Attachment 1 Statement of Work_SOW_.pdf

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Statement of Work (SOW)

SAMHSA Measures Endorsement and Maintenance

I. Purpose

The purpose of this Statement of Work (SOW) is to conduct measure maintenance and reevaluation, when appropriate, for substance use treatment related program measures being maintained according to the Measures Management System (MMS) Blueprint requirements.

II. Background

The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services (HHS) that leads public health efforts to advance the behavioral health of the nation and to improve the lives of individuals living with mental and substance use disorders, and their families. SAMHSA’s mission is to lead public health and service delivery efforts that promote mental health, prevent substance misuse, and provide treatments and supports to foster recovery while ensuring equitable access and better outcomes.

To achieve its mission, SAMHSA has identified five priority areas to better meet the behavioral health care needs of individuals, communities, and service providers. The five priority areas are:

• Preventing Overdose

• Enhancing Access to Suicide Prevention and Crisis Care

• Promoting Resilience and Emotional Health for Children, Youth and Families

• Integrating Behavioral and Physical Health Care

• Strengthening the Behavioral Health Workforce

Measuring whether SAMHSA’s programs have made progress within these five priority areas will require maintaining existing and developing new quality measures. This effort will support that goal and support the use of quality measurement more broadly with mental health and substance use services. This contract will build on the infrastructure developed by the Centers for Medicare & Medicaid Services (CMS), including the MMS, a standardized system for developing and maintaining the quality measures used across initiatives and programs. The MMS supports quality-related activities across CMS, HHS, and the healthcare field.

As part of the Medicaid Innovation Accelerator Program’s (IAP), CMS implemented a multi-state initiative focused on Reducing Substance Use Disorders (SUD) to support states to introduce policy, program, and payment reforms to better identify individuals with substance use disorder (SUD), expand coverage for effective treatment, enhance care and practices delivered to beneficiaries, and develop payment mechanisms for SUD services that will provide better outcomes. As a part of these efforts, CMS supported the development of three measures related to substance use disorder:

https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.medicaid.gov%2Fstate-resource-center%2Finnovation-accelerator-program%2Fprogram-areas%2Freducing-substance-use-disorders%2Findex.html&data=05%7C01%7CTalisha.Searcy%40samhsa.hhs.gov%7C4e0c32e3816446f4b35508db6c4b3e88%7Cd58addea50534a808499ba4d944910df%7C0%7C0%7C638222842680863832%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=ewVYdf69zJRfXsqrbTgOJMznFUO0hiXtgFt0tcrO404%3D&reserved=0

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1. Continuity of care after medically-managed withdrawal from alcohol and/or drugs (CBE 3312)

2. Use of pharmacotherapy for opioid use disorder (OUD) (CBE 3400)

3. Continuity of care after inpatient or residential treatment for substance use disorder (SUD)

(CBE 3453)

This project is primarily focused on maintenance of these three measures and supporting their use across substance use disorder, mental health, and broader health care systems.

III. Tasks

Task 1: Project Management Plan (PMP)

The Contractor shall:

• Ensure close monitoring and tracking of all critical paths/timelines through project management of various inter-dependent activities, e.g. ongoing surveillance, annual measure updates and comprehensive reevaluations.

• In developing the PMP, the Contractor shall follow the measure and assessment development and maintenance related processes as specified in the SAMHSA Blueprint.

• Develop transition materials for contract conclusion

Project Management Plan

The PMP will serve as an outline of approved documents to guide the successful project execution.

The Contractor shall maintain a working PMP that is updated with revisions or changes. All changes to the PMP must be reviewed and approved by the Contracting Officer’s Representative (COR). The Contractor will provide an updated project plan after these initial submissions to reflect any major changes in the project.

Kickoff Meeting

The Kickoff Meeting and the resulting minutes shall include, at a minimum, the following information:

1. A list and timeline of all deliverables necessary to ensure completion of the activities described in the SOW;

2. Identification of Contractor staff and their roles in project execution;

3. Reporting budget and timeline expectations; and

4. Other general expectations and milestones.

Deliverable 1-1: Project Management Plan: The Final PMP is due 10 calendar days after receipt of comments from SAMHSA.

Deliverable 1-2: Kickoff Meeting: The Kickoff Meeting shall be held no later than 20 calendar days after the award unless otherwise negotiated with the COR. Minutes from the Kickoff Meeting shall be submitted to SAMHSA no later than three business days

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Task 2: Continuing Evaluation and Maintenance

The Contractor shall gather and analyze data and information related to the three measures identified in the backgrounds section. Continuing evaluation will include: scanning medical and scientific publications, analysis of relevant literature and monitoring of clinical practice guidelines and unintended consequences in accordance with the MMS Blueprint Measure Lifecycle. The Contractor shall use the continuing evaluation process to update the necessary forms and technical specifications.

The maintenance and reevaluation of measures ensures that SAMHSA is using the most up-to-date and evidence-based specifications. Without proper maintenance and reevaluation, the measures’ relevance and usability cannot be guaranteed. The Contractor shall conduct all maintenance and update requirements according to the MMS Blueprint. Maintenance of measures includes, but is not limited to:

• responding to questions relating to measures;

• conducting additional analyses to respond to stakeholder requests;

• monitoring and updating measures based on new scientific evidence and codes (e.g., ICD-

10);

• updating risk adjusted methodology based on further analysis of data, as needed; and, As a part of maintenance, the Contractor shall provide Question & Answer (Q&A) support for measures. Questions may arise from various stakeholders including but not limited to, states, health plans, the consensus-based entity under contract with HHS, and individual providers in the field.

The Contractor shall also be responsive to questions as they may arise from other program or measure alignment activities. The Contractor shall participate on calls with the relevant stakeholders, as scheduled. The Contractor shall track the Q&As related to the quality measures under development and being maintained and submit them with the monthly status report.

Measure Update Reevaluation The Contractor shall conduct measure maintenance and reevaluation for the quality measures according to the MMS Blueprint requirements. If required, the Contractor shall submit annual updates of consensus-based entity endorsed measures according to the consensus-based entity requirements.

In addition, the Contractor shall support the update of specifications for all maintenance and reevaluation measures for program-specific manuals, as directed by the COR. The Contractor shall coordinate with program leads and their Contractors. The Contractor shall work with measure stewards to support the updating of specifications for each manual release.

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Comprehensive Reevaluation The Contractor shall conduct a thorough review of all measures, submitted annually, aligning with the requirements of the CBE. A Comprehensive Reevaluation of the literature, measure performance rates, and all feedback received regarding the measure is conducted at this time.

The Contractor shall update MIFs and consensus-based entity submission documents for the consensus-based entity endorsement process in accordance with the MMS Blueprint. Prior to final submission of documents to the consensus-based entity, the Contractor shall submit documents to the COR for SAMHSA review and approval. The Contractor shall submit measures to the consensus-based entity according to measure submission timelines specified by the consensus-based entity.

Technical Expert Panel (TEP)

The Contractor shall identify and recruit technical experts according to the MMS Blueprint requirements, to provide expert opinion on measure maintenance/reevaluation and updates to specifications. The TEP shall review maintenance and reevaluation measures for quality measures maintained. The Contractor shall establish methods for gaining patient perspective and input on measures. The Contractor may consider innovative methods of patient engagement that may not be included in the MMS Blueprint.

Technical Specification & Documentation

The Contractor shall update technical specifications and documentation of all maintenance and reevaluation measures according to the MMS Blueprint requirements. All specifications should be consistent with the processes described in the Blueprint while being mindful that the Blueprint is updated periodically to improve and streamline processes; thus, new forms and tools may be developed.

Consensus-Based Entity Endorsement The Contractor shall prepare and submit documents for submission to the consensus-based entity for endorsement. Prior to final submission of documents to the consensus-based entity, the Contractor shall submit documents to the COR for review and approval. In addition, the Contractor shall present and provide necessary support of the measure for the consensus-based entity endorsement process. Support may include responding to consensus-based entity committee questions, preparing memos, providing additional analyses and evidence, responding to public comments, and participating on conference calls with the consensus-based entity.

Following each consensus-based entity endorsement process, the Contractor shall submit a memo summarizing:

• Consensus-based entity voting and evaluation results,

• Comments received by stakeholders;

• Recommendations by stakeholders and consensus-based entity committees; and,

• Challenges the Contractor encountered during the consensus-based entity endorsement process.

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Transition Activities Prior to the end of the contract period, the contractor shall compile all deliverables and the results of work conducted throughout the contract to provide these compiled materials to the COR. The contractor shall also facilitate the transition of measure maintenance activities to another entity, if required.

Deliverable 2-1: Monthly Summary of Question and Answer support provided Deliverables 2-2: Maintenance Reevaluation (according to the CBE schedule) Deliverables 2-3: Comprehensive Reevaluation (according to the CBE schedule) Deliverables 2-4: TEP Composition Documentation Forms Deliverables 2-5: Summaries of TEP Evaluations of Measures Deliverables 2-6: Draft Consensus Endorsement Entity Submission Materials Deliverables 2-7: Final Consensus Endorsement Entity Submission Materials Deliverable 2-8: Summary Memos of relevant CBE Meeting Deliverable 2-9: Transition Materials and Transition Support

Task 3: Reports/Approval Packages The Contractor shall carry out all work/tasks described below to support the measure maintenance.

Monthly Status, Workload, and Cost Report A Monthly Status Report shall be submitted in electronic format and in hard copy (hard copy only if requested) no later than the 20th of each month for the prior month’s activities. The COR and the Contractor shall agree upon the content and format of the Monthly Status, Workload, and Cost Report. The report shall list all updates regarding each task, subtask, or deliverable and place emphasis on substantive information, progress, and changes to the work, including:

• Achievements and accomplishments, including process improvement;

• Upcoming milestones and events in the next 4 months (for example, if the Contractor submits the June monthly report, the upcoming milestones for the next 4 months would be those milestones in July through October);

• Any foreseeable issues or risks to the project work and timeline that may negatively impact dependencies or be impacted as dependencies on other deliverables;

• Lessons learned;

• Workload Report;

• Cost Report; and

• Staffing Changes

i. Additions

ii. Deletions.

Due: 20th of each month for the prior month activities

Periodic Status Calls:

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The Contractor shall facilitate Periodic Status Calls with the COR and other designated parties.

The Contractor shall submit the Periodic Status Call Minutes (Deliverable 3-2) within three (3) business days following each status call. The frequency of these call shall be no less than monthly, with more frequent meetings when needed, such as prior to submissions or major deliverables.

Deliverable 3-1: Monthly Status, Workload, and Cost Reports Deliverable 3-2: Periodic Status Call Minutes

Anticipated Period of Performance

Base Year: 09/30/2023 – 09/29/2024