Oregon Buys S-44300-00004435_ OHA 5442 Addendum 1.pdf

RFGP FOR OREGON BUYS NUMBER S-44300-00004435/ OHA 5442 Addendum 1

ADDENDUM 1 is issued to make the following changes to the RFGP OREGON BUYS NUMBER S-44300-

00004435/ OHA 5442:

1. Section 1. “Background”. Language deleted or replaced is struck through; new language is underlined and bold as follows The Behavioral Health Workforce Initiative (BHWi) was created through House Bill 2949, passed by the 2021 Legislature. One goal of the legislation is to provide grants that provide supervised clinical experience to associates or other clinicians who have the necessary education but who need supervised clinical experience to obtain a license to practice.

The State of Oregon is committed to all Oregonians having the opportunity for optimal health. In keeping with that commitment, it is important to ensure that the distribution of the behavioral health care workforce appropriately meets the needs of all Oregonians and is reflective of the communities being served, and that behavioral health professionals are working in a supportive, culturally, and linguistically responsive, and dynamic environment.

To help advance this goal, the Legislature has approved $20 million for the BHWi over the 2021-23 biennium to expand clinical supervision in the behavioral health system through a Clinical Supervision Program that increases or enhances support of tribal members, Communities of Color, rural communities, linguistically diverse, individuals working in correctional facilities, persons with disabilities, and individuals who identify as Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex, Asexual and Two-Spirit (LGBTQIA2S+).

This solicitation intends to provide financial awards to expand clinical supervision for behavioral health providers working toward licensure. The distribution of this funding provides up to $8.6 million for private profit and not-for-profit behavioral health providers.

OHA, on behalf of the State of Oregon, encourages county mental health programs and private behavioral health providers to apply for the amount appropriate for the needs at their practice site(s). No single award will be made in excess of:

a. $300,000 to large employers with 50 or more clinicians.

b. $200,000 to other behavioral health organizations.

c. $150,000 to any single clinical supervisor.

2. Section 2. “Purpose”. Language deleted or replaced is struck through; new language is underlined and bold as follows The intent and purpose of the BHWi and its Clinical Supervision Program is to help establish an equitable behavioral health system and break down the systemic barriers that reduce access and exacerbate inequities in people of color Communities of Color, tribal members, and other communities harmed by historical and contemporary injustices.

The Clinical Supervision Program will provide grants to for organizations that employ or contract with licensed psychologists, licensed marriage and family therapists, licensed professional counselors, and licensed clinical social workers to provide supervised clinical experience to associates. In addition, Substance Use Disorder Treatment Staff (as that term is defined in OAR 309-080-0105) who are certified supervisors also qualify to receive funding awarded through this RFGP.

3. Section 3. “Proposal Requirements and Parameters”. Section 3 “Proposal Requirements and Parameters” is deleted in its entirety and restated with the following:

3. Proposal Requirements and Parameters.

a. Definitions.

(1) Culturally and Linguistically Responsive Services means the provision of effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs.

(2) Culturally and Linguistically Specific Services means provision of Culturally and Linguistically Responsive Services designed for a specific population by a provider who shares the culture, language, or identity with the individual seeking services.

(3) Communities of Color means members of the following racial or ethnic communities, but not limited to:

(a) American Indian

(b) Alaska Native

(c) Hispanic or Latino/a/e/x

(d) Asian

(e) Native Hawaiian

(f) Pacific Islander

(g) Black or African American

(h) Middle Eastern

(i) North African

(j) Mixed race

(k) Other racial or ethnic minorities

(4) Communities who are Underserved include but are not limited to Communities of Color, Tribal members, LGBTQIA2S+ communities, refugees, immigrants, veterans, persons with disabilities, individuals with intellectual and developmental disabilities, individuals in correctional facilities, and individuals with limited English proficiency, individuals in correctional facilities, and rural residents.

(5) Health Equity means Oregon will have established a health system where all people can reach their full health potential and well-being and are not disadvantaged by their race, ethnicity, language, disability, age, gender, gender identity, sexual orientation, social class, intersections among these communities or identities, or other socially determined circumstances. Achieving health equity requires the ongoing collaboration of all regions and sectors of the state, including tribal governments to address:

• The equitable distribution or redistribution of resources and power; and

• Recognizing, reconciling, and rectifying historical and contemporary injustices.

(In 2019, the Oregon Health Policy Board and OHA adopted this definition of health equity).

(6) Key Project Personnel means the person or persons on proposer’s staff to be assigned to perform the work under the resultant grant. For Key Project Personnel (or persons) not identified prior to proposers’ submission, a position description must be submitted.

(7) Measurable Outcome means an observable end-result that describes how a particular intervention benefits program participant. It demonstrates the impact of the intervention. A Measurable Outcome is not a measurable output, such as the number of individuals served or the number of training sessions held.

(8) Project Goal means a broad statement of what proposer wishes to accomplish with the grant funding and should be linked to the problem statement found in Attachment A of the RFGP.

(9) Project Objective means the information on what the project will do to accomplish the project goal. It is stated in action terms, defines the population to be served, is measurable, and includes a timeline.

b. Core Values.

The following is the lens through which proposals will be viewed. Does the proposed program:

(1) Increase the behavioral health system’s capacity to provide Culturally and

Linguistically Specific Services care that is deeply embedded in equity centered Culturally and Linguistically Responsive Services, de-stigmatization of services, promotion of restorative healing, and community empowerment?

(2) Develop and invest in culturally and linguistically specific workforce and increase access to Culturally and Linguistically Responsive Services and interventions rooted in culturally based practices?

(3) Include thoughtful and deliberate engagement of communities in shared decision-making to build structures/processes/resources/supports for increasing recruitment and retention of a Culturally and Linguistically Specific Services behavioral health workforce?

c. Eligibility Criteria.

(1) A qualifying practice site is a behavioral health care site that is:

(a) A private non-profit behavioral health site,

(b) A private for-profit behavioral health site,

(c) Tribal Behavioral Health Program, or a

(d) Urban Indian Health Program.

(2) Proposers awarded Behavioral Health Workforce Initiative (BHWI) Clinical Supervision Expansion Round 1 agreement are not eligible to be awarded for this RFGP Round 2.

d. Proposal Criteria.

Only one proposal per organization may be submitted. Proposals:

(1) Focused on increasing the diversity of the behavioral health workforce are strongly encouraged and will be prioritized.

(2) Are to be centered on advancing equity, expanding Culturally and Linguistically Responsive care, expanding linguistically appropriate services, and serving Communities who are Underserved.

(3) That leverage existing community resources, partnerships, and demonstrate a financial investment beyond the funds sought in the proposal will receive increased priority for funding.

(4) Must include a detailed plan to evaluate outcomes.

(5) Must be for approved supervisor, or supervisor candidates.

e. Funding Guidelines.

The following provides an outline of how funding may be requested and used for this RFGP. Funding may be:

(1) Requested for a project period of up to 2 years from proposal award date.

(2) Requested for up to:

(a) $300,000 for large employers with 50 or more clinicians.

(b) $200,000 for other behavioral health organizations.

(c) $150,000 for any single clinical supervisor.

(3) Used to compensate new supervisors who are bicultural, bilingual, or who otherwise provide Culturally and Linguistically Specific Services.

(4) Used to offer increased compensation for existing supervisors who are bicultural, bilingual, or who otherwise provide Culturally and Linguistically Specific Services so long as the application clearly demonstrates that the increased compensation is in response to an increase in supervision activities.

(5) Used to compensate new supervisors who are culturally responsive to Communities who are Underserved.

(6) Used to offer increased compensation for existing supervisors who are culturally responsive to Communities who are Underserved so long as the application clearly demonstrates that the increased compensation is in response to an increase in supervision activities.

(7) Used to offer trainings required for clinical staff to become clinical supervisors, trainings to build clinical competencies of supervisors and supervisees, or trainings required to maintain clinical supervisor qualifications.

The following provides an outline of how funding may not be used for this RFGP. Funding may not be:

(1) Used for ongoing maintenance of effort of existing activities.

(2) Used to compensate or increase wages of existing staff that will not directly contribute to an increase in clinical supervision activities.

(3) Used for hiring, compensating, or funding non-licensed behavioral health workers, associates, non-certified behavioral health workers, pre-certified clinicians, or certified/licensed clinicians not on track to become a supervisor.

(4) Used for scholarships, loan repayment, office space, or any other initiative not directly related to clinical supervision.

4. Section 7. “Proposal Review Process”, Subsection b “Final Proposal Selection” only:

Language deleted or replaced is struck through; new language is underlined and bold as follows:

b. Final Proposal Selection.

Selection of the proposals to receive grant awards under this RFGP will be made by OHA based on the scores and justifications provided by the GRC in Attachment D-Scoring Rubric. Priority will be granted to proposals based on Culturally and Linguistically Specific and Responsive Services, underserved communities Communities who are Underserved, and projects which advance health equity, are trauma informed, and advance anti-racism in the behavioral health workforce. Once final proposals are selected, all proposers will be informed of award results in accordance with the RFGP timeline.

Upon notification of award results, proposers not selected to receive a grant award may email the SPC to arrange a debrief meeting to go over the Attachment D-Scoring Rubric used as justification. Proposer may request additional technical assistance and guidance on future proposals, if available

5. Attachment B, “Budget Table” is deleted in its entirety and replaced with “Attachment B Budget Table Revised v1 with Addendum 1” and is included in the attachments list to this

RFGP.

6. Attachment D, “Scoring Rubric” is deleted in its entirety and replaced with “Attachment D Scoring Rubric Revised v1 with Addendum 1” and is included in the attachments list to this

RFGP.

7. Webinar 1 and 2: Presentations with audio provided in the list of attachments for potential proposers to refer to in OregonBuys for this RFPG.

8. Questions/Requests for Clarification: “Q&A Response #1” provided in the list of attachments in OregonBuys for this RFPG.

ALL OTHER PROVISIONS OF THE RFGP REMAIN IN FULL FORCE AND EFFECT.