Appendix B.docx

APPENDIX B

Substance Use Residential Withdrawal Management Services Evaluation Criteria and Qualifications

a. Select Offeror’s experience providing withdrawal management substance use services to the following:

Target Populations ☐ Youth (age 13-17) ☐ Adult (age 18+)

Additional Specialties

☐ LGBTQ+

☐ Co-occurring Conditions ☐ Justice Involved ☐ Other:

b. Indicate total bed capacity allocated for the County of Santa Clara:

☐ Male # Beds ☐ Female # Beds ☐ LGBTQ+ # Beds

c. Confirm if Offeror has the ability to meet the following Drug Medi-Cal requirements, including:

· Certification through DHCS;

· Documentation;

· Billing requirements; and

· CalAIM behavioral health requirements, including but not limited to:

· Medical necessity criteria;

· Documentation re-designs;

· Co-occurring treatment;

· Standardized screening and transition tools;

· Behavioral Health current procedural terminology (CPT) coding transitions; and

· Payment reform.

d. Indicate if Offeror’s organization has an active lease/ownership of at least one (1) existing facility/site to deliver WM services:

e. Offeror indicated the following topics related to their organization’s capacity to administer and collect the required outcome evaluation data (as described in Attachment A, Scope of Work). The following topics were addressed in their proposal’s miscellaneous section, including:

· Assessment/outcome tools and performance measures currently utilized by staff);

· Process for staff to monitor and evaluate data (e.g., client satisfaction surveys, pre-/post-service tests, and culturally responsive services/practices);

· Program plan for ongoing evaluation and outcome improvement (e.g., data collection and analysis);

· Methods for data results to inform clinical practices and service quality; and

· Described tools used to monitor symptoms.

f. Offeror selected the applicable staffing categories and listed the various titles of staff that make up the treatment team to deliver services as described in Attachment A, Scope of Work:

☐ Paraprofessional:

(milieu staff, etc.)

☐ Licensed Clinical:

(LMFT, Ph.D., etc.)

☐ Medical Board-Certified:

(M.D., RN, RD, etc.)

g. Offeror included their organization’s staffing-related protocols in their proposal’s miscellaneous section, including:

1. Personnel Retention Plan which addresses the following topics:

· Organizational strategies for ensuring continuity of staffing and care provided to the target population(s); and

· How the program shall be staffed appropriately and in a timely manner, including plan for clinical supervision of professional and paraprofessional staff, and ability to provide services according to Medi-Cal standards.

2. Staffing plan which addresses the following topics:

· Organizational details (including staffing chart, leadership and management structure, reporting structure, and lists for staff providing supportive housing, clinical services);

· Resumés of existing staff indicating position titles, linguistic and cultural skills, education, experience, and certifications;

· Staff training, recruitment, and retention process (including ASAM Training, Title 9, Title 42, CFR Part 1 and Part 2);

· Process for providing intensive case management services at project-based sites (e.g., administrative, supervisory, and direct service staff information);

· Organizational practices related to recruiting, hiring, and promoting multi-lingual staff and/or a culturally or ethnically diverse workforce; and

· Organizational training requirements related to diversity, equity, and/or inclusion (e.g., LGBTQ+, cultural and linguistic capacity, racial equity).

3. Additional required plans, including:

· Emergency/after-hours staffing plans;

· Provision of quarterly staffing reports to the BHSD using County-provided or other tools;

· Additional meetings based on needs of the County; and

· Clinical supervision of direct service staff.

h. Offeror ensures that the implementation of the program and the provision of services would occur in a timely manner as described in Attachment A, Scope of Work (Sections V-VI), including:

☐ Offering services seven (7) days a week, including evening hours;

☐ Process for intake and admission [during business hours, after-hours, and weekends];

☐ Telehealth options;

☐ Evidence-Based Practices (EBPs) used by staff ☐ Use of trauma-informed approaches (e.g., Seeking Safety; how stages of change shall be used to engage client treatment, etc.);

☐ Providing services 24/7 with structured monitoring of withdrawal symptoms and medical referral if necessary;

☐ Providing orientation to substance use treatment continuum;

☐ Maintaining data collection related to 1. client requests for placements and 2. completed client placements;

☐ Ability to provide appropriate related Step-Down services; and ☐ Discharge planning process and documentation in clinical record.

i. Offeror has an active plan for delivering services during a pandemic AND any emergency disaster(s) while ensuring safety protocols are followed to protect staff and clients during service delivery. Offeror has policies and practices in place for cooperation with County-required COVID efforts.

b. Offeror provided documentation to ensure the following cultural responsive/outreach and engagement requirements can be met:

· Capacity to provide culturally, ethnically, and linguistically appropriate services to the target population(s), including capacity for all County threshold languages as described in Appendix G;

· Organization methods to addresses barriers when staff are not available to meet the County threshold languages;

· Current and future actions and changes to ensure diversity and inclusion in service delivery;

· Capacity to provide outreach activities focused on reaching underserved, underrepresented, and/or multicultural populations; and

· Capacity to address and serve high-need clients with mental health challenges in addition to substance use disorders.

c. Offeror described types of collaborations (e.g., program designs and activities) with County departments, County-contracted Providers, and other agencies, including but not limited to:

· County Health System (primary care physicians, County clinics), Juvenile Probation Department, and Social Services Agency;

· Housing organizations [subsidy administrators, property managers];

· Criminal Justice System [judges and adult probation/parole officers];

· Community Groups; and

· Organizational experience working successfully with system partners.

Offeror described how partner collaborations shall:

· Increase meaningful use of client time and abilities in work, school, and daily activities;

· Increase client ability to obtain/maintain a monthly income;

· Obtain health insurance for clients; and

· Maintain/obtain permanent supportive housing or permanent housing when clients exit the program.

Historical data analysis will be reviewed by BHSD Program Subject Matter Experts (SMEs) and rated according to the criteria laid out in this RFSQ.

Offeror’s electronic health record (EHR) system capacity and responses as listed in Appendix H will be reviewed by BHSD EHR Subject Matter Experts (SMEs) and rated according to the criteria laid out in this RFSQ.

Financial records will be reviewed by the Health System Finance Department and rated according to the criteria laid out in this RFSQ.

See Appendix E and Attachment E for additional details on local preference qualification.

RFSQ-BHS-FY23-0108: Substance Use Residential Withdrawal Management Services Page 1 of 2