Original Opportunity #: RFPQ-28-2021
Issued by: Multnomah County
View Original: Load in New Window
s Due Date: Jan 20, 2021 4:00PM (Pacific Daylight Time) add to calendar
Status: closed
Posted: Nov 14, 2020

Description

Amendment 1 - Added internal Health department contact. PRE-PROPOSAL CONFERENCE There will be a pre-proposal conference for this Solicitation on Tuesday, December 1, 2020 at 2:00 PM PST. This will be a virtual conference. Join with Google Meet https://meet.google.com/ibh-yyhg-cdo Attendance is: Optional INSTRUCTIONS: ITEMS TO SUBMIT AS SUPPLIERS ATTACHMENTS FOR THIS RFPQ: Proposal Your Proposal must be a Word or pdf document; computer generated or typewritten, single spaced, space-and-a-half or double spaced, formatted for 8.5” x 11” paper. All pages should be numbered. Margins should be at least ½ inch on all sides. Font size can be no smaller than 10 points. Proposals using smaller font sizes or smaller margins may be rejected. The Proposer is required to submit a written narrative for each question asked in the Proposal Questions and Evaluation Criteria section of the RFPQ for Group 2.1 Programmatic Questions and Group 2.2, Responsible Business Practice Questions. Submit these responses to the questions as a complete proposal response and upload in the "Supplier Attachment" section of the Sourcing Event. Proposers must respond to all the questions listed in the Buyer Attachments 1 - RFPQ Proposal Questions & Criteria. The format for each question response should be as follows: the group number, question number and title (example: Group 2.1.1 Organization Philosophy and Capacity). Proposal page limit is 12 pages. This equates to not more than 6 sheets of paper that are printed on each side, or 12 pages printed on only one side. We recommend that you not use cover sheets or any extra materials as these will count as pages. Excess pages will be removed and will not be evaluated. After uploading the proposal, Proposers need to check the “Yes” button for each question in the Questions section of the RFPQ. If Proposer has a formal partnership such as MOUs, QSOAs or letters of commitment, etc.(Question 2.1.4), upload as a Supplier Attachment in the Sourcing Event. This document does not count towards the page limits and should be labeled as Appendix 1 Partnership Agreements. BUYERS ATTACHMENT 1 (RFPQ PROPOSAL QUESTIONS) Please review Buyers Attachment 1 (RFPQ Proposal Questions) which contains the full text of the questions for this RFPQ.  There will be a PDF and Word version of the Buyers Attachment 1. You may use the word document to format your responses to the questions. SERVICE DESCRIPTION, FUNDING AND CONTRACTING INFORMATION PURPOSE AND OVERVIEW The Multnomah County Health Department, Behavioral Health Division (BHD) (hereafter the County) is seeking Proposers from whom it may purchase access to peer delivered Alcohol and Drug (A&D) and Gambling Recovery Support Services that are not otherwise attached to addiction treatment services.  Recovery Support Services under this RFPQ may be provided before or after clinical treatment or may be provided to individuals who are not in treatment but seek support services. Services are intended to assist adolescents and adults (defined below) to maintain a healthy recovering lifestyle. “Adolescent” means an individual from 12 through 17 years of age or those individuals who are determined to be developmentally appropriate for youth services. "Adult" means a person 18 years of age or older or an emancipated minor. An individual with Medicaid eligibility, who is in need of services specific to children, adolescents, or young adults in transition, shall be considered a child until age 21 for the purposes of these rules. Adults who are between the ages of 18 and 21, who are considered children for purposes of these rules, shall have all rights afforded to adults as specified in these rules. Major service components include but are not limited to: Peer Recovery Support Services provide one-on-one or Group Peer Delivered Addiction Recovery Support Services, provided by Certified Recovery Mentors (CRMs) or addiction Peer Recovery Counselors (PRMs), both certifications through the Addiction Counselor Certification Board of Oregon; or by Certified Problem Gambling Mentors; or peer support specialists. Peer Recovery Support Services (eg: weekly recovery support groups, monthly recovery-oriented events, etc.) delivered through recovery centers, mentor site facilitating centers, and/or community-based recovery-focused activities. (See, subsection A. Peer Services, for more information) Recovery Center Operations provide community-gathering spaces to individuals seeking recovery support.  Recovery Centers provide a variety of recovery support services that appeal to a variety of recovery groups and a variety of subcultures. (See, subsection B. Recovery Center, for more information) BHD defines peer providers as: Certified Recovery Mentor (CRM) requires an AMH approved addiction training program (peer delivered services), certified by Mental Health and Addictions Certification Board of Oregon (MHACBO). Peer Support Specialist (PSS) is defined as an individual providing services to another individual who shares a similar life experience with the Peers (addiction to addiction, mental health condition to mental health condition, family member of an individual with a mental health condition to family member(s) of an individual with a mental health condition. A peer support specialist shall be: A self-identified individual currently or formerly receiving addictions or mental health services; A self-identified individual in recovery from an addiction; A self-identified individual in recovery from problem gambling. INTRODUCTION AND PROGRAM HISTORY BHD is a part of the Health Department. Through our staff and our contracted providers, we deliver recovery-based mental health and addiction services to Multnomah County's adults, children, and families. The system of care we maintain is funded by the state of Oregon, Multnomah County, Federal and other grants. MHASD offers specific 'safety net' services to protect the most vulnerable members of our community MHASD is looking to expand access to care, especially to culturally-specific communities, and improve health outcomes by procuring a wide range of recovery support services. GOALS, VALUES AND OTHER IMPORTANT CONSIDERATIONS The primary underlying goals of BHD’s continuum of care is to promote individual recovery and resiliency, and to improve health outcomes for individuals with substance use disorders. Peer services help those they serve identify and build on strengths and empower individuals to choose for themselves, recognizing that there are multiple pathways to recovery. Recovery support services emphasize receiving services from others with lived experience as a way to support individuals through stages of change that may include recovery, relapse, and harm reduction. Recovery Support Services include several key elements: Recovery-Oriented Systems of Care (ROSC) Culturally Responsive and Culturally Specific service provision Trauma Informed Care Recovery Capital Description of System Wide Values/Approach: The following approaches to service delivery will be utilized: Recovery Oriented System of Care (ROSC) This procurement seeks contractors to provide SUD recovery services modeled after the ROSC approach, which is a best practice approach. ROSC is a holistic approach that weaves together individualized treatment services, care coordination and peer-delivered services with an emphasis on building recovery resiliency and developing and strengthening a recovery support system within the community. The goal of this integrated approach is to ensure concurrent referral to and receipt of mental health, physical health, and addictions treatment and recovery support services including peer services and access to recovery centers. To this end, proposals should address each provider’s capacity to support individuals in the development of Recovery Support Plans and provide or connect individuals to a wide range of recovery supports, such as housing assistance, treatment and access to recovery meetings, groups and centers to promote the continuation of the recovery process. Services address major lifestyle, attitudinal, and behavioral issues that have the potential to undermine the goals of treatment or to impair the individual’s ability to cope with major life tasks without the addictive use of alcohol, tobacco, drugs, or problem gambling. Most importantly, services are peer to peer and led by the peer receiving services. While abstinence may be the ultimate goal of any recovery system, harm reduction is an important part of addressing the practical realities of an individual’s needs. The incorporation of harm reduction strategies is an important step in expanding the recognized continuum of approaches that support movement toward wellness. Providers should work collaboratively with other agencies to create a system of comprehensive services that include harm reduction strategies. Comprehensive services may be achieved by expanding service options within existing programs, through collaboration with other service agencies, or by creating new services to address specific needs. Through understanding and acknowledgement of the strengths and limitations of different program approaches, each program can be strengthened, and can more effectively serve the unique needs of individuals. Recovery Support Providers should: Deliver care in a culturally-responsive, nonjudgmental manner which demonstrates respect for individual dignity, personal strength, and self- determination; Deliver interventions that will reduce the economic, social and physical consequences of substance abuse; Seek creative opportunities and develop new strategies to engage, motivate and intervene with individuals; Decrease the short-and long-term adverse consequences of substance abuse, even for those who continue to use drugs or alcohol; Include strategies that reduce harm for those individuals who are unable or unwilling to stop using, and for their loved ones; Recognize relapse as part of the recovery process not as “failure of treatment”; and Allow full access to services for patients prescribed medications for the treatment of medical and psychiatric conditions, including addiction. Trauma Informed Care It is critical to promote the linkage to recovery and resilience for those individuals and families impacted by trauma. Services and supports that are trauma-informed build on the best evidence available and consumer and family engagement, empowerment, and collaboration. The Federal Substance Abuse and Mental Health Administration (SAMHSA) has identified six key principles of a trauma-informed approach to behavioral healthcare (https://store.samhsa.gov/system/files/sma14-4884.pdf): Safety: Throughout the organization, the staff and the people they serve feel physically and psychologically safe; the physical setting is safe and interpersonal interactions promote a sense of safety. Understanding safety as defined by those served is a high priority. Trustworthiness and Transparency: Organizational operations and decisions are conducted with transparency and with the goal of building and maintaining trust among individuals, family members, staff, and others involved with the organization. Lived Experience:  Peer support and mutual self-help are key vehicles for establishing safety and hope, building trust, enhancing collaboration, and utilizing their stories and lived experience to promote recovery and healing. The term “Peers” refers to individuals with lived experiences of trauma, or in the case of children this may be family members of children who have experienced traumatic events and are key caregivers in their recovery. Peers have also been referred to as “trauma survivors.” Collaboration and Mutuality: Importance is placed on partnering and the leveling of power differences between staff and individuals and among organizational staff from clerical and maintenance personnel, to professional staff to administrators, demonstrating that healing happens in relationships and in the meaningful sharing of power and decision-making. The organization recognizes that everyone has a role to play in a trauma-informed approach. Empowerment, Voice and Choice: Throughout the organization and among the individuals served, individuals’ strengths are recognized, built upon. The organization fosters a belief in the primacy of people served, in resilience, and in the ability of individuals, organizations, and communities to heal and promote recovery from trauma. The organization understands that the experience of trauma may be a unifying aspect in the lives of those who run the organization, who provide the services, and/or who come to the organization for assistance and support. As such, operations, workforce development and services are organized to foster empowerment for staff and individuals alike. Organizations understand the importance of power differentials and ways in which individuals, historically, have been diminished in voice and choice and are often recipients of coercive treatment. individuals are supported in shared decision-making, choice, and goal setting to determine the plan of action they need to heal and move forward. They are supported in cultivating self-advocacy skills. Staff are facilitators of recovery rather than controllers of recovery. Staff are empowered to do their work as well as possible by adequate organizational support. This is a parallel process as staff need to feel safe, as much as people receiving services. Culture, Historical and Gender Issues: The organization actively moves past cultural stereotypes and biases(e.g. based on race, ethnicity, sexual orientation, age, religion, gender-identity, geography, etc.); offers access to gender-responsive services; leverages the healing value of traditional cultural connections; incorporates policies, protocols, and processes that are responsive to the racial, ethnic and cultural needs of individuals served; and recognizes and addresses historical trauma. Culturally Responsive and Culturally Specific Services BHD has also identified that throughout Multnomah County, Specific Population Groups have been historically underserved. While people of all backgrounds are typically welcome in most treatment programs, culturally-specific services have been less readily available. These populations include cultural groups (specifically African Americans, Latino, Slavic, Native Americans, and other immigrant groups), language specific groups (particularly Spanish, is currently lacking in residential treatment), LGBTQ+, Older Adults, and Persons with Disabilities. Proposers are also encouraged to submit collaborative proposals with community-based partners that offer Recovery Support Services and/or address service gaps for specific populations. BHD is using definitions of Culturally Responsive and Culturally Specific services developed through a collaborative County-wide work group, led by the Multnomah County Chief Operating Officer and the Director of the Office of Diversity and Equity. These definitions realize the county stated belief that: culturally responsive and culturally specific services eliminate structural barriers and provide a sense of safety and belonging which will lead to better outcomes. Culturally Responsive: Culturally responsive services are general services that have been adapted to honor and align with the beliefs, practices, culture and linguistic needs of diverse consumer / individual populations and communities whose members identify as having particular cultural or linguistic affiliations by virtue of their place of birth, ancestry or ethnic origin, religion, preferred language or language spoken at home. Culturally responsive services also refer to services provided in a way that is culturally responsive to the varied and intersecting “biological, social and cultural categories such as gender identity, class, ability, sexual orientation, religion, caste, and other axes of identity.” Culturally responsive organizations typically refer to organizations that possess the knowledge and capacity to respond to the issues of diverse, multicultural communities at multiple intervention points. Culturally responsive organizations affirmatively adopt and integrate the cultural and social norms and practices of the communities they serve. These agencies seek to comprehensively address internal power and privilege dynamics throughout their service delivery, personnel practices and leadership structure. Culturally Specific: Culturally specific services are services provided for specific populations based on their particular needs, where the majority of members/individuals are reflective of that community, and use language, structures and settings familiar to the culture of the target population to create an environment of belonging and safety in which services are delivered. Culturally specific organizations typically refer to organizations with a majority of members/individuals from a particular community. Culturally specific organizations also have a culturally focused organizational identity and environment, a positive track record of successful community engagement, and recognition from the community served as advancing the best interests of that community. Recovery Capital William Whites states “Recovery capital is conceptually linked to natural recovery, solution-focused therapy, strengths-based case management, recovery management, resilience and protective factors, and the ideas of hardiness, wellness, and global health.” White defines three types of recovery capital: (1) Community recovery capital encompasses community attitudes/policies/resources related to addiction and recovery that promote the resolution of alcohol and other drug problems. (2) These resources relate to intimate relationships with friends and family, relationships with people in recovery, and supportive partners. It also includes the availability of recovery-related social events (3) Personal recovery capital. This includes an individual’s physical and human capital. Physical capital is the available resources to fulfil a person’s basic needs, like their health, healthcare, financial resources, clothing, food, safe and habitable shelter, and transportation. Human capital relates to a person’s abilities, skills, and knowledge, like problem-solving, education and credentials, self-esteem, the ability to navigate challenging situations and achieve goals, interpersonal skills, and a sense of meaning and purpose in life. TARGET POPULATION SERVED This RFPQ is intended to provide access to Peer Based Recovery Support Services for persons living in Multnomah County who have gambling and/or substance use disorders and have expressed interest in recovery support. Individuals served do not need to be engaged in formal treatment services, though when appropriate, referrals should be made to the relevant services. The services should focus on adolescents (ages 12 and older) and/or adults  targeting those at or below 200% of the Federal Poverty Level or those who meet the guidelines for Oregon Health Plan. The County is particularly interested in providing resources for traditionally underserved populations, such as (but not limited to) Latino/a, African Americans, Native Americans, LGBTQ+, immigrants and refugees, low income parents, etc. The County welcomes Proposers to address any specifically targeted population(s) for whom Recovery Support Services are planned.  GEOGRAPHIC BORDERS/LIMITATIONS & SERVICE AREAS Services are intended for residents of Multnomah County. All Proposers must have a service location within the Multnomah County geographic boundaries in order to be considered. FUNDING  BHD has budgeted approximately $2,600,000.00 annually and $13,000,000.00 over the five years of this RFPQ period, dependent on the availability of funding. Funding is a mix of federal, state and local funding for services. Funding allocations are informed by the principles and values of BHD, these include meeting the needs of the target populations, marginalized, and under-represented communities; addressing service gaps and barriers to access; and ensuring that services are available in the geographic areas where need exists. Funding of the work described in this RFPQ is not guaranteed. Fluctuations in funding from  year to year should be expected. The County cannot assure that any particular level of work will be provided and the contract will permit the County to add or remove work as necessary depending on availability of funding. If during the term of any contract subsequent to this RFPQ, Contractor delivers less than the anticipated level of service upon which payments were calculated, the County may unilaterally reduce the contract amount. SCOPE OF SERVICES In partnership with Recovery Support Providers, the BHD continuum of SUD treatment services, and modeled after SAMHSA best practices, Multnomah County will purchase peer recovery support services,  and recovery center operations. SAMHSA best practices can be found at https://www.samhsa.gov/brss-tacs/recovery-support-tools/peers. A. Peer Recovery Support Services Peer Recovery Support services can be delivered both in a recovery center setting or out in the community. Peer Services are provided when appropriate and are not indicated for all individuals to succeed in treatment.. Peer delivered services are provided  by Certified Recovery Mentors (CRMs), Peer Recovery Counselors (PRCs), Certified Problem Gambler Mentors, or other peer specialists will reflect partnership with the client to create a strengths-based Recovery Support Services plan that may include culturally specific resources; emotional and informational support activities; direct services; and/or other strategies that will support the client's movement toward sustainable recovery. When appropriate, providers should be able to demonstrate how the recovery support services plan is integrated with any treatment-provided services within the proposer’s organization or in the community at large.  Peers identify as having the lived experience of being in recovery. As such, they actively work to reduce stigma and inspire others in their process of recovery. They uphold the values of recovery and resiliency, and serve as role models for wellness, responsibility, and empowerment. Throughout all interactions, peers communicate warmth, empathy, and non-judgment. While precise job descriptions vary across agencies, Peers focus heavily on the identification of strengths, skill building, effective symptom management, and goal setting among those with whom they work. In addition, they often provide outreach, advocacy, social and logistical support, and education. While the role of a Peer will vary based on the level of care and individual needs, Peers engage in the following activities: Provide Support and Advocacy: Peers work with individuals to connect them to resources in the community including how to independently identify needs and access resources. As integrated members of the treatment team, Peers also advocate for individuals in treatment settings and within the community. Role Model Recovery: Peers have a wealth of experience navigating their own recovery journeys. By sharing their stories and modeling healthy, effective decision-making in peer relationships, they can inspire individuals to do the same. Facilitate Positive Change: The spirit of recovery and resilience is grounded in hope and optimism. Peers work to motivate individuals through positive means, highlighting strengths and resources. Peers can facilitate change through goal setting, education, and skills building. Education and Job Skills: Peers assist with providing linkages to life skills, employment services, job training and education services; Family Support: Peers assist with linkages to childcare, parent education, child development support services and family/marriage education; and Ancillary Services: linkages to housing assistance, transportation, case management, and individual services coordination. B. Recovery Center Operations Recovery Centers provide community gathering spaces and individual services to folks seeking recovery support.  Recovery Center’s provide a variety of weekly recovery support groups and monthly recovery-oriented events that appeal to a variety of recovery groups and a variety of subcultures. The County intends to provide financial support to Recovery Centers to operate these community spaces and fund services that take place within the centers and community. Recovery Centers offer individuals the unique opportunity to socialize and connect through events, skill-building activities, health and wellness support, and mutual-aid recovery meetings. Here are some of the key features of community centers: Social: A place to be and connect with others in recovery. Meetings: A place to access a variety of recovery meetings and skill-building workshops: that may include budgeting, emotional support, exercise and wellness, and yoga. Collaboration: Partnerships with a variety of organizations, communities, and individuals to promote a recovery-oriented system of care. Events and activities: A place to  access a variety of recovery activities including that may include, potlucks,  dances, comedy shows, sports events, workshops, movie nights, to name a few. Recovery Center offers a safe and sober environment with meeting rooms for meetings 365 days a year. Incorporates  strategies into a quality assurance program to ensure fidelity to best practice models, as well as appropriate staff supervision utilizing direct observation, as well as any other evidence-based supervision practices. FISCAL, PROGRAM, AND REPORTING REQUIREMENTS Basic Regulatory Compliance. Neither the proposer, nor any staff to be assigned to the program which is the subject of this request, shall have been disqualified to provide services which are funded by any Federal or State healthcare program. To be eligible to contract with the 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 Oregon Suspended and Ineligible Provider List. The County will not review a proposal submitted by an individual or entity found to be on any of these lists. The County plans to use the following links to identify individuals and entities that are not eligible to contract with the County:     https://exclusions.oig.hhs.gov/ and Oregon Health Authority Suspension Search Database. Each proposer should verify that it is not on any list prior to preparing a proposal to submit in response to this solicitation. Correction of any errors found on any sanction list is the sole responsibility of the proposer and must be made prior to the day the proposal is submitted. The County requires all potential proposers (individuals or entities) to self-disclose any pending charges or convictions for violation of criminal law and/or any sanction or disciplinary action by any federal or state law enforcement, regulatory or licensing agency or licensing body, including exclusion from Medicare and Medicaid programs. During the term of the contract between a selected applicant (the contracting entity or individual) and the County, and in accordance with law, if the contracting entity or individual becomes an ineligible person, the contractor shall be removed from any responsibility and/or involvement with County contracted obligations related to any direct or indirect federal or state health care programs and any other federal and state funds. An ineligible person is defined as any individual or entity who is currently excluded, suspended, debarred or otherwise ineligible to participate in the federal healthcare programs; or has been convicted of a criminal offense related to the provision of health care items or services and has not been reinstated into the federal health care programs after a period of exclusion, suspension, debarment, or ineligibility. The County does not require, and neither encourages or discourages the use of lobbyists or other consultants for the purpose of securing business. All federal, state and local individual confidentiality requirements must be adhered to by SUD treatment providers. Proposers must have policies, practices, and workforce training in place that are consistent with and in full compliance with confidentiality requirements. This includes ensuring individuals have signed a consent for a 42 CFR, Part 2 https://www.asam.org/advocacy/advocacy-principles/standardize-it/confidentiality-(42-cfr-part-2)-new compliant release of information to allow for the sharing of individual information for the purpose of multidisciplinary treatment planning, treatment, medication management, mental health monitoring and management, medical monitoring and management, and transitions to other levels of care or treatment program discharge. One of the key tenets of providing better care to individuals is a referral system that is efficient and effective. Too many individuals are lost due to a poor referral system. Proposers must show how they will ensure timely access to treatment, including any strategies to quickly engage new referrals and follow up with those individuals who are difficult to engage. Proposers should describe their ability to successfully transition individuals to other ASAM levels of care either within their own organization, or to another program within the provider network. All treatment providers are expected to proactively engage individuals in all aspects of their care from intake and treatment planning, treatment plan review, to discharge and transitions across levels of care or into the community. Multnomah County General Fiscal Requirements: As appropriate, Providers will comply with all applicable provisions of the County Financial Assistance Contract (CFAC) between the State of Oregon acting by and through its Department of Human Services and the County. A copy of the most recent CFAC can be obtained at https://multco.us/mhas/addiction-provider-resources. Providers, if a non-profit organization and a subrecipient of federal funds passed through the County, must meet the audit requirements of Universal Guidance “Audits of States, Local Governments, and Non-Profit Organization”, which applies the federal Single Audit Act Amendment of 1996, Public Law 104-156. County shall have the right to withhold from payments due Providers such sums as are necessary in County’s sole opinion to protect County from any loss, damage, or claim, which may result from Provider’s failure to perform in accordance with the terms of the Contract or failure to make proper payment to suppliers or subcontractors. Services will be rendered in a manner that services will be available for the entire contract period. Fiscal Requirements for BHD Contracts Payment terms and payment basis/method will be determined at contracting. See, the Addictions Provider Website, under Fiscal Requirements for more information: https://multco.us/mhas/addiction-provider-resources. Annual Budget for cost reimbursement services: Due no later than 30 days after contract execution. See template under Fiscal Requirements: https://multco.us/mhas/addiction-provider-resources PERFORMANCE MEASURES/PERFORMANCE CONTRACTING Performance Measures: Proposers will demonstrate an ability to meet these goals through gathering and reporting meaningful data: SYSTEM-WIDE PERFORMANCE MEASURE:  *Required of all contracted service areas Peer Providers Meeting: Behavioral Health Department (BHD) contractors will attend monthly provider meetings and participate in systems planning and collaboration. PROGRAM AREA OUTCOMES & OUTPUTS: Applicant organizations may provide a range of services within their communities. The proposed services should contribute to achieving the following outcomes: Improvement in life balance and quality of life Reduction in substance use Minimizing the risk of death from substance use Providing services to diverse communities  Contract Monitoring / Program Evaluation: Proposers selected for contracting will be expected to cooperate fully with BHD contract monitoring, program evaluation, and programmatic and financial reporting. This includes making available data or information that BHD deems necessary for those processes. Site Reviews: BHD staff may schedule on-site visits to review agency compliance with contracts. Site visits are usually scheduled, but may be conducted without notice. Training and Technical Assistance: BHD Staff may offer training, technical assistance and/or assist programs with the design of services. Providers must attend training/s designated as mandatory by BHD. Evaluations/Program Performance: Program performance will be evaluated through other quality assurance/evaluation processes, which may include but are not limited to: Data/reports; Provider semi-annual narratives and provider self-assessments; Program participant satisfaction surveys and complaint resolution processes; Compliance review for contract standards and performance criteria; Compliance reviews for reporting requirements Referral source satisfaction surveys/community partner surveys; Any State and County collected data or information that reflects service delivery or utilization outcomes; and Review of program and program participant records.  Evaluation: Contracts will be performance-based and will include expectations regarding service outcomes. Continuing contracts may be linked to successful attainment of projected service outcomes.  Fiscal Compliance Reviews: County fiscal compliance reviews may be conducted to ensure that financial records, systems and procedures conform to Generally Accepted Accounting Principles and are in compliance with all County and State audit and accounting requirements. CONTRACT NEGOTIATION Once selected in the allocation process, The County will initiate contract negotiations with the Proposer. Multnomah County may, at its option, elect to negotiate general contract terms and conditions, services, pricing, implementation schedules, and such other terms as the County determines are in the County’s best interest. If negotiations fail to result in a contract, the County reserves the right to terminate the negotiations and initiate contract negotiations with another qualified Proposer(s). This process may continue until a contract agreement is reached. CONTRACT AWARD AND ALLOCATION PROCESS This is a formal, competitive, Request For Programmatic Qualifications (RFPQ) process as provided for under the authority of PUR-1. No contracts will be issued as a result of this RFPQ process. Our intent is to establish pools of qualified vendors who will be eligible for potential contract awards. There is no limit on the number of vendors that may be qualified under this RFPQ process. Multnomah County strongly encourages the participation of Minority-Owned, Women-Owned, and Emerging Small Businesses and Organizations in providing these services. ALLOCATION PROCESS Entirely separate from this qualification process, BHD will initiate and award requirements contracts to those qualified proposers who demonstrate the desired experience, skills, proficiency, and certifications. BHD will conduct a rigorous funds allocation process to distribute available funds according to known system requirements and priorities. Allocations will only be made to providers who previously qualified under this RFPQ. The funding allocation process will be a formal one, requiring MHASD to document their findings and determinations in writing that lead to specific funding allocations or to the continuation of funding allocations. Vendors may not protest funding allocation decisions. Funding allocation decisions will be made from an overall County system of care perspective. Since the allocation process considers a variety of factors, funding may go to qualified Proposers who did not earn the highest overall RFPQ qualified score. Therefore, it will be possible to qualify under this RFPQ process and not receive a funding allocation due to resource limitations and other factors. The Department cannot predict a case load for these services and does not guarantee any particular volume of business will be offered to any applicant who qualifies to provide services, nor is there any guarantee that BHD will use the services of any applicant who is issued a contract by virtue of this application. After Purchasing provides written solicitation results to all Proposers and with the completion of the separate allocation process by BHD, BHD staff will contact the successful and qualified Proposer(s) who will receive an allocation for contract negotiations. The County will be awarding Requirements Contracts for these services. Requirements Contracts do not guarantee any level of funding and funding levels may change from year to year. All Proposers seeking to provide services must submit a proposal and receive a minimum of 70% of the total points possible in order to qualify. The County reserves the right to qualify additional suppliers for these services as it deems necessary. All qualified suppliers will be added to one vendor pool, from which contracts will be awarded through the allocation process. CONTRACT TERM The contract term shall be five (5) years, with funding added every fiscal year (July 1 - June 30) based on total available funding and service priorities. The effective date of any resulting contracts shall be approximately July 1, 2021, or later if other contractors are qualified after the initial allocation process. The end date shall be June 30, 2026. COMPENSATION AND METHOD OF PAYMENT Multnomah County, BHD will determine the contract payment method and basis during the contract award and negotiation process. INSURANCE REQUIREMENTS Exhibit 2, located in the Buyer Attachments page of this sourcing event, reflects the minimum insurance required of a Contractor to provide this service. Additional insurance and levels of coverage may be required depending on the funding source. Additionally, Sex Abuse/Molestation coverage may also be required depending on the population being served. Final insurance requirements will be subject to negotiation between, and mutual agreement of the parties prior to contract execution. MINIMUM REQUIREMENTS At the time of proposal submission, Proposers must meet the following minimum requirements. Failure to provide any of the required documents or meet any of the below requirements shall result in rejection of the proposal. The Proposal response must be received by Multnomah County Purchasing no later than 4:00 P.M. Pacific Standard Time on the proposal submission deadline. At the time of Contracting, Proposers must meet the following minimum requirements. Failure to provide any of the required documents or meet any of the below requirements shall result in cancellation of the contract Proposers must be legal entities, currently registered to do business in the State of Oregon (per ORS 60.701). Proposers must submit verification that all insurance requirements are met. Proposers must have a completed Pre-Award Risk Assessment if federal funds are used for this Sourcing Event. (See Procedural Instructions in the Buyer Attachments page of this Sourcing Event).

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Jan 7, 2021

About Multnomah County

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