Appendix B18.docx

APPENDIX B18

CATEGORY 7: SUBSTANCE USE TREATMENT SERVICES

YOUTH OUTPATIENT SUBSTANCE USE TREATMENT SERVICES PROGRAM

EVALUATION CRITERIA AND QUALIFICATIONS

Instructions:

When completing the evaluation criteria and qualifications below, please refer to the applicable Scope of Work (SOW) and Attachment (if applicable) of the RFSQ packet for detailed program requirements, objectives, target populations, service delivery expectations and compliance criteria:

· SOW Reference: A18 - Youth Outpatient Substance Use Treatment Services Program

· Attachment Reference: Attachment B – Standardized Scope of Work Language Ensure that your responses align with the expectation outlined in the SOW and Attachment (if applicable). These documents provide essential context and guidelines for your submission.

Responses for Section 1 Responses for Section 1 should include direct entries and/or completion of applicable checkboxes to affirm experience. Supporting documentation must be provided in the Miscellaneous Supporting Documents section. Reference specific page numbers where relevant information is located.

Indicate experience providing comprehensive, intensive, culturally responsive, trauma-informed substance use services to Medi-Cal youth, adolescents and TAY.

Target Populations ☐ Youth and Adolescents (ages 12-15) ☐ TAY (ages 16-21)

Additional Specialties ☐ Child Welfare-Involved ☐ Justice-Involved

☐ LGBTQIA+

☐ Co-occurring Conditions Geographic Locations Select where services would be provided.

☐ North County (Palo Alto, Los Altos and Los Altos Hills, Mountain View, and Sunnyvale) ☐ Central County (San Jose, Cupertino, Santa Clara, Los Gatos, Monte Sereno, Saratoga, and Campbell) ☐ East County (San Jose [Foothills, Berryessa] and Northeast San Jose/Milpitas areas) ☐ South County (Gilroy, Morgan Hill, and the unincorporated area of San Martin) Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Select the applicable items below to confirm your organization’s experience with care coordination through the ICPM and CFT model, and your ability to meet Medi-Cal and DMC-ODS compliance requirements.

· Care Coordination through ICPM/CFT Models ☐ Experience utilizing the ICPM and delivering services through a CFT model to provide coordinated, family-centered care for clients and their families.

☐ The CFT model is implemented to manage transitions between service levels (step-down/step-up) and coordinate care with system partners.

· Step-Down/Step-Up Services and Care Transitions ☐ Capability to provide step-down/step-up services directly or support linkages to appropriate services, ensuring clients receive the right level of care as their needs change.

☐ Experience ensuring seamless transitions in care in coordinating with system partners while maintaining compliance with Medi-Cal and DMC-ODS guidelines.

· Medi-Cal and DMC-ODS Standards Compliance ☐ License is held for all applicable services under Medi-Cal/DMC-ODS.

☐ Medi-Cal Certification is in place for all services provided.

☐ Documentation practices met Medi-Cal and DMC-ODS requirements, including progress notes, treatment plans, and billing practices.

☐ Billing and claims submission processes comply with Medi-Cal and DMC-ODS requirements.

☐ CalAIM Behavioral Health Requirements are met, including:

· Medical necessity criteria

· Documentation redesigns

· Co-occurring treatment

· Standardized screening and transition tools

· Behavioral Health Current Procedural Terminology (CPT) coding transitions

· Payment reform, etc.

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Confirm ability to meet the following requirements and provide supporting information:

☐ Certification ☐ Documentation Standards ☐ Billing Requirements ☐ CalAIM Behavioral Health Requirements (medical necessity criteria, documentation re-designs, co-occurring treatment, standardized screening and transition tools, Behavioral Health Current Procedural Terminology [CPT] coding transitions, payment reform, etc.)

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Select the applicable items below to confirm your organization’s capacity for data collection and reporting.

· Organization’s Capacity and Data Collection Process ☐ Capacity and processes are in place to administer and collect the required outcome evaluation data, including the assessment/outcome tools and performance measures currently utilized by staff.

☐ Use of the American Society of Addiction Medicine (ASAM) assessment to determine the appropriate intensity of services.

· Data Monitoring and Evaluation ☐ Staff regularly monitors and evaluates data, including client/family satisfaction surveys, pre-/post-service tests, and the implementation of culturally responsive services and practices.

· Ongoing Evaluation and Outcome Improvement ☐ Plan in place for ongoing evaluation of program effectiveness, including data collection, analysis, and strategies for continuous improvement.

☐ Provision of quarterly staffing reports to the Behavioral Health Services Department (BHSD) using County-provided or other tools.

· Data-Driven Practice and Service Quality ☐ Data results are regularly used to inform and improve clinical practices and service quality.

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number

Select the Evidence-Based Practices (EBPs) and Promising Practices (PPs) used in treating the target population, including programmatic models.

☐ Motivational Interviewing ☐ Cognitive Behavioral Therapy ☐ Relapse Prevention ☐ Trauma-Informed Treatment ☐ Psychoeducation ☐ Other EBPs/PPs: Specify

Indicate possessed licenses and certifications for team members.

☐ Paraprofessional Staff: milieu staff, etc.

☐ Alcohol and Drug Counseling Staff: CADC, CATC, etc.

☐ Licensed Clinical Staff: LMFT, LCSW, Ph.D., etc.

☐ Licensed-Waivered Staff: Rehab Counselor Associate Social Worker, etc.

☐ Medical Board-certified: M.D., RN, NP, etc.

☐ Other: Certified Peer Support Specialist, etc.

Supporting Documentation: Insert Miscellaneous Supporting Document Page Number Staffing and Organizational Strategies Select the applicable items below to confirm your organization’s staffing and organizational strategies.

· Staffing and Continuity of Care:

☐ Organizational strategies for ensuring continuity of staffing and care to the target population.

☐ How the program will be staffed appropriately and in a timely manner, including plans for clinical supervision of professional and paraprofessional staff, and the ability to provide services according to DMC-ODS standards.

· Staffing Details:

☐ Organizational chart detailing leadership, management, and reporting structure.

☐ Staffing chart including position titles, linguistic and cultural skills, education, experience, and certifications.

· Staff Training, Recruitment, and Retention:

☐ Practices for staff training, recruitment, and retention.

☐ Practices for recruiting, hiring, and promoting a multi-lingual and/or culturally or ethnically diverse workforce.

· Diversity, Equity, and Inclusion (DEI) Training:

☐ Training requirements related to DEI, including LGBTQ+ awareness, cultural and linguistic capacity, racial equity.

· Additional Required Plans ☐ Emergency/after-hours staffing plans and processes for client emergencies.

☐ Plans for delivering services 1) during a pandemic AND 2) during any emergency disaster(s), while ensuring safe protocols are followed to protect staff and clients during service delivery. Offeror indicated policies and practices in place for cooperation with County-required COVID efforts.

Responses for Section 2 require a ‘Written Response Submission’ for each criteria.

Describe your organization’s vision, mission, and/or values that are inclusive of promoting behaviors and practices towards a more equitable, diverse, and inclusive organizational mindset. Describe your organization’s leadership model of inclusivity, and what tools and support are provided to improve your organization’s ability to identify and mitigate bias, respect differences, build empathetic relationships, and manage conflict.

Describe your ability to provide and ensure cultural competency, outreach, and engagement requirements are met. This should include:

· Capacity to provide culturally, ethnically, and linguistically appropriate services to the target population(s), including capacity for all County threshold languages.

· Identifying ways to engage youth from diverse populations and show how the program will address barriers related to stigma, and norms related to help-seeking behavior.

· Providing specifics and identifying a trauma-informed, and culturally relevant outreach approach to engage youth hesitant to access services.

· Providing a clear method for building rapport with youth and engaging their families as a cornerstone of treatment through the use of peer mentors and other methods.

· Address 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.

· Address 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.

Describe the organization’s ability to collaborate with County departments, County-contracted providers, and other agencies. This should include:

· Collaborations with Key Partners

· Collaborations established with the Social Services Agency, Department of Family and Children’s Services, Juvenile Probation Department, education, and health providers.

· Organizational experience demonstrates successful collaboration with system partners.

· Impact of Collaborations on Client Outcomes

· Collaborations increasing meaningful use of client time and abilities in work, school, and daily activities.

· Supports provided to augment clients’ strengths and address unmet needs.

· Active participation and facilitation of Child and Family Team meetings promotes seamless service delivery, centering the voice of the client and their family, in alignment with the Integrated Core Practice Model

· Collaborations promoting social and academic growth in educational settings.

· Client wellness and recovery promoted through partner collaborations.

· Involvement in formal systems (e.g., juvenile justice, child welfare, crisis services) reduced through collaborative efforts.

· Clients’ natural support networks (families, teachers, coaches, friends, religious communities, etc.) incorporated in the planning and delivery of care, as appropriate.

Describe your organization’s experience in developing and executing operational plans for service delivery. In this narrative, ensure to specify how your operational experience aligns with delivering services to the target populations identified in Section 1a, including youth, adolescents, and TAY, as well as any additional specialties. This should include:

· Alignment with the Needs of County Beneficiaries

· Provide examples of how your organization’s services have aligned with the needs of specific target populations (youth, adolescents, TAY) County beneficiaries in similar programs. Highlight operational plans or programs you have implemented that demonstrate this alignment.

· Providing Accessible Services

· Detail your organization’s experience in ensuring that services were provided at times and days that best meet the needs of clients and their families. Include how accessibility during evenings, weekends, or non-traditional hours.

· Operational Management

· Explain your organization’s experience in managing service delivery efficiently, including caseload management, service provision monitoring, and maintaining high-quality care while meeting program requirements.

Describe the organization’s experience and qualifications in the following areas:

· Timely Service Delivery Provide examples of your organization’s experience in delivering services to clients within required timelines. Include your history of managing outpatient referrals from the BHSD Call Center, schools, and other community providers, and how you have ensured compliance with Network Adequacy and CalAIM standards for hours of operation and clinic locations.

· Clinical Protocols and Trauma-Informed Approaches Detail your organization’s qualifications in using clinical protocols and documentation standards for treatment planning and progress tracking. Include specific examples of trauma-informed approaches, such as crisis intervention techniques and the stage of change model, that have been successfully implemented to engage clients.

· Care Transitions and After-Hours Support Describe your organization’s experience in providing care transitions, including warm hand-offs to other Behavioral Health providers or different levels of care. Also, discuss your experience managing after-hours support, including how emergencies have been handled and the processes you have implemented.

· Discharge Planning Highlight your organization’s experience with discharge planning, including how these processes have been integrated into clinical records and the qualifications of staff involved in discharge documentation and coordination.

Historical data analysis will be reviewed by BHSD Program Subject Matter Experts (SMEs) and rated according to the criteria outlined 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.

RFSQ-BHS-FY25-0066: Children, Youth, and Family System of Care Services Page 1 of 2 APPENDIX B18: Youth Outpatient Substance Use Treatment Services Program Evaluation Criteria and Qualifications CATEGORY 7: Substance Use Treatment Services