeast Region

There is no amount specified in Section 1.1, nor is there a Table 8 in the contract document. When will the information in Section 1.1 and Table 8 be available and where will it be posted?

The Vendor’s Reply and submitted Line-Item Budget, (per Section

4.2.8 of ITN) may propose the service implementation and the associated costs.

The expectation is for the Vendor to address in their Reply, all of the required services outlined in the ITN. The Vendor’s Reply and submitted Line-Item Budget, as part of Vendor’s Reply (per Section

4.2.8 of ITN) will propose what the Vendor anticipates the total costs will be.

This amount will be determined based upon the Reply received by the Vendor. Once an award is made, the subsequent contract and associated attachments will reflect the total contract amount.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

ITN 4.2.5.2

Experience

Where any administrative functions will be subcontracted, provide a detailed description of the work to be subcontracted, including information describing the

Northeast Region

Please clarify the definitions of subcontractor and administrative functions for purposes of for whom a Subcontractor Form (Appendix IV) is required.

This is not required for Network Service Providers, correct?

Please give examples of subcontractors for whom the Subcontractor form would need to be completed.

For the purposes of Section 4.2.5.2, this refers to the Administrative Functions (operations of the ME).

This is not required for Network Service Providers.

Examples would include:

Outsourced HR company, Information Technology Company/data management company.

# Vendor Name Solicitation Section Region Question Department Response qualifications, relevant experience of any proposed subcontractors, and submit a completed Subcontractor Form (APPENDIX IV) for each proposed subcontractor. This list does not include subcontracted Network Service Providers.

Lutheran Services

Florida, Inc.

d/b/a LSF

Health Systems

ITN 4.2.7

Programmatic Supporting Documentation

Northeast Region

Are letters of support allowed? Are letters of support encouraged as supporting documentation? Do letters of support and other programmatic supporting documentation ( plans, policies) count as part of the 175 page limit for evaluation criteria 3-8?

The 175 page limit is for the Services Approach and Solution portion of the response (Evaluation Criterias 3-8 only. Please refer to each section of the ITN which may or may not include page limits.

Section 4.2.7, Programmatic Supporting Documentation, is not part of Criteria 3-8.

Other Financial Supporting Documentation is referenced in Section 4.2.9, and not part of Criteria 3-8.

South Florida Behavioral

Health Network, Inc.

DBA Thriving

Section 4.2.4.4.6

Southern Region:

Miami- Dade and

As it relates to the term “subcontractors”, does this list include subcontracted Network Service Providers?

See response for Question #25.

# Vendor Name Solicitation Section Region Question Department Response

Mind South Florida

Monroe Counties

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

Section

4.2.7

Southern Region:

Miami- Dade and

Monroe Counties

Do the attachments, exhibits, and other supporting documents referenced in the reply counted towards the page limitation of each section?

See response to Question #26.

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

E.1.3.1

Per

C.1.2.4

Southern Region:

Miami- Dade and

Monroe Counties

Could you please provide more information on what the Department means by "standard credentialing requirements"?

See response to Question #9.

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

E.1.3.1

Per

C.1.2.4

Southern Region:

Miami- Dade and

Monroe Counties

Could you please provide a list of what the Department considers minimum standard credentialling requirement?

See response to Question #9.

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

E.1.3.1

Per

C.1.2.4

Southern Region:

Miami- Dade and

Are there any specific organizations or accrediting bodies that we should refer to when assessing a provider's credentials?

See response to Question #9.

# Vendor Name Solicitation Section Region Question Department Response

Monroe Counties

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

E.1.3.1

Per

C.1.2.4

Southern Region:

Miami- Dade and

Monroe Counties

Are there any specific types of credentials that the Department requires? See response to Question #9.

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

E.1.3.1

Per

C.1.2.4

Southern Region:

Miami- Dade and

Monroe Counties

Are there any specific criteria that we should use to evaluate a provider's credentials? See response to Question #9.

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

E.1.3.1

Per

C.1.2.4

Southern Region:

Miami- Dade and

Monroe Counties

Can you provide examples of acceptable forms of standard credentialing requirements? See response to Question #9.

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

E.1.3.1

Per

C.1.2.4

Southern Region:

Miami- Dade and

Is requiring national accreditation for any potential network service provider considered a standard credentialling standard?

# Vendor Name Solicitation Section Region Question Department Response

Monroe Counties

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

4.2.6.5.9

Southern Region:

Miami- Dade and Monroe Counties

As it relates to the section entitled "Policy

Enhancement" in the Monitoring Section, it reads "4.2.6.5.9 Describe any necessary system or policy enhancements and a proposed timeline for implementation." Does this relate to system or policy enhancements related to findings from our monitoring policy?

Or is this related to system or policy enhancements needed as part of the ITN process?

Vendors should refer to Federal Grant Financial Management Requirements (Guidance 22)

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

E.1.2.1

Southern Region:

Miami- Dade and

Monroe Counties

As it relates to the new performance measures "E.1.2.1 The Managing Entity actively seeks to expand its provider network, per C.1.1.1, and the provider network is increased by 5% over its baseline in the first year and then 2% per year thereafter." How are Managing Entity supposed to increase the provider network, when funding does not increase from year to year?

See response to Question #15.

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

E.1.2.2

Per

C.1.1.3.2

Southern Region:

Miami- Dade and

Monroe Counties

As it relates to new performance measures "E.1.2.2 Per C.1.1.3.2, the Managing Entity shall increase capacity of and access to acute care services each quarter." How can Managing Entity increase capacity and access to acute care services without increased funding? Also, how can Managing Entity increase acute care services in areas where all capacity is already purchased?

There are various ways to increase access. The Vendor should be creative and innovative in responding; consider facts that have proven effective in the past or are best practices in the field. For example, one way to increase access to acute care is to ensure the community knows how to access services, especially services that are found to divert

# Vendor Name Solicitation Section Region Question Department Response individuals from acute care, like 988 or MRT and routine outpatient services, CAT, FACT etc. Also any known community plans for construction or available capacity that is offline that could be utilized can be explored in the response.

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

E.1.2.2

Per

C.1.1.3.2

Southern Region:

Miami- Dade and

Monroe Counties

As it relates to performance measures "E.1.2.3 Per C.1.1.3.2, the Managing Entity shall demonstrate a reduction in utilization of hospital emergency department for uninsured or underinsured individuals in behavioral health crisis after they are medically cleared."

How are MEs supposed to influence/affect the hospitalization of individuals at EDs?

The Vendor’s Reply should explore ideas such as building relationships, entering into various agreements, extending peers or MRT services, telehealth services or other creative strategies.

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

E.1.3.1

Per C.1.2.

Southern Region:

Miami- Dade and

Monroe Counties

As it relates to the performance measures "E.1.3.1 Per C.1.2.4, the Managing Entity shall accept 100% of willing providers that meet standard credentialling requirements." See question above on new provider increases from year to year. How are MEs expected to accept 100% willing providers with no additional funding?

See response to Questions #15 and #24.

If selected for negotiation, the Vendor may negotiate alterations to terms and conditions of the contract.

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

E.1.4.1

Southern Region:

Miami- Dade and

Monroe Counties

As it relates to "E.1.4.1 The Managing Entity shall demonstrate progress by reducing the number of individuals served on the Wait List.

This measure is not met if the number on the wait list remains the same or increases."

Waitlists fluctuate throughout the year regardless of measures put in place by the ME. Without increased funding to purchase additional beds, how are waitlists expected to be reduced? Especially in areas where full

Refer to response to Question #22.

# Vendor Name Solicitation Section Region Question Department Response capacity of beds/slots are already being purchased.

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

4.2.4.4.6

Southern Region:

Miami- Dade and

Monroe Counties

What organizations need to be listed in this section? 4.2.4.4.6 Names and addresses of all affiliated or related companies, partnerships or associations (including subcontractor, if any) and a brief description of its relationship to the vendor. All people we have MOUs with?

(police, courts, schools, homeless trust?)

Yes.

South Florida Behavioral

Health Network, Inc.

DBA Thriving Mind South

Florida

4.2.6.5.1

Southern Region:

Miami- Dade and

Monroe Counties

In Finance section, 4.2.6.5.1, the word “claims” is used. What is the Department’s definition of “Claims”?

See Change No. 5 striking…