Substance_Use_Disorder_Services_-_Perinatal_and_Parenting_Residential_Treatment_and_Withdrawal_Management_Services_and_Adolescent_Residential_Treatment_and_Withdrawal_Management_Services.pdf

COUNTY OF ORANGE

HEALTH CARE AGENCY

REQUEST FOR PROPOSAL (RFP) (RFP)

FOR

SUBSTANCE USE DISORDER SERVICES - PERINATAL AND

PARENTING RESIDENTIAL TREATMENT AND WITHDRAWAL

MANAGEMENT SERVICES AND ADOLESCENT RESIDENTIAL

TREATMENT AND WITHDRAWAL MANAGEMENT SERVICES

RFP NO. 042-2859803-BD

County of Orange RFP

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD

County of Orange

Health Care Agency

Procurement Services

405 W. 5th St.

Santa Ana, CA

92701

SCHEDULE OF ACTIVITIES

Release Project Date May 12, 2025

Question Submission Deadline June 2, 2025, 4:00pm

Proposal Submission Deadline June 9, 2025, 4:00pm

Interview Week of July 7, 2025 (Tentative)

Contract Start Date January 1, 2026 (Tentative)

**This is a proposed schedule that is subject to change. Any changes to the schedule for the RFP process will be issued to all Respondents via addenda on the County’s online bidding system https://procurement.opengov.com/portal/ocgov **

PROPOSALS MUST BE RECEIVED ON

OR BEFORE

Monday, June 9, 2025

4:00 pm https://procurement.opengov.com/portal/ocgov

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD

SECTIONS

SECTION 1. INTRODUCTION AND INSTRUCTIONS TO RESPONDENTS

SECTION 2. SCOPE OF WORK

SECTION 3. WRITTEN PROPOSAL SCORING FORMAT

SECTION 4. PROPOSAL RESPONSE REQUIREMENTS

SECTION 5. OCLSB AND DVBE PREFERENCE POLICIES CERTIFICATION

REQUIREMENTS

Attachments:

A - Attachment_A_-_Model_Contract_-_SUD Services

B - Attachment_B_-_Budget_Forms_SUD

C - Floorplans

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD

SECTION 1. INTRODUCTION AND INSTRUCTIONS TO RESPONDENTS

1.1 INTRODUCTION

The County of Orange, Health Care Agency (hereinafter referred to as “County”), is soliciting proposals from qualified firms (hereinafter referred to as “Respondents”) for Substance Use Disorder (SUD) Services. These services are divided into two related programs for special populations: Program 1 - Perinatal and Parenting Residential Treatment and Withdrawal Management Services; and Program 2 – Adolescent Residential Treatment and Withdrawal Management Services. The primary goal of the two programs is to offer services to those in need of stabilization because of use of alcohol and/or other substances, so the individuals can function in the community utilizing learned coping skills necessary for recovery. Both Programs shall be housed at 7800 Marine Way in Irvine and shall primarily offer treatment to clients eligible for Drug Medi-Cal benefits. Respondents may apply to provide services in Program 1, Program 2, or both.

Program 1 - Perinatal and Parenting Residential Treatment and Withdrawal Management Services provides treatment within a licensed residential setting to individuals that are pregnant or parenting mothers of children. The primary goal is to stabilize the client in preparation for outpatient treatment. Services shall include levels of treatment based on the current American Society of Addiction Medicine (ASAM) Level of Care (LOC) Certification or Department of Health Care Services (DHCS) LOC Designation.

Program 2 – Adolescent Residential Treatment and Withdrawal Management Services provides treatment within a licensed residential setting to individuals aged 12 to 17 years of age. This program will treat both males and females. Services shall include individual counseling, psychoeducational groups, clinical groups, withdrawal management and other ancillary services.

Referrals and linkage for services are provided at discharge.

County may award a contract to one or more Respondent(s). County expects the successful Respondent(s) to provide the services in accordance with the terms and conditions set forth in Attachment A. Model Contract.

1.2 INSTRUCTIONS TO RESPONDENTS AND PROCEDURES FOR SUBMITTAL

A. Proposals are to be uploaded via the County's Online Bidding System at https://procurement.opengov.com/portal/ocgov

Note: This is a fully electronic Request for Proposals (RFP). Respondents must submit their proposals online via County’s online bidding system. Only electronic proposals will be accepted. Facsimile and e-mail proposals will NOT be allowed. For assistance on uploading proposals via County’s online bidding system, please contact procurement-support@opengov.com or https://help.procurement.opengov.com/en/ Allow sufficient time to upload all required files. County’s online bidding system will not allow any uploads after the due date and time specified herein, e.g., if Part 1 and 2 uploaded successfully at 3:58:38 P.M. and Part 3 is in progress of being uploaded at 4:00:01 P.M., Part 3 will not upload successfully

B. Examine the Contract Documents and the site of the proposed work carefully before submitting a Proposal for the work contemplated. Investigate the conditions to be encountered, as to the character, quality, and quantities of work to be performed and materials to be furnished and as to the requirements of all Contract Documents.

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Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD

County has attempted to provide all information available. It is the responsibility of each

Respondent to review, evaluate, and, where necessary, request any clarification prior to submission of a Proposal. If any person contemplating submitting a response to this

Request for Proposals is in doubt as to the true meaning of any part of the solicitation documents attached hereto or finds discrepancies in or omissions from the specifications, they may submit a written request for clarification/interpretation to the County Deputy

Purchasing Agent (DPA) via County’s Online Bidding System under the bid page for this solicitation.

If clarification or interpretation of this solicitation is considered necessary by County, an addendum shall be issued, and the information will be posted via County’s Online Bidding

System. Any interpretation of, or correction to, this RFP shall be issued by the DPA. It is the responsibility of each Respondent to periodically check the County’s online bidding system to ensure that they have received and reviewed any and all addenda to this solicitation.

The County is not responsible for any other explanations, corrections to, or interpretations of the documents, including any oral information. If an addendum is issued, proposers must acknowledge the addendum via County’s Online Bidding System.

All questions or requests for interpretations must be received on Monday, June 2, 2025, before 4:00 pm as specified in the RFP. Respondents are not to contact other County personnel with any questions or clarifications concerning this RFP.

The DPA will provide all official communication concerning this RFP. Any County response relevant to this RFP other than through or approved by the DPA is unauthorized and will be considered invalid.

C. Proposals must be valid for a period of at least three hundred sixty-five (365) calendar days from the Proposal Submission Deadline. No Proposal may be withdrawn after the deadline.

D. All pages must be numbered and identified sequentially by section. Proposals must be tabbed and indexed in accordance with the information requested in the Proposal Response

Requirements Section. It is imperative that all Respondents comply, exactly and completely, with the instructions set forth herein. All responses to this RFP shall be type written or word-processed (except where otherwise provided or noted), concise, straightforward, and must fully address each requirement and question. Although not as a substitute for a complete written response, additional material, such as technical documents, may be referenced in any response if the material is included in the same section as additional information.

E. Proposals are not to be marked as confidential or proprietary. County may refuse to consider any Proposal so marked. All Proposals and supporting documents will be subject

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD to the provisions of the California Public Records Act (California Code Government Code

7920 et seq.) (PRA) and will be disclosed or withheld in accordance therewith. County shall not be liable in any way for disclosure of any such records. Additionally, all Proposals shall become the property of County. County reserves the right to make use of any information or ideas in the Proposals submitted.

Respondents should not request that certain information be treated as exempt, and statements in the Proposals should not be marked as confidential or proprietary.

F. Each Respondent shall exercise reasonable care and diligence to avoid submitting a

Proposal that could result in a conflict of interest if Respondent were to be selected. This obligation shall apply to Respondent, Respondent’s employees, agents, and relatives, sub-contractors, and third parties associated with accomplishing work and services in Proposal.

In the event Respondent has done work for County on these services, in the past or has reason to believe that a conflict of interest may exist for Respondent in regard to these services, Respondent should consult with its legal counsel prior to responding to this RFP.

Any Respondent who is found to have an actual conflict of interest may have its Proposal rejected on that ground.

Respondent, its employees and/or consultants may be subject to the provisions of the

California Political Reform Act of 1974 (the “Act”), which (1) requires such persons to disclose any financial interest that may be materially affected by services provided under this Contract, (2) prohibits such persons from making, or participating in making, decisions that could reasonably affect such interest; and (3) may require the filing a Statement of

Economic Interest (Form 700).

If subject to the Act, Respondent shall conform to all requirements of the Act. Failure to do so shall constitute a material breach and is grounds for immediate termination of the

Contract by County. Respondent shall indemnify and hold harmless County for any and all claims for damages resulting from Respondent’s violation of this Section.

G. By submitting a Proposal, Respondent represents that it thoroughly examined County’s requirements, is familiar with the services required under this RFP and is qualified and capable of providing the services to achieve County’s objectives.

H. Each Respondent must submit its Proposal in strict accordance with all requirements of this RFP and compliance must be stated in the Proposal. Deviations, clarifications and/or exceptions must be clearly identified and listed separately as alternative items on additional information section for County’s consideration as specified in the Proposal

Response Requirements Section, “Statement of Compliance.”

I. County reserves the right to request proposal revisions and hold discussions and negotiations with any Respondent as necessary to serve the best interests of County. Any

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD

Proposal may be rejected if it is conditional, incomplete or deviates from specifications in this RFP. County reserves the right to waive, at its discretion, any procedural irregularity, immaterial defects or other improprieties which County deems reasonably correctable or otherwise not warranting rejection of the Proposal. Any waiver will not excuse a

Respondent from full compliance.

J. Pre-contractual expenses are not to be included in the Cost Proposal, Attachment B, Budget

Forms. Pre-contractual expenses are defined as including, but not limited to, expenses incurred by Respondent in: a) preparing its Proposal in response to this RFP; b) submitting that Proposal to County; c) negotiating with County any matter related to the Respondent’s

Proposal; and d) any other expenses incurred by Respondent prior to the date of award and execution, if any, of the Contract.

K. Any Proposal may be construed as non-responsive and ineligible for consideration if it does not comply with the requirements of the RFP. Failure to comply with the technical features and acknowledgment of receipt of addenda are common causes for holding a

Proposal nonresponsive.

L. Where two or more Respondents desire to submit a single Proposal in response to this solicitation, they must do so on a prime/subcontractor basis rather than as a joint venture.

County intends to contract with a single firm that may subcontract with multiple firms

(team) but not with multiple firms doing business as a joint venture.

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

N. County requires a valid UEI number prior to Contract Award. Respondent must obtain one at no cost at www.usfcr.com. If Respondent is unable to provide/obtain a

UEI number, please indicate so in the proposal submission response.

O. County reserves the right to: a) negotiate the final contract with any Respondent(s); b) withdraw this RFP in whole or part at any time without prior notice (County makes no representations that any contract will be awarded to any Respondent responding to this

RFP); c) award its total requirements to one Respondent or to apportion those requirements among two or more Respondents; d) reject any Proposal if it is conditional, incomplete or deviates significantly from the services requested in this RFP; and/or e) request Best and

Final Offer from any Respondent determined to be within the competitive range. Unless requested by County, late Best and Final Offers will not be accepted by County for any reason. In addition, negotiations may or may not be conducted with Respondents.

Therefore, Proposals submitted shall contain Respondent’s most favorable terms and http://www.usfcr.com/

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD conditions in the proposal, since the selection and award may be made without discussion with any Respondent.

1.3 PROTEST PROCEDURES:

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

A. The name, address, and telephone number of the protestor.

B. The signature of the protestor or the protestor’s representative.

C. The solicitation or contract number.

D. A detailed statement of the legal and/or factual grounds for the protest; and, E. The form of relief requested.

F. Protest of Bid/Proposal Specifications: All protests related to proposal specifications must be submitted to the Deputy Purchasing Agent, Brittany Davis, at bdavis@ochca.com, no later than five (5) business days prior to the Proposal Submission Deadline for proposals. Protests received after the five (5) business-day deadline will not be considered by County.

In the event the protest of specifications is denied, and the protestor wishes to continue in the solicitation process, the protestor must still submit a proposal prior to the close of the solicitation in accordance with the proposal submittal procedures provided in this RFP.

G. 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 award is provided by the DPA. Protests relating to a proposed contract award which are received after the five (5) business day deadline will not be considered by County.

H. Protest Process

1. In the event of a timely protest, County shall not proceed with the solicitation or award of the contract until the DPA renders a decision on the protest.

2. Upon receipt of a timely protest, the DPA will, within ten (10) business days of receipt of the protest, issue a decision in writing which shall state the reasons for the actions taken.

3. 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 County. The award of a contract shall in no way compromise the protestor’s right to the protest procedures outlined herein.

mailto:bdavis@ochca.com

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD

4. If the protestor disagrees with the decision of the DPA, the protestor may submit a written appeal to the County Procurement Officer requesting an appeal to the

Procurement Appeals Board, in accordance with the process stated below.

I. Appeal Process

1. If the protestor wishes to appeal the decision of the DPA, the protestor must submit, within three (3) business days from receipt of the DPA’s decision, a written appeal to the Office of the County Procurement Officer.

Written appeals must be sent by mail to the address below with a courtesy copy by email;

County of Orange/County Executive Office

County Procurement Office

400 W. Civic Center Drive, 5th Floor

Santa Ana, CA 92701

Attn: County Procurement Officer

CPOAppeals@ocgov.com

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

3. The decision of the County Procurement Officer will be final and there shall be no right to any administrative appeals of this decision

1.4 EVALUATION PROCESS AND CRITERIA

Proposals shall be evaluated by an Evaluation Panel of job knowledge experts based on the responses to the requirements in this RFP. Any Proposal may be construed as non-responsive and ineligible for consideration if it does not comply with the requirements of the RFP. County may request clarifications, or otherwise verify the contents of the Proposal, including information on Respondent and proposed sub-contractors.

Minimum Qualification/Requirements Stage

All timely submitted Proposals first will be evaluated by the DPA for the minimum RFP requirements set out below. The minimum RFP qualifications will be verified by the DPA for the

Proposal to be deemed responsive.

mailto:CPOAppeals@ocgov.com

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD

Respondent’s Proposal shall meet the following minimum requirements and qualifications to proceed to the evaluation and scoring process:

1. In order to be eligible to enter into a contract with 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. County will notify

Respondent of this determination in writing. County plans to use the following databases to identify individuals and entities that are not eligible to contract with

County:

a. https://exclusions.oig.hhs.gov/

b. https://sam.gov/search/

c. Medi-Cal Suspension Search Database

d. Social Security Administration’s Death Master File

2. All requirements as listed in section 4.2.22 Minimum Submission Requirements

It is the sole responsibility of all respondents 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 Respondent and must be made prior to submission of the proposal.

In addition, in order to be eligible to enter into a contract with 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 respondents 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.

Proposals deemed to meet all minimum qualifications/requirements will move to the evaluation process stage.

Evaluation Process Stage

The evaluation process stage may be conducted in two phases. Phase I will be an evaluation of the written proposal based on the evaluation criteria for all Respondents and Phase II will be an evaluation of the interview/presentation for only the highest-rated Respondents in Phase I that are invited to participate in Phase II. The Evaluation Panel has the right to determine whether to https://exclusions.oig.hhs.gov/ https://sam.gov/search/

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD conduct Phase II and the number of Respondents who will participate in Phase II if it is conducted.

Please note that contract award will be made to the responsible Respondent whose proposal is most advantageous to County, taking into consideration the applicable evaluation criteria. Cost

Proposal as an evaluation criterion does not require County to select respondent with the lowest cost proposal.

The Evaluation Panel will conduct the following evaluation process.

Phase I:

In Phase I, written proposals will be scored by the Evaluation Panel using the established weighted criteria set out in Section 3. Written Proposal Scoring Format, which have been assigned points before the submission of proposals that measure the responsiveness to each criterion.

The Evaluation Panel will evaluate the written materials solely on the quality of the responses to all questions and requirements of this RFP using the evaluation criteria. The total number of points earned for all criteria will be tallied for each proposal, and the proposals will be rank-ordered based upon the points earned.

Phase II:

If the Evaluation Panel decides to conduct Phase II, then the selected highest-ranked

Respondent(s) from Phase I invited to participate in Phase II will provide an interview/presentation on their proposed services.

Respondents must be prepared to travel to County at their own expense to make their interview/presentation within fifteen (15) calendar days after notification by the DPA.

Respondents must be prepared to discuss all aspects of their proposal in detail, including answering technical questions. Respondents are not allowed to alter or amend their proposal during the interview/presentation process.

The total score shall be as follows;

• Written Proposal Score in Phase I: 850 points

• Interview/Presentation Score in Phase II: 150 points

Please note that, if the Evaluation Panel does not conduct Phase II, the total score for all

Respondents for that Program is the points awarded in Phase I.

If the Evaluation Panel does conduct Phase II, Respondents that County elects not to invite to participate in Phase II will not have a total score.

Respondent agrees that the submission of a proposal is permission by Respondent for County to verify all information contained therein. If County believes it necessary, additional information

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD may be requested from Respondent. Failure to comply with any such request may disqualify a

Respondent from further consideration.

1.5 TITLE VI SOLICITATION NOTICE

The County of Orange, in accordance with the provisions of the Title VI of the Civil Rights Act of 1964 (78

Stat. 252, 42 USC §§ 2000d to 2000d-4) and the Regulations, hereby notifies all Respondents that it will affirmatively ensure that any contract entered into pursuant to this advertisement, will be afforded full and fair opportunity to submit proposals in response to this solicitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award.

1.6 DEPARTMENT OF THE TREASURY, INTERNAL REVENUE SERVICE FORM

W-9 REQUIREMENTS

Effective June 3, 2006, all contractors, entering into a contract with County, who are not already established in Countywide ERP System as an Auditor-Controller vendor, are required to submit to

County a federal Form W-9, or form W-8 for foreign vendors. County will inform Respondent at the time of award, if the Form W-9 or W-8 is required.

In order to comply with this County requirement, within ten (10) calendar days of notification of selection of award of contract but prior to official award of contract, the selected Respondent agrees to furnish to Contract administrator, DPA, or the agency/department deputy purchasing agent the required W-9 or W-8.

1.7 COUNTY OF ORANGE LOCAL SMALL BUSINESS (OCLSB) AND DISABLED

VETERAN BUSINESS ENTERPRISE (DVBE) PREFERENCE POLICIES:

A. OCLSB: Effective January 1, 2020, the Orange County Board of Supervisors adopted the

OCLSB Preference policy. Implementation of the OCLSB Preference policy supports local businesses, the local economy and the development of the County’s tax base.

To be certified as a Local Small Business by the County of Orange, a business shall meet

(1) and (2) below:

1. Local Business requirements:

a. Maintains their principal center of operations (i.e. headquarters) within Orange

County, and;

b. Has:

i. a business address located in the County of Orange that is not a post office box, or

ii. a valid business license or certificate of occupancy issued by the County of

Orange or by an Orange County city, or other documentation acceptable to the

County of Orange.

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD

2. Small Business Requirements:

a. Must be certified as a Small Business by the State of California Department of

General Services (DGS); and,

b. DGS Small Business requirements must be valid at the time of bid/proposal submittal.

B. DVBE: Effective January 1, 2021, County of Orange Board of Supervisors adopted the

DVBE Preference policy. The DVBE Preference policy supports local business opportunity, economy and the development of the County’s tax base, and in addition recognizes the service and sacrifice given by the men and women of our Armed Forces.

To be certified as a Disabled Veteran Business Enterprise by the County of Orange, a business shall meet (1) and (2) below:

1. Must be certified as a DVBE by the State of California Department of General

Services (DGS); and,

2. DGS DVBE requirements must be valid at the time of bid/proposal submittal.

To participate as an OCLSB and/or DVBE please read and follow the process outlined in the solicitation section Titled - COUNTY OF ORANGE LOCAL SMALL BUSINESS (OCLSB)

AND DISABLED VETERAN BUSINESS ENTERPRISE (DVBE) CERTIFICATION

REQUIREMENTS.

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD

1.8 CONTRACT TERM AND FUNDING AVAILABILTY

County plans to contract with qualified organizations to provide the services described in this

RFP and reserves the right to make multiple awards to Respondents for services requested in the

RFP. At the discretion of County, the initial term of the contracts resulting from this RFP 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 respondents are expected to accept the terms and conditions of Attachment A - Model

Contract, which contains the contracting requirements between County and Respondent regarding the provision of services solicited under this RFP.

Contracts resulting from this RFP 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 RFP will be extended to other governmental entities. Governmental entities wishing to use the contract will be responsible for issuing their own purchase documents, providing for their own acceptance, and making any subsequent payments. Respondent shall be required to include in any subordinate contract entered into with another governmental entities pursuant to the 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 the contract. Failure to do so will be considered a material breach of the contract and grounds for immediate contract termination. Governmental entities are responsible for obtaining all certifications of insurance, endorsements, and bonds required. Any other governmental entity utilizing the contract shall not be deemed to be an agency or employee of County for any purpose whatsoever. Respondent is responsible for providing each governmental entity a copy of this contract upon request. County makes no guarantee of usage by other users of the contract.

Respondent shall be required to maintain a list of the County of Orange departments and governmental entities using the 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.

Subordinate contracts must be executed prior to the expiration or earlier termination of this

Contract and may survive the expiration of the contract up to a maximum of one year; however, in no case shall a subordinate contract exceed five (5) years in duration.

Program 1 has a total not to exceed amount of $6,900,000 for the 3-year term. Program 2 has a total not to exceed amount of $5,700,000 for the 3-year term. The contracts awarded through this RFP will be based on successful negotiations and submitted budgets. The funding source for these services consists of Drug Medi-Cal, Opioid Settlement, and Substance Use Prevention, Treatment and Recovery Services Block Grant (SUBG) funds. Any contracts resulting from this

RFP are contingent upon sufficient funds being made available by federal, state, and/or county governments for the term of the contracts. County reserves the right to revise the contract terms stated in this solicitation.

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD

1.9 SELECTION/AWARD PROCESS

Upon the completion of the evaluation process, the Evaluation Panel will make a recommendation for an award to DPA for award of a contract to a Respondent. Final award determination shall be subject to reference checks and past performance and may be subject to approval(s) by the County Board of Supervisors. In addition, County reserves the right to verify and validate any information prior to the contract award and during the entire term of the contract.

The Model Contract contained in this RFP is the contract proposed for execution. It may be modified to incorporate negotiated items and other pertinent terms and conditions set forth in this

RFP, including special conditions and requirements and those added by addendum, necessary attachments, and to reflect Respondent’s Proposal and qualifications.

If a satisfactory contract cannot be negotiated in a timely manner, County, in its sole discretion, may terminate negotiations with the selected Respondent and begin negotiations with the next

Respondent.

Exceptions to the terms and conditions of the proposed contract or the statements regarding

Respondent’s inability to comply with any of the provisions thereof are to be declared in the response to the RFP in the Section below titled: "PROPOSAL RESPONSE REQUIREMENTS" subsection titled: “Statement of Compliance”. Any additional exceptions to the terms and conditions made by any Respondent(s) after submission of its proposal is not permitted and may result in elimination from further consideration.

SECTION 2. SCOPE OF WORK

2.1 TARGET POPULATION

Population for Levels of Care available for Programs 1 and 2:

3.1 level of care to serve individuals whose mental status is assessed as sufficiently able to participate in treatment. Typically, this individual acknowledges existence of SUD and need for change. The individual is able to demonstrate some limited coping skills; however, they need a

24-hour structure to help apply recovery skills and are in imminent danger of relapse in the home environment.

3.2 level of care to serve individuals who have a substance use history which indicates moderate withdrawal and need 24-hour support to complete withdrawal management and increase likelihood of continuing treatment or recovery. This service will be provided to all eligible individuals regardless of insurance.

3.3 level of care to serve individuals who can participate and benefit from the program and who require residential structure to stabilize cognitive impairments, maintain activities of daily living, maintain sobriety, manage threat to self or others due to intoxication, and manage continuous

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD dysfunctional behaviors. Level 3.3 is not considered a lower level of care than 3.5. Level 3.3 is population specific and requires staff and interventions catered toward individuals with cognitive deficits. Typically, client has little insight for the need of treatment or the connection between addiction and their life problems.

3.5 level of care to serve individuals whose emotional stability and cognitive functioning is assessed as able to permit participation in residential substance use disorder treatment interventions. Their mental disorders may involve serious and chronic mental disorders (such as schizophrenia, bipolar disorders, and major depression) and personality disorders (such as borderline, narcissistic, and antisocial personality disorders). Client’s psychiatric condition is stabilizing, however without 24/7 support it would decompensate. Client has significant functional impairments, however, are likely to respond to staff interventions. Mental health treatment will be provided and coordinated by Orange County Health Care Agency.

Program 1 – Perinatal and Parenting Residential Treatment and Withdrawal Management

Services (Levels of Care 3.1, 3.2, 3.3 and 3.5):

Services shall be provided to adults 18 years and older who are pregnant and/or parenting. The individual must meet medical necessity to receive treatment within a residential level of care.

Services are provided twenty-four (24) hours seven days a week in a non-medical, residential setting that has been licensed and certified by DHCS to provide perinatal services. These treatment services are provided to both perinatal and parenting women in accordance with the

DHCS Perinatal Practice Guidelines.

Program 2 – Adolescent Residential Treatment and Withdrawal Management Services

(Levels of Care 3.1, 3.2, 3.3 and 3.5):

Services shall be provided to individuals between the ages of 12 and 17 years of age, that are in need of residential treatment, based on medical necessity. Child Welfare dependents, Probation youth, and pregnant youth are eligible for these services if they meet the eligibility requirement.

When a pregnant youth is admitted to treatment, the DHCS Perinatal Practice Guidelines are to be followed. In order to receive services through the DMC-ODS, the Client must be enrolled in

Medi-Cal, reside in Orange County, and meet medical necessity criteria.

2.2 SERVICES TO BE PROVIDED:

Definitions:

The four levels of residential treatment are defined as follows:

3.1 - Clinically Managed Low-Intensity Residential Services: 24-hour structure with available trained personnel; at least five hours of clinical service/week and prepare for outpatient treatment and/or sober living.

3.2 - Clinically Managed Withdrawal Management Services: Detoxification services that include observation every 30 minutes.

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3.3 - Clinically Managed Population-Specific High-Intensity Residential Services: 24-hour care with trained counselors to stabilize multidimensional imminent danger. Less intense milieu and group treatment for those with cognitive or other impairments unable to use full active milieu or therapeutic community and prepare for outpatient treatment.

3.5 - Clinically Managed High-Intensity Residential Services: 24-hour care with trained counselors to stabilize multidimensional imminent danger, at least 5 hours of clinical service/week and prepare for outpatient treatment. Clients are able to tolerate and use full milieu or therapeutic community.

Program 1 – Perinatal and Parenting Residential Treatment Services

Respondent shall address the following goals: treatment and recovery issues specific to pregnant and postpartum women, such as relationships, sexual and physical abuse, and the development of parenting skills. Respondent shall adhere to the requirements listed in the most recent edition of the Perinatal Practice Guidelines established and adopted by the DHCS. Residential Treatment program.

Requirements:

a. Primary medical care for women, including referral for prenatal care and, while the women are receiving such services, child care;

b. Primary pediatric care, including immunization, for their children;

c. Gender specific substance abuse treatment and other therapeutic interventions for women which may address issues of relationships, sexual and physical abuse and parenting, and childcare while the women are receiving these services;

d. Therapeutic interventions for children in custody of women in treatment which may, among other things, address their developmental needs, their issues of sexual and physical abuse, and neglect;

e. Sufficient case management and transportation to ensure that women and their children have access to services; and

f. Transportation Services – both emergency and non-emergency. This includes doctor’s appointments and other appointments, such as Social Security Administration.

3.1, 3.3, and 3.5 services include:

1. The length of stay is based on medical necessity as determined by a Licensed Practitioner of the Healing Arts. County adheres to the State goal of a thirty (30) calendar day average in the residential level of care based on medical necessity.

2. At a minimum, all services must meet DHCS DMC requirements and shall include, but not be limited to:

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Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD

a. Screening – provider shall conduct a brief ASAM screening prior to admission to determine appropriate level of care.

b. Assessment & Treatment Planning - provider shall conduct a full ASAM assessment within three (3) days of admission. Provider shall prepare individualized treatment plans based on the assessment within 10 days of client admission.

c. Individual and Group Counseling - Clinical groups will have a maximum of 12 clients.

d. Evidence-based SUD treatment - Provider shall incorporate at least two (2) best practices and evidence-based approaches, such as Cognitive Behavioral Therapy; The Matrix Model;

Motivational Interviewing; relapse prevention; psycho education, and trauma informed treatment such as Seeking Safety.

e. Culturally and linguistically competent service delivery. County requires annual cultural competency training for all staff providing direct services.

f. Coordination with mental health services - Provider shall screen individuals for mental health disorders and provide or refer client to needed services.

g. Coordination with physical health care services.

h. Case management - services that assist a client to access needed medical, educational, social, prevocational, vocational, rehabilitative, or other community services. Provider shall provide case management services for the client during treatment, transition to other levels of care and follow ups, to encourage the client to engage and participate in an appropriate level of care or

Recovery Services after discharge.

i. Drug testing as necessary.

j. Safeguarding medications – Providers will store and track all client medications. Facility staff members may assist with client’s self-administration of medication.

k. Transportation Services- Provision of or arrangement for transportation to and from medically necessary treatment, as well as other important ancillary services, and post discharge.

l. Food Service, housekeeping (which may be done by clients), access to laundry, maintenance, clean linens, toiletries, and personal storage.

m. Collateral services- sessions with counselors and significant persons in the life of a client, focused on the treatment needs of the client in terms of supporting the achievement of the client's treatment goals. Significant persons are individuals that have a personal, not official or professional, relationship with the client.

n. Collaboration with client’s stakeholders such as family members; significant others;

employers; County Probation, Parole, Courts, Sheriff, Mental Health, primary care providers, and Social Services agencies.

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Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD

o. Discharge services - Treatment and discharge planning, and aftercare support. Provide linkages to continuing care resources, e.g., self-help or other support programs such as outpatient programs, recovery services, etc.

p. Recovery Support Services - Provider may continue to support client after successful treatment completion. Recovery Support Services are a separate billable service and include:

outpatient individual or groups to stabilize client and assess for need for continuing treatment, peer-to-peer substance abuse assistance, recovery monitoring via telephone or internet, recovery coaching, linkages to vocational, educational, life skill, and family supports, self-help groups, faith-based support, housing, and transportation.

q. Data entry - Enter Units of Service (UOS) in the County’s Integrated Records Information

System (IRIS), California Outcomes Measurements System (CalOMS), and other data collection tools as deemed necessary to track client admission, discharge, and outcomes information.

r. Billing of Medi-Cal and other health insurance.

3.2 - Clinically Managed Withdrawal Management Services Include:

1. Assessment: A compilation of information gathered from the Client and if applicable significant others, to determine a diagnosis, that Client meets access criteria, and level of care placement needs.

2. Observation: The process of monitoring the client's course of withdrawal. To be conducted as frequently as deemed appropriate for the client and the level of care the client is receiving. This may include but is not limited to observation of the client’s health status.

3. Discharge Services: The process to prepare the client for referral into another level of care, reentry into the community, and linkage of the individual to essential community treatment, housing and social services.

4. Counseling to include at least two of the following Evidenced Based Practices: Motivational interviewing, cognitive behavioral therapy, trauma informed treatment, relapse prevention, as well as psycho-education.

5. Care coordination to ensure that clients have access to services and linkage identified in the treatment plan and continuing care following treatment. Providers will have procedures for linkage/integration for clients requiring MAT.

6. Room and board, including three (3) balanced meals a day.

7. Drug testing as needed.

8. Transportation post discharge.

9. Multilingual/Multicultural services will be provided to meet the threshold languages as determined by County.

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Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD

10. Enter UOS in the County’s Integrated Records Information System (IRIS), California

Outcomes Measurements System (CalOMS), and other data collection tools as deemed necessary. UOS include bed days and case management.

11. Billing of Medi-Cal and other health insurance.

Program 2 – Adolescent Residential Treatment

Requirements:

a. Length of Stay – A client’s length of stay shall be determined by a LPHA.

b. All services must be in accordance with the standards established by the County, Department of Health Care Services (DHCS), the Adolescent Substance Use Disorder Best Practices Guide, and California Department of Social Services (CDSS)/ Community Care Licensing (CCL).

Respondent shall provide Medication Assisted Treatment (MAT) for clients in any of the aforementioned levels of care as clinically indicated.

3.1, 3.3, and 3.5 services include:

1. The length of stay is based on medical necessity as determined by a Licensed Practitioner of the Healing Arts. County adheres to the State goal of a thirty (30) calendar day average in the residential level of care based on medical necessity.

2. At a minimum, all services must meet DHCS DMC requirements and shall include, but not be limited to:

a. Screening – provider shall conduct a brief ASAM screening prior to admission to determine appropriate level of care.

b. Assessment & Treatment Planning - provider shall conduct a full ASAM assessment within three (3) days of admission. Provider shall prepare individualized treatment plans based on the assessment within 10 days of client admission.

c. Individual and Group Counseling - Clinical groups will have a maximum of 12 clients.

d. Evidence-based SUD treatment - Provider shall incorporate at least two (2) best practices and evidence-based approaches, such as Cognitive Behavioral Therapy; The Matrix Model;

Motivational Interviewing; relapse prevention; psycho education, and trauma informed treatment such as Seeking Safety.

e. Culturally and linguistically competent service delivery. County requires annual cultural competency training for all staff providing direct services.

f. Coordination with mental health services - Provider shall screen individuals for mental health disorders and provide or refer client to needed services.

g. Coordination with physical health care services.

Health Care Agency - Substance Use Disorder Services - Perinatal and Parenting Residential Treatment and Withdrawal

Management Services and Adolescent Residential Treatment and Withdrawal Management Services, 042-2859803-BD

h. Case management - services that assist a client to access needed medical, educational, social, prevocational, vocational, rehabilitative, or other community services.