Appendix B2.docx

APPENDIX B2

CATEGORY 1: PREVENTION AND EARLY INTERVENTION SERVICES

NEW REFUGEE PREVENTION AND EARLY INTERVENTION SERVICES

Evaluation Criteria and Qualifications

Section 1: Organizational Structure and Experience[footnoteRef:2] Total Points: [2: For all criteria in Section 1, Offeror shall:

Select “Yes” or “No” for each criteria requiring a response; and Indicate evidence of the organization’s experience with each criteria/sub-topics in the submitted packet’s miscellaneous documents.]

Target Population ☐ Adult (ages 18 through 59) ☐ Older Adult (ages 60 and over) ☐ Other:

Additional Specialties ☐ Refugees ☐ Asylum Seekers ☐ Target population diagnosed with serious mental illness (SMI) ☐ Target population with co-occurring substance use problems

☐ LGBTQ+

☐ Other:

Indicate geographic locations (including clinic locations) where services would be provided:

☐ South County ☐ Central County ☐ East County ☐ North County

Select experience with the following:

☐ Community Outreach ☐ Prevention and Early Intervention (PEI) services ☐ Stigma reduction

· Certification through DHCS;

· Documentation standards;

· 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.

☐ Case Manager ☐ Mental Health Specialist ☐ Peer Support Worker ☐ Waivered Clinical

Select the applicable boxes and list the staff titles that make up Offeror’s treatment team to deliver the services as described in Attachment A2, Scope of Work:

☐ Paraprofessional staff:

(milieu staff, etc.)

☐ Licensed clinical staff:

(LMFT, Ph.D., etc.)

☐ License-waivered staff:

(Rehab Counselor, Associate Social Worker, etc.)

☐ Medical Board-certified staff:

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

☐ Other:

(Employment Specialist, Peer Support Worker, etc.)

· Capacity and process to administer and collect the required outcome evaluation data (e.g., assessment/outcome tools and performance measures currently utilized by staff);

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

· Process for data reporting and collection for the Learning Collaborative Community data, including which data and metrics will be gathered;

· Plan for ongoing evaluation and outcome improvement for the program (e.g., data collection and analysis); and

· How their organization’s data results inform clinical practices and service quality.

1. Personnel Retention Plan

· Organizational strategies for ensuring that continuity of staffing and care is provided to the target population;

· How the program will be staffed appropriately and in a timely manner, including plan for supervision of staff; and

· The ability to provide services according to Medi-Cal and County standards.

2. Staffing Plan

· Organizational details (including staffing chart, management structure, PEI reporting structure;

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

· Staff training, recruitment, and retention process;

· 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

· Emergency/after-hours staffing; and

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

· Strategies used to engage and provide services to clients within the required timelines;

· Hours of operation, clinic location(s), and service strategies that meet the Network Adequacy standards;

· 24-hour coverage of clients in the program; and

· After-hours program process (e.g., contacts, workflow) for client emergencies that occur.

· How Offeror shall accept and manage outpatient referrals received from the BHSD Call Center;

· How the referrals are made from the outpatient treatment team; and

· The staff practices used to engage the target population in services and prioritize referrals.

· Program protocols to ensure program implementation and timely service provision, including discharge plans.

Section 2: Proposed Program Description[footnoteRef:3] Total Points: [3: Written response for each criteria in Section 2 is required. Please refer to the RFSQ Section IV, “Offeror’s Submission” for additional details.]

· 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 H;

· 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; and

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

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

· Housing organizations [subsidy administrators, property managers];

· Criminal Justice System [judges and probation/parole officers]; 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 or 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 I, Offeror’s Health Record Status, 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-FY23-0210: Adult and Older Adult System of Care Services Page 1 of 2 APPENDIX B2: New Refugee Prevention and Early Intervention Services Evaluation Criteria CATEGORY 1: Prevention and Early Intervention Services