Exhibit_1_Requirements__.docx

Exhibit 01

This Request Proposal is for four (4) Tulsa County CCHB catchment areas – Northeast, Northwest, Southeast and Southwest (see map below). Vendors are invited to submit bids for all four Tulsa County CCHB areas. Please note that only one vendor will be selected per each Tulsa County CCHB Area. In no event will a single vendor be awarded more than one (1) Tulsa County CCHB catchment area.

1. Mandatory Requirements

1.1. The Bidder shall comply with all requirements in this bid and provide a written response to each Mandatory Requirement. The bidder’s compliance with the requirements in this bid shall be determined according to the sole unrestricted discretion of ODMHSAS.

1.2. Eligible provider organization (Bidder) must be a Certified Community Behavioral Health Clinic (CCBHC) by ODMHSAS standards, a qualified Medicaid provider and a 501(c)(3) private, non-profit entity or a tribal entity willing to become certified as a CCBHC, or a 501(c)(3) private provider willing to become certified as a CCBHC within 6 months of award. Payment for services provided at any site under this award is contingent upon, and may not be initiated until, the site has completed ODMHSAS certification as a CCBHC.

1.3. The Contractor shall at all times carry and maintain Commercial General liability insurance of no less than one million dollars ($1,000,000) for any aggregate claim per incident. Professional services Contractor, must also provide Professional Liability insurance to adequately compensate persons for an act of professional negligence by the Contractor, its agents, employees or the like. A copy of Commercial General Liability insurance and Professional Liability insurance is to be submitted with the bid response.

1.4. Contractors are expected to comply with all applicable statutes and rules including but not limited to Title 43A; Title 450, Chapter 15, Chapter 17, Chapter 23, and Chapter 55 .

1.5. Contractors must respond to all adult and child mobile response requests dispatched by the ODMHSAS 988 call center 24 hours a day, 7 days per week.

1.6. Contractors are expected to comply with all applicable manuals, to include the CCBHC Manuals and ODMHSAS Service Manual (http://www.odmhsas.org/arc.htm, Documents), and the Eligibility and Target Population Matrix (http://www.odmhsas.org/arc.htm, Documents, Statements of Work, choose current fiscal year).

1.7. Contractors shall provide the 9 required CCBHC Services directly or through formal partnership which include: 1) Crisis Services, 2) Outpatient Mental Health and Substance Use Services, 3) Person-and-Family-Centered Treatment Planning, 4) Community-Based Mental Health Care for Veterans, 5) Peer and Family/Caregiver Support and Counselor Services, 6) Targeted Case Management, 7) Outpatient Primary Care Screening and Monitoring, 8) Psychiatric Rehabilitation, 9) Screening, Diagnosis, and Risk Assessment.

2. Access to Services

2.1. In determining a consumer’s initial and ongoing eligibility for any service, Contractor may not exclude an individual of any age based on the following factors: Also see the Eligibility and Target Population Matrix on the ARC website for detailed information (http://www.odmhsas.org/arc.htm, Documents, Statements of Work, choose current fiscal year).

2.1.1. The consumer’s past or present mental health or substance use issues;

2.1.2. The presumption of the consumer’s inability to benefit from treatment;

2.1.3. The specific substance used by the consumer;

2.1.4. The consumer’s continued substance use;

2.1.5. The consumer’s level of success in prior treatment episodes;

2.1.6. The consumer’s designation as a sex offender; or

2.1.7. The consumer’s past history of violence or incarceration.

3. Yearly Surveys by ODMHSAS

3.1. The ODMHSAS will rate the following criteria throughout duration of this contract on a yearly basis. The ODMHSAS does the satisfaction surveys for all the CMHCs through mail-outs and the enhanced tier payment system results in its Decision Support Services.

3.1.1. Survey Criteria:

3.1.1.1. History of Enhanced Tier Payment System Results.

3.1.1.2. Client Consumer Satisfaction Survey Results.

3.1.1.5. Reduction in jail days.

4. Conditions

4.1. Contractors’ staff must attend trainings and meetings required by the ODMHSAS.

4.2. Contractors must agree to submit data and participate in the established ODMHSAS evaluation process.

4.3. Any changes in program operations must be submitted to the ODMHSAS.

4.4. If the program is found to be in non-adherence on the evaluation criteria at any time, a notice of non-compliance will be issued to the Contractor and a period of remediation of 30 days will begin from the date of the receipt of the notice. Notice may be issued in person at a site audit, via certified registered U.S. mail or other certified carrier of the notice of non-compliance. If compliance is not returned within the 30-day period, immediate cancellation of the contract may be executed and no moneys due from date of non-compliance will be paid. A 30-day notification must be submitted to the ODMHSAS before the cancellation of a contract.

5. Compensation

5.1. Compensation and billing pursuant to this contract shall be in accordance with the CCBHC Manuals and the ODMHSAS Services Manual (http://www.odmhsas.org/arc.htm, Documents).

5.1.1. For eligible services, Customer Data Core (CDC) information must be filled out appropriately and completely with any level of care change or at a minimum of every six (6) months to obtain payment through this contract. If any of the information is determined missing from the CDC or not properly updated, the Department has the right to credit services provided to that consumer, request recoupment, or suspend payment. CDC information shall be entered into a location and format as prescribed by the department. A quality initiative (QI0 line is required before payment of any CCBHC services QI lines will not be issued unless a current CDC has been entered for the respective consumer. Contractor is required to comply with the ODMHSAS Services Manual and is hereby incorporated by reference. Contractor must follow all OHCA and ODMHSAS policies and guidelines pursuant to compensation.

5.2. Contractor is eligible to participate in the ODMHSAS Enhanced Tier Payment System (ETPS) program, established in accordance with attachment 4.19-B, page 24 of the Oklahoma Medicaid State Plan, as approved by the Center for Medicare and Medicaid Services (CMS) and the Oklahoma Health Care Authority (OHCA).

5.3. ODMHSAS compensation for services within this RFP is $0.00 with the exception of quarterly ETPS payments determined by Contractor’s results on twelve predetermined outcome measures.

5.3.1. Contractor is responsible for contributing to the ETPS match funds pool based on core service dollars provided by ODMHSAS for this service area and number of clients served.

5.3.2. ETPS match funds contribution may be made in the form of the value of pended services provided to indigent individuals.

5.4. ODMHSAS reserves the right to provide compensation in support of services to indigent clients or special programs and services not covered by Medicaid or any other funding source at a later date, as budget allows.

5.5. ODMHSAS is the payer of last resort.

6. Core Service Functions

6.1. Certain contract requirements related to the core service functions are set forth in Oklahoma rules, Title 450, Chapter 17, Part 25 (450:17-5-170 through 450:17-5-192).

7. Tulsa county CCHB areas. Take out the link, only have the map and the name of each catchment area ( NE, NW, SE,SW). Take out the indivicual locations.

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