CSP023160_LDC066_-_Contract_REV.pdf

Index No.: LDC066

Eff. Date: 07/01/25

STATE OF OHIO

DEPARTMENT OF ADMINISTRATIVE SERVICES

GENERAL SERVICES DIVISION

OFFICE OF PROCUREMENT SERVICES

4200 SURFACE ROAD, COLUMBUS, OH 43228-1395

MANDATORY USE CONTRACT FOR: MULTI-AGENCY MATERNAL AND INFANT WELLNESS (MIW) MEDICAL-LEGAL

PARTNERSHIP (R3)

CONTRACT NUMBER: CSP023160 EFFECTIVE DATES: 08/02/24 TO 06/30/25

* Renewal through 06/30/25

The Department of Administrative Services has accepted Proposals submitted in response to Request for Proposal (RFP) No.

SRC0000015829 that opened on 05/12/24. The evaluation of the Proposal responses has been completed. The Offeror listed herein has been determined to be the highest ranking Offeror and has been awarded a Contract for the services listed. The respective Proposal response including, Contract Terms & Conditions, any Proposal amendment, special Contract Terms & Conditions, specifications, pricing schedules and any attachments incorporated by reference and accepted by DAS become a part of this Services Contract.

This Requirements Contract is effective beginning and ending on the dates noted above unless, prior to the expiration date, the Contract is renewed, terminated, or cancelled in accordance with the Contract Terms and Conditions.

This Requirements Contract is available to the Ohio Department of Health and The Ohio Department of Children and Youth, as applicable.

The agency is eligible to make purchases of the contracted services in any amount and at any time as determined by the agency. The State makes no representation or guarantee that department will purchase the volume of services as advertised in the Request for Proposal.

This Requirements Contract and any Amendments thereto are available from the DAS Web site at the following address:

https://procure.ohio.gov/

*Denotes a 12 month mutual renewal, per amendment 1.

Eff. Date.: 08/02/24

MUTUALLY AGREED UPON CLARIFICATIONS / MODIFICATIONS TO THE RFP

Our original proposal is focused on “extensive legal services,” such as representation in eviction hearings and custody cases, primarily through a subaward with our partner Legal Aid of Southeast and Central Ohio which is best equipped to provide this in-court representation. We anticipate with the increased outreach that is part of the award, there will also be an increase in need for service in “brief advice” cases, such as advising on child support and unmarried mother’s rights, negotiating with landlords to resolve conditions issues, and assisting parents of infants and young children with public benefits denials and termination. We propose to use the additional $120,000 for the MLP attorneys at NCH to provide support for these “brief advice cases.” This will enable us to double the units of service we are able to provide through this contract and continue our successful MLP model that allows clients to be served where they are and only sent to another agency where that is the most appropriate service for them.

COST SUMMARY FORM

Multi-Agency Maternal and Infant Wellness (MIW) Medical-Legal Partnership (R3)

DESCRIPTION

UNIT OF

MEASURE

COST

Submit a formal agreement that outlines the partnership’s goals, respective responsibilities, and patient privacy protections. EACH $0.00

Develop and submit implementation protocol and obtain ODH approval. EACH $0.00

Provide legal services to individuals.

PER 15

MINUTES

$150.00

Develop and submit a copy of data collection tools to collect required variables outlined in solicitation. EACH

$0.00

Submit a Quarterly Report of all the required data variables that is outlined in this solicitation as well as update the workplan with the progress on all of the outlined activities.

EACH

(REPORT)

Submit Final Report of all the components outlined in this solicitation.

EACH

(REPORT)

$0.00

Quarterly Connection meetings with Ohio Department of Health.

EACH

(MEETING)

The Contractor must provide at least 800 15-minute periods per year in accordance with the Scope of Work.

All costs must be in U.S. Dollars.

The State will not be responsible for any costs not identified.

There will be no additional reimbursement for travel or other related expenses.

Page No. 4

CONTRACTOR INDEX

CONTRACTOR AND TERMS:

54746 RESEARCH INSTITUTE AT NATIONWIDE CHILDREN’S HOSPITAL TERMS: Per Contract 700 Children’s Drive Columbus OH 43205

CONTRACTOR’S CONTACT: Paige Zilincik Telephone: (614) 355-3478 Email: Paige.Zilincik@nationwidechildrens.org

APPROVED SUBCONTRACTOR(S):

Legal Aid of Southeast and Central Ohio

Paige.Zilincik@nationwidechildrens.org

Eff. Date: 07/01/25

SUMMARY OF AMENDMENTS

Amendment Number

Effective Date

Description

1 07/01/25

As a result of mutual agreement between the State of Ohio and the Contractor, this amendment is issued to renew the subject contract an additional 12 months, effective 07/01/25 through 06/30/26. Additionally, this amendment is issued to add the Summary of Amendments page.

All other prices, terms and conditions remain unchanged.