Corporate Office: 901 South New Hope Rd.,

Gastonia, NC 28054 704-884-2501

Northern Regional Office: 200 Elkin Business Park Dr.

Elkin, NC 28621 336-835-1000

Central Regional Office: 1985 Tate Blvd SE, Suite 529

Hickory, NC 28602 828-327-2595

Access to Care: 1-888-235-HOPE (4673) • Website: www.PartnersBHM.org

Request for Information (RFI)

NADD (National Association for the Dually Diagnosed) Certification RFI #0921-001

Request for Information Form Due:

Friday, October 8, 2021

Partners Health Management 901 S. New Hope Road

Gastonia, NC 28054

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Key Information RFI Number: Request for Information (RFI) #0921-001

Title: NADD (National Association for the Dually Diagnosed) Certification Organization: Partners Health Management 901 S. New Hope Road Gastonia, NC 28054 Issue Date: September 16, 2021 Due Date: October 8, 2021 by 5:00 PM Submit Request for Information Forms through the link at:

NADD Certification RFI #0921-001 Response Form

Questions: Email Lisa Jordan at ljordan@partnersbhm.org

Introduction Effective February 1, 2013, Partners Behavioral Health Management (Partners) began operation as a Managed Care Organization (MCO) under the Medicaid 1915(b)/(c) Waivers. Partners has a service area that reaches from the Virginia border in Surry County to the South Carolina border in Gaston and Cleveland counties. Partners is responsible for managing county, state and Medicaid-funded mental health, intellectual/developmental disability and substance abuse services. As a single point of accountability for all public funding for behavioral health care, Partners authorizes the utilization and payment of services for citizens in the twelve-county catchment area. Managed Care Organizations in North Carolina, including Partners, are charged with improving access and the quality of services, empowering consumers and improving outcomes of individuals served. Partners has full accreditation as a Managed Behavioral Healthcare Organization by NCQA, an accreditation body that certifies health care and health plan-related organizations. With representatives from each of its participating counties, a board of directors governs the organization. Partners is initiating this Request for Information (RFI) to solicit responses from appropriately qualified “in network” organizations to participate in a membership and certification process through NADD. Based on information from www.thenadd.org, NADD is “a membership association for professionals, care providers and families to promote understanding of services for individuals who have developmental disabilities and mental health needs.”

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RFI #0921-001 is specifically to identify organizations, currently in Partners’ Network, and their employees who are qualified and interested in becoming certified through NADD for Clinical Certification (NADD-CC) and Direct Support Professional Certification (NADD-DSP). Organizations approved must be committed to supporting their employees through the certification process. Depending on the volume of responses Partners may select any number of providers to participate in this process or could issue a full Request for Proposals. The Provider must adhere to all relevant requirements of NADD, Partners and the NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services.

Purpose The purpose of this RFI is to select providers, to receive funding, for participation in a certification process that will improve the quality of services related to the needs of Children Dually Diagnosed with Complex Needs. Eligibility criteria for Children with Complex Needs includes the following:

1. Medicaid eligible children ages 5 and under 21; and 2. Who have been diagnosed with a developmental disability (including Intellectual Disability and/or Autism

Spectrum Disorder) and a mental health disorder; and 3. Who are at risk of not being able to return to or maintain placement in a community setting; and 4. Has a history of mental health and intellectual and/or developmental disabilities diagnoses or treatment

AND 1 or more of the following risk factors will include the following: • Is the child exhibiting behaviors that are a danger to self or others at this time; and/or • Has the child been expelled or is at risk of expulsion from school due to disruptive or dangerous

behaviors; and/or • Has the child experienced incidents for crisis such as frequent ED visits, out of home placements,

involvement with criminal justice system, or involuntary commitments. Providers with certified employees serving Children Dually Diagnosed with Complex Needs are needed throughout the Partners’ catchment area covering Burke, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Rutherford, Stanly, Surry, Union and Yadkin counties. Responses to this RFI must clearly show the organization’s commitment to NADD Membership and the certification process. It is important to explain how the funding will be used within the allowed budget requirements, the identification process for employees selected to participate in certification, and the organizations commitment to maintain NADD membership and support employees in the certification process as well as the individual employees’ commitment to complete NADD Certification. Issuance of an RFI or RFP does not guarantee a financial award nor does it indicate a commitment on the part of the issuer to pursue further contractual relationship.

NADD Membership and Certification Eight provider agencies and six licensed independent practitioners (LIPs) will be selected for membership in NADD. Membership fees up to $650 will be paid for one calendar year. After the initial year expires, the organization will

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be responsible for maintaining membership costs. Based on information from www.thenadd.org. current organizational NADD memberships are $650 for agencies with budgets from zero up to $3 million. Membership for agencies with budgets over $3 million are $900. Membership in NADD includes many benefits including regularly published bulletins, conference discounts, educational and training discounts. Please see the website for all listed benefits. Certification through NADD includes two categories, Clinical Certification (NADD-CC) and Direct Support Professional (NADD-DSP).

I. Clinical Certification (NADD-CC)

Funding will include initial certification and one recertification period cost for 2 staff from each of the 10 provider agencies chosen through this RFI. Employees must meet the NADD qualifications for certification. Below is an incomplete excerpt from the NADD Clinical Certification Program Manual. For a complete review of certification qualifications and requirements please download and review the related program manuals found at http://thenadd.org/accreditation-certification/. Current costs, per clinician, for the NADD Competency-Based Clinical Certification is $375.00. A non-refundable application/exam fee of $375.00 must accompany the application package. The NADD Competency-Based Certification is good for two years. The current renewal cost is $100. Qualifications for a NADD-Clinical Certification (NADD-CC) from www.thenadd.org One (1) of the following is required:

• Licensure as an RN or a Masters degree in a field providing services to individuals with Intellectual & Developmental Disabilities and co-occurring behavioral health disorders with at least seven years of experience delivering clinical supports for persons with Intellectual & Developmental disabilities (IDD) and co-occurring Behavioral Health disorders.

• Five years of experience delivering clinical supports for persons with Intellectual & Developmental disabilities (IDD) and co-occurring Behavioral Health disorders and licensure or certification in at least one of the following areas of practice:

Psychologist, Physician, Medical Doctors (M.D.), Doctor of Osteopathic Medicine (D.O.) Bachelor of Medicine /Bachelor of Surgery (MBBS), Mental Health Counselor, Marriage & Family Counselor, Addictions Counselor, Licensed Clinical Social Worker; Physician’s Assistant, Registered Nurses, Nurse Practitioner; Occupational Therapists (OT), Physical Therapist (PT), or other similar USA or Canadian equivalent clinical licensure or credentialing. Final determination of clinical equivalence and experience relevance resides with the NADD Competency-Based Certification Program.

• Five years’ experience and licensure or certification as a Licensed Behavior Consultant, Board Certified Behavior Analyst, (BCBA), a Board Certified Assistant Behavior Analyst (BCaBA), or recognition by your State/Province as able to provide behavioral assessment and training (e.g., Behavior Analyst). Final

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determination of clinical equivalence and experience relevance resides with the NADD Competency-Based Certification Program

• Primary teaching, training, or clinical supervision responsibilities in a post-secondary education or clinical supervision related to training toward the disciplines listed above with five years of directly related experience. (Please provide an explanation of relevant activities and experience.) Final determination of clinical equivalence and experience relevance resides with the NADD Competency-Based Certification Program. In combination with: The applicant must be able to thoroughly explain and demonstrate advanced expertise in at least one competency area and a general knowledge in the remaining competency as follows:

• Positive Behavior Supports and Effective Environment • Psychotherapy • Psychopharmacology • Assessment of Medical Conditions • Assessment

Ethical Behavior Most disciplines, through their professional disciplinary association or governing body, have a Code of Ethics to which members are committed to follow. All applicants shall attest to following the ethical standards of their profession association as well as state, province, or national ethics and regulations. The applicant’s signatures in the Ethical Behavior section of the application form and in the Principles section of the application form are required and shall denote the candidate’s commitment to ethical behavior. Professional associations as discussed above must be recognized as an established, respected, and legitimate organization. Questions related to their standing will be determined by the NADD Competency-Based Certification Program if necessary. Any disciplinary events, lawsuits past or pending, suspension of privileges from care facilities or professional organizations or any actions by state/province or other licensing body related to complaints or actions against a licensed individual must be reported and reviewed by the committee. NADD has established a process for receiving complaints regarding ethical behavior of people who have received this certification. Any intentional misrepresentations or falsehoods submitted by an applicant would be sufficient to deny certification as an unethical act. NADD Membership Clinicians seeking certification are required to be members of NADD at the time they apply for certification. Continued membership in NADD is required for the duration of the NADD clinical certification. A NADD organizational membership may satisfy this requirement if the clinician is an employee of the organization which has a NADD membership. NADD is the leading North American expert in providing professionals, educators, policy makers, and families with education, training, and information on mental health issues relating to persons with intellectual or developmental disabilities. To stay abreast of issues involved in service delivery and remain knowledgeable about best practices in the field, a clinician would need the benefits of a NADD membership. A

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NADD organizational membership may satisfy this requirement if the clinician is an employee of the organization which has a NADD Membership. Application The application and supporting materials should be mailed to: NADD Competency-Based Clinical Certification Program 132 Fair Street Kingston, NY 12401 The following should be included in the application package:

• Completed application form • Sign Ethical Behavior statement • Sign Principles statement • In the Experience Confirmation section, provide dates of employment and contact information for all jobs

that are being used to meet the experience requirement. • Provide proof of current NADD membership • Copy of professional license • Copy of Curriculum Vitae (CV) • Three letters of reference • Nonrefundable Application/Exam

When the application package is received at the NADD office, it will be reviewed to ascertain that all items in the Application Checklist have been included. The applicant will be informed of all missing or incomplete items and will be requested to provide the missing information. Once all items have been received, the application will be deemed to be complete and will be reviewed to determine whether the applicant meets the prerequisites for certification. Work Sample Once the application has been reviewed and the applicant has been found to meet the prerequisites, the applicant will receive instructions to submit one work sample of a case that demonstrates clinical work with an individual who has a dual diagnosis. The work sample should be no more than five pages in length and should include these five competency areas:

1. Formulation/conceptualization of clinical problems; 2. Format for therapy or intervention including:

a. What were the goals/expected outcomes for treatment or intervention? b. Other treatments that were considered and rejected. c. Why the selected treatment was chosen and why the rejected treatments were rejected. d. Were there modifications or adaptations of standard treatment to meet the unique treatment

needs of this individual? If so, briefly describe these modifications/adaptions. 3. Landmark event or salient issues that arose during treatment and how these were addressed within

treatment; 4. Reflection on issues within therapy and/or ethical concerns and/or issues relevant to cultural competency;

and 5. How the clinical approach was informed by an understanding of intellectual disability or dual diagnosis.

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Prior to submission of the work sample, the applicant should review the work sample to verify that the submitted content includes consideration of each of the targeted areas. NADD will assign two examiners to review to work sample. The work sample will be reviewed to determine whether the candidate demonstrates competency in the five competency areas. If the work sample is found to be acceptable, the interview will be scheduled. The examiners may require submission of additional information – including, in some cases, resubmission of the work sample – before they approve scheduling of the interview. Interview The final component of the certification process is an interview, which may occur in person, at a NADD conference, via web-based video conferencing, or by telephone. The applicant shall be presented with a case vignette approximately 24-48 hours before the interview, about which he or she shall be asked to verbally offer his or her thoughts and reflections (i.e. provide a case formulation and treatment). The interview is limited to one hour, and the applicant should prepare a vignette response of about ten minutes. The applicant must bring a copy of the work sample submitted in support of the application for Certification and vignette provided by NADD for the interview to the interview. The same two examiners who reviewed the work sample will participate in the interview. The interview shall also include resolution of any questions raised during other parts of the application process. Interviews will generally follow the outline below.

1. Discussion of the applicant’s training and experience in dual diagnosis; 2. Resolution of specific question arising from the application materials; 3. Discussion of clinical case summary submitted with the application which can include the following:

a. Diagnostic process including medical rule out; b. Assessment approach and considerations; c. Psychotherapy considerations, approach, complications and response; and d. Positive Environment-role of environment in clinical considerations and recommendations for

changes. 4. Discussion of case vignette presented just prior to the interview which will include the following:

a. Presentation of case formulation; b. Presentation of Treatment plan; and c. Response to questions about case formulation and treatment.

5. Topics or areas consistent with current practice such as self-determination, consumer decision-making/problem solving, person centered planning, assessment, analog functional analysis of medication effects, etc.

6. Expectations, procedure and timetable for certification process.

Recertification Continuing certification includes 10 hours of approved education every 2-year certification period. The continuing education must be related to Mental Wellness and Mental Health for persons with intellectual and developmental disabilities. For a complete review of certification qualifications and requirements please download and review the related program manuals found at http://thenadd.org/accreditation-certification/.

II. Direct Support Professional Certification (NADD-DSP)

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Funding will include initial certification costs for 10 staff from each of the eight provider agencies chosen through this RFI. Funding also includes one recertification for each of the selected staff. Employees must meet the NADD qualifications for certification. Below is an incomplete excerpt from the NADD Direct Support Professional Program Manual. For a complete review of certification qualifications and requirements please download and review the related program manuals found at http://thenadd.org/accreditation-certification/. Current costs, per direct support professional, for the NADD Competency-Based Direct Support Professional Certification is $60.00. A non-refundable application/exam fee of $60.00 must accompany the application package. The NADD Competency-Based Certification is good for two years. The current renewal cost is $30. Qualifications for a NADD Direct Support Professional Certification (NADD-DSP) from www.thenadd.org To be considered for NADD-DSP certification, the applicant must meet the following pre-requisites:

1. Must have worked as a direct support professional in the developmental disability or mental health field for at least one calendar year and must have completed 1000 hours of direct support work, either paid or unpaid;

2. Must be an employee in good standing as validated by the employer (This includes that the applicant is (was) not under disciplinary review or probation and that the applicant is (was) in compliance with all agency and state/provincial requirements.); and

3. Must sign Code of Ethics developed by the National Alliance for Direct Support Professionals included in the NADD Competency Based Direct Support Professional Certification Program Manual found at http://thenadd.org/accreditation-certification/.

NADD Membership Applicants for NADD-DSP certification are required to be members of NADD at the time they apply for certification. Continued membership in NADD is required for the duration of the NADD-DSP certification. A NADD organizational membership may satisfy this requirement if the applicant is an employee of the organization which has a NADD membership. NADD is the leading North American expert in providing professionals, educators, policy makers, and families with education, training, and information on mental health issues relating to persons with intellectual or developmental disabilities. To stay abreast of issues involved in service delivery and remain knowledgeable about best practices in the field, a direct support professional would need the benefits of a NADD membership. A NADD organizational membership may satisfy this requirement if the applicant is an employee of the organization which has a NADD Membership. Application The application will be completed on line. The applicant must complete a self-report of experience, skill, and knowledge. Applicants will be required to list their experience and formal education. When listing work experience, applicants will be required to provide the hours of work, job title, brief description of setting/agency, as well as providing supervisory contact for each employer so that information can be verified. Applicants will list their formal education, providing dates and completed certificates or degrees. Applicants can list any continuing education classes, coursework, developmental activities, or in-service trainings related to skills, knowledge, and values of credential competencies.

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Applicants are required to submit two completed recommendation forms – one from a person receiving services or his or her representative, and the second from a supervisor at the current or most recent employment. The form is designed to elicit accounts of work done with individuals with dual diagnoses that illustrate: (1) values, (2) knowledge, and (3) skills in the identified competency areas, especially as they relate to problem-solving and leadership. Test Once the application has been reviewed, the applicant will be given instructions about taking the certification test. The test is completed online and is in the form of a multiple-choice test. Applicants will be provided with scenarios involving working with individuals with a dual diagnosis and will be asked questions that will show their skills, knowledge, and values involving caring for individuals with a dual diagnosis. Competency will need to be demonstrated in the following five areas:

1. Assessment and Observation 2. Behavior Support 3. Crisis Prevention and Intervention 4. Health and Wellness 5. Community Collaboration and Teamwork

An overall score of 80% is required for passing, as well as a minimum score of 60% in each of the five competency areas. Applicants who do not pass the test are permitted to re-take it two more times (total of three times). To ensure that the applicant can review and strengthen his or her understanding, the re-test may not be sooner than three months after the previous test. Recertification Once a DSP has received NADD Competency-Based Certification, the DSP must:

• Maintain his or her NADD membership (individual or through the organizational membership of an employer)

• Renew his or her certification every two years. This includes meeting the continuing education requirement (see below) and paying the renewal fee.

• Continue to meet agency and state/provincial requirements to maintain eligibility as “an employee in good standing.”

• Continue to meet the ethical standards concerning providing direct care to individuals with a dual diagnosis.

• Meet continuing education requirements of eight (8) hours of additional education and training every 2 years in areas related to Mental Wellness and Mental Health for persons with IDD. In-house training is acceptable for ongoing education and training. Attending conferences, special training sessions, teleconferences, or web based learning are all acceptable. One hour of continuing education is equivalent to 60 minutes of instructional time. While all NADD-certified DSPs are expected to meet agency and state/provincial requirements to maintain eligibility as “an employee in good standing,” as referenced in the application procedure, compliance with these mandatory trainings does not meet the continuing education requirement and may not be applied to the eight (8) hours. Continuing education credit will be documented on an on-line form. It is the responsibility of the applicant to provide verifiable information of the training received, training provided, and publication to be considered for continuing education credit.

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For example, an applicant must provide the date, topic, sponsoring or training organization, trainer, and number of hours for each continuing education session claimed.

NADD-DSP Summary • Experience – minimum of one calendar year as a direct support professional in the developmental

disability or mental health field; must have completed 1000 hours of direct support work. • Employee in good standing. • NADD membership is required. • Complete application online. • List experience and education. • Promise to abide by Code of Ethics. • Submit two recommendations concerning work supporting individuals with dual diagnosis. • Submit $60 application fee. • Online examination of competencies.

For a complete review of certification qualifications and requirements please download and review the related program manuals found at http://thenadd.org/accreditation-certification/. Please refer to www.thenadd.org for more information on NADD and NADD Membership. Please refer to http://thenadd.org/accreditation-certification/ for more information on NADD Certification.

Provider Requirements An organization must meet the following:

a. Provider qualifications, procedures, and standards established by DMA; b. provider qualifications, procedures, and standards for participation as established by the Division of

Mental Health, Developmental Disabilities, and Substance Abuse Services (DMH/DD/SAS); c. the requirements under 10A NCAC 27G; d. Have at minimum 5 years of Behavioral Health experience e. be credentialed by Partners; f. provider agrees to comply with Partners’ monitoring and reporting process; g. provide all services in accordance with the relevant DMA clinical policies, DHHS service definitions; and

other NC regulations and laws; h. within one year of enrollment as a provider of this service with DMA, the organization must achieve

national accreditation with at least one of the designated accrediting agencies approved by DHHS; i. the organization shall be established as a legally constituted entity capable of meeting all of the

requirements of Provider Credentialing, The Medicaid Enrollment Agreement, Medicaid Bulletins, and service implementation standards; and

j. in partnership with Partners BHM, the provider organization shall collaborate with relevant community stakeholders for access to services, care coordination, and continuity of care.

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Frequently Asked Questions (FAQs) Any Frequently Asked Questions (FAQs) will be posted to the Partners’ website with the RFI within 15 calendar days from the RFI release date. Please contact Lisa Jordan at ljordan@partnersbhm.org with any questions.

Exclusionary Criteria Applicant proposals will be excluded from scoring, review and potential award if the following occur:

1. Provider/vendor does not submit proposal by the submission deadline; 2. Provider/vendor does not submit proposal through mechanisms as directed in this RFI; 3. Provider/vendor does not submit proposal in format and/or using forms as directed in this RFI; and 4. Provider/vendor does not sign and date the forms as indicated.

Budget The below budget represents allowed costs for this RFI.

Item Description Number Individual Cost Total Cost Covered Organizational Membership

One Year organizational membership to NADD

1 $650/$900* $650

NADD-CC Certification

Initial Certification for clinical staff

2 $375 $750

NADD-CC Recertification

First recertification for clinical staff

2 $100 $200

NADD-DSP Certification

Initial Certification for direct support staff

10 $60 $600

NADD-DSP Recertification

First recertification for direct support staff

10 $30 $300

Total: $1,215/$1,465* $2,500 *NADD memberships are $650 for agencies with budgets from zero up to $3 million. Membership for agencies with budgets over $3 million are $900. The funds under this RFI cover $650 in costs for NADD Membership.

Reporting Providers must submit quarterly reports to Partners which shall include, at minimum, the following:

A. Provider Agency Name; B. Provider Agency Address; C. Provider Agency Contact Person; D. Provider Agency Contact Information; and E. Full name of Provider Agency Staff persons participating in certification to include the following:

1. certification program type (CC or DSP); 2. start date of certification program; 3. status of progress in certification program;

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4. completion date of certification program; and 5. other credentials, licensure and certification they may hold.

Providers must submit monthly budget reports to Partners which shall include, at minimum, the following: A. Total number of staff in CC Certification Program B. Total number of staff in DSP Certification Program C. Amount of funds spent per line item

1. NADD Membership 2. CC Certification 3. CC recertification 4. DSP certification 5. DSP recertification

D. Balance remaining per line item 1. NADD Membership 2. CC Certification 3. CC recertification 4. DSP certification 5. DSP recertification

E. Total funds expended

Additional General Information The following outlines additional information related to the request for information: • Titles and headings in this RFI and any subsequent RFI or RFP are for convenience only and shall have no binding force or effect. • All proposals are subject to the terms and conditions outlined herein. All responses will be controlled by such terms and conditions. The attachment of other terms and conditions by any individual and firm/agency may be grounds for rejection of that individual or firm’s/agency’s proposal. • In submitting its proposal, applicants agree not to use the results therefrom or as part of any news release or commercial advertising without prior written approval of Partners. • All responses, inquiries, or correspondences relating to or in reference to the RFI, and all other reports, charts, displays, schedules, exhibits, and other documentation submitted by the individual or firm/agency will become the property of Partners when received. • Pursuant to the provision of G.S. 143-54, and under penalty of perjury, the signer of any proposal submitted in response to this RFI thereby certifies that this proposal has not been arrived at collusively or otherwise in violation of either Federal or North Carolina antitrust laws. • The transmittal letter must be signed and dated by an official authorized to legally enter into a contract with Partners. The individual or firm/agency shall submit with its proposal the name, mailing address, 8 email address and fax and telephone number of the person(s) with authority to bind the party and answer questions or provide clarification concerning the proposal. • Individuals or firms/agencies may propose to subcontract portions of work provided that their proposals clearly indicate the scope of the work to be subcontracted, and to whom. All information required about the prime grantee is also required for each proposed subcontractor.

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• Trade secrets or similar proprietary data which the individual or firm/agency does not wish disclosed to other than personnel involved in the evaluation will be kept confidential to the extent permitted by NCAC TO1: 05B.1501 and G.S. 132-1.3 if identified as follows: Each page shall be identified in boldface at the top and bottom as “CONFIDENTIAL.” Any section of the proposal that is to remain confidential shall also be so marked in boldface on the title page of that section.

Disposition of Proposals After the processing the RFI/RFP, one copy of each proposal is retained by Partners. Unless return of additional copies of the proposals are requested by the applicants upon submission, all other copies will be destroyed. This request should appear in a cover letter accompanying the proposal.

Freedom of Information The North Carolina Public Records Law under Chapter 132 of the North Carolina General Statutes guarantees that the public has access to the public records of governmental bodies in North Carolina. The public records and public information compiled by the agencies of North Carolina government or its subdivisions are the property of the people. Therefore, it is the policy of the State that the people may obtain copies of their public records and public information free or at minimal cost unless otherwise specifically provided by law.

Submission of RFI Response Form There is one (1) form to submit in response to this RFI. Please follow the directions below.

I. RFI Response Form: Click on the below link, complete the form and submit by 5 pm on October 8, 2021.

NADD Certification RFI #0921-001 Response Form Completed forms must be submitted by 5 pm on October 8, 2021 to be eligible for review.

Resources NADD http://thenadd.org/ http://thenadd.org/accreditation-certification/ http://thenadd.org/recorded-trainings/ Medicaid and Health Choice Clinical Coverage Policies: http://dma.ncdhhs.gov/providers/clinical-coverage-policies NCDHHS APSM 45-2 Records Management and Documentation Manual: https://www.ncdhhs.gov/document/apsm-45-2-records-management-and-documentation-manuals

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Special Provisions-EPSDT https://medicaid.ncdhhs.gov/beneficiaries/get-started/find-programs-and-services/medicaid-benefit-children-and-adolescents-under NC Health and Human Services-Service Definitions http://www.ncdhhs.gov/dmhservicedefinitions NC Medical Assistance Health and Human Services Fee Schedules: http://dma.ncdhhs.gov/providers/fee-schedules