APPENDIX B8

CATEGORY 2: OUTPATIENT SERVICES

ADULT AND OLDER ADULT OUTPATIENT CONTINUUM SERVICES

Evaluation Criteria and Qualifications

Section 1: Organizational Structure and Experience[footnoteRef:1] Total Points: [1: 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)

Indicate specialty populations served:

☐ Diagnosed with severe mental illness (SMI) ☐ Co-occurring substance use treatment needs

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

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

Indicate if Offeror is applying for Individual Placement and Support | Supported Employment (IPS/SE):

YES ☐ NO ☐

If YES, select the following:

☐ Experience with providing IPS & SE services to adults and older adults.

☐ Experience working with Department of Rehabilitation (DOR).

☐ Organizational strategies for ensuring that staffing and care is provided to the target population(s) as applicable for the following:

· Outpatient services;

· Continuity of IPS; and/or

· Continuity of employment services.

· 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.

☐ Joint Commission Accreditation ☐ Community Care Licensing ☐ Commission on Accreditation of Rehabilitation Facilities International ☐ California Association for Alcohol and Drug Educators ☐ California Association of DUI Treatment Programs ☐ California Consortium of Addiction Programs and Professionals ☐ Board of Behavioral Sciences ☐ Medical Board of California ☐ Board of Registered Nursing ☐ Board of Vocational Nursing and Psychiatric Technicians ☐ Board of Psychology ☐ CalMHSA ☐ Other program accreditations:

Select the applicable boxes and list the staff titles that make up Offeror’s treatment team to deliver the services as described in Attachment A8:

☐ 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.)

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

· 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.

☐ Other:

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

· Ensuring sufficient and qualified amounts of staff are available;

· 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, including certifications for substance use issues; and

· Process for providing intensive case management services at project-based sites (e.g., administrative, supervisory, and direct service staff information).

YES ☐ NO ☐

For programs implementing IPS/SE:

Offeror included their organization’s Personnel Retention Plan which addresses the following:

· Workflow, process, and assurance for adequate staffing and timely training:

· Weekly client-based group supervision plan for professional and paraprofessional staff; and

· Ability to train staff in the IPS model.

· How the program shall accept and manage outpatient referrals received from the BHSD Call Center in a timely manner which meets requirements.

· How the referrals are made from outpatient treatment team.

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

YES ☐ NO ☐

Offeror included their organization’s protocols to ensure program implementation and timely service provision, including discharge plans as described in Attachment A8, Scope of Work, including but not limited to:

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

· Hours of operation, clinic locations, and strategies that will be used to meet the Network Adequacy and CalAIM standards;

· 24-hour coverage to clients in the programs; and

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

· Client transfers to a different level of care, or another behavioral health provider.

· Staff evaluation process for each client for appropriate level(s) of care throughout treatment.

· How staff will communicate to ensure referral sources are notified of the status of the referral and informed outcomes.

Section 2: Proposed Program Description[footnoteRef:2] Total Points: [2: 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 including American Sign Language (for Deaf/Hard of Hearing);

· How Offeror addresses barriers when they do not have staff available to meet the County threshold languages (e.g., translation and interpretation services);

· 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;

· DOR and employers, if applying for IPS/SE;

· IPS staff, if applying for IPS/SE;

· Housing organizations [subsidy administrators, property managers];

· Criminal Justice System [judges and probation/parole officers]; and

· Organizational experience working successfully with system partners.

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 B8: Adult and Older Adult Outpatient Continuum Services Evaluation Criteria CATEGORY 2: Outpatient Services