DOC- DIA-2026-MA.doc

STATE OF CONNECTICUT

STANDARD RFP FOR POS PROCUREMENTS

7.20.21

STATE OF CONNECTICUT PROCUREMENT NOTICE

Request for Proposals (RFP) For Dialysis Treatment Services RFP Name: DOC-DIA-2026-MA Issued By:

Department of Correction March 24, 2026 The Request for Proposal is available in electronic format on the State Contracting Portal by filtering by Organization for Department of Correction

HYPERLINK "https://portal.ct.gov/DAS/CTSource/BidBoard" https://portal.ct.gov/DAS/CTSource/BidBoard or from the Agency’s Official Contact:

Name:

Maria Antoniou Address:

24 Wolcott Hill Road, Wethersfield, Connecticut, 06109 Phone:

(860) 692-7635 E-Mail:

DOC.RFP@ct.gov The RFP is also available on the Department’s website at https://portal.ct.gov/DOC

RESPONSES MUST BE RECEIVED NO LATER THAN

May 1, 2026 At 3:00PM EST

The Connecticut Department of Correction is an Equal Opportunity/Affirmative Action Employer.

The Agency reserves the right to reject any and all submissions or cancel this procurement at any time if deemed in the best interest of the State of Connecticut (State).

TABLE OF CONTENTS

Section I — GENERAL INFORMATION

A. Introduction

B. Instructions Section II — PURPOSE OF RFP AND SCOPE OF SERVICES.

A.

Agency Overview

B.

Program Overview C.

Scope of Services Description.

D.

Performance Measures

E.

Contract Management/Data Reporting

Section III — PROPOSAL SUBMISSION OVERVIEW

Submission Format Information .

B. Evaluation of Proposals

Section IV — PROPOSAL SUBMISSION OUTLINE AND REQUIREMENTS

Cover Sheet B. Table of Contents

C. Executive Summary

D. Main Proposal Submission Questions

E. Attachments

F. Declaration of Confidential Information

G. Conflict of Interest – Disclosure Statement

H. Statement of Assurances

Section V — MANDATORY PROVISIONS

A. POS Standard Contract, Parts I and II

B. Assurances

C. Terms and Conditions

D. Rights Reserved to the State

E. Statutory and Regulatory Compliance

Section VI — APPENDIX

A. Abbreviations / Acronyms / Definitions

B. Statement of Assurances .

C. Proposal Checklist .

D. Additional Relevant Forms (if applicable)

Section VII — ATTACHMENTS

A. Form #1 - Proposal Coversheet B. Form # 2 - Statement of Assurances C. Form # 3 - Proposed Budget D. Form # 4 - Letter of Intent

I. GENERAL INFORMATION

INTRODUCTION

1.

RFP Name and Number. DOC-DIA-2026-MA 2.

RFP Summary. The Connecticut Department of Correction (CTDOC or Department) seeks experienced Respondent(s) to contract for Hemodialysis services and treatment provided onsite at the MacDougall Correctional Institution in Suffield, CT. in accordance with National Kidney Foundation, Kidney Disease Outcome Quality Initiative (NKF/KDOQI) Clinical Practical Guidelines for Hemodialysis Adequacy (2015), KDOQI Vascular Access Guidelines (2019), KDOQI Nutrition in CKD (2020), Association for the Advancement of Medical Instrumentation (AAMI) water quality standards for dialysis, and CDC infection‑prevention guidance for outpatient hemodialysis settings, as updated during the Contract Term. If any cited standard is revised, the Respondent shall implement the updated standard within ninety (90) days of publication, unless otherwise directed by CTDOC.

Respondent(s) is expected to propose the provision of quality dialysis services while reducing expenditures over the course of the contract. Maintaining continuity of care is a priority of the Department and the State of Connecticut. CTDOC expects that the successful Respondent(s) will provide services to close the feedback loops with CTDOC staff on patient outcomes and/or transmitting information to Electronic Health Record (EHR) system. CTDOC also expects that the successful Respondent(s) will assist in the transition of inmate patient to community providers upon their release, if appropriate. CTDOC will provide security and transportation services to and from medical appointment when services cannot be provided at the correctional facility. The successful Respondent(s) are expected to participate in the care management activities developed by CTDOC including utilization management, care coordination, intensive care management, quality management, reporting, health risk assessment, and other administrative services. The majority of individuals incarcerated in Connecticut eventually return to our communities. Many inmates were, prior to their incarceration, or will be, following their incarceration, clients of other state health and human services agencies - including but not limited to the Departments of Social Services (DSS), Mental Health and Addiction Services (DMHAS), Developmental Services (DDS), and Veterans Affairs (VA).

The Respondent shall adhere to all applicable clinical standards, including but not limited to NKF/KDOQI Hemodialysis Adequacy (2015), KDOQI Vascular Access Guidelines (2019), KDOQI Nutrition in CKD (2020), Association for the Advancement of Medical Instrumentation (AAMI) water quality standards for dialysis, and CDC infection-prevention guidance for outpatient hemodialysis settings, as updated during the Contract Term. If any cited standard is revised, the Respondent shall implement the updated standard within ninety (90) days of publication, unless otherwise directed by CTDOC.

3.

RFP Purpose. The Department’s primary objective is to provide quality healthcare while reducing cost, where possible. This Request for Proposal (RFP) contemplates the creation of a Professional Services Contract as defined by Connecticut law. Contract(s) will be awarded to the most responsive and responsible Respondent(s) found to be in the best interest of the State of Connecticut and not necessarily to the lowest price Respondent(s).

In determining the most responsive and responsible Respondent in the best interest of the State, CTDOC will consider clinical quality, safety performance, continuity-of-care capabilities, data integration with CTDOC’s EHR, operational reliability in a correctional environment, transition plan strength, and total cost of ownership.

4.

Commodity Codes. The services that the Agency wishes to procure through this RFP are as follows:

· 1000 Healthcare Services Mobile Healthcare Centers or Services (0098)

· 1000 Healthcare Services Nephrology Services (062) B.

INSTRUCTIONS

1. Official Contact. The Agency has designated the individual below as the Official Contact for purposes of this RFP. The Official Contact is the only authorized contact for this procurement and, as such, handles all related communications on behalf of the Agency. Proposers, prospective proposers, and other interested parties are advised that any communication with any other Agency employee(s) (including appointed officials) or personnel under contract to the Agency about this RFP is strictly prohibited. Proposers or prospective proposers who violate this instruction may risk disqualification from further consideration.

Name:

Maria Antoniou

Address:

24 Wolcott Hill Road, Wethersfield, Connecticut, 06109

Phone:

(860) 692-7635

E-Mail:

DOC.RFP@ct.gov Please ensure that e-mail screening software (if used) recognizes and accepts e-mails from the Official Contact.

2.

Registering with State Contracting Portal. Respondents must register with the State of CT contracting portal at https://portal.ct.gov/DAS/CTSource/Registration if not already registered. Respondents shall submit the following information pertaining to this application to this portal (on their supplier profile), which will be checked by the Agency contact.

· Secretary of State recognition – Click on appropriate response

· Non-profit status, if applicable

· Notification to Bidders, Parts I-V

· Campaign Contribution Certification (OPM Ethics Form 1): https://portal.ct.gov/OPM/Fin-PSA/Forms/Ethics-Forms

3. RFP Information. The RFP, amendments to the RFP, and other information associated with this procurement are available in electronic format from the Official Contact or from the Internet at the following locations:

· Agency’s RFP Web Page: https://portal.ct.gov/DOC

· State Contracting Portal (go to CTSource bid board, filter by Department of Correction https://portal.ct.gov/DAS/CTSource/BidBoard It is strongly recommended that any proposer or prospective proposer interested in this procurement check the Bid Board for any solicitation changes. Interested proposers may receive additional e-mails from CTsource announcing addendums that are posted on the portal. This service is provided as a courtesy to assist in monitoring activities associated with State procurements, including this RFP.

4.

Procurement Schedule. See below. Dates after the due date for proposals (“Proposals Due”) are non-binding target dates only (*). The Agency may amend the schedule as needed. Any change to non-target dates will be made by means of an amendment to this RFP and will be posted on the State Contracting Portal and, if available, the Agency’s RFP Web Page.

· RFP Released:

March 24, 2026

· RFP Conference:

Not Applicable

· Letter of Intent Due:

April 6, 2026, 3:00PM

· Deadline for Questions:

April 14, 2026, 3:00PM

· Answers Released:

April 22, 2026

· Proposals Due:

May 4, 2026, 3:00PM

· (*) Proposer Selection:

Mid-May 2026

· (*) Start of Contract Negotiations:

May 2026

· (*) Start of Contract:

July 1, 2026 5.

Contract Awards. The award of any contract pursuant to this RFP is dependent upon the availability of funding to the Agency. The Agency anticipates the following:

· Total Funding Available:

To Be Determined by State Budget Appropriations

· Number of Awards:

· Contract Cost:

To be Determined

· Contract Term:

To be Determined

· Funding Source: State Funds

6.

Eligibility. Pursuant to C.G.S. § 4-70b, the Department must award purchase of service contracts to a municipality or a private provider organization. A private provider organization as defined in C.G.S. § 4- 70b (5) means a non-state entity that is either a nonprofit or proprietary corporation or partnership which receives funds from the state, and may receive federal or other funds, to provide direct health or human services to agency clients.

7.

Minimum Qualifications of Proposers. Preference will be given to Respondent(s) with a proven history of providing the requested services.

8.

Letter of Intent. A Letter of Intent (LOI) IS required by this RFP. The LOI is non-binding and does not obligate the sender to submit a proposal. The LOI must be submitted to the Official Contact by e-mail by the deadline established in the Procurement Schedule. The LOI must clearly identify the sender, including name, postal address, telephone number, and e-mail address. It is the sender’s responsibility to confirm the Agency’s receipt of the LOI. Failure to submit the required LOI in accordance with the requirements set forth herein shall result in disqualification from further consideration.

9.

Inquiry Procedures. All questions regarding this RFP or the Agency’s procurement process must be directed, in writing, electronically, (e-mail) to the Official Contact before the deadline specified in the Procurement Schedule. The early submission of questions is encouraged. Questions will not be accepted or answered verbally – neither in person nor over the telephone. All questions received before the deadline(s) will be answered. However, the Agency will not answer questions when the source is unknown (i.e., nuisance or anonymous questions). Questions deemed unrelated to the RFP, or the procurement process will not be answered. At its discretion, the Agency may or may not respond to questions received after the deadline. If this RFP requires a Letter of Intent, the Agency reserves the right to answer questions only from those who have submitted such a letter. The Agency may combine similar questions and give only one answer. All questions and answers will be compiled into a written amendment to this RFP. If any answer to any question constitutes a material change to the RFP, the question and answer will be placed at the beginning of the amendment and duly noted as such.

The Agency will release the answers to questions on the date(s) established in the Procurement Schedule. The Agency will publish any and all amendments to this RFP on the State Contracting Portal and, if available, on the Agency’s RFP Web Page. At its discretion, the Agency may distribute any amendments to this RFP to prospective proposers who submitted a Letter of Intent.

10.

RFP Conference. An RFP conference WILL NOT be held to answer questions from prospective proposers.

11.

Proposal Due Date and Time. The Official Contact is the only authorized recipient of proposals submitted in response to this RFP. Proposals must be received by the Official Contact on or before the due date and time.

Proposals received after the due date and time will be ineligible and will not be evaluated. The Agency will send an official letter alerting late respondents of ineligibility.

An acceptable submission must include the following:

· One (1) conforming electronic copy of the original proposal.

The proposal must be complete, properly formatted and outlined, and ready for evaluation by the Screening Committee.

The electronic copy of the proposal must be emailed to official agency contact for this procurement. The subject line of the email must read: DOC-DIA-2026-MA.

The electronic copy of the proposal must be compatible with Microsoft Office Word 2016 or Microsoft Office Excel 2016.

Required forms and appendices may be scanned and submitted as PDFs at the end of the main proposal document. Please ensure the entire email submission is less than 25MB as this reflects The Agency’s server limitations. Respondents should work to ensure there are no additional IT limitations from the provider’s side.

12. Multiple Proposals. The submission of multiple proposals IS NOT an option for this procurement.

II. PURPOSE OF RFP AND SCOPE OF SERVICES

AGENCY OVERVIEW

The Connecticut Department of Correction is one of only six state correction agencies in the country with a combined system of pre-trial jails for accused inmates and prisons for sentenced inmates. Thus, Connecticut has an integrated jail and prison system, with approximately 28 percent accused and 72 percent sentenced inmates detained in the facilities.

The Department currently operates thirteen (13) correctional facilities throughout the state, with a current population of 11,049 incarcerated inmates, as of February 1, 2026:

CTDOC provides healthcare services in accordance with the American Correctional Association (ACA) and the National Commission on Correctional Healthcare (NCCHC) standards, as well as prevailing professional practices and community standards of care. The Department also follows the guidelines established by the U.S. Preventative Services Taskforce (https://www.uspreventiveservicestaskforce.org/).

B.

PROGRAM OVERVIEW

CTDOC currently provides primary healthcare services by healthcare professionals who are appropriately licensed and/or credentialed in their appropriate field of practice by the State of Connecticut. CTDOC provides a full continuum of services including medical, dental and behavioral healthcare services at all levels of clinical acuity which is available for inmates beginning with the initial intake process and throughout their incarceration. Services for inmates range from preventive and primary care to hospital inpatient and outpatient including chronic and specialty care, i.e., podiatry, optometry, infectious disease, cardiology, obstetrics/gynecology, neurology, end of life/hospice/palliative care, medication-assisted treatment, etc. Medical personnel have access to translation services (language and services for those who are hearing or visually impaired) to ensure proper assessment and care. All medical and behavioral health services include access to 24 hour on-call coverage to address emergent/critical care issues. Healthcare providers perform services under the supervision of the Chief Medical Officer.

All Respondent personnel entering CTDOC facilities must complete CTDOC security orientation, maintain current background clearance, and comply with facility safety protocols. Proof of BLS certification is required for all clinical staff; ACLS is required for onsite Nephrologists and RNs assigned to the Dialysis Unit.

C.

SCOPE OF SERVICE DESCRIPTION

The objective of this RFP is to solicit proposals for onsite Dialysis Services at CTDOC’s MWCI facility. The successful proposal will form the basis of a contract for such services. All services must be provided in compliance with all applicable laws and be the minimum acceptable standard expected of the Respondent(s) throughout the term of the contract. Information about CTDOC standards of care can be found at https://portal.ct.gov/DOC/AD/AD-Chapter-8 Through this Request for Proposal (RFP), CTDOC is seeking a single Respondent to provide onsite Dialysis Treatment services to support inmate healthcare at MacDougall Correction Institution. Respondents are also encouraged to propose services that are deemed necessary but are not included in this RFP. Respondents will be responsible for conducting Dialysis Clinics three (3) times a week, two(2) times a day starting at 6:00 am and 10:30 am, onsite to CTDOC MacDougall Correctional Institution inmates with Chronic Kidney Failure. Inmate patient capacity is up to sixteen (16) total, with a maximum of eight (8) inmate patients, Dialysis treatments typically last five (5) to seven (7) hours.

**Clinic Capacity & Surge Contingency.** Baseline capacity is sixteen (16) inmate patients per treatment day (maximum eight [8] per session). If active census exceeds fourteen (14) for more than two consecutive weeks, the Respondent shall implement a surge plan within seven (7) days, which may include adding clinic days, extending session hours, or deploying additional machines/personnel, subject to CTDOC approval.

**Emergent & Unscheduled Dialysis.** The Respondent shall maintain capability to provide emergent hemodialysis within twenty-four (24) hours of CTDOC medical authorization for indications including severe hyperkalemia, fluid overload with respiratory compromise, or uremic complications, either onsite or through coordinated transfer to a community provider. CTDOC will provide transportation and security when community care is required.

DOC will provide treatment room, patient chairs, basic medical supplies and a separate room to house water filtration equipment. CTDOC will maintain plumbing and piping supplying water to Respondent filtration equipment. Respondents will be able to request maintenance of plumbing pipes, nozzles, gauges and valves to be repaired or replaced by CTDOC. The Respondent’s technician will be responsible for maintaining water filtration system, dialysis machine maintenance, supply inventory and ordering. Inmates needing surgical procedures related to dialysis treatment, such as grafts, fistulas and catheter placement will be performed at contracted UCONN Medical Center.

Minimum Staffing Ratios. During active treatment, the Respondent shall staff a minimum of one (1) RN per six (6) patients and one (1) Dialysis Technician per four (4) patients, with an onsite Nephrologist present for monthly clinics and available by telehealth or phone during all treatment hours for clinical consultation.

Staffing shall be provided by the Respondent including a Registered Nurse (RN), Dialysis Technician and licensed Nephrologist to ensure Dialysis treatment and services are compliant with the National Kidney Foundation, Kidney Disease Outcome Quality Initiative Clinical Practical Guidelines for Hemodialysis Adequacy (2015), and the National Kidney Foundation, Clinical Practice Guidelines and Recommendations (2006). Staff are expected to participate in monthly Quality and Infection Control meetings with CTDOC medical staff to advise on quality control measures and outcomes. Staff are expected to perform administrative duties such as data entry of physician Dialysis notes and flowsheets which can be scanned into CTDOC EHR system. CTDOC will allow access and provide training of CTDOC EHR system to Respondent staff. MD orders are placed in the CT DOC EHR by CTDOC providers including recommendations from specialists, including nephrologists.

Respondent will be responsible for conducting equipment preparation and clinical follow up tasks in providing comprehensive Dialysis care. The Respondent shall conduct routine lab work including drawings and testing using their own lab provider.

Laboratory Services. The Respondent shall perform all routine dialysis‑related labs (chemistry panel, CBC, iron studies, PTH, albumin, Kt/V/URR) per protocol at defined intervals (see Service Requirements), and include the cost of such routine labs in the per‑treatment price unless otherwise specified in the Price Schedule. STAT or urgent labs ordered by CTDOC providers shall be processed through CTDOC’s laboratory contractor. The Respondent shall ensure bidirectional result transmission into the CTDOC EHR within seventy‑two (72) hours for routine labs and within twenty‑four (24) hours for STAT labs.

Respondent staff will also be responsible for coordinating care in the community for inmates unable to travel or not housed at MacDougall for treatment or if capacity is exceeded, such expenses will be covered by CTDOC. CTDOC will be responsible for providing transportation and security for community-based Dialysis treatment. As well as coordinating inmate discharge from CTDOC Dialysis care once inmate has been scheduled for release, to a community base provider prior to discharge and or other terms of release such as release on bond. For community‑based dialysis, the Respondent shall ensure advance scheduling and documentation of medical necessity. Transportation and security will be provided by CTDOC; the Respondent shall provide the receiving facility with a current treatment summary, access status, and recent lab results.

Respondent must coordinate with existing CTDOC Dialysis contractor to transition care; there will be 30-day contract overlap to allow for transition activities such as equipment removal and installation. Transition Deliverables (30‑day Overlap). Within five (5) business days of award, the Respondent shall submit a detailed Transition Plan covering: equipment removal/installation timeline, validation testing, staff onboarding & clearances, EHR access setup, water system qualification, emergency procedures, and a mock clinic simulation. CTDOC approval is required prior to first patient treatment.

The Respondent will be responsible for submitting monthly reports for each patient on treatment protocol, adverse effects and kidney function level. The Respondent will work with CTDOC on developing performance measures and outcomes, such as infection prevention. CTDOC will provide medications for treatment and clinical oversight of all treatment.

The contract will be cost per treatment per patient. Price schedule must be included in the proposal, with consideration of all necessary costs associated with dialysis services.

The Respondent may be contracted to provide physician clinical oversight, i.e. Medical Director services (administrative only) or attending physician services (clinical management of individual patients) of Dialysis services to include the following:

a) Provide initial and subsequent dialysis orders for dialysis treatments;

b) Perform monthly review and management of chemistries related to nutritional status, including nitrogen balance, diet recommendations and appropriate consultations with CTDOC's designated dietician;

c) Perform monthly review of mineral bone disease and renal osteodystrophy, including management of calcium, phosphorus, vitamin D metabolism and parathyroid hormone;

d) Perform monthly review and management of anemia control, including erythrocyte stimulating agent (ESA) dosing and iron metabolism;

e) Assist with control and management of hypertension and fluid balance;

f) Assist in medication management in relation to special dosing for dialysis related drug kinetics;

g) Provide Nephrology management of dialysis vascular access, including appropriate consultations with vascular surgery and interventional radiology;

h) Hold initial and monthly consultations with CTDOC's designated chief dialysis nurse for each patient;

i) Review and assist with management of monthly chemistries and dialysis treatments; and

j) Be available by telephone during operating hours of the Dialysis Unit for remote consultation regarding dialysis-related issues.

k) The Respondent shall monitor Kt/V and URR for all patients at least monthly, with documented action plans for values below adequacy thresholds (Kt/V < 1.2 or URR < 65%). For catheter‑dependent patients, standardized infection‑prevention bundles (aseptic technique, chlorhexidine skin antisepsis, hub disinfection, dressing integrity) shall be implemented and audited monthly.

Response Requirements

1.

Organizational Expectations A. Executive Summary: Please provide a high-level summary, not exceeding two (2) pages, to include the following:

B. Description of Organization: Please provide a description of the organization, date established, number of employees (full and part-time), business type (e.g. LLC, corporation, etc.), and ownership.

C. Business and Administrative Office Location(s): Please provide the location of the agency’s administrative offices and all office addresses from which services will be provided, if applicable.

D. Qualifications / Certification / Licensure: Please describe your organization’s experience providing the kinds of services being requested through this solicitation.

1. Describe the applicable licensure/certifications held by your organization and staff, its relevance to the proposed service and your ability to adhere to such licensure/certification requirements.

2. Provide assurance that you are aware of all required licenses, certifications or other formal and informal approvals required for the proposed service and that your organization holds all such approvals. Do not include resumes.

3. Evidence of licenses/certification of all staff working on this contract shall be provided as an attachment to the proposal.

E. Community Providers: Please describe existing community-based dialysis provider partnerships, relationships or agreements with community providers such as community health centers, federally qualified health centers, hospital-based outpatient dialysis centers or private providers.

F. Include 3 letters of references in attachments of the provided proposal.

2.

Service Expectations A. Scope of Services: The following describes the scope of services pertaining to this RFP. The Respondent shall provide the following Dialysis Care Services:

1. Hemodialysis in accordance with the National Kidney Foundation, Kidney Disease

Outcome Quality Initiative Clinical Practical Guidelines for Hemodialysis Adequacy

(2015), located at https://www.ajkd.org/article/S0272-6386(15)01019-7/fulltext.

a. The Respondent shall provide hemofiltration and hemodiafiltration treatment.

2. The Respondent shall provide catheter care to prevent infection and clotting. The

Respondent shall make sure the area of the insertion site is clean and change the dressing at each dialysis session. Monitor the Kt/V, URR (urea reduction ratio) and blood flow rate to ensure catheter access is working properly and that inmate is getting adequate dialysis. The

Respondent shall provide infection control of the catheter site and recommend treatment for signs of infection. The Respondent shall provide treatment to remove catheter blockage during treatment.

3. The Respondent shall provide all routine laboratory tests ordered for patients, labs will be billed at Respondent’s discretion. STAT labs are to be ordered through CTDOC’s laboratory contractor. Labs to include but not limited to:

a. creatinine, urea nitrogen phosphorus, potassium, proteins, urinalysis, ionized calcium, blood urea nitrogen (BUN), urea reduction ratio (URR), Kt/V, hemoglobin (Hb), iron saturation & ferritin, albumin, parathyroid hormone (PTH)

4. The Respondent shall be responsible for supplies listed below that are routine dialysis supplies such as Dialysis delivery system, blood pumps, air leak detector, and the following:

a. Water treatment system meeting Association for the Advancement of Medical

Instrumentation (AAMI) standards.

b. Dialyzer

c. Blood Tubing

d. Dialysate Solutions

e. Catheters

5. The Respondent is responsible for providing staff, including licensed Registered Nurse (RN) and certified Dialysis technician available at all times during treatment.

6. Routine maintenance and quarterly inspections of equipment will be the responsibility of the Respondent.

B. Service Requirements – A responsive proposal must include a detail description how they will deliver onsite Hemodialysis treatment to inmates at MacDougall Correctional Institute by providing a response to the following below:

1. The proposal must include a detail description on treatment protocols and guidelines that will be used to provide Dialysis Care Services for inmates with:

a. End Stage Kidney Failure, characterized by GFR <15

b. Chronic Kidney Disease, characterized by GFR <60 ml/min per 1.73 m2 for >3 months Kidney damage for >3 months

2. The proposal must include a detailed plan on how the Respondent will provide catheter care to prevent infection, blockage and clotting including guideline-based treatment and measures.

3. The proposal must include a schedule for conducting routing laboratory testing for inmates with:

a. End Stage Kidney Failure, characterized by GFR <15

b. Chronic Kidney Disease, characterized by GFR <60 ml/min per 1.73 m2 for >3 months Kidney damage for >3 months

4. The proposal must include a list of all required and necessary equipment and supplies to provide onsite Hemodialysis treatment.

5. The proposal must include an equipment maintenance schedule with a description of how and when all equipment will be maintained.

6. The proposal must include a detailed description of its ability and experience coordinating discharges, finding a community provider or with referring through an established provider relationship prior to discharge and transferring the necessary information from the patient's medical record and orders to the community provider.

3.

Staffing Expectations A responsive proposal must include the following information about all staff that the Respondent(s) intends to assign to this service.

A. Staffing Plan.

1. Identify the number and type of all staff positions that will be assigned to the proposed services, including but not limited to an Administrative Liaison, who will serve as the principal contact with CTDOC, responding to CTDOC’s requests for status updates and reports.

2. Indicate whether each position will be newly created or existing. If the staff that will be assigned are currently employed by the Respondent, include their names and position titles.

B. Staff Positions Required for this RFP:

1. Licensed Nephrologist that will be responsible for administrative functions of the Dialysis Clinic such as assessing the dialysis care requirements of the patients and oversee, manage and supervise services including all administrative and educational functions relating to providing services.

2. Registered Nurse providing direct Dialysis patient care

3. Technician providing direct Dialysis patient services and duties associated with maintenance and preparation of Dialysis equipment/supplies to administer treatment.

4. Note: CTDOC will require notification in writing and in advance regarding the departure of any personnel staff assigned to the organization who play an integral role in fulfillment of services being contracted.

C. Multilingual and Multicultural Competency. Describe your staff’s experience in providing services to a diverse population.

D. Subcontractors: If the proposal includes the use of subcontractors for the provision or delivery of any part of required service under this RFP, provide detail on the area of service which the subcontractor shall be responsible for providing services and include the following for each subcontractor:

1. Legal Name of Agency, Address, FEIN

2. Contact Person, Title, Phone, Fax, E-mail

3. Services to Be Provided Under subcontract

4. Staffing to be allocated by the subcontractor

5. Subcontract Cost and Term

Note: The contractor is permitted to engage in subcontract(s) with any other qualified party for furnishing any of the work or services in this Request. However, the State expects the contractor to have the necessary qualifications requested in the RFP, and if necessary, leverage subcontractors to augment their qualifications and capability to deliver effectively.

The contractor shall be solely responsible for the performance of the entire contract whether or not subcontractors are used. The State shall not be involved in the relationship between the prime contractor and the subcontractor. Any issues that arise as a result of this relationship shall be resolved by the prime contractor. All references to the contractor shall be construed to encompass both the contractor and any subcontractors of the contractor.

4.

Data and Technology Expectations, Proposals must describe the extent to which the applicant agency and the proposed program have the capability to access the internet, send/receive outside email, and view PDF documents.

A. The proposal must describe the proposer’s ability to access the Internet, send and receive secure outside e-mail, view PDF documents, and create correspondence and reports. EHR Integration. Transmit dialysis flowsheets, physician notes, lab results, and treatment summaries into CTDOC’s EHR within seventy‑two (72) hours of each treatment. Respondent staff will complete CTDOC EHR training prior to go‑live..

B. Confidentiality Requirements. The Respondent(s) will be privy to confidential information that can potentially compromise the safety and security of the public, Department staff, and incarcerated individuals. The Respondent(s) shall respect the confidentiality of all Department staff and incarcerated individuals, as well as adhere to the Department’s confidentiality requirements regarding receipt and dissemination of information that has the potential of compromising the Department’s safety and security. Whenever practical, data, information, and documents shall be provided to the Respondent(s) electronically. CTDOC will provide access to The Respondent(s) of hardcopy data of any kind; all data will be stored electronically at CTDOC facility, in accordance with State and federal guidelines for storage of confidential information and personal health information, and encryption guidelines. The proposal must describe the Respondent’s ability to comply with these requirements.

C. Freedom of Information. Respondent(s) must be aware that the Agency must comply with the Freedom of Information Act, C.G.S. §§ 1-200 et seq. (“FOIA”) which requires the disclosure of documents in the possession of the State upon request of any citizen, unless the content of the document falls within certain categories of exemption, as defined by C.G.S. § 1‐210(b).

5.

Financial Expectations Proposers must submit cover letters from their auditor for the last 3 annual audits of their agency and a copy of their most recent financial audit, included in Section H of the proposal. If less than 3 audits were conducted, details must be provided as to why, and any supporting documentation assuring the financial efficacy of the agency should be included (e.g., an accountant-prepared financial statement, a tax return).

If the 3 most recent audits are available via the Office of Policy and Management’s EARS system, such may be noted in the proposal. A hard copy of the audit cover letters and the last audit should not be included in the proposal.

6.

Budget Expectations The Respondent must submit two separate budgets, one that includes cost for physician clinical oversight of dialysis treatment and one without physician clinical oversight and must contain an itemized budget on the budget form included as Form #3. in Section VII of this RFP.

The Respondent must include a budget narrative detailing costs and expenditures itemized in the budget forms. This narrative must also include the rationale for use of subcontractors.

All startup costs must also be separately and clearly detailed in the budget narrative. The budget must also disclose any related party transactions associated with any budget expenditure.

All other funding, including applicant agency, financial support, and income from other sources must be identified.

The Respondent must submit a Price Schedule for the Dialysis treatment services by cost per services. Price Schedule form must be used for each service for the following in Section VII -Attachments, Note: The program proposed through this RFP must be funded, in accordance with Connecticut General Statute § 18-81, within available appropriations from the State Legislature, as such may be modified from year to year.

D.

PERFORMANCE MEASURES

The performance metrics highlight key priorities that will be analyzed with providers collaboratively during the life of the contract. This is not an exhaustive list, but rather an indication of significant performance metrics of interest to The Agency. The Agency looks forward to working with providers to define additional important performance metrics.

E.

CONTRACT MANAGEMENT/DATA REPORTING

As part of the State’s commitment to becoming more outcomes-oriented, Connecticut Department of Correction seeks to actively and regularly collaborate with providers to enhance contract management, improve results, and adjust service delivery and policy based on learning what works. Reliable and relevant data is necessary to ensure compliance, inform trends to be monitored, evaluate results and performance, and drive service improvements. As such, the Connecticut Department of Correction reserves the right to request/collect other key data and metrics from providers.

III. PROPOSAL SUBMISSION OVERVIEW

SUBMISSION FORMAT INFORMATION

1.

Required Outline. All proposals must follow the required outline presented in Section IV – Proposal Outline. Proposals that fail to follow the required outline will be deemed non-responsive and not evaluated.

4. Cover Sheet. The Cover Sheet is Page 1 of the proposal. Proposers must complete and use the Cover Sheet form provided by the Agency in the Appendix.

3.

Table of Contents. All proposals must include a Table of Contents that conforms with the required proposal outline.

4.

Executive Summary. Proposals must include a high-level summary, not exceeding 2 pages of the main proposal and cost proposal. The summary must also include the organization’s eligibility and qualifications to respond to this RFP.

5.

Attachments. Attachments other than the required Attachments, Appendices or Forms identified in the RFP are not permitted and will not be evaluated. Further, the required Attachments, Appendices or Forms must not be altered or used to extend, enhance, or replace any component required by this RFP. Failure to abide by these instructions will result in disqualification.

6.

Style Requirements. THIS IS AN ELECTRONIC SUBMISSION.

The proposals submitted must conform to the following specifications:

Paper Size: 8 ½ x 11 (letter-sized)

Page Limit: 20 pages (not including the cover sheet, table of contents or attachments)

Font Size: 12-point

Font Type: Times New Roman

Margins: Normal (1 inch)

Line Spacing: Single Space 7.

Pagination. The proposer’s name must be displayed in the header of each page. All pages, including the required Appendices and Forms, must be numbered in the footer.

8. Declaration of Confidential Information. Proposers are advised that all materials associated with this procurement are subject to the terms of the Freedom of Information Act (FOIA), the Privacy Act, and all rules, regulations and interpretations resulting from them. If a proposer deems that certain information required by this RFP is confidential, the proposer must label such information as CONFIDENTIAL prior to submission. In subsection of the proposal submission, the proposer must reference where the information labeled CONFIDENTIAL is located in the proposal. EXAMPLE: Section G.1.a. For each subsection so referenced, the proposer must provide a convincing explanation and rationale sufficient to justify an exemption of the information from release under the FOIA. The explanation and rationale must be stated in terms of (a) the prospective harm to the competitive position of the proposer that would result if the identified information were to be released and (b) the reasons why the information is legally exempt from release pursuant to C.G.S. § 1-210(b).

9. Conflict of Interest - Disclosure Statement. Proposers must include a disclosure statement concerning any current business relationships (within the last three (3) years) that pose a conflict of interest, as defined by C.G.S. § 1-85. A conflict of interest exists when a relationship exists between the proposer and a public official (including an elected official) or State employee that may interfere with fair competition or may be adverse to the interests of the State. The existence of a conflict of interest is not, in and of itself, evidence of wrongdoing. A conflict of interest may, however, become a legal matter if a proposer tries to influence, or succeeds in influencing, the outcome of an official decision for their personal or corporate benefit. The Agency will determine whether any disclosed conflict of interest poses a substantial advantage to the proposer over the competition, decreases the overall competitiveness of this procurement, or is not in the best interests of the State. In the absence of any conflict of interest, a proposer must affirm such in the disclosure statement. Example: “[name of proposer] has no current business relationship (within the last three (3) years) that poses a conflict of interest, as defined by C.G.S. § 1-85.”

B.

EVALUATION OF PROPOSALS

1.

Evaluation Process. It is the intent of the Agency to conduct a comprehensive, fair, and impartial evaluation of proposals received in response to this RFP. When evaluating proposals, negotiating with successful proposers, and awarding contracts, the Agency will conform with its written procedures for POS and PSA procurements (pursuant to C.G.S. § 4-217) and the State’s Code of Ethics (pursuant to C.G.S. §§ 1-84 and 1-85). Final funding allocation decisions will be determined during contract negotiation.

2.

Evaluation Review Committee. The Agency will designate a Review Committee to evaluate proposals submitted in response to this RFP. The Review Committee will be composed of individuals, Agency staff or other designees as deemed appropriate. The contents of all submitted proposals, including any confidential information, will be shared with the Review Committee. Only proposals found to be responsive (that is, complying with all instructions and requirements described herein) will be reviewed, rated, and scored. Proposals that fail to comply with all instructions will be rejected without further consideration. The Review Committee shall evaluate all proposals that meet the Minimum Submission Requirements by score and rank ordered and make recommendations for awards. The Commissioner of the Department of Correction will make the final selection. Attempts by any proposer (or representative of any proposer) to contact or influence any member of the Review Committee may result in disqualification of the proposer.

3.

Minimum Submission Requirements. To be eligible for evaluation, proposals must (1) be received on or before the due date and time; (2) meet the Proposal Format requirements; (3) meet the Eligibility and Qualification requirements to respond to the procurement, (4) follow the required Proposal Outline; and (5) be complete. Proposals that fail to follow instructions or satisfy this minimum submission requirements will not be reviewed further The Agency will reject any proposal that deviates significantly from the requirements of this RFP.

4.

Evaluation Criteria (and Weights). Proposals meeting the Minimum Submission Requirements will be evaluated according to the established criteria. The criteria are the objective standards that the Review Committee will use to evaluate the technical merits of the proposals. Only the criteria listed below will be used to evaluate proposals. The weights are disclosed below:

· Organizational Profile 10 points (pts)

· Scope of Services/Work Plan 30 pts

· Staffing Plan 20 pts

· Data and Technology 10 pts

· Financial Profile 5 pts

· Budget and Budget Narrative 20 pts

· Appendices 5 pts Note:

As part of its evaluation of the Staffing Plan, the Review Committee will review the proposer’s demonstrated commitment to affirmative action, as required by the Regulations of CT State Agencies § 46A-68j-30(10).

5.

Proposer Selection. Upon completing its evaluation of proposals, the Review Committee will submit the rankings of all proposals to the Commissioner or Agency Head. The final selection of a successful proposer is at the discretion of the Commissioner or Agency Head. Any proposer selected will be so notified and awarded an opportunity to negotiate a contract with the Agency. Such negotiations may, but will not automatically, result in a contract. Any resulting contract will be posted on the State Contracting Portal. All unsuccessful proposers will be notified by e-mail or U.S. mail, at the Agency’s discretion, about the outcome of the evaluation and proposer selection process. The Agency reserves the right to decline contracts for activities in which the Commissioner or Agency Head considers there are not adequate respondents.

6.

Debriefing. Within ten (10) days of receiving notification from the Agency, unsuccessful proposers may contact the Official Contact and request information about the evaluation and proposer selection process. The e-mail sent date or the postmark date on the notification envelope will be considered “day one” of the ten (10) days. If unsuccessful proposers still have questions after receiving this information, they may contact the Official Contact and request a meeting with the Agency to discuss the evaluation process and their proposals. If held, the debriefing meeting will not include any comparisons of unsuccessful proposals with other proposals. The Agency may schedule and hold the debriefing meeting within fifteen (15) days of the request. The Agency will not change, alter, or modify the outcome of the evaluation or selection process as a result of any debriefing meeting.

7.

Appeal Process. Proposers may appeal any aspect of the Agency’s competitive procurement, including the evaluation and proposer selection process. Any such appeal must be submitted to the Agency head. A proposer may file an appeal at any time after the proposal’s due date, but not later than thirty (30) days after an agency notifies unsuccessful proposers about the outcome of the evaluation and proposer selection process. The e-mail sent date or the postmark date on the notification envelope will be considered “day one” of the thirty (30) days. The filing of an appeal shall not be deemed sufficient reason for the Agency to delay, suspend, cancel, or terminate the procurement process or execution of a contract. More detailed information about filing an appeal may be obtained from the Official Contact.

8.

Contract Execution. Any contract developed and executed as a result of this RFP is subject to the Agency’s contracting procedures, which may include approval by the Office of the Attorney General. Fully executed and approved contracts will be posted on State Contracting Portal and the Agency website.

IV. REQUIRED PROPOSAL SUBMISSION OUTLINE AND REQUIREMENTS

Cover Sheet

B.

Table of Contents

C.

Executive Summary

D.

Main Proposal

E.

Attachments (clearly referenced to summary and main proposal where applicable) F.

Declaration of Confidential Information

G.

Conflict of Interest - Disclosure Statement

H. Statement of Assurances

A-H are defined more specifically below. The listing above is just to provide an initial outline for proposers.

A: Cover Sheet The Respondent must use a Cover Sheet capturing the following information:

· RFP Name or Number:

· Legal Name:

· FEIN (not required for currently contracted providers/vendors):

· Street Address:

· Town/City/State/Zip:

· Contact Person:

· Title:

· Phone Number:

· E-Mail Address:

· Authorized Official:

· Title:

· Signature:

Legal Name is defined as the name of private provider organization, CT State agency, or municipality submitting the proposal. Contact Person is defined as the individual who can provide additional information about the proposal or who has immediate responsibility for the proposal. Authorized Official is defined as the individual empowered to submit a binding offer on behalf of the proposer to provide services in accordance with the terms and provisions described in this RFP and any amendments or attachments hereto.

B: Table of Contents

Respondents must include a Table of Contents that lists sections and subsections with page numbers that follow the organization outline and sequence for this proposal.

C: Proposer Executive Summary

The page limitation for this section is 2 pages briefly describing how the…