San Bernardino County Purchasing Department

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus

No. AGENCY26-PURC-6467

Date: August 25, 2026

Amendment No.3 to RFP No. AGENCY26-PURC-6467 for Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus

This Amendment is intended to provide responses to questions submitted for the above referenced Request for Proposal (RFP). Any information contained herein will be considered part of the RFP and, as such, may be used in the evaluation of the proposal responses.

Responses to submitted questions are indicated below in blue font.

1. Please confirm whether proposer questions should be submitted through ePro, emailed directly to the RFP contact, or submitted through both channels.

Amendment No. 2 was issued on August 7, 2026, clarifying that all proposer questions must be submitted exclusively through ePro.

2. The RFP identifies the Campus as 2626 Pacific Street, San Bernardino. Attachment L identifies the project as 2226 E. Pacific Street, Highland, California 92346, and elsewhere references San Bernardino.

Please confirm the correct legal address, service location, city, and ZIP code that should be used for contracting, licensing, insurance, managed care credentialing, and proposal budgeting.

For purposes of this RFP, proposers should use the service location stated in Section I.D and the RFP definitions: 2626 Pacific Street, San Bernardino. The 2226 E. Pacific Street, Highland, CA 92346 reference in Attachment L is not the address to use for proposal pricing or the resulting contract. If a licensing, insurance, or payer system requires a ZIP code or alternate jurisdictional format, the County will confirm that formatting through the procurement process or during contract finalization.

3. Please provide the anticipated dates for substantial completion, fire and life-safety approvals, certificate of occupancy, County acceptance, provider access, managed care site credentialing, staff training, phased census ramp-up, and full operations.

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus

Will the County provide a site walk-through, final floor plans, equipment specifications, and utility history before the proposal deadline or before final negotiations?

Construction remains in progress. Substantial completion is currently anticipated in late 2026, followed by construction closeout, fire/life-safety approvals, certificate(s) of occupancy, County acceptance, provider access, credentialing, staff training, phased census ramp-up, and full operations. Those dates remain subject to inspections, regulatory approvals, construction closeout, and County acceptance. The County is not authorizing individual site visits during active construction. If a coordinated walkthrough is scheduled, notice will be issued through ePro to all eligible proposers.

The County will post available site, building, and unit plans through ePro by addendum. Final construction plans, as-builts, unit layouts, equipment schedules, utility information, and shared-space delineations will be provided to the selected contractor(s) during negotiations and transition.

4. Attachment L states that the project will provide recuperative care beds to a population consisting of 100 percent SSI/SSP or CAPI recipients. The RFP refers more broadly to applicants or recipients and individuals eligible for state or federal cash assistance.

Must every admission to the 32 recuperative care beds be an SSI/SSP or CAPI applicant or recipient? Is a pending application sufficient? Please also clarify the required documentation, who verifies eligibility, and whether eligibility must be established before admission or may be completed within a defined period after admission.

The CCE Program Funding Agreement identified in Attachment L establishes the applicable CCE target population requirements. Proposers should develop their proposed operating model and financial assumptions based on the requirements currently applicable to the CCE funding agreement, including the identified SSI/SSP or CAPI target population.

The County is evaluating whether modifications to the applicable population mix may be permissible under the CCE program requirements. Any modification would be subject to approval by the applicable funding authority and would not be effective unless formally approved and incorporated into the applicable agreement or other governing documentation.

Proposers should describe in their Proposal how they would establish, document and maintain eligibility and target-population status in compliance with applicable CCE requirements. Final intake, verification, documentation and recordkeeping procedures will be established in coordination with the County and applicable regulatory and funding requirements prior to implementation.

5. Attachment L states that the Department of Behavioral Health is committed to funding 10 beds designated for Severely Mentally Ill clients who are not covered under CalAIM. The RFP states that BHSA funding may be allowable as a last resort.

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus

Does the County intend to reserve and fund these 10 beds through DBH? If so, please identify the payment method, applicable rate or rate-setting process, authorization requirements, responsibility for vacant days, invoicing requirements, expected contract term, and any minimum funding commitment.

The Provider will be responsible for establishing a provider agreement with the County's Mental Health Plan and complying with applicable authorization, reimbursement, documentation and invoicing requirements. The County anticipates that up to 10 beds per month may be utilized under this arrangement. These are not reserved or flat-funded beds and there is no payment for vacant or unused bed-days. Actual utilization and reimbursement will depend on eligible clients, required authorizations and available funding.

6. If the County refers an individual who meets recuperative care criteria but does not have active, billable CalAIM coverage and is not eligible for DBH or another identified funding source, is the provider required to accept the referral?

If acceptance is required, please identify the funding source, authorization process, payment rate or rate-setting method, and responsible County department. If no funding source is available, may the provider defer admission until payment authorization is established?

The County expects the successful Provider to establish an admission and referral process that is consistent with the applicable program requirements, payer requirements and the Provider's approved operating model. The County may identify referral priorities and bed set-asides;

however, the County does not guarantee that every County-referred individual will have an available or applicable funding source.

Proposers should identify in their Proposal how they would address referrals for individuals who meet recuperative care criteria but do not have an identified payer or other funding source. The County will work with the successful Provider to establish referral, authorization and escalation procedures during implementation. Nothing in the RFP should be construed as a commitment by the County to fund otherwise unreimbursed ongoing recuperative care services.

7. Must applicable managed care agreements and Highland Creek site credentialing be active by the proposal deadline, contract award, notice to proceed, or operational opening?

May a proposer submit existing managed care agreements together with payer correspondence, commitment letters, pending applications, and a definitive schedule for credentialing the new location or adding additional plans? Please identify the minimum evidence required with the proposal and the deadline for final payer approval.

An existing agreement with a Medi-Cal managed care plan and/or completed credentialing for the Highland Creek site is not required at the time of Proposal submission unless otherwise expressly stated in the RFP.

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus

Proposers should describe their existing managed care relationships, relevant CalAIM experience, current provider enrollment and credentialing status, and their anticipated process and timeline for obtaining any additional agreements, authorizations or site-specific credentialing necessary to operate at the Campus.

The successful Provider will be responsible for obtaining and maintaining all payer contracts, provider enrollment, credentialing, authorizations and other approvals necessary to support its proposed reimbursement model. The County does not control the credentialing or contracting timelines of individual managed care plans and cannot guarantee the timing or outcome of any payer approval.

Proposers should take these requirements and associated timelines into account in their startup, implementation and financial plans.

8. May a prime recuperative care proposer satisfy requirements and receive evaluation credit for capabilities delivered through formal subcontractors, including managed care contracting, ECM, behavioral health, SUD, ADL/IADL, other LTSS, and future-state Recuperative Care services, while remaining fully responsible to the County?

If so, what evidence must be included with the proposal, such as an executed subcontract, MOU, commitment letter, payer authorization, delegation approval, geographic-service evidence, or responsibility and billing matrix?

Proposers may propose the use of qualified subcontractors or formal partner arrangements to provide services or capabilities necessary to meet the requirements of the RFP, provided such arrangements are permissible under the RFP and applicable law.

The Proposer should clearly identify each proposed subcontractor or partner, the specific services or capabilities to be provided, the respective responsibilities of the parties, and the proposed payment and billing structure. Where applicable, Proposers should provide documentation demonstrating the proposed relationship, such as an executed agreement, letter of commitment, memorandum of understanding or other evidence acceptable to the County.

The prime Contractor will remain responsible for satisfactory performance of all services included in its Proposal and for compliance with all applicable contractual, regulatory, licensing, confidentiality and reporting requirements.

Evaluation credit will be determined in accordance with the evaluation criteria established in the RFP. Proposers should not assume that a subcontracted capability will receive the same consideration as a capability directly maintained by the Proposer.

9. Will the County designate or separately contract with on-campus DBH, FSP, behavioral health, or SUD providers, or must the recuperative care provider independently provide, partner, or subcontract for all required on-site screening, linkage, crisis coordination, and FSP services?

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus

Please identify any existing or planned County-selected partners and clarify which services and costs must be included in the recuperative care proposal.

The County Department of Behavioral Health (DBH) will specifically contract separately for FSP and SUD residential treatment services. The provider will need to coordinate or provide any additional services it deems needed, Ex. onsite screening, crises coordination etc. Recuperative Care is a Community Support, DBH will pay the Room and Board for 10 beds for DBH-FSP clients and any extended stays that are not approved by the health plans. The contractor will be responsible for the contract with the health plans.

10. DHCS’s July 2026 proposed policy states that STPHH will end as a separate Community Support on December 31, 2026, with the future-state Recuperative Care model expected to begin January 1, 2027. The anticipated start of operations appears to fall after this transition, while the RFP awards additional consideration for integrating STPHH as a separate service.

Will the County revise or interpret this requirement to evaluate alignment with the future-state Recuperative Care model rather than requiring a separate STPHH program?

Please also clarify how proposers should address and budget for the proposed future-state requirements, including the exclusion of room and board from Medi-Cal reimbursement, continued 24-hour access to a bed and three meals per day, on-site clinically supervised care coordination and case management, and on-site access to needed clinical services.

The County recognizes that DHCS requirements governing Medi-Cal Community Supports, including services applicable to recuperative care, may change during the procurement, implementation and contract term. Proposers are responsible for reviewing and complying with applicable DHCS requirements in effect at the time services are provided.

The RFP references STPHH based on the applicable program framework and information available to the County during development of the RFP. Proposers should address in their Proposal how their proposed service model can adapt to applicable changes in DHCS requirements, including any changes affecting eligibility, covered services, reimbursement, room and board, staffing, service delivery or documentation requirements.

The County cannot guarantee the continuation, availability or reimbursement of any particular CalAIM Community Support or other Medi-Cal benefit. Any changes required as a result of subsequently adopted federal or State requirements will be addressed as appropriate through the Contract and applicable amendment or implementation processes.

Proposers should therefore develop their financial and operational models based on their own assessment of current and anticipated reimbursement requirements and associated risks.

11. Please clarify the one-time implementation support and first-year overhead or administrative support contemplated by the County.

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus

Please identify any maximum amount or budget range, eligible and ineligible costs, required proposer match, payment method, documentation requirements, timing, period covered, and whether the requested amount will be evaluated with the proposal or negotiated after selection.

For the property-management component. Proposers should identify and separately price reasonable one-time implementation and transition expenses in their proposal, distinguishing them from recurring operating costs. Any County-funded start-up amount will be subject to review, negotiation, available funding, and the final contract; no minimum or guaranteed amount is established. Ongoing property-management operations are expected to be supported through the negotiated contract and approved annual operating budget.

For the recuperative care component, the County is interested in working with proposers on a financing model that supports the ongoing operations of the recuperative care center. Proposers should first identify and pursue financing sources available to support one-time implementation costs, first-year overhead or administrative expenses, and ongoing operations costs. Based on the financing identified by the proposer, the County will evaluate any remaining funding gap and determine whether the proposed costs align with financing or other funding sources that may be available to the County.

12. Because the County may select separate property-management and recuperative-care contractors, please identify whether the County, property manager, or recuperative care provider will manage and pay for the following:

• Utilities

• Internet and telecommunications

• Janitorial services

• Grounds and pest control

• Waste and medical-waste disposal

• Security

• Routine building maintenance

• Emergency repairs

• Fire and life-safety inspections

• Kitchen and laundry-equipment maintenance

• Food-service permits

• Repair or replacement of County-furnished furniture, fixtures, and equipment due to normal wear

Please also clarify how shared Campus expenses will be allocated to the recuperative care program.

For the property-management scope, the property manager is expected to procure, coordinate, manage, and budget for Campus facility operations assigned to it, including utilities; janitorial;

grounds/landscaping; pest control; routine waste service; security coordination; routine, preventive, corrective, and emergency building maintenance; general fire/life-safety coordination;

and building, kitchen, and laundry equipment maintenance. The recuperative-care provider is responsible for clinical and program operations, program-specific telecommunications/IT, medical

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus waste generated by its services, food-service permits and meal operations, clinical equipment, and other costs assigned in Section VI. Responsibility for repair or replacement of County-furnished recuperative-care FF&E will follow Section VI.C and the final contract. Shared costs must use a reasonable, auditable allocation methodology and be reported by program/component, building, and funding source; final allocations will be approved during negotiations.

13. Which portions of the recuperative care scope, if any, has the County determined are subject to California prevailing wage requirements?

Does prevailing wage apply only to covered construction or maintenance classifications, or does the County believe it applies to direct-service and operating positions such as nursing, case management, housing navigation, intake, care monitoring, food service, janitorial, security, transportation, or kennel operations?

Please also identify any DIR registration, certified payroll, or apprenticeship requirements applicable to the provider or its subcontractors.

At this time, the County has not identified any portion of the recuperative care scope, including the listed direct-service and operating positions, as subject to California prevailing wage requirements.

Accordingly, the recuperative care scope does not specify any DIR registration, certified payroll, or apprenticeship requirements for the provider or its subcontractors. If future work is added that may be subject to prevailing wage requirements, the applicable requirements will be evaluated in accordance with law and coordinated with the County before the work is performed.

14. Please identify the facility-level, provider-type, program-specific, business, food-service, clinical, and other licenses, permits, certifications, or authorizations that must be held by the prime proposer at proposal submission, contract award, and operational opening.

When clinical or ADL/IADL services are delivered through licensed personnel or an approved subcontractor, will those licenses satisfy the requirement, or must the prime entity or Highland Creek facility hold a separate license?

The County is not prescribing a single licensing structure for all Proposers because applicable requirements may vary based on the services proposed, the organizational structure, the personnel providing services and the use of subcontractors.

Proposers are responsible for identifying and obtaining all licenses, permits, certifications, registrations, professional credentials and other approvals required under applicable federal, State and local law for the services included in their Proposal. This includes any facility-level, organizational or professional requirements applicable to the proposed service model.

Proposers should clearly identify in their Proposal the licenses and authorizations currently held, any additional licenses or approvals required for the Highland Creek operation and the anticipated timeline for obtaining them. Where services are provided through licensed personnel or subcontractors, the Proposer should explain how the proposed arrangement satisfies applicable requirements.

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus

The successful Provider will be required to maintain all applicable licenses and authorizations throughout the Contract term.

15. Please provide the definitions, measurement periods, reporting frequency, and expected data sources for occupancy, referral response time, referral acceptance, average length of stay, housing placement, County-resident utilization, emergency-department utilization, hospital readmission, managed care collections, client satisfaction, and referral-partner satisfaction.

For hospital readmissions and emergency-department utilization, please clarify whether the measures are all-cause or condition-related, the measurement window and baseline period, and whether the County or managed care plans will provide the claims or encounter data needed to calculate them.

The RFP identifies the County's overall performance objectives and required reporting areas. Final performance-measure definitions, reporting formats, data sources and reporting procedures will be established in coordination with the successful Provider during contract implementation and may be updated as necessary to remain consistent with applicable program, payer and County requirements.

Proposers should describe their proposed data collection, reporting and quality-improvement capabilities and should identify how they would measure the outcomes identified in the RFP, including occupancy, referral activity, length of stay, housing exits, County-resident utilization and other applicable program outcomes.

The County does not guarantee that claims, encounter or other payer data will be available directly to the Provider. Proposers should identify any data dependencies, assumptions or limitations in their proposed approach and should not assume access to managed care plan data that has not been expressly committed by the applicable plan or the County.

16. RFP reference: Sections VI.B.4(a)(vii), VI.D.1, and VI.D.11. Please clarify which facility-level or program-specific licenses, permits, certifications, or authorizations must be held by the prime proposer at proposal submission, contract award, and operational opening. Where clinical or ADL/IADL services are delivered by licensed personnel or an approved subcontractor, would those professional and organizational licenses satisfy the requirement, or must the prime entity or Highland Creek facility hold a separate authorization?

The County is not prescribing a single licensing structure for all Proposers because applicable requirements may vary based on the services proposed, the organizational structure, the personnel providing services and the use of subcontractors.

Proposers are responsible for identifying and obtaining all licenses, permits, certifications, registrations, professional credentials and other approvals required under applicable federal, State and local law for the services included in their Proposal. This includes any facility-level, organizational or professional requirements applicable to the proposed service model.

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus

Proposers should clearly identify in their Proposal the licenses and authorizations currently held, any additional licenses or approvals required for the Highland Creek operation and the anticipated timeline for obtaining them. Where services are provided through licensed personnel or subcontractors, the Proposer should explain how the proposed arrangement satisfies applicable requirements.

The successful Provider will be required to maintain all applicable licenses and authorizations throughout the Contract term.

17. RFP reference: Sections VI.B.1 and VI.D.9. Please clarify the County's contemplated one-time implementation support and first-year overhead or administrative support. Is there a maximum amount or anticipated budget range? Please also identify eligible cost categories, any required proposer contribution, whether payment would be advanced or reimbursed, the documentation and invoicing requirements, the period covered by first-year support, and whether the amount will be evaluated with the proposal or negotiated after selection.

For the property-management component. Proposers should identify and separately price reasonable one-time implementation and transition expenses in their proposal, distinguishing them from recurring operating costs. Any County-funded start-up amount will be subject to review, negotiation, available funding, and the final contract; no minimum or guaranteed amount is established. Ongoing property-management operations are expected to be supported through the negotiated contract and approved annual operating budget.

For the recuperative care component, the County is interested in working with proposers on a financing model that supports the ongoing operations of the recuperative care center. Proposers should first identify and pursue financing sources available to support one-time implementation costs, first-year overhead or administrative expenses, and ongoing operations costs. Based on the financing identified by the proposer, the County will evaluate any remaining funding gap and

18. RFP reference: Sections V and VI.C. Because the County may select separate property-management and recuperative-care contractors, please clarify which party is expected to procure, manage, and pay for utilities; internet and telecommunications; janitorial services; grounds and pest control; waste and medical-waste disposal; security; routine maintenance and emergency repairs; fire and life-safety inspections; kitchen and laundry equipment maintenance; food-service permits; and repair or replacement of County-furnished equipment due to normal wear. Please also clarify how shared Campus costs will be allocated to the recuperative care program.

For the property-management scope, the property manager is expected to procure, coordinate, manage, and budget for Campus facility operations assigned to it, including utilities; janitorial;

grounds/landscaping; pest control; routine waste service; security coordination; routine, preventive, corrective, and emergency building maintenance; general fire/life-safety coordination;

and building, kitchen, and laundry equipment maintenance. The recuperative-care provider is responsible for clinical and program operations, program-specific telecommunications/IT, medical

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus waste generated by its services, food-service permits and meal operations, clinical equipment, and other costs assigned in Section VI. Responsibility for repair or replacement of County-furnished recuperative-care FF&E will follow Section VI.C and the final contract. Shared costs must use a reasonable, auditable allocation methodology and be reported by program/component, building, and funding source; final allocations will be approved during negotiations.

19. RFP reference: Contract Section 42 and Exhibits A and B. Please clarify which portions of the recuperative care scope, if any, the County considers public works or maintenance subject to California prevailing wage requirements. Does the requirement apply only to covered construction and maintenance classifications, or to any direct-service or operating positions? Please also identify any DIR registration, certified payroll, or apprenticeship obligations applicable to the recuperative care Provider or its subcontractors.

At this time, the County has not identified any portion of the recuperative care scope, including the listed direct-service and operating positions, as subject to California prevailing wage requirements.

Accordingly, the recuperative care scope does not specify any DIR registration, certified payroll, or apprenticeship requirements for the provider or its subcontractors. If future work is added that may be subject to prevailing wage requirements, the applicable requirements will be evaluated in accordance with law and coordinated with the County before the work is performed.

20. RFP reference: Sections VI.D.4, VI.D.6, VI.D.7, and VI.D.10. May the County consider and award evaluation credit for managed care contracting, ECM, behavioral health, SUD, ADL/IADL, other LTSS, and future-state Recuperative Care capabilities that a prime proposer will deliver through formal subcontractors, while the prime remains fully responsible to the County? If so, what evidence should be included with the proposal, such as a subcontract, MOU, commitment letter, payer authorization, delegation approval, geographic-service evidence, or responsibility and billing matrix?

Proposers may propose the use of qualified subcontractors or formal partner arrangements to provide services or capabilities necessary to meet the requirements of the RFP, provided such arrangements are permissible under the RFP and applicable law.

The Proposer should clearly identify each proposed subcontractor or partner, the specific services or capabilities to be provided, the respective responsibilities of the parties, and the proposed payment and billing structure. Where applicable, Proposers should provide documentation demonstrating the proposed relationship, such as an executed agreement, letter of commitment, memorandum of understanding or other evidence acceptable to the County.

The prime Contractor will remain responsible for satisfactory performance of all services included in its Proposal and for compliance with all applicable contractual, regulatory, licensing, confidentiality and reporting requirements.

Evaluation credit will be determined in accordance with the evaluation criteria established in the RFP. Proposers should not assume that a subcontracted capability will receive the same consideration as a capability directly maintained by the Proposer.

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus

21. RFP reference: Sections VI.B.7 and VI.D.6. Will the County designate or separately contract with on-campus DBH, FSP, behavioral health, or SUD providers for coordination with the recuperative care Provider, or should the recuperative care proposer include its own partners or subcontractors for the required screening, linkage, crisis coordination, and FSP services? If partners are already selected or planned by the County, please clarify which services and related costs the recuperative care proposer should include in its proposal.

DBH will specifically contract separately for FSP and SUD residential treatment services. The provider will need to coordinate or provide any additional services it deems needed, Ex. onsite screening, crises coordination etc. Recuperative Care is a Community Support, DBH will pay the Room and Board for 10 beds for DBH-FSP clients and any extended stays that are not approved by the health plans. The contractor will be responsible for the contract with the health plans.

22. RFP reference: Section VI.B.11 and Additional Evaluation Considerations; DHCS Proposed

Updates to Select Housing-Related Community Supports, July 2026. Because operations are anticipated to begin after January 1, 2027, please clarify whether proposers should respond to the STPHH requirements as currently stated in the RFP or describe alignment with the future-state Recuperative Care requirements proposed by DHCS. If the proposed changes are adopted, should proposal budgets account for STPHH no longer operating as a separate Community Support and for the proposed exclusion of room and board from Medi-Cal reimbursement? We understand that final program requirements will depend on DHCS's adopted policy.

The County Department of Behavioral Health (DBH) will specifically contract separately for FSP and SUD residential treatment services. The provider will need to coordinate or provide any additional services it deems needed, Ex. onsite screening, crises coordination etc.. Recuperative Care is a Community Support, DBH will pay the Room and Board for 10 beds for DBH-FSP clients and any extended stays that are not approved by the health plans. The contractor will be responsible for the contract with the health plans.

23. RFP reference: Section VI.B.1; Attachment L, CCE Program Funding Agreement. Attachment L states that the Department of Behavioral Health is committed to funding 10 behavioral health beds for Severely Mentally Ill clients not covered under CalAIM, while the RFP states that BHSA funding may be allowable as a last resort for eligible individuals. Please clarify whether the County intends to reserve and fund 10 recuperative care beds through DBH. If so, please identify the payment method or rate-setting process, whether payment is based on reserved capacity or occupied authorized days, the authorization requirements, responsibility for vacant days, and any minimum funding commitment.

The Provider will be responsible for establishing a provider agreement with the County's Mental Health Plan and complying with applicable authorization, reimbursement, documentation and invoicing requirements. The County anticipates that up to 10 beds per month may be utilized under this arrangement. These are not reserved or flat-funded beds and there is no payment for

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus

24. For a County-priority referral who meets recuperative care criteria but does not have active, billable CalAIM coverage and is not eligible for DBH or another identified funding source, would the Provider be required to accept the referral? If acceptance is required, please identify the applicable funding source, authorization process, payment method, and responsible County department. If no funding source is available, may the Provider defer admission until payment authorization is established?

The County expects the successful Provider to establish an admission and referral process that is consistent with the applicable program requirements, payer requirements and the Provider's approved operating model. The County may identify referral priorities and bed set-asides;

however, the County does not guarantee that every County-referred individual will have an available or applicable funding source.

Proposers should identify in their Proposal how they would address referrals for individuals who meet recuperative care criteria but do not have an identified payer or other funding source. The County will work with the successful Provider to establish referral, authorization and escalation procedures during implementation. Nothing in the RFP should be construed as a commitment by the County to fund otherwise unreimbursed ongoing recuperative care services.

25. Please clarify whether applicable managed care agreements and Highland Creek site credentialing must be active by the proposal deadline, contract award, notice to proceed, or operational opening. May a proposer submit existing managed care agreements together with payer correspondence, letters of commitment, pending applications, and a credentialing schedule for additional plans or the new service location? Please identify the minimum evidence required with the proposal and the deadline for final payer approval.

An existing agreement with a Medi-Cal managed care plan and/or completed credentialing for the Highland Creek site is not required at the time of Proposal submission unless otherwise expressly stated in the RFP.

Proposers should describe their existing managed care relationships, relevant CalAIM experience, current provider enrollment and credentialing status, and their anticipated process and timeline for obtaining any additional agreements, authorizations or site-specific credentialing necessary to operate at the Campus.

The successful Provider will be responsible for obtaining and maintaining all payer contracts, provider enrollment, credentialing, authorizations and other approvals necessary to support its proposed reimbursement model. The County does not control the credentialing or contracting timelines of individual managed care plans and cannot guarantee the timing or outcome of any payer approval.

Proposers should take these requirements and associated timelines into account in their startup, implementation and financial plans.

26. RFP reference: Sections I.D and III; Attachment L, CCE Program Funding Agreement. The RFP identifies the Campus as 2626 Pacific Street, San Bernardino. Attachment L identifies the project

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus as 2226 E. Pacific Street, Highland, California 92346, and elsewhere references San Bernardino.

Please confirm the legal address and service location, including the city and ZIP code, that proposers should use for contracting, licensing, insurance, managed care credentialing, and budgeting.

For purposes of this RFP, proposers should use the service location stated in Section I.D and the RFP definitions: 2626 Pacific Street, San Bernardino. The 2226 E. Pacific Street, Highland, CA 92346 reference in Attachment L is not the address to use for proposal pricing or the resulting contract. If a licensing, insurance, or payer system requires a ZIP code or alternate jurisdictional format, the County will confirm that formatting through the procurement process or during contract finalization.

27. RFP reference: Section VI.B; Attachment L, CCE Program Funding Agreement. Please advise of the current anticipated schedule for substantial completion, fire and life-safety approvals, certificate of occupancy, County acceptance, provider site access, managed care site credentialing, staff training, phased census ramp-up, and full operations. If available, will the County provide a site walk-through, final floor plans, equipment specifications, and utility history before the proposal deadline or during final negotiations?

Construction remains in progress. Substantial completion is currently anticipated in late 2026, followed by construction closeout, fire/life-safety approvals, certificate(s) of occupancy, County acceptance, provider access, credentialing, staff training, phased census ramp-up, and full operations. Those dates remain subject to inspections, regulatory approvals, construction closeout, and County acceptance. The County is not authorizing individual site visits during active construction. If a coordinated walkthrough is scheduled, notice will be issued through ePro to all eligible proposers.

The County will post available site, building, and unit plans through ePro by addendum. Final space delineations will be provided to the selected contractor(s) during negotiations and transition.

28. RFP reference: Sections III and VI.B.2; Attachment L, CCE Program Funding Agreement.

Attachment L refers to a target population of 100 percent SSI/SSP or CAPI recipients, while the RFP also refers to applicants or recipients and individuals eligible for state or federal cash assistance. Please clarify whether every admission to the 32 recuperative care beds must be an SSI/SSP or CAPI applicant or recipient. Is a pending application sufficient, what documentation is required, who verifies eligibility, and when must eligibility be established?

The CCE Program Funding Agreement identified in Attachment L establishes the applicable CCE target population requirements. Proposers should develop their proposed operating model and financial assumptions based on the requirements currently applicable to the CCE funding agreement, including the identified SSI/SSP or CAPI target population.

The County is evaluating whether modifications to the applicable population mix may be permissible under the CCE program requirements. Any modification would be subject to approval

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus by the applicable funding authority and would not be effective unless formally approved and incorporated into the applicable agreement or other governing documentation.

Proposers should describe in their Proposal how they would establish, document and maintain eligibility and target-population status in compliance with applicable CCE requirements. Final intake, verification, documentation and recordkeeping procedures will be established in coordination with the County and applicable regulatory and funding requirements prior to implementation.

29. Are we able to visit the site?

The County is not authorizing individual site visits while construction is active. If a County-coordinated walkthrough is scheduled, the date, eligibility requirements, and access instructions will be posted through ePro and made available on the same basis to eligible proposers. The County will post available site, building, and unit plans through ePro by addendum. Final construction plans, as-builts, unit layouts, equipment schedules, utility information, and shared-space delineations will be provided to the selected contractor(s) during negotiations and transition.

Proposers should not rely on obtaining individual plan sets outside the procurement process.

30. Will you post the layout of the site? The building(s) floor plans? The PSH unit floor plans?

The County will post available site, building, and unit plans through ePro by addendum. Final construction plans, as-builts, unit layouts, equipment schedules, utility information, and shared-space delineations will be provided to the selected contractor(s) during negotiations and transition.

31. Who pays the utilities? (resident or owner)

Campus utilities for the PSH buildings are expected to be paid as an owner/property operating expense and included in the approved operating budget. Residents will not be required to establish separate utility accounts unless a County-approved lease, utility allowance, or program policy expressly assigns a particular utility obligation to the tenant.

32. I am unclear as to the scope of the Annual Operating Budget. For example, should the Annual Operating Budget include the costs, say utilities costs (e.g., water, electricity, gas, etc.), used in the non-PSH buildings? For example, would it include the electricity costs used in the buildings for the Recuperative Care beds?

Yes. The annual property-management operating budget should include all projected revenues and all operating expenses within the proposer's assigned property-management scope, including utilities and other facility costs for non-PSH buildings or shared Campus systems for which the property manager is responsible. Costs must be separated or allocated by program/component, building, and funding source. Clinical, treatment, meal, case-management, and other program-

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus operation expenses assigned to the recuperative-care or SUD provider should not be included as property-management expenses.

33. Where will the residents be referred from? Coordinated Entry System?

PSH referrals will be made through County-directed referral and eligibility processes, coordinated with the Coordinated Entry System, Office of Homeless Services, and designated supportive-service partners as applicable. The property manager will not independently select residents; it will receive and process referrals, eligibility documentation, lease-up, and move-in as directed by CDH/County and consistent with Homekey, CCE, fair-housing, and funding requirements.

34. Who is responsible for paying for property insurance? Should this be included in the Annual Operating Budget, or does the County already have property insurance on the entire facility since it is County owned?

The County, as owner/sponsor of the Campus, will maintain owner property insurance for the County-owned buildings. The proposer should not duplicate the County's building/property coverage in its operating budget. The proposer must include all insurance required by the RFP for its own operations, employees, vehicles, professional services, cyber exposure, and other contractual risks, together with coverage for contractor-owned equipment or property.

35. Are the PSH units furnished?

Yes. The PSH units will be furnished. Each unit will include one kitchen table and two chairs, one loveseat and one end table in the living room, and one bed, mattress and protective cover and one nightstand for each bedroom.

36. Do the PSH units have stoves? Ovens? Refrigerators?

Each PSH unit will include a cooktop, refrigerator and microwave. The units will not include an oven.

37. Is this single unit housing? Are there common bathroom/shower facilities? Are meals provided?

The eight interim housing spaces are individual, congregate housing units. Meals and food service are not included in the property-management scope and are not automatically provided as part of interim housing occupancy. Any meal or food-support services will be arranged and provided by the designated program or supportive-service provider.

38. Who will do the navigation services for the interim housing? Is it expected (or prohibited) that these individuals have priority in the PSH units?

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus

Navigation and case-management services for interim residents will be provided by separate County-designated supportive-service providers, not the property-management contractor. Interim residents do not receive an automatic or guaranteed priority for PSH. They may be assessed and referred through CES/County processes, but admission to PSH remains subject to applicable program eligibility, funding restrictions, fair-housing requirements, unit match, and County-approved referral priorities.

39. What is the exact status of the Permanent Supportive Housing units? Are they complete?

Certificate of Occupancy issued?

Construction remains in progress. Substantial completion is currently anticipated in late 2026, followed by construction closeout, fire/life-safety approvals, certificate(s) of occupancy, County acceptance, provider access, credentialing, staff training, phased census ramp-up, and full operations. Those dates remain subject to inspections, regulatory approvals, construction closeout, and County acceptance. The County is not authorizing individual site visits during active construction. If a coordinated walkthrough is scheduled, notice will be issued through ePro to all eligible proposers.

The County will post available site, building, and unit plans through ePro by addendum. Final space delineations will be provided to the selected contractor(s) during negotiations and transition.

40. For the 10 beds funded by DBH, what is the funding rate per bed?

The Provider will be responsible for establishing a provider agreement with the County's Mental Health Plan and complying with applicable authorization, reimbursement, documentation and invoicing requirements. The County anticipates that up to 10 beds per month may be utilized under this arrangement. These are not reserved or flat-funded beds and there is no payment for

41. Would we be able to schedule a walkthrough of the recup facility to get a better understanding of its current condition?

The County is not authorizing individual site visits while construction is active. If a County-coordinated walkthrough is scheduled, the date, eligibility requirements, and access instructions will be posted through ePro and made available on the same basis to eligible proposers. Site layout and building floor plans are included as Addendums.

42. Will funding be available to cover startup or operating costs?

For the property-management component. Proposers should identify and separately price reasonable one-time implementation and transition expenses in their proposal, distinguishing

Request for Proposal Property Management Services and/or Recuperative Care Services for the Highland Creek Housing and Wellness Campus them from recurring operating costs. Any County-funded start-up amount will be subject to review, negotiation, available funding, and the final contract; no minimum or guaranteed amount is established. Ongoing property-management operations are expected to be supported through the negotiated contract and approved annual operating budget.

For the recuperative care component, the County is interested in working with proposers on a financing model that supports the ongoing operations of the recuperative care center. Proposers should first identify and pursue financing sources available to support one-time implementation costs, first-year overhead or administrative expenses, and ongoing operations costs. Based on the financing identified by the proposer, the County will evaluate any remaining funding gap and

43. What is an 'RFA Contact'?

“RFA Contact" should be "RFP Contact." See revised Cover Page included as part of this addendum.

44. In this ePRO system, how do you actually submit your proposal?

ePro is the County’s electronic procurement system used to receive responses to formal solicitations. Proposers are encouraged to visit the Purchasing Department’s website for job aids, guides, and instructional videos on how to submit proposals through ePro:

https://wp.s…