RFP_EIYCHRP.pdf

County of Orange

Health Care Agency

Request for Proposals

RFP No.:042-1614064-RM

Early Identification of Youth at Clinical High Risk for Psychosis

Released

October 12, 2023

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TABLE OF CONTENTS

SECTION PAGE

I. Introduction and General Information A. Proposal Focus and Background B. Contract Term and Funding Availability C. Time Proposals will Remain Valid D. Timeline E. Withdrawal of Proposals F. Questions Regarding the RFP Process and Requirements G. General Instructions for Submittal H. County Rights I. Use of Lobbyists J. Protest Process K. Change of Ownership/Name and Litigation Status L. Conflict of Interest M. Confidentiality N. Modifications to the RFP O. Insurance Requirements

II. Description of Services

A. Target Population B. Services to be Provided C. Performance Objectives D. Staffing Requirements E. Facility Requirements

III. Proposal Preparation and Evaluation

A. Proposers Eligibility to Contract with the County B. Rejection of Proposals C. Minor Irregularities and Deficiencies in Proposal(s) D. Non-Responsive Proposals E. Evaluation of Proposals and Selection of Provider(s)

IV. Minimum Submission Requirements

V. Proposal for Early Identification of Youth at Clinical High Risk for Psychosis A. Provider Experience and Qualifications B. Services C. Performance Objectives D. Staffing E. Facility F. Budget

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Attachments Attachment I – Contract Template Attachment II – Form A-E Attachment III – Budget Forms Campaign Contribution Form

NOTE: Forms and attachments in PDF and/or Excel format are posted on The County’s online bidding system as separate attachments to this solicitation.

INTRODUCTION AND GENERAL INFORMATION SECTION I

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A. PROPOSAL FOCUS AND BACKGROUND

The County of Orange (County) Health Care Agency (HCA) is seeking proposals from qualified organizations to provide Early Identification of Youth at Clinical High Risk for Psychosis (EIYCHRP). The primary goal of this program is to support the effective identification, assessment, and treatment through care planning for youth ages twelve to twenty-five (12-25) who are at an increased risk for developing symptoms of early psychosis spectrum disorders. Services shall be designed to educate clients and their families and build capacity by increasing the knowledge and awareness of healthcare providers to provide appropriate behavioral health support for those exhibiting signs of psychosis, while promoting the development of healthy identities in youth.

B. CONTRACT TERM AND FUNDING AVAILABILITY

The County plans to contract with a qualified organization to provide the services described in this Request for Proposals and reserves the right to make multiple awards to proposers for services requested in the solicitation. At the discretion of County, the initial term of the contract resulting from this solicitation may be renewed for an additional term or terms. Any renewal is contingent upon available funding, contractor performance, need for services, and County policies.

Successful proposers are expected to accept the terms and conditions of Attachment I - Contract Template, which contains the contracting requirements between the County and the proposer regarding the provision of services solicited under this Request for Proposals (RFP). The selected proposer(s) proposal will be retained and incorporated into the contract by reference and made part thereof, except for assurances and promises that are unlawful.

Contract resulting from this solicitation shall be a cooperative Contract and may be utilized by all County of Orange departments.

The provisions and pricing of any Contract resulting from this solicitation will be extended to other governmental entities. Governmental entities wishing to use this Contract will be responsible for issuing their own purchase documents, providing for their own acceptance, and making any subsequent payments. Contractor shall be required to include in any subordinate Contract entered into with another governmental entities pursuant to this Contract, a Contract clause that will hold harmless the County of Orange from all claims, demands, actions or cause of actions of every kind resulting directly or indirectly, arising out of, or in any way connected with, the use of this Contract.

Failure to do so will be considered a material break of this Contract and grounds for immediate Contract termination. Governmental entities are responsible for obtaining all certifications of insurance, endorsements, and bonds required. The Parties agree that any other governmental entity utilizing this Contract shall not be deemed to be an agency or employee of County for any purpose whatsoever. The Contractor is responsible for providing each governmental entity a copy of this Contract upon request. The County of Orange makes no guarantee of usage by other users of this Contract.

The Contractor shall be required to maintain a list of the County of Orange departments and governmental entities using this Contract. The list shall report dollar volumes spent annually and shall be provided on an annual basis to the County, at the County’s request.

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Subordinate Contracts must be executed prior to the expiration or earlier termination of this Contract and may survive the expiration of this Contract up to a maximum of one year; however, in no case shall a subordinate Contract exceed five (5) years in duration.

The contract awarded through this solicitation is anticipated to be for actual cost. The funding source for these services is 100% Mental Health Services Act (MHSA) Prevention and Early Intervention (PEI) funds: Bidder must follow MHSA funding guidelines as outlined in the County 3-year MHSA plan. Any contract resulting from this solicitation is contingent upon sufficient funds being made available by federal, state, and/or county governments for the term of the contract. County reserves the right to revise the contract terms stated in this solicitation. Start-up funds may be available (on July 1 or later) for these services, with proper justification, and may be used for staff recruitment, training, office start-up, program supplies, and technological equipment. Start-up funds if approved will be capped at 15% of the first year of funding.

C. TIME PROPOSALS WILL REMAIN VALID

Proposals will remain valid for 365 days from the solicitation due date. If for any reason a selected proposer is unable, unavailable or unwilling to begin the Services on July 1, 2024, the County reserves the right to award the contract to the next ranked proposal without conducting another solicitation/RFP or otherwise proceed as deemed in the best interest of the County.

D. TIMELINE

The following timelines are approximations only and do not constitute any commitment or guarantee by the County.

Activity Date

RFP Released October 12, 2023

The County’s online bidding system Question and Answer Deadline November 2, 2023

Proposals Due November 9, 2023

Interview (if applicable) Week of December 11th, 2023

Services Commence July 1, 2024

E. WITHDRAWAL OF PROPOSAL(S)

A proposal may be withdrawn by the proposer or an authorized representative, provided his or her identity is made known, but only if the withdrawal is made prior to the date submission of the proposals are due.

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F. QUESTIONS REGARDING THE RFP PROCESS AND REQUIREMENTS

All questions regarding this RFP are to be posted online via The County’s online bidding system Question and Answer (Q&A) Section and will only be accepted and answered during the Q&A period that lasts until approximately one (1) week prior to the RFP closing date.

All proposers are expected to thoroughly read through the entire RFP package before posting questions. All participating proposers will simultaneously receive a notification via The County’s online bidding system that a question has been posted related to this RFP and will be available for view by all participating proposers. The County’s responses to the questions asked will be posted as promptly as possible to The County’s online bidding system and will be available for view by all participating proposers.

The Q&A Section will close on November 2, 2023, at 4:00 P.M. Pacific Time. All proposers are encouraged to post any questions regarding the RFP by this deadline. After the close of the Q&A period, bidders may only contact the Procurement Administrator with questions related to uploading proposals to the County’s online bidding system. No other specific solicitation-related questions will be answered.

It is up to each individual proposer to determine if their organization meets the eligibility criteria stated in the RFP prior to submitting a proposal. The County does not provide any assistance to that effect.

Proposers are to strictly follow the directions above for questions regarding this RFP. During the entire RFP process, no County representative may be contacted for questions or information regarding this RFP with the exception of the assigned Procurement Administrator, Roosevelt McCombs at rmccombs@ochca.com. Any violation of this direction may be deemed non-responsive with the RFP process and shall form a basis for the rejection of the proposal.

G. GENERAL INSTRUCTIONS FOR SUBMITTAL

All proposals must clearly meet all of the requirements of this solicitation. Proposers should review all requirements and instructions to ensure that each requirement is clearly addressed in the proposal.

The County shall not be responsible for any oral instructions given by any employees of the County in regard to the proposal instructions, specifications, or proposal documents described in this RFP.

1. Prepare the proposal with the reviewer in mind; do not assume reviewers know your program. Proposal must be detailed and self-explanatory.

2. Proposals should be carefully proofread and include the following:

a) Table of Contents with page numbers, for each file.

b) Reference(s) to any appendices.

c) Placement of required forms immediately after the text they support in the proposal.

d) Numbered pages.

e) Text must be at least one and one-half (1½) line-spaced.

f) Times New Roman, 12 point font.

g) Each section is to be separated by a titled cover page and each question as it appears in the solicitation is to precede its corresponding response.

h) All requested information is to be in the sequence and format specified in the solicitation.

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3. Use the Proposal Preparation Checklist Form (Form A - Attachment II) to plan and monitor proposal preparation, as well as to verify completion of all materials before submission.

4. Provide accurate and honest information. Information that is inaccurate may prompt an investigative review and will affect the evaluation of the proposal.

5. Ensure that information provided on the forms is consistent with the narrative and the information provided on other forms.

6. If you omit any required information or data, explain why.

7. Ensure compliance with contract requirements and all applicable laws/regulations related to privacy and security pertaining to disclosure of confidential and/or private client information.

Such information may be redacted in any material submitted in response to this RFP.

8. Do not use appendices for information that is required in the body of the proposal. Use appendices to provide documentation or examples of activities mentioned in the proposal.

9. Do not include home addresses, home phone numbers, and/or personal email addresses for any employee, volunteer, board member, etc. in your proposals.

10. Electronic Submission: Proposals and requested documents must be electronically uploaded in PDF format, via The County’s online bidding system. Responses to Section IV and Section V of the RFP must be submitted in separate files. If proposing more than one (1) Project/Service Area/Region, upload a separate Section V for each Project/Service Area/Region, but only one

(1) Section IV needs to be uploaded.

a) Section IV must be uploaded in one (1) file labeled “[Services]-[Proposer Name]-Agency Description.”

b) Section V must be uploaded in one (1) file labeled “[Services]-[Proposer Name]-Proposal.”

c) Allow sufficient time to upload all required files. After the 4:00 P.M. Pacific Time proposal deadline, The County’s online bidding system will not allow any uploads, e.g., if file #1 uploaded successfully at 3:58:23 P.M. and file #2 is in progress of being uploaded at 4:00:01 P.M., file #2 will not upload successfully.

11. Proposal Delivery Instructions: Proposals are due on or before November 9, 2023, no later than 4:00 P.M. Pacific Time.

H. COUNTY’S RIGHTS

The County reserves the right to:

1. Modify this RFP prior to the time proposals are due, provided proposers are granted such extensions as necessary to allow sufficient time for submission of proposals in response to the modified RFP.

2. Cancel this RFP at any time, but prior to award of a contract by the Board of Supervisors, in whole or in part, when it is determined that cancellation is in the best interest of the County.

3. Reject any or all proposals.

4. Reject a proposal at any time during the RFP process for reasons stated in this RFP or for false information submitted in response to the RFP.

5. Enter into a contract for all or some of the stated services.

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6. Award single or multiple contracts.

7. Based on the County’s needs and availability of funds, modify the scope of service described herein, provided proposers are allowed to re-submit modified proposals within a reasonable time.

8. Ask proposers for additional information or documentation.

I. USE OF LOBBYISTS

The County of Orange does not require, and neither encourages nor discourages, the use of lobbyists or other consultants for the purpose of securing business.

J. PROTEST PROCESS

Any actual or prospective proposer who alleges a grievance by the solicitation or award of a contract may submit a grievance or protest that this solicitation is unfairly restrictive, ambiguous or contains conflicting provisions.

Protest of Solicitation Specifications All protests related to solicitation specifications must be submitted to HCA Procurement and Contract Services no later than five (5) business days prior to the close of the solicitation period.

Protests received after the five (5) business day deadline will not be considered by the County. In the event the protest of specifications is denied and the protester wishes to continue in the solicitation process, it must still submit a proposal prior to the close of the solicitation in accordance with the proposal submittal procedures provided in the solicitation.

Protest of Award of Contract In protests related to the award of a contract, the protest must be submitted no later than five (5) business days after the “Notice of Intent to Award Contract” is provided by HCA Procurement and Contract Services. Protests relating to a proposed contract award, which are received after the five

(5) business day deadline will not be considered by the County. Upon receipt of a timely protest, the Procurement and Contract Services Division Manager will, within 10 business days, issue a decision in writing which shall state the reasons for the actions taken.

The County may, after providing written justification to be included in the procurement file, make the determination that an immediate award of the contract is necessary to protect the substantial interests of the County. The award of a contract shall in no way compromise the protester’s right to the protest procedures outlined herein.

Procedure All protests shall be typed under the protester’s letterhead and submitted in accordance with the provisions stated. All protests shall include at a minimum the following information:

1. The name, address, and telephone number of the protester.

2. The signature of the protester or the protester’s authorized representative.

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3. The name of the solicitation or number of the RFP.

4. A detailed statement of the legal and/or factual grounds for the protest.

5. The form of relief requested.

Written protests must be sent to: County of Orange/Health Care Agency

Procurement and Contract Services 400 W Civic Center Drive, 3rd floor Santa Ana, CA 92701 Attn: Roosevelt McCombs rmccombs@ochca.com

Appeal Process If the protester disagrees with the decision of the Procurement and Contract Services Division Manager, the protester may submit a written notice within three (3) business days from receipt of the Procurement and Contract Services Division Manager’s decision to the Office of the County Procurement Officer requesting an appeal to the Procurement Appeals Board.

Written appeals must be sent to: County of Orange/County Procurement Office

400 W Civic Center Drive, 5th floor Santa Ana, CA 92701 Attn: County Procurement Officer CPOAppeals@ocgov.com

Within 15 business days, the County Procurement Officer will review all materials in connection with the protest, assess the merits of the protest and provide a written determination that shall contain his or her decision on whether the protest shall be forwarded to the Procurement Appeals Board.

The decision of the County Procurement Officer on whether to allow the appeal to go forward will be final and there shall be no right to any administrative appeals of this decision.

K. CHANGE OF OWNERSHIP/NAME AND LITIGATION STATUS

If a contract is awarded as a result of this solicitation, proposer agrees that if there is a change or transfer in ownership of proposer’s organization prior to the completion of a contract, and the County agrees to an assignment of the Contract, the new owners shall be required under the terms of sale or other instruments of transfer to assume Contractor’s duties and obligations contained in the Contract and complete them to the satisfaction of the County.

The County reserves the right to immediately terminate the Contract in the event the County determines that the assignee is not qualified or is otherwise unacceptable to the County for the provision of services under the Contract.

mailto:CPOAppeals@ocgov.com

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L. CONFLICT OF INTEREST

Proposer shall exercise reasonable care and diligence to prevent any actions or conditions that could result in a conflict with County interests. In addition to the proposer, this obligation shall apply to the proposer’s employees, agents, and subcontractors associated with the provision of goods and services provided under the Contract. The proposer’s efforts shall include, but not be limited to establishing rules and procedures preventing its employees, agents, and subcontractors from providing or offering gifts, entertainment, payments, loans or other considerations which could be deemed to influence or appear to influence County staff or elected officers in the performance of their duties.

The County reserves the right to disqualify any proposer on the basis of any real or apparent conflict of interest that is disclosed by the proposal submitted or any other information available to the County. This disqualification is at the sole discretion of County. Any proposer submitting a proposal herein waives any right to object to the County’s exercise of this right, now or at any future time, before anybody or agency including, but not limited to, the County Board of Supervisors or any court of competent jurisdiction.

M. CONFIDENTIALITY

California Public Records Act Pursuant to California law, all information contained in a proposal may be public record, subject to disclosure to any member of the public who requests it through the California Public Records Act (CPRA). If it is necessary to include proprietary/trade secret information in a response, the County recommends that the proposal clearly and prominently marks the information believed to fall within such categories.

Names of Members of the Evaluation Panel and Communications with Panel Members The names of the evaluation panel members will not be disclosed unless ordered by a court.

To assure a fair process, members of the evaluation panel will be instructed not to discuss the information in the proposal or the solicitation process with any proposer(s) or other individuals. All communications between the proposer and County must be through the County’s online bidding system Q&A Section prior to the close of the Q&A period and through Procurement Administrator after the close of the Q&A period. Any violation of this direction will be deemed non-responsive with the RFP process and shall form a basis for the rejection of the proposal.

N. MODIFICATIONS TO THE RFP

The County reserves the sole right to interpret or change any provision of the solicitation at any time prior to the proposal submission date. Any and all interpretations or changes will be in the form of a written addendum, which will be furnished to all proposers through The County’s online bidding system. All addendums issued will become part of the solicitation and resultant Contract. Proposers hereby acknowledge their receipt of any addendum by being registered in The County’s online bidding system and acknowledge it is the proposer’s responsibility to check for, and read all addendums posted in The County’s online bidding system.

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Should such addendum require information not previously requested, the County at its sole discretion, may determine that a time extension is required for the submission of proposals, in which case an addendum will indicate the new proposal submission date.

O. INSURANCE REQUIREMENTS

Insurance coverage and limits for the awarded Contract will vary based upon the identified services and will be determined during contract negotiations. The baseline amounts and key requirements are as follows:

COVERAGE MINIMUM LIMITS

Commercial General Liability $1,000,000 per occurrence $2,000,000 aggregate

Automobile Liability including coverage for owned, non-owned and hired vehicles (4 passengers or less)

$1,000,000 per occurrence

Workers’ Compensation Statutory Employer's Liability Insurance $1,000,000 per occurrence Network Security & Privacy Liability $1,000,000 per claims made

Professional Liability $1,000,000 per claims made $1,000,000 aggregate

Sexual Misconduct Liability $1,000,000 per occurrence

1. Increased insurance limits may be satisfied with Excess/Umbrella policies. Excess/Umbrella policies when required must provide Follow Form coverage.

2. REQUIRED COVERAGE FORMS

a. The Commercial General Liability coverage shall be written on occurrence basis utilizing

Insurance Services Office (ISO) form CG 00 01, or a substitute form providing liability coverage at least as broad.

b. The Business Auto Liability coverage shall be written on ISO form CA 00 01, CA 00 05, CA 00 12, CA 00 20, or a substitute form providing coverage at least as broad.

3. REQUIRED ENDORSEMENTS

The Commercial General Liability policy shall contain the following endorsements, which shall accompany the Certificate of Insurance:

a. An Additional Insured endorsement using ISO form CG 20 26 04 13, or a form at least as broad naming the County of Orange, its elected and appointed officials, officers, agents and employees as Additional Insureds, or provide blanket coverage, which will state as required by written Contract.

b. A primary non-contributing endorsement using ISO form CG 20 01 04 13, or a form at least as broad evidencing that the contractor’s insurance is primary and any insurance or self-insurance maintained by the County of Orange shall be excess and non-contributing.

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4. The Workers’ Compensation policy shall contain a waiver of subrogation endorsement waiving all rights of subrogation against the County of Orange, its elected and appointed officials, officers, agents and employees, or provide blanket coverage, which will state as required by written contract.

5. The Network Security and Privacy Liability policy shall contain the following endorsements which shall accompany the Certificate of Insurance:

a. An Additional Insured endorsement naming the County of Orange, its elected and appointed officials, officers, agents and employees as Additional Insureds for its vicarious liability.

b. A primary and non-contributing endorsement evidencing that the contractor’s insurance is primary and any insurance or self-insurance maintained by the County of Orange shall be excess and non-contributing.

6. All insurance policies required by the Contract shall waive all rights of subrogation against the County of Orange, its elected and appointed officials, officers, agents and employees when acting within the scope of their appointment or employment.

7. Contractor shall notify in writing within thirty (30) days prior written notice to the COUNTY of any policy cancellation or non-renewal and ten (10) days prior written notice where cancellation is due to non-payment of premium and provide a copy of the cancellation notice to County.

Failure to provide written notice of cancellation may constitute a material breach of the Contract, upon which the County may suspend or terminate the Contract.

8. If Contractor’s Professional Liability, Sexual Misconduct, and/or Network Security & Privacy Liability are “Claims Made” policy(ies), Contractor shall agree to the following:

a. The retroactive date must be shown and must be before the date of the Contract or the beginning of Contract services.

b. Insurance must be maintained, and evidence of insurance must be provided for at least three (3) years after expiration or earlier termination of Contract services.

c. If coverage is canceled or non-renewed, and not replaced with another claims-made policy form with a retroactive date prior to the effective date of the contract services, Contractor must purchase an extended reporting period for a minimum of three (3) years after expiration of earlier termination of the Contract.

9. The Commercial General Liability policy shall contain a “severability of interests” clause also known as a “separation of insureds” clause (standard in the ISO CG 00 01 policy).

10. Insurance certificates should be forwarded to the agency/department address listed on the solicitation.

11. If the contractor fails to provide the insurance certificates and endorsements within seven (7) days of notification by CEO/Purchasing or the agency/department purchasing divisions, award may be made to next qualified proposer.

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12. County expressly retains the right to require contractor to increase or decrease insurance of any of the above insurance types throughout the term of the Contract. Any increase or decrease in insurance will be as deemed by County of Orange Risk Manager as appropriate to adequately protect County.

13. County shall notify Contractor in writing of changes in the insurance requirements. If Contractor does not provide acceptable Certificates of Insurance and endorsements to County incorporating such changes within thirty (30) days of receipt of such notice, this Contract may be in breach without further notice to Contractor, and County shall be entitled to all legal remedies.

14. The procuring of such required policy or policies of insurance shall not be construed to limit Contractor's liability hereunder nor to fulfill the indemnification provisions and requirements of this Contract, nor act in any way to reduce the policy coverage and limits available from the insurer.

Prior to the provision of services, the successful proposer will be required to purchase insurance at the above minimum standards at proposer’s expense, and to deposit with the County, Certificates of Insurance including all endorsements necessary to satisfy the provisions identified above.

If Self-Insured, the successful proposer will be required to provide a Certificate of Self-Insurance that meets at minimum, the requirements identified above.

Failure of the proposer to meet these requirements after the proposer has been selected, and prior to the Contract start date, shall result in forfeiture of the proposer’s Contract award.

DESCRIPTION OF SERVICES SECTION II

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A. TARGET POPULATION

EIYCHRP shall be provided to Youth ages twelve to twenty-five (12 to 25) years who are identified as clinical high risk for psychosis, as well as educators, healthcare and other service providers who may work with or encounter youth at risk of developing psychosis symptoms. Services will be provided throughout the county.

B. SERVICES TO BE PROVIDED

Services shall include outreach, screening, and engagement of youth using social supports, comprehensive psychosocial assessment, symptom monitoring, psychoeducational training, peer support, case management, referrals and linkages to community-based care, and participant and family consultation.

1. Provider shall provider direct services that includes specialized health screening and assessments, providing care plan recommendations, case management, and referrals and linkages as needed.

2. Provider shall offer training in three (3) broad categories of potential responder groups: the youth social network, the healthcare provider network, and law enforcement. Training will aim to improve the knowledge and skills of potential responders, healthcare providers, law enforcement officers or those who are present within naturally existing social networks of youth, or where they typically spend time (i.e., schools, afterschool clubs, etc.) so they are better equipped with how to recognize youth who may be experiencing symptoms of Clinical High Risk for Psychosis (CHR-P), and are more comfortable with knowing when and how to refer youth for screening and/or treatment services. Training materials shall be culturally responsive and ensure that materials are available in the languages of the participants and families to whom services are made available.

3. Services shall utilize a systematic evidence-based and trauma-informed approach and build the skills and expertise of:

a. a range of healthcare providers who may work with or encounter youth at risk of developing psychosis symptoms, and;

b. family members, caregivers, and other important people in the life of the youth who is referred for assessment for Early Psychosis Spectrum experiences.

c. Services will include a multi-tiered support system and be available for up to six (6) months or based on the healthcare provider and/or family needs.

4. Selected provider shall provide outreach services by promoting the program by establishing relationships with entities that can include, but are not limited to, child-focused organizations such as the Regional Center, hospitals, faith-based organizations, school sites and districts, community centers, behavioral health programs, YMCAs, Boys and Girls Clubs, law enforcement, pediatricians, community-based organizations, especially those serving monolingual ethnic communities, Family Resource Centers (FRCs), and other entities that can support Consultation Services for Early Psychosis within the community. Outreach materials

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5. Selected provider shall promote services throughout Orange County using a variety of strategies including but not limited to: promotion of youth engagement using online platforms, presentations, trainings, offering of screening and assessment services, website and social media promotions to further educate the community about Early Psychosis Spectrum concerns, the services offered, and to promote healthy identities.

C. PERFORMANCE OBJECTIVES

The selected proposer shall be required to meet the following performance objectives by end of each fiscal year.

Services shall build resilience and improve outcomes for youth at CHR-P by offering mental health assessments and evaluations, specifically focusing on risk for psychosis that include assessment and treatment recommendations.

1. HCA is moving to a universal method of collecting and storing data. Bidders will be given access to the County’s data reporting system. Bidders shall describe their organization’s ability to collect and enter data into a database system, and how they will analyze, and utilize data to influence services.

2. Include how the following data outcomes will be collected and tracked.

a. Increase in ability to recognize youth who are at an increased risk for developing symptoms of early psychosis spectrum disorders or may currently be experiencing symptoms.

b. Increase knowledge and awareness of resources for youth at CHR-P and their families.

c. Increase training of healthcare providers, law enforcement, schools, and other community supports to provide appropriate behavioral health support of youth at CHR- P.

d. Reduce stigma associated with seeking services for CHR-P.

e. Increase in knowledge of when and how to refer youth for screening and/or treatment.

3. Bidder shall propose the annual performance goals “units of service” the program expects to deliver which shall include at a minimum:

a. Number of completed assessments,

b. Number of unduplicated participants,

c. Number of referrals and linkages to community behavioral or mental health services,

d. Number of outreach activities,

e. Number of consultations provided,

f. Number of healthcare training sessions; and

g. Number of community training sessions.

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D. STAFFING REQUIREMENTS

All personnel assigned to the performance of the services will be closely evaluated by County.

1. Program Director - responsible for the overall implementation and supervision of the program.

This person shall have a history of demonstrated administrative skills and be knowledgeable in high risk for psychosis, especially with regard to psychosocial wellbeing, strengths, and vulnerabilities. Must be available to the staff for consultation and oversight during all hours that staff are engaged in program activities. Program Director is responsible for ensuring the overall quality of the program.

2. Clinical Manager - responsible for providing oversight of all clinical assessments, consulting with staff and supervising staff and/or clinical interns; shall be knowledgeable about mental health diagnosis, treatment, and resources.

3. Mental Health Clinician - responsible for providing clinical assessment, consulting with staff;

shall be knowledgeable about mental health diagnosis, treatment, and resources.

4. Resource Specialists – identifies, recruits, and develops regional partnerships with mission aligned service providers. Assists in the design and implementation of outreach strategies.

Oversees the service funnel ensuring participants and families are connected to the appropriate resources and providers.

5. The selected bidder shall be required to complete a sanction screening on all employees and volunteers that will provide services through this contract utilizing http://exclusions.oig.hhs.gov, https://www.sam.gov/portal/public/SAM/, the Social Security Administration’s Death Master File, and Medi-Cal Suspension Search Database.

E. FACILITY REQUIREMENTS

The selected proposer shall maintain a facility that meets the following minimum requirements:

1. Located within Orange County. Must be able to provide services throughout Orange County, may be field based or virtual.

2. Facility must be operational on or before July 1, 2024.

http://exclusions.oig.hhs.gov/ https://www.sam.gov/portal/public/SAM/

PROPOSAL PREPARATION AND EVALUATION SECTION III

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Proposers should review all requirements and instructions to ensure that each requirement is clearly addressed in the proposal.

A. PROPOSERS ELIGIBILITY TO CONTRACT WITH COUNTY

To be eligible to submit a proposal for these services, the proposer must be a for-profit organization, non-profit organization, community-based organization, individuals, and/or government offices.

In order to be eligible to enter into a contract with the County, an individual or entity must not be listed on the current Cumulative Sanction List of the Office of the Inspector General (U.S.

Department of Health and Human Services) or the General Services Administration’s list of parties excluded from federal programs, or the California Medi-Cal Suspended and Ineligible Provider List.

Accordingly, County will not review any proposal submitted by an individual or entity found to be on any of these lists and the proposal will automatically be rejected. The County will notify the proposer of this determination in writing.

The County plans to use the following databases to identify individuals and entities that are not eligible to contract with the County:

• https://exclusions.oig.hhs.gov/

• https://sam.gov/search/

• Medi-Cal Suspension Search Database

• Social Security Administration’s Death Master File

It is the sole responsibility of all proposers to verify that they are not on any of these lists prior to preparing, and submitting, a proposal in response to this RFP. Correction of any errors found on any of the lists, above, is the sole responsibility of the proposer and must be made prior to submission of the proposal.

In addition, in order to be eligible to enter into a contract with the County, an individual or entity must not have any pending charge(s) or conviction(s) for violation of criminal law(s) and/or any sanction(s) or disciplinary action(s) imposed or taken against them by any federal or state law enforcement, regulatory or licensing agency or body, including exclusion from Medicare and Medicaid programs. Accordingly, all proposers must self-disclose with explanation, or deny the existence of this information pertaining to their principals, executives, and managers directly involved with the performance of the services solicited herein in Attachment II. Form C “Proposer’s Certifications”.

B. REJECTION OF PROPOSAL(S)

The County reserves the right to reject any proposal at any time during the RFP process on the basis of any substantiated actual and/or apparent conflict of interest regarding the performance of the services solicited under this RFP. All proposers must self-disclose any potential and/or actual conflict of interest(s) in Attachment II. Form C “Proposer’s Certifications”. Any proposer submitting a proposal herein waives any right to object to County’s exercise of this right, now or at any future https://exclusions.oig.hhs.gov/ https://sam.gov/search/

Request for Proposals 18 of 29 Early Identification of Youth at Clinical High Risk for Psychosis time, before any body or agency including, but not limited to, the County Board of Supervisors or any court of competent jurisdiction.

As soon as the County has determined that a proposer has a conflict of interest as stated herein, the County will provide written notification of such conflict and rejection of the proposal.

The County also reserves the right to reject any proposal at any time during the RFP process on the basis of any one (1) or more of the following substantiated grounds:

1. Evidence of collusion amongst proposers;

2. Lack of such business skills and/or financial resources necessary and appropriate to successfully operate the services solicited in this RFP, as revealed by either the financial statement or experience statement;

3. Default on, or unpaid, County debt;

4. Default on any obligation to County;

5. Current or past failure to perform to County standards any obligation of a contract with County, as determined by County; and

6. Ineligible to enter into a contract with the County, as set forth in Section III.A Proposers’

Eligibility to Contract with County.

All proposals that are irregular, incomplete, conditional, ambiguous and/or obscure and not minor irregularities and/or immaterial or inconsequential variations from the RFP requirements will be rejected. The County will provide a written notification of the grounds upon which a proposal is rejected.

C. MINOR IRREGULARITIES AND DEFICIENCIES IN PROPOSAL(S)

The County reserves the right at its sole discretion, to accept a proposal containing a minor irregularity or when a defect or variation is immaterial or inconsequential.

The County reserves the right to waive any and all minor irregularities in lieu of seeking corrections thereof. All requests for correction of minor irregularities or notification of waiver thereof will be given to proposers in writing.

D. NON-RESPONSIVE PROPOSAL(S)

Any proposal which fails to conform to the essential requirements of this RFP, such as specifications, may be rejected as non-responsive. It is the sole responsibility of the proposers to ensure their proposals are conforming and responsive to all requirements of this RFP.

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E. EVALUATION OF PROPOSALS AND SELECTION OF PROVIDER(S)

An evaluation panel will be established to score the proposals, consisting of representatives of the County and/or members of the community having experience in the services described in this RFP.

The evaluation process will consist of a thorough review of the written proposals and may include interviews.

Proposals will be evaluated on the basis of the written responses to all requirements in this RFP.

Each proposal should be complete and present a thorough understanding of the needs of the County in regard to its desire to provide said services. The successful proposer must demonstrate in their proposal and interview (if applicable) an ability to provide said services to the target population as described in Section II.A.

Step 1 – HCA Procurement and Contract Services Minimum Submission Requirements Review - Includes review of financial/organization stability, past and current related experience including performance of any current County contract. (Pass/Fail) If a proposer fails to meet the Minimum Submission Requirements, the proposer may be deemed non-responsive.

Step 2 – Evaluation Panel Review In accordance with the following criteria, the evaluation panel will evaluate all responsive proposals.

EVALUATION SCORING CRITERIA

The following guidelines will be used in analyzing and evaluating proposals received in response to this solicitation.

Category Title Total Points per Category

Minimum Submission Requirements Review Pass/Fail

Provider Experience & Qualifications 15

Services 30

Performance Objectives 20

Staffing 10

Facility 5

Budget 10

Interview (if applicable) 10

Total 100

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Step 3 – Proposers Interview - Proposers may be required to attend an interview (if applicable) which will be scored by the Evaluation Panel. Interviews may be conducted in person or via telephone. Proposers will be notified in advance within seven (7) days of interview date.

Step 4 –Final Recommendation for Contract Negotiation and Award.

Selection and Award Procedures Upon the completion of the evaluation process, the Evaluation Panel will make a recommendation for award to the Procurement Administrator.

Selection of a contractor will not be based solely on cost, and will include factors such as, but not limited to, services, experience in providing the services described in this solicitation, staffing, and quality of experience in successfully managing government-funded contracts.

The County expressly reserves the right to negotiate contract terms with a selected proposer prior to award, or negotiate with several proposers simultaneously, and thereafter, to award a contract to the proposer offering the most favorable terms to the County.

The County also expressly reserves the right to award a contract on the basis of initial offers received, without discussions. Therefore, each initial offer should contain the proposer's best terms from a programmatic and compensation standpoint.

Should negotiations fail prior to award or should the proposer fail to perform in post award period, the County reserves the right to negotiate and award the contract to the next highest ranked proposer(s) without issuing another solicitation.

After successful contract negotiations, HCA will recommend the award of the contract(s) to the County of Orange Board of Supervisors.

MINIMUM SUBMISSION REQUIREMENTS SECTION IV

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The following are the submission requirements for a proposer to be considered as an eligible candidate to be evaluated for the requested services described in this RFP. Should any of this information be missing, the proposer may be deemed non-responsive.

Provide the information requested below in one (1) file per the instructions in Section I. G. “General Instructions for Submittal”. Failure to provide and/or disclose requested information and/or documents may result in disqualification of your proposal.

A. Cover Page/Executive Summary

All Proposals must be accompanied by a cover letter of introduction and executive summary of the proposal including what Regions your organization is bidding on. The cover letter must be signed by person(s) with authority to bind the proposer together with the main office address, and telephone number (including area code). If the proposer is a corporation, two (2) signatures are required: one (1) signature by the Chairman of the Board, the President or any Vice President;

and one (1) signature by the Secretary, any Assistant Secretary, the Chief Financial Officer or any Assistant Treasurer. The signature of one (1) person alone is sufficient to bind a corporation, as long as he or she holds corporate offices in each of the two (2) categories described above. For County purposes, proof of such dual office holding will be satisfied by having the individual sign the instrument twice, each time indicating his or her office that qualifies under the above described provision. In the alternative, a single corporate signature is acceptable when accompanied by a corporate resolution demonstrating the legal authority of the signatory to bind the corporation. An unsigned or improperly signed proposal submission is grounds for rejection of the proposal and disqualification from further participation in this RFP process.

B. Complete the Agency Description Form (Form B – Attachment II). Ensure Form B and Proposer’s Certification (Form C – Attachment II) are signed prior to submission.

C. Complete the Proposer Certifications Form (Form C – Attachment II).

D. Complete the Board of Directors Form (Form D – Attachment II).

E. LEVINE ACT – COUNTY OF ORANGE CAMPAIGN CONTRIBUTION DISCLOSURE:

Effective January 1, 2023, Senate Bill No. 1439 amends § 84308 of the California Government Code, commonly referred to as the “Levine Act.” The Levine Act precludes an Officer of a local government agency from participating in the award of a contract if he or she receives any political contributions totaling more than $250 in the 12 months preceding the pendency of the contract award, and for three months following the final decision, from the person or company awarded the contract. This prohibition applies to contributions to the Officer or received by the Officer on behalf of any other Officer, or on behalf of any candidate for office or on behalf of any committee.

The Levine Act also requires disclosure of such contributions by a party to be awarded a specified contract.

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Proposers/bidders are responsible for reviewing and completing the attached County of Orange Campaign Contribution Disclosure Form as a minimum submittal requirement for all County solicitations.

F. Provide three (3) letters from professional references or organizations that have direct knowledge of your organization’s performance within the last year and will corroborate that your organization’s performance for the requested services meets the requirements of this solicitation. Reference letters must be submitted on the organization’s letterhead and signed by an individual that has the authority to sign on behalf of the named organization. Reference letters must include the following information: type of services provided, contract term dates, contract funding amount, and statement regarding satisfactory performance.

G. Provide copies of the documents below. Include an index of all the documents included, and an explanation for any document requested but not provided.

1. If incorporated:

a. Articles of Incorporation executed by the Secretary of State, including all amendments.

b. By-laws, including all amendments.

c. Board of Directors resolution empowering a Corporate Officer either by title or individual name, to act on behalf of the organization by his/her signature alone. (If applicable)

2. If not incorporated: Documentation empowering an Authorized Representative to act on behalf of the organization by his/her signature alone.

3. Fictitious Business Name statement filed…