FOR MOBILE CRISIS MANAGEMENT - COLUMBUS COUNTY APRIL 2018

Transcription

1 Request For Proposal FOR MOBILE CRISIS MANAGEMENT - COLUMBUS COUNTY APRIL 2018 This solicitation should not be interpreted as a contract (implicit, explicit, or implied), nor does it imply any form of agreement to any potential candidate. In addition, no inference should be made that Trillium will purchase and/or implement in the future any of the programs or services proposed by the respondents. 201 W. First Street Greenville, NC

2 Contents EXECUTIVE SUMMARY... 3 GENERAL/BACKGROUND INFORMATION... 3 SCOPE OF WORK... 3 COMPLIANCE... 4 GUIDELINES FOR TRILLIUM INPUT:... 4 TIMELINE/SCHEDULE REQUIREMENTS... 5 ELIGIBILITY REQUIREMENTS... 6 REQUIRED PRESENTATION COMPONENTS... 6 TRILLIUM CONTACT INFORMATION... 6

3 Page 3 of 6 EXECUTIVE SUMMARY Trillium Health Resources is a Managed Care Organization (MCO)/Local Management Entity that oversees publicly funded behavioral health, substance use, and intellectual/developmental disability services for 25 counties in eastern NC. The mission of Trillium Health Resources is Transforming the lives of people in need by providing them with ready access to care. The primary purpose of this RFP is to invite service providers of Adult MH/SU/IDD services to submit a proposal for the implementation of Mobile Crisis Management [MCM] into the provider network for Columbus County. GENERAL/BACKGROUND INFORMATION The mission of Trillium Health Resources is Transforming the lives of people in need by providing them with ready access to care. We have identified a need for Mobile Crisis Management in Columbus County (which will become part of the Trillium Catchment as of July 1) within the Trillium Catchment to provide these services for our adult and child population. Trillium Health Resources will support the expansion of services to this region with Medicaid and State funding. Trillium Health Resources will work closely with the selected provider to ensure that the service is being provided as clinically indicated. The provider will be subject to Routine Monitoring by Trillium Health Resources Network staff and may be subject to additional reviews as needed. The selected provider must be a current Mobile Crisis Management provider with a minimum of 3,000 annual responses. The selected provider must be contracted and in good standing with Trillium, and will be expected to adhere to Expected Clinical Outcomes for Mobile Crisis Management as outlined in Clinical Coverage Policy 8A. SCOPE OF WORK The primary goal of the RFP is to meet a need for Mobile Crisis Management (MCM) in Columbus County, thereby ensuring access as required: The targeted population for this service is children and adults who meet the criteria for Mobile Crisis Management as outlined in Clinical Coverage Policy 8A. Trillium Health Resources will provide Medicaid and State funding for the identified county. The following questions should be answered in your agency s MCM RFP presentation: Is your agency currently contracted with Trillium Health Resources? Is your agency currently providing MCM in the Trillium Network with a minimum of 3,000 annual responses? Is your agency currently accredited? Is your agency currently enrolled in NC Tracks? Please describe what steps you will take to demonstrate service delivery by July 1 st, Please include a timeline that includes major components of MCM.

4 Page 4 of 6 Does your agency currently use an EHR or EMR? Please share the name of the system and the steps you are taking to prepare for the North Carolina Exchange Authority (NCHIEA.) Preference will be given to providers that use innovative technology solutions for engagement. Letters of Support from the following agencies should be submitted by May 23 rd, 2018: Four (4) letters of support from law enforcement agencies (can include city police or sheriff s department) Three (3) letters from Departments of Social Services Three (3) letters from School Superintendents or Principles Providers will be responsible for adhering to the following: 1. Clinical Coverage Policy 8A: Mobile Crisis Management (MCM) 2. APSM 45-2: Records Management and Documentation Manual 3. APSM 95-2: Clients Rights Rules in Community Mental Health, Developmental Disabilities and Substance Abuse Services CFR, PART 2 5. HIPAA 6. Maintaining Accreditation 7. Any applicable local, state and federal regulations 8. The Trillium Health Resources Benefit Plan 9. The North Carolina Information Exchange Authority (NCHIEA) Healthcare provider information exchange guidelines and implementation timelines documented here COMPLIANCE Guidelines for Trillium Input: The selected provider MUST agree to: 1. Complete steps to demonstrate readiness to provide these services effective July 1, 2018 a. Obtain licensure from Division of Health Service Regulations. b. Hire and/or train all required staff as specified in Clinical Coverage Policy 8-A, Mobile Crisis Management c. Process to submit applicable Credentialing Applications for rendering clinicians as required. d. Obtain equipment needed for provision of services. e. Develop protocols/procedures, in your agency s standard format, to ensure that Mobile Crisis Management (MCM) is provided in compliance with Clinical Coverage Policy 8A.

5 Page 5 of 6 2. Provide weekly updates on progress to the Trillium Project Manager, Maegan Veillette until the project is complete and the service provision has been implemented. Updates are to be provided via to the Project Manager at Maegan.Veillette@TrilliumNC.org 3. Comply fully with the following: a. Clinical Coverage Policy 8A: Mobile Crisis Management (MCM) b. APSM 45-2: Records Management and Documentation Manual c. APSM 95-2: Clients Rights Rules in Community Mental Health, Developmental Disabilities and Substance Abuse Services d CFR, PART 2 e. HIPAA f. Maintaining Accreditation g. Any applicable local, state and federal regulations h. The Trillium Health Resources Benefit Plan i. Submissions of TARs and claims in accordance with the Medicaid Benefit Plan j. The Trillium Health Resources Provider Manual k. Service documentation must be through an industry standard Electronic health Record (EHR) or Electronic Medical Record (EMR) system capable of HL7 data exchange. Eligible providers must fully comply with North Carolina Information Exchange Authority (NCHIEA) Healthcare provider information exchange guidelines and implementation timelines documented here If the selected provider is unable to comply with the contract requirements, Trillium Health Resources has the right to terminate the contract or MCM service or site and recoup funds. TIMELINE/SCHEDULE REQUIREMENTS Questions & Answer (Q&A) Submission Deadline: Please use the Questions link to submit questions. May 9 th, 2018 Q&A results posted on Trillium Website May 16 th, 2018 Proposal Submission Deadline (Letters ONLY) May 23 rd, 2018 Please use the link to submit Letters of Support. Presentation of Applications to Scoring Committee May 25 th, 2018 RFP Award Notification June 1 st, 2018 Date work to begin (projected) July 1 st, 2018 ***All timelines are tentative and subject to change Written questions concerning this RFP will be received until May 9th, 2018 at 11:59 PM Eastern Daylight Time. They must be sent via Questions link. It is important that all interested agencies on this proposal periodically check Trillium website, for any update that may be issued prior to the proposal closing date.

6 ELIGIBILITY REQUIREMENTS Page 6 of 6 Selected provider must be contracted and in good standing with Trillium Health Resources. Selected provider must be a current Mobile Crisis Management provider with a minimum of 3,000 annual responses. Selected provider must have current national accreditation. Is your agency currently enrolled in NC Tracks? Selected provider must adhere to all program, staffing, and training requirements set forth in: Clinical Coverage Policy 8A: Mobile Crisis Management (MCM) Selected provider must adhere to all regulatory requirements listed in the above Compliance section. REQUIRED PRESENTATION COMPONENTS Summary of proposed project including timeline with major components. Description of the company and its professional history as it relates to the services sought under this RFP. Required Letters of Support: (Due May 23 rd ) Four (4) letters of support from law enforcement agencies (can include city police or sheriff s department) Three (3) letters from Departments of Social Services Three (3) letters from School Superintendents or Principles Licensing and/or bonding information as it relates to the service. Describe your organizations fiscal responsibility and Integrity. Describe how you manage health records and documentation. Preference will be given to providers that use innovative technology solutions for engagement. TRILLIUM CONTACT INFORMATION Name: Maegan Veillette, CSAC Position: Research & Development Coordinator Address: 201 W. First Street. Greenville, NC Phone Number: Address: Maegan.Veillette@TrilliumNC.org