RFGA #S-44300-00010881 final.pdf

RFGA # S-44300-00010881 for Culturally and Linguistically Specific Behavioral Health Services Page 1 of 31

STATE OF OREGON

COVER PAGE

The Oregon Health Authority, Behavioral Health Division, Child, and Family Behavioral Health is issuing this

Request for Grant Applications RFGA # S-44300-00010881 for

Culturally and Linguistically Specific Behavioral Health Services

Date of Issue: December 23, 2024

Opening Date and Time (Applications Due):

January 23, 2025 at 3:00 PM (Pacific Time)

OregonBuys Electronic Response or Email Response. Per RFP Sections 3.2.2 and

4.4 below, Proposer must submit its Proposal electronically through OregonBuys (see the process for electronic submission at OregonBuys Supplier Bid Solicitation Response) or via email to john.f.gardner@odhsoha.oregon.gov.

See Section 4.4 Proposal Delivery Options for more information.

Single Point of Contact (SPC): John F. Gardner

Address: 800 NE Oregon Street, Suite 640

City, State, Zip Portland, OR 97232

Phone (voice) 503-509-5698

E-mail: john.f.gardner@odhsoha.oregon.gov

In compliance with the Americans with Disabilities Act, this document can be provided upon request in an alternate format for individuals with disabilities or in a language other than English for people with limited English skills. To request this document in another format or language, contact the Publications and Design Section at 503-378-3486, 7-1-1 for TTY, or email dhs-oha.publicationrequest@oregon.gov.

https://www.oregon.gov/das/ORBuys/Documents/OregonBuys%20Vendor%20Formal%20Solicitation%20Response.pdf https://www.oregon.gov/das/ORBuys/Documents/OregonBuys%20Vendor%20Formal%20Solicitation%20Response.pdf mailto:john.f.gardner@odhsoha.oregon.gov mailto:john.f.gardner@odhsoha.oregon.gov mailto:dhs-oha.publicationrequest@oregon.gov mailto:dhs-oha.publicationrequest@oregon.gov

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The State of Oregon promotes equal opportunity for all individuals without regard to age, color, disability, marital status, national origin, race, religion or creed, sex or gender, sexual orientation, or veteran status.

TABLE OF CONTENTS

SECTION 1: GENERAL INFORMATION

1.1 INTRODUCTION

1.2 SCHEDULE

1.3 SINGLE POINT OF CONTACT (SPC)

SECTION 2: AUTHORITY, OVERVIEW, AND SCOPE

2.1 AUTHORITY AND METHOD

2.2 DEFINITION OF TERMS

2.3 OVERVIEW AND PURPOSE

2.4 SCOPE OF ALLOWABLE PROGRAM ACTIVITIES

2.5 DISBURSEMENT OF GRANT FUNDS

2.6 REPORTING AND OTHER REQUIRED SUBMISSIONS

SECTION 3: MINIMUM QUALIFICATONS AND MINIMUM SUBMISSION

REQUIREMENTS

3.1 MINIMUM QUALIFICATIONS

3.2 MINIMUM SUBMISSION REQUIREMENTS

3.3 APPLICATION FORM (ATTACHMENT A) REQUIREMENTS

3.4 BUDGET PROPOSAL (ATTACHMENT B) REQUIREMENTS

3.5 APPLICANT INFORMATION AND CERTIFICATION SHEET (ATTACHMENT C)

3.6 DISCLOSURE EXEMPTION AFFIDAVIT (ATTACHMENT E)

SECTION 4: RFGA PROCESS

4.1 SINGLE POINT OF CONTACT (SPC)

4.2 PUBLIC NOTICE

4.3 QUESTIONS / REQUESTS FOR CLARIFICATION

4.4 APPLICATION DELIVERY OPTION

4.5 APPLICATION MODIFICATION OR WITHDRAWAL

4.6 OPENING DATE

4.7 APPLICATION REJECTION

4.8 OPENING OF APPLICATIONS

4.9 APPLICATION EVALUATION

SECTION 5: AWARD AND NEGOTIATION

5.1 AWARD NOTIFICATION PROCESS

5.2 SUCCESSFUL APPLICANT SUBMISSION REQUIREMENTS

5.3 GRANT AGREEMENT NEGOTIATION

SECTION 6: ADDITIONAL INFORMATION

6.1 GOVERNING LAWS AND REGULATIONS

6.2 OWNERSHIP/PERMISSION TO USE MATERIALS

6.3 CANCELLATION OF RFGA; REJECTION OF APPLICATION; NO DAMAGES

6.4 COST OF SUBMITTING AN APPLICATION

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LIST OF ATTACHMENTS

The RFGA attachments below are posted as separate file attachments on OregonBuys Bid Solicitation #S-44300-00010881:

ATTACHMENT A - APPLICATION FORM

ATTACHMENT B - BUDGET PROPOSAL FORM

ATTACHMENT C – APPLICANT INFORMATION AND CERTIFICATION SHEET

ATTACHMENT D - SAMPLE GRANT AGREEMENT:

• Attachment D, Part 1 - Sample Grant Agreement Form for Private Non-Profit

Organizations

• Attachment D, Part 2 – Sample Grant Agreement Form for Governmental Entities

ATTACHMENT E – DISCLOSURE EXEMPTION AFFIDAVIT

ATTACHMENT F – Sample Federal Funding Accountability and Transparency Act (FFATA) Form

ATTACHMENT G - Notice of Award (NOA) for Award Number: 1B08TI083963-01

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SECTION 1: GENERAL INFORMATION

1.1 INTRODUCTION

The State of Oregon, acting by and through the Oregon Health Authority (“Agency” or “OHA”), Behavioral Health Division OHA’s Office of Behavioral Health Equity and Community Partnerships, is issuing this Request for Grant Applications for Innovative Culturally Specific Behavioral Health Projects for Co-occurring Disorder Services for all Oregonians.

OHA’s mission is to advance behavioral health equity in alignment with the agency's strategic goal of eliminating health inequities for Oregonians by 2030. Oregon will have established a health system that creates health equity when 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.

As detailed further in Section 2.3.2 Project Background and Purpose, the goal of this RFGA is to fund innovative Culturally Specific approaches to Co-Occurring Disorder Services, and inspire Applicants to propose new creative options to ensure that underserved community members, including Black and African American, American Indian/Alaska Native individuals (BIPOC-AI/AN), people with disabilities sharing common language, cultural aspects or identity, those who identify as lesbian, gay, bisexual, transgender, queer and/or questioning, intersex, asexual, two-spirit (LGBTQIA2S+), and immigrant and refugee populations have equitable access to Culturally Specific screening, assessment, and treatment services.

Note regarding separate process for Tribal Grant Awards: The Nine Federally Recognized Tribes of Oregon are eligible to receive grant funds for Culturally and Linguistically Specific Behavioral Health Services projects through a Tribal set aside. A total of $500,000 has been set aside.

Further details will be communicated directly to Tribal leaders through Dear Tribal Leader Letter (DTLL) to be sent out by Tribal Affairs.

Applicants may apply for grant funding from this RFGA to support one or more of the following examples of allowable Program activities described in Section 2.4 below, or propose their own innovative programs for Culturally Specific approaches to Co-Occurring Disorder services:

• Telehealth and Telemedicine Initiatives

• Crisis Intervention Teams (CIT)

• Peer Support Programs

• Integrated Care Models

• Culturally Specific Training

• Community Crisis Stabilization Centers

• Mobile Crisis Response Teams

• Data Analytics and Outcome Monitoring

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• Community Outreach and Education

• Respite Care Services

OHA expects to award approximately 12 Grant Agreements from this RFGA, with an estimated maximum grant amount of up to $150,000 each for Innovative Culturally Specific Behavioral Health Projects. The maximum combined total of all grant awards under this RFGA will be approximately $1.8 million.

OHA anticipates the initial term of Grant Agreements awarded from this RFGA will be from approximately February 1, 2025 through December 31, 2025 subject to possible extension if additional funding becomes available. Notwithstanding the Agreement expiration date, OHA will not disburse grant funds to Recipient after September 30, 2025, and all Program activities by Recipient under this Agreement must be completed by September 30, 2025. Only one Application may be submitted by an Applicant meeting the Section 3.1 Minimum Qualifications below.

All Applicants must include a completed Attachment C – Applicant Information and Certification Sheet, signed by an authorized representative of Applicant, that includes the following certifications and other certifications included in Attachment C:

a. Applicant shall not request funding for expenditures already funded by any other agency or department of the State of Oregon or the federal government, or by private insurance.

b. If Applicant is receiving Medicaid Administrative Claiming (MAC) or Medicaid outreach, enrollment and education funds, Applicant must demonstrate that funding shall not be used for the same activities and that separate financial tracking processes exist, distinguishing the funding sources and uses from each other.

c. Applicant certifies that Applicant shall not expend grants funds under any Grant

Agreement issued from this RFGA # S-44300-00010881 on healthcare services if any other funding source for the services shall be obtained or sought from private health insurance, Medicaid, Medicare, or any other federal or state government funding source by Applicant to cover the cost of those services and Applicant understands and agrees that this certification will be included in Grant Agreement awarded under this RFGA.

d. If Applicant is awarded a Grant Agreement under this RFGA, Applicant’s performance of the Program activities described in Applicant’s Application under the Grant Agreement shall, to the best of Applicant’s knowledge, create no actual or potential conflict of interest, as defined by ORS 244, for Applicant or any of Applicant’s Key Persons, and creates no other violation of ORS Chapter 244 for Applicant’s employees, agents, or contractors. If any changes occur with respect to Applicant’s status regarding an actual or potential conflict of interest, Applicant will promptly notify the Agency in writing.

e. If Applicant is awarded a Grant Agreement under this RFGA, Applicant agrees to comply with all the Terms and Conditions included in the attached Notice of Award (NOA) for Award Number: 1B08TI083963-01 as are applicable to subrecipients of

Linguistically Specific Behavioral Health Services Page 6 of 31 funds awarded under that NOA. A copy of the Federal Notice of Award #1B08TI083963-01 re: Substance Abuse Prevention and Treatment Block Grant Funding referenced above is provided for Applicants’ review as Attachment G for this RFGA in the Attachments for OregonBuys Bid # S-44300-00010881.

f. By submitting an Application, Applicant agrees and understands that the parties may negotiate the final Program Activities, Reporting Requirements and Budget to be included in any Grant Agreement awarded to Applicant.

1.2 SCHEDULE

The table below represents a tentative schedule of events. All times are listed in Pacific Time.

All dates listed are subject to change.

Event Date Time

Questions / Requests for Clarification Due January 6, 2025 5:00 PM (Pacific Time)

Answers to Questions / Requests for Clarification Issued (approx.)

January 8 -13, 2025

Opening (Applications Due) See RFGA Cover Page

Issuance of Notice of Intent to Award (approx.)

February, 2025

1.3 SINGLE POINT OF CONTACT (SPC)

The SPC for this RFGA is identified on the Cover Page, along with the SPC’s contact information.

Applicant shall direct all communications and questions regarding any provision of the RFGA only to the SPC, whether about the technical requirements of the RFGA, Application requirements , the RFGA process, or any other provision.

SECTION 2: AUTHORITY, OVERVIEW, AND SCOPE

2.1 AUTHORITY AND METHOD

OHA issues this RFGA under the authority of ORS 413.033.

2.2 DEFINITION OF TERMS

For the purposes of this RFP, capitalized words are defined below. Terminology specific to the OregonBuys system may be found at OregonBuys (https://oregonbuys.gov/bso/).

2.2.1 Oregon Buys Terminology

“Applicant” means any person or entity that submits an Application in response to this RFGA.

“Application” means a response to this RFGA submitted through OregonBuys by the Applicant.

https://oregonbuys.gov/bso/

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“Grant Agreement” or “Grant” means the agreement pursuant to which funds are awarded to support or stimulate a Recipient’s program in which OHA has no substantial involvement other than involvement with monitoring compliance with the Grant conditions.

“Recipient” means an entity that has an executed Grant Agreement resulting from an award from this RFGA process.

“RFGA” means Request for Grant Application.

2.2.2 Oregon Buys Terminology

“Amendment to a Bid” means the same as Addenda to Requests for Applications.

“Bid” or “Bid Solicitation” means the same as Request for Grant Application or RFGA.

“Bid Opening Date” or “Opening Date” means the date and time all Applications must be received by the SPC as stated in Section 4.6 OPENING DATE.

“Vendor” means the same as a prospective Applicant.

2.2.3 Project Specific Definitions

“Co-occurring Disorder (COD)”, also known as dual diagnosis, means having more than one behavioral health disorder. CODs can be substance use, gambling, intellectual and developmental disability (I/DD) and mental health disorders. Each disorder can cause symptoms of the other disorder, leading to slow recovery and reduced quality of life.

See https://www.oregon.gov/oha/hsd/amh/pages/co-occurring.aspx.

“Co-occurring Disorder Services (COD Services)” means behavioral health prevention, treatment, and recovery supports and services relating to Co-occurring Disorders.

“Culturally and Linguistically Specific Behavioral Health Services” means quality mental health, substance use, problem gambling, and other behavioral health prevention, treatment, and recovery supports and services that are designed specifically for a distinct Minoritized Cultural Community, developed based on the languages used and cultural values of the distinct Minoritized Cultural Community and designed to elevate their voices and experiences, and that have the aim of enhancing emotional safety, belonging, and a shared collective cultural experience for healing and recovery among the distinct Minoritized Cultural Community served.

“Culturally and Linguistically Specific Behavioral Health Organization (CLSBHO)” means an outpatient entity or institution that is structured to provide Culturally and Linguistically Specific Behavioral Health Services in its entirety as evidenced by its organizational mission.

“Culturally and Linguistically Specific Behavioral Health Program” means a division or associated component of an organization that provides culturally and linguistically specific behavioral health services as evidenced by the program mission, that exists within the subset of services provided by an organization whose mission does not focus on a distinct Minoritized Cultural Community.

https://www.oregon.gov/oha/hsd/amh/pages/co-occurring.aspx

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“Culturally Specific Outcomes” are the measurable results and impacts of behavioral health services that are designed and implemented specifically for distinct Minoritized Cultural Communities.

“Culturally Specific Training” refers to the educational and professional development activities designed to equip behavioral health providers with the knowledge, skills, and competencies necessary to effectively deliver services to a distinct Minoritized Cultural Community.

“Minoritized Cultural Community ” means a community that has experienced historical and contemporary discrimination and oppression primarily on the basis of race, ethnicity, gender identity, sexual and affectional orientation, ability status, and/or migration history.

LGBTQIA2S+” means Oregonians who identify as lesbian, gay, bisexual, transgender, queer, intersex, asexual, two-spirit, questioning, and “+” holds space for the expanding and new understanding of different parts of the very diverse gender and sexual identities. (See https://www.gsrc.princeton.edu/lgbtqia-101).

"REALD” is a set of standardized questions and data about a person's race, ethnicity, preferred spoken and written language, English proficiency, interpreter needs and disability data. See https://www.oregon.gov/oha/EI/Pages/REALD.aspx;https://oregon.public.law/ rules/oar_943-070-0010.

"Rural Provider” means a provider of service in rural Oregon which includes any geographic areas in Oregon ten or more miles from the centroid of a population center of 40,000 people or more.

“SAPTR” means Substance Abuse Prevention and Treatment Recovery.

“SAPTR Services (or SAPTRS)” means Substance Abuse Prevention and Treatment Recovery Services.

“SOGI” is a set of standardized questions and data about a person's Sexual Orientation and Gender Identity (SOGI) Data. See https://www.oregon.gov/oha/EI/Pages/REALD.aspx.

“Substance Use Disorder (SUD)” is a treatable mental disorder that affects a person’s brain and behavior, leading to their inability to control their use of substances like legal or illegal drugs, alcohol, or medications. See: https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health#:~:text=Substance%20use%20disorder%20(SUD)%20is,drugs%2C%20 alcohol%2C%20or%20medications.

“The Nine Federally Recognized Indian tribes of Oregon” or “Tribes” or “Oregon Indian Tribes” means the following federally recognized tribes, including agencies of these tribes:

• Burns Paiute Tribe;

• Confederated Tribes of Coos, Lower Umpqua and Siuslaw Indians;

• Coquille Tribe;

• Cow Creek Band of Umpqua Tribe of Indians;

• Confederated Tribes of the Grand Ronde Community of Oregon;

• The Klamath Tribes https://www.gsrc.princeton.edu/lgbtqia-101 https://www.oregon.gov/oha/EI/Pages/REALD.aspx https://oregon.public.law/rules/oar_943-070-0010 https://oregon.public.law/rules/oar_943-070-0010 https://www.oregon.gov/oha/EI/Pages/REALD.aspx https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health#:~:text=Substance%20use%20disorder%20(SUD)%20is,drugs%2C%20alcohol%2C%20or%20medications https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health#:~:text=Substance%20use%20disorder%20(SUD)%20is,drugs%2C%20alcohol%2C%20or%20medications https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health#:~:text=Substance%20use%20disorder%20(SUD)%20is,drugs%2C%20alcohol%2C%20or%20medications

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• Confederated Tribes of Siletz;

• Confederated Tribes of the Umatilla Indian Reservation; and

• Confederated Tribes of the Warm Springs Indian Reservation.

Source: "Tribal Governments in Oregon” Background Brief, Legislative Policy and Research Office (Updated September, 2016) https://www.oregonlegislature.gov/lpro/Publications/BB2016TribalGovernments inOregon.pdf

The Tribes are sovereign nations with their own separate governments and territories.

The Tribes have the power to protect the health and safety of their members and govern their land. Each Tribe has its own distinct culture and history.

2.3 OVERVIEW AND PURPOSE

2.3.1 OHA Overview and Background

OHA Strategic Goal: OHA established its agency strategic goal to eliminate health inequities in Oregon by 2030. Alongside the strategic goal, OHA adopted health equity as one of its core values and adopted a health equity definition:

Oregon will have established a health system that creates health equity when 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.

OHA includes most of the state's health care programs, including Public Health and the Oregon Health Plan. This gives the state greater purchasing and market power to begin tackling issues with costs, quality, lack of preventive care and health care access.

OHA is working to fundamentally improve how health care is delivered and paid for, but because poor health is only partially due to lack of medical care, OHA will also be working to reduce health disparities and to broaden the state's focus on prevention.

2.3.2 Project Background and Purpose

OHA’s strategic goal is to eliminate health inequities for Oregonians. OHA’s focus is reducing or eliminating inequities in behavioral health across populations. OHA received federal Block Grants for Prevention and Treatment of Substance Abuse.

OHA is dedicated to achieving health equity by identifying and strengthening Culturally Specific Behavioral Health Services to address the needs of Oregon’s diverse populations.

This RFGA seeks to identify both the strengths and the unmet needs within behavioral health service delivery for Minoritized Cultural Communities.

To bridge identified gaps, this RFGA supports Culturally Specific Behavioral Health Organizations, Programs, and individual Providers in implementing innovative projects that prioritize and address these unmet needs. By fostering such projects, OHA aims to https://www.oregonlegislature.gov/lpro/Publications/BB2016TribalGovernmentsinOregon.pdf https://www.oregonlegislature.gov/lpro/Publications/BB2016TribalGovernmentsinOregon.pdf

Linguistically Specific Behavioral Health Services Page 10 of 31 advance culturally and linguistically specific care, enhance service accessibility, and improve health outcomes for Minoritized Cultural Communities within the behavioral health system.

Strategic Alignment

This RFGA aligns with the OHA Strategic Plan (2024-27) which can be reviewed at the internet link below,1 by addressing the critical need for a culturally and linguistically specific behavioral health workforce in Oregon.

A primary focus of this RFGA, shown below in the table below as Action 3 of the OHA Strategic Plan, is to meaningfully incorporate culturally and linguistically specific best practices within the incentives offered to recruit, retain, and sustain the workforce.

Strategy 2: Bolster the behavioral health workforce:

Recruit, retain, and expand the capacity of the behavioral health workforce to provide culturally and linguistically responsive care.

Outcome measures:

Increase the number of people incentivized to pursue or sustain a career in behavioral health.

Action 1: “Skill-up” the youth and young adult behavioral health workforce through training and education in best practices to increase the confidence and competency of providers to better treat and support those accessing care.

Start date: 06/01/2024

End date: 12/31/2027

Action 2: Retain and expand the behavioral workforce building on the 21-23 legislative session’s HB 2235 and HB 2949 workforce investments – continuing rate increases and other provider incentives.

Start date: 06/01/2024

End date: 12/31/2027

Action 3: Meaningfully include best practices that are culturally and linguistically specific within incentives offered to increase and maintain the workforce.

Start date: 06/01/2024

End date: 12/31/2027

By prioritizing Action 3, OHA aims to create a supportive environment where behavioral health professionals are empowered to provide services that respect and respond to diverse cultural values and beliefs, and linguistic needs of Minoritized Cultural Communities. Action 3 is crucial for fostering long-term workforce retention and strengthening Oregon’s behavioral health system. These culturally specific incentives reflect OHA's broader commitment to health equity, which seeks to eliminate health inequities and enable all Oregonians to reach their full health potential by 2030.

1Oregon Health Authority Strategic Plan (2024 – 2027): https://www.oregon.gov/oha/pages/strategic-plan.aspx https://www.oregon.gov/oha/pages/strategic-plan.aspx https://www.oregon.gov/oha/pages/strategic-plan.aspx

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Vision

OHA aspires to elevate the voices of communities most harmed by health inequities and to build and sustain partnerships with them that achieve optimum behavioral health and wellness.

Funding Support

With a focus on effectiveness in addressing gaps in Culturally and Linguistically Specific Behavioral Health Services and Co-Occurring Disorder Services, the innovative projects funded by Substance Use and Prevention Treatment Block Grant aim to meet the unmet needs of distinct Minoritized Cultural Communities. Through evaluation of these innovative projects completed by Recipients of grants awarded from this RFGA, OHA seeks to gather insights into the effectiveness of various strategies in tackling these challenges.

By informing OHA on effective approaches, these evaluations could contribute to strategizing ongoing efforts to address inequities in behavioral health systems and improve outcomes in behavioral health services for Minoritized Cultural Communities in Oregon.

Applicants are welcome to apply for grants to support or create one or more of the allowable Program activities described in Section 2.4 below to help achieve the following goals:

• Goal #1: address disparities in service provision, alternative staffing, technology integration, training, community outreach, and the identification of service gaps.

• Goal #2: encompass a comprehensive approach to offering services that are culturally and/or linguistically specific to support consumers of these services.

These goals align with OHA’s values focusing on equity to address disparities in access to care and to provide individuals with the resources and support they need. This includes Oregon’s goal of building a robust continuum of prevention, treatment, recovery and reintegration to achieve better outcomes, offering care and supports early within the context of community.

All Substance Use and Prevention Treatment Block Grant (SUPT BG) funds must be fully spent by September 30, 2025. Time is of the essence. OHA’s goal is to issue grant awards under this RFGA to allow Recipients’ Program activities to start by February 2025, and to allow approximately eight (8) months for expenditure of the SUPT BG funds.

2.4 SCOPE OF ALLOWABLE PROGRAM ACTIVITIES

Each Applicant shall submit not more than one Application for this RFGA in compliance with the requirements of Section 3.3 below.

Applicants meeting the minimum qualifications in Section 3.2 below may select one or more of the following allowable Program activities, which are examples of current innovative programs supporting the use of Block Grants for the Prevention and Treatment of Substance Abuse.

However, in addition to the options listed below, allowable Program activities may include other innovative Culturally and Linguistically Specific Behavioral Health Services proposed by Applicants in order to bridge service gaps, particularly in distinct Minoritized Cultural Communities.

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Allowable Programs under the following options may include community needs assessments, capacity building and providing technical assistance. See also reporting requirements in Section 2.6.1.1, b. and c.

2.4.1 Option 1: TELEHEALTH AND TELEMEDICINE INITIATIVES

Allowable Program activities in this category include but are not limited to innovative strategies for developing or expanding telehealth services, including teletherapy, telepsychiatry, and tele-counseling that is specifically tailored to serve Minoritized Cultural Communities in Rural Oregon. These services should be designed to ensure that individuals from these communities can easily access Culturally and Linguistically Specific Behavioral Health Services and Co-Occurring Disorder Services, including problem gambling services. Creativity in bridging service gaps, particularly in these distinct Minoritized Cultural Communities, is strongly encouraged.

2.4.2 Option 2: CRISIS INTERVENTION TEAMS (CITs)

Allowable Program activities in this category include but are not limited to consideration of the formation of specialized CIT teams proficient in delivering Culturally and Linguistically Specific Behavioral Health Services to individuals experiencing crises related to behavioral health and Co-Occurring Disorders. These CITs would aim to divert individuals away from the criminal justice system, redirecting them toward Culturally and Linguistically Specific Behavioral Health Services.

2.4.3 Option 3: PEER SUPPORT PROGRAMS

Allowable Program activities in this category include but are not limited to initiatives to establish and support Culturally and Linguistically Specific Behavioral Health Services through peer-led programs. These programs offer training opportunities to individuals with lived experience in mental health and addiction recovery, empowering them to provide guidance and support to others within their own cultural communities.

2.4.4 Option 4: INTEGRATED CARE MODELS

Allowable Program activities in this category include but are not limited to outlining strategies for promoting integrated care models that seamlessly blend Culturally and Linguistically Specific Behavioral Health Services. The goal of the activities in this category is to create innovative and efficient approaches that identify and address behavioral health needs early on, ultimately alleviating the healthcare system's overall burden. Creativity in service integration is desired and welcomed.

2.4.5 Option 5: COMMUNITY CRISIS STABILIZATION CENTERS

Allowable Program activities in this category include but are not limited to expansion of crisis stabilization centers that offer Culturally and Linguistically Specific Behavioral Health Services for individuals in crisis. The activities in this category invite forward-thinking ideas in enhancing crisis stabilization services, especially for distinct Minoritized Cultural Communities.

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2.4.6 Option 6: CULTURALLY SPECIFIC TRAINING

Allowable Program activities in this category include but are not limited to providing comprehensive Culturally and Linguistically Specific Behavioral Health Services training for behavioral health professionals. This training should equip professionals to deliver behavioral health services with Culturally Competent care to individuals within a distinct Minoritized Cultural Communities.

2.4.7 Option 7: MOBILE CRISIS RESPONSE TEAMS

Allowable Program activities in this category include but are not limited to creating mobile crisis response teams specifically trained to address crisis within distinct Minoritized Cultural Communities. The goal of these activities is to pioneer methods to provide rapid and Culturally Specific crisis interventions.

2.4.8 Option 8: DATA ANALYTICS AND OUTCOME MONITORING

Allowable Program activities in this category include but are not limited to investing in data collection—focused on improving the collection of REALD & SOGI data, data analytics, and outcome monitoring systems related to Culturally and Linguistically Specific Behavioral Health Services and Co-occurring Disorders Services. These systems should be designed for continual assessment of the effectiveness of funded programs, allowing for real-time adjustments and improvements.

2.4.9 Option 9: COMMUNITY OUTREACH AND EDUCATION

Allowable Program activities in this category include but are not limited to allocating resources for community outreach and education campaigns is pivotal in reducing the stigma surrounding behavioral health. Proposals should underscore innovative ideas for community engagement and educational initiatives that raise awareness, thus enabling early intervention and better outcomes in Minoritized Cultural Communities.

2.4.10 Option 10: RESPITE CARE SERVICES

Allowable Program activities in this category include but are not limited to the development of Culturally and Linguistically Specific respite care services to support family caregivers of individuals with behavioral health needs. Caregivers often experience burnout and require additional support. Innovative respite care solutions tailored to diverse cultural backgrounds are highly encouraged.

2.5 DISBURSEMENT OF GRANT FUNDS

OHA anticipates that disbursement of funds will be made in two payments to Recipients.

Grant funds must be spent no later than June 30, 2026. Although OHA plans to distribute the funds according to the estimated schedule provided in the following table, this schedule is subject to possible future modifications as solely determined by OHA.

Further, as stated in Section 1.1. above, OHA reserves the right, in its sole discretion, to determine the amount of each grant award from this RFGA. OHA reserves the right to approve grant awards for less than the amount requested by an Applicant. OHA also reserves the right to adjust the amount of funding and negotiate modifications to the

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Applicant’s proposed project prior to the execution of a Grant Agreement.

Disbursement Date (Estimated) Amount

(Estimated)

Upon Grant Agreement Execution $75,000.00

7/1/2025 $75,000.00

Total $150,000.00

2.6 REPORTING AND OTHER REQUIRED SUBMISSIONS

2.6.1 Activity Reports:

2.6.1.1 Recipients shall submit detailed quarterly Activity Reports within 15 calendar days after each quarter of the term of the Grant Agreement to sahand.kianfar@oha.oregon.gov and nicholas.lervick@oha.oregon.gov, or another Grant Agreement Administrator as determined by OHA, outlining the progress, challenges, and achievements of the project. including but not limited to the following specific information:

a. The Activity Reports shall include the following information regarding the Recipient’s Program activities during the quarterly reporting period:

(1) A summary of activities completed by Recipient;

(2) Demographic data of clients served, including race, ethnicity, language spoken, ability status, and sexual orientation/gender identity, utilizing the REALD scale (See https://www.oregon.gov/oha/EI/Pages/REALD.aspx (REALD & SOGI Guidelines), including:

• Race, ethnicity, and cultural background;

• Language spoken at home;

• Disability status;

• Sexual orientation and gender identity; and

• Location;

(3) Description of services provided and their alignment with addressing unmet needs and gaps in existing services;

(4) Evaluation of the effectiveness of the Recipient’s Program activities, including client outcomes, satisfaction levels, and improvements in Culturally Specific Outcomes consistent with the Comprehensive Evaluation Plan required by Section 2.6.2 below; and

(5) Description of the Culturally Specific Outcomes.

b. In addition, for Recipients conducting community needs assessments and trainings, the Activity Reports shall include the following information regarding the Recipient’s Program activities during the reporting period :

mailto:sahand.kianfar@oha.oregon.gov mailto:nicholas.lervick@oha.oregon.gov https://www.oregon.gov/oha/EI/Pages/REALD.aspx

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(1) Findings from community needs assessments;

(2) Description of trainings offered and their impact on service delivery;

and

(3) Upon completion of the grant period, Recipients shall submit a Final Evaluation Report (in addition to the last quarterly Activity Report) summarizing the overall impact and outcomes of the project.

The Final Evaluation Report shall include:

(a) Key findings and insights from the project evaluation;

(b) Recommendations for future implementation and scalability and strategies for potential wider adoption of the initiative; and

(c) Any adjustments made to the project plan based on evaluation findings.

c. In addition, for projects focused on capacity building and technical assistance, the Activity Reports shall include the following information regarding the Recipient’s Program activities during the reporting period:

(1) Number of providers and organizations served;

(2) Demographic data of clients served by these providers; and

(3) Impact evaluation plan for assessing the effectiveness of services provided to organizations within a year of completion.

2.6.2 Evaluation Plan

Each Recipient shall submit a Comprehensive Evaluation Plan to assess the effectiveness, including client outcomes, satisfaction levels, and improvements in Culturally Specific Outcomes . The Comprehensive Evaluation Plan shall include:

(1) Culturally Specific key performance indicators for measuring success;

(2) Methodologies for data collection and analysis; and

(3) Timeline for conducting evaluations and reporting results.

2.6.3 Expenditure Reports

Within 15 calendar days after each quarter of the term of the Grant Agreement.

Recipients must submit quarterly expenditure reports for all expenses incurred by Recipient for completing allowable Program activities using a form acceptable to OHA.

The expenditure reports shall be sent to sahand.kianfar@oha.oregon.gov and nicholas.lervick@oha.oregon.gov, or another Grant Agreement administrator as determined by OHA, and shall include a detailed listing and narrative description regarding of the following types of expenditures incurred by Recipient for completing allowable Program activities:

(1) Personnel Expenses;

(2) Travel Expenses;

(3) Operation Expenses;

mailto:sahand.kianfar@oha.oregon.gov mailto:nicholas.lervick@oha.oregon.gov

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(4) Services and Supplies Cost;

(5) Other Expenses; and

(6) Indirect / Administrative Expenses;

Expenditure reports must be submitted electronically in MS Excel format using a form agreed upon by OHA’s Agreement Administrator – which may be revised during the term of this Agreement.

In addition, Recipient shall provide supporting documentation for expenses as requested by OHA, which Recipient shall maintain in accordance with Exhibit B, Section 15, “Records Maintenance, Access”.

SECTION 3: MINIMUM QUALIFICATONS AND MINIMUM SUBMISSION

REQUIREMENTS

3.1 MINIMUM QUALIFICATIONS

For an Application to be considered for evaluation under this RFGA, Applicant must confirm and demonstrate how the Applicant meets the following minimum qualifications in the Applicant’s Application Form (Attachment A) that the Applicant is one of the following:

a. Applicant is a “Culturally and Linguistically Specific Behavioral Health Organization” (CLSBHO) –that is, Applicant is an outpatient entity or institution whose mission is to provide Culturally and Linguistically Specific Behavioral Health Services;

b. Applicant is an outpatient entity or institution that provides Culturally and Linguistically Specific Behavioral Health Services but does not qualify as a CLSBHO under 3.1 (a) and the Applicant’s mission does not focus on a Minoritized Cultural Communities as defined in Section 2.2.3;

c. Applicant is an independently licensed and Medicaid eligible clinician who provides Culturally and Linguistically Specific Behavioral Health Services and is in private practice, and not employed by a governmental entity; OR

d. Applicant is a private or governmental entity which is applying on behalf of the Applicant’s Culturally and Linguistically Specific Behavioral Health Program as defined in Section 2.2.3.

3.2 MINIMUM SUBMISSION REQUIREMENTS

To be considered for evaluation, each Application must contain each of the following elements (further detailed below):

a. A completed Application Form (Attachment A) as required by Section 3.3 Application Form Requirements;

b. A completed Budget Proposal (Attachment B) as required by Section 3.4 Budget Proposal Requirements;

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c. A completed and signed Applicant Information and Certification Sheet (Attachment C) as required by Section 3.5 below; and

d. A completed Disclosure Exemption Affidavit (Attachment E) if applicable per Section 3.6 below.

3.2.1 Application Page Limits

The page limit for Applicants’ Application Form (Attachment A) is 20 pages.

3.2.2 Application Format and Quantity

Applications should follow the format and reference the sections listed in the Application Requirements section.

Application submission: Applicant shall submit its Application electronically through OregonBuys (by following the procedures outlined in OregonBuys Vendor Formal Solicitation Response.pdf ) or via email to john.f.gardner@odhsoha.oregon.gov.

Note: Applicants should not include links to internet storage drives such as Google drive folders or OneDrive folders for submission of required Application documents.

See Section 4.4 APPLICATION DELIVERY OPTIONS for more information.

Applicant shall submit one copy of its Application and all other submittal requirements, with Attachment C - Applicant Information and Certification Sheet bearing the Applicant’s authorized representative’s Signature, in the following format: Adobe Acrobat (pdf).

3.3 APPLICATION FORM (ATTACHMENT A) REQUIREMENTS

Each Applicant must complete all sections of the Application Form (Attachment A), as listed below and in that form. Incomplete Applications may be considered non-Responsive to this RFGA and not be considered for further evaluation. OHA may waive mistakes in an Application its sole discretion if OHA determines that it is in the best interest of the program to do so.

Applications should not include extensive artwork, unusual printing or other materials not essential to the utility and clarity of the Application. Do not include marketing or advertising material in the Application, unless requested. Applications should be straightforward and provide the information required by the RFGA. Application containing unsolicited marketing or advertising material may receive a lower evaluation score if required information is difficult to locate.

https://www.oregon.gov/das/ORBuys/Documents/OregonBuys%20Vendor%20Formal%20Solicitation%20Response.pdf https://www.oregon.gov/das/ORBuys/Documents/OregonBuys%20Vendor%20Formal%20Solicitation%20Response.pdf mailto:john.f.gardner@odhsoha.oregon.gov

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3.3.1 Executive Summary

Applicant’s Application Form shall include an Executive Summary that:

1) summarizes the program objectives and the anticipated impacts that Applicant’s proposed Culturally and Linguistically Specific Behavioral Health Services will have on the communities and populations being served; and

2) identifies the geographic areas of Oregon where the target population(s) reside(s) including any rural areas which are ten or more miles from the centroid of a population center of 40,000 people or more.

3.3.2 Compliance with Insurance Requirements and Federal Funding Accountability and Transparency Act

Applicant must submit a statement that if Applicant is selected for a Grant award under this RFGA:

1) Applicant will provide OHA certificates of Insurance in compliance with Requirements of Exhibit C – Insurance Requirements of Attachment D- Sample Grant Agreement.

2) Applicant will provide OHA with a completed Federal Funding Accountability and Transparency Act (FFATA). form (Attachment F), including Applicant’s SAM.gov Unique Entity Identifier (UEI) number, in compliance with the FFATA.

3.3.3 Description of Key Strategies:

Applicants may or may select one or more of the Allowable Program Activity options listed below from Section 2.4 or may propose one or more other innovative Culturally and Linguistically Specific Behavioral Health Services in order to bridge service gaps, particularly in distinct Minoritized Cultural Communities:

2.4.1. Telehealth and Telemedicine Initiatives

2.4.2. Crisis Intervention Teams (CIT)

2.4.3. Peer Support Programs

2.4.4. Integrated Care Models

2.4.5. Culturally Specific Training

2.4.6. Community Crisis Stabilization Centers

2.4.7. Mobile Crisis Response Teams

2.4.8. Data Analytics and Outcome Monitoring

2.4.9. Community Outreach and Education

2.4.10. Respite Care Services

For each Allowable Program Activity proposed by Applicant, Applicant shall describe:

• The specific Proposed Program Activity;

• Goals sought to be achieved through the Proposed Program Activity;

• Specific Outcomes Applicant expects to result from completing the Proposed Program

Activity;

• Timeline for completing Proposed Activity; and

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• Populations to be served through the proposed Program Activity.

In addition, Applicant shall:

• Describe Applicant’s ability to complete activity and provide specific examples that demonstrate that ability.

• Describe and include specific examples of Applicant’s capacity for designing and implementing innovative projects to address behavioral health needs of the Minoritized Cultural Community that Applicant serves.

3.3.4 Additional Required Information regarding Applicant and Applicant’s Proposed Program Activities.

Applicant shall respond to each of the additional requirements listed in a) through i) below.

a) Describe Applicant’s commitment to mitigating health disparities and inequities within the Minoritized Cultural Community that Applicant serves.

• Describe the “Minoritized Cultural Community” that Applicant currently serves.

• Describe Applicant’s knowledge of specific health inequities experienced by the Minoritized Cultural Community that Applicant currently serves.

• Describe how Applicant’s services are fundamentally designed to address the specific linguistic needs and cultural values, beliefs and needs of the Minoritized Cultural Community that Applicant currently serves.

b) Describe the location of services Applicant will provide if awarded a Grant from this RFGA, including telehealth service; and if applicable, describe how Applicant will prioritize providing services to Rural Oregon residents using telehealth, and describe how Applicant will conduct outreach to Rural Oregon.

c) State if Applicant is a Rural Provider.

d) State how many employees Applicant currently employs.

e) Describe any challenges that Applicant expects to face in performing the proposed Program activities and how Applicant plans to overcome those challenges.

f) Describe any technical assistance, tools, resources needed for successful completion of the proposed Program activities and why such assistance, tools and resources are needed.

g) Describe Applicant’s knowledge and experience necessary for developing and implementing Culturally and Linguistically Specific Behavioral Health Services.

h) Describe Applicant’s potential partnerships with other culturally specific organizations, programs, and/or providers to address the unique needs of clients with intersectional identities. Such potential partnerships may include but are not limited to referrals, collaboration between providers, or other

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3.3.5 Overall Strategy

a) For the Allowable Program Activities selected by Applicant, Applicant shall:

explain Applicant’s overall strategy, Applicant’s experience in performing similar work, and Applicant’s ability to expand, enhance or create Culturally and Linguistically Specific Behavioral Health Services and Co-Occurring Disorder Services for Oregonians.

b) Also, Applicant shall clearly describe Applicant’s plans for implementation, scalability, and long-term sustainability of the Culturally and Linguistically Specific Behavioral Health Services proposed by Applicant.

3.4 BUDGET PROPOSAL (ATTACHMENT B) REQUIREMENTS

Each Applicant must submit a detailed Budget Proposal for the Applicant’s proposed Program activities during the period from February 1, 2025 through September 30, 2025, substantially in the form of Attachment B, including a Budget Narrative (Recommended length: 2 pages).

The Budget Proposal should not exceed $150,000 and must include:

• Line items that are reasonable, cost-effective, and consistent with Proposer’s

Application; and

• A Budget Narrative that provides a clear description and justification for the proposed expenses, which specifically explains how the proposed expenses will allow Proposer to achieve Program goals.

Expenses included in the proposed budget may include the following expense types:

• Personnel Expenses

• Travel Expenses

• Operation Expenses

• Outreach and System Navigation Expenses

• Other Expenses

• Indirect / Administrative Expenses (costs of administering the grant)

The above list includes examples of expenses but is not an exhaustive list of all possible expenditures. See Attachment B – Budget Proposal Form for additional instructions and guidance.

No points will be awarded for the Budget Proposal but failure to submit a Budget Proposal as required by Section 3.4 will cause an Applicant’s Application to be rejected as not Responsive.

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3.5 APPLICANT INFORMATION AND CERTIFICATION SHEET (ATTACHMENT C)

Applicant shall complete and submit the Applicant Information and Certification Sheet (Attachment C).

Failure to demonstrate compliance with Oregon Tax Laws and sign the Applicant Information and Certification Sheet may result in a finding of non-Responsibility.

The Applicant Information and Certification Sheet must bear the Applicant’s authorized representative’s Signature.

Failure of Applicant’s authorized representative to sign the Application may result in rejection of the Application by Agency.

3.6 DISCLOSURE EXEMPTION AFFIDAVIT (ATTACHMENT E)

If Applicant believes any of its Application is exempt from disclosure under Oregon Public Records Law (ORS 192.311 through 192.478), Applicant shall complete and submit the Disclosure Exemption Affidavit (Attachment E). Applicant shall also mark as “Confidential” in OregonBuys all attachments to its Application that Applicant believes are exempt from disclosure.

SECTION 4: RFGA PROCESS

4.1 SINGLE POINT OF CONTACT (SPC)

The SPC for this RFGA is identified on the Cover Page, along with the SPC’s contact information.

Applicant shall direct all communications and questions regarding any provision of the RFGA only to the SPC, whether about the technical requirements of the RFGA, Application requirements , the RFGA process, or any other provision.

4.2 PUBLIC NOTICE

OHA reserves the right to make Amendments to…