REQUEST FOR INFORMATION CY 2016 NON-MEDICAID FUNDING. Issue Date: June 25, Submission Deadline: August 3, 2015

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REQUEST FOR INFORMATION CY 2016 NON-MEDICAID FUNDING Issue Date: June 25, 2015 Submission Deadline: August 3, 2015 NOTE: RFI proposals received after the deadline will not be considered. Submit RFI Response by EMAIL to: RFI@ADAMHSCC.ORG * Table of Contents RFI Time Line 2 ADAMHS Background Information 3 RFI Review Process 4 Purpose 5 RFI Requirements 6 ADAMHS Board Priorities 7 Narrative Instructions 8 Program Descriptions 8 Core Services Features 8 Additional Information Requested 9 Outcomes Management/Data 10 In accordance with TITLES VI AND VII, CIVIL RIGHTS ACT OF 1964, AS AMENDED, and SECTION 504, REHABILITATION ACT OF 1973, THE AGE DISCRIMINATION ACT OF 1975, THE OMNIBUS BUDGET RECONCILIATION ACT OF 1981, where applicable, the AMERICANS WITH DISABILITIES ACT OF 1992, and Ohio law, no person shall, on the grounds of race, color, religion, sex, age, national origin, handicap, or sexual orientation, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County receives federal and/or state financial assistance, except where such discrimination is a bona fide, documented business necessity. * Note: In the event, your organization cannot submit electronically, hard copies of the RFI documents can be submitted. See page 6. Page 1 of 10

CY 2014 RFI TIME LINE Date Task 6/25/15 ADAMHS Board of Cuyahoga County Releases CY2016 RFI. 7/9/15 9:00 a.m. Pre-Bid conference at ADAMHS Board (6 th floor, Ohio Room) 7/10/15 4:00 p.m. deadline for submission of e-mailed questions related to RFI. E-mail questions to RFI@ADAMHSCC.ORG E-mail subject line MUST BE: RFI Question. 7/16/15 Deadline for ADAMHS Board of Cuyahoga County to respond to emailed questions. All responses will be posted to the ADAMHS Board Web site. 8/3/15 Deadline for submission of RFI to RFI@ADAMHSCC.ORG by 12:00 p.m. Page 2 of 10

ADAMHS BOARD OF CUYAHOGA COUNTY BACKGROUND INFORMATION The ADAMHS Board serves as the planning agency for mental health and AOD treatment and prevention services for Cuyahoga County residents. As such, the ADAMHS Board continues to review and gather information regarding treatment and prevention programs and services for the Calendar Year 2016 beginning January 1, 2016. In accordance with the procedures and guidelines established by OhioMHAS, and the Ohio Revised Code (ORC), the ADAMHS Board shall: a. Evaluate and assess community needs for mental health and alcohol and drug addiction programs and facilities; b. Set priorities and develop plans for the operation of mental health and alcohol and drug addiction programs in cooperation with other local and regional planning and funding bodies and with relevant ethnic organizations; c. Consider the cost effectiveness of services provided by the program and the program s quality and continuity of care. The Board may review cost elements, including salary costs, of the services provided by the program. Any provider that receives ADAMHS Board funding will enter into a contract with the ADAMHS Board prior to any payment of allocated funds. A utilization review process shall be established as part of the contract for services. The ADAMHS Board may establish this process in any way that it considers to be the most effective and efficient in meeting local needs. Page 3 of 10

RFI REVIEW PROCESS Staff will review each RFI proposal submitted for completeness and accuracy, requesting clarification or revision if necessary from the provider. Consideration of community-wide service needs and financial resources will be central to this review. Staff will provide summary information for each provider and services to a Committee of the Board at a scheduled meeting for discussion and review. It is anticipated that the Committee of the Board will recommend contract funding to the full Board for consideration at the October 28, 2015 General Board meeting. The ADAMHS Board reserves the right to qualify allocation decisions based on the following: 1. The quality, completeness, and accuracy of the proposal submitted by a provider. 2. Data used to support the proposal, including the 2014 and 6-Month 2015 RFI Outcomes Follow-up Reports submitted by provider agencies. 3. Qualifications of the provider to provide the proposed services including past experience, certification, and accreditations, etc., as well as new training, grants expansion, and program planning. 4. The provider s demonstrated ability to serve its target population(s) and to fulfill the goals of its Provider Service Plan in past program periods. 5. The Provider s demonstrated commitment to the ADAMHS Board Quality Performance Indicators (QPIs). 6. The Provider s demonstrated ability to utilize all the funds awarded to it by the ADAMHS Board in previous years. 7. Compliance with State and ADAMHS Board reporting requirements. Page 4 of 10

PURPOSE FOR REQUESTING INFORMATION The ADAMHS Board is requesting that local providers of alcohol and drug addiction treatment and mental health services respond to this Request for Information (RFI), and provide information regarding their programs for Calendar Year 2016 Non-Medicaid funding. Provider responses to this RFI will assist the Board in its required duties as identified in the ORC Chapter 340. This RFI is not a formal contract proposal. It is anticipated that final decisions for the allocation of ADAMHS Board funds shall be made by resolution of the ADAMHS Board no later than the October 2015 Board meeting cycle. Any provider that is so awarded funding for Calendar Year 2016 will enter into a contract with the ADAMHS Board prior to receipt of any payments related to such contract. Providers will be required to agree to all Ohio Department of Mental Health and Addiction Services (OhioMHAS) Assurances. All decisions of the ADAMHS Board on the allocation of funds are final and are contingent upon the receipt of allocations from Cuyahoga County Health and Human Services funding (Levy) and OhioMHAS. Shared Health and Recovery Enterprise System (SHARES) For Calendar Year 2016, the ADAMHS Board will require that all provider agencies who receive Non-Medicaid funding participate in the Shared Health and Recovery Enterprise System (SHARES). This includes a claims system that will replace MACSIS for Non- Medicaid billing, and outcomes collection as specified later in this document. Page 5 of 10

RFI REQUIREMENTS 1. All required documents must be submitted electronically by email to: RFI@ADAMHSCC.ORG Note: In the event, your organization cannot submit electronically, hard copies of the RFI documents can be submitted to: William M. Denihan Chief Executive Officer Alcohol Drug Addiction and Mental Health Services Board of Cuyahoga County 2012 West 25 th, 6 th Floor Cleveland, Ohio 44113 However, in order to receive a contract you will be expected to be able to operate electronically. 2. Page limits: Narratives must be no longer than 5 pages, single sided, single spaced, per agency (not per program). Font size must be twelve point or larger with margins no less than one inch. 3. You must use Microsoft Office Word 2003 or later for the program narrative and Microsoft Office Excel 2003 or later for the budget documents, all in PC format. 4. Submit one (1) signed RFI Face Sheet electronically. 5. Submit Table of Organization to include staff titles, credentials/licensure; by assigned area of responsibility or program; location of services (satellite offices); contact information for management staff to include emails addresses. 6. Attachments other than those items requested in this RFI solicitation are prohibited (such as pamphlets, press kits, etc.). Page 6 of 10

ADAMHS BOARD OF CUYAHOGA COUNTY PRIORITIES The ADAMHS Board of Cuyahoga County has set priorities for behavioral health services to ensure that available dollars fund the best and most necessary services. The priorities for Non-Medicaid mental health, alcohol and other drug addiction prevention, treatment and crisis services are as follows, but are not listed in rank order: Housing services - Requested services could include: o Recovery Housing; o Safe House for AoD addicted women s population on Cleveland s West Side (including acquisition cost) Recovery Oriented System of Care Guiding Principles: o There are many pathways to recovery o Recovery is self-directed and empowering o Recovery involves a personal recognition of the need for change and transformation o Recovery is holistic o Recovery has cultural dimensions o Recovery exists on a continuum of improved health and wellness o Recovery emerges from hope and gratitude o Recovery involves a process of healing and self-direction o Recovery involves addressing discrimination and transcending shame and stigma o Recovery is supposed by peers and allies o Recovery involves (re)joining and (re)building a life in the community o Recovery is a reality Employment/vocational services Re-entry services Services to Children, Transitional Aged Young Adults and Adults Crisis Service Other Recovery Supports Including Urban Garden, Art Therapy Services are to be directed to persons who are in need of prevention and behavioral health services and/or have been diagnosed with: Severe and Persistent Mental Illness (SPMI) for adults Serious Emotional Disturbance (SED) for youth Alcohol and Other Drug Addictions (AOD) adolescents and adults The priorities for Non-Medicaid alcohol and other drug addiction prevention and treatment services are to focus on: Detoxification (Including ambulatory detox program for young adult population or other at-risk population) Medical Assistance Treatment (MAT) Page 7 of 10

Opiate/Heroin Addiction Behavioral Health Prevention NARRATIVE INSTRUCTIONS The narrative section of the RFI should be NO LONGER than five (5), single spaced pages per agency. PROGRAM DESCRIPTIONS Describe your programs by answering the following questions: 1. Who are the clients for the selected program? a. Provide a description of target population demographics, socioeconomic status, environmental situations that exist, barriers to service and/or special needs/accommodations (i.e. interpreter/translation) b. Clearly describe the program s clients in terms of the behavior or conditions they experience, environmental situations that exist, barriers that need to be overcome, consumer/client needs and demographic information. 2. How many clients do you plan to serve in the coming program year and how will that compare to the anticipated number of individuals served in CY s 2014 & 2015. CORE PROGRAM FEATURES Respondents should indicate whether or not they are new providers and/or whether they are an existing Provider requesting a new Program/service. To be considered for funding, describe core services of your program, answering the questions below showing how the services successfully move clients to their intended recovery goal(s). What are the CORE FEATURES of your service delivery approach? 1. Essential elements: should include some level of cultural competency a. What are the essential elements of the program/services that you are proposing? b. Indicate whether the program(s) was previously funded or if this is a new request for funding consideration. c. For prevention: What are the risk factors which the program will reduce and/or the protective factors the program will increase? Incorporate some elements of the Board s policy for cultural competency. 2. Comparative advantages: a. What sets the program apart from others trying to accomplish similar goals? (be sure to refer to your actual outcomes reported in the 2014 and 6- Month 2015 RFI Outcomes Follow-up Reports)? b. Is there an innovative practice being implemented beyond what others typically do or over what you have done in the past? c. How does this innovation contribute to client success? Page 8 of 10

d. Why implement this particular treatment or prevention model for this population? 3. Delivery strategy: a. How are clients engaged and retained in the program? b. What aspects of the program motivate or encourage the client to do the work necessary and move toward the performance target? ADDITIONAL INFORMATION REQUESTED Please include the additional information with your RFI response 1) Table of Organization 2) Summary of the Demographic makeup of Provider Management personnel (race, gender) Page 9 of 10

OUTCOMES MANAGEMENT/DATA The ADAMHS Board requires that all provider agencies who receive Non-Medicaid funding will participate in the Shared Health and Recovery Enterprise System (SHARES). This will include: 1. Collecting the revised and shortened Consumer version of the Ohio Outcomes for adults (age 18 and older) for those receiving mental health services, at time of intake and discharge, or else every 12 months. 2. Collecting the slightly revised Ohio Scales Parent Version for youth receiving mental health services at the time of intake or discharge, or, alternately, 3 months and then every 12 months (Note: the Youth version and Worker version will also be available through SHARES, but will not be required). 3. Collecting the Brief Addiction Monitor (BAM) for adult clients (age 18 and older) receiving AOD treatment services at intake and discharge. Prevention agencies will continue to submit the Prevention Quarterly Workbook. Page 10 of 10