Appendix B3b.docx

APPENDIX B3b

CATEGORY 3: ADULT RESIDENTIAL TREATMENT FACILITIES

CATEGORY 3 - ADULT RESIDENTIAL TREATMENT FACILITIES:

ADULT CRISIS RESIDENTIAL AND MEDICATION SUPPORT SERVICES

Evaluation Criteria and Qualifications

a. Select Offeror’s experience providing Crisis Residential Services to adults and older adults with severe mental health, co-occurring conditions, and/or may be justice-involved. The following program types or target populations as described in Attachment A3b, Scope of Work:

Target Populations ☐ Adults (ages 18-59) ☐ Older Adults (ages 60 and older) ☐ Severe Mental Health Conditions ☐ Co-occurring (Mental Health and Substance Use) Conditions

Additional Specialties

☐ LGBTQ+

☐ Co-occurring Conditions ☐ Developmental Disabilities ☐ Justice-Involved populations, including individuals with Penal Code (PC) 290, PC 1370, and/or arson charges ☐ High-risk populations ☐ Individuals deemed Incompetent to Stand Trail (Assembly Bill 1810) who have been diverted from State Hospitals into community treatment ☐ Underserved/under-represented ethnic groups (e.g., Latinx, African-American, Asian American/Pacific Islander, etc.)

☐ Homeless or at risk of homelessness ☐ Other:

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

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

· Certification,

· 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.

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

d. Check applicable boxes for licenses and certifications your organization currently possesses to provide services as described in Attachment A3b, Scope of Work.

☐ Medi-Cal Certification ☐ Community Care Licensing ☐ Joint Commission Accreditation ☐ Commission on Accreditation of Rehabilitation Facilities International ☐ Regulatory Board(s):

☐ Other program accreditations:

Offeror indicated evidence of 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 A3b, Scope of Work, including:

· Their organization’s capacity and process to administer and collect the required outcome evaluation data (e.g., days from referral to enrollment; days from referral to initial psychiatry appointment; successful discharges; length of stay including reason for continued need for services beyond twenty-one [21] days; other timeliness data as deemed necessary by BHSD; 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 to provide daily and weekly available capacity;

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

· How data results inform clinical practices and service quality.

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

☐ Other EBPs specialized in the treatment of justice-involved clients:

g. Select applicable boxes and list various titles of staff that make up your treatment team to deliver services as described in Attachment A3b, Scope of Work:

☐ Paraprofessional staff:

(milieu staff, etc.)

☐ Licensed clinical staff:

(LMFT, Ph.D., etc.)

☐ Medical Board-certified staff: *Psychiatrist required.

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

Documentation includes:

1. Personnel Retention Plan, which addresses following topics:

· Organizational strategies for ensuring continuity of staffing and care are provided to target population; and

· How the program will be staffed appropriately and in a timely manner, including plan for clinical supervision of professional and paraprofessional staff, onsite psychiatric services by a Certified Board Psychiatrist(s), 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 list(s) of staff providing supportive housing, clinical services including required psychiatrist[s]);

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

· Staff training, recruitment, and retention process, including agency’s plan to hire staff that have the required experience and knowledge in delivering behavioral health services to justice involved adults and older adults;

· Organizational practices related to recruiting, hiring, and promoting multi-lingual staff and/or a culturally or ethnically diverse workforce that would include the required threshold languages;

· Staffing should include an addiction counselor to addresses any substance use concerns for clients served in the program; 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:

· Crisis Intervention specific to California WIC 5150 process;

· Emergency/after-hours staffing, including psychiatrist; and

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

i. Offeror ensures the program implementation and provision of services would occur in a timely manner as described in Attachment A3b, Scope of Work (Sections V-VI), including:

☐ Offering community residential treatment and medication support services 24 hours, seven (7) days a week with the goal of reducing recidivism;

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

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

☐ Respond to referrals and provide referring source with referral disposition in a timely manner;

☐ Staff telehealth options, when appropriate;

☐ Evidence-Based Practices (EBPs), Individual/Group Therapy, and Peer Support Services used by staff;

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

☐ Coordination of clients’ release from jail with County/regional partners (e.g., Probation Department, Custody Administrative Booking, Adult Custody Health, Superior Court, Parole/Public Defender staff, etc.) and other community agencies requiring client follow-up, such as pharmacy and medical provider;

☐ Outreach and Engagement Practices in custody and community;

☐ Staff compliance with County Jail clearances required to provide outreach and engagement in custodial settings;

☐ Complete oral and written report to Courts and supervising officers, including completion and submissions of Client Status Reports (CSRs), in a timely manner;

☐ Identifying Criminogenic Risk Factors that increase the risk of recidivism and treatment non-adherence;

☐ Integrated treatment for co-occurring conditions;

☐ Ability to provide appropriate related Step-Down services, including warm hand-offs; and ☐ Transitional discharge planning processes from custody to community, including documentation in clinical records, coordinating custody releases, community placements, etc.

Offeror indicated evidence of the organization’s experience 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, Cultural Competence Form;

· 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, which include outreach and engagement efforts to clients in carceral settings; and

· Capacity to address and serve high-risk clients with co-occurring (mental health and substance use) treatment needs.

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

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

· Justice System (judges, public defender, district attorney, and probation/parole officers);

· Other Community Based Organizations responsible for clients’ behavioral health treatment (mental health, substance use or co-occurring services) and placement upon release from Crisis Residential; and

· Organizational experience working successfully with system partners.

Offeror described how partner collaborations will:

· Increase meaningful use of client time and abilities in participate in vocational services/sustain employment, participate in educational programs/school, and daily activities;

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

· Obtain health insurance for clients;

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

· Reduce client recidivism rates;

· Increase successful program discharges and graduation rates from the justice system.

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, Offeror’s Health Record Status, 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 2 APPENDIX B3b: Adult Crisis Residential and Medication Support Services Evaluation Criteria and Qualifications