Washington Hospital Emergency Department Program

Agency:	Alameda County
State:	California
Type of Government:	State & Local
NAICS Category:	541611 - Administrative Management and General Management Consulting Services
Posted Date:	May 25, 2023
Due Date:	Jul 25, 2023
Solicitation No:	RFP #23-02 NEW
Bid Source:	Please Login to View Page
Contact information:	Please Login to View Page
Bid Documents:	Please Login to View Page

Contracting opportunity

Bid Number RFP #23-02

Category
Professional Services
Due Date/Time
07/25/2023
2:00 PM
Contact Person
Katie Lampi
(510) 383-2873
Estimated Award Date

Special Notes/ Comments
Links:

Posted Date

05/25/2023

Project Related Documents

Request for Interest/ Proposal/Quotation (RFI/P/Q)
2709_RFP-23-02-Washington-Hospital.pdf
RFP/Q Addendum
2709_RFP-No.-23-02-Washington-Hospital-Bid-Template.docx 2709_RFP-23-02-Washington-Hospital-RFP-Budget-Template.xlsx

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Contracts Unit

1900 Embarcadero Cove, Suite 205

Oakland, Ca 94606

510-567-8296 / Fax 510-567-8290

ALAMEDA COUNTY BEHAVIORAL HEALTH CARE SERVICES (ACBH)

REQUEST FOR PROPOSAL (RFP) 23-02

SPECIFICATIONS, TERMS & CONDITIONS

FOR

WASHINGTON HOSPITAL EMERGENCY DEPARTMENT PROGRAM

INFORMATIONAL MEETING/ BIDDERS’ CONFERENCES

Date

Time

Location

Wednesday

June 21, 2023

Thursday

June 22, 2023

10:00 am – 11:30 am

2:00 pm – 3:30 pm

Microsoft Teams Meeting

See page 19 of RFP for meeting details

PROPOSALS DUE

by 2:00 pm on Tuesday July 25, 2023

ACBH Procurement

Email: procurement@acgov.org

Proposals received after this date/time will NOT be accepted

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RFP #23-02 WASHINGTON HOSPITAL EMERGENCY DEPARTMENT PROGRAM

TABLE OF CONTENTS

Page

I. STATEMENT OF WORK .................................................................................................... 3

A. INTENT ............................................................................................................................3

B. BACKGROUND................................................................................................................4

C. SCOPE/PURPOSE ..........................................................................................................5

D. BIDDER MINIMUM QUALIFICATIONS ............................................................................7

E. SPECIFIC REQUIREMENTS ...........................................................................................8

F. BIDDER EXPERIENCE, ABILITY AND PLAN ................................................................11

II. INSTRUCTIONS TO BIDDERS .........................................................................................18

A. COUNTY CONTACTS....................................................................................................18

B. CALENDAR OF EVENTS...............................................................................................19

C. SMALL LOCAL EMERGING BUSINESS (SLEB) PREFERENCE POINTS ....................20

D. BIDDERS’ CONFERENCES ..........................................................................................20

E. SUBMITTAL OF PROPOSALS/BIDS .............................................................................21

F. RESPONSE FORMAT/PROPOSAL RESPONSES ........................................................23

Table 1 ..................................................................................................................................24

G. EVALUATION CRITERIA/SELECTION COMMITTEE ....................................................30

Table 2 ..................................................................................................................................31

Table 3 ..................................................................................................................................32

H. CONTRACT EVALUATION AND ASSESSMENT ..........................................................40

I. AWARD..........................................................................................................................40

J. PRICING ........................................................................................................................41

K. INVOICING ....................................................................................................................41

L. NOTICE OF INTENT TO AWARD ..................................................................................41

M. TERM/TERMINATION/RENEWAL .................................................................................42

III. APPENDICES ...................................................................................................................43

A. GLOSSARY & ACRONYM LIST.....................................................................................43

B. BID SUBMISSION CHECKLIST .....................................................................................45

C. EXHIBIT A: BIDDER INFORMATION AND ACCEPTANCE ...........................................47

D. SLEB PARTNERING INFORMATION SHEET ...............................................................51

E. OIG AND OTHER EXCLUSION LIST BACKGROUND CHECK ATTESTATION ............52

F. EXCEPTIONS, CLARIFICATIONS, AMENDMENTS ......................................................53

G. BIDDER REFERENCES ................................................................................................54

H. EXHIBIT C: INSURANCE REQUIREMENTS .................................................................56

Page 2 of 58

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RFP #23-02 WASHINGTON HOSPITAL EMERGENCY DEPARTMENT PROGRAM

I. STATEMENT OF WORK

A. INTENT

It is the intent of these specifications, terms, and conditions for Alameda County Behavioral

Health Care Services (hereafter ACBH or County) to seek proposals to provide outpatient

support services for adults with suspected moderate-to-severe mental illness who are high

utilizers of the Emergency Department of Washington Hospital. Program services shall

include outreach, engagement, referrals, screening, care coordination, linkages, and follow

up.

ACBH intends to award one contract to the Bidder selected as the most responsible bidder

whose response conforms to the Request for Proposal (RFP) and meets the County

requirements. At this time, ACBH has allocated $1,000,000 per contract year for a two-year

pilot program through the Mental Health Services Act (MHSA) Community Service and

Supports (CSS).

The contract that results from this RFP process may be fee-for-service and prorated for the

fiscal year at the contract start date. There will be a $250,000 allocation for a three-month

start-up period in the first contract year. Proposals shall form the basis for any subsequent

awarded contract. Staffing levels and operating costs must accurately reflect the Bidder’s

costs for the program. ACBH reserves the right to dissolve a contract if/when awarded

Contractor materially alters staff, budgets, deliverables, and outcomes any time after the

contract award.

The County is not obligated to award any contract as a result of this RFP process. The County

may, but is not obligated to, renew any awarded contract. Any renewal of an awarded contract

shall be contingent on the availability of funds, awarded Contractor’s performance, and

continued prioritization of the activities and priority populations as defined and determined by

ACBH.

ACBH does not discriminate against particular Bidders that serve high-risk populations or

specialize in conditions that require costly treatment.1 Further, ACBH does not discriminate in

the selection, reimbursement, or indemnification of any provider who is acting within the scope

of his or her license or certification under applicable state law, solely on the basis of that

license or certification.2

1 To comply with 42 CFR 438.214 as a Prepaid Inpatient Health Plan (PHIP)

2 Idem

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RFP #23-02 WASHINGTON HOSPITAL EMERGENCY DEPARTMENT PROGRAM

B. BACKGROUND

MHSA was passed by California voters in November 2004. It is funded by a one percent tax

on personal incomes above $1 million and is designed to expand and transform California’s

mental health system. CSS is the largest of the five MHSA funding streams, focusing on

providing direct services to individuals with Severe Mental Illness (SMI).

Washington Hospital Emergency Department (ED), located in Fremont, experiences frequent

and repeat visits from individuals with suspected behavioral health needs. These visits do not

always result in the right treatment for the client. This program aims to assertively intervene

both during and after the ED visits to redirect these “high utilizer” clients to more appropriate

service settings to meet their individual needs.

This program will follow an “In-Home Outreach Team” (IHOT) model, which focuses on

outpatient support services aimed at reducing unnecessary hospitalizations and increasing

engagement with individuals who have not consistently participated in mental health

treatment. IHOT’s overarching purpose is to provide successful linkage to natural community

supports for people with untreated moderate to severe mental illness in order to help them

avoid acute care settings as a means of getting behavioral health treatment and reduce

interaction with the criminal justice system. Although it’s titled “in-home” outreach team, home

is defined as where the person is currently located, be it on the streets, in jail, with family, or

other places in the community. The IHOT model is described in more detail in Section F.

Bidder Experience, Ability, and Plan.

In 2020, ACBH developed the Office of Health Equity to promote and incorporate diversity,

equity, belonging and inclusion practices throughout our systems of care. In 2022, ACBH

updated its Cultural Competency Plan3 emphasizing Behavioral Health and Health Equity

initiatives. As our communities change and evolve, the County has engaged and enacted

policies and practices toward understanding community needs and easing burdens around

barriers to care with the goal of making them accessible and equitable. ACBH aims to match

interventions and programs, including this one, through relevant means in an effort to serve

community members in ways that meet their needs.

3 Current Cultural Competency Plan: https://www.acbhcs.org/office-of-the-director/office-of-health-equity/

Page 4 of 58

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RFP #23-02 WASHINGTON HOSPITAL EMERGENCY DEPARTMENT PROGRAM

C. SCOPE/PURPOSE

The purpose of this program is to address Washington Hospital ED’s challenge with frequent

visits from patients with behavioral health needs through increased service options and

enhanced care coordination and linkage. Program services shall include outreach,

engagement, referrals, screening, care coordination, linkages, and follow up.

By meeting clients where they are, and providing outreach and engagement including support

and education, screening of needs, identification of barriers, referrals to treatment services,

and referrals to community services as needed, the program envisions a significant reduction

in ED visits and hospitalization. The goal of the program is to increase client participation in

appropriate services by improving their linkage to consistent long-term mental health,

substance use, and/or other support services.

This program is intended to provide services to and engage at least 150 of the highest

need/highest frequency visitors of the Washington Hospital ED, annually. This program will

conduct outreach and work to engage potential clients, through education, screening, support,

linkage to critical services, and follow-up. Within this program, the awarded Contractor will

provide two levels of service, as listed below. Both follow the IHOT service model, yet differ

by levels of frequency and intensity:

1. Familiar Faces program: This service level is designed to engage the 25 individuals with

greater than ten annual ED visits, who will be identified and referred to the awarded

Contractor by ACBH and Washington Hospital. This service level will be characterized by

the awarded Contractor initiating daily intensive outreach, engagement, and other

program services.

2. Frequent User Engagement program: This service level is designed to engage clients with

between five to ten annual ED visits. Washington Hospital staff and/or the awarded

Contractor will initiate outreach and invite potential clients to the Contractor’s on-site office

for engagement in additional program services. Washington Hospital staff may inform the

awarded Contractor when a client admits in the hospital or ED. In such instances, the

awarded Contractor will in-reach the client to provide additional outreach towards

engagement in services. This service level is not generally characterized by daily contact.

This program will generate revenue via Medi-Cal Administrative Activities (MAA) but will not

provide Medi-Cal billable specialty mental health treatment services.

The program should be designed to accomplish the following goals:

• Increase access to care through strategic outreach and engagement;

• Provide linkages to mental health, SUD, and physical health treatment;

• Help clients identify goals and improve connections;

• Increase client understanding of mental health disorders while reducing the effects of

untreated mental illness;

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