rfp_13342_ccyp_addendum1.pdf

SANDIEGOCOUNTY.GOV

October 16, 2026

ADDENDUM NO. 1

CENTER FOR CHILD AND YOUTH PSYCHIATRY (CCYP) (RFP 13342)

This Addendum forms a part of the contract documents and changes the original documents only in the manner and to the extent stated.

CHANGES:

1. REVISE Cover Page, Section 2 as follows:

The contract term is anticipated to be an initial (base) period of one (1) year with four (4) one-year options.

The anticipated contract maximum amount for the five (5) years is $12,000,000 to $15,316,300 inclusive of Ancillary Payments, Section 7 of Payment Schedule. The County intends to aware one (1) contract for these services.

2. ADD Exhibit C, Payment Schedule, Section 7. Pricing Summary as follows:

Term Medication Management Clinic JV-220

Annual Contract Maximum

(Not to Exceed)

Initial Term: July 1, 2027 – June 30, 2028 ☒ Inclusive of ancillary funding not to exceed $ (Offeror to Propose) ☐ No ancillary funding requested

Offeror to Propose Offeror to Propose Offeror to Propose

County Option 1: July 1, 2028– June 30, 2029 Offeror to Propose Offeror to Propose Offeror to Propose

County Option 2: July 1, 2029 – June 30, 2030 Offeror to Propose Offeror to Propose Offeror to Propose

County Option 3: July 1, 2030 – June 30, 2031 Offeror to Propose Offeror to Propose Offeror to Propose

County Option 4: July 1, 2031 – June 30, 2032 Offeror to Propose Offeror to Propose Offeror to Propose

Total Contract Maximum Offeror to Propose Offeror to Propose Offeror to Propose

3. REVISED Exhibit C, Payment Schedule marked Addendum 1 is attached.

If you have any questions, please submit your questions via BuyNet by sending a message to the Contracting Officer through the “Discussions” functionality.

MAGGIE RAMSBERGER

INTERIM DIRECTOR

BRENDA G. MILLER

ASSISTANT DIRECTOR

DEPARTMENT OF PURCHASING AND CONTRACTING

5560 OVERLAND AVENUE, SUITE 270, SAN DIEGO, CALIFORNIA 92123-1204

PHONE (858) 505-6367 FAX (858) 715-6452

COUNTY OF SAN DIEGO – REQUEST FOR PROPOSAL (RFP) 13342

BEHAVIORAL HEALTH SERVICES

CENTER FOR CHILD AND YOUTH PSYCHIATRY (CCYP)

RFP 13342 Addendum No. 1

G. PAYMENT SCHEDULE

1. The County rates for Providers that bill Medi-Cal are based on a percentage of the Department of Health Care Services

(DHCS) Medi-Cal Behavioral Health rates and shall be adjusted accordingly to align with current DHCS Medi-Cal Behavioral Health Fee Schedule which is available at https://www.dhcs.ca.gov/services/MH/Pages/medi-cal-behavioral-health-fee-schedules-main.aspx

The County’s Mental Health Outpatient rates are published at: CalAIM for BHS Providers (optumsandiego.com), and shall designate the rates effective date.

This contract shall utilize the following:

County Base Rate: Approximately 75% of State Rate (45% for Psychiatrist/Contracted Psychiatrist/Licensed Physician (MD), 100% for Interpreter)

County Modifier(s): Approximately 5% of State Rate (excluding Interpreter, Psychiatrist/Contracted Psychiatrist/Licensed Physician (MD) and Interactive Complexity)

2. Services are to be billed in units or as a flat rate (up to the maximum allowable time) in alignment with corresponding CPT or HCPCS codes, depending on the type of service, in accordance with the DHCS Specialty Mental Health Services Medi-Cal Billing Manual. The contractor may utilize the following provider types and service modalities:

Mental Health Outpatient - Children & Youth Program

Clinical Nurse Specialist - Individual & Group Community Health Worker – Individual & Group LPHA (MFT LCSW LPCC) / Intern or Waivered LPHA (MFT LCSW LPCC) – Individual & Group Licensed Psychiatric Technician - Individual & Group Licensed Vocational Nurse - Individual & Group Medical Assistant - Individual & Group Mental Health Rehabilitation Specialist - Individual & Group Nurse Practitioner - Individual & Group Occupational Therapist - Individual & Group Other Qualified Providers: Other Designated MH staff that bill Medi-Cal - Individual & Group Peer Support Specialist – Individual & Group Physician Assistant – Individual & Group Psychologist/Pre-licensed Psychologist – Individual & Group Registered Nurse (RN)– Individual & Group Registered Pharmacist - Individual & Group Psychiatrist/Contracted Psychiatrist/Licensed Physician (MD) – Individual & Group Interpreter Services – Individual & Group Interactive Complexity

3. Contractor shall be paid based on the established County rates as specified in Section 1, in accordance with the DHCS Specialty Mental Health Services Medi-Cal Billing Manual. The invoice shall utilize the appropriate County published rates that aligns with the rates effective date. The invoice shall reflect the total units of service (TUOS) provided during the invoice month and year-to-date and match the TUOS or designated report from the Electronic Health Record (EHR).

4. Monthly invoices shall be reconciled on a year-to-date basis to align with State-approved/processed Medi-Cal units as well as County-approved claims. A final reconciliation of units shall occur within 13 months after the end of each contract term, with adjustment to payments as indicated.

5. JV220 applications are to be billed based on pay point allocation as described below, not to exceed $195,000 annually. Contractor shall invoice monthly for earned pay points and provide documentation to validate completion of deliverable.

https://www.dhcs.ca.gov/services/MH/Pages/medi-cal-behavioral-health-fee-schedules-main.aspx https://www.dhcs.ca.gov/services/MH/Pages/medi-cal-behavioral-health-fee-schedules-main.aspx https://www.optumsandiego.com/content/SanDiego/sandiego/en/county-staff---providers/calaim-for-bhs-providers.html

CENTER FOR CHILD AND YOUTH PSYCHIATRY (RFP 13342)

Initial Term: 7/1/2027 – 6/30/2028

Pay Point Deliverable Payment Timing

Maximum Quantity/

Unit Annually

Flat Rate/Unit

Range

Proposed Flat

Rate/Unit

Potential Reimbursement

JV220 application review and completion

Program psychiatrist will provide consultation, review, and feedback for JV-220 applications as requested by the Court within 5 business days

Upon achievement 650 $225 – 300 Offeror to

Propose Offeror to Propose

Option Year 1: 7/1/2028 – 6/30/2029

Timing

Maximum Quantity/

Unit Annually

Flat Rate/Unit

Range

Proposed Flat

Rate/Unit

Potential Reimbursement

JV220 application review and completion

Program psychiatrist will provide consultation, review, and feedback for JV-220 applications as requested by the Court within 5 business days

Upon

Option Year 2: 7/1/2029 – 6/30/2030

Timing

Maximum Quantity/

Unit Annually

Flat Rate/Unit

Range

Proposed Flat

Rate/Unit

Potential Reimbursement

JV220 application review and completion

Program psychiatrist will provide consultation, review, and feedback for JV-220 applications as requested by the Court within 5 business days

Upon

Option Year 3: 7/1/2030 – 6/30/2031

Timing

Maximum Quantity/

Unit Annually

Flat Rate/Unit

Range

Proposed Flat

Rate/Unit

Potential Reimbursement

JV220 application review and completion

Program psychiatrist will provide consultation, review, and feedback for JV-220 applications as requested by the Court within 5 business days

Upon

Option Year 4: 7/1/2031 – 6/30/2032

Timing

Maximum Quantity/

Unit Annually

Flat Rate/Unit

Range

Proposed Flat

Rate/Unit

Potential Reimbursement

JV220 application review and completion

Program psychiatrist will provide consultation, review, and feedback for JV-220 applications as requested by the Court within 5 business days

Upon

6. Ancillary Payment:

6.1. Subject to availability of funding and County approval, ancillary funding may be accessed within the first 90 days of the initial term of the contract, with any exception to the timeline requiring written justification and written COR pre-approval.

6.1.1. Ancillary payment shall not exceed:

6.1.1.1. Up to ten (10%) of the initial contract amount, not to exceed $150,000 (New Program or New Service Provider)

6.1.1.2. Up to five (5%) of the initial term contract amount, not to exceed $75,000 (Incumbent Provider)

6.1.2. Requests for ancillary funding exceeding the threshold may be available upon request subject to COR pre-approval.

6.1.3. Ancillary funding is included in the initial term contract maximum amount.

6.2. Contractor shall be reimbursed at cost for ancillary expenditures.

CENTER FOR CHILD AND YOUTH PSYCHIATRY (RFP 13342)

6.3. Contractor shall provide a detailed plan for how the ancillary funding will be spent and obtain written COR approval before incurring expenses.

6.4. Ancillary funds may be used for the following:

6.4.1. Minor equipment

6.4.2. Supplies and materials

6.4.3. Licenses and permits

6.4.4. Tenant improvements

6.4.5. Cost of staff hiring (New Program or New Service Provider)

6.4.6. Initial staff training and development related to a new program or operation, excluding ongoing training. (New

Program or New Service Provider)

6.4.7. Staffing costs for first ninety (90) days (New Program or New Service Provider)

6.4.8. Operational costs for first ninety (90) days (New Program or New Service Provider)

6.5. Ancillary expenditures are not subject to indirect cost.

6.6. Contractor shall procure County-approved ancillary goods and services, excluding program staffing and operational costs, through competitive measures by obtaining a minimum three (3) quotes.

6.7. Contractor shall provide a log of expenditures along with invoices of purchased items made during the billing period for reimbursement. Information provided shall include:

6.7.1. Description of expenditure.

6.7.2. Total cost of expenditure

6.7.3. For purchased item(s), purchase price and date including description of the competitive measures undertaken to make the purchase.

6.7.4. Backup documentation to reflect the competitive measures taken.

6.8. All non-expendable property acquisitions are subject to the requirements set forth in Section 2.6 of the Contract Services Agreement.

7. Pricing Summary:

Term Medication Management Clinic JV-220

Annual Contract Maximum

(Not to Exceed)

Initial Term: July 1, 2027 – June 30, 2028 ☒ Inclusive of ancillary funding not to exceed $ (Offeror to Propose) ☐ No ancillary funding requested

Offeror to Propose Offeror to Propose Offeror to Propose

County Option 1: July 1, 2028– June 30, 2029 Offeror to Propose Offeror to Propose Offeror to Propose

County Option 2: July 1, 2029 – June 30, 2030 Offeror to Propose Offeror to Propose Offeror to Propose

County Option 3: July 1, 2030 – June 30, 2031 Offeror to Propose Offeror to Propose Offeror to Propose

County Option 4: July 1, 2031 – June 30, 2032 Offeror to Propose Offeror to Propose Offeror to Propose

Total Contract Maximum Offeror to Propose Offeror to Propose Offeror to Propose