Request for Statement of Qualifications RFSQ-BHS-FY25-0066 Page 1 of 40 Children, Youth, and Family System of Care Services RFSQ Template Reviewed by County Counsel on 02/09/23

COUNTY OF SANTA CLARA, CALIFORNIA

ELECTRONIC REQUEST FOR STATEMENT OF QUALIFICATIONS (RFSQ)

FOR

CHILDREN, YOUTH, AND FAMILY SYSTEM OF CARE SERVICES

RFSQ-BHS-FY25-0066

ISSUE DATE:

10/09/2024

SECTION II.A, TABLE 5 PROVIDES INFORMATION ON

INITIAL RESPONSE DEADLINES

ELECTRONIC SUBMISSION OF RESPONSES ACCEPTED THROUGH:

01/02/2029

3:00 PM PACIFIC TIME

RFSQ END DATE:

06/30/2029 OR UPON RE-RELEASE

828 South Bascom Avenue, Suite 200

San José, California 95128

THIS RFSQ SOLICITATION REQUIRES ALL RESPONSES TO BE SUBMITTED ELECTRONICALLY

THROUGH EMAIL TO BHSD.SOLICITATIONS@HHS.SCCGOV.ORG. NO PAPER, FAX, OR BIDDINGO

SUBMISSIONS SHALL BE ACCEPTED – THESE SUBMISSIONS SHALL BE DEEMED NONRESPONSIVE.

mailto:BHSD.SOLICITATIONS@HHS.SCCGOV.ORG

Request for Statement of Qualifications RFSQ-BHS-FY25-0066 Page 2 of 40

TABLE OF CONTENTS

SECTIONS

1. INTRODUCTION 5

2. SCHEDULE AND EXPLANATION OF EVENTS 18

3. CONDITIONS GOVERNING THE PROCUREMENT 23

4. OFFEROR’S SUBMISSION 29

5. EVALUATION, NEGOTIATIONS, AND AWARD PROCESS 36

APPENDICES

All applicable Appendices must be submitted with the Response:

Appendix A – Cover Sheet Appendix B1a – Mobile Response and Stabilization Services Evaluation Criteria and

Qualifications Appendix B1b – Post Crisis Stabilization Services Evaluation Criteria and Qualifications Appendix B2 – Youth Full Service Partnership Continuum Evaluation Criteria and

Qualifications Appendix B3 – Transitional Age Youth Full Service Partnership Continuum Evaluation Criteria and Qualifications Appendix B4 – School-Based Outpatient Evaluation Criteria and Qualifications Appendix B5 – Early Psychosis Intervention - Raising Early Awareness and Creating Hope

Evaluation Criteria and Qualifications Appendix B6 – Outpatient Continuum Evaluation Criteria and Qualifications Appendix B7 – Specialty Outpatient Continuum Evaluation Criteria and Qualifications Appendix B8 – Early Childhood Mental Health Outpatient Continuum Evaluation Criteria and

Qualifications Appendix B9 – Transitional Age Youth Outpatient Continuum Evaluation Criteria and

Qualifications Appendix B10 – Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Outpatient

Continuum Evaluation Criteria and Qualifications Appendix B11 – Cross-Systems Child and Youth Outpatient Continuum Evaluation Criteria and

Qualifications Appendix B12 – School-Based Early Intervention Evaluation Criteria and Qualifications Appendix B13 – Community Youth Wellness Center - Peer Support and Engagement Program

Evaluation Criteria and Qualifications Appendix B14 – Therapeutic Behavioral Services Evaluation Criteria and Qualifications Appendix B15 – Therapeutic Behavioral Services for Youth with Intellectual Disabilities or

Developmental Delay Evaluation Criteria and Qualifications Appendix B16 – Short-Term Residential Therapeutic Program Evaluation Criteria and

Qualifications Appendix B17 – Youth Crisis Residential Evaluation Criteria and Qualifications Appendix B18 – Youth Outpatient Substance Use Treatment Services Program Evaluation

Criteria and Qualifications Appendix B19 – Youth Residential Substance Use Treatment Services Program Evaluation

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Criteria and Qualifications Appendix C – Customer References Appendix D – Offeror’s Questionnaire Appendix E – Declaration Submittal Form Appendix F – California Public Record Act - Confidential Information Appendix G – Cultural Competence Form Appendix H – Offeror’s Electronic Health Record Status Appendix I – Budget Narrative

ATTACHMENTS

Attachments listed below are reference materials and do not have to be submitted with the Response.

Attachment A1a – Mobile Response and Stabilization Services Scope of Work Attachment A1b – Post Crisis Stabilization Services Scope of Work Attachment A2 – Youth Full Service Partnership Continuum Scope of Work Attachment A3 – Transitional Age Youth Full Service Partnership Continuum Scope of Work Attachment A4 – School-Based Outpatient Scope of Work Attachment A5 – Early Psychosis Intervention - Raising Early Awareness and Creating Hope

Scope of Work Attachment A6 – Outpatient Continuum Scope of Work Attachment A7 – Specialty Outpatient Continuum Scope of Work Attachment A8 – Early Childhood Mental Health Outpatient Continuum Scope of Work Attachment A9 – Transitional Age Youth Outpatient Continuum Scope of Work Attachment A10 – Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Outpatient

Continuum Scope of Work Attachment A11 – Cross-Systems Child and Youth Outpatient Continuum Scope of Work Attachment A12 – School-Based Early Intervention Scope of Work Attachment A13 – Community Youth Wellness Center - Peer Support and Engagement

Program Scope of Work Attachment A14 – Therapeutic Behavioral Services Scope of Work Attachment A15 – Therapeutic Behavioral Services for Youth with Intellectual Disabilities or

Developmental Delay Scope of Work Attachment A16 – Short-Term Residential Therapeutic Program Scope of Work Attachment A17 – Youth Crisis Residential Scope of Work Attachment A18 – Youth Outpatient Substance Use Treatment Services Program Scope of

Work Attachment A19 – Youth Residential Substance Use Treatment Services Program Scope of

Work Attachment B – Standardized Scope of Work Language Attachment C – Contracting Principles Attachment D – Sample SD/MHSA Agreement Attachment E – Sample SUTS Agreement

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Attachment F – Standard County Provisions Attachment G – Insurance Requirements for Professional Service Agreements Attachment H – Federally Required Contract Provisions Attachment I – Early Childhood Mental Health Outpatient Continuum Feedback Loop

Process Attachment J – Full Service Partnership and Outpatient Continuum Feedback Loop Process

This space was intentionally left blank.

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I. INTRODUCTION

A. INVITATION

1. The County of Santa Clara (“County”) Health System (“Health System”) Behavioral Health

Services Department (BHSD) is seeking statements of qualifications (“Responses”) from qualified and experienced firms, hereafter (“Offerors”) to provide a variety of services which support the Children, Youth, and Family (CYF) System of Care (SOC) Services. From the Qualified Pool (QP) list, the BHSD shall identify a single or multiple number of Offerors to contract with for the purposes of providing services with the following seven (7) categories as specified in Table 1.

Table 1. Category Names

Category 1 CRISIS

Category 2 FULL SERVICE PARTNERSHIP

Category 3 OUTPATIENT SERVICES

Category 4 PREVENTION AND EARLY INTERVENTION

Category 5 BEHAVIORAL HEALTH PLACEMENT SUPPORT SERVICES

Category 6 RESIDENTIAL

Category 7 SUBSTANCE USE TREATMENT SERVICES

2. BHSD intends to create one (1) QP per program, for a total of twenty (20) program QPs across seven (7) categories listed in Table 1. For a brief description and list of all programs, please refer to Table 2. BHSD at its sole discretion may award contracts with any qualified Offeror contingent on identified future needs, available resources, and to the best interest of the County. BHSD may award multiple new contracts pending successful contract negotiations.

3. Current County-Contracted Providers (CCPs) Evaluation Process

BHSD CCPs that are actively contracting and meet all criteria for being in good standing with BHSD to provide the specific programs they currently operate and are applying for under this RFSQ are subject to the Current CCP Evaluation process. Good standing is defined as meeting all necessary requirements (e.g., compliance with contractual obligations, financial, and history of resolving CAPs promptly, etc.). CCPs that meet these criteria may enter the Qualified Pool (QP) for the same programs they are currently operating through the Current CCP Evaluation process, as an alternative to the evaluation process outlined in Section IV:

Offeror’s Submission. The County reserves the right to require any current CCP to apply to the RFSQ through the full process detailed in Section IV of this document.

4. Current CCP Submissions

Current CCPs applying under this solicitation to continue offering existing programs should complete and submit the following documentation for the Current CCP Evaluation process:

Request for Statement of Qualifications RFSQ-BHS-FY25-0066 Page 6 of 40

a. Sections I and III of Appendix A (if submitting for multiple programs, a single Appendix A may be submitted reflecting all applicable programs);

b. Financial stability documentation, as referenced in Section IV.K.1 of this RFSQ;

c. Information on all Corrective Action Plans (CAPs) and/or Performance Improvement Plans (PIPs) from the past five (5) years specifically related to programs within BHSD (maximum three [3] pages per program, not cumulatively across programs). Please include the following:

i. Description of the issue(s) that led to the CAP(s) or PIP(s).

ii. Explanation of how they were addressed and resolved, and confirmation of the current status of each plan.

d. Staffing information related to the agency’s current program or similar services (maximum two [2] pages per program, not cumulatively across programs).

i. Describe the number of staff members allocated to this program, including their position titles, language proficiencies (e.g., Cantonese, English, Farsi, German, Russian, Spanish, Tagalog, Vietnamese, etc.) and the hiring process for these roles.

ii. Provide information on any closures or temporary closures of your agency’s current program or similar services within the past year.

iii. Outline your program’s direct service staff vacancy rates over the past five (5) years, including steps taken to address and fill these vacancies and the impact on staffing levels.

e. Current CCPs seeking “Current CCP Evaluation” process review must submit the required documentation earlier than the final proposal deadline. Refer to the Table 5 special deadlines in Section II.A. for submission deadlines.

f. All submissions must follow the Response Format guidelines outlined in Section IV.C of this RFSQ. Please ensure all required documents are compiled into a single PDF file and use the following naming convention: [Your Organization Name] – CCP Evaluation Submission.pdf.

5. Current CCP Interviews CCPs submitting for the Current CCP Evaluation process may be required to participate in an interview as part of the evaluation process.

6. Current CCP Submissions After reviewing and evaluating the submitted documents, BHSD reserves the right to include the approved current CCP in the QP list. For CCPs not included in the QP list, BHSD reserves the right not to enter into new contracts once their existing contracts expire.

BHSD may notify current CCPs, after their submission, if the County determines that the CCP must apply to the RFSQ through the full process outlined in Section IV, rather than through the Current CCP Evaluation process.

If BHSD determines that a CCP does not meet the Current CCP criteria (e.g., not actively contracted with BHSD and/or not providing the specific services listed in this RFSQ), BHSD will notify the CCP and provide instructions to re-submit a complete response offer for

Request for Statement of Qualifications RFSQ-BHS-FY25-0066 Page 7 of 40 further consideration. Additionally, BHSD reserves the right to require any current CCP to submit a full offer if they are not in good standing, even if they are providing the services listed in this RFSQ.

7. If any CCP is interested in operating new programs/services (new scopes of work) listed in the RFSQ, that are not currently included in their contract with BHSD, they must complete and submit all documents required by Section IV.E.1-2 of the RFSQ. The County reserves the right to contract with Offerors on each Qualified List as needs arise and may maintain each Qualified List for a period of five (5) years. However, by being placed on the Qualified List does not guarantee a contract.

8. A Short-Doyle/Mental Health Services Act (SD/MHSA) or SUTS Master Agreement may be offered to all Offerors determined to be qualified in one (1) or more of the programs listed above. The execution of a Master Agreement does not guarantee any minimum or maximum amount of utilization of services which may or may not be utilized, at the County’s sole discretion.

9. The amount of funding allocated to any Master Agreements resulting from this solicitation is at the sole discretion of the County. Entry into the qualified pool does not guarantee any amount of funding will be allocated for the services proposed including current CCPs who qualify for existing programs in active contracts. County reserves the right to decrease or increase the amount of funding allocated for existing programs in active contracts in any Master Agreements resulting from this solicitation.

10. Offerors shall provide program services in accordance with the ordinances and resolutions of the County Board of Supervisors and the applicable policies, procedures, directives, and guidelines of the County and BHSD, including, but not limited to the BHSD Provider Manual and/or BHSD policies and procedures.

11. Table 2 provides an overview of programs, grouped by category, followed by a brief description of each service’s core requirements. For a deeper understanding of each program’s specifications and the detailed scope of work, please refer to Attachments A1 through A19. Offerors may apply for one (1) or more of the programs listed in these attachments.

Table 2. Program Categories and Key Service Descriptions

CATEGORY 1 CRISIS

A1a: Mobile Response and Stabilization Services – Provides rapid crisis intervention and stabilization services for children, youth, and young adults (ages 4-20) experiencing behavioral health crises. The program includes mobile response teams offering assessment, de-escalation, peer support, and care coordination. MRSS aims to prevent hospitalizations, stabilize clients in their community, and provide linkage to ongoing services within thirty

(30) days of initial contact. Services are delivered across various regions and are available 24/7, with after-hours coverage to ensure timely support.

A1b: Post Crisis Stabilization Services – Provides intensive, trauma-informed behavioral health services for youth (ages 4-17) transitioning from psychiatric hospitalization or experiencing a mental health crisis. The program focuses on stabilizing emotional and

Request for Statement of Qualifications RFSQ-BHS-FY25-0066 Page 8 of 40 behavioral functioning, reducing hospital readmissions, and supporting youth and families through individual therapy, crisis intervention, safety planning, and care coordination. The goal is to ensure a smooth transition back into the community while promoting long-term mental health stability through coordinated care and individualized treatment plans. The average length of service is 90 days, with an emphasis on preventing future crises.

CATEGORY 2 FULL SERVICE PARTNERSHIP

A2: Youth Full Service Partnership Continuum – Provides intensive culturally and age-appropriate mental health support for high-risk youth (ages 6-15) with serious emotional disorders to remain in the community, reduce involvement in juvenile justice and child welfare systems, and support recovery through a 24/7 team-based approach. Services include mental health treatment, medication support, crisis support, and education support.

A3: Transitional Age Youth Full Service Partnership Continuum – Provides intensive, culturally and age-appropriate mental health services for high-risk youth (ages 16-25) with serious emotional disorders (SED). Services include mental health treatment, medication support, crisis support, and employment/educational/vocational training. The program aims to help youth remain in the community, reduce involvement in juvenile justice and child welfare systems, and support recovery through a 24/7, team-based approach that adapts to individual needs.

CATEGORY 3 OUTPATIENT SERVICES

A4: School-Based Outpatient – Provides behavioral health services to middle and high school-aged youth, with potential inclusion of elementary school-aged youth, primarily in school settings, with additional services available in clinics, homes, and communities as needed. The program integrates with the school’s Multi-Tiered System of Supports (MTSS) framework, focusing on intensive Tier 3 services. Services include individual, group, and family therapy, case management, medication support, and crisis intervention, with the goal of improving school functioning, reducing absenteeism, and enhancing overall emotional and behavioral health.

A5: Early Psychosis Intervention - Raising Early Awareness and Creating Hope – Provides early intervention services to youth and young adults (ages 12-25) who are clinically high risk for psychosis (CHR-P) or experiencing a first episode of psychosis (FEP). The program offers evidence-based treatment, including individual and group therapy, medication management, and family support. Using the Coordinated Specialty Care (CSC) model, the program aims to reduce the duration and severity of untreated psychosis, prevent hospitalizations, and improve overall functioning in school, work, and community settings.

A6: Outpatient Continuum – Provides age-appropriate specialty mental health services to children and youth (ages 6-20) and their families. The program offers a range of services, including intensive, outpatient, and wellness level of service, addressing areas such as education, employment, personal wellbeing, and community functioning. Services focus on improving access to integrated mental health and substance use treatment, with an emphasis on family involvement and culturally responsive, trauma-informed care.

A7: Specialty Outpatient Continuum – Provides culturally and developmentally appropriate specialty mental health services to children and youth (ages 6-20) from specific populations, including African American, Native American, Southeast and South Asian communities, and those with co-occurring intellectual or developmental disabilities. The program offers a

Request for Statement of Qualifications RFSQ-BHS-FY25-0066 Page 9 of 40 range of services, including intensive, outpatient, and wellness level of service, to address life domains such as education, employment, and personal wellbeing. Services incorporate Evidence-Based and Community Defined Evidence Practices tailored to meet the unique needs of the targeted populations.

A8: Early Childhood Mental Health Outpatient Continuum – Provides culturally and developmentally appropriate specialty mental health services to children (ages birth-5) and their families. Services are delivered within the context of the caregiver-child relationship to support healthy development and attachment. The program uses the Infant-Family and Early Childhood Mental Health (IFECMH) approach, focusing on relationship-based, trauma-informed care. Services include family partner support, family specialist services, and therapeutic interventions, incorporating evidence-based practices specific to the targeted age population.

A9: Transitional Age Youth Outpatient Continuum – Provides culturally appropriate specialty mental health services to youth (ages 16-25), focusing on enhancing self-help activities, health, and wellbeing for transitioning to adulthood. Services range from Intensive, Outpatient, to Wellness level of services and address life domains such as employment, education, living situation, and interpersonal relationships. The program emphasizes community-based interventions, crisis response, and individualized care, supporting youth with serious mental illness, risk of homelessness, or transitioning out of child-service systems.

A10: Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Outpatient Continuum – Provides culturally appropriate specialty mental health services to gender diverse, queer, transgender, or questioning children, youth, and young adults (ages 6-25). Services range from Outreach, Intensive, Outpatient to Wellness levels, providing support that stigmatizes diverse sexual orientations and gender identities, supporting self-help activities, and promoting health and wellbeing. The program addresses life domains such as employment, education, living situation, and personal relationships, while providing community-based services, crisis response, and individualized care. It also includes family involvement and caregiver education on LGBTQ+ needs and advocacy.

A11: Cross-Systems Child and Youth Outpatient Continuum – Designed to provide intensive community-based mental health services to children, youth (ages 5-20), and families, with a focus on clients who are involved with the child welfare or juvenile probation systems, OR for youth referred from programs that do not have but need Intensive Care Coordination (ICC) or Intensive Home-Based Services (IHBS). The program delivers therapy, medication support, rehabilitation services, ICC and IHBS within a Child and Family Team (CFT) framework, ensuring culturally responsive, strength-based, trauma-informed care. The aim is to enhance access, quality, and coordination of care, promoting stability, family functioning, and recovery.

CATEGORY 4 PREVENTION AND EARLY INTERVENTION

A12: School-Based Early Intervention – Provides early intervention and behavioral health services to school-aged youth, pre-K-8th grade, with the potential inclusion of high school students, within school settings, with additional services available in clinics, homes, and communities as needed. The program focuses on delivering Tier 1 and Tier 2 services aligned with the Multi-Tiered System of Supports (MTSS) framework to address students' social-emotional, behavioral, and academic needs. Services include mental health

Request for Statement of Qualifications RFSQ-BHS-FY25-0066 Page 10 of 40 promotion and targeted outreach, psychoeducation, group skill-building, and parenting workshops for all students. In addition, short-term individual therapy is available for Medi- Cal beneficiaries or uninsured clients. The program partners with school districts and designated school sites to integrate services and aims to improve school functioning, increase access to community resources, and promote mental health.

A13: Community Youth Wellness Center - Peer Support and Engagement Program – Provides peer support and engagement services to youth (ages 12-25) at allcove Palo Alto and Downtown Youth Wellness Center. The program offers integrated services focused on mental health, physical health, education, employment, and peer/family support. Designed to reduce stigma and barriers to care, CYWC serves vulnerable populations such as LGBTQIA+ and disconnected youth through a low-barrier, drop-in model, promoting community engagement, leadership development, and wellness. Services emphasize early intervention, holistic care, and fidelity to evidence-based program models.

CATEGORY 5 BEHAVIORAL HEALTH PLACEMENT SUPPORT SERVICES

A14: Therapeutic Behavioral Services – Provides intensive, short-term, home or placement-based behavioral interventions for children, youth, and young adults (ages birth- 20) diagnosed with severe emotional and behavioral challenges. TBS is a supplement to ongoing Specialty Mental Health Services (SMHS) and focuses on teaching coping skills, anger management, and mood regulation. Through 1:1 coaching, clients and their families learn strategies to reduce challenging behaviors and increase positive interactions, improving their ability to succeed in various environments such as school, home, or work.

Services are individualized, trauma-informed, and culturally sensitive, helping clients to remain in stable placements and avoid more intensive interventions like hospitalization.

A15: Therapeutic Behavioral Services for Youth with Intellectual Disabilities or Developmental Delay – Provides intensive, short-term behavioral interventions for children, youth, and young adults (ages birth-20) diagnosed with serious emotional challenges and intellectual disabilities or developmental delays. Services are provided in-home or in placement settings, aimed at teaching coping strategies, anger management, and mood regulation through 1:1 coaching. The program is a supplement to ongoing Specialty Mental Health Services (SMHS), helping clients reduce disruptive behaviors, improve social and emotional functioning, and maintain stability in their current living environments. Services are individualized, culturally sensitive, trauma-informed, and focus on building natural support systems to sustain positive developmental outcomes and stable placement.

CATEGORY 6 RESIDENTIAL

A16: Short-Term Residential Therapeutic Program – Provides culturally responsive, trauma-informed mental health services to Medi-Cal youth beneficiaries (ages 10-17) in need of 24/7 care and supervision within a licensed therapeutic milieu to stabilize and treat behavioral health needs. Services focus on stabilizing behavioral health symptoms, improving emotional regulation, and reducing the intensity of emotional and behavioral crises. The program supports youth with complex needs involved in the child welfare and juvenile justice systems. Treatment includes individual, group, and family therapy, crisis intervention, and care coordination through a multidisciplinary team approach. Services aim to prepare youth for transition to less restrictive, home-based environments.

Request for Statement of Qualifications RFSQ-BHS-FY25-0066 Page 11 of 40

A17: Youth Crisis Residential – Provides short-term, intensive crisis residential treatment and medication support for youth (ages 12-18) experiencing acute mental health crises. This program serves as a step-down from psychiatric hospitalization or Crisis Stabilization Units (CSU) and aims to stabilize youth in crisis, helping them transition back to home or community-based settings. Services include crisis intervention, individualized treatment planning, trauma-informed care, medication management, and family involvement. The program also offers 24/7 supervision, coordination with other providers, and care planning through Child and Family Team (CFT) meetings to ensure successful transitions and reduce re-hospitalization.

CATEGORY 7 SUBSTANCE USE TREATMENT SERVICES

A18: Youth Outpatient Substance Use Treatment Services Program – Provides substance use treatment services to youth (ages 12-21), emphasizing culturally responsive, trauma-informed care. The program offers outpatient services for clients with substance use and co-occurring mental health disorders. Treatment includes individual and group counseling, peer support, case management, family therapy, and care coordination, guided by the American Society of Addiction Medicine (ASAM) criteria. Services are designed to reduce substance use, improve mental health, and promote long-term recovery. Peer Support Workers engage youth in schools and the community, linking them to treatment. The program collaborates with various agencies, including schools, Juvenile Probation, and family services.

A19: Youth Residential Substance Use Treatment Services Program – Provides comprehensive residential treatment for youth (ages 12-17) with substance use disorders and co-occurring mental health needs. The program delivers 24/7 care and supervision in a licensed therapeutic residential environment, focusing on stabilization, recovery, and personal growth. Using evidence-based practices, the program addresses substance use and co-occurring mental health disorders through individualized treatment plans, family involvement, and relapse prevention. Services include individual and group counseling, care coordination, family therapy, medication support, and linkage to community resources. The program emphasizes trauma-informed, culturally responsive care and collaboration with educational institutions and community agencies to support the client’s recovery and reintegration into their community.

12. BHSD anticipates awarding contracts as specified in Table 3. BHSD reserves the right, at its sole discretion, to award additional or fewer slots per selected Offeror based on the County’s anticipated needs and available slots. Total active slots are estimates and may be subject to change based on contract negotiations.

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Table 3. Estimated Needs and Slots per Category

Program Offerors in QP to be Awarded

Total Annual Slots

CATEGORY 1 CRISIS

A1a: Mobile Response and Stabilization Services

(MRSS)

A1b: Post Crisis Stabilization Services (PCSS)

1*

*same vendor for both programs

MRSS:

1,200

PCSS:

CATEGORY 2 FULL SERVICE PARTNERSHIP (FSP) SERVICES

A2: Youth Full Service Partnership Continuum

3-4 240

A3: Transitional Age Youth Full Service Partnership Continuum

3-4 240

CATEGORY 3 OUTPATIENT SERVICES

A4: School-Based Outpatient 5-7 1,100

A5: Early Psychosis Intervention - Raising Early Awareness and Creating Hope

2 120

A6: Outpatient Continuum 10 3,000

A7: Specialty Outpatient Continuum 4-5

A8: Early Childhood Mental Health Outpatient Continuum

4-5 900

A9: Transitional Age Youth Outpatient Continuum

4-5 600

A10: Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Outpatient Continuum

A11: Cross-Systems Child and Youth Outpatient Continuum

3-5 420

CATEGORY 4 PREVENTION AND EARLY INTERVENTION

A12: School-Based Early Intervention 4-6 1,028

A13: Community Youth Wellness Center - Peer Support and Engagement Program

1-2 allcove:

Downtown Youth

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Program Offerors in QP to be Awarded

Total Annual Slots

Wellness Center:

CATEGORY 5 BEHAVIORAL HEALTH PLACEMENT SUPPORT SERVICES

A14: Therapeutic Behavioral Services 4-5 300

A15: Therapeutic Behavioral Services for Youth with Intellectual Disabilities or Developmental Delay

2 105

CATEGORY 6 RESIDENTIAL

A16: Short-Term Residential Therapeutic Program

1-3 16

A17: Youth Crisis Residential 1 48

CATEGORY 7 SUBSTANCE USE TREATMENT SERVICES

A18: Youth Outpatient Substance Use Treatment Services Program

3-4 400

A19: Youth Residential Substance Use Treatment Services Program

1-2 72

13. RULES OF ENGAGEMENT FOR MEMBERS IN QUALIFIED POOLS

a. The QP shall be maintained for a period of five (5) years. The County reserves the right to terminate the QP at any given time.

b. If the RFSQ is reissued or amended to contain new service categories, interested Offerors already in the QP may apply for any of the added categories.

c. Prior to the end of the Agreement Term, the County may issue a new RFSQ to create a new QP. All Offerors in the existing QP shall be invited to provide a response, including existing contracted Providers.

14. CONTRACT TERMS

a. The approximate initial contract term is from July 1, 2025, up to and including, June 30, 2026. The BHSD may, at its sole discretion, elect to extend the initial contract term for four (4) additional one‐year extensions, depending on the satisfactory performance of Offerors, the availability of funding, and the needs of the County.

b. New SD/MHSA or SUTS Master Agreements or amendments to Master Agreements shall become effective upon the date of execution by the County. Contracts shall expire at the end of the County contracting term of five (5) years.

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c. SUBCONTRACTS

1. Medi-Cal reimbursable services: Offerors shall not delegate its obligation to provide, or otherwise subcontract, for the provision of direct patient / beneficiary services that are reimbursed or paid for under Medi-Cal.

2. Non-Medi-Cal services: For the purposes of this RFSQ, Offerors shall not be permitted to subcontract for the services under the service under this RFSQ that are not reimbursed or paid for under Medi-Cal, as described in the applicable Scope(s) of Work.

15. BUDGET

a. Table 4 summarizes the breakdown of the estimated annual expenditures per program:

Table 4. Estimated Annual Expenditures per Category

Program Estimated Annual Expenditure

CATEGORY 1 CRISIS

A1a: Mobile Response and Stabilization Services

A1b: Post Crisis Stabilization Services

A1a:

$ 4,000,000

A1b:

$ 1,800,000

CATEGORY 2 FULL SERVICE PARTNERSHIP (FSP) SERVICES

A2: Youth Full Service Partnership Continuum

$ 6,000,000

A3: Transitional Age Youth Full Service Partnership Continuum

$ 5,600,000

CATEGORY 3 OUTPATIENT SERVICES

A4: School-Based Outpatient $ 9,000,000

A5: Early Psychosis Intervention - Raising Early Awareness and Creating Hope

$ 2,800,000

A6: Outpatient Continuum $ 38,800,000

A7: Specialty Outpatient Continuum $ 3,800,000

A8: Early Childhood Mental Health $ 9,400,000

A9: Transitional Age Youth Outpatient Continuum

$ 5,400,000

A10: Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Outpatient Continuum

$ 1,300,000

A11: Cross-Systems Child and Youth $ 14,200,000

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Program Estimated Annual Expenditure

Outpatient Continuum

CATEGORY 4 PREVENTION AND EARLY INTERVENTION

A12: School-Based Early Intervention $ 5,200,000

A13: Community Youth Wellness Center - Peer Support and Engagement Program allcove:

$ 800,000

Downtown Youth Wellness Center:

$700,000

CATEGORY 5 BEHAVIORAL HEALTH PLACEMENT SUPPORT SERVICES

A14: Therapeutic Behavioral Services $ 2,700,000

A15: Therapeutic Behavioral Services for Youth with Intellectual Disabilities or Developmental Delay

$ 1,000,000

CATEGORY 6 RESIDENTIAL

A16: Short-Term Residential Therapeutic Program

$ 1,200,000

A17: Youth Crisis Residential $ 1,200,000

CATEGORY 7 SUBSTANCE USE TREATMENT SERVICES

A18: Youth Outpatient Substance Use Treatment Services Program

$ 4,200,000

A19: Youth Residential Substance Use Treatment Services Program

$ 2,000,000

b. Funding levels for the program(s) are subject to change during the negotiation phase of the solicitation process or during the term of the contract.

c. Contractor shall not be entitled to any payment by County under a SD/MHSA or SUTS Master Agreement except pursuant to validly executed and satisfactorily performed services. In each year of this Master Agreement, the total of all amounts actually expended by County hereunder (“annual expenditures”) may not exceed amounts allocated to the BHSD by the County Board of Supervisors and any other funding sources in their approved budgets. The County has the sole discretion to expend some, all, or none of such budgeted amounts.

d. This RFSQ is contingent on the appropriation of sufficient funding by the County for the services covered by this RFSQ. If funding is reduced or deleted for the purpose of this RFSQ, the County has the option to either cancel this RFSQ with no liability occurring to

Request for Statement of Qualifications RFSQ-BHS-FY25-0066 Page 16 of 40 the County or to offer an addendum to the RFSQ that reflects the reduced amount of funding.

THIS RFSQ SOLICITATION REQUIRES ALL RESPONSES TO BE SUBMITTED ELECTRONICALLY

THROUGH EMAIL TO BHSD.SOLICITATIONS@HHS.SCCGOV.ORG. NO PAPER, FAX, OR BIDDINGO

SUBMISSIONS SHALL BE ACCEPTED – THESE SUBMISSIONS SHALL BE DEEMED NONRESPONSIVE.

B. BACKGROUND

1. County of Santa Clara

Santa Clara County (SCC) is the sixth most populous county in California, with a population of 1.9 million people. SCC contains 168 distinct voting districts, 15 cities encompassing approximately 1,300 square miles and a large concentration of electronics, information technology, research, and manufacturing firms. SCC has is the fifth-largest county government in the State.

SCC’s governmental structure includes a decentralized mix of approximately 50 agencies and departments. The County provides services such as public safety and justice, road construction and maintenance, parks and recreation, libraries, and environmental resource management. It also operates "enterprise" programs, which charge fees to users for services. Two examples are the County Health System, which includes 3 hospitals, and the County airports. The County acts as an agent of the State in administering health, social services, and criminal justice programs that are of statewide concern.

Policy making and legislative authority are vested in the Board of Supervisors, which consists of an elected Supervisor from each of the County’s five districts. The Board’s responsibilities include passing ordinances and policies, adopting the budget, appointing committees, and appointing the County Executive who manages the day-to-day operations of the County. For more information, please go to www.sccgov.org.

2. County Health System: Behavioral Health Services Department

It is the mission of the Health System to provide leadership in developing and promoting a healthy community through a planned, integrated health care delivery system that offers prevention, education, and treatment programs to all residents of Santa Clara County, regardless of ability to pay. The Health System provides a wide range of primary and specialty medical services and oversees public programs for the health and well-being of all County residents.

BHSD’s missions include assisting individuals in the community affected by mental illness and serious emotional disturbance to achieve their hopes, dreams, and quality of life goals.

To accomplish this, services must be delivered in the least restrictive, non-stigmatizing, and most accessible environment within a coordinated system of community and self-care.

Services must also be respectful to the client, their family and loved ones, and consider language, culture, ethnicity, gender, and sexual identity.

BHSD believes without reservation that:

• All people have the right to mental health and well-being;

• All people must be treated with fairness, respect, and dignity in a culturally and linguistically competent way;

http://www.sccgov.org/

Request for Statement of Qualifications RFSQ-BHS-FY25-0066 Page 17 of 40

• With effective treatment and support, recovery from mental illness is achievable;

• Clients shall actively participate in their own recovery and treatment goals;

• Clients and their families shall be at the center in the development, delivery, implementation, and evaluation of their treatment;

• The system of care must have a structure and process for ensuring access to needed services for potential and current consumers; and

• All people must have access to the highest quality and most effective integrated services.

BHSD is successful in helping to ensure that residents in need of public behavioral health services are:

• Physically and emotionally healthy, happy, and thriving;

• In a safe and permanent living situation;

• Part of a loving and supportive social network;

• Involved in meaningful school, work, and daily activities;

• Free from trouble or causing harm to others; and

• Safe from harm from the environment or others.

The services sought under this RFSQ must abide by the aforementioned County of Santa Clara and BHSD missions and values. For more information on BHSD policies, please visit the BHSD Provider Resources1 webpage at https://bhdp.sccgov.org/analytics-reporting/electronic-health-records, which includes:

• The BHSD Provider Manual2 at https://bhdp.sccgov.org/sites/g/files/ exjcpb716/files/documents/provider-manual-final-03-11-22.pdf

3. Mental Health Services Act (MHSA)

In November 2004, California voters approved Proposition 63, now known as Mental Health Services Act (MHSA). The MHSA imposes a 1% tax on taxable personal income in excess of $1 million. MHSA tax revenues are distributed to County Behavioral Health Departments through contracts with the California Department of Health Care Services (DHCS). The MHSA calls for a transformed mental health system where access is easier, services are more effective, out-of-home care and institutional care are reduced, and stigma towards those unserved and underserved adults and older adults with severe mental illness is minimized.

Emphasis is placed on reducing negative outcomes potentially resulting from untreated mental illness, such as incarcerations, school dropouts, unemployment, and/or homelessness.

The County has a high proportion of foreign-born residents. It is considered linguistically more diverse with proportionately more local County residents speaking a language other than English compared to neighboring counties. The BHSD seeks to identify interested applicants with ethnically and linguistically diverse staff to provide mental health services

1 The BHSD shall be updating provider resources and links to align with current and future updates for State Medi-Cal reform.

2 The linked BHSD policy manual was approved as of March 2022. Please refer to the main provider resources page for the most up-to-date provider information.

https://bhdp.sccgov.org/analytics-reporting/electronic-health-records https://bhdp.sccgov.org/analytics-reporting/electronic-health-records https://bhdp.sccgov.org/sites/g/files/exjcpb716/files/documents/provider-manual-final-03-11-22.pdf https://bhdp.sccgov.org/sites/g/files/exjcpb716/files/documents/provider-manual-final-03-11-22.pdf

Request for Statement of Qualifications RFSQ-BHS-FY25-0066 Page 18 of 40 within diverse communities to increase outreach and access to those families who may be unaware of available services and treatment options.

The BHSD recognizes the importance of partnering with community organizations to make behavioral health services accessible to County residents with SMI and co-occurring substance use issues in need of treatment by allocating part of the Community Services and Supports (CSS) funding component of the MHSA to outpatient services.

II. SCHEDULE AND EXPLANATION OF EVENTS

This section of the RFSQ contains the anticipated schedule for the procurement and describes the procurement events as well as the conditions governing the procurement.

A. SCHEDULE OF EVENTS

The dates, times, and/or processes associated with this schedule may be adjusted by BHSD as needed. BHSD will make every effort to adhere to the anticipated schedule outlined in Table 5.

Table 5. Anticipated Open RFSQ Schedule

EVENT DATE

1. Issuance of Open RFSQ October 9, 2024

2. Offeror’s Conference Thursday, October 24, 2024 from 1:00 pm-3:00 pm

3. Submit Procedural Questions via Biddingo Written questions can be submitted through March 1, 2029, 3:00 pm Pacific Time.

Refer to Section II.C.3 below for more details.

4. Special Deadline for Current CCP Evaluation Submissions:

Deadline to Submit Electronic Responses via Email

Initial Round of Responses:

November 1, 2024 by 3:00 pm Pacific Time

Note: This deadline applies only to this initial round of response for CCPs applying to continue offering the specific programs they are currently operating under this RFSQ.

Any CCP seeking to apply for new or additional programs beyond their current scope must follow the full evaluation process outlined in Section IV: Offeror’s Submission.

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5. Special Deadline for Current CCP Evaluation Submissions:

Current CCPs Notified if Full Proposal Required

Initial Round of Full Submission Responses:

November 6, 2024

Note: This deadline applies only to this initial round of response for CCPs applying to continue offering the specific programs they are currently operating under this RFSQ.

6. Deadline to Submit Electronic Responses via Email (New Offerors or any CCP Notified a Full Proposal is Required)

Initial Round of Responses:

November 22, 2024 by 3:00 pm Pacific Time

Subsequent Responses:

Evaluations will be conducted annually on an as-needed basis. Refer to Table 6 for deadlines.

7. Response Evaluation Process Initial Round of Responses:

December 2024 – February 2025

Subsequent Responses:

Evaluations will be conducted annually on an as-needed basis. Refer to Table 6 for deadlines.

8. Interviews (County Option)

Note: All Offerors must keep these dates available for interviews and/or to respond to supplemental questions.

Initial Round of Responses:

Monday, January 20, 2025 – Friday, January 24, 2025

Subsequent Responses:

Interviews will be conducted on an as-needed basis.

Time: TBD (Offerors will be contacted for a specific interview date and time slot).

9. Issue Notice of Qualification and/or Notice of Non-Qualification

Initial Round of Responses:

March 2025

Subsequent Responses:

Notices shall be issued annually on an as-needed basis. Refer to Table 6 for deadlines.

Request for Statement of Qualifications RFSQ-BHS-FY25-0066 Page 20 of 40

10. Protest Deadline Initial Round and Subsequent Responses:

Five (5) business days by 5:00 pm Pacific Time. Offeror shall review the protest deadline indicated in the Notice sent via email.

11. Contract Negotiations and Award Initial Round of Responses:

March 2025 - July 2025

Subsequent Responses:

On an as-needed basis.

12. Estimated Start Date of Contract Initial Round and Subsequent

Responses:

Upon Execution by the County.

13. Open RFSQ Close Date by 3:00PM PST June 30, 2029 or upon re-release of a new cycle for these Open RFSQ services.

Table 6. Calendar Year 2025-2027 Dates for Evaluation Processes

Deadline to Submit Offers Evaluation Dates

Interviews (if needed)

Notice of Qualification/

Non- Qualification

September 1, 2025 First week of October

Within 15 business days of

Evaluation

Within 10 business days of Evaluation OR Interview

September 1, 2026 First week of October

Within 15 business days of

Evaluation

Within 10 business days of Evaluation OR Interview

September 1, 2027 First week of October

Within 15 business days of

Evaluation

Within 10 business days of Evaluation OR Interview

Note: The timeline applies to new providers and existing CCPs applying for new programs. Existing CCPs seeking continued qualification for existing programs may submit the necessary documents at any time, and these will be evaluated on a rolling basis.

B. POINT OF CONTACT

1. Any inquiries or request regarding this procurement should be submitted in writing

Request for Statement of Qualifications RFSQ-BHS-FY25-0066 Page 21 of 40 through https://biddingo.com/santaclaracounty, the County’s solicitation management system. Offerors may only submit inquiries through Biddingo regarding this RFSQ.

2. Communication with County Employees. As of the issuance date of this RFSQ and continuing until the final date of award of the contract(s), Offeror’s contact with Santa Clara County employees is strictly limited. All personnel representing the County are specifically directed not to hold meetings, conferences, or technical discussions with any Offeror for purposes of responding to this RFSQ. All questions related to the RFSQ must be directed through Biddingo. Any Offeror found to be acting in any way contrary to this directive shall be disqualified from entering into any contract that may result from this RFSQ.

C. EXPLANATION OF EVENTS

1. ISSUANCE OF RFSQ

This RFSQ is being issued by the BHSD. Copies of this RFSQ, including supporting documents, may be obtained from https://biddingo.com/santaclaracounty.

2. OFFERORS’ CONFERENCE

An Offeror’s Conference is scheduled for this RFSQ, as specified in Section II.A of this

RFSQ.

Date/Time/Location:

Date: Thursday, 10/24/2024

Time: 01:00 pm – 03:00 pm Pacific Time

Location: https://teams.microsoft.com/l/meetup-join/19%3ameeting_NTdiNjJhMzQtOTYwMi00ZDIxLWJlNjctNzZiNzU5MWZk NmZl%40thread.v2/0?context=%7b%22Tid%22%3a%220ac3202f-c3e9- 4f56-830d-017d09d16b3f%22%2c%22Oid%22%3a%221235f30f-262a-4d48- 85ff-3f7807111983%22%7d

NO IN-PERSON CONFERENCE WILL TAKE PLACE. THE BHSD WILL CONDUCT

THE PRE-PROPOSAL CONFERENCE VIA THE MICROSOFT TEAMS

VIDEOCONFERENCE PLATFORM.

No audio, video, or written transcript record of the proceedings of this pre-proposal conference shall be available after its conclusion. The County shall attempt to tabulate a list of all questions and responses at the pre-proposal event but does not guarantee that the list shall include every question asked at the event. Upon request, the County may publish a list of offerors attending the pre-proposal conference after the conclusion of the event.

The pre-proposal conference shall include a review of the RFSQ and response to questions. Although the pre-proposal conference is optional, Offerors are strongly encouraged to attend this conference.

Oral responses given at the conference are not binding on the County. Any responses submitted or provided at the conference that, in the County’s judgment, alter the https://biddingo.com/santaclaracounty https://biddingo.com/santaclaracounty https://biddingo.com/santaclaracounty https://biddingo.com/santaclaracounty https://teams.microsoft.com/l/meetup-join/19%3ameeting_NTdiNjJhMzQtOTYwMi00ZDIxLWJlNjctNzZiNzU5MWZkNmZl%40thread.v2/0?context=%7b%22Tid%22%3a%220ac3202f-c3e9-4f56-830d-017d09d16b3f%22%2c%22Oid%22%3a%221235f30f-262a-4d48-85ff-3f7807111983%22%7d https://teams.microsoft.com/l/meetup-join/19%3ameeting_NTdiNjJhMzQtOTYwMi00ZDIxLWJlNjctNzZiNzU5MWZkNmZl%40thread.v2/0?context=%7b%22Tid%22%3a%220ac3202f-c3e9-4f56-830d-017d09d16b3f%22%2c%22Oid%22%3a%221235f30f-262a-4d48-85ff-3f7807111983%22%7d https://teams.microsoft.com/l/meetup-join/19%3ameeting_NTdiNjJhMzQtOTYwMi00ZDIxLWJlNjctNzZiNzU5MWZkNmZl%40thread.v2/0?context=%7b%22Tid%22%3a%220ac3202f-c3e9-4f56-830d-017d09d16b3f%22%2c%22Oid%22%3a%221235f30f-262a-4d48-85ff-3f7807111983%22%7d https://teams.microsoft.com/l/meetup-join/19%3ameeting_NTdiNjJhMzQtOTYwMi00ZDIxLWJlNjctNzZiNzU5MWZkNmZl%40thread.v2/0?context=%7b%22Tid%22%3a%220ac3202f-c3e9-4f56-830d-017d09d16b3f%22%2c%22Oid%22%3a%221235f30f-262a-4d48-85ff-3f7807111983%22%7d https://teams.microsoft.com/l/meetup-join/19%3ameeting_NTdiNjJhMzQtOTYwMi00ZDIxLWJlNjctNzZiNzU5MWZkNmZl%40thread.v2/0?context=%7b%22Tid%22%3a%220ac3202f-c3e9-4f56-830d-017d09d16b3f%22%2c%22Oid%22%3a%221235f30f-262a-4d48-85ff-3f7807111983%22%7d

Request for Statement of Qualifications RFSQ-BHS-FY25-0066 Page 22 of 40 content of the RFSQ, shall be provided in writing, as an addendum to the RFSQ. All addenda shall be posted on https://biddingo.com/santaclaracounty.

3. DEADLINE TO SUBMIT WRITTEN RFSQ…