Appendix B5 rev11182025.docx

APPENDIX B5

CATEGORY 1: PREVENTION AND EARLY INTERVENTION SERVICES

CULTURALLY APPROPRIATE WELLNESS CENTERS

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 Populations ☐ Youth (ages 13 through 17) ☐ Adult (ages 18 through 59)

Experience with ethnic-specific population ☐ Cultural competence ☐ Cultural adaption ☐ Trauma-informed care ☐ Other:

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

☐ South County ☐ Central County ☐ East County ☐ North County Select specialty practices inclusive in Offeror’s services:

☐ Ethnic and culture-specific group activities ☐ Ethnic and culture-specific marketing plan ☐ Cultural awareness & competency

· 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.

☐ Combating multiple stigmas that have been shown to discourage individuals from seeking mental health services;

☐ Group counseling, activities, and psychoeducational services to the general community, which will include structured and unstructured wellness and recovery-focused groups and activities, and counseling support groups; and ☐ Plan to refer clients receiving services in the program to other outpatient services, or to other appropriate levels of care, either through the Call Center if not a current BHSD client, or via transfer to other BHSD programs if the client already has an open case with a service team.

☐ Case Manager ☐ Mental Health Specialist ☐ Peer Support Worker ☐ Waivered/Licensed Clinician

Select the applicable boxes and list the staff titles that make up Offeror’s treatment team to deliver the services as described in Attachment A5:

☐ 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.)

· Their organization’s ability to implement and integrate their electronic health record system in a timely manner with that of the BHSD, and how quality assurance will be maintained;

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

· 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(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 County standards.

1. Staffing Plan

· 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 workforce; and

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

1. Additional Required Plans

· Emergency/after-hours staffing; and

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

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 G;

· How Offeror addresses barriers when they do not have staff 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 and underrepresented populations.

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

· Community organizations (e.g., library, schools, markets).

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 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 B5: Culturally Appropriate Wellness Centers Evaluation Criteria CATEGORY 1: Prevention and Early Intervention Services Last Revised 10/24/25