RFP-2025-052 - Mobile Crisis Services.pdf

REQUEST FOR PROPOSAL

MOBILE CRISIS SERVICES

for Broome County Mental Health

RFP-2025-052

August 13, 2025

NEW YORK STATE, COUNTY OF BROOME

Jason T. Garnar, County Executive

MENTAL HEALTH

Elizabeth Warneck, Commissioner

IMPORTANT NOTICE – RFP/RFQ DISTRIBUTION

The County of Broome officially distributes solicitation documents through the Empire State Purchasing Group https://www.bidnetdirect.com/new-york/broome-county Copies from any other source are not considered official copies. Only those proposers who obtain solicitation documents from the Empire State Purchasing Group are guaranteed to receive addendum information, if such information is issued.

If you have obtained this document from a source other than the Empire State Purchasing Group, it is recommended that you obtain an official copy by registering with this service.

1. Invitation - Broome County, New York is inviting sealed proposals from qualified individuals for Mobile

Crisis Services detailed in the accompanying Request for Proposal (RFP). Proposals will be received until 2:00 p.m. local time on Wednesday October 8, 2025. Any proposal received after the time and date specified will not be considered.

2. Submittal of Proposals – ONE (1) ORIGINAL, ONE (1) DUPLICATE COPY, ONE (1) REDACTED

COPY (for release in the event of a FOIL request), AND ONE (1) E L E C T R O N I C C O P Y O N U S B M E D I A of the proposal shall be delivered or mailed with any required data, in a SEALED ENVELOPE, which shall be properly identified with the following required information:

1. RESPONDENT'S FULL NAME & ADDRESS

2. THE RFP TITLE (SEE ABOVE)

3. RFP NUMBER (COVER SHEET)

Submit proposals to: BROOME COUNTY DEPARTMENT OF PURCHASING 60 HAWLEY STREET, 2nd FLOOR

EDWIN L. CRAWFORD COUNTY OFFICE BUILDING

BINGHAMTON, NEW YORK 13901

3. Inquiries – Any inquiries or requests for clarification regarding this RFP must be received by 4:00 p .m.

local time Wednesday September 10, 2025. No oral interpretation or clarifications will be given.

Prospective proposers desiring further information or interpretations must make requests in writing by letter or e-mail. All inquiries together with Broome County’s response will be issued to all prospective proposers well in advance of the date for proposal submission. Requests for information should be addressed as follows:

To: Jill Marsh, Broome County Mental Health mhcontracts@broomecountyny.gov Copy: Carolyn Secor, Broome County Division of Purchasing carolyn.secor@broomecountyny.gov

4. Form of Proposals - Proposals should be prepared in the format set forth in the accompanying documents, including a full description of the proposer’s plan of work, qualifications and resumes of key personnel. A non-responsive or incomplete proposal will be removed from consideration.

5. County’s Prerogatives - The county reserves the right to negotiate with any or all proposers; to reject any or all proposals, in whole or any part thereof; to re-solicit for proposals; and to waive any minor non-conformities in accordance with the county's determination of its own best interests.

6. Fees - The proposer’s response must clearly present the basis for the proposer’s compensation or fee structure for all services described in the proposal. If a particular service is “value added” the proposal shall so state. The fees shall include all ordinary operating expenses incurred by the firm. Extraordinary expenses incurred at the request of and with the consent of the county will be reimbursed.

INSTRUCTIONS TO RESPONDENTS

mailto:mhcontracts@broomecountyny.gov mailto:carolyn.secor@broomecountyny.gov

7. Tax Exempt Entity - The County of Broome is a tax-exempt municipality; taxes are not to be included in any fee calculations.

8. Proposal Longevity - A proposal may be withdrawn at any time prior to the date specified as the closing date for acceptance; however, no proposer may withdraw or cancel a proposal for a period of ninety (90) days following the closing date for acceptance, nor shall the successful proposer withdraw, cancel or modify the proposal, after having been notified that the proposal has been accepted by the County, except at the request of the County or with the County's written consent.

9. Evaluation of Proposals - Proposals will be judged upon the proposer’s ability to provide services, which meet the requirements set forth in the accompanying documents. The County reserves the right to make such investigations as it deems necessary to determine the ability of the proposer to provide services meeting a satisfactory level of performance in accordance with the County's requirements.

10. Interviews – Interviews or presentations by one, several or all the proposers may be requested by evaluators if deemed necessary to fully understand and compare the proposers' capabilities. Site visits by the evaluators may be conducted if deemed necessary by the County. Under Broome County rules and regulations, the County Board of Acquisition and Contract or the County Legislature may be the awarding authority for this type of service, depending on the amount of the accepted proposal:

BOARD OF ACQUISITION & CONTRACT - UP TO $14,999

COUNTY LEGISLATURE - $15,000 AND OVER

However, the Legislature may be utilized for consideration of an award under $15,000 if it is deemed in the best interests of the County. A presentation by the proposer to committees of the Legislature and/or selected County Officials may be required prior to the recommendation and consideration of an award.

11. Contract Terms - At the time of the award by the County, the apparent successful proposer(s) must agree to a contract memorializing the terms and conditions which will govern the relationship and establish the obligations of each party. All proposers shall be aware that the contents of a successful proposal will be construed in favor of Broome County and that the final contract between the successful proposer and Broome County may incorporate by reference the County's RFP documents and the successful proposals and supporting submittals.

12. Proposer’s Conditions - Any conditions or expectations on the part of the proposer for performance by the

County must be set forth in the proposal. The County is not obliged to consider the proposer’s post-submittal terms and conditions. *** If any service is not included, or is available for an additional cost, the submittal shall clearly so state. ***

13. Choice of Law & Venue - The resulting agreement will contain language stating that the contract is performable in Broome County, New York, and shall be construed in accordance with the laws of the State of New York. If any legal action is brought in connection with the enforcement of the contract, exclusive venue shall lie in County of Broome, New York.

14. Proposer’s Preparation Costs - Any costs incurred by the proposer in responding to the RFP is at the proposer’s own risk and expense as a cost of doing business. All materials submitted with a proposal shall become property of Broome County and will not be returned to the proposer. The proposer is hereby notified that all submitted materials are subject to disclosure pursuant to the New York State Freedom of Information Law (New York Public Officer’s Law section 86 et seq.).

15. Deliverables – Although the specific deliverables are subject to negotiation the successful proposer will be expected to provide the required services as outlined in this proposal.

16. Ex parte Contact – Proposer shall not contact any other county officials other than those referenced in this RFP or in accordance with the procedure outlined herein. Any proposer that violates the foregoing provision may be disqualified from consideration. Proposals shall be based solely on information provided in the RFP and any addenda thereto.

17. Minimum Qualifications - The County will not consider any proposals that do not meet the minimum qualifications defined in the specifications.

18. Standard Assurances - By submitting this proposal, the proposer agrees to comply with all of the Standard

Assurances that may be attached.

19. Cancellation - (A) Broome County reserves the right to cancel the contract if the bidder fails to fully comply with all insurance requirements at any time. or (B) Broome County reserves the right to cancel the contract in the event the bidder fails to take adequate corrective action within fifteen (15) days after receiving notice of default in any of the obligations under the contract; including, but not limited to, the failure to deliver on specified delivery date(s) or the delivery of non-conforming goods or services. In the event of a default and cancellation of the contract, the bidder shall be responsible for payment to Broome County of a sum equal to the additional contract costs to the County. The user Broome County Department head will communicate with the vendor/contractor's management office to resolve problems throughout the contract term.

Cancellation Due to Non-Appropriation of Funds/Leases - Broome County reserves the right to cancel the contract in the event that the County Legislature, during the enactment of the County Budget, fails or declines to appropriate money for the continuation of the funds/lease(s).

20. Term of Contract – The term of contract shall commence upon approval by the Broome County Legislature, notification of award, mutual execution of an agreement, and receipt of a satisfactory certificate of insurance.

Renewal will be at the sole discretion of Broome County. It is Broome County’s intention to contract for a five-year term.

21. Legal Compliance – Each proposer is responsible for full and complete compliance with all applicable laws, rules, regulations and licensing requirements imposed by any public authority having jurisdiction.

22. Proposer’s Insurance – The contractor must provide and maintain in force at all times during the term of the services contemplated herein insurance as described in the attached contract insurance specifications.

Appropriate evidence of such coverage, other than any required endorsements, is to be submitted as part of the proposal and included in the Appendix. The successful proposer will have twenty (20) days from the date of the notice of award to supply proof of application for any necessary policy endorsements.

23. Auditable Records – The successful contractor shall maintain such accounts and records in connection with its performance of services for the County as may reasonably be required by the County. The contractor shall, at any reasonable time during the term and for a period of one year following the completion of work under the contract, afford the County’s agents and auditors reasonable facilities and access for the examination and audit of its records pertaining to its performance and shall, upon request by the County, produce and exhibit all such records.

24. Non-Discrimination – The contractor shall not discriminate or permit discrimination in its operations or employment practices against any person or group on the grounds of race, color, creed, national origin, gender or handicaps and shall furnish evidence of compliance with provision when so requested by the County.

25. Contribution Statement and Gift Statement

A. Election Law Signed Statements: The county shall require a signed statement for any contract or agreement that requires formal bidding under the New York State General Municipal Law, the Broome County Charter or Local Law of Broome County that the professional business entity has not made a contribution within one calendar year immediately preceding the date of the contract or agreement which exceeded the permitted thresholds set forth in article 14 of the Election Law of the State of New York.

B. Gifts Signed Statement: The county shall require a signed statement for any contract or agreement that requires formal bidding under the New York State General Municipal Law, the Broome County Charter or Local Law of Broome County that discloses all gifts given, if any, by the bidding professional business entity to any officer or employee of the County of Broome.

26. Iranian Energy Sector Divestment

1. Contractor/Proposer hereby represents that said Contractor/Proposer is in compliance with New York State General Municipal Law Section 103-g entitled “Iranian Energy Sector Divestment”, in that said Contractor/Proposer has not:

a. Provided goods or services of $20 Million or more in the energy sector of Iran including but not limited to the provision of oil or liquefied natural gas tankers or products used to construct or maintain pipelines used to transport oil or liquefied natural gas for the energy sector of Iran; or

b. Acted as a financial institution and extended $20 Million or more in credit to another person for forty-five days or more, if that person’s intent was to use the credit to provide goods or ser-vices in the energy sector in Iran.

2. Any Contractor/Proposer who has undertaken any of the above and is identified on a list created pursuant to Section 165-a (3)(b) of the New York State Finance Law as a person engaging in investment activities in Iran, shall not be deemed a responsible bidder pursuant to Section 103 of the New York State General Municipal Law.

3. Except as otherwise specifically provided herein, every Contractor/Proposer submitting a bid/proposal in response to this Request for Bids/Request for Proposals must certify and affirm the following under penalties of perjury:

a. “By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in the case of a joint bid, each party thereto certifies as to its own organization, under penalty of perjury, that to the best of its knowledge and belief, that each bidder is not on the list created pursuant to NYS Finance Law Section 165-a (3)(b).”

Broome County will accept this statement electronically in accordance with the provisions of Section 103 of the General Municipal Law.

4. Except as otherwise specifically provided herein, any Bid/Proposal that is submitted without having complied with subdivision (a) above, shall not be considered for award. In any case where the Bidder/Proposer cannot make the certification as set forth in subdivision (a) above, the Bidder/Proposer shall so state and shall furnish with the bid a signed statement setting forth in detail the reasons therefore.

The County reserves its rights, in accordance with General Municipal Law Section 103-g to award the Bid/Proposal to any Bidder/Proposer who cannot make the certification, on a case-by-case basis under the following circumstances:

a. The investment activities in Iran were made before April 12, 2012, the investment activities in Iran have not been expanded or renewed after April 12, 2012, and the Bidder/Proposer has adopted, publicized and is implementing a formal plan to cease the investment activities in Iran and to refrain from engaging in any new investments in Iran; or

b. The County of Broome has made a determination that the goods or services are necessary for the County to perform its functions and that, absent such an exemption, the County of Broome would be unable to obtain the goods or services for which the Bid/Proposal is offered. Such determination shall be made by the County in writing and shall be a public document.

27. Executive Order 177 regarding Anti-Discriminatory Policies and Practices

The New York State Human Rights Law, Article 15 of the Executive Law, prohibits discrimination and harassment based on age, race, creed, color, national origin, sex, pregnancy or pregnancy-related conditions, sexual orientation, gender identity, disability, marital status, familial status, domestic violence victim status, prior arrest or conviction record, military status or predisposing genetic characteristics.

The Human Rights Law may also require reasonable accommodation for persons with disabilities and pregnancy-related conditions. A reasonable accommodation is an adjustment to a job or work environment that enables a person with a disability to perform the essential functions of a job in a reasonable manner. The Human Rights Law may also require reasonable accommodation in employment on the basis of Sabbath observance or religious practices.

Generally, the Human Rights Law applies to:

• all employers of four or more people, employment agencies, labor organizations and apprenticeship training programs in all instances of discrimination or harassment;

• employers with fewer than four employees in all cases involving sexual harassment; and,

• any employer of domestic workers in cases involving sexual harassment or harassment based on gender, race, religion or national origin.

In accordance with Executive Order No. 177, the Bidder hereby certifies that it does not have institutional policies or practices that fail to address the harassment and discrimination of individuals on the basis of their age, race, creed, color, national origin, sex, sexual orientation, gender identity, disability, marital status, military status, or other protected status under the Human Rights Law.

Executive Order No. 177 and this certification do not affect institutional policies or practices that are protected by existing law, including but not limited to the First Amendment of the United States Constitution, Article 1, Section 3 of the New York State Constitution, and Section 296(11) of the New York State Human Rights Law.

28. Required Documents - Proposals received that do not include the required documents signed and returned may be deemed non-responsive and removed from consideration to award.

ATTACHMENTS:

Insurance Requirements Proposal Specification Required Documents:

Proposal Sheet Compliance Statement Variation and Justification Sheet Non-Collusive Bidding Certificate Iranian Energy Divestment Certification Election Law Statement Gifts Statement Insurance Acknowledgment W-9 Respondent’s Check List

Master Insurance Requirements As amended May 11, 2004

Risk Management & Insurance Specifications Project Description or Contract Number

Mobile Crisis Service to provide Behavioral Health Crisis intervention services and risk assessments

Date Issued June 30, 2025 Vendor name (“Contractor”) TBD County Department Mental Health Jill Marsh

Please read these specifications very carefully. These specifications are part of your contract with Broome County. It is advisable that you forward a copy of these specifications to your insurance agent. Broome County’s waiver of any requirement(s) set forth herein shall not constitute a waiver of any other contract provision.

Part I. General Provisions

1. The Contractor shall procure and maintain during the term of this contract, at the Contractor’s expense, the insurance policies listed in Part II with limits equal to or greater than the enumerated limits.

2. The contractor shall be solely responsible for any self-insured retention or deductible losses under each of the required policies.

3. Every required policy, including any required endorsements and any umbrella / excess policy, shall be primary insurance. Insurance carried by Broome County, its officers, or its employees, if any, shall be excess and not contributory insurance to that provided by the Contractor.

4. Every required coverage type shall be “occurrence basis”.

5. The Contractor may utilize umbrella/excess liability coverage to achieve the limits required hereunder;

such coverage must be at least as broad as the primary coverage (follow form).

6. All insurance certificates must be approved by the Office of Risk & Insurance Management. See section II for specific requirements regarding insurance proof.

7. The County reserves its right to request certified copies of any policy or endorsement thereto.

8. All insurance shall be provided by insurance carriers licensed & admitted to do business in the State of New York and must be rated “A−:VII” or better by A.M. Best (Current Rate Guide).

9. If the Contractor fails to procure and maintain the required coverage(s) and minimum limits such failure shall constitute a material breach of contract, whereupon Broome County may exercise any rights it has in law or equity, including but not limited to the following:

(a) immediate termination of the contract;

(b) withholding any / all payment(s) due under this contract or any other contract it has with the vendor (common law set-off); OR

(c) procuring or renewing any required coverage(s) or any extended reporting period thereto and paying any premiums in connection therewith. All monies so paid by Broome County shall be repaid upon demand, or at the County’s option, may be offset against any monies due to the Contractor.

10. Neither Party shall permit a subcontractor to enter upon or continue the performance of this Agreement unless such subcontractor is and remains insured in accordance with the requirements listed hereunder. Any such subcontracting Party shall indemnify the other Party for any loss suffered by the non-subcontracting Party for the failure of any subcontractor to so insured. The indemnity shall survive expiration or termination of the Agreement.

Part II. Required Insurance – Minimum coverage types and amounts.

Coverage Type Minimum Limits Commercial General Liability (CGL) including:

Products & completed operations shall not be excluded.

Broome County shall be named additional insured. The additional insured endorsement for the insurance shall not contain any exclusion for bodily injury or property damage arising from completed operations.

Proof of additional insured coverage shall be evidenced through a carrier issued endorsement. (ISO CG 20 10 11 85 or equivalent)

$1,000,000 / $2,000,000 Per occurrence / minimum annual aggregate limit

Automobile Liability (Comprehensive Form) Must cover owned, non-owned and hired vehicles

$1,000,000 Combined Single Limit

Workers’ Compensation and Employer’s Liability See #2 If you have no employees (sole proprietor) you may provide an affidavit of exemption. (CE-200) if the box to the left is checked

Statutory amount / $100,000

Disability Insurance See #3 If you have no employees (sole proprietor) you may provide an affidavit of exemption. (CE-200) if the box to the left is checked

Statutory limits

Umbrella coverage: over CGL and Automobile $1,000,000 CSL

Professional Liability

• “Claims made” coverage must be maintained continuously for a minimum of two (2) years after contract termination.

• Shall not contain restrictions for:

Contractual Liability Express warranties or guaranties Personal injury

Proof of additional insured coverage shall be evidenced through a carrier issued endorsement.

$1,000,000 / $3,000,000 Per occurrence / minimum Annual aggregate limit

Sex Abuse and Molestation Coverage $100,000 per occurrence / $300,000 general aggregate

1. The certificate face shall:

indicate coverage(s) (other than Workers’ Compensation & Disability) & minimum amounts required in part II.1 provide that the coverage(s) shall not be cancelled, terminated, or materially changed (including an insurance limits reduction) unless thirty (30) days prior written notice has been given to the County Office of Risk & Insurance Management.

Disclose all policy exclusions Disclose the amount of self-insured retention or deductibles.

Show Products & completed operation

2. Proof of Workers’ Compensation Coverage must be provided on NYS issued WCB form C-105.2 or U-26.3. Exemption should be provided on CE-200

3. Proof of Disability Coverage must be provided on NYS issued WCB form DB-120.1 or DB820/829 or DB-155. Exemption should be provided on CE-200

4. The Additional Insured & Certificate Holder should read:

County of Broome Attn: Office of Risk & Insurance Management PO Box 1766 Binghamton, NY 13902-1766

Part III Defense and Indemnification

The following provisions concerning indemnification shall not be construed to indemnify the County for damages arising from bodily injury to persons or property contributed to, caused by or resulting from the sole negligence of the County or its employees.

The Contractor agrees to indemnify and hold the County of Broome and any officer, employee and/or agent thereof free and harmless from any and all losse(s), penalty(ies), damages, settlement(s), cost(s), charge(s), professional fee(s) or other expense(s) or liability(ies) of every kind arising from or relating to any and all claim(s), lien(s), demand(s), obligation(s), action(s), proceedings or causes of action of any kind in connection with, or arising directly or indirectly from the negligent error(s) and/or omission(s) and/or act(s) of the Contractor (including Contractor’s employees, agents or and/or subcontractors) in the performance of this agreement.

Without limiting the generality of the preceding paragraphs, the following shall be included in the indemnity hereunder: any and all such claims, etc., relating to personal injury, death, damage to property, or any actual or alleged violation of any applicable statute (including specifically but not limited to New York State Labor Law §§ 200; 202; 240 & 241), ordinance, administrative order, executive order, rule or regulation, or decree of any court of competent jurisdiction in connection with, or arising directly or indirectly from, errors and/or negligent acts by the Contractor, as aforesaid,.

Part IV Safety

Broome County specifically reserves the right to suspend or terminate all work under this contract whenever Contractor and/or contractor’s employees or subcontractors are proceeding in a manner that threatens the life, health, or safety of any of contractor’s employees, subcontractor’s employees, county employees or member(s) of the general public on county property. This reservation of rights by Broome County in no way obligates Broome County to inspect the safety practices of the Contractor.

If Broome County exercises its rights pursuant to this part, the contractor shall be given three days to cure the defect, unless Broome County, in its sole and absolute discretion, determines that the service cannot be suspended for three days due to Broome County’s legal obligation to continuously provide contractor’s service to the public or Broome County’s immediate need for completion of the Contractor’s work. In such case, Contractor shall immediately cure the defect.

If the Contractor fails to cure the identified defect(s), Broome County shall have the right to immediately terminate this contract. In the event Broome County terminates this contract, any payments for work completed by the Contractor shall be reduced by the costs incurred by Broome County in re-bidding the work and /or by the increase in cost that results from using a different vendor.

Broome County Mental Health Department - Mobile Crisis Services RFP-2025-052

Part A: Proposal / Program Requirements

1. Introduction

1.1 The Broome County Mental Health Department is seeking proposals from eligible applicants, as outlined in Section 3 (below), to establish countywide, integrated, Mobile Crisis services - to deliver person-centered, trauma-informed, high-quality and effective behavioral support to individuals experiencing mental health and/or substance use disorder-related crises in Broome County. Services will be provided in accordance with all current – and future – statues, guidance, and standards issued from the NYS Offices of Mental Health (OMH) and Addiction Services and Supports (OASAS), the NYS Department of Health (DOH), and federal agencies.

1.2 Number of Anticipated Awards: one (1).

1.3 The selected applicant will provide Mobile Crisis services:

1.3.a Operational Monday-Sunday (7 days/week), 1.3.b Operational from 10:00am-10:00pm daily 1.3.c Not operational on the following holidays: New Year’s Day, Memorial Day, Independence Day, Labor

Day, Thanksgiving Day, and Christmas Day.

1.4 This Request for Proposal (RFP) opportunity will result in a five-year (5-year) agreement, memorialized annually via contract, for the period of January 2026 through December 2030. Renewal beyond December 2030 is contingent upon available funding and satisfaction of the services executed resulting from this award.

1.5 The selected applicant is expected to complete all necessary documentation and undergo the process to become designated as Mobile Crisis provider, pursuant to Mental Hygiene Law §9.581 as outlined by NYS Office of Mental Health.

1.6 Direct funding to the selected provider for the Mobile Crisis proposal herein is expected to be one-million dollars ($1M) annually, for five years, beginning January 1, 2026.

1.7 Providers are expected to bill insurance payors for Mobile Crisis service components consistent with the most recent edition of New York State Crisis Intervention Benefit and Billing Guidance2 and therefore, must have the capability to consistently seek claims for eligible provision of services. Submissions of expenditure-based claims for reimbursement by the County, via this RFP process, can include services that are not eligible for payor reimbursement to the extent allowable by the budgeted appropriation.

2. Vision & Goals

The Mobile Crisis service will be a trusted and integral resource, helping individuals maintain stability through timely intervention, support, and connection to ongoing care. By embedding this service into the local crisis continuum, the successful applicant will play a critical role in fostering long-term resilience, reducing the need for higher levels of care.

2.1 The Vision is to deliver a person-centered, trauma-informed, culturally responsive, evidence-informed/based response in the community for behavioral health crises. The Mobile Crisis service aims to:

2.1.a Increase accessibility to crisis response.

2.1.b Provide direct connections for individuals to prevention, treatment, and recovery services and supports.

2.1.c Reduce the impact to emergency rooms resulting from visits associated with behavioral health crises that can be better treated in the community.

1 Mobile Crisis Outreach Teams – Mental Hygiene Law §9.58 2 NYS Crisis Intervention Benefit: Mobile Crisis Component Medicaid Managed Care Benefit and Billing Guidance. NYS Office of Mental Health 02/2025.

https://omh.ny.gov/omhweb/bho/docs/mobile-crisis-benefit-and-billing-guidance.pdf https://codes.findlaw.com/ny/mental-hygiene-law/mhy-sect-9-58/ https://omh.ny.gov/omhweb/bho/docs/mobile-crisis-benefit-and-billing-guidance.pdf

2.2 The Goals of Mobile Crisis services3 are engagement, symptom reduction, and stabilization. These services can be provided to individuals who appear to be experiencing, or are at imminent risk of experiencing, a behavioral health (psychiatric or substance use) crisis, regardless of age or ability to pay. These services are designed to interrupt or ameliorate a crisis by:

2.2.a Providing crisis response in the community where individuals live, work, learn, and socialize.

2.2.b Supporting timely crisis resolution and de-escalation, and development of a crisis or safety plan.

2.2.c Delivering services directly to the individuals and/or their identified collaterals within the context of a potential or actual behavioral health crisis.

2.2.d Aid in the diversion of an emergency room visit or inpatient admissions, if appropriate.

2.2.e Providing services that are culturally and linguistically responsive, person-centered and trauma-informed to determine level of safety, risk, and to plan for the next level of services emphasizing symptom reduction, restoring individuals to a previous level of functioning, and preventing crises in the future.

2.2.f Engaging individuals and their families and support systems in mental health and substance use assessments and tools.

2.2.g Providing short-term care coordination, service planning, safety planning, individual, family and collateral supportive counseling, family advocacy and/or peer support services; and

2.2.h Ensuring services include family-focused engagement, integration of natural supports and other collaterals while ensuring all services including family or other collaterals are for the direct benefit of the beneficiary.

3. Eligible Applicants & Minimum Qualifications

3.1 Eligible applicants include entities:

3.1.a With status as a 501 (c)(3) organization, 3.1.b That currently provide behavioral health services within Broome County and, 3.1.c Demonstrate an existing affiliation with NYS Office of Addiction Services and Supports (OASAS) and/or

NYS Office of Mental Health (OMH) as a licensed or funded entity, subject to guidance or statutes under the jurisdiction of OASAS or OMH.

3.2 Applicants must demonstrate the clinical expertise and infrastructure necessary to provide clinical, peer, and short-term care management services, inclusive of billing and Electronic Health Record (EHR)/Electronic Medical Record (EMR) digital platforms.

3.3 The awarded provider will be required to complete the application process to be designated as a Mobile Crisis provider for Broome County, pursuant to Mental Hygiene Law § 9.584.

3.4 The provider is expected to work closely with all behavioral health programs within Broome County’s crisis continuum of care including - but not limited to - local hospital emergency departments, the existing Comprehensive Psychiatric Emergency Program5 (CPEP) located at United Health Services, Binghamton General Hospital, the planned Supportive Crisis Stabilization Center6 (SCSC), the region’s 988 – Suicide and Crisis Lifeline7 provider, and Broome-based law enforcement and other First Responder agencies.

3.5 Joint applications between partnering organizations are welcome and must clearly delineate staffing and responsibilities.

3NYS Crisis Intervention Benefit: Mobile Crisis Component. Medicaid Managed Care Benefit and Billing Guidance. NYS Office of Mental Health (OMH). 02/2025.

4 Mobile Crisis Outreach Teams – Mental Hygiene Law §9.58 5 Comprehensive Psychiatric Emergency Program (CPEP) – Mental Hygiene Law §9.40 and 14 NYCRR Part 590 6 Crisis Stabilization Centers – Mental Hygiene Law §36.01 and §36.02 7 9-8-8 Suicide and Crisis Lifeline – Mental Hygiene Law §36.03 https://omh.ny.gov/omhweb/bho/docs/mobile-crisis-benefit-and-billing-guidance.pdf https://codes.findlaw.com/ny/mental-hygiene-law/mhy-sect-9-58/ https://codes.findlaw.com/ny/mental-hygiene-law/mhy-sect-9-40/ https://govt.westlaw.com/nycrr/Browse/Home/NewYork/UnofficialNewYorkCodesRulesandRegulations?guid=Ica856e90b7ec11dd9120824eac0ffcce&originationContext=documenttoc&transitionType=Default&contextData=(sc.Default) https://codes.findlaw.com/ny/mental-hygiene-law/mhy-sect-36-01/ https://codes.findlaw.com/ny/mental-hygiene-law/mhy-sect-36-02/ https://codes.findlaw.com/ny/mental-hygiene-law/mhy-sect-36-03/

4. Contract and Contract Term

4.1 Broome County intends to contract for a five (5) year term. Term shall commence upon approval from the Broome County Legislature, notification of award, mutual execution of an agreement, and receipt of a satisfactory certificate of insurance.

4.2 The bid specifications herein, and the terms of the contract, shall constitute the contract referenced herein.

5. Available Funding - Billable Services - Financial Sustainability

5.1 The funding model for Mobile Crisis services in Broome County is designed to support an integrated and responsive approach to crisis intervention, ensuring individuals receive timely and effective care. Consisting of a blend of funding from Office of Mental Health (OMH) State Aid, Office of Addiction Services and Supports (OASAS) Opioid Settlement Funds (OSF) via targeted Regional Abatement Funds (RAF), Broome County support, federal Medicaid8 managed care revenue, and private insurance payor revenue. This braided funding model underscores the expectation that the Mobile Crisis services will provide a consistent, high-quality crisis response, within a payor-blind framework.

5.2 Mobile Crisis will be funded through a performance-based contract with a specified set of deliverables subject to the oversight and monitoring by the Broome County Mental Health Department, Local Government Unit.

5.3 Direct funding to the selected provider for the Mobile Crisis proposal herein is expected to be one-million dollars ($1M) annually, beginning January 2026, for a period of January 2026 – December 2030.

5.4 Once the selected provider is approved as NYS Mobile Crisis provider, they are expected to bill insurance payors for Mobile Crisis service components consistent with the most recent edition of New York State Crisis Intervention Benefit and Billing Guidance and therefore, must have the capability to consistently seek claims for eligible provision of services.

5.5 It is expected that all applicants will review the guidance documents referenced throughout this RFP [see

Footnotes and Attachments] to ensure comprehensive understanding of the requirements for each type of service to ensure programmatic success and financial sustainability.

6. Definitions9

Mobile Crisis services are specific therapeutic and supportive activities delivered by a NYS-approved Mobile Crisis Provider. The applicants are reviewed and approved by the Local Government Unit (LGU) and NYS Office of Mental Health to provide crisis intervention services.

As outlined in the current guidance10, NYS defines the following:

6.1 Behavioral Health (BH) Crisis

6.1.a Behavioral Health (BH) Crisis is an acute psychological or emotional change which results in a marked increase in personal distress, requires a rapid response, and exceeds the abilities and the resources of the individual and those involved to effectively resolve.

6.1.b Broome County includes in this definition, a situation in which a person’s thoughts, emotions, and behaviors have the potential to result in [1] harm to themselves, [2] harm others, or [3] “other conduct which shall include the person’s refusal or inability to meet their essential needs for food, shelter, clothing, or health care provided that such refusal or inability is likely to result in serious harm if there were no immediate intervention,”11 [4] or could result in hospitalization.

8 Rates available under: “Crisis Services: Mobile & Telephonic” at this NYS OMH website: https://omh.ny.gov/omhweb/medicaid_reimbursement/ 9 NYS Crisis Intervention Benefit: Mobile Crisis Component Medicaid Managed Care Benefit and Billing Guidance. NYS Office of Mental Health 02/2025. Page 4.

10 NYS Crisis Intervention Benefit: Mobile Crisis Component Medicaid Managed Care Benefit and Billing Guidance. NYS Office of Mental Health 02/2025. Page 4.

11 https://omh.ny.gov/omhweb/forensic/manual/html/chapter7.htm & https://omh.ny.gov/omhweb/forensic/manual/pdf/474a476a.pdf https://omh.ny.gov/omhweb/medicaid_reimbursement/ https://omh.ny.gov/omhweb/medicaid_reimbursement/ https://omh.ny.gov/omhweb/bho/docs/mobile-crisis-benefit-and-billing-guidance.pdf https://omh.ny.gov/omhweb/bho/docs/mobile-crisis-benefit-and-billing-guidance.pdf https://omh.ny.gov/omhweb/forensic/manual/html/chapter7.htm https://omh.ny.gov/omhweb/forensic/manual/pdf/474a476a.pdf

6.2 Qualifying Behavioral Health Crisis Intervention (BHCI) Episode

6.2.a Qualifying Behavioral Health Crisis Intervention (BHCI) Episode begins with the provider’s initial contact with the individual.

6.2.b The end of the crisis episode is defined by the amelioration of the individual’s presenting symptoms or, if clinically indicated, when the person is transferred to the recommended level of care.

6.3 Behavioral Health Crisis Intervention (BHCI)

6.3.a Behavioral Health Crisis Intervention (BHCI) is defined as the activity (SERVICE) and modality (COMPONENT), provided to an individual, to interrupt or ameliorate the individual's BH crisis.

6.3.a.1 Mobile Crisis SERVICES12 are provided within the following response methods to individuals, based on need, in the community:

6.3.a.1-a Telephonic Triage and Response 6.3.a.1-b Telephonic Crisis Follow Up 6.3.a.1-c Mobile Crisis Response 6.3.a.1-d Mobile Crisis Follow Up

6.3.a.2 Mobile Crisis service COMPONENTS13 include:

6.3.a.2-a Mental Health and Substance Use Assessments 6.3.a.2-b Crisis Planning 6.3.a.2-c Safety Planning 6.3.a.2-d Individual and Family Counseling 6.3.a.2-e Care Coordination 6.3.a.2-f Peer / Family Peer Support

7. Program Overview and Scope of Work

Mobile Crisis will provide services - in accordance with standards as put forth by the NYS Offices of Addiction Services and Supports (OASAS), Mental Health (OMH), and Department of Health (DOH) – which utilize therapeutic communication, interactions and supporting resources to interrupt and/or ameliorate acute behavioral health distress and associated behaviors.

7.1 The Mobile Crisis service will:

7.1.a Be comprised of a credentialed, comprehensively trained team of clinicians, peers and care managers – to deliver person-centered, trauma-informed, high-quality and effective behavioral health interventions, strategies, and supports to those in the community experiencing a behavioral health crisis.

7.1.b Assist individuals to safely remain in the community, reduce unnecessary emergency room visits, inpatient mental health and/or substance use hospitalizations, and reduce the risk of future crisis.

7.1.c Establish interoperability with the Broome County Office of Emergency Services 911 Dispatch Center.

7.1.d Establish workflow and adopt practices to facilitate seamless call transfers, ensuring timely intervention for individuals in crisis, within the scope of available personnel and resources, with a targeted effort to respond within one (1) clock hour of deployment.

7.1.e Actively engage in the Broome County Behavioral Health System of Care - inclusive of inpatient and outpatient treatment services and community/peer supports - and active planning and coordination with the Broome County Mental Health Department / Local Government Unit.

7.1.f Ensure adequate staffing capacity of credentialed personnel to respond during the specified operational period. [see Introduction]

12 NYS Crisis Intervention Benefit: Mobile Crisis Component Medicaid Managed Care Benefit and Billing Guidance. NYS Office of Mental Health 02/2025. Page 4.

13 NYS Crisis Intervention Benefit: Mobile Crisis Component Medicaid Managed Care Benefit and Billing Guidance. NYS Office of Mental Health 02/2025. Page 4.

7.1.g Collaborate, educate, and partner with local law enforcement and other First Responders – outlining deployment and response expectations of the Mobile Crisis service – ensuring cooperative and coordinated efforts with law enforcement or other crisis response entities.

7.2 Mobile Crisis services are available to all individuals who - at the time of the Qualifying Behavioral Health Crisis Intervention Episode [see Definitions] - are geographically located within Broome County, regardless of age or ability to pay.

8. Program Operation, Service Components, and Deliverables

8.1 Mobile Crisis services are delivered telephonically, or in person, for the direct benefit of the individual in crisis.

In alignment with guidance standards, the successful RFP awardee can apply to provide telehealth services, however, such methods are expected to complement, not replace, in-person engagement whenever possible.

8.2 The selected applicant must meet state requirements and local needs. Applicants must be able to adhere to – and remain in compliance with - all guidance for programmatic implementation and billing requirements as issued from Broome County, NYS Office of Addiction Services and Supports (OASAS), NYS Office of Mental Health (OMH), and NYS Department of Health (DOH).

8.2.a Attachment A: New York State Crisis Intervention Benefit: Mobile Crisis Component. Medicaid Managed Care Benefit and Billing Guidance. NYS Offices of Addiction Services and Supports (OASAS), Mental Health (OMH), and Department of Health. Issued: 02/2025.

8.2.b Attachment B: State Plan Amendment Updates to Mobile Crisis Services. NYS Office of Mental Health (OMH). Issued: 02/01/2024.

8.2.c Attachment C: New York State Mobile Crisis Program Guidance. NYS Office of Mental Health (OMH).

Issued 09/20/2019. [NOTE: This document is referenced in the 2025 Guidance Document.]

8.2.d Attachment D: Mobile Crisis Guidelines for Broome County. Issued: July 2025.

8.2.e Attachment I: Telehealth Services Guidance for OMH Providers. NYS Office of Mental Health (OMH).

Issued 04/2023. [NOTE: This document is referenced in the 2025 Guidance Document.]

8.3 Program Deliverables

8.3.a In alignment with Program Guidance noted in this Section, Mobile Crisis will include the following:

8.3.a.1 Assessment 8.3.a.2 Crisis Intervention 8.3.a.3 Supportive Counseling 8.3.a.4 Information and Referrals 8.3.a.5 Interoperability with existing crisis/emergency response systems and agencies 8.3.a.6 Community Engagement and Awareness

8.3.b Acknowledgement of specific detailed descriptions of these deliverables are outlined in Attachment D:

Mobile Crisis Guidelines for Broome County.

https://omh.ny.gov/omhweb/bho/docs/mobile-crisis-benefit-and-billing-guidance.pdf https://omh.ny.gov/omhweb/bho/docs/state-plan-amendment-updates-to-mobile-crisis-services.pdf https://omh.ny.gov/omhweb/bho/docs/mobile_crisis_program_guidance.pdf https://omh.ny.gov/omhweb/guidance/telehealth-guidance.pdf

9. Data Collection and Collaboration with Broome County Mental Health Department & Stakeholders

9.1 As this project is supported via a braided fiscal model – which includes local, state, federal and health insurance/payor sources - data collection and submission is required to both Broome County and the NYS Office of Mental Health (OMH).

9.1.a NYS OMH requires specific data be pulled from the organization’s Electronic Health Record (EHR) / Electronic Medical Record (EMR). This will necessitate an agreement between the awarded Mobile Crisis provider and OMH.

9.1.b Please reference Attachment D: Mobile Crisis Guidelines for Broome County - for data reporting scope and details specific for the Broome County Mental Health Department.

9.2 The selected provider is required to meet regularly with the Broome County Mental Health Department (BCMHD) / Local Government Unit (LGU) to review service utilization and data. Data associated with Mobile Crisis services will be used to assess programmatic impact, determine systemic barriers impacting the provision of service(s), and to contribute to Broome County’s planning of the Behavioral Health System of Care.

10. Proposal Content and Format

10.1 Applicants seeking consideration under this RFP opportunity will be reviewed utilizing:

10.1.a Proposal Narrative.

10.1.b Annual Operational Budget and One-time Start-up Budget.

10.1.c Budget Narratives that accompany the two budgets noted above.

10.1.d Other Required Documentation.

10.2 PROPOSAL NARRATIVE – construct and submit documentation to demonstrate the following:

10.2.a Cover Sheet / Cover Letter that identifies:

10.2.a.1 Applicant organization’s name and address, division/department under which the Mobile

Crisis service will be operated.

10.2.a.2 Name, phone number, and e-mail address for the primary contact person for this submission.

10.2.a.3 Name, title, and signature of the individual authorized to act on behalf of the organization for submission of the application.

10.2.b Format 10.2.b.1 Should be single-spaced and prepared in a true-type, size 12 font.

10.2.b.2 Should not exceed ten (10) pages.

10.2.b.3 Documentation can be part of the applicant’s Narrative – or labeled and included as an attachment.

10.2.c Describe the Organization’s Experience in Each of the Following Areas:

10.2.c.1 Applicant organization’s qualifications and capacity to provide the proposed service.

10.2.c.2 Describe any current or historic programming / affiliation with NYS Office of Addiction

Services and Supports (OASAS), Office of Mental Health (OMH) - clinical and/or non-clinical/supportive services provided to youth and/or adults living with mental illness, substance use, and/or intellectual/developmental disabilities.

10.2.c.3 Cross-systems collaboration with community providers to address the diverse needs of the population. Include specific examples of partnerships that have enhanced service coordination, streamlined access to care, and improved outcomes for individuals requiring behavioral health support.

10.2.c.4 How the organization fosters ongoing collaboration with providers across sectors, including mental health, substance use and intellectual/developmental disability services.

10.2.c.5 With the delivery of crisis intervention services including crisis assessment, intervention, supportive counseling, and referrals for individuals with mental illness, substance use, and intellectual/developmental disabilities experiencing emotionally distressing situations with current or historic services.

10.2.d Describe the Organization’s Documentation Platforms and Procedures in the Following Areas:

10.2.d.1 Electronic Health Record (EHR)/ Electronic Medical Record (EMR) platform/system utilized and the ability to function effectively for a mobile, “in-the-community”-based services.

10.2.d.2 Protocols/ written procedures related to the expectations for documentation.

10.2.d.3 Summary of the organization’s capacity/experience with billing Medicare, Medicaid and private payors for services, including details on any previously billable programs.

10.2.d.4 Name of the Compliance Officer and an outline of the Compliance Program pursuant to requirements from the federal Centers for Medicare and Medicaid Services (CMS) and NYS Office of Medicaid Inspector General (OMIG).

10.2.d.5 Protocols/written procedures to ensure adherence to billing regulations, audits and best practices for reimbursement processes.

10.2.e Personnel 10.2.e.1 In accordance with published guidance14, the selected provider shall continuously have an adequate number of staff, and an appropriate staff composition of licensed and non-licensed personnel, to carry out its goals and objectives. Describe the organization’s proposed programmatic staffing plan that includes roles, credentials and qualifications, including training, clinical experience and education.

10.2.e.2 Describe how regular, consistent supervision will be provided and documented for all Mobile Crisis personnel, in accordance with…