Request for Proposals (RFP) for Multiple Substance Use Services

Region 6 Behavioral Healthcare Request for Proposals (RFP) for Multiple Substance Use Services Bidder’s Conference - September 1, 2016

Questions & Answers

Packet #1:

 These three (3) services are to stay bundled together and be serviced by one Provider: 1. Social Detox 2. Emergency Protective Custody (EPC) - Civil Protective Custody (CPC) 3. Mental Health Crisis Assessments

 Service Definition for Crisis Assessment – In regards to staffing bullet point about a licensed Psychiatrist or licensed Psychologist for completion of mental health and dual diagnosis assessment: an LIMHP would not be enough to fill this position. Miles Glasgow said Region 6 will check with the Division of Behavioral Health (DBH) to verify whether or not an APRN Psychologist would be sufficient.

 Could Social Detox be subject to budget cuts in the near future? Region 6 does not foresee discontinuing this service.

Packet #2:

 The Provider that bids on Packet #2 must bid on all four (4) services: 1. Short-Term Residential (STR) 2. Dual Residential 3. Peer Support 4. Community Support – Substance Use

 Question related to Short-Term Residential (STR); is there a gender ratio that must be met? Region 6 would want the service to be co-ed but has no specific numbers that need to be met.

 Dual Residential – NO QUESTIONS

 Peer Support – NO QUESTIONS

 Community Support – Substance Use: The ratio of staff to consumers should be 1:25, the ratio is NOT 1:20 (there is an error on the sheet initially handed out at the meeting). It was noted that DBH changed their ratio and that Region 6 will clarify this with those who submit a letter of intent.

 Taren Petersen noted Region 6 will post any clarification relating to the Institute of Mental Disease (IMD) issue.

 As of Jan. 1, 2017, Medicaid will begin reimbursing for Peer Support services. What is Region 6’s position on this? Taren Petersen stated there will probably be changes and we’ll have to review the specifics once the changes are implemented. Providers may have to keep track of the

1 Region 6 Behavioral Healthcare Request for Proposals (RFP) for Multiple Substance Use Services Bidder’s Conference - September 1, 2016

consumer’s payer source to verify who is responsible for paying the consumer’s peer support worker.

 Does the staffing require a Medical Doctor? Defer to the service definition. If it is regarding Medication Assisted Treatment (MAT) the Provider could send the person to another location (such as BAART Programs) so the person could get the treatment they need.

 Questions related to the Campus for Hope facility:

1. There is no requirement stating that the current Campus for Hope building be utilized by the next Service Provider. 2. Providers can use another location if they choose to do so. 3. Is Catholic Charities willing to rent the Campus for Hope building? Yes, John Griffith will share details as they become available.

RFP Guidelines:

 RFP Cover Sheet: Disregard ‘Packet Cost’ and just fill in ‘Region 6 Funds Requested’

 Section III 1. Do current Region 6 Network Providers have different criteria to follow? No. There is nothing new or unusual from what is already expected of our Providers.

 Section V: BUDGETS: 1. Two (2) budgets are due: . Budget #1: This is to include the start-up expenses and the funds needed to run the service from Jan. 1, 2017 – June 30, 2017. . Budget #2: This budget is what it will cost to run a full year of service, from July 1, 2017 – June 30, 2018. 2. How much detail? For instance, travel? Try to predict how much total travel you’ll have in a year and list that, not necessary to list out each trip you think will be needed.

 Section VII: 1. Letter of Intent – this can be very short, not much detail is required. Note the name of the interested Provider, the packet for which they intend to apply and have it signed by an authorized representative. See the packet for more details.

 Section IX, #2A: A maximum of 10 pages per service is allowed; not 10 pages per packet.

CATHOLIC CHARITIES JOHN GRIFFITH, EXECUTIVE DIRECTOR

 Larry Duncan will be giving a tour of Campus for Hope on 9/2/16 @ 1:00 p.m. Please limit the number of staff per agency to 2 people. More tours will be scheduled for later; those interested should continue checking the Region 6 website to sign up for upcoming dates/times.  Facts and Figures about Campus for Hope: o The facility is a 43,000 sq. ft. building o Licensed for 93 beds. o Today’s capacity in STR is 25 and Dual Co-occurring is 24. o There are currently 102 employees at Campus for Hope; 78 are full-time. They also have 18 openings for part-time staff. o Catholic Charities’ Board is willing to make the building available to rent. Catholic Charities will share more detailed cost information with Taren in the next week or so. This will be shared on the Region 6 website, www.regionsix.com. Applicants are not to call Catholic Charities directly. o Are there any other land use restrictions? There is a tax credit for beds. Land use is restricted for another 30 years and must be utilized by low income individuals for STR and Dual Residential. o Will Catholic Charities continue to do income verifications? Catholic Charities hopes to have discussion with Providers. This information will be included as part of the lease agreement. o Is Catholic Charities encouraging their staff to stay? Yes, Catholic Charities notified their staff of this announcement 3 weeks ago and have lost no staff members since then. o Is there a cutoff date when Catholic Charities will stop taking intakes? The goal is to transition services to a new Provider by Jan. 1, 2017. Catholic Charities intends to continue intakes until the transition has been officially completed. Ms. Petersen added that a lot depends on the proposals Region 6 receives and how quickly another Provider can be ready to provide the services as outlined in the guidelines. o How are the pods currently licensed? The entire facility is licensed for mental health and substance use services. o What is John Griffith’s opinion on continuing to use this facility? Mr. Griffith believes the building is centrally located and using the same building will help provide a sense of continuum; he thinks it is important to keep it all together. o As north downtown Omaha develops, are there any concerns? Siena Francis House and others have upcoming plans that make this a unique and great opportunity for the area. Catholic Charities encourages continued use of the building. o Has John Griffith provided Catholic Charities’ budget for this service? Taren Petersen said yes, this is public information and Region 6 can post this to our website along with a copy of the licenses for the Campus for Hope facility. o Region 6 will also post the following items to the website: . A statement of intent from Sienna Francis House regarding their willingness to collaborate with the new Service Provider. . Statements from Psychologist who are currently working with Catholic Charities and are willing to continue services with the new Provider.

. Catholic Charities has a full food service on staff; this is outside of the funding being offered by Region 6. Information about this will be shared. . A map of the facility.

OMAHA POLICE DEPARTMENT (OPD) OPD’s Lt. Colene Hinchey spoke today about the following:  The Civil Protective Custody (CPC) piece of this RFP involves working with OPD because law enforcement is the only entity that can issue a CPC.  Any incident occurring at the facility would be subject to a grand jury investigation.  The person in custody must be in a locked/secured room.  The City of Omaha has consistently paid Campus for Hope $90,000.00/year for this service.  The Provider would also need to contract with OPD. o A copy of Catholic Charities’ contract with OPD will be posted to the Region 6 website, www.regionsix.com  Lt. Hinchey stated that OPD would prefer to continue the service at the current location but they would also work with the next Provider if the service location does move.  Sienna Francis House staff shared they have an agreement on shared roads, etc. with Campus for Hope and stated they would be willing to enter into a similar agreement to work with a new Provider.