Flex List of Permitted Response Attachments RESTATED 8.30.18~1.docx

DOCX document 18 KB Posted

Attached to
Flexible Support Services Master Agreement Request for Responses (RFR)
Solicitation number
BD-19-1022-DMH08-8220A-33600
Issued by
Massachusetts

About this file

This document is an Amended and Restated List of Permitted Response Attachments related to a Flexible Support Services Request for Response (RFR) issued by the Massachusetts Department of Mental Health (DMH), Division of Child, Youth, and Family Services. The RFR seeks to establish a pool of qualified Provider organizations to deliver home and community-based Clinical Services, Parent/Caregiver Peer Support, Young Adult Peer Mentoring, and Therapeutic Support within the context of a Flexible Support Team, Flexible Support Group or Individual Practitioners. The document outlines 26 specific attachments that must be included in the response, such as organizational charts, human rights policies, complaint processes, restraint and seclusion prevention policies, CLAS self-assessments, job descriptions, resumes, implementation timelines, and various other required forms and samples.

The RFR is part of a Flexible Support Services Master Agreement, which is an ongoing state and local contract opportunity in Massachusetts. The contract term and any renewal options are not specified in the provided information. Pricing, set asides, incumbents, funding requirements and sources are also not detailed in this document.

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Text version

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

AMENDED AND RESTATED LIST OF PERMITTED RESPONSE ATTACHMENTS

Attachment
Response Requirement
1
Organizational Chart with Privacy and Security Officers
I2b
2
Human Rights Policies and Procedures
I4a
3
Complaint Process
I4b
4
Restraint and Seclusion Prevention Policies and Procedures
I5a
5
Organizational CLAS Self-assessment
I6b
6
Job Descriptions for Flex Support Services Staff
I8a
7
Resumes-Management or Supervisory with current Candidate
I8a
8
Implementation Timeline
I9b
9
Executed original Commonwealth Terms and Conditions for Human and Social Services
I10a
10
Executed original Massachusetts Form W-9
I10b
11
Contractor Authorized Signatory Listing (1 original), both pages with second page notarized
I10c
12
Two Original executed Standard Contract Forms
I10d
13
Original Authorized for Electric Funds Payment Form
I10e
14
Sample Group agenda(s)/curriculum
II4b
15
Clinician Assessment and screening tools
III2b
16
Clinician Progress Monitoring and Transition Indicator Tool
III2c
17
Clinicians Training Plan
III4b
18
Family Partner Progress Monitoring and Transition Indicator Tool
IV2d
19
Family Partners/Senior Family Partners Training Plan
IV3b
20
Young Adult Peer Mentor Training Plan
V3b
21
Therapeutic Support Specialist Progress Monitoring and Transition Indicator Tool
VI2b
22
Therapeutic Support Specialist Training Plan
VI3b
23
Clinical Services Vignette
III5
24
Parent/Caregiver Peer Support Vignette
IV6
25
Young Adult Peer Mentoring Vignette
V6
26
Therapeutic Support Services Vignette
VI5

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