ServicesRFQ Psychology 2021.docx

REQUEST FOR QUOTATION

ARFQJWH22*2 Psychology Services for Jackie Withrow Hospital

SPECIFICATIONS

1. PURPOSE AND SCOPE: The West Virginia Department of Health and Human Resources, Office of Health Facilities is currently soliciting bids to establish a contract for Psychology Services to the residents of Jackie Withrow Hospital located at 105 S Eisenhower Dr. Beckley, WV 25801

THE WVDHHR has developed an EEOP Utilization Report and it is available at http://intranet.wvdhhr.org/ops/EEO/forms/H1.5%20Utilization%20Report%and%EEO%20policy.pdf

2. DEFINITIONS: The terms listed below shall have the meanings assigned to them below. Additional definitions can be found in section 2 of the General Terms and Conditions.

2.1 “Contract Services” means Psychology Services to the residents of Jackie Withrow Hospital as more fully described in these specifications.

2.2 “Pricing Page” means the pages, contained wvOASIS or attached hereto as Exhibit A, upon which Vendor should list its proposed price for the Contract Services.

2.3 “Solicitation” means the official notice of an opportunity to supply the State with goods or services that is published.

2.4 “Skills Training Program” means the treatment plans and goals developed under the direction of a Licensed Psychologist that enables residents with chronic mental illness, maladaptive behavior, and/or developmental disabilities to function at their optimal potential.

2.5 “Therapeutic Service” means to provide residents with chronic mental illness, maladaptive behavior, and/or developmental disabilities with recreational and therapeutic services to enable them to function at their optimal potential through assisting them to develop and maintain active daily living skills, develop relationships that promote social trust and growth assisting them to live with dignity.

3. QUALIFICATIONS: Vendor, or Vendor’s staff if requirements are inherently limited to individuals rather than corporate entities, shall have the following minimum qualifications:

3.1. Valid license from WV Board of Psychology

4. MANDATORY REQUIREMENTS:

4.1 Mandatory Contract Services Requirements and Deliverables: Contract Services must meet or exceed the mandatory requirements listed below.

4.1

4.1.1 Psychology Services for the residents of Jackie Withrow Hospital

4.1.1.1 Vendor must provide a licensed Psychologist on site to the facility for 3 days per week for 6 hours per day for the care of approximately 60 to 75 Long Term Care Residents. Psychologist can choose the days and times he/she chooses to work as long as it’s Monday thru Friday 8am to 4:30pm excluding any WV holidays.

4.1.1.2 Psychologist must perform a Psychological Evaluation on each new admission and then re-evaluate every 6 months. After initial evaluation, Psychologist must compete the Physicians Determination of Capacity for all new admits as requested by the consultation request if there is a change in the resident’s status.

4.1.1.3 Psychologist must provide Behavioral Management Services for the entire facility.

4.1.1.4 Psychologist must develop care plans for Behavioral Management and Special Needs Residents and provide annual assessments for all special needs population.

4.1.1.5 Psychologist must review individual resident progress in the Skills Training Programs and complete a Therapeutic Monthly Service Summary on all residents in the Special Needs / Therapeutic Services Program.

4.1.1.6 Psychologist must serve as a member on Treatment Team (Care Conference) meetings which usually meet on Wednesdays at 10am. This is included in the vendor’s 6 hour per day services.

4.1.1.7 Psychologist must review data sheets on a monthly basis of those residents in the Skills Training Program to review the level of participation and progress and make recommendations for changes to the established goals as needed.

4.1.1.8 Psychologist must be available to consult with the Program Service, Recreation, and Nursing Staff regarding resident’s progress toward goals that were established and any behavioral concerns.

4.1.1.9 Psychologist must provide Special Needs educational classes to any staff members when needed.

4.1.1.10 Psychologist must document in the resident’s Electronic Medical Record at the time services are rendered.

4.1.1.11 Psychologist must train on the facility’s Electronic Medical Record. This will be conducted by the Hospital’s Clinical Applications Specialist and will take approximately 6 hours. This must be in addition (separately) from the normal 6 hour work day.

4.1.1.12 Vendor can bill Medicare, Medicaid, or third party insurances for services rendered. This information will be provided by the facility. Vendor must agree to hold the facility harmless in any case(s) of non- collection.

5. CONTRACT AWARD:

5.1 Contract Award: The Contract is intended to provide Agency with a purchase price for the Contract Services. The Contract shall be awarded to the Vendor that provides the Contract Services meeting the required specifications for the lowest overall total cost as shown on the Pricing Pages.

5.2 Pricing Page: Vendor should complete the Pricing Page by completing all pricing and contact information on Exhibit A included within this Request for Quotation. Vendor should complete the Pricing Page in full as failure to complete the Pricing Page in its entirety may result in Vendor’s bid being disqualified.

Vendor should type or electronically enter the information into the Pricing Pages through wvOASIS, if available, or as an electronic document.

6. PERFORMANCE: Vendor and Agency shall agree upon a schedule for performance of Contract Services and Contract Services Deliverables, unless such a schedule is already included herein by Agency. In the event that this Contract is designated as an open-end contract, Vendor shall perform in accordance with the release orders that may be issued against this Contract.

7. PAYMENT: Agency shall pay the vendor from monthly invoices in arrears of all services rendered as shown on the Pricing Pages, for all Contract Services performed and accepted under this Contract. Vendor shall accept payment in accordance with the payment procedures of the State of West Virginia.

8. TRAVEL: Vendor will be responsible for all mileage, travel, time, and any other associated fees regarding travel. This may be priced within the monthly cost on the pricing page. The agency will not reimburse the vendor anything additional regarding travel.

9 FACILITIES ACCESS: Performance of Contract Services may require access cards and/or keys to gain entrance to Agency’s facilities. In the event that access cards and/or keys are required:

9.1 Vendor must identify principal service personnel which will be issued access cards and/or keys to perform service.

9.2 Vendor will be responsible for controlling cards and keys and will pay replacement fee, if the cards or keys become lost or stolen.

9.3 Vendor shall notify Agency immediately of any lost, stolen, or missing card or key.

9.4 Anyone performing under this Contract will be subject to Agency’s security protocol and procedures.

9.5 Vendor shall inform all staff of Agency’s security protocol and procedures.

10 VENDOR DEFAULT:

10.1 The following shall be considered a vendor default under this Contract.

10.1.1 Failure to perform Contract Services in accordance with the requirements contained herein.

10.1.2 Failure to comply with other specifications and requirements contained herein.

10.1.3 Failure to comply with any laws, rules, and ordinances applicable to the Contract Services provided under this Contract.

10.1.4 Failure to remedy deficient performance upon request.

10.2 The following remedies shall be available to Agency upon default.

10.2.1 Immediate cancellation of the Contract.

10.2.2 Immediate cancellation of one or more release orders issued under this Contract.

10.2.3 Any other remedies available in law or equity.

11 MISCELLANEOUS:

11.1 Contract Manager: During its performance of this Contract, Vendor must designate and maintain a primary contract manager responsible for overseeing Vendor’s responsibilities under this Contract. The Contract manager must be available during normal business hours to address any customer service or other issues related to this Contract. Vendor should list its Contract manager and his or her contact information below.

Contract Manager: ______________________ Telephone Number: ________________________ Fax Number: ______________________________ Email Address: ____________________________

Revised 12/12/2017