QA RFI - Competency Restoration.pdf

Bid Questions:

Question # Created Date User Created Question Subject Question 1 6/30/2026 Source Management/Deltek Contract Value

What is the anticipated contract value for this service?

2 6/30/2026 Source Management/Deltek Procurement Timeline Is there a timeline in pursuing the project?

3 6/30/2026 Source Management/Deltek Incumbent p g new requirement? If there is a current vendor, could you please provide the current contract

4 7/7/2026 Anna Quici/Liberty Healthcare Corporation

Primary Objective The RFI appears focused on training DMH staff to implement competency restoration services. Is DMH's primary objective to develop internal competency restoration capacity operated by Commonwealth employees, or is DMH also evaluating potential future models involving contracted providers delivering competency restoration services directly?

5 7/7/2026 Anna Quici/Liberty Healthcare Corporation

Existing Statutory Authority & Operations Given that DMH notes it does not currently have a legislative mandate to provide competency restoration services, how does the Department envision a competency restoration pilot operating within existing statutory authority, and are there anticipated legislative or policy changes that would support future implementation?

Request for Information: Competency Restoration - BD-27-1022-DMH08-8210C-130916

6 7/10/2026 Danielle Lundstrom/Health Management Associates

Project Scope & Timeline

Can you provide the dates of when the project will begin and end? What competency restoration toolkit(s) or manual(s) is currently used? Who is the intended recipient population for the competency restoration services-individuals with cognitive delays, behavioral health conditions, intellectual and developmental disabilities (IDD), or a combination of these needs?

7 7/10/2026 Danielle Lundstrom/Health Management Associates

Training Who is the intended DMH audience for training? What are their roles and disciplines? Will they perform competency restoration services and/or conduct exams?

Can you specify if DMH prefers in-person or remote training? How many people in total will participate in training and over what period of time? If in person training is conducted, will DMH provide or fund training sites? Should the bidder include the cost of training sites and materials?

8 7/10/2026 Danielle Lundstrom/Health Management Associates

Budget Can you please provide a budget estimate or cap?

9 7/10/2026 Julia Seder/Centurion of Massachusetts, LLC

General 1. Is this RFI proposing a new project?

10 7/10/2026 Julia Seder/Centurion of

General 2. If this is a new project, will there be a subsequent bid that bidding companies are allowed to submit a proposal for?

11 7/10/2026 Julia Seder/Centurion of Massachusetts, LLC

Context and Current Environment

3. In the RFI, under "Context and Current Environment," an educational and training program is spoken to. Will training materials developed for this program be proprietary to the vendor?

12 7/10/2026 Julia Seder/Centurion of Massachusetts, LLC

Staffing 4. Would the proposed competency restoration staff act as trainers for the DMH staff as well as provide competency restoration services to the patient population?

13 7/10/2026 Julia Seder/Centurion of Massachusetts, LLC

Staffing 5. How does the Department envision the proposed competency restoration staff working with DMH employees to restore competency of individuals on a daily basis?

14 7/10/2026 Julia Seder/Centurion of Massachusetts, LLC

Expected Outcome 6. In the RFI, under "Expected Outcome," the RFI states, "The Massachusetts Department of Mental Health (DMH) conducts court-ordered evaluations of individuals for competence to stand trial." Would the proposed competency restoration staff be required to write any competency restoration reports, or would DMH employees author these reports?

15 7/10/2026 Julia Seder/Centurion of Massachusetts, LLC

Staffing 7. Would the proposed competency restoration staff be required to administer any psychological testing (e.g., M-

FAST, RBANS, ILK).

16 7/10/2026 Julia Seder/Centurion of

Expected Outcome 8. In the RFI, under "Expected Outcome," DMH's Continuing Care Unit (CCU) are spoken to. Does DMH intend to seek vendor support to operate a restoration unit?

17 7/10/2026 Julia Seder/Centurion of Massachusetts, LLC

General 9. If a restoration unit is supported by the vendor, would that support be tied to this RFI, or be under a separate procurement?

18 7/10/2026 Julia Seder/Centurion of Massachusetts, LLC

General 10. Does DMH foresee a community-based intervention for restoration tied to restoration unit(s)?

19 7/10/2026 Julia Seder/Centurion of Massachusetts, LLC

Expected Outcome 11. In the RFI, under "Expected Outcome," the current baseline of individuals restored to competence is mentioned. What is the current restoration rate and by what margin would DMH like that to improve?

20 7/10/2026 Julia Seder/Centurion of Massachusetts, LLC

General 12. In the CCUs, what is the average length of stay for a restoration patient currently?

21 7/10/2026 Julia Seder/Centurion of Massachusetts, LLC

General 13. What is the current patient population for restoration services? What is the backlog?

Answer This is a new initiative. The purpose of this RFI is to gather information to assist us in understanding associated costs.

This initiative is a priority for the current state fiscal year (7/1/26 to 6/30/27).

This is a new initiative. There is no current vendor.

Yes. DMH is seeking a vendor to provide staff training and implementation support for DMH staff to deliver competency restoration services directly.

DMH has not identified any barriers to the implementation of a standardized approach to competency restoration within existing statutory authority and there are no anticipated legisltive or policy changes needed at this time.

The purpose of this RFI is to obtain "pricing and program information from qualified vendors to deliver a training series on an evidence-based manualized competency restoration service". The dates of the training series have not yet been selected. The intended recipient population for the competency restoration services are Individuals for whom "the court has reason to believe that such observation and further examination are necessary in order to determine whether mental illness or mental defect have so affected a person that s/he is not competent to stand trial or not criminally responsible for the crime or crimes with which s/he has been charged.”

The purpose of the RFI is to obtain information from subject matter experts on "what disciplines of staff have you trained to provide competency restoration services … [and] Are there prerequisite skills, background, or education for staff to attend?"

The focus of this RFI is training, implementation support and evaluation of the delivery of competency restoration services. Competency evaluations are not within the scope of this RFI.

Generally DMH prefers in-person, in real time, training over an asynchronous virtual training model.

Responses to this RFI will inform DMH's decisions about the number of trainees and the timeline.

DMH expects that training sessions would be conducted at DMH sites.

With this RFI, DMH is seeking information on estimates of the cost of material development, educator staff time, and any other relevant price categories for your service.

See response to Question #1

See response to Question #3

Upon reviewing responses to this RFI, DMH will determine whether or not to proceed with a subsequent request for response to deliver a service.

All materials developed at the expense of DMH are owned by DMH.

At this time, the purpose of this RFI is to clarify elements and costs of developing and delivering training in competency restoration for DMH staff. DMH may subsequently consider a 'train the trainer' model for DMH staff to become trainers.

This is a training initiative. This is not an initiative to hire external personnel to deliver an intervention.

See response to Questions #7 and #13.

The purpose of this RFI is to obtain information about current best practices in competency restoration. In your response, please indicate what, if any, psychological tests and their administration constitute a core compenent of the competency restoration intervention you would recommend.

See response to Questions #13.

See answer to Question #13

The scope of the current RFI is for DMH operated inpatient services.

At this time we do not collect a clear baseline metric for individuals returned to competence, however this is an analysis that we intend to conduct. With this RFI, DMH is interested in what measures are currently in use nationally to evaluate the impact of the recommended intervention and current national trends with attention to characteristics that predict treatment response.

We are still in the process of analyzing current statewide length of stay for individuals on a commitment status of incompetent to stand trial.

At the time of this response, the current population committed for incompetence to stand trial is roughly 145 individuals. This number is constantly in flux with discharges and new admissions from Courts and or Bridgewater State Hospital, however the ICST population remains a significant portion of all committed patients. There is no backlog for ICST individuals.

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