Children_&_Youth_Full_Service_Partnership_with_High_Fidelity_Wraparound_(Addendum_#2_Revision).pdf

COUNTY OF ORANGE

HEALTH CARE AGENCY

REQUEST FOR PROPOSAL (RFP)

FOR

CHILDREN & YOUTH FULL SERVICE PARTNERSHIP WITH HIGH

FIDELITY WRAPAROUND

RFP NO. 042-2934503-CA

RESPONSES MUST BE SUBMITTED ELECTRONICALLY TO:

https://secure.procurenow.com/portal/ocgov https://secure.procurenow.com/portal/%7bproject.government.code%7d

County of Orange RFP

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA

County of Orange

Health Care Agency

Procurement and Contract Services

405 W. 5th Street

Santa Ana, CA

92701

SCHEDULE OF ACTIVITIES

Release of RFP Solicitation December 12, 2025

Question Submission Deadline January 9, 2026, 4:00pm

RFP Submittal Closing January 16, 2026, 4:00pm

Proposal Evaluations Anticipated to be conducted January 2026

Interviews with Top Ranked Firm(s) Anticipated to be conducted mid February 2026 at 405 W. 5th Street, Santa Ana, CA 92701

Board of Supervisors Date Anticipated to be April 28, 2026

PROPOSALS MUST BE RECEIVED ON

OR BEFORE

Friday, January 16, 2026

4:00 pm

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA

SECTIONS

SECTION 1. INTRODUCTION AND INSTRUCTIONS TO RESPONDENTS

SECTION 2. PROTEST PROCEDURES

SECTION 3. SCOPE OF WORK

SECTION 4. OCLSB AND DVBE PREFERENCE POLICIES CERTIFICATION

REQUIREMENTS

SECTION 5. PROPOSAL SCORING CRITERIA

SECTION 6. VENDOR RESPONSES

Attachments:

A - FSP HFW_MODEL CONTRACT

B - Budget Form (Flex Funds)

C - Homeless Service System Pillars Attestation

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA

SECTION 1. INTRODUCTION AND INSTRUCTIONS TO RESPONDENTS

1.1 INTRODUCTION

The County of Orange, (hereinafter referred to as “County”), is soliciting proposals from qualified organizations (hereinafter referred to as “Respondents”) for Children & Youth Full Service

Partnership with High Fidelity Wraparound. The services are to be provided to two Populations –

Population A and Population B. A description for each Population is provided in Section 3.2.

Respondent may submit a proposal to provide services to Population A only, Population B only, or both Population A and Population B. Proposals will be submitted separately for each population. Respondent must specify the Population(s) responded to in the proposal and submit a response in separate attachments in Section 6, Part 3, for each specified Population. Respondents must meet the minimum qualifications and requirements as set forth within the Request for

Proposal (RFP) and be capable of providing services identified in the Scope of Work herein for the Population proposed.

County may award a contract to one or more Respondent(s) for each Population. Further, County may award one or both Populations to one Respondent and may award a contract to a Respondent for one or both of the Populations in Respondent’s proposal.

County intends that the successful Respondent shall provide Children & Youth Full Service

Partnership with High Fidelity Wraparound proposed in accordance with contract requirements set forth in the solicitation and Model Contract, including Attachments.

**Any changes to the schedule for the RFP process will be issued to all Respondents via addenda on the County’s online bidding system https://procurement.opengov.com/portal/ocgov **

1.2 COUNTY HOLIDAYS DURING SOLICITATION PERIOD

During this solicitation period, the Health Care Agency will be closed on the following County holidays:

• December 25, 2025, Christmas Day

• January 1, 2026, New Year's Day

• January 19, 2026, Martin Luther King Day

• February 16, 2026, President's Day

1.3 INSTRUCTIONS TO RESPONDENTS AND PROCEDURES FOR SUBMITTAL

A. Proposals are to be uploaded via the County's eProcurement Portal at https://procurement.opengov.com/portal/ocgov. For assistance on uploading proposals via County’s eProcurement Portal, please contact procurement-support@opengov.com or https://help.procurement.opengov.com/en/ Note: Allow sufficient time to upload all required files. The County’s eProcurement Portal will not allow any uploads after the due date and time specified herein, e.g., if Part 1 and 2 uploaded successfully at 3:58:38 P.M.

https://procurement.opengov.com/portal/ocgov https://procurement.opengov.com/portal/ocgov https://help.procurement.opengov.com/en/

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA and Part 3 is in progress of being uploaded at 4:00:01 P.M., Part 3 will not upload successfully.

B. Examine the RFP Documents and the site of the proposed work carefully before submitting a Proposal for the work contemplated. Investigate the conditions to be encountered, as to the character, quality, and quantities of work to be performed and materials to be furnished and as to the requirements of all RFP Documents.

County has attempted to provide all information available. It is the responsibility of each

Respondent to review, evaluate, and, where necessary, request any clarification prior to submission of a Proposal. If any person contemplating submitting a response to this RFP is in doubt as to the true meaning of any part of the RFP documents attached hereto or finds discrepancies in or omissions from the specifications, they may submit a written request for clarification/interpretation to the County Deputy Purchasing Agent (DPA) via the

County’s eProcurement Portal under the bid page for this RFP.

If clarification or interpretation of this RFP is considered necessary by County, an addendum shall be issued, and the information will be posted via the County’s eProcurement Portal. Any interpretation of, or correction to, this solicitation shall be issued by the DPA. It is the responsibility of each Respondent to periodically check the County’s eProcurement Portal to ensure that they have received and reviewed any and all addenda to this RFP.

County is not responsible for any other explanations, corrections to, or interpretations of the documents, including any oral information. If an addendum is issued, Respondents must acknowledge the addendum via the County’s eProcurement Portal.

All questions or requests for interpretations must be received by Friday, January 9, 2026, before 4:00 pm. The DPA will provide all official communication concerning this

RFP. Any County response relevant to this RFP other than through or approved by the

DPA is unauthorized and will be considered invalid.

C. Proposals must be valid for a period of at least three hundred sixty-five (365) calendar days from the Proposal Submission Deadline. No Proposal may be withdrawn after the submission deadline.

D. All pages must be numbered and identified sequentially by section. Proposals must be tabbed and indexed in accordance with the information requested in the Section 6, Vendor

Responses Section. It is imperative that all Respondents comply, exactly and completely, with the instructions set forth herein. All responses to this solicitation shall be type written or word-processed (except where otherwise provided or noted), concise, straightforward, and must fully address each requirement and question. Although not as a substitute for a complete written response, additional material, such as technical documents, may be

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA referenced in any response if the material is included in the same section as additional information.

E. Proposals are not to be marked as confidential or proprietary. County may refuse to consider any Proposal so marked. All Proposals and supporting documents will be subject to the provisions of the California Public Records Act (California Code Government Code

7920 et seq.) (PRA) and will be disclosed or withheld in accordance therewith. County shall not be liable in any way for disclosure of any such records. Additionally, all Proposals shall become the property of County. Respondents should not request that certain information be treated as exempt, and statements in the Proposals should not be marked as confidential or proprietary.

F. Each Respondent shall exercise reasonable care and diligence to avoid submitting a

Proposal that could result in a conflict of interest if Respondent were to be selected. This obligation shall apply to Respondent, Respondent’s employees, agents, and relatives, sub-contractors, and third parties associated with accomplishing work and services in Proposal.

In the event Respondent has done work for County on this Project in the past or has reason to believe that a conflict of interest may exist for Respondent in regard to this Project, Respondent should consult with its legal counsel prior to responding to this solicitation.

Any Respondent who is found to have an actual conflict of interest may have its Proposal rejected on that ground. Respondent, its employees and/or consultants may be subject to the provisions of the California Political Reform Act of 1974 (the “Act”), which (1) requires such persons to disclose any financial interest that may be materially affected by services provided under this Contract, (2) prohibits such persons from making, or participating in making, decisions that could reasonably affect such interest; and (3) may require the filing a Statement of Economic Interest (Form 700). If subject to the Act, Respondent shall conform to all requirements of the Act. Failure to do so shall constitute a material breach and is grounds for immediate termination of the Contract by County.

Respondent shall indemnify and hold harmless County for any and all claims for damages resulting from Respondent’s violation of this Section.

G. By submitting a Proposal, Respondent represents that it thoroughly examined County’s requirements, is familiar with the services required under this RFP and is qualified and capable of providing the services to achieve County’s objectives.

H. Each Respondent must submit its Proposal in strict accordance with all requirements of this solicitation and compliance must be stated in the Proposal. Deviations, clarifications and/or exceptions must be clearly identified and listed separately as alternative items on additional information section for County’s consideration as specified in the

Proposal Response Requirements Section, “Statement of Compliance.”

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA

I. Pre-contractual expenses are not to be included in the Cost Proposal, Attachment C, Pricing and Compensation. Pre-contractual expenses are defined as including, but not limited to, expenses incurred by the Respondent in: a) preparing its Proposal in response to this solicitation; b) submitting that Proposal to County; c) negotiating with County any matter related to Respondent’s Proposal; and d) any other expenses incurred by Respondent prior to the date of award and execution, if any, of the Contract.

J. Any Proposal may be construed as non-responsive and ineligible for consideration if it does not comply with the requirements of the RFP. Failure to comply with the technical features and acknowledgment of receipt of addenda are common causes for holding a

Proposal nonresponsive.

K. Where two or more Respondents desire to submit a single Proposal in response to this

RFP, they must do so on a prime/subcontractor basis rather than as a joint venture.

County intends to contract with a single organization that may subcontract with multiple organizations (team) but not with multiple organizations doing business as a joint venture.

L. County does not require and neither encourages nor discourages the use of lobbyists or other consultants for the purpose of securing business.

M. County requires a valid UEI number prior to Contract Award. Respondent must obtain one at no cost at www.usfcr.com. If Respondent is unable to provide/obtain a

UEI number, please indicate so in your proposal submission response.

N. Effective from the issuance date of this RFP until a Contract is awarded or the RFP is withdrawn, all individuals or entities responding—including their employees, agents, representatives, proposed partners, subcontractors, members, lobbyists, or attorneys

(collectively "Respondents")—are prohibited from engaging in any direct or indirect communication with County personnel involved in the selection process, except with the designated DPA. Respondents may continue conducting business with the County on matters unrelated to this RFP and may communicate with County staff, provided the RFP is not discussed. Any attempt to engage in discussion regarding this RFP with anyone other than the designated DPA will be presumed to create an unfair competitive advantage and may result in disqualification.

1.4 MINIMUM SUBMISSION REQUIREMENTS

Please keep in mind this RFP is for two different Populations - Population A and Population B.

Respondents may submit a proposal for Population A only, Population B only, or both

Populations.

All timely submitted Proposals first will be evaluated by the DPA for the minimum submission requirements set out below. The minimum submission requirements must be met for a https://www.usfcr.com/

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA

Respondent to be considered as an eligible candidate to be evaluated for the requested services described in this RFP. Should any of this information be missing, Respondent may be deemed non-responsive. Respondents only need to upload required documents once. These qualifications must be maintained during the term of any resultant contract.

Respondent's Proposal shall meet the following minimum submission requirements to proceed to the Evaluation Process Stage:

*Please note: These minimum qualifications must be verified for the Proposal to be deemed responsive. Any Proposal may be construed as non-responsive and ineligible for consideration if it does not comply with the requirements of the solicitation.

1. Have minimum five (5) years of consecutive, experience developing, implementing, and supporting children and youth Full Service Partnership program and/or

Wraparound program.

2. In order to be eligible to enter into a contract with County, an individual or entity must not be listed on the current Cumulative Sanction List of the Office of the

Inspector General (U.S. Department of Health and Human Services) or the General

Services Administration’s list of parties excluded from federal programs, or the

California Medi-Cal Suspended and Ineligible Provider List. Accordingly, County will not review any proposal submitted by an individual or entity found to be on any of these lists and the proposal will automatically be rejected. County will notify

Respondent of this determination in writing. County plans to use the following databases to identify individuals and entities that are not eligible to contract with

County:

a. https://exclusions.oig.hhs.gov/

b. https://sam.gov/search/

c. Medi-Cal Suspension Search Database

d. Social Security Administration’s Death Master File

3. It is the sole responsibility of all Respondents to verify that they are not on any of these lists prior to preparing, and submitting, a proposal in response to this RFP.

Correction of any errors found on any of the lists, above, is the sole responsibility of

Respondent and must be made prior to submission of the proposal.

4. In addition, in order to be eligible to enter into a contract with County, an individual or entity must not have any pending charge(s) or conviction(s) for violation of criminal law(s) and/or any sanction(s) or disciplinary action(s) imposed or taken against them by any federal or state law enforcement, regulatory or licensing agency or body, including exclusion from Medicare and Medicaid programs. Accordingly, all https://exclusions.oig.hhs.gov/ https://sam.gov/search/

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA respondents must self-disclose with explanation or deny the existence of this information pertaining to their principals, executives, and managers directly involved with the performance of the services solicited herein.

5. Must have the ability to do business in Orange County, California and have an existing site that the proposed FSP program would be operated from and have the ability to become Medi-Cal certified;

6. Complete all required in Section 6 Vendor Responses of the RFP;

7. Provide all of the following documents. Include an index of all the documents included, and an explanation for any document requested but not provided.

a. If Incorporated

i. Articles of Incorporation executed by the Secretary of State, including all amendments

ii. By-laws, including all amendments

iii. Board of Directors resolution empowering a Corporate Officer either by title or individual name, to act on behalf of the organization by his/her signature alone. (If applicable)

b. If not incorporated: Documentation empowering an Authorized Representative to act on behalf of the organization by his/her signature alone.

i. Fictitious Business Name statement filed with the County Clerk and proof of publication

ii. Partnership papers and/or joint venture contracts

iii. Evidence of federal/state tax status

iv. Business License/Certifications/Conditional Use Permits (CUP)

v. Table of Contents from the organization's policies and procedures manual covering daily operations and emergency procedures (medical, fire, etc.). If a policies and procedures manual does not exist, provide a plan and time frame for development.

vi. Corporate organizational chart that includes all programs, identifies the relationship of the proposed program to the overall organization, and identifies the reporting relationship of each staff position.

c. Recent financial statement prepared by an independent Certified Public

Accounting (CPA) firm.

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA

d. Any audits, reviews, or inspection reports completed by a CPA firm, regulatory agency (e.g., Occupational Safety and Health Administration), or other government agency within the last 12 months.

e. A description of any active litigation and resolution, performance issues and/or audit or review of any contractual documents (e.g., invoices, units of service reports, etc.) within the last five (5) years that resulted in a corrective action plan, reimbursement of money to funder, investigation, and/or termination of any agreements or contracts between your organization and the County of Orange, other government entity, and/or private organization. Provide a copy of a letter from your organization’s attorney and/or in-house legal counsel concerning the status of lawsuits and pending litigation for the most recent year. IF THERE ARE

NONE, PLEASE STATE SUCH IN THE SUBMITTAL RESPONSE. For each litigation and or performance issue include:

i. The type of contracts, contract term (dates), funding amount and services provided.

ii. The issues and circumstances.

iii. How and when the issues were resolved.

iv. Your organization’s plans to ensure that the issues will not re-occur in future contracts.

f. Attach detailed information regarding past, current, or threatened litigation, liens, or claims (including claims filed or pending with Financial Industry Regulatory

Authority and/or with the Security Exchange Commission) within the past five (5) years involving your company, or any company your company holds a controlling interest in, or any company that holds an interest in your company, or any of the principal officers of your company that has also involved the County of Orange or any of its officers or agencies.

Proposals deemed to meet all minimum qualifications/requirements will move to the evaluation process stage.

1.5 EVALUATION PROCESS

Proposals deemed to meet all minimum submission requirements in Section 1.4 shall be evaluated, per Population, by an Evaluation Panel of job knowledge experts based on the responses to the requirements in this RFP. County may request clarifications, or otherwise verify the contents of the Proposal, including information about the Respondent, and proposed sub-contractors. County reserves the right to seek publicly available information about Respondents.

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA

Proposals will be scored based on the established evaluation criteria, and will be assigned points that measure the responsiveness to each identified criterion. The total number of points earned will be tallied for each Proposal, based upon Respondent(s) submitted written materials.

The scoring is based on evaluation of the Proposal as measured against the Proposal Scoring

Criteria, which includes County of Orange Procurement Preference Policy, in accordance with

Sections 1.8-103 and 4.3-112 of the 2024 Revised County Contract Policy Manual (CPM). A copy of the 2024 CPM can be found at https://cpo.ocgov.com/cpm. Proposals will be evaluated from the most advantageous to the least advantageous to the County.

Evaluation Process Stage

The evaluation process stage may be conducted in two phases. Phase 1 will be an evaluation of the written proposal based on the evaluation criteria for all Respondents and Phase 2 will be an evaluation of the interview/presentation for only the highest-rated Respondents in Phase 1 that are invited to participate in Phase 2. The Evaluation Panel has the right to determine whether to conduct Phase 2 and the number of Respondents who will participate in Phase 2 if conducted.

Please note that contract award for each Population will be made to the responsible Respondent whose proposal is most advantageous to County, taking into consideration the applicable evaluation criteria. Cost Proposal as an evaluation criterion does not require County to select

Respondent with the lowest cost proposal.

The Evaluation Panel will conduct the following evaluation process one time for each

Population. The scores for each Population is independent of, and will have no impact on, the scores for the other Population.

Phase 1:

In Phase 1, written proposals will be scored by the Evaluation Panel using the established weighted criteria set out in Section 5. Proposal Scoring Criteria, which have been assigned points before the submission of proposal that measure the responsiveness to each criterion, for each Population in the Proposal. This means a Respondent’s proposal may be evaluated up to two times (once for each Population) depending on the number of Populations submitted in the proposal.

The Evaluation Panel will evaluate the written materials solely on the quality of the responses to all questions and requirements of this RFP using the evaluation criteria. The total number of points earned for all criteria for the Population proposed will be tallied for each proposal, and the proposals will be rank-ordered based upon the points earned for that Population.

Phase 2:

If the Evaluation Panel decides to conduct Phase 2 for one or both Populations, then the selected highest-ranked Respondent(s) from Phase 1 for that Population will be invited to participate in

Phase 2. In Phase 2, Respondents must provide an oral interview/presentation on their proposed services. Respondents must be prepared to travel to County at their own expense to make their interview/presentation within five (5) calendar days after notification by the DPA. Respondents https://cpo.ocgov.com/cpm

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA must be prepared to discuss all aspects of their proposals in detail, including answering technical questions. Respondents are not allowed to alter or amend their proposal during the interview/presentation process.

Respondents may have up to two total scores (one for each Population) depending on the number of Populations submitted in the proposal. The total score for each Population shall be as follows:

Written Proposal Scoring: 800 points maximum

See "Proposal Scoring Criteria" section for categories and points.

Presentation/Interview Scoring: 100 points maximum

County reserves the right to conduct, or not to conduct, oral interviews/presentations with the highest-ranked Respondent(s). The decision whether to conduct oral interviews/presentations rests solely with County, and the decision of the DPA is final.

Please note that, if the Evaluation Panel does not conduct Phase 2 for a Population, the total score for all Respondents for that Population is the points awarded in Phase 1. If the Evaluation Panel does conduct Phase 2 for a Population, Respondents that County elects not to invite to participate in Phase 2 will not have a total score for that Population.

1.6 SELECTION/AWARD PROCEDURES

Upon the completion of the evaluation process, per Population, the Evaluation Panel will make a recommendation for an award to County’s DPA for award of a contract to a Respondent(s) for

Population A and for award of a contract to a Respondent(s) for Population B. Final award determination shall be subject to reference checks and past performance.

The Model Contract contained in this RFP is the contract proposed for execution. It may be modified to incorporate negotiated items and other pertinent terms and conditions set forth in this

RFP, including special conditions and requirements and those added by addendum, necessary attachments and/or exhibits, and to reflect Respondent’s Proposal and qualifications. Any additional exceptions to the terms and conditions made by any Respondent after submission of its

Proposal may result in its elimination from further consideration.

Exceptions to the terms and conditions of the proposed contract or the statements regarding

Respondent’s inability to comply with any of the provisions thereof are to be declared in the response to the RFP in VENDOR RESPONSES - Statement of Compliance.

Negotiations may or may not be conducted with the finalist(s); therefore, the Proposal submitted should contain Respondent(s) most favorable terms and conditions for each Population, since the selection and award may be made without further discussion or need for clarification.

County will enter into negotiations with the selected Respondent and award a contract upon completion of negotiation of fees and contract terms. The award requires approval(s) by County

Board of Supervisors.

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA

If a satisfactory contract cannot be negotiated in a timely manner, County, in its sole discretion, may terminate negotiations with the selected Respondent and begin negotiations with the next

Respondent.

1.7 RIGHTS RESERVED TO COUNTY

County reserves the right to:

A. Make use of any information or ideas in the Proposals submitted.

B. Request proposal revisions and hold discussions and negotiations with any Respondent as necessary to serve the best interests of County.

C. Seek publicly available information about the Respondents.

D. Conduct, or not to conduct, oral interviews and/or presentations with the highest-ranked

Respondent(s) and additional Respondents.

E. Waive, at its discretion, any procedural, non-material defects, irregularity, or informality, which County deems correctable or otherwise not warranting rejection of the proposal that do not result in any unfair competitive advantage. Any waiver will not excuse a

Respondent from full compliance.

F. Verify and validate any information prior to Contract Award and during the entire term of the contract.

G. Negotiate the final contract with any Respondent(s), Contract will be based on a Medi-

Cal Fee-For-Service model with additional Behavioral Health Services Act (BHSA) dollars available for flex funds and non-Medi-Cal reimbursable services (e.g., travel, services delivered to those who are Medi-Cal eligible, Medi-Cal underinsured or unfunded). In addition, some contracts may include grant funding for non-Medi-Cal reimbursable services.

H. Withdraw or cancel in part or in its entirety this solicitation at any time without prior notice and furthermore makes no representations that any contract will be awarded to any

Respondent responding to this solicitation;

I. Award its total requirements for each Population to one Respondent or to apportion those requirements among two or more Respondents and to award contracts to Respondent(s) on all or some of the Populations set forth in their proposals, as County may deem to be in its best interests;

J. Reject any Proposal if it is conditional, incomplete or deviates significantly from the services requested in this solicitation;

K. Request Best and Final Offer for each Population from any Respondent determined to be within the competitive range. Unless requested by County, late Best and Final Offers will

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA not be accepted by County for any reason. In addition, negotiations may or may not be conducted with Respondents. Therefore, Proposals submitted shall contain the

Respondent's most favorable terms and conditions, since the selection and award may be made without discussion with any Respondent.

L. Make multiple awards to Respondent(s) for services requested in this solicitation, at its sole discretion, to serve the best interests of the County.

M. Defer award of this contract for a period of 90 days after the solicitation opening. During this period of time, Respondent shall guarantee the prices quoted in their Proposals.

County and the lowest responsive, responsible Respondent may mutually agree in writing to a longer deferral period.

1.8 CONTRACT TERM AND FUNDING AVAILABILITY

County plans to contract with one or more qualified organization(s) to provide the services described in this RFP to each of the populations and reserves the right to make multiple awards to Respondents for services requested in the RFP. At the discretion of County, the initial term of the contracts resulting from this RFP may be renewed for an additional term or terms. Any renewal is contingent upon available funding, contractor performance, need for services, and

County policies.

Successful Respondents are expected to accept the terms and conditions of Attachment A -

Model Contract, which contains the contracting requirements between County and Respondent regarding the provision of services solicited under this RFP.

Contracts resulting from this RFP shall be a cooperative contract and may be utilized by all

County of Orange departments.

The provisions and pricing of any contract resulting from this RFP will be extended to other governmental entities. Governmental entities wishing to use the contract will be responsible for issuing their own purchase documents, providing for their own acceptance, and making any subsequent payments. Respondent shall be required to include in any subordinate contract entered into with another governmental entities pursuant to the contract, a contract clause that will hold harmless the County of Orange from all claims, demands, actions or cause of actions of every kind resulting directly or indirectly, arising out of, or in any way connected with, the use of the contract. Failure to do so will be considered a material breach of the contract and grounds for immediate contract termination. Respondent is responsible for providing each governmental entity a copy of the contract upon request. County makes no guarantee of usage by other users of the contract.

Respondent shall be required to maintain a list of County of Orange departments and governmental entities using the contract. The list shall report dollar volumes spent annually and shall be provided on an annual basis to County, at County’s request.

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA

Subordinate contracts must be executed prior to the expiration or earlier termination of the contract and may survive the expiration of the contract up to a maximum of one year; however, in no case shall a subordinate contract exceed five (5) years in duration.

Negotiate the final contract with any Respondent(s), Contract will be based on a Medi-Cal Fee-

For-Service model with additional Behavioral Health Services Act (BHSA) dollars available for flex funds and non-Medi-Cal reimbursable services (e.g., travel, services delivered to those who are Medi-Cal eligible, Medi-Cal underinsured or unfunded). In addition, some contracts may include grant funding for non-Medi-Cal reimbursable services.

1.9 TITLE VI SOLICITATION NOTICE

County of Orange, in accordance with the provisions of the Title VI of the Civil Rights Act of

1964 (78 Stat. 252, 42 USC §§ 2000d to 2000d-4) and the Regulations, hereby notifies all

Respondents that it will affirmatively ensure that any contract entered into pursuant to this advertisement, will be afforded full and fair opportunity to submit proposals in response to this solicitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award.

1.10 DEPARTMENT OF THE TREASURY, INTERNAL REVENUE SERVICE FORM

W-9/W-8 REQUIREMENTS

Effective June 3, 2006, all contractors, entering into a contract with County, who are not already established in Countywide ERP System as an Auditor-Controller vendor, must submit to County a federal Form W-9, or form W-8 for foreign vendors. County will inform Respondent, at the time of award, if the Form W-9 or W-8 is required.

In order to comply with this County requirement, within ten (10) days of notification of selection of award of contract but prior to official award of contract, the selected Respondent agrees to furnish to Contract administrator, DPA, or the agency/department deputy purchasing agent the required W-9 or W-8.

1.11 LEVINE ACT REQUIREMENT

Effective January 1, 2023, all contractors entering into a contract with County, must submit the

Campaign Contribution Disclosure Form for any contributions made on or after January 1, 2023.

In order to comply with this requirement, Respondent agrees to furnish the required Campaign

Contribution Disclosure Information form as a required submittal with its Proposal. Failure to include the form as required will render the Proposal nonresponsive.

SECTION 2. PROTEST PROCEDURES

PROTEST PROCESS

All protests shall be typed under the protestor’s letterhead and submitted in accordance with the provisions stated herein. All protests shall include at a minimum the following information:

A. The name, address, and telephone number of the protestor;

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA

B. The signature of the protestor or the protestor’s representative;

C. The solicitation or contract number;

D. A detailed statement of the legal and/or factual grounds for the protest; and, E. The form of relief requested.

Protest of Solicitation Specifications:

A. All protests related to solicitation specifications must be submitted to the Deputy

Procurement Agent (DPA), Chealsy AhKiong at cahkiong@ochca.com, no later than five (5) business days prior to the Closing Date of the solicitation. Protests received after the five (5) business-day deadline will not be considered by the County.

B. In the event the protest of specifications is denied, and the protestor wishes to continue in the solicitation process, the protestor must still submit a bid/response prior to the close of the solicitation in accordance with the solicitation submittal procedures provided in this solicitation.

Protest of Award of Contract:

A. Protests related to the award of a contract must be submitted to the Deputy Procurement

Agent, Chealsy AhKiong at cahkiong@ochca.com, no later than five (5) business days after the Notice of Intent to Award is provided by the DPA.

B. Protests relating to a proposed contract award received after the five (5) business day deadline will not be considered by the County.

Protest Process

A. In the event of a timely protest, the County shall not proceed with the solicitation or award of the contract until the DPA issues a decision on the protest.

B. Upon receipt of a timely protest, the DPA will, within ten (10) business days of receipt of the protest, issue a decision in writing which shall state the reasons for the actions taken.

C. The County may, after providing written justification, make the determination that an immediate award of the contract is necessary to protect the substantial interests of the

County. The award of a contract shall in no way compromise the protester’s right to the protest procedures outlined herein.

D. If the protestor disagrees with the decision of the DPA, the protestor may submit a written appeal to the County Procurement Officer requesting an appeal to the

Procurement Appeals Board, in accordance with the process stated below.

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA

APPEALS PROCESS

A. If the protestor wishes to appeal the protest decision of the Deputy Procurement Agent, the protestor must submit, within three (3) business days from receipt of the Deputy

Procurement Agent’s decision, a written appeal to the Office of the County Procurement

Officer.

Written appeals must be sent by mail to the address below with a courtesy copy by email;

County of Orange/County Executive Office

County Procurement Office

400 W. Civic Center Drive, 5th Floor

Santa Ana, CA 92701

Attn: County Procurement Officer

CPOAppeals@ceo.oc.gov

B. Within fifteen (15) business days, the County Procurement Officer will review all materials in connection with the appeal, assess the merits of the protest and provide a written determination that shall contain his or her decision on whether the appeal shall be forwarded to the Procurement Appeals Board.

C. The decision of the County Procurement Officer on whether to allow the appeal to go forward will be final and there shall be no right to any administrative appeals of this decision.

SECTION 3. SCOPE OF WORK

3.1 GENERAL INFORMATION:

Beginning July of 2026, all Behavioral Health Plans in California will be required to implement

High-Fidelity Wraparound (HFW) to fidelity under the Full Service Partnership (FSP) program. All FSPs for children and youth must align with the principles, values, and standards of the HFW model. HFW provides a comprehensive, holistic, evidence-based, child/youth and family-driven process for responding when children and youth experience significant mental health or behavioral challenges, including children and youth involved in multiple child/youth-serving systems.

HFW is a team-based and family-centered evidence-based practice that includes an “anything necessary” approach to care for children and youth with the most intensive mental health or behavioral challenges. The HFW model combines a team-based case management and facilitation approach with individualized and community-based mental health services and supports tailored to meet the individualized needs of the child/youth and family.

mailto:CPOAppeals@ocgov.com

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA

HFW is intended to simplify the lives of the child/youth and family and increase their chances of resiliency and healing in the community by:

• Centering care and service planning within the context of a Child and Family Team

(CFT), guided by a trained professional facilitator, led by the voice of the child/youth and their caregiver(s).

• Developing a simple, individualized, time-limited plan of care with a structured, creative, and individualized set of strategies that are effective and relevant to the child/youth and their family.

• Empowering the child/youth, family, and natural supports to develop sustainable strategies that allow the child/youth to remain in school and in the community.

• Improving caregivers’ ability and confidence to identify and address the child's/youth’s needs.

3.2 TARGET POPULATIONS

Services will target two primary populations:

• Population A: Children, 0-17 years of age, who are living with a Serious Emotional

Disturbance (SED) and youth, 18-25 years of age, who are living with a Serious Mental

Disorder (SMD) per the definition in California Code, Welfare and Institutions Code -

(WIC) § 5600.3 | Strong consideration will be given to respondents who propose staffing and programming to serve culturally and linguistically underserved populations.

• Population B: Children, 0-17 years of age, who are living with SED and youth, 18-25 years of age, who are living with SMD, and are also systems-impacted (i.e., involved with Children Welfare, Probation, and/or Juvenile Collaborative Courts).

Programs must be able to serve all children and youth that meet the criteria for the population(s) they intend to serve. Respondents should be able to describe how they address the Whole Child

Model including medical, cultural and substance use needs. Programs must describe how they will meet the needs of LGBTQ children and youth.

SED is currently defined in the WIC as a mental disorder, as identified in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (currently the 5th Edition, Text

Revision), other than a primary substance use disorder or developmental disorder that results in behavior inappropriate to the child’s age according to expected developmental norms. Per the

WIC, members of this target population shall meet one or more of the following criteria:

A. As a result of the mental disorder, the child has substantial impairment in at least two of the following areas: self-care, school functioning, family relationships, or ability to function in the community; and either of the following occur:

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA

1. The child is at risk of removal from home or has already been removed from the home.

2. The mental disorder and impairments have been present for more than six months or are likely to continue for more than one year without treatment.

B. The child displays one of the following: psychotic features, risk of suicide, or risk of violence due to a mental disorder.

C. The child has been assessed pursuant to Article 2 (commencing with Section 56320) of

Chapter 4 of Part 30 of Division 4 of Title 2 of the Education Code and determined to have emotional disturbance, as defined in paragraph (4) of subdivision (c) of Section

300.8 of Title 34 of the Code of Federal Regulations.

SMD is currently defined in the WIC as a mental disorder that is severe in degree and persistent in duration, which may cause behavioral functioning that interferes substantially with the primary activities of daily living, and which may result in an inability to maintain stable adjustment and independent functioning without treatment, support, and rehabilitation for a long or indefinite period of time. Serious mental disorders include, but are not limited to, schizophrenia, bipolar disorder, post-traumatic stress disorder, as well as major affective disorders or other severely disabling mental disorders. This section does not exclude persons with a serious mental disorder and a diagnosis of a substance use disorder, developmental disability, or other physical or mental disorder. For specific criteria of this target population, as well as additional criteria related to outreach and treatment options, refer to California Welfare and Institutions Code (WIC) § 5600.3.

Services provided to a participant must also be medically necessary and clinically appropriate to address the participant’s presenting condition:

• Pursuant to Welfare and Institutions Code section 14184.402(a), for individuals 21 years of age or older, a service is “medically necessary” or a “medical necessity” when it is reasonable and necessary to protect life, to prevent significant illness or significant disability, or to alleviate severe pain as set forth in Welfare and Institutions Code section

14059.5.

• For individuals under 21 years of age, a service is “medically necessary” or a “medical necessity” if the service meets the standards set forth in Section 1396d(r)(5) of Title 42 of the United States Code. Services that sustain, support, improve, or make more tolerable a mental health condition are considered to ameliorate the mental health condition are thus medically necessary and covered as Early Periodic Screening, Diagnostic, and Treatment

(EPSDT) services.

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA

3.3 SERVICES TO BE PROVIDED

The FSP HFW program will be conducted primarily in person and are expected to be field-based, including the following core group of Medi-Cal Specialty Mental Health Services (SMHS) HFW services:

• HFW Facilitation and Coordination – The initiation of, care planning for, and coordination of HFW for children, youth and their families. The HFW Facilitator in cooperation with the child/youth and caregiver works with a CFT to help the child/youth and family understand the CFT function and HFW process, identify immediate safety needs, develop and coordinate activities within an individualized plan of care, and establish coordination across involved child serving systems (e.g., behavioral health, child welfare, juvenile justice, schools, and courts) and community agencies.

• Needs Assessment and Documentation – Child/youth and family needs and strengths will be assessed using the Integrated Practice Child and Adolescent Needs and Strength

(IP-CANS) Tool. The HFW staff will administer the IP-CANS assessment and use it as a service planning tool with the CFT throughout HFW delivery to inform the individualized care plan and update it as necessary. In addition, DHCS requires that the

Pediatric Symptom Checklist 35 (PSC-35) is used in the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program across the State of California.

• Individualized Care Planning, including Safety and Crisis Planning – An individualized written plan to identify what the child or youth and their family need with respect to care coordination, transition planning, and connections to natural supports based on their needs and preferences. The individualized plan of care includes a safety plan that identifies safety needs, risks factors for a crisis, and proactive strategies to avert and respond to crisis, while at the same time ensuring access to 24/7 crisis response as a backup.

o FSP Programs are expected to provide 24/7 crisis intervention and support 365 days a year and respond in-person to crises using program staff designated by the County to write WIC § 5150/5585 holds.

• Caregiver Peer Support – Direct support to caregivers provided by Caregiver Peer

Partners who are part of the CFT. Peer Support helps caregivers understand and navigate the HFW process, improving their understanding of the child's/youth’s needs, and responding to the child/youth in ways that improve their outcomes.

FSP programs will provide the full spectrum of Medi-Cal SMHS including therapy (individual, family, and group), intensive case management, psychiatry and medication support, as well as supportive services such as independent living and rehabilitation skills, housing and employment assistance. Additional services covered by Medi-Cal may include additional screening for

Health Care Agency - Children & Youth Full Service Partnership with High Fidelity Wraparound, 042-2934503-CA substance use disorders, assessment, Intensive-Home-Based Services, Peer Support, linkages to substance use disorder treatment as indicated, caregiver respite, and activities that may benefit children and youth beyond traditional therapies.

FSP programs will also provide outreach/in reach and engagement services to clients and their families in the home and community to address barriers and challenges relating to seeking and engaging in services. Ongoing engagement services shall be provided to maintain enrolled participants in their treatment plan inclusive of clinical and nonclinical services, including services to support maintaining housing.

Strong consideration will be given to respondents who propose staffing and programming to serve culturally and linguistically underserved populations for Population A.

Programs providing services to Population B system-involved children and youth should include a plan to implement Functional Family Therapy.

Programs may also choose to provide Community Defined Evidence-Based Practices (CDEPs) that have been selected in consultation with an agreement by the County. Providers shall be required to report data and outcomes on such services.

Given the intensity of children/youth and family needs, services will predominantly be conducted through in-person contacts in locations convenient for the family (e.g. home, school, community center). Telehealth may be used on a short-term basis if requested by the client and/or their support system and is determined to be clinically appropriate.

Programs proposing to serve transitional Age Youth, ages 18-25 in both populations, shall include a developmentally and clinically appropriate alternative FSP model: Full-Service

Partnership Intensive Case Management (FSP ICM) model.

FSP ICM requires a team-based approach with an identified team lead. FSP ICM teams are required to have a ratio of no more than 25 participants per FSP ICM team lead. In addition to the required team lead, FSP ICM teams should include a combination of partial and full-time providers such as prescribers, peer support specialists, registered nurses (RNs), and other qualified providers. Respondents should align the staffing model with the needs of the individuals receiving services.

FSP ICM teams are expected to provide as many contacts as needed to support an FSP participant’s recovery.