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Request for Proposal Wake County Drop-In Center RFP #2013-104 Proposals Due 4/24/13 by 5pm Alliance Behavioral Health 4600 Emperor Boulevard Durham, NC 27703
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Page 1: Request for Proposal Wake County Drop-In Center RFP #2013-104 · • Recreational equipment • Large classroom/group meeting room, a large multipurpose room for the card business

Request for Proposal Wake County Drop-In Center

RFP #2013-104

Proposals Due 4/24/13 by 5pm

Alliance Behavioral Health 4600 Emperor Boulevard

Durham, NC 27703

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Request for Proposal RFP #2013-104

Table of Contents Table of Contents .......................................................................................................................................... 2

Key Information ............................................................................................................................................ 4

Key Dates ...................................................................................................................................................... 5

Introduction .................................................................................................................................................. 5

Wake Behavioral Health Service Delivery ................................................................................................. 7

Drop-In Center Program Overview ....................................................................................................... 7

Population Currently Served by Wake Behavioral Health ........................................................................ 8

Wake Behavioral Health Service Locations ............................................................................................... 9

Information Technology ........................................................................................................................ 9

Facility Management, Safety and Security Services............................................................................ 10

Scope of Work ............................................................................................................................................. 11

Clinical ................................................................................................................................................. 11

Quality Improvement .......................................................................................................................... 11

Transition Planning and Performance ................................................................................................ 12

Proposal Format .......................................................................................................................................... 12

Executive Summary ................................................................................................................................. 12

Organizational Background ..................................................................................................................... 13

Organizational Structure ..................................................................................................................... 13

Clinical Program .................................................................................................................................. 13

Information Technology ...................................................................................................................... 13

Quality Improvement .......................................................................................................................... 14

Provider Financial and Legal Information ........................................................................................... 14

Transition Planning and Performance .................................................................................................... 15

Clinical and Capacity ........................................................................................................................... 15

Staffing ................................................................................................................................................ 15

Planning............................................................................................................................................... 15

Financial Plan ...................................................................................................................................... 16

Evaluation of Proposals ............................................................................................................................... 16

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Initial Review ........................................................................................................................................... 17

Minimum Requirements ......................................................................................................................... 17

Evaluation Criteria ................................................................................................................................... 18

Format of Vendor Response ................................................................................................................... 18

Content of the Proposal ...................................................................................................................... 18

Other General Information ..................................................................................................................... 19

Appendix A: Intent to Bid/Not Bid .............................................................................................................. 21

Appendix B: Wake BH Staff ......................................................................................................................... 22

Appendix C: Floor Plan 401 E. Whitaker Mill Rd. ........................................................................................ 23

Appendix D: List of Attachments ................................................................................................................ 24

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Key Information

Request for Proposal RFP #2013-104

Title: Wake County Drop-In Center

Organization: Alliance Behavioral Healthcare 4600 Emperor Boulevard Durham, NC 27703

Issue Date: March 22, 2013

Due Date: April 24, 2013 by 5pm local time

Notes:

Indicate the organization or organization name and Request for Proposal (RFP) number on the front of each proposal envelope or package, along with the date for receipt of proposals specified below.

RFPs are due by April 24 2013 by 5pm, local time. Late proposals will not be accepted. All proposals are to be sent directly to:

Carrie Baines, Contract Manager Alliance Behavioral Health 4600 Emperor Boulevard Durham, NC 27703

Alliance will not be held responsible for the failure of any mail or delivery service to deliver a proposal response prior to the stated proposal due date and time. It is solely the proposer’s responsibility to ensure that all required and necessary information, documents and attachments are included prior to submitting a response and to ensure that the response is received at the correct location and time. Late responses, regardless of delivery means, will not be accepted. No fax or emailed responses will be accepted or considered.

When responding to this RFP be sure to follow all instructions carefully. Submit proposal contents according to the outline specified and submit documents according to the instructions. Failure to follow these instructions will be considered a non-responsive proposal and may result in immediate elimination from further consideration. Bidders are responsible for reviewing the Alliance for additional documentation that is posted after the initial release of the RFP. Copies of all postings will be emailed directly to anyone that registers with Alliance. To register, please send an email to [email protected] with your name and contact information.

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All questions concerning the specifications in this RFP will be received until 5:00 pm, 4/8/13. Questions are to be sent via email to [email protected] A summary of all questions and answers will be posted by April 15, 2013 on the Alliance Behavioral Healthcare website at: http://www.alliancebhc.org/about-alliance/rfps-rfis-qas

All prospective bidders are requested to submit Appendix A “Intent to Bid/Not Bid” by 4/17/13 indicating if the organization intends to submit a bid or not. If the organization opts not to submit a bid, it is requested that a reason be provided as to why the decision was made. This “Intent to Bid/Not Bid” should be emailed to [email protected] using “Intent to Bid/Not Bid” in the subject line. The form should be signed by an authorized signer of the organization. A pre-proposal conference for prospective bidders will be held on 4/8/13 from 11:00 am to 12:00 pm. This meeting will be held at Alliance Behavioral Healthcare’s corporate office at 4600 Emperor Blvd., Durham NC 27703. Directions to this location are available at: http://www.alliancebhc.org/contact-us. The purpose of this conference is to discuss the RFP and provide an opportunity to receive and answer any questions from prospective applicants. Questions asked at the pre-proposal conference will be included in the summary of questions and answers noted above. It is strongly recommended that interested parties attend this conference. Please confirm your interest in attending this meeting by sending an e-mail message to [email protected].

Key Dates

Date Event 3/22/13 RFP issued 3/27/13 Mandatory registration due for facility tours by 3:00pm 3/28/13 Tour of Community Services Center 4:00pm 4/8//13 Questions related to the RFP due no later than 5:00pm 4/8/13 Pre-proposal conference at Alliance office 11:00am-12:00pm 4/15/13 Responses to questions posted on website 4/17/13 Last day to submit “Intent to Bid/Not Bid” 4/24/13 Proposal due by 5:00 pm 5/3/13 Finalist interviews 5/15/13 (tentative) Selection and notification of award

Introduction Alliance Behavioral Healthcare (Alliance) is initiating this Request for Proposal (RFP) to solicit proposals from service providers to provide a Drop-In Center for Severe and Persistent Mentally Ill population currently served by Wake County Behavioral Health and future clients from Wake County. Wake County will discontinue rendering direct services on June 30, 2013, necessitating a transition of approximately

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62 adults currently on the open caseload. The intent of this RFP is to issue an award to one provider for this service.

Effective February 1, 2013, Alliance began operation as a behavioral health managed care organization (MCO) under the Medicaid 1915 (b)/(c) waivers, serving Cumberland, Durham, Johnston and Wake counties. Alliance will still retain responsibilities as the local management entity (LME) within these four counties. As an MCO/LME, Alliance manages the public resources available for mental health, substance abuse, intellectual and other developmental disabilities including state (IPRS) and county funding, federal block grant funds, federal funding for Medicaid and all other public funding sources. Alliance uniformly manages Medicaid and State-funded services and serves as a single point of accountability for all public funding. Alliance manages the authorization and payment of services for citizens of Cumberland and Johnston counties in addition to those in Durham and Wake, totaling over 186,000 Medicaid-eligible individuals and a population of 1.7 million. The focus of the system is to improve access and quality of services, empower consumers and improve outcomes of individuals served.

Alliance is nationally-accredited by URAC, a body that accredits health care and health plan related organizations, to provide utilization management activities. A board of directors with representatives from each of its participating counties governs the organization. Due to the merger of Wake and Durham County LMEs to form Alliance, Wake County cannot provide services and is required to divest all direct provision of services by June 30, 2013.

Alliance understands the importance of treatment in the most inclusive setting with attention to the whole person and concentration on individual strengths. Alliance values a system driven by member and family priorities. The values of recovery, self-determination, resiliency, person-centered planning, and consumer and family driven services are the foundation of the system at Alliance. Working in partnership with members, their families, providers and the community to meet the challenges of mental health, intellectual/developmental disabilities and substance use/addiction service needs is important to Alliance. Alliance believes best outcomes are reached when individuals receive the right level of service in the right amounts at the right time. Alliance efficiently manages resources to ensure system-wide quality for its members.

The mission of Alliance is to support and enhance the quality of life of those citizens affected by mental illness, intellectual/developmental disabilities and substance abuse. This mission is supported by the Alliance vision which is to develop and maintain a network of quality providers whose services are evidence based or best practice and who embrace people with disabilities as equal partners and valued citizens. The entire community benefits when citizens with disabilities reach their full potential.

Alliance Behavioral Healthcare values: • Discovering ways to nurture community strengths in order to accomplish what none of us can

do alone • Involving stakeholders for the advancement of all citizens in our diverse community • Partnerships with community organizations that assure that best practices are applied through

person-centered planning

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• Community resources that offer enduring ways to support people with disabilities • Community partners that leverage dollars and develop in-kind partnerships to respond to the

mental health, developmental disabilities and substance abuse services needs of all citizens • Advocacy efforts that challenge the MH/DD/SAS delivery system to improve continuously • Accountability of all parties in the system • Exemplary practices that lead to meaningful outcomes and are cost effective • High consumer and family satisfaction • Collaboration with our community partners and stakeholders • Building community capacity that includes the identification of existing community resources

and gaps • Services and supports that are consumer and family friendly, age appropriate and culturally

competent • The flexibility of the MH/DD/SAS system to provide programs and supports when needed, at the

level needed and in the amount necessary, so people may enter and exit components of the system as their needs change and without fear of re-entry complications

• Ongoing community education that assists in the elimination of stigma and discrimination.

Wake Behavioral Health Service Delivery

Drop-In Center Program Overview Services to the adult population have been delivered by Wake Behavioral Health staff in an expenditure-based (non-unit cost reimbursement or ‘Non-UCR’) reimbursement model. These services have included psychosocial and psycho-educationally oriented group and individual services to adults with mental illness and co-occurring substance abuse, also co-occurring medical issues, to help members learn the skills needed to function at their highest level of independence.

The services are currently delivered at the Community Services Center in Raleigh. The program offers a continuum of treatment, including working with clients with mental illness and co-occurring substance abuse, also co-occurring medical issues. The continuum of services delivered includes the following:

• Healthy living classes for chronic disease self-management • Exercise/fitness classes • Three substance abuse support groups • Dialectical behavioral therapy via a weekly DBT skills group • Social supports and opportunities to practice appropriate social interactions and engage in

meaningful leisure activities • Budgeting and financial literacy classes • Wellness recovery and action planning (WRAP) activities • Expressive art therapy group • Pre-vocational and other vocational supports through participation in food preparation for daily

lunches. • Supportive employment theory via Job Club and a consumer business creating hand-designed

greeting cards

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• Individual client services, including case support, supportive counseling, job development and coaching, crisis intervention

• Periodic group outings or events

Additional supports provided by the programs include:

• Lunch provided to members daily, for those who have participated in at least one group or activity

• Computer lab with internet access • Laundry room with washer and dryer available to clients free of charge • Showers • A hair salon • Recreational equipment • Large classroom/group meeting room, a large multipurpose room for the card business and arts

and crafts work space, and “living room” space.

The Drop-In Center is a licensed day activity program (10A NCAC 27G .5400) providing psychosocial and psycho-educationally oriented group and individual services.

The Drop-In Center has a targeted daily attendance of 48 consumers, based on a staff to client ratio of 1:8. Hours of operation are 8:00 a.m. – 4:00 p.m. Monday through Friday; consumers who are open to the program have a flexible schedule of attendance based on their preference/interests/needs. The intent of this RFP is to encourage a model of service delivery utilizing evidence and best practices, as well as recovery principles of hope, personal choice, and empowerment while fostering an environment of wellness and independence. Additional information related to the current staffing associated with these programs is in Appendix B.

Currently, this program is funded with a mix of Non-UCR ($135,000) and Wake County funding ($329,000). These funding amounts are an approximation of funding available for FY14 based on current state and county funding. For FY14, any start-up funding requests must be included within these amounts.

Population Currently Served by Wake Behavioral Health The current open caseload is 62 adults who are dually diagnosed and/or SPMI and many receive other enhanced services such as ACT or IDDT. All individuals attending the Drop-In Center currently have a clinical home and the Drop-In Center is not a clinical service.

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Wake Behavioral Health Service Locations Services are provided to Wake County consumers at the location listed below. Bidders will have the opportunity to access certain County space for a period of time as specified in the following section.

Services are currently delivered at the following location:

• Community Services Center (401 E. Whitaker Mill Rd. Raleigh, NC 27608)

Selected awardee(s) may access space at Community Services Center at no charge through June 30, 2014. Continued use of this space after June 30, 2013 is subject to negotiation with Wake County. The rentable square footage (RSF) available at 401 E. Whitaker Mill Rd. approximately 6000 square feet. (see Appendix C, Floor Plan). Tours of the facility will be offered on 3/28/13 at 4:00 pm. Registration for facility tours is required. By 3:00 pm on 3/27/13 bidders must submit an email to [email protected] confirming interest in attending a tour of the facility. The meeting point is at the reception area of the Community Services Center. Bidders should identify their intent to use available county space. See Appendix C for floor plan. If the selected provider wishes to use Wake County space, the provider will be required to execute a contract with Wake County that defines the terms associated with using County space. A sample facility license agreement with related appendices is included as Attachments 3-7.

Information Technology Selected vendor(s) opting to provide services within one or more of the Wake County sites is expected to establish its own information technology infrastructure, including equipment, hardware/software and wireless services for their operations. The vendor will be required to coordinate all installations with Wake County and other appointed vendors in implementing their IT operations.

Wake County will provide at no charge the following infrastructure for vendors operating in Wake County owned facilities:

• Electrical power: If additional electrical requirements are requested by the chosen vendor, the vendor will be responsible for all costs associated with their request.

• Wake County and their wiring vendor will be responsible for the installation, support, and maintenance of the existing internal wiring infrastructure. If additional internal wiring is needed, Wake County will coordinate the wiring installation and the vendor will be responsible for all costs associated with their request. Vendor will be responsible for arrangements and costs of internet connection and service.

• Wake County will provide a telecommunications closet rack or space within existing racks for the vendor’s network infrastructure.

• Wake County will provide entrance conduits/pathways into the main telecommunications room for network carrier services.

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• Wake County may be able to provide basic Centrex telecommunications services and equipment, with the vendor charged based on usage, but this is not guaranteed. The County will negotiate any telecommunication requirements with vendors (including the Centrex option) to determine support levels as a function of any contract resulting from this RFP. Vendors should provide thorough details of any telecommunications requirements in their RFP response for consideration by the County. The County may limit the types of service/equipment to be installed in County facilities and telecommunications rooms. Acceptable service options will be determined during contract negotiation with Wake County.

Vendors will be responsible for owning, operating, and maintaining the following:

• Network circuits for the operation of the vendor’s LAN/WAN/WLANs • Network routers, switches, wireless access points and any other networked or non-networked

devices used in the vendor’s IT environment • All PCs, laptops, printers, software, data, and disaster recovery efforts used in the vendor’s IT

operational environment • Vendor will ensure all software and hardware complies with all state/federal regulations and

HIPAA requirements • Software and systems required to support its business

Facility Management, Safety and Security Services Wake County, through its General Services Administration (GSA) department will manage the facility management and safety and security services for any County-owned facility. These services will be provided at no charge to selected provider(s) using Wake County facilities.

Facility management includes:

• Housekeeping including janitorial, window washing and pest control services • Facility maintenance, including all life safety, mechanical, electrical, piping and plumbing

systems and general maintenance and elevators inspections, preventive and corrective repairs • Corporate and regulatory signage • Exterior maintenance including landscape and hard surfaces, irrigation and horticulture services • Utility services including payments or contracting of electric, natural gas, water/waste

water/storm water; solid waste, bio-waste and recycling services

Safety and security services include:

• Safety plans and customer interface, fire evacuation plans and drills • Electronic security services, consisting of centrally monitored access control with integrated

digital video, and voice; video delivered locally to security and nurses stations where applicable • Security officers and Contract Law Enforcement Officer as currently available in each location

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Scope of Work The scope of work includes the transition of 62 adults currently served by the Wake County Drop-In Center and ongoing delivery of the basic components plus inclusion of additional evidence and best practices.

Clinical Services rendered shall be reimbursed on an expenditure-based (non-unit cost reimbursement or ‘Non-UCR’) model.

Selected provider is expected to have staff proficient in Clinical Practice Guidelines adopted by Alliance, available at: (http://www.alliancebhc.org/providers/alliance-clinical-guidelines, including the following evidenced-based practices Wellness Management and Recovery, Wellness Recovery Action Plan (WRAP) and others applicable evidence and best practices.

Key components of service include providing psychosocial and psycho-educationally oriented group and individual services to adults with mental illness and co-occurring substance abuse, also co-occurring medical issues, to help members learn the skills needed to function at their highest level of independence. The provider shall utilize the recovery principles of hope, personal choice, empowerment, development of an environment of wellness and independence, and the encouragement of spirituality and community enriched by contribution. Services offered should be tailored toward the experiences of individuals with significant mental health challenges. The model used should embrace and welcome all individuals as well as their family members and supporters, including their treatment providers/supports. Services offered should be recovery based learning, wellness, and community activities. It is not a “clinical” service and is not reflected in an existing service definition. Staff facilitating Wellness Recovery Action Planning classes shall be trained by a recognized trainer prior to facilitating classes. All Peer Support staff members are encouraged to obtain their NC Peer Support Certification. Staff shall play an active role in Crisis Intervention Training (CIT) and other local and regional efforts to educate first responders, citizens, and stakeholders on behavioral health issues and resources. Provider shall work collaboratively with citizens’ treatment providers when and where appropriate. Provider shall assist members in developing/refining their crisis and safety plans and will engage members that have a noticeable drop in attendance or may be decompensating.

Quality Improvement Quality Improvement policies and procedures must be demonstrated. Submission of an annual Quality Improvement Plan that addresses the next fiscal year is required by June 30th. A Quality Improvement Annual Plan should include QA/QI initiative and performance measures.

The provider must be prepared to provide additional data, reports and data analysis upon request. For this reason, the following additional data must be collected:

• Consumer demographics • Target population

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• Diagnosis/diagnoses and primary substance(s) used • Referral Source • Coordination efforts with outpatient providers • Integration of service plans with other providers • Housing and employment status • Face-to-face contacts • Engagement of family and natural supports • Crisis planning education/consultation efforts • Utilization/capacity • Services/Interventions received • Data analysis reports, including trends

Transition Planning and Performance The goal of the transition is to create a smooth process that allows individuals currently served by Wake Behavioral Health to transfer care in a safe and stable manner. Consumers will be informed of the transition of services and be provided necessary information regarding transition to the selected provider. After award, Alliance will meet with the selected provider to finalize and coordinate the transition process.

The transition of the Drop In Center to the selected vendor is to be completed by 7/1/13. Transition of consumers is required to start no later 6/24/13 to allow overlap with current staffing. Current capacity is expected to remain stable during the transition and prospective bidders should demonstrate how new staffing and practice management strategies will accommodate consumers during the transition process.

The selected provider will be required to submit reports as requested to Alliance related to their transition efforts and to meet with Alliance staff on a routine basis to discuss the transition and problem-solve any issues.

Proposal Format Proposals must address the following elements and incorporate aspects of the scope of work in the narrative response to be deemed compliant with RFP requirements. Refer to the section Format of Vendor Response for details related to the organization of the response.

Executive Summary Describe why you believe that your organization, from a professional and technical perspective, is the best fit. Describe the distinguishing features the Evaluation Committee should know about your services and company as well as an overview of your proposal.

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Organizational Background

Organizational Structure • Provide a brief history of your organization, indicating how long your organization has been in

business. • A brief description of the company size and organizational structure. • Attach a list of all members on the board of directors, indicating term of office and home or

business address. Also indicate whether any members are officers, agents, or employees of the organization.

• Describe your key management staff with backgrounds identified • Attach a copy of your current organizational chart; indicate number of FTEs per title. • Identification your current service location(s) with the physical address and services offered at

each site. • Identify what if any services your organization currently serves under contract with Alliance.

Also identify the types of funding in the contracts (fee for service, non-UCR, IPRS, Medicaid, etc.)

Clinical Program • Describe the payer mix of clients currently served (Medicaid, IPRS, County, Medicare, Other, etc.) • Summarize demographic and clinical profiles of individuals currently served, length of time in

treatment and numbers served. • Describe your service philosophy and models of service delivery for individuals with adults with

mental illness, co-occurring substance abuse, and/or co-occurring medical issues. Identify services currently delivered and any anticipated expansion of service.

• Identify how your organization renders services that are culturally and gender responsive

• Provide evidence that staff have been trained in evidence-based and best-practice services to be offered as part of the proposed service array (e.g., training documentation, certification, CV’s and/or resume).

• Note any other MCO/LMEs with which your organization holds contracts or Memoranda of Agreement and the services covered by these agreements.

Information Technology • Describe the computer and data processes that your organization currently uses. Identify what

if any of these functions are outsourced to a third party vendors. • Identify if any extensive modifications must be made to your current computer systems to

accommodate the additional volume of individuals served. Address additional computer/data processing resources, if any, that your organization would require to fulfill the terms of your proposal.

• Describe the internal controls your organization has in place to protect the security and privacy of participants, program data, and electronic and paper records.

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• Identify if your organization currently submits authorizations and claims to Alliance and the monthly volume of transactions.

• Provide a description and examples of your organization’s report generation capabilities.

Quality Improvement • Provide customer satisfaction ratings for the past two years. • Provide information about your organization’s procedures for promoting and ensuring

consumer rights. • Describe your organization’s procedures regarding routing of telephone, e-mail, FAX, and

written inquiries and complaints from consumers. • Describe how consumer input is included in your program evaluation process. • Attach a copy of your organization’s quality management plan. • Give examples of two recent quality improvement projects, including outcomes, and describe

how the results have been used in your organization. • Describe how you evaluate consumer outcomes and how do you determine that your

consumers are benefitting from your services. • Attach a sample of consumer outcome data for the most recent two years that is relevant to the

services that your organization provides. • Confirm that your organization can comply with the requirements of QI under the scope of

work.

Provider Financial and Legal Information

• Identify any litigation or governmental or regulatory action pending against your organization. Describe the organization’s corrective actions to address these issues.

• Provide information about whether or not your organization ever defaulted on a contract to provide MH/DD/SA services or had a contract terminated. Document if your organization been involved in litigation regarding such contracts.

• Describe any pending agreements to merge or sell your organization. • Provide details of any office closures that resulted in the termination of services within the last

three (3) years. • Submit one electronic copy of your most recent audited financial statement, include

management letter if received. • Submit one electronic copy of your organization’s most recent annual report • Confirm if your organization is in compliance with all federal and state laws applicable to the

services, including HIPAA, EDI, privacy and security regulations. Confirm that you will submit appropriate information for the credentialing process.

• If programmatic audits have been performed on your organization during the past year, provide information about the name of the auditor, dates of audit, findings and corrective actions required, if any.

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• Indicate if your organization is current on all tax filings and payments, including all payroll tax returns and annual tax returns.

• Indicate if your organization is compliant with all reporting requirements from all funding sources.

Transition Planning and Performance

Clinical and Capacity • Elaborate on your strategies to ensure consistent engagement in the program. • Describe your process and timeframe for accepting new referrals from outpatient and enhanced

service providers. Describe your communication plan with other service providers during the referral process

• Identify the number of individuals who will be served at any given time and the expected number to be served over the course of one fiscal year.

• Discuss your organization’s process and frequency for communicating current capacity and any developing waiting list information to Alliance.

• Describe how you will maintain communication with current and new participant’s clinical home.

• Describe how you will incorporate the Drop-In Center into the individual’s mental health treatment.

Staffing • Provide the proposed staffing level with the number of FTEs by position. • Submit a proposed organizational chart; identify vacancies. • Provide information about your strategies for recruitment, retention and support of qualified

staffing. • List and describe any contractual relationships that you anticipate necessary to carry out the

services. • Describe your staff training plan. • For any positions that are to be recruited, provide a job description of each position.

• Explain how current Wake staff will be informed of open positions within your organization and what outreach efforts will be made to recruit existing staff.

• Describe how you will coordinate with Wake County government to assist with placement of displaced staff. Define your expectations related to transitions of any current Wake County staff.

Planning • Define a successful transition of individuals currently served in the Drop-In Center. Be specific

as to the goals, criteria and measurement of success as well as the timeline. • Describe your efforts to ensure a smooth transition. Address aspects of the transition as it

relates to consumers, staff of the Drop-In Center, Alliance and your internal operations.

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• Describe in detail the steps that will be taken to ensure a smooth initiation of the proposed services. Provide a work plan and schedule identifying the tasks and time frames required for start-up and implementation of services.

• Outline the proposed implementation/transition team, specifically identifying the primary point(s) of contact. Describe team members’ roles, level of experience and length of time they will be assigned to the project.

• Describe anticipated issues related to transition services from the consumer’s perspective and how you will address those issues.

• Identify telecommunication requests of Wake County if use of County space is desired. • Confirm your ability to participate in meetings with Wake County staff and clients to inform

both parties about your organization.

Financial Plan • Provide a written narrative to support the financial plan with assumptions clearly defined. • Identify all costs on a detailed line item. For staffing, resources must be identified by title with

FTE count, salaries and benefits noted. • One-time start-up costs, by line item; explain methodology using assumptions provided. • Ongoing operating budget for one full year, by line item; explain methodology using

assumptions provided and document the proposed staffing and related personnel costs.

Evaluation of Proposals In accordance with RFP requirements, the award will be made to one provider whose proposal is determined to be the most advantageous and best suited to the needs of the population served. The objective of the RFP is to select one organization that:

• Demonstrate evidence-based approaches to address the diversity and cultures of the population served.

• Identify the preferences of individuals and families in the design of services and supports through development and utilization of person-centered planning.

• Facilitate the development and utilization of natural supports. • Facilitate the use of self-management and relapse prevention skills, support stable housing, and

address the development and maintenance of healthy social networks and skills, employment, school performance or retirement activities.

• Demonstrated capacity to implement the requirements specified in this RFP through a well-designed and detailed transition plan that clearly articulates tasks, time frames, and expected results.

• A well-developed quality management program that monitors and improves access, quality and efficiency of care.

• Human resource and management support necessary to effectively recruit and retain clinical and administrative qualified professional staff.

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• A solvent and financially viable organization that has sufficient financial and administrative resources to implement and operate the services specified in this RFP.

Alliance will conduct a comprehensive, confidential, fair and impartial evaluation of the proposals received in response to this request. Alliance reserves the right to reject any and all proposals. An Evaluation Committee will evaluate and numerically score each proposal that Alliance has determined to be responsive to the requirements of this RFP. Alliance reserves the right to determine the composition of the committee and to designate subject matter experts to assist in the process. The award of contract(s) is subject to approval by the Alliance Board. Prospective bidders should be prepared for an oral presentation and/or interview by the Evaluation Committee. The date for this meeting is anticipated to be May 3, 2013 and this date should be reserved. Selection of vendor will be based upon rating of written materials, feedback from references, and oral presentations.

Any cost incurred by an organization in preparing or submitting a proposal is the bidder’s sole responsibility. The funding organization will not reimburse any bidder for any pre-award costs incurred.

Initial Review Alliance will review all proposals submitted by the deadline specified in the RFP for format and completeness. If the applicant meets the formatting and minimum requirements of the RFP, Alliance will continue to evaluate the proposal. At its sole discretion, Alliance may request clarification of information throughout the proposal evaluation process.

Minimum Requirements The following requirements will be evaluated on a pass/fail basis. If the minimum requirements are not met, the proposal will not be reviewed further or considered for evaluation. For consideration as an applicant, the provider must understand and be prepared to comply with the Medicaid and LME Provider Contracts and Wake County Facility Lease Agreement in their entirety, as well as respond to the particular requests of this RFP. Submission of a proposal in response to this RFP indicates agreement to comply with the attached Contracts (see Attachments). For providers currently contracted with Alliance, the existing contract will be amended to reflect the change in the scope of work only.

• Demonstrated financial stability • Documented budget detail for any non-UCR funding and projections for the next fiscal year • Acceptance of attached contracts • Acceptance of Medicare/Medicaid dual eligibles • Identification of which, if any, County facilities will be utilized

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Evaluation Criteria The Evaluation Committee will evaluate the bidder’s strengths, capabilities, and experience including corporate background, past and current projects, financial soundness, and performance history. Alliance will conduct reference checks of vendors to verify the accuracy of submitted materials and to ascertain the quality of past performance. Alliance reserves the right to pursue any references that may assist in completing the proposal evaluation process. Submission of the proposal establishes the bidder’s agreement for Alliance to make any contacts it deems necessary to confirm the organization’s experience and performance.

The weighting of scoring is based on the following:

Section Point Assignment

Executive Summary 5%

Organizational Background 30%

Transition Planning and Performance 35%

Financial Plan 30%

Total 100%

Format of Vendor Response The following section identifies the specific criteria that a provider must meet and address in its proposal. The Evaluation Committee will review all documentation to determine if evidence to satisfy the criteria is included. Elaborate proposals in the form of brochures or other presentations beyond that necessary to present a complete and effective proposal are not desired. All submittals are to be printed double sided and use a font of at least 11 point.

Content of the Proposal The proposal is to be assembled in the following order

1. Transmittal Letter to include the point of contact and signed by an appropriate officer 2. Statement of Intent - a letter signed by the appropriate official certifying the intent of the

organization to provide the services as delineated in the proposal 3. Table of Contents 4. Executive Summary 5. Minimum Requirements

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6. Response to Scope of Work A. Organizational Background B. Transition Planning and Performance C. Financial Plan

7. References - submit contact information for three (3) references, to include, name, title, email address, phone and description of relationship. The results of the reference check will be used in scoring the written proposal and Alliance reserves the right to ask for additional references. Failure to provide this information will result in the proposal being considered non-responsive.

8. Attachments A. If not currently credentialed with Alliance, prospective respondents are encouraged to

submit a credentialing application as soon as possible, but no later than five (5) working days after the deadline for the “Intent to Bid/Not Bid” statement.

B. If not currently credentialed with Alliance, provide copy of current certificate of liability insurance

C. Additional documentation that supports the proposal response.

Proposals should be numbered consecutively beginning with the Statement of Intent. Provide one original and twelve (12) copies of the proposal plus one electronic version of the response on a flash drive. Only submit the requested number of copies of specific items (i.e. the financial statements and annual audit) as attachments to the proposal.

Other General Information The following outlines additional information related to the submission of proposals:

• Titles and headings in this RFP and any subsequent 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 condition by any organization and organization may be grounds for rejection of that organization or organization's proposal. Funded organizations and organizations specifically agree to the conditions set forth in the attached contracts.

• In submitting its proposal, organizations agree not to use the results therefrom or as part of any news release or commercial advertising without prior written approval of the funding organization.

• All responses, inquiries, or correspondence relating to or in reference to the RFP, and all other reports, charts, displays, schedules, exhibits, and other documentation submitted by the organization or organization will become the property of the funding organization 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 RFP thereby certifies that this proposal has not been arrived at collusively or otherwise in violation of either Federal or North Carolina antitrust laws.

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• Each organization or organization shall submit with its proposal the name, address, and telephone number of the person(s) with authority to bind the organization or organization and answer questions or provide clarification concerning the proposal.

• The transmittal letter must be signed and dated by an official authorized to legally bind the organization. The organization shall submit with its proposal the name, USPS address, email address and telephone number of the person(s) with authority to bind the organization and answer questions or provide clarification concerning the proposal.

• Organizations 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.

• Trade secrets or similar proprietary data which the organization or organization 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.

• Organizations or organizations receiving Federal funds would be required to execute a certification regarding Lobbying and Debarment, and if applicable a Drug Free Workplace Requirements and/or Environmental Tobacco Smoke assurance.

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Appendix A: Intent to Bid/Not Bid This appendix is to submitted to [email protected] by 4/17/13 Organization Name

Address

Phone (main)

Contact Name

Contact Phone

Contact Email

Our intent is to submit a bid related to this RFP: ______Yes _______No If no, please explain the barriers to submitting a proposal: _____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Submitted by: _________________________________________ Signature

__________________________________ ___________________________ _______________ Name Title Date

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Appendix B: Wake BH Staff The following table shows the staff positions associated with the Drop-In program.

Position Title FTE

HS Senior Practitioner

1

HS Senior Case Manager

5

HS Supervisor I

1 For information about the requirements of individual positions, job descriptions may be found on the at http://www.wakegov.com/employment/countyjobs/Pages/title_salary.aspx

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Appendix C: Floor Plan 401 E. Whitaker Mill Rd.

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Appendix D: List of Attachments The following attachments are included with the RFP and are posted as separate documents:

Attachment 1 Medicaid Provider Contract Attachment 2 LME Provider Contract Attachment 3 Wake County Facility License Agreement Attachment 4 Wake County Facility License Agreement – Appendix B Attachment 5 Wake County Facility License Agreement – Appendix C Attachment 6 Wake County Facility License Agreement – Appendix D Attachment 7 Wake County Facility License Agreement – Appendix E


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