RFP240000001034 Amendment 1.docx

Michigan Department of Health and Human Services Bureau of Grants and Purchasing Amendment I

RFP 240000001034

Family Preservation - Parent Ed Home Based

The RFP has been revised see RFP 240000001034 Version 2.doc

1. In Section 1. PROGRAM REQUIREMENTS, Item 1.2 Referral Process, b. is deleted and replaced with the following to include the language in red:

b. The Contractor must:

1) Accept or reject written referrals from MDHHS within one business day.

2) Contact the client within five calendar days of accepting a referral by telephone or face-to-face to:

a) Explain the service

b) Determine the client’s willingness to participate

c) Establish a mutually agreeable date to conduct a home visit If the client cannot be reached by telephone call, follow up with written correspondence within seven calendar days of the referral.

Notify the referring worker within 14 calendar days of the referral if unable to make contact with the client.

3) Process referrals on a first come first served basis but with the highest priority given to those clients with a child(ren) at imminent risk of removal from the home, or those clients that have a child already in out-of-home placement.

4) Maintain a waitlist in the event a referred client cannot be served timely, with priority again given to clients with a child(ren) at highest risk of out-of-home placement. Notify the referring worker of the waitlisted client within one business day of being waitlisted.

5) Provide a worker who has a flexible work schedule to meet the needs of referred clients during non-traditional hours. Provide for trained backup personnel in the event the worker is absent due to vacation, illness, termination, pending replacement, etc.

2. In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.3 Services to be Provided, Service #1 of 1: Parent Education Home Based is deleted and replaced with the following to include the language in red:

Service #1 of 1: Parent Education Home Based

a. Activities the Contractor must perform:

Service descriptions must be clear and specific so the contract is enforceable and can be appropriately monitored and audited.

The service description should clearly define:

a. The service title.

b. Service to be provided.

c. When service will begin.

d. Duration of service.

e. The referral process (if applicable).

f. How the provision of service is to be documented.

g. How the termination of service to a client is determined and documented.

h. How and when the contractor will communicate with MDHHS.

i. The expected time frames for performing tasks.

The Contractor must:

1) Conduct a home visit within 14 calendar days from the date of the referral.

2) Develop a written Service Plan with the client(s) within 30 calendar days of the initial home visit. The strengths-based plan must include:

a) Identification of the clients and household members including:

a. Names

b. Ages

c. Gender

d. Legal relationship

e. Other

b) Reason for referral.

c) Assessment of needs including:

(1) Housing

(2) Education

(3) Employment

(4) Transportation

(5) Childcare

(6) Other

d) Assessment of risk factors including:

(1) Domestic violence

(2) Substance abuse

(3) Special needs children

(4) Young and teen parent

(5) Health issues

(6) Other

e) Case goals, objectives, projected outcomes related to the referral, a listing of activities to be performed by the Contractor, and a schedule of contacts.

f) An Adult/Adolescent Parenting Inventory pretest (AAPI) or equivalent of the family’s assets and strengths, support systems, employment skills, and financial support issues.

3) Administer a pre and post-test of parenting skills. A standardized tool such as the AAPI or equivalent must be used to measure the improvement related to parenting and child development issues.

4) Provide individualized services in the home a minimum of one visit per week lasting one hour for a maximum of six months. As risk factors diminish, the frequency may decrease to one visit per month with written approval from the MDHHS referring worker.

Job shadowing direct workers to a face-to-face client visit is reimbursable under this contract. Billing for time and travel to an outside training, lecture, or workshop is not allowable.

5) Deliver a parent education curriculum that is evidence-based, evidence-informed, or has been supported by research as a promising practice. Sessions may include:

a) Parent skills education

(1) Children’s basic needs (nutrition, medical safety)

(2) Physical and emotional aspects of development

(3) Communication skills

(4) Setting behavior and time limits

(5) Discipline and child management

(6) Active listening

(7) Reinforcing positive behavior

(8) Parents as models

(9) Creating safety plans that are behaviorally specific

(10) Impact of trauma on behaviors

(11) Other

b) Life/home management skills

(1) Housekeeping, homemaking, and other organizational skills to facilitate a positive home environment

(2) Education

(3) Budgeting

(4) Nutrition

(5) Meal planning/ preparation

(6) Availability and utilization of community resources

(7) Family planning and birth control

(8) Stress management

(9) Family rules

(10) Baby proofing

(11) Other

c) Parent/child Interaction skills

(1) Infant growth and development

(2) Child safety

(3) Verbal and physical redirection

(4) Problem solving and discipline

(5) Reward and punishment

(6) Helping children manage their behavior

(7) Appropriate methods of discipline

(8) Positive recreational activities

(9) Helping children with feelings

(10) Other

d) Family, individual, and/or marital instruction

(1) Anger management techniques

(2) Improving communication skills

(3) Improving self-esteem

(4) Stress management

e) Helping clients access transportation services and/or transporting clients if necessary to obtain needed services.

f) Assisting in the development of linkages with natural helping networks and community resources.

g) Observing parent-child interaction at least one session per month when the child(ren) are not currently residing in the home.

h) Teach, model and engage clients on the importance of Infant Safe Sleep practices for all families with an infant under a year old, including:

(1) Review the MDHHS What Every Parent Needs to Know safe sleep video, or similar educational tool.

(2) Discuss safe sleep and how it is practiced at critical times.

6) Confirm with the MDHHS referring worker that an Early On referral has been made for all clients with a child under three years old or with an identified behavioral/developmental need.

7) Utilize written materials, videos, role playing, directed interactions, discussions, and/or modeling appropriate behaviors to facilitate the education sessions.

8) Complete a written Request for Extension of Service Provision with assistance from the MDHHS referring worker if the services are to exceed six months. The request must be signed by the MDHHS Supervisor or Program Manager and include:

a) Reason for extension

b) Progress toward treatment goals/objectives

c) Summary of parent’s level of participation during the previous six months of service

d) New goals and outcomes identified for continued service

9) Provide testimony in court at the request of the MDHHS referring worker as to what was observed.

10) Provide MDHHS with written monthly client progress reports including all elements identified in the reporting requirements.

11) Send a list of face-to-face contacts weekly via email as directed by the MDHHS referring worker. The list must include client names, time spent, and a summary of activities.

12) Provide written status of openings or waitlist to MDHHS biweekly.

13) Discuss termination recommendations with MDHHS referring worker.

14) Complete a written termination reports for each client including all elements identified in the reporting requirements.

15) Immediately report any conditions or acts of current or potential danger to the children in the case to the mandated reporting phone number 855-444-3911.