Attachment A Definitions~3.doc

Department of Mental Health – Division of Child, Youth, and Family Services Flexible Support Services Request For Response DMH Document Number: DMH #2019-FLEX-3066-02

Attachment A

DEFINITIONS

In addition to the definitions found in 801 CMR 21.00, which apply to all procurements for goods and services, the definitions found below apply to this Request for Response.

Area Director – The senior DMH administration official in a DMH Area responsible for the oversight of services and/or contracts within an Area.

Area Director of Child, Youth and Family Services – The DMH administration official in a DMH Area responsible for the oversight of child, youth and family services and/or contracts within an Area. There are five Directors of Child, Youth and Family Services corresponding to the five DMH Areas.

Bid – A bid refers to the RFR or procurement.

Bidder (Also called Responder) – An organization proposing to enter into a Contract with the Department of Mental Health to provide Flexible Support Services.

Business Day – Monday through Friday, not including legal holidays when State Government Offices are closed.

Certified Peer Specialist – An employee who has completed a peer certification program recognized by Massachusetts and been awarded a certificate by the program.

Community Service Agency (CSA) – A community agency chosen by MassHealth’s managed care providers to provide Intensive Care Coordination and Family Support and Training. There are 29 geographically based CSAs and three additional CSAs with designated linguistic and cultural expertise.

Contract – A legally enforceable agreement between a Contractor and a Department. ANF, OSD and CTR shall jointly issue Commonwealth Terms and Conditions, a Standard Contract Form and other forms or documentation that Departments shall use to document the Procurement of Commodities or Services, or both. COMMBUYS refers to Contract records as “Purchase Orders” or “Blanket Purchase Orders.”

Contractor – An organization which enters into a Master Agreement with the Department of Mental Health to provide Flexible Support Services.

Community Service Plan (formally called Individual Action Plan) – The written goals, objectives and interventions developed by a Contractor for individuals served. A Community Service Plan must be appropriate for Child and Adolescent Services. It must be completed together with the youth, their legal authorized representative, and family members, if appropriate, and in collaboration with other service providers, if applicable. A Community Service Plan shall be considered the Community Service Plan as that term is defined and used in DMH regulations 104 CMR 29.11 – 29.13 and this RFR.

Contractor Contract Manager – The individual designated by the Contractor to interface with the Commonwealth regarding the Contract.

Core Elements of Young Adult Peer Mentoring Training – A training provided by a DMH contracted vender to Young Adult Peer Mentors. Participants learn how to share their lived experience with purpose and intent in the context of their work. They also learn about the six core elements that make up the specialty practice of young adult peer mentoring that is outlined in the Young Adult Peer Mentoring Practice Profile.

Culturally and Linguistically Competent – Services that demonstrate an integration and transformation of knowledge, information, and data about individuals and groups of people into specific standards, skills, service approaches, techniques, and marketing services that match the culture and language of the individual receiving services so that there is an increase in the quality and appropriateness of health and behavioral care and outcomes. Linguistic competence further ensures the person can communicate with staff in their preferred language and that the interaction of language and culture is understood and addressed.

Day – A calendar day including weekends and holidays.

Department – For the purposes of this Procurement, the terms “Department,” “Eligible Entity,” “Agency,” “Commonwealth Agency,” and “Contracting Department” include all entities listed in the Eligible Entities section of this RFR. COMMBUYS refers to such entities as “Organizations.”

DMH – The Massachusetts Department of Mental Health.

DMH Area/Area – The geographic subdivision within the state that is responsible for providing access to comprehensive mental health services for individuals within its boundaries. There are five (5) DMH Areas. Each Area is administered by an Area Director who is supported by an Area Office. A listing of DMH Area and Site Offices and their geographic locations can be found here: https://www.mass.gov/locate-department-of-mental-health-offices-and-facilities.

DMH Site Office/Site – A DMH Site is a subdivision of a DMH Area (see above) and is managed by a Site Director at a Site Office.

Enterprise Invoice Management/Enterprise Service Management (EIM/ESM) – An online service reporting, contract management, and billing system used by Purchase of Service providers to submit service delivery and invoicing information to purchasing departments, such as DMH.

Executive Office of Health and Human Services (EOHHS) – The Massachusetts secretariat responsible for multiple state agencies including DMH.

Family – Includes the DMH-identified youth, his/her biological or adoptive parent(s), Legally Authorized Representative (LAR), siblings, other relatives, and non-related individuals who are identified by the youth, parent(s) and/or LAR as important supports and who assume a care giving role.

Family-Driven Care – Family-driven care means families have a primary decision making role in the care of their own children as well as the policies and procedures governing care for all children in their community, state, tribe, territory and nation. This includes:

a. Choosing supports, services, and providers

b. Setting goals

c. Designing and implementing programs

d. Monitoring outcomes

e. Partnering in funding decisions; and

f. Determining the effectiveness of all efforts to promote the mental health and wellbeing of children and youth (see: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2938750/ )

Fiscal Year (FY) – The year beginning with July first and ending with the following June thirtieth as defined in M.G.L. Chapter 4, Section 7. This may also be referred to as the "State Fiscal Year.”

Full-Time Equivalent (FTE) – Forty (40) hours a week.

Human Services Field – fields of education and employment that approach the objective of meeting human needs by focusing on prevention and remediation of problems and maintaining a commitment to improving the overall quality of life of the populations served. Their primary purpose is to assist individuals and communities to function as effectively as possible in the major domains of living.

Independently Licensed Clinician – A mental health clinician, licensed in the Commonwealth to operate independently within the scope his/her professional license, such as Licensed Independent Clinical Social Worker (LICSW), Lincensed Mental Health Counselor (LMHC), Licensed Psychologist, or Licensed Marriage and Family Therapist.

Individualized Education Program (IEP) – A document developed to ensure that a child who has a disability identified under the law receives needed specialized educational instruction and related services.

Individual Practitioner – a Flexible Support Services Clinician, Therapeutic Support Specialist, Young Adult Peer Mentor or Family Partner Staff person operating under an organization’s Flexible Support Service contract and providing services one to one with a youth or family outside of the context of a Flexible Support Team or Group modality.

Interpreter – Interpreter services performed by a person who is fluent in English and in the language of the non-English speaker, who is trained and proficient in the skill and ethics of interpreting.

Legally Authorized Representative (LAR) – A guardian or other fiduciary granted applicable authority by a court of competent jurisdiction or, in the case of a minor, the parent(s) or other individual or entity with legal custody of the minor. DMH is never the LAR for a youth. Eighteen-year-old youth and older are considered their own guardian/LAR unless determined otherwise by a court of competent jurisdiction.

Local Education Authority (LEA) – A local school district or public school defined pursuant to M.G.L. c. 71B.

MassHealth – The Medicaid program of the Commonwealth of Massachusetts, administered by EOHHS pursuant to M.G.L. c. 118E, Titles XIX and XXI of the Social Security Act, and other applicable laws and waivers thereto.

Master’s Level Clinician – A mental health clinician who holds at least a Master’s Degree in a related field (UFR titles 123-127), i.e., a psychologist, a social worker (either a LICSW, LCSW, or LSW), a Licensed Counselor (LMHC), or a Licensed Marriage and Family Therapist (LMFT) Master Agreement – An agreement that deems a Bidder as qualified to provide a service, but does not guarantee purchase of the service.

Modality – A method of therapeutic or clinical approach to the delivery of a service (such as group, team, individual practitioner).

M/WBE – A Minority Owned Business or a Woman Owned Business certified as such by the Supplier Diversity Office (SDO, formerly called the State Office of Minority and Woman Business Assistance or SOMWBA).

Parent/Caregiver – adult individual(s) responsible for the day to day care of another individual. This includes biological parents, adoptive parents, foster parents and kinship caregivers.

Provider – An organization which enters into a Contract with the Department of Mental Health to provide Flexible Support Services.

Recovery – The process by which people are able to live, work, learn, and participate fully in their communities. For some individuals, recovery is the ability to live a fulfilling and productive life despite a disability. For others, recovery implies the reduction or complete remission of symptoms. See President's New Freedom Commission Report.

http://govinfo.library.unt.edu/mentalhealthcommission/index.htm Request for Response (RFR) – The mechanism used to communicate Procurement specifications and to request Proposals from potential Bidders. An RFR may also be referred to as a "Bid”.

Resilience – The personal and community qualities that enable individuals to rebound from adversity, trauma, tragedy, threats, or other stresses – and to go on with life with a sense of mastery, competence, and hope. See President's New Freedom Commission Report. http://govinfo.library.unt.edu/mentalhealthcommission/index.htm Respite – Short-term community or facility based care of a child or youth with a serious mental or behavioral health need who lives at home. The purpose of respite is to give families a break from the exceptional caregiving demands related to that child and to support family health and wellbeing. Because caring for a youth with serious mental or behavioral health needs requires specialized knowledge, skills, and sometimes environment, respite services are not babysitting. DMH Respite is not a clinical service. It is provided as part of an overall behavioral health treatment plan for a child with mental or behavioral health needs.

Response – A proposal submitted in response to a Request for Response (RFR).

Responder (Also called Bidder) – An organization proposing to enter into a Contract with the Department of Mental Health to provide Flexible Support Services.

Safety Plan – Strategies to address identified youth and family risk issues. These strategies for youth and caregivers include actions, interventions and skill building intended to decrease the likelihood of harm to youth, families and the community.

Statement of Work – Detailed description that defines specific services, activities, deliverables and timeline required of a vendor or Provider to perform under a contract.

Secure Mail – The Secure Mail System is the Commonwealth secure email delivery service available to all its agencies and departments for use between themselves and their business partners for the secured exchange of both e-mail and files using web technologies. Using a common platform for both services, this solution provides a consistent model for the secure exchange of information between the Commonwealth and its business partners and includes a centralized source for tracking data delivery and access.

Serious Emotional Disturbance (SED) – A diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified within the ICD-10, the International Classification of Diseases, Tenth revision and related health problems that results in functional impairment which substantially interferes with or limits the child’s role or functioning in family, school, or community activities.

Service Authorization – In accordance with 104 CMR 29.04, the process used by DMH to determine if a person meets the criteria for community services provided by DMH. Each Area Office has clinical staff assigned to perform Service Authorization duties.

Strength-Based – A model or approach founded on the following principles: (1) All children and families have strengths; (2) Focusing on children’s and families strengths instead of challenges or limitations may result in enhanced motivation and improved performance; (3) Failure to demonstrate a skill should be viewed as an opportunity to learn the skill as opposed to a problem; and (4) Service plans that begin with a focus on strengths are more likely to actively engage families and children in treatment (adapted from Epstein et al., 2003).

Supplier Diversity Program Plan (SDP Plan) – Specifies how a Contractor shall utilize and/or mentor M/WBEs if DMH purchases services from the Contractor.

Trauma Informed Care – An organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all types of trauma. Trauma Informed Care also emphasizes physical, psychological and emotional safety for both Clients and providers, and helps survivors rebuild a sense of control and empowerment.

Treatment Plan – A plan for services developed through the collaborative efforts of the Family Team which builds on identified strengths to address the obstacles that prevent the child from successfully living in their communities with their family, or in a home setting. A Treatment Plan constitutes a Community Service Plan (CSP) for purposes of DMH regulation 104 CMR 29.11 – 29.13.

Virtual Gateway – An internet portal operated by the Executive Office of Health and Human Services to provide the general public, medical providers, community-based organizations and EOHHS staff with online access to health and human services. By consolidating information and online services in a single location on the internet, the Virtual Gateway simplifies the process of connecting people to critical health and human services programs and information. Applications included on the Virtual Gateway include Enterprise Invoice/Service Management, and the Provider Data Management systems.

Young Adult Peer Mentoring Practice Profile – The Young Adult Peer Mentoring Practice Profile describes six core elements that reflect the practice level work of the Young Adult Peer Mentors. For each core element there is a detailed description of the ideal, developmental, and insufficient practices at the level of “saying and doing”. The Young Adult Peer Mentoring Practice Profile guides the work of Flexible Support Service Young Adult Peer Mentors and can be found here: http://www.cbhknowledge.center/young-adult-peer-mentoring-overview/ Youth – Children, adolescents and young adult persons, zero through 21 years old, eligible to be served by the Child Youth and Family Division of DMH.

Youth-Guided Care – A philosophy and practice according to which young people have the right to be empowered, educated, and given a decision-making role in the care of their own lives, as well as the policies and procedures governing care for all youth in the community, state, and nation. This includes giving young people a sustainable voice and the focus should be towards creating a safe environment enabling a young person to gain self-sustainability in accordance to their culture and beliefs.