Anderson-Cherokee Community Enrichment ServiceS
RFP – DSHS Resiliency & Disease Management SP3 Services
July 2009
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Advertisement Notice For
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REQUEST FOR PROPOSAL
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Anderson-Cherokee Community Enrichment ServiceS (“ACCESS”) is the Department of
State Health Services (DSHS) designated mental health Authority established to plan,
coordinate, develop policy, develop and allocate resources, supervise, and ensure the
provision of community based mental health and mental retardation services for the
residents of Anderson and Cherokee Counties, Texas.
Anderson-Cherokee Community Enrichment ServiceS (“Local Authority”) is seeking
proposals for the provision of DSHS Resiliency and Disease Management Service Package
3 services, an integrated rehabilitative team service delivery model provided to adults,
which includes Pharmacological Management, Rehabilitative Services, Medical
Psychosocial Rehabilitation and Supplemental Nursing Services, Supported Employment,
and Supported Housing for identified individuals with mental illness or co-occurring
psychiatric and substance use disorders who seek services at the Local Authority. The
services requested shall be performed in Anderson and Cherokee Counties.
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Proposers will need to be able to provide services in both Counties due to the wide-spread
geographic distribution of these consumers and to be able to access services and supports
which may not be equally available in the two Counties, e.g. housing and public
transportation.
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The initial contract period shall commence approximately 60-90 days after the contract
award and continue through August 31, 2010 with an option to renew for an additional one
year period based on satisfactory performance.
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Copies of the RFP Document may be obtained via internet at www.accessmhmr.org,
written request, or faxed request for mailed copy or picked up at 913 N. Jackson Street,
Jacksonville, Texas.
Questions regarding the RFP #10-001 should be directed to Karen Pate at (903) 586-5507
or at www.kpate@accessmhmr.org.
Please submit sealed: one (1) original (clearly marked) and four (4) copies of your proposal
to:
Anderson-Cherokee Community Enrichment ServiceS
ATTN: Karen Pate
913 N. Jackson Street
Jacksonville, TX 75766
Contact Number: (903) 586-5507
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RFP – DSHS Resiliency & Disease Management SP3 Services
July 2009
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INTERESTED PARTIES MUST RESPOND TO THE RFP BY 10.00 a.m., Monday,
August 10, 2009 IN ACCORDANCE WITH THE INSTRUCTIONS WITHIN THE RFP
DOCUMENT.
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The Local Authority appreciates your time and effort in preparing this proposal. All
proposals must be received at the specified location before opening date and time. The
official time shall be determined by the time/date stamp when received at location. Faxed
responses shall not be accepted. Proposals received after above date and time shall be
returned unopened.
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July 2009
Anderson-Cherokee Community Enrichment ServiceS
as the Local Mental Health and Mental Retardation Authority
Request for Proposals
Resiliency & Disease Management Service Package 3 for Adults
Anderson-Cherokee Community Enrichment ServiceS (Local Authority) is the Department
of State Health Services (DSHS) designated mental health Authority established to plan,
coordinate, develop policy, develop and allocate resources, supervise, and ensure the
provision of community based mental health and mental retardation services for the
residents of Anderson and Cherokee Counties, Texas.
The Local Authority’s Mission is:
People can count on ACCESS:
 To work hand in hand with those around us to assure a choice of effective,
efficient programs and caregivers, and
 To offer excellent services that enhance quality of life.
The Local Authority’s Values are:
 Service to the customer.
 Respect for the individual.
 Respect for the Dignity of risk.
 Pursuit of Excellence in all that we say and do.
 Commitment to personal Integrity in every facet of every relationship.
Pursuant to Texas Administrative Code §412.55 and 412.754, the Local Mental Health
Authority has the authority to acquire community services for individuals with mental
illness by certain procurement methods. This Request for Proposals (RFP) requests
proposals from interested persons and organizations (Proposers) for the purpose of entering
into one or more contracts (Contracts) to provide services (Services) to persons with severe
and persistent mental illness in Anderson and Cherokee Counties (Proposals). The
individuals to be served under this arrangement must meet the DSHS definition for the
Priority Population for Mental Health, which is included as Attachment A, and must also
reside in either Anderson County or Cherokee County (Consumers).
The goals of any/each Contract awarded under the RFP are:
1. To provide needed community mental health services as described in Attachment
B.
2. To develop a network of providers that allows for more consumer choice.
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3. To identify, implement and evaluate successful Services based on Consumer
outcomes so that these efforts can be replicated.
4. To create meaningful collaborations between the Local Authority and the health
care providers in the community.
5. To provide quality clinical care and achieve the desired outcomes at the most
efficient cost possible.
Successful Proposers will provide Services that build upon and augment existing
community resources and that provide for or enhance an existing continuum of care for
Consumers. The Local Authority will use a pre-defined process to review all proposals at
“arms-length”, to insure that there is no conflict of interest. Preference will be given to
Proposers that are able to provide Services that address the issues of consumer choice,
quality, clinical decision making, price and ultimate cost-benefit while assuring adherence
to existing standards of care and service definitions.
Target Population
The target population for this RFP consists of individuals with mental illness who
have been identified by the Local Authority as Priority Population, in accordance with the
definitions established by DSHS. (See Attachment A.) Designation of an individual as a
member of the Priority Population must be made by the Local Authority and documented
in that individual’s record.
Eligible Proposers
Proposers must be eligible to do business in Texas, and be registered with the Texas
Secretary of State to the extent required by Texas law. Professionals must hold valid Texas
licenses and/or certifications to the extent required to perform any individual component of
the Services. In the situation where a consortium of providers is applying, a single entity
responsible for the services delivered must be identified and the financial agent must be an
organization with a demonstrated ability to manage funds.
Minority Owned Businesses: Historically Underutilized Business and/or Minority
business enterprises will be afforded full opportunity to submit proposals in response to
this invitation and will not be discriminated against on the grounds of race color, creed,
sex, or national origin in consideration for an award.
Local Authority Responsibilities and Transition Goals
The Local Authority ‘s responsibilities will include, but are not limited to, making
appropriate referrals for services, reviewing claims and paying for appropriate, authorized
services rendered by the Successful Proposer. The Local Authority is also responsible for
utilization management and quality assurance. The Local Authority ensures that the
services address the needs of the Priority Population as required by the State Authority, and
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that those services comply with the rules and standards adopted under Section 534.052 of
the Health and Safety Code. The Local Authority directs its activities based on its mission
and values which can be found on page 4 of this RFP.
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Local Authority’s capacity for Adult Service Package 3 fluctuates between 68 and 78
consumers and the Local Authority proposes to procure 25% of that number, or, a
caseload of between 17 and 20 consumers. Proposer may propose either a fee-for-service
rate setting methodology that will utilize prevailing Medicaid rates, minus 10% for Local
Authority costs to provide administrative oversight and billing of the “under arrangement”
Medicaid Rehabilitative services covered by the contract, or a case-rate.
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DSHS general revenue funds are used as a payor of last resort. It is expected that patient
mix will include indigent as well as Medicaid eligible consumers and Medicaid
Rehabilitation will be a major revenue source to support overall services and maximize
general revenue allocated. A minimum of 50% of the persons served should be Medicaid
Eligible – Medicaid applications and eligibility will be pursued for all potential eligible
persons. The Local Authority will be assessing the potential for eligibility and assisting
consumers in completing a Medicaid application during the intake process. The successful
Proposer must be able to assist with applications for all consumers already in the service
system, those that become eligible or those who require clinical information and support
from the service provider for a pending application or appeal once in service.
The Local Authority will be responsible for determining a client meets the Priority
Population definition. The Local Authority must complete a Uniform Assessment on each
client and identify the services to be provided. Clients determined to need these services
will be offered a choice of providers from the Network.
All services must be authorized by Utilization Management staff.
An
Authorization Number will be given specifying the number and type of services approved
for each client. This number must be included on any bills for services/claims
submissions. Quality Management staff will perform regular reviews of clinical services
and program standards.
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Fluctuations in numbers of consumers eligible for referral to Proposer will be affected by
consumer choice and clinical needs of the consumers. Proposers should also consider that
future expansion beyond current proposed capacity may be impacted by the inclusion of
additional providers as the network of available providers expands over time.
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Due to the rural nature of the two Counties, the wide geographic distribution of consumers,
and lack of public transportation, Proposers must demonstrate their willingness to provide
services in-vivo and in non-traditional settings and will need to consider locating services
in centrally located areas to maximize consumer access. In addition to the costs of
transporting staff and consumers, Proposers should consider the longer amounts of staff
time involved in covering the rural Counties when developing its reimbursement
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methodology. Proposers should also consider the need for bi-lingual staff since a growing
number of consumers in the two Counties are Spanish speakers.
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In the event that the Local Authority and Proposer enter into a Medicaid Under
Arrangement contract, the Local Authority will provide Medicaid billing, accounts
receivable and accounts payable services, with documentation of same, for all “under
arrangement” rehabilitation services. Proposer will be responsible for timely provision of
all clinical documentation to support billing, billing units and type of service per consumer
in compliance with Medicaid regulations, and DSHS and Local Authority requirements.
To ensure successful transition of consumers to the selected Provider(s), the Local
Authority has established the following timeframes:
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Develop a provider list:
Verify provider information:
Post Provider list to website and distribute to
consumer and advocacy groups
Conduct provider forums to allow providers to share
information with consumers; LARs; other stakeholders
Develop internal procedures and forms for consumer
selection of providers
Develop consumer information materials relating to
selection of providers
Train internal staff on consumer selection procedures
Ensure external providers are trained on consumer selection
requirements and procedures
Implement provider selection procedures for new intakes
Implement provider selection procedures for current clients
(in conjunction with treatment plan reviews)
Develop and implement continuity of care plans for
transitioning individual clients to new providers
Consumer transition complete
10/28/2009
8/11/2009-10/26/2009
10/28/2009-11/6/2009
11/9/2009-11/20/2009
5/29/2009-8/10/2009
10/28/2009-11/9/2009
10/28/2009-ongoing
10/28/2009- ongoing
2/1/2010
11/9/2009 - ongoing
10/28/2009 - ongoing
2/1/2010
Successful Proposers must have the ability to transition, at a minimum, 50% of the
individuals receiving procured services and choosing Provider within the first 45 days.
Thereafter, Proposer will transition consumers into services at a rate of 25% per month
until applicant’s capacity is reached or utilization/referral is not indicated.
Local Authority and Proposer will ensure continuous consumer access to services so there
is no disruption in level of care or in quality of services provided during the transition of
consumers from the Local Authority to the Successful Proposer.
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Successful Proposer Responsibilities
The Successful Proposer(s) shall maintain all records regarding treatment and/or services to
Consumers under this Contract for a period of six (6) years, and must allow the Local
Authority immediate access during regular business hours to such records upon request.
Successful Proposer(s) will be required to comply with all state and federal laws regarding
the confidentiality of consumers’ records and nondiscrimination.
Successful Proposer(s) must comply with all applicable requirements of the Local
Authority’s then-current contract with DSHS. Successful Proposer(s) must also agree that
their names may be used, along with descriptions of the facilities, care, and services in
information distributed by the Local Authority in the list of its providers. Successful
Proposer(s) will actively assist in the disbursement of Consumer and advocate satisfaction
surveys. Successful Proposer(s) must develop a method to resolve disagreements with
consumers and stakeholders which will include consumer involvement. The process for
Consumer appeals and dispute resolution must be approved by the Local Authority.
Successful Proposer(s) will be responsible for peer review and quality management.
Successful Proposer(s) must agree to mediation or dispute resolution if unable to resolve
disputes with the Local Authority. Successful Proposer(s) must conform to all guidelines
set forth in the Provider Manual which is available for review upon request. Successful
Proposer(s) will cooperate and assist with and will not at any time prevent or hinder a
consumer from changing providers.
Proposal Instructions
Proposers must follow the attached outline for submissions to facilitate objective review.
Proposals must be received no later than 10:00 a.m., August 10, 2009 (Proposal
Submission Date). Proposals must be sent to Anderson-Cherokee Community
Enrichment ServiceS, Attention: Karen Pate, Network Development at 913 N.
Jackson Street, Jacksonville, TX 75766. Proposals may be sent by regular mail or
special carrier. Proposals may not be faxed. Five (5) copies of the proposal (an original
and 4 copies) and three (3) signed signature pages are required. Proposals will be time and
date stamped upon receipt by the Local Authority. Proposals must be received sealed.
Proposals may be withdrawn at any time prior to the Proposal Submission Date, provided
that Local Authority is notified of any such withdrawal in a writing signed by the Proposer
certifying authenticity. Alterations may be made before the official opening time provided
such alterations are provided in writing and signed by the Proposer certifying authenticity.
Local Authority reserves the right to reject any and all Proposals, to waive technicalities,
and to accept any advantages deemed beneficial to the Local Authority and its clients. It is
our intent to evaluate proposals, and negotiate costs and/or services in order to achieve the
best value for Local Authority consumers. The negotiation process will be done in a
confidential manner with no disclosures being made to other Proposers until after the
Contract is awarded.
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Contract Award Timetable:
Activity
_________
Date/Time
____________Location
RFP Issuance
7/10/2009
913 N. Jackson Street
Jacksonville, TX
Technical Assistance
Workshop
7/17/2009
9:00-11:00 a.m.
913 N. Jackson Street
Proposals Due
8/10/2009
10:00 a.m.
913 N. Jackson Street
Jacksonville, TX
Bid Opening
8/10/2009
11:00 a.m.
913 N. Jackson Street
Jacksonville, TX
Negotiation and Interview Period
9/29/2009 –
10/26/2009
Site visits
9/29/2009 10/26/2009
Proposer sites
Awards Announced
10/27/2009
913 N. Jackson Street
Jacksonville, TX
Contract Start Date
2/1/2010
Successful Proposer(s)
sites
Jacksonville, TX
Proposal Outline
Throughout this Proposal Outline, provide detailed information regarding the scope of the
Proposer’s business. Questions fall under the following sections:
I.
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
X.
XI.
XII.
Business Demographics
Organizational Structure
Quality Management/Utilization Management
Services
Budget/Financial
Risk Profile
Managed Care Profile
Information System
Statement
Billing Requirements
Rate Schedule
Assurances Document
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Three Attachments are provided as information regarding the Local Authority which may
assist in developing the Proposal.
Attachment A -- Priority Population Definitions
Attachment B -- Service Descriptions and Information
Attachment C -- Criteria for Scoring
Please be sure to answer every question. If the question does not apply to the Proposer,
simply and clearly document “N/A”. Scoring and evaluation is based on completed
questions. ALL unanswered questions will be considered omissions. Please limit
responses to each question to one double spaced page if possible. Answer all questions in
the order of this proposal outline. Use the forms attached or prepare responses in the same
format. Clearly designate each item in the document as it appears in this outline (by
number, letter, and question). Place tab dividers at the beginning of each section (Roman
Numerals) to match those shown above in this Proposal Outline section. The document
should be double spaced, type size at least 10 pitch. The Local Authority reserves the right
to review only completed Proposals. The Local Authority reserves the right to hold
subsequent face to face or telephone interviews for clarification and/or negotiation
purposes. Interviews will not be solicited for the purpose of completing incomplete
proposals. Multiple omissions and/or incomplete responses may result in disqualification.
All supporting documentation should be attached to the appropriate section of the Proposal
and in the order described in this Proposal Outline section.
Questions regarding this proposal should be mailed or faxed to Karen Pate at 913 N.
Jackson Street, Jacksonville, TX 75766, fax#: (903)586-4234. Questions should
reference the line number from the RFP. Amendments including questions and answers
will be distributed to all those known to have received a copy of the RFP from the Local
Authority. Proposers must acknowledge receipt of the amendments and consider these in
the final proposal.
False statements by any Proposer may disqualify the Proposal. The Local Authority
reserves the right to reject any or all Proposals and reopen the RFP process in total.
Interviews or site visits may be conducted to further evaluate competitive proposals, to
negotiate rates, and to select one or more Proposals for award. In this situation, no
Proposer will be given information, support, or resources that will give the Proposer a
competitive advantage over the other Proposers.
Each Proposer who submits a complete Proposal but is not awarded a Contract will be
notified in writing that the proposal is no longer being considered.
Following Contract award, the contents of all proposals may be made available upon
written request. Therefore, any information contained in the proposal that is deemed
to be proprietary in nature must clearly be so designated in the proposal. Such
information may still be subject to disclosure under the Public Information Act
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depending on opinions from the Attorney General’s office.
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I.
July 2009
Business Demographics
Name ___________________________________________________________________
Title of Business ___________________________________________________________
SS# _________________________ and/or Tax ID ____________________________
Address __________________________________________________________________
City _____________________________________________________________________
County ________________________________________ Zip Code __________________
Business Phone _________________________ Fax # ____________________________
Website address____________________________________________________________
Contact Person ____________________________________________________________
Title ____________________________________________________________________
Phone # ______________________________ Fax # ______________________________
Billing Address if Different From Above (include Street, City, State, and Zip Code)
_________________________________________________________________________
_________________________________________________________________________
Billing Manager ___________________________________________________________
Phone # _______________________________ Fax # _____________________________
Other Business Locations in this Market Area: (include Street, City, County, and Zip)
1. ______________________________________________________________________
2. ______________________________________________________________________
3. ______________________________________________________________________
4. ______________________________________________________________________
Provide a map of locations which specifies the Services provided, capacity and languages
spoken (by Service) at each location - Label as Exhibit IA.
Other Owners/Partners:
Name
% Ownership
If corporate, list organization
1. _____________________________________________________________________
2. _____________________________________________________________________
3. _____________________________________________________________________
4. _____________________________________________________________________
Type of organization (i.e., non-profit corporation, limited liability company, general
partnership, etc.) :
________________________________________________________________________
________________________________________________________________________
Provide a copy of Provider’s Articles of Incorporation and 501(c)(3) certificate, or other
bylaws/governing documents as appropriate – Label as Exhibit IB.
Years in Operation ________________________________________________________
Hours of Operation _______________________________________________________
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Certification Number if a Historically Underutilized Business: ______________________,
or qualifications if HUB eligible, but not certified:________________________________
II.
Organizational Structure
A. Attach a copy of the organizational chart, including names, titles and vacant
positions, clearly indicating who will be the main point of contact with respect to any
Contract -- Label as Exhibit IIA
B. List the names and business affiliations of board members or other governing
body:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
III.
Quality Management/Utilization Management
A. List all licenses, credentials, certifications, and/or accreditations the Proposer
currently holds related to the Services. Provide copies of all licenses, certifications,
accreditations -- Label as Exhibit IIIA.
B. Provide a copy of the staff roster and their corresponding education and license
credentials. Designate if they are full time, part time, or on call. Label as Exhibit IIIB.
C. Attach the Proposer’s Quality Assurance/Management Plan and Quality
Management Program Reports for the last six (6) months -- Label as Exhibit IIIC.
D. Describe the Proposer’s internal utilization management procedures. Describe
methods for ensuring that individuals are receiving services in accordance with internal
standards of care. Provide copies of recent reports to payors showing the Proposer’s
performance relative to its utilization management requirements -- Label as Exhibit IIID.
E. Provide a summary of the most recent consumer satisfaction surveys or other
ongoing efforts to obtaining and evaluate consumer satisfaction -- Label as Exhibit IIIE.
Describe how this information was obtained.
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IV.
July 2009
Services
A. Describe how Proposer will communicate with the Local Authority regarding
the Consumer referral process, specifically what are the parameters around access.
B. Describe in detail the array of Services the Proposer would offer under its
Proposal. Identify units of Service, where Services are offered, who would provide
Services (education, credentials, and any languages spoken, in addition to English), and the
times of day and days of the week the Services would be available. Indicate the capacity of
all services. Include a copy of Services schedules and descriptions -- Label as Exhibit IV.
C. Describe the frequency and type of in-service training currently offered by the
Proposer or provided to employees including, but not limited to, training related to patient
rights and standards of services.
D. Describe the Proposer’s experience in working with Medicaid and in providing
services for persons with severe and persistent mental illness over the last five years. How
have services been made accessible for those who are difficult to reach, either due to
geography or dissatisfaction with the service delivery system?
E. Describe the Proposer’s history of working with this population on an outpatient
basis and experience of working with persons who are not compliant with treatment.
Describe the ability to treat persons with disabilities and persons with multiple diagnoses
of a developmental disability-mental illness-substance abuse. Detail the specific population
the Proposer intends to serve under this Proposal. Include ages and level of severity.
F. Describe the Proposer’s ability to work with persons who are hearing impaired,
persons who have limited language skills and persons who speak a language other than
English. Describe how the Proposer ensures cultural competency on the part of staff with
regard to ethnic, racial, religious and sexual orientation differences. Include how you will
meet the cultural and linguistic needs of the consumers in the Local Authority's local
service area of Anderson and Cherokee Counties.
G. Describe or attach policies and procedure which describe any process the
Proposer presently has to receive communication from clients, family members and
advocates, and to receive and resolve complaints and grievances.
H. Describe any process to transition consumers from the Proposer’s services as
their level of functioning improves.
I. Describe the facility(ies) proximity to public transportation or the Proposer’s
ability to facilitate access to public transportation.
J. Describe how you will engage and involve consumers, legally authorized
representatives, and families at the policy and practice levels within your organization.
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501
502
503
504
505
506
507
508
509
510
511
K. Describe any transition goals for Local Authority employees, if applicable.
L. Describe the transition plan you intend to utilize for new Consumers referred by
Local Authority to your services.
M. Describe where and when you will provide Services within the Local
Authority's local service area, and how persons with disabilities will be able to access those
Services.
V.
Budget/Financial
A. Indicate the percentage of revenues by source for last year (based on either
calendar or fiscal year -- whichever data are more current) as indicated below.
Create the following table:
Legend:
A = Admission
/ = Divide
Label as Exhibit VA1.
R = Revenue
T = Total
Example:
A1/TA = % of Medicaid admissions of total admissions.
R1/TR = % of Medicaid revenues of total revenues
Number of
Total
% Admitted % of Revenue
Admissions
Revenue
by Payor
by Payor
Medicaid
A1
R1
A1/TA
R1/TR
Medicare
A2
R2
A2/TA
R2/TR
Insurance
A3
R3
A3/TA
R3/TR
PPO/ HMO
A4
R4
A4/TA
R4/TR
Govt. Direct
A5
R5
A5/TA
R5/TR
Champus
A6
R6
A6/TA
R6/TR
Self Pay
A7
R7
A7/TA
R7/TR
Grant
A8
R8
A8/TA
R8/TR
Indigent/Charity A9
R9
A9/TA
R9/TR
Other
A10
R10
A10/TA
R10/TR
Total
512
513
514
515
516
517
518
519
520
521
522
523
July 2009
TA
TR
100%
100%
Attach copies of the Proposer’s last three years audited financial reports -- Label as Exhibit
VA2.
B. If the respondent is a corporation that is required to report to the Securities and
Exchange Commission, it must submit its two most recent SEC Forms 10K, Annual
Reports. If any change in ownership is anticipated during the twelve (12) months following
the proposal due date, the respondent must describe the circumstances of such change and
indicate when the change is likely to occur.
C. Does Proposer own or lease current business properties? If leasing properties,
note the upcoming expiration date of the leases.
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July 2009
D. Describe any arrangements to subcontract part or all of these services. All
subcontracts must be approved by the Local Authority, at its sole discretion. Name all
proposed subcontractors and provide information on their staff credentials, licenses and
certifications.
E. If an individual, are any Child Support Payments delinquent? If so, explain in
detail.
VI.
Risk Profile
A. Attach a copy of your Risk Management Plan - Label as Exhibit VIA.
B. Is Proposer currently under investigation, or had a license or accreditation
revoked, by any state/federal/local authority or licensure agency, within the last five (5)
years? If yes, explain in detail.
C. Does anyone working for Proposer providing direct care or in management have
any felony convictions? If yes, explain. Describe the process, if any, for checking on
previous convictions of employees or applicants for employment. Attach any policies and
procedures regarding the hiring and retention of persons with criminal histories -- Label as
Exhibit VIC. Are criminal history checks done on all Proposer staff annually?
D. Has Proposer had any judgments or settlements entered against it in the last ten
(10) years? If so, explain in detail.
E. Has either the Proposer or any of its employees had any validated fraud, client
abuse, client neglect, or rights violations claims in the last three (3) years? If so, explain in
detail. Describe the process, if any, for checking on previous confirmed fraud, client
abuse, client, neglect, or rights violations of employees or applicants for employment, such
as through CANRS, the Nurse Aide Registry, and the Employee Misconduct Registry.
Describe or attach any current polices and procedures regarding client abuse, client neglect,
or rights violations and the training of staff on these issues -- Label as Exhibit VIE.
F. Has Proposer been placed on vendor hold within the past five (5) years by any
funding agency or company? If yes, explain.
G. Does Proposer have a Letter of Good Standing which verifies that it is not
delinquent in payment of Texas State Franchise Tax? Corporations that are non-profit or
exempt from Franchise Tax are not required to have this letter, but instead must submit a
501C IRS Exemption form from the Comptroller Office. Attach and label as Exhibit VIG.
H. Is Proposer currently held in abeyance or barred from the award of a federal or
state contract? Has this occurred in the last 5 years? If so, explain.
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576
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579
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581
582
583
584
585
586
July 2009
I. Has Proposer ever filed bankruptcy? If yes, describe in detail.
J. Has Proposer ever defaulted on any business lease arrangement? If so, describe
in detail.
K. Provide a Certificate of Insurance showing proof of minimum liability insurance
coverage (property and vehicles, including riders) and including directors’ and officers’
professional liability, errors and omissions, general liability, workers compensation and
medical malpractice insurance as follows:
SCHEDULE:
Professional Liability
General Liability
Worker’s Compensation
$1,000,000
$1,000,000/3,000,000
In accordance with Texas Statutory
Requirements
A Certificate of Insurance naming Anderson-Cherokee Community Enrichment ServiceS
as an additional insured shall be provided prior to start of work. Provide the name of
Workers’ Comp carrier if Proposer has Workers’ Comp coverage or self funding
documents if self funded. Label as Exhibit VIK.
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
L.
Attach any policies and procedures regarding medical records security –
Label as Exhibit VIL.
VII.
Managed Care Profile
A. Describe your background and depth of experience with all of the managed care
companies (including Medicaid Managed Care and CHIP) with which Proposer currently
contracts or has previously contracted. Include the duration of any relationships, numbers
of clients served and specific services provided to managed care companies.
B. Provide Proposer’s Medicaid Provider number(s).
suspended or revoked? If so, explain.
Have these ever been
C. Provide Proposer’s Medicare Provider number(s). Have these ever been
suspended or revoked? If so, explain.
D. Has Proposer ever been dropped from a managed care network? If so, explain.
E. Submit contact information from at least three (3) entities for which Proposer
has provided services similar to the Services requested by this RFP within the past two
years -- Label as Exhibit VIIA.
F. Describe any contracts, Memoranda of Understanding, or employment
relationships Proposer has with other state, city or county agencies in the Your County
health care community.
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618
619
620
621
622
623
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627
628
629
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631
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641
642
643
644
645
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650
651
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653
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655
656
657
July 2009
VIII. Information Systems
Local Authority uses the Anasazi Client Database, in conjunction with a VPN connection
for external network access. Anasazi is a dataflex database that runs on a Novell platform.
Proposers will be required to use Anasazi Client Database to enter services, demographic
information, assessments, progress notes, and treatment plans directly into this system on a
daily basis. Proposers must be able to connect to the Anasazi Client Database system using
a Virtual Private Network (VPN). This will require that Proposer ensure connectivity with
the Local Authority through purchase and maintenance broadband connections. Proposer
will be required to comply with LMHA timeliness standards for data entry.
Local Authority will provide a license for entry into the Anasazi Client Database to the
Proposer with a monthly maintenance fee of $100 per month. It will be understood that the
Anasazi Client Database may only be used for consumers of Local Authority for services
provided under contract.
The Proposer will be required to use the TAS (Texas Application Specialists) Risk
Management System to directly enter all medication errors/adverse drug reactions; deaths;
suicide attempts; serious injuries; confirmed abuse, neglect, or exploitation allegations;
allegations of homicide/attempted homicide/threat with a plan for any Local Authority
consumer.
Requirements for the Proposer are:


Use of Anasazi Database for all data entry within the Local Authority’s contract
including demographics, services, progress notes, treatment plans, and required
assessments.
Use of the TAS (Texas Application Specialists) Risk Management System for
reporting risk management incidents immediately following the report of any risk
management issue.
Minimum computer requirements:








Intel or AMD 1.6 GHz Processor or better
512 MB RAM
1 GB Free Hard Drive Space
Monitor capable of 1024x768 Resolution
Mouse
Keyboard
Windows XP SP3 or higher with the required security options enabled
Antivirus Software – current version with updates performed weekly
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660
661
662
663
664
665
666
667
668
669
670
Broadband Connection requirements:
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702




July 2009
Minimum 1.5 Mb speed upload and download speed capability.
Proposer should respond to the following questions:

Describe the proposed service provider’s Information System. Include dates of last
upgrades, current capabilities, service type or programs, and the ability to interface
with other information systems.
o Can the proposed service provider’s information system report the
following categories of data?
IX.
Basic Demographic Information
Admissions and Discharges dates to services
Date, Number, type, and duration of services (using ACCESS
MHMR service codes)

Describe or attach the proposed service provider’s disaster recovery plan and data
backup procedures. Label as Exhibit VIIIA.

Describe proposed service provider’s Internet access and E-mail capabilities.

Describe how the proposed service provider’s would handle confidential electronic
communications with Local Authority.

Describe the preferred format for error correction reports.
Statement
Provide a statement detailing why Proposer’s services best meet the needs of persons with
mental illness (Priority Population). Identify any best practices Proposer is currently
utilizing in delivering services similar to the Services sought under this RFP.
List any workload measures or data collected and used that pertains to positive outcomes
for this population. Describe training provided to the family members of persons who meet
the definition for the Priority Population. Describe how Proposer links services or provides
continuity of care with other providers. Describe how Proposer collaborates and shares data
with other providers and any limits on this sharing.
State the current organizational mission, values and ethics. Cite any contradictions that
may exist between the Proposer’s mission and that of the Local Authority. Attach a copy
of the mission, values and ethics -- Label as Exhibit IX.
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704
705
706
707
708
709
710
711
712
713
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715
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717
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719
720
721
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723
724
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728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
X.
July 2009
Billing Requirements
The Proposer will not submit a claim or bill or collect compensation from Local Authority
for any service for which it has not been approved, or contracted with to provide. Proposer
is responsible for collecting the designated co-payment from the client. Proposer may not
submit a claim or bill or collect compensation from a client greater than the co-payment
established by the Local Authority.
Proposer will be responsible for direct billing of third-party insurance, including Medicaid
card services, for consumers having third-party coverage. Proposer must coordinate
benefits for consumers such that all other possible sources of payment must be pursued and
denied or exhausted prior to billing the Local Authority. Local Authority will reimburse
Proposer for “clean” claims for authorized services provided to consumers having no other
third-party coverage and which meet all Medicaid, DSHS, and Local Authority
requirements and are supported by timely submission of supporting service documentation.
Proposer agrees that compensation for providing services not covered by its proposal will
be solely between the consumer and the Proposer. The consumer must be informed in
writing, before any services are provided, that the Local Authority is not responsible for
payment for such services. Consumers are responsible for payment for those services only
if the consumer consents in writing to the provision of such non-covered services.
For services to be billable, the following requirements must be met and omission of any
element could result in claim denial:









Current diagnosis by a Physician
Uniform Assessment – RDM (UA-RDM) completed by a QMHP-CS
Symptom Rating Scales completed by a QMHP-CS
UA – RDM data entry into DSHS WebCare
Treatment Plan completed by a QMHP-CS
Determination of Medical Necessity by a LMHA LPHA
Service provision by a QMHP-CS or LPHA
Document service that meets RDM Fidelity requirements
Document service that meets Medicaid documentation requirements:
o Name of the individual to whom the service was provided
o Name the type of service
o A summary of the activities that occurred
o State the specific skill(s) on which client was trained
o State the specific methods used to provided training
o Date, start & end time, and location
o Correlate the specific treatment plan goal that was the focus of the service
o State the progress or lack of progress in achieving treatment plan goals
o Signature of the staff member providing the service & credential
o Submission of claim/event data elements as detailed above, in format that
meets DSHS Event Data rule requirements, utilizing same business day/next
business day reporting requirements.
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749
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751
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753
754
755
756
757
758
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760
761
762
763
764
765
XI.
July 2009
Rate Schedule
For each Service identified below, describe Proposer’s proposed rates. Services are
described in Attachment B. Please indicate whether rates shown are on a fee-for-unit-ofservices basis or case rate. Describe the methodology for setting these rates, including how
administrative overhead is allocated. Provide a detailed proposed budget summary for the
services. Describe Proposer’s process for collecting a Consumer’s MAP, co-pays,
deductibles, etc.
Proposed rates will not exceed the Medicaid Card and Medicaid Rehabilitative Services
rates, minus 10% reserved by the Local Authority, as delineated in the chart below, to
cover its administrative costs for oversight functions necessitated by a Medicaid Under
Arrangement risk-bearing contract.
Services Resiliency & Disease Management Adult Service Package 3, to include:
Service Description
Initial Dx. Review (MD, Ph D.,
APN)
Billing
Code
Medicaid
Unit Price
Medicaid
Unit Price
Less
Admin Fee
90801
131.25
118.13
Pharmacological Mgmt - MD
90862
45.54
40.99
Administration of Injection
96372
8.00
7.20
H0034
H0034HQ
11.58
1.93
10.42
1.74
H2017
31.52
28.37
Crisis Intervention Services
H2011
31.33
28.20
Support Housing, (Rehab)
H2017
31.52
28.37
Support Employment, (Rehab)
H2017
31.52
28.37
766
Rehab Services
Medication Training and Supports
Individual - Adult
Group - Adult
767
Psychosocial Rehab
Individual
768
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785
786
787
788
July 2009
Proposer will be responsible for continuing to serve individuals whose level of care
changes, including crisis services. Access to crisis services beyond crisis intervention
services covered by this proposal must be coordinated through, and authorized by, the
Local Authority.
Proposer agrees to provide all pharmacy services to individuals who are without third-party
payor to include paying for medications and assisting individuals in obtaining patient
assistance through pharmaceutical companies to defer costs (Patient Assistance Programs).
The contracted provider will be responsible for providing consumers with prescribed
medications which exceed the consumer’s traditional Medicaid benefits (exceed three
prescriptions a month), Medicare “donut hole” coverage, and medications prescribed which
are not covered by the consumer’s benefits. The contracted provider will provide these
services under the guidelines set forth in the Texas Health and Safety Code and Texas
Administrative Codes, as applicable to the prescriber and to DSHS funded services.
Proposers may include additional “value added” services within their proposals, but
funding for such services must be clearly identified.
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July 2009
789
790
791
792
793
XII.
Assurances Document
794
795
2.
No attempt will be made by the Proposer to induce any person or firm to submit or
not to submit a proposal, unless so described in your response document.
796
797
3.
The Proposer does not discriminate in its services or employment practices on the
basis or race color, religion, sex, national origin, disability, veteran status, or age.
798
799
4.
All cost and pricing information is reflected in the RFP response documents or
attachments.
800
801
5.
Proposer accepts the terms, conditions, criteria, and requirement set forth in the
RFP.
802
803
6.
Proposer accepts the Local Authority’s right to cancel the RFP at any time prior to
Contract award.
804
805
7.
Proposer accepts the Local Authority’s right to alter the time tables for procurement
as set forth in the RFP.
806
807
808
8.
The Proposal submitted by the Proposer has been arrived at independently without
consultation, communication, or agreement for the purpose of restricting
competition.
809
810
811
9.
Unless otherwise required by law, the information in the Proposal submitted by the
Proposer has not been knowingly disclosed by the Proposer to any other Proposer
prior to the notice of intent to award.
812
813
10.
No claim will be made for payment to cover costs incurred in the preparation of the
submission of the Proposal or any other associated costs.
814
815
11.
Local Authority has the right to complete background checks and verify
information.
816
817
12.
The individual signing this document and the Contract is authorized to legally bind
the Proposer.
818
819
13.
The address submitted by the Proposer to be used for all notices sent by the Local
Authority is current and correct.
820
821
822
823
14.
No employee of the Local Authority or DSHS, and no member of the Local
Authority’s Board will directly or indirectly receive any pecuniary interest from an
award of the proposed Contract. If the Proposer is unable to make the affirmation,
then the Proposer must disclose any knowledge of such interests.
824
825
15.
That the Respondent is not currently held in abeyance or barred from the award of a
federal or state contract.
Proposer assures the following:
1.
That all addenda and attachments to the RFP as distributed by the Local Authority
and designated by the checklist have been received.
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July 2009
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827
828
16. That the Respondent is not currently delinquent in its payments of any franchise tax
or state tax owed to the state of Texas, pursuant to Texas Business Corporation Act,
Texas Civil Statutes, Article 2.45.
829
830
831
832
833
834
17. Proposer shall disclose whether any of the directors or personnel of Proposer has
either been an employee or a trustee of Local Authority within the past two (2) years
preceding the date of submission of the Proposal. This requirement applies to all
personnel, whether or not identified as key personnel. If such employment has
existed, or at term of office served, the Proposal shall state in an attached writing the
nature and time of the affiliations as defined. See Attachment C.
835
836
837
838
839
840
841
842
18. Proposer shall identify in an attached writing any trustee or employee of Local
Authority who has a financial interest in Proposer or who is related within the second
degree by consanguinity or affinity to a person having such financial interest. Such
disclosure shall include a complete statement of the nature of such financial interest
and the relationship, if applicable. Moreover, Proposer shall state in an attached
writing whether any of its directors or personnel knowingly has had a personal
relationship with employees or officers of Local Authority within the past two (2)
years.
843
844
19. No former employee or officer of DSHS, DADS, and/or Local Authority directly or
indirectly aided or attempted to aid in procurement of Proposer’s service.
845
846
847
848
849
850
851
20.
Proposer shall disclose in an attached writing the name of every Local Authority key
person with whom Proposer is doing business or has done business during the 365
day period immediately prior to the date on which the Proposal is due; failure to
include such a disclosure will be a binding representation by Proposer that the natural
person executing the Proposal has no knowledge of any key persons with whom
Proposer is doing business or has done business during the 365 day period prior to
the immediate date on which the Proposal is due.
852
853
854
855
856
857
858
21.
Under Section 231.006, Family Code, the vendor or applicant certifies that the
individual or business entity named in this contract, bid, or application is not
ineligible to receive the specified grant, loan, or payment and acknowledges that this
contract may be terminated and payment may be withheld if this certification is
inaccurate. For purposes of the foregoing sentence, “vendor or applicant” shall mean
Proposer; contract, bid or application shall mean the Proposal; and “this contract”
shall mean any Contract awarded to the Successful Proposer.
859
860
861
862
863
864
865
866
867
868
_____________________________
Signature Authority for the Provider
__________________________
Title of Organization
page 23
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872
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878
879
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
898
899
900
901
902
903
904
905
906
July 2009
Attachment A
Mental Health
Priority Population Definition
The Priority Population for mental health services as defined by DSHS consists of:
* Children and adolescents under the age of eighteen who have a
diagnosis of mental illness who exhibit severe emotional or social
disabilities which are life-threatening or require prolonged intervention.
* Adults who have severe and persistent mental illnesses such as
schizophrenia, major depression, manic depressive disorder, or other
severely disabling mental disorders which require crisis resolution or
ongoing and long-term support and treatment.
The following information must be used to operationalize these definitions to determine if
an individual meets this definition. Only the Local Authority may determine an individual
is a member of the Priority Population.
Service Determination
In targeting services to the Priority Population, the choice of and admission to
services is determined jointly by the person seeking services and the Local Authority.
Criteria used to make these determinations are the diagnosis, the level of functioning of the
individual (GAF Score), the needs of the individual, and the availability of resources.
DSHS Funding
Funds appropriated by the Legislature for mental health services may be spent only
to provide services to the Priority Population. Successful Proposers who wish to offer
services to people other than those in the Priority Population may do so using nondepartmental funds.
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909
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911
July 2009
(Attachment A cont.)
Guide to Operationalizing the Mental Health Priority Population
Population If the
person
is ...
less than
Children
18 years
old
less than
18 years
old
less than
18 years
old
Adults
18 or
older
18 or
older
And has a ...
And ...
And ...
Then the person
is ...
DSM-IV diagnosis other
than or in addition to:
* substance abuse
* mental retardation
* autism or
* pervasive
developmental disorder
DSM-IV diagnosis other
than or in addition to:
* substance abuse
* mental retardation
* autism or
* pervasive
developmental disorder
DSM-IV diagnosis other
than or in addition to:
* substance abuse
* mental retardation
* autism or
* pervasive
developmental disorder
DSM-IV diagnosis of:
* schizophrenia
* schizoaffective
disorder
* bipolar disorder, or
* major depression
DSM-IV diagnosis other
than those listed above
except a sole diagnosis
of substance abuse or
mental retardation
has a functional
impairment (GAF
of 50 or less either
currently or in the
past year)
initially eligible for
DSHS state-funded
MH services.
has been
determined by the
school system to
have a serious
emotional
disturbance
initially eligible for
DSHS state-funded
MH services.
is at risk of
disruption of the
preferred living
situation due to
psychiatric
symptoms
initially eligible for
DSHS state-funded
MH services.
initially eligible for
DSHS state-funded
MH services.
has a GAF rating
of 50 or less -current
912
page 25
needs ongoing MH
services
initially eligible for
DSHS state-funded
MH services.
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918
919
920
921
922
923
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925
July 2009
Attachment B
RDM Service Package Definitions And Service Descriptions For
Adult Service Package 3
Most public mental health services in Texas are delivered as part of a “service package”.
The Resiliency and Disease Management (RDM) Guidelines are used to assign each
applicant (consumer) for services to a service package based on their clinically assessed
level of need. This assessment has several parts: the Uniform Assessment (UA) including
Texas Recommended Assessment Guidelines (TRAG) results; a determination of medical
necessity for treatment; and authorization for services by the Local Authority. Each service
package requires a minimum number of various types of units of service to be delivered by
the provider.
926
Adult Service Package 3 Definition:
927
928
929
930
931
932
933
934
935
936
937
Service Package 3 (SP-3) must utilize a team approach to providing more intensive
rehabilitative services for the individual. Services in this package are generally intended for
individuals who enter the system of care with moderate to severe levels of need (or for
those whose LOC-R has increased) who require intensive rehabilitation to increase
community tenure, establish support networks, increase community awareness, and
develop coping strategies in order to function effectively in their social environment
(family, peers, school). This may include maintaining the current level of functioning. A
rehabilitative case manager who is a member of the therapeutic team must provide
supported Housing and COPSD services. Supported Employment services must be
provided by both a Supported Employment specialist on the team and the rehabilitative
case manager.
938
939
940
941
942
943
944
945
The general focus of services in this package is to stabilize symptoms, improve
functioning, develop skills in self-advocacy, and increase natural supports in the
community and / or sustain improvements made in more intensive service packages.
Service focus is on amelioration of functional deficits through skill training activities
focusing on symptom management, independent living, self-reliance, non-job-task specific
employment interventions, impulse control, and effective interaction with peers, family,
and community. Services are provided in outpatient office-based settings and community
settings.
946
Service Descriptions
947
Basic Services:
948
949
950
951
952
953
1. Integrated Rehabilitative Teams
This service package is a service delivery model that provides the defined services
in an integrated treatment team structure. All persons served in SP-3 must at a
minimum receive the following services unless the service is refused or is clinically
contra-indicated (with documentation of the reason noted in the individual's
medical record):
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Anderson-Cherokee Community Enrichment ServiceS
RFP – DSHS Resiliency & Disease Management SP3 Services
954
955
956
957
958
July 2009
a. Pharmacological management services
Supervision of administration of medication, monitoring of effects and side
effects of medication, assessment of symptoms. Includes a 30-minute
psychiatric evaluation every 180 days.
2. Rehabilitative Services, which include:
959
960
961
a. "Medication Training & Support" that is education on diagnosis,
medications, monitoring and management of symptoms and side effects
(also referred to as "TIMA Patient and Family Education Program").
962
963
964
b. "Psychosocial Rehabilitative Services" (also referred to as Rehabilitative
Case Management) provide a variable level of integrated support to
individuals assigned to this package. Includes:
965
966
967
968
969
970
i.
Assistance in accessing medical, social, educational, or other
appropriate support services, as well as linkage to more intensive
services if needed, in addition to monitoring (monthly or weekly as
needed), assessment of service needs, service planning and
coordination, administration of TIMA scales, and other TIMA
medication management functions.
971
972
3. A basic level of rehabilitative services addressing daily and independent living
skills to persons on their caseload.
973
4. Co-occurring Psychiatric and Substance use Disorder services.
974
5. Medical:
975
976
977
978
979
980
981
a. Psychosocial Rehabilitation
Medication related services – services to provide training regarding an
individual's medications in order to increase the individual's compliance
with medication treatment. These include training in self administration of
the individual's medications, the importance of taking one's medications as
prescribed, determining the effectiveness of the individual's medications,
identifying side-effects of the individual's medications; and
982
983
984
985
986
b. Supplemental Nursing Services
Provided in support of services provided by the physician, including but not
limited to taking vital signs, weight monitoring, blood draws; etc. (Note:
These services do not include nursing services that are incidental to a
physician's office visit.).
987
988
989
990
Specialty Services/Add-Ons
1. Supported Employment
Provides individualized assistance in choosing and obtaining employment at
integrated work sites in jobs in the community of one's choice, and supports
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Anderson-Cherokee Community Enrichment ServiceS
RFP – DSHS Resiliency & Disease Management SP3 Services
July 2009
991
992
993
994
995
996
997
998
999
provided by identified staff who will assist individuals in retaining employment
and/or finding other jobs as necessary. This includes "Psychosocial Rehabilitative
Services" related to addressing the symptoms of the mental illness affecting the
individual's ability to obtain and retain employment, as well as non-billable
vocational specific training. Need for Supported Employment is indicated by a
score of 3-5 on Dimension 5: Employment Problems of the TRAG. For a subset of
the population served in SP3 who have a need for Supported Employment, the
following additional service will be provided based on selection by the individual
and the treatment team.
1000
1001
1002
1003
1004
1005
1006
1007
1008
1009
1010
1011
1012
2. Supported Housing
Provides individualized assistance in choosing and obtaining integrated housing in
the community of one's choice and supports provided by designated staff who shall
assist individuals in retaining housing and/or finding new housing as necessary.
This includes "Psychosocial Rehabilitative Services" related to addressing the
symptoms of mental illnesses affecting an individual's ability to obtain and retain
housing, as well as non-billable housing specific support services (e.g., locating
housing, assistance with moving). Need for Supported Housing is indicated by an
allowable score on Dimension 6: Housing Instability of the TRAG (see "Add-on
Service Criteria for SP-3"). For individuals who are a subset of the population
served in SP3 and who have a need for Supported Housing, the following
additional service will be provided based on the individual's preference and the
conclusions of the treatment team.
1013
1014
1015
1016
1017
1018
1019
1020
1021
3. Crisis Intervention Services
These are individual interventions provided by staff members other than members
of the consumer's therapeutic team (SP-3 Team) in response to a crisis in order to
(a) reduce symptoms of severe and persistent mental illnesses or serious emotional
disturbances and (b) to prevent admission of an individual to a more restrictive
environment. This service may be delivered to anyone who is having / experiencing
a mental health crisis. This service does not require prior authorization. [NOTE:
When members of the SP-3 Team address a crisis situation, the services are billed
as Psychosocial Rehabilitation}
1022
1023
1024
1025
1026
1027
1028
1029
1030
1031
1032
1033
1034
Qualifications of Providers of SP3 Services (Services Must Be Provided by Staff
With the Following Minimum Qualifications)
1. Pharmacological management = MD (psychiatrist), RN, PA, Pharm.D.,
APN
2. Rehabilitative Services = QMHP, Licensed medical personnel, CSSP, or
Peer Provider (consult Program Rules for specific credential requirements),
3. Medical = Medical related services - Licensed medical personnel
4. For providers serving persons with co-occurring psychiatric and substance
abuse disorder, competencies for serving this population must be
demonstrated as defined by DSHS standards.
5. Supported Employment = Employment Specialist - QMHP or CSSP
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Anderson-Cherokee Community Enrichment ServiceS
RFP – DSHS Resiliency & Disease Management SP3 Services
1035
1036
1037
1038
1039
1040
1041
1042
1043
1044
1045
1046
July 2009
6. Supported Housing = QMHP or CSSP



To view the RDM Clinical Guidelines including the service package
definitions and service descriptions for the service package(s) or discrete
service specified in this RFP go to:
http://www.dshs.state.tx.us/mhprograms/RDMClinGuide.shtm
For more information, see the RDM Program Manual (PDF, 659 KB) at
http://www.dshs.state.tx.us/mhprograms/RDM/documents/RDM_Program_
Manual.pdf
http://www.dshs.state.tx.us/mhprograms/TIMA.shtm
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Anderson-Cherokee Community Enrichment ServiceS
RFP – DSHS Resiliency & Disease Management SP3 Services
1047
1048
1049
1050
1051
1052
1053
1054
1055
1056
1057
1058
1059
1060
1061
1062
1063
1064
1065
1066
1067
1068
1069
1070
1071
1072
1073
1074
1075
1076
1077
1078
1079
1080
1081
1082
1083
1084
1085
1086
1087
1088
1089
1090
1091
July 2009
Attachment C
Criteria for Scoring the RFP
On-site visits may be conducted of selected facilities associated with this RFP. The Local
Authority may interview selected Proposers who submit complete proposals. Points will
be awarded to each section of the RFP up to the total shown below.
I.
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
X.
XI.
Section
Business Demographics
Organizational Structure
Quality Management/Utilization Management
Services
Budget/Financial
Risk Profile
Managed Care Profile
Information System
Statement
Rate Page
Assurances Document
TOTAL:
Total Possible Points
*
*
20
40
30
30
25
15
15
25
__ *
200
* These sections must be submitted and complete. While no specific points are awarded,
failure to include these may result in the proposal being rejected as incomplete. The
content of these sections will be considered in light of the effect on the functioning of the
Proposer’s organization with regard to Quality Management/Utilization Management,
Services, Risk, and Rates.
Scoring will be based on defined procedures for reviews. The scoring for each section will
reflect the reviewers’ judgments of the adequacy of the Proposer’s response as it relates to
services to be provided to the Priority Population. The scores of all the reviewers will be
combined and reviewed by the Local Authority’s RFP Evaluation Committee. The RFP
Committee will review the proposals with regard to the following factors:
access for the consumers
choice for the consumers
quality for the consumers
costs
The Local Authority will review the process as well as the scores to insure fair and
impartial review of all Proposals. The Committee makes recommendations to the Local
Authority’s Board of Trustees regarding the award of Contract(s). The negotiation process
will attempt to elicit bids that provide the best value for the public dollar. All negotiated
Contracts must be approved by the Board of Trustees prior to award and implementation.
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Anderson-Cherokee Community Enrichment ServiceS
RFP – DSHS Resiliency & Disease Management SP3 Services
1092
1093
1094
1095
1096
1097
1098
1099
1100
1101
1102
1103
July 2009
Appeals and/or Protest. Any Proposer wishing to protest or appeal the selection process
must do so within 7 days of the proposal award. Protests or appeals must clearly state with
specificity the grounds upon which the award selection is being challenged. Send via
certified mail to:
Anderson-Cherokee Community Enrichment ServiceS
ATTN: Karen Pate
913 N. Jackson Street
Jacksonville, TX 75766
Proposals submitted become the property of Center and will not be returned to the
Proposer(s).
page 31