APPENDIX B3a

CATEGORY 3: ADULT RESIDENTIAL TREATMENT FACILITIES

CATEGORY 3 - ADULT RESIDENTIAL TREATMENT FACILITIES:

ADULT RESIDENTIAL TREATMENT SERVICES EVALUATION CRITERIA AND QUALIFICATIONS

Evaluation Criteria and Qualifications

a. Select Offeror’s experience with the following program types or target populations as described in Attachment A3a:

Target Populations ☐ Adult (ages 18-59) ☐ Older Adult (ages 60+)

Additional Specialties

☐ LGBTQ+

☐ Co-occurring Conditions ☐ Severe Mental Illness (SMI) ☐ Criminal Justice-Involved ☐ Ethnic/cultural populations served, as listed in Appendix G ☐ Other:

Offeror indicated evidence of the organization’s experience in miscellaneous documents:

b. Confirm if Offeror/their organization has the ability to meet the following Medi-Cal requirements, including:

· Certification,

· Documentation, and

· Billing requirements.

If “Yes” selected, Offeror indicated evidence of the organization’s ability to meet Medi-Cal requirements in miscellaneous documents:

d. Check all the applicable boxes of the licenses and certifications your organization currently possess to provide the services as described in Attachment A3a.

☐ Medi-Cal Certification ☐ Community Care Licensing ☐ Regulatory board(s):

☐ Other program accreditations:

Offeror indicated evidence of the organization’s active licensure/certificates in miscellaneous documents:

e. Offeror addressed the following topics related to their organization’s capacity to administer and collect the required outcome evaluation data as described in Attachment A3a, including:

· Their organization’s 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); and

· 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.

Offeror indicated evidence of the organization’s data administration/ collection capacity in miscellaneous documents:

f. Select the applicable boxes and list the various titles of the staff that make up the treatment team to deliver the services as described in Attachment A3a:

☐ Paraprofessional staff:

(milieu staff, etc.)

☐ Licensed clinical staff:

(LMFT, Ph.D., etc.)

☐ Medical Board-certified staff:

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

Documentation includes:

1. Personnel Retention Plan which addresses the following topics:

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

· How the program will 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 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, including:

· Emergency/after-hours staffing plans; and

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

h. Offeror ensures that the implementation of the program and the provision of services would occur in a timely manner as described in Attachment A3a, Scope of Work (Sections V-VI), including:

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

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

☐ Staff telehealth options;

☐ Evidence-Based Practices (EBPs) used by staff (Therapy, treatment approaches, and education in approaches, etc.)

☐ Use of trauma-informed approaches (e.g., Crisis intervention techniques, Seeking Safety; how stages of change shall be used to engage client treatment, etc.);

☐ Provide community residential treatment services with the goal of reducing the recidivism into the acute psychiatric settings;

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

☐ Ability to provide appropriate related Step-Down services (e.g., transition to lower levels of care);

☐ Discharge planning process and documentation in clinical record; and ☐ Ability to respond to referrals within four (4) hours.

Offeror indicated evidence of the organization’s experience in miscellaneous documents:

YES ☐ NO ☐

i. Offeror has an active plan for delivering services during a pandemic and any emergency disasters, while ensuring safe 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.

Offeror indicated evidence of the organization’s plans and policies in miscellaneous documents:

b. Offeror described and provided documentation to ensure the following cultural competency/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-risk clients with co-occurring (mental health in addition to substance use challenges) treatment needs.

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) and Social Services Agency;

· Criminal Justice System (judges and probation/parole officers); and

· Organizational experience working successfully with system partners.

Offeror described how partner collaborations will:

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

· 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 H will be reviewed by BHSD EHR 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-FY23-0225: Behavioral Health Treatment Facility Continuum of Care Page 1 of 6 APPENDIX B3a: Adult Residential Treatment Services Evaluation Criteria and Qualifications