Solicitation_Document_1.pdf

County of Santa Clara

BID DOCUMENT

Behavioral Health Treatment Facility Continuum of Care

Bid Number: RFSQ-BHS-FY23-0225

Closing Date: 02/23/2028 15:00:00 PT

REFERENCE O

NLY

TABLE OF CONTENTS

RFSQ-BHS-FY23-0225 BEHAVIORAL HEALTH TREATMENT FACILITY CONTINUUM OF

CARE

APPENDICES (untitled) Appendix A Cover Sheet Appendix Bs Evaluation Criteria and Qualifications

Appendix B1 Category 1 - Acute Treatment Facilities Appendix B2 Category 2 - Sub-Acute Treatment Facilities Appendix B3 Category 3 - Adult Residential Treatment Facilities Appendix B4 Category 4 - Supplemental Residential Care Facilities Appendix B5 Category 5 - Justice-Involved Adult and Older Adult Transitional Housing Continuum for Forensic, Diversion, and Reintegration

Appendix C Customer References Appendix D Offeror’s Questionnaire Appendix E Declaration Submittal Form Appendix F California Public Records Act - Confidential Information Appendix G Cultural Competence Form Appendix H Offeror’s Electronic Health Record Status Appendix I Cost Proposal Response Form Appendix J Budget Narrative Appendix K Proposed Rates Form Appendix L Offeror’s Federal Employer Identification Number and License Information

ATTACHMENTS (untitled) Attachment As Scope of Work

Attachment A1 Category 1 - Acute Treatment Facilities Attachment A2 Category 2 - Sub-Acute Treatment Facilities Attachment A3 Category 3 - Adult Residential Treatment Facilities Attachment A4 Category 4 - Supplemental Residential Care Facilities Attachment A5 Category 5 - Justice-Involved Adult and Older Adult Transitional Housing Continuum for Forensic, Diversion, and Reintegration

RFSQ-BHS-FY23-0225

Attachment B Contracting Principles Attachment C Sample Agreements Attachment D Insurance Requirements for Professional Service Agreements Attachment E Rates for Supplemental Residential Care Facility Services Attachment F Sample Critical Incident Sentinel Event Report Form Attachment G Federally Required Contract Provisions Attachment H Standard Health System Provisions

Addendum 1 March 13, 2023 Addendum 2 March 23, 2023 Addendum 3 March 29, 2023 Addendum 4 April 20, 2023 Addendum 5 January 25, 2024 Addendum 6 February 16, 2024 Addendum 7 March 27, 2024 Addendum 8 February 7, 2025 Addendum 9 April 21, 2025

RFSQ-BHS-FY23-0225 BEHAVIORAL HEALTH TREATMENT FACILITY

CONTINUUM OF CARE

Orginal attached file(s)

APPENDICES (untitled)

Appendix A Cover Sheet

Appendix Bs Evaluation Criteria and Qualifications

Appendix B1 Category 1 - Acute Treatment Facilities

Appendix B2 Category 2 - Sub-Acute Treatment Facilities

Appendix B3 Category 3 - Adult Residential Treatment Facilities

Seq. File Description Required 1 RFSQ-BHS-FY23-0225.pdf Behavioral Health Treatment Facility Continuum of Care Optional

Seq. File Description Required 1 Appendix A.docx Cover Sheet Optional

Seq. File Description Required 1 Appendix B1.docx Acute Psychiatric Hospital & Psychiatric Health Facility

Evaluation Criteria and Qualifications Optional

Seq. File Description Required 1 Appendix B2a.docx Mental Health Rehabilitation Center Evaluation Criteria and Qualifications Optional

2 Appendix B2b.docx Skilled Nursing Facility Evaluation Criteria and Qualifications

Optional

Seq. File Description Required 1 Appendix B3a.docx Adult Residential Treatment Services Evaluation Criteria and Qualifications Optional

2 Appendix B3b.docx Adult Crisis Residential and Medication Support Services Evaluation Criteria and Qualifications

Optional

3 Appendix B3c.docx Adult Transitional Residential and Medication Support Services Evaluation Criteria and Qualifications

Optional

Appendix B4 Category 4 - Supplemental Residential Care Facilities

Appendix B5 Category 5 - Justice-Involved Adult and Older Adult Transitional Housing Continuum for Forensic, Diversion, and Reintegration

Appendix C Customer References

Appendix D Offeror’s Questionnaire

Appendix E Declaration Submittal Form

4 Appendix B3d.docx Substance Use Residential Treatment Services Evaluation Criteria and Qualifications

Optional

Seq. File Description Required 1 Appendix B4b.docx Intermediate Supplemental Residential Care Services

Evaluation Criteria and Qualifications Optional

2 Appendix B4c.docx Residential Care Services for Clients with Severe Mental Illness (SMI) and Traumatic Brain Injury (TBI) Evaluation Criteria and Qualifications

Optional

3 Appendix B4a.docx Basic Supplemental Residential Care Services Evaluation Criteria and Qualifications

Optional

Seq. File Description Required 1 Appendix B5.docx Time-Limited Housing Stabilization, Community

Reintegration, and Essential Services for Justice-Involved Adults and Older Adults Evaluation Criteria and Qualifications

Optional

Seq. File Description Required 1 Appendix C.docx Customer References Optional

Seq. File Description Required 1 Appendix D.docx Offeror’s Questionnaire Optional

Seq. File Description Required 1 Appendix E.docx Declaration Submittal Form Optional

Appendix F California Public Records Act - Confidential Information

Appendix G Cultural Competence Form

Appendix H Offeror’s Electronic Health Record Status

Appendix I Cost Proposal Response Form

Appendix J Budget Narrative

Appendix K Proposed Rates Form

Appendix L Offeror’s Federal Employer Identification Number and License Information

1 Appendix F.docx California Public Records Act - Confidential Information Optional

Seq. File Description Required 1 Appendix G.docx Cultural Competence Form Optional

Seq. File Description Required 1 Appendix H.docx Offeror’s Electronic Health Record Status Optional

Seq. File Description Required 1 Appendix I.docx Cost Proposal Response Form Optional

Seq. File Description Required 1 Appendix J.xlsx Budget Narrative Optional

Seq. File Description Required 1 Appendix K.docx Proposed Rates Form Optional

ATTACHMENTS (untitled)

Attachment As Scope of Work

Attachment A1 Category 1 - Acute Treatment Facilities

Attachment A2 Category 2 - Sub-Acute Treatment Facilities

Attachment A3 Category 3 - Adult Residential Treatment Facilities

A4 Category 4 - Supplemental Residential Care Facilities

1 Appendix L.docx Offeror’s Federal Employer Identification Number and

License Information Optional

Seq. File Description Required 1 Attachment A1.pdf Acute Psychiatric Hospital & Psychiatric Health Facility

Scope of Work Optional

Seq. File Description Required 1 Attachment A2b.docx Skilled Nursing Facility Evaluation Criteria and

Qualifications Scope of Work Optional

2 Attachment A2a.docx Mental Health Rehabilitation Center Scope of Work Optional

Seq. File Description Required 1 Attachment A3d.pdf Substance Use Residential Treatment Services Scope of

Work Optional

2 Attachment A3c.docx Adult Transitional Residential and Medication Support Services Scope of Work

Optional

3 Attachment A3a.docx Adult Residential Treatment Services Scope of Work Optional 4 Attachment A3b.doc Adult Crisis Residential and Medication Support Services

Scope of Work Optional

Seq. File Description Required

A5 Category 5 - Justice-Involved Adult and Older Adult Transitional Housing Continuum for Forensic, Diversion, and Reintegration

B Contracting Principles

C Sample Agreements

D Insurance Requirements for Professional Service Agreements

1 Attachment A4a.docx Basic Supplemental Residential Care Services Scope of Work

Optional

2 Attachment A4b.docx Intermediate Supplemental Residential Care Services Scope of Work

Optional

3 Attachment A4c.docx Residential Care Services for Clients with Severe Mental Illness (SMI) and Traumatic Brain Injury (TBI) Scope of Work

Optional

Seq. File Description Required 1 Attachment A5.docx Time-Limited Housing Stabilization, Community

Reintegration, and Essential Services for Justice-Involved Adults and Older Adults Scope of Work

Optional

Seq. File Description Required 1 Attachment B.pdf Contracting Principles Optional

Seq. File Description Required 1 Attachment C1.pdf Short Doyle/Mental Health Services Act Optional 2 Attachment C2.pdf Acute Psychiatric Hospital Optional 3 Attachment C3.pdf Mental Health Rehabilitation Center Optional 4 Attachment C4.pdf Skilled Nursing Facility Optional 5 Attachment C5.pdf Substance Use Treatment Services Optional 6 Attachment C6.pdf Residential Care Facility Optional 7 Attachment C7.pdf Service Agreement Optional

Seq. File Description Required

E Rates for Supplemental Residential Care Facility Services

F Sample Critical Incident Sentinel Event Report Form

G Federally Required Contract Provisions

H Standard Health System Provisions

Addendum 1 March 13, 2023

Addendum 2 March 23, 2023

1 Attachment D.pdf Insurance Requirements for Professional Service Agreements

Optional

Seq. File Description Required 1 Attachment E.pdf Rates for Supplemental Residential Care Facility Services Optional

Seq. File Description Required 1 Attachment F.pdf Sample Critical Incident Sentinel Event Report Form Optional

Seq. File Description Required 1 Attachment G.pdf Federally Required Contract Provisions Optional

Seq. File Description Required 1 Attachment H.pdf Standard Health System Provisions Optional

Seq. File Description Required 1 Addendum 1.pdf March 13, 2023 Optional

Addendum 3 March 29, 2023

Addendum 4 April 20, 2023

Addendum 5 January 25, 2024

Addendum 6 February 16, 2024

Addendum 7 March 27, 2024

Addendum 8 February 7, 2025

1 Addendum 2.pdf March 23, 2023 Optional

Seq. File Description Required 1 Addendum 3.pdf March 29, 2023 Optional

Seq. File Description Required 1 Addendum 4.pdf April 20, 2023 Optional

Seq. File Description Required 1 Addendum 5.pdf January 25, 2024 Optional

Seq. File Description Required 1 Addendum 6.pdf February 16, 2024 Optional

Seq. File Description Required 1 Addendum 7.pdf March 27, 2024 Optional

Seq. File Description Required 1 Addendum 8.pdf February 7, 2025 Optional

Addendum 9 April 21, 2025

1 Addendum 9.pdf April 21, 2025 Optional