REDUCE PREMATURE BIRTHS REDUCE PREMATURE BIRTHS KEY DATES 109 OTISCO STREET, SYRACUSE NY

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Page 1 REQUEST FOR PROPOSAL # 4DI-2017 REDUCE PREMATURE BIRTHS EXPANSION AND/OR PERSEVERATION OF COMMUNITY HEALTH WORKER SERVICES AND EVIDENCE- BASED HOME VISITING PROGRAMS REQUEST FOR PROPOSAL REDUCE PREMATURE BIRTHS KEY DATES RFP RELEASE DATE 9/29/17 APPLICANT WEBINAR 10/10/17 LETTER OF INTENT AND QUESTIONS DUE 10/20/17 QUESTIONS, ANSWERS AND UPDATES POSTED 10/25/17 APPLICATIONS DUE 12/6/17 CNYCC CONTACT NAME AND ADDRESS CENTRAL NEW YORK COLLABORATIVE CARE, INC 109 OTISCO STREET, SYRACUSE NY 13207 EMAIL: INFO@CNYCARES.ORG INQUIRES: FROM THE ISSUANCE OF THIS REQUEST FOR PROPOSAL (RFP) ALL CONTACTS CONCERNING THIS RFP WITH PERSONNEL OF CENTRAL NEW YORK CARE COLLABORATIVE, INC. (CNYCC), EXCEPT OTHERWISE SPECIFIED HEREIN, MUST BE MADE THROUGH: KELISE MONTAQUE PROJECT MANAGER 109 OTISCO STREET, SYRACUSE NY 13204 KELSIE.MONTAQUE@CNYCARES.ORG WITH CHW AND HOME VISITING PROGRAM RFP INQUIRY IN SUBJECT LINE Organizations will submit inquiry questions which will be answered on the 10/10/2017 Inquiry Webinar. All inquiry responses will be posted to the CNY Care Collaborative website. Final inquiries are due by the close of business 10/17/2017.

CNYCC 4DI- 2017 Page 2 REDUCE PREMATURE BIRTHS EXPANSION AND/OR PERSEVERATION OF COMMUNITY HEALTH WORKER SERVICES AND EVIDENCE- BASED HOME VISITING PROGRAMS APPLICATION DUE DATE 12/6/2017 ANTICIPATED AWARD ANNOUNCEMENT DATE 1/12/2018 PROJECTED CONTRACT START DATE 2/12/2018 CONTRACT LENGTH 1 year TOTAL FUNDING AVAILABLE $447,000 MAXIMUM FUNDING PER APPLICANT $110,000.00 NARRATIVE ELIGIBLE APPLICANTS TARGET POPULATION(S) SERVICE AREAS(S) CNYCC is issuing this targeted RFP for the expansion and/or preservation of evidence based Community Health Workers and Home Visiting Programs to improve pregnancy outcomes; address the disparities in preterm births and reduce the overall rate of preterm births. Social services and health agencies incorporated as a non-for-profit corporation, local government agencies, tribal organizations and other organizations including but not limited to community and faith based organizations. Pregnant women Expansion and/or preservation of existing Community Health Workers services and evidence-based Home Visiting Programs to serve six Central NY counties: Cayuga, Madison, Lewis, Oswego, Oneida and Onondaga.

Page 3 TABLE OF CONTENTS 1. SUMMARY AND BACKGROUND 4-5 a. INTRODUCTION b. PURPOSE AND FUNDING AVAILABILITY c. TERM OF CONTRACT d. ELIGIBLE APPLICANTS 2. PROJECT SPECIFICATIONS 5-6 a. KEY CONCEPTS b. PROGRAM SPECIFIC TERMS AND CONDITIONS 3. PROPOSAL GUIDELINES/RFP FORMAT 6-8 a. SUBMISSION AND PROJECT TIMELINE b. PROPOSAL SUBMITTAL PROCESS c. REQUIRED CONTENT 4. EVALUATION, DATA AND REPORTING REQUIREMENTS 8 5. BUDGET 8-9 6. PROPOSAL EVALUATION CRITERIA 9 7. APPENDIX A 10

Page 4 1. SUMMARY AND BACKGROUND Central New York Care Collaborative, Inc. (CNYCC) is a New York not-for-profit corporation created to serve as the lead entity for the Performing Provider System (PPS) implementing the DSRIP program in six Central New York counties: Cayuga, Madison, Lewis, Oneida, Onondaga, and Oswego. As such, CNYCC is the lead of a collaboration of more than 1,400 healthcare and community based service providers working together to create a better system of care for all patients in our region -- specifically focused on the Medicaid and uninsured individuals. Through a New York State initiative called the Delivery System Reform Incentive Payment (DSRIP) Program, we're striving to integrate services, collaborate on patient care, improve regional healthcare quality and lower the costs of care over a five year period. The Reduce Premature Births (4.d.i.) project objective is to reduce the rate of preterm birth in NYS by at least 12% to 10.2 %. Preterm birth, defined as any birth before 37 weeks gestation, is the leading cause of infant death and long-term neurological disabilities in children. Babies born prematurely or at low birth weight are more likely to have or develop significant health problems, including disabling impairments, compared to children who are born at full term at a normal weight. Preterm infants are vulnerable to respiratory, gastrointestinal, immune system, central nervous system, hearing and vision problems, and often require special care in a neonatal intensive care unit after birth. Longer-term problems may include cerebral palsy, mental retardation, vision and hearing impairments, behavioral and social-emotional concerns, learning difficulties and poor growth. In order to improve pregnancy outcomes, address the disparities in preterm births, and reduce the overall rate of preterm births this Request for Proposal (RFP) is developed to obtain proposals from various candidate organizations to support the expansion and/or preservation of Community Health Worker Services and Evidence-Based Home Visiting programs within the six Central New York counties: Onondaga, Lewis, Madison, Oswego, Onondaga, and Cayuga. Community Health Workers serve as liaisons, linkages, intermediaries between health/social services and the community to facilitate access to services and improve the quality of service delivery to pregnant women. A community health worker also builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support and advocacy. CNYCC seeks to provide funding support to existing Community Health Worker Services and Home Visiting programs (evidencebased) to preserve and/or expand current workforce to help to promote services that will provide linkages to appropriate levels of care for pregnant women. CNYCC will work with a third party reviewer to conduct a fair and extensive evaluation of all proposals based on criteria listed herein. Organizations whose mission, goals, and proposal best aligns with the project requirements will be selected. Purpose and Funding Availability CNYCC is issuing this targeted RFP and estimating that a total of $447,000 will be available for the expansion and/or preservation of existing Community Health Workers and evidence-based Home Visiting programs to serve the six Central New York counties: Cayuga, Madison,

Page 5 Lewis, Oneida, Onondaga, and Oswego. $110,000 for funding over 1 year. Applicants may apply for a maximum of Eligible Applicants Social services and health services agencies incorporated as a not-for-profit corporation; Local government agencies; Tribal organizations; and Other 501 ( c ) (3) organization, including but not limited to community and faith-based organizations Must be a CNYCC contracted partner organization or agree to enter into a partner organization contract and BAA with CNYCC prior to contract execution of RFP If applicant is a non-safety organization as defined by NYS Department of Health, such applicant must sub-contract for the RFP services with a CNYCC partner who is a safety net organization To be eligible, an organization must: Have experience providing health related services in community-based settings. Have services tailored to pregnant women Proposer s Responsibilities It is the proposer s responsibility to meet the entire intent of these specifications. Proposers shall carefully examine the terms of this document and shall judge for themselves all the circumstances and conditions affecting their RFP. Failure on the part of any proposer to make such examination and to investigate thoroughly shall not be grounds for any declaration that the proposer did not understand the terms and conditions herein. CNYCC shall not be liable for any costs associated with the preparation, transmittal, or presentation of any response or materials submitted in response to the RFP. It is the responsibility of each proposer to: Examine the RFP documents thoroughly; Consider federal, state and local laws and regulations that may affect your proposal. Study and carefully correlate proposer s observations with the RFP document; Visit the CNYCC site and examine schematics to become familiar with local conditions that may affect your proposal, if appropriate. 2. PROJECT SPECIFICATIONS The purpose of this RFP is to provide funding support to existing Community Health Worker Services and Home Visiting programs (evidence-based) to preserve and/or expand current workforce to help to promote services that will provide linkages to appropriate levels of care for pregnant women. Organizations interested in implementation will need to do the following: All Applicants Applying For Funding

Page 6 1. Describe current programming and services being provided. Describe evidence-based practice being employed. 2. Demonstrate the effectiveness of current programing. 3. Demonstrate current workforce and need for expansion/preservation of workforce. 4. Detail program goals and objectives. Provide a plan for accomplishing goals and objectives. 5. Demonstrate the community need for programming. 6. Explain how the program will improve pregnancy outcomes, address the disparities in preterm births, and reduce the overall rate of preterm births. 7. Develop a program evaluation plan, detailing: a. Impact evaluation: i. How will your organization measure the impact the program has on pregnancy outcomes, addressing disparities, and reducing the overall rate of preterm births? ii. How will you assess the impact as it is attributed to your program b. Process Evaluation: i. How will the delivery of the program be assessed? ii. What will process improvement look like? 8. Demonstrate a plan for sustainability beyond CNYCC funding. 3. PROPOSAL GUIDELINES/RFP FORMAT 1. All requirements noted within this RFP are required and must be addressed in the proposal, following the instructions provided. This proposal should be no more than 15 pages. 2. Proposals should be submitted on 8½ by 11-inch paper, with one (1)-inch margins using the minimum of 12 point type, in Times New Roman font. At least one (1) copy of the proposal should be in loose-leaf form, that is, not stapled or bound and easily accessible for photocopying. To be considered for funding, Proposers are required to submit one (1) signed original proposal and one (1) electronic copy (PDF version) of the proposal. To facilitate the review process, all proposal pages must be numbered. Proposers may NOT submit extraneous material such as brochures or newspaper articles. SUBMISSION All proposals in response to this RFP are due no later than 5pm EST Friday November 17, 2017 Wednesday December 6, 2017. All proposals also must be in accordance with the format specified above and below. 1. Please submit one PDF version via email to Elizabeth Fowler, Elizabeth.Fowler@cnycares.org. Please also mail: 2. One (1) signed original (mailed or hand-delivered)

Page 7 Proposal Submittal Process Please send items requested in a sealed envelope marked Community Health Worker Services and Evidence-Based Home Visiting Programs RFP to the address below: ATTN: Elizabeth Fowler Central New York Care Collaborative, Inc. 109 Otisco Street, 2 nd Floor Syracuse, NY 13204 Any proposals received after this date and time will not be considered. All proposals must be signed by an authorized representative of the organization submitting the proposal. All proposals must include: Cover Sheet (Appendix A) Budget (Provided Template) Evaluation of proposals will be conducted by a third party agency. If additional information or discussions are needed with any applicants during this window, the applicant(s) will be notified. Upon notification, the contract negotiation with the winning applicant will begin immediately. If the organization submitting a proposal must outsource or contract any work to meet the requirements contained herein, this must be clearly stated in the proposal. Additionally, all costs included in proposals must be all-inclusive to include any outsourced or contracted work. Any proposals which call for outsourcing or contracting work must include a name and description of the organizations being contracted. Contract terms and conditions will be negotiated upon selection of the winning bidder for this RFP. All contractual terms and conditions will be subject to review by CNYCC legal representation and will include scope, budget, schedule, and other necessary items pertaining to the project. Required Content Each Response must include the following information: Applicant agencies will provide a history of their organization and what makes their agency uniquely qualified to offer this service. Describe in detail your organization s experience with similar projects including a listing of any current projects of this same type. Describe your agency s experience in working with this targeted population/area and the process which will be put in place to ensure current licensing protocols. Describe how you will fulfill the activity as identified in this RFP. Include a tentative time schedule. Identify the staff that would be assigned to work on this project. Define the capacity in which each person would be working, and describe the qualifications, education, training, expertise, and experience that qualifies these individuals to work on this project.

Page 8 Lastly, the applicant agency should describe efforts that will be employed to promote the new service, approaches to building community partnerships. 4. EVALUATION, DATA AND REPORTING REQUIREMENTS As stated within the project specifics, responding organizations will need to: Develop a program evaluation plan, detailing: o Impact evaluation: How will your organization measure the impact the program has on pregnancy outcomes, addressing disparities, and reducing the overall rate of preterm births? How will you assess the impact as it is attributed to your program o Process Evaluation: How will the delivery of the program be assessed? What will process improvement look like? Demonstration of staff hired and training received for purposes specified within this RFP. 5. BUDGET Proposals must provide a detailed and accurate budget. There must be a clear budget explanation, budget items must reference project specific topics. Budget explanation is expected to be realistic with a budgeting total that is within CNYCC proposed funding availability (Detailed in Section 1). Template for budget is provided as an attachment to this document. Budget template must be used for submission- budget explanation is required for all budget line items. NOTE: All costs and fees must be clearly described in each proposal. 6. PROPOSAL EVALUATION CRITERIA CNYCC will evaluate all proposals based on the following criteria. To ensure consideration for this RFP, your proposal should be complete and include all of the following criteria: Overall proposal suitability: proposal must meet the scope and needs included herein and be presented in a clear and organized manner. Organizational Experience: Applicants will be evaluated on their experience as it pertains to the scope of this project. Previous work: Applicants will be evaluated on examples of their work pertaining to the nature of the work described. Value and cost: Applicants will be evaluated on the cost of their solution(s) based on the work to be performed in accordance with the scope of this project. Technical expertise and experience: Applicants must provide descriptions and documentation of staff technical expertise and experience. Please append resumes of current staff who would complete functions under this project and job descriptions for any new positions.

Page 9 APPENDIX A APPLICATION COVER SHEET PROJECT 4DI: EXPANSION AND/OR PERSEVERATION OF COMMUNITY HEALTH WORKER SERVICES AND EVIDENCE- BASED HOME VISITING PROGRAMS CNYCC RESERVES THE RIGHT TO REJECT ANY OR ALL PROPOSALS The undersigned hereby certifies that he/she has examined and fully comprehends the requirements and intent of the Notice, Information, Specifications and RFP for Community Health Worker Services and Evidence-Based Home Visiting Programs and offers to fulfill the activities as shown on the attached RFP for the cost specified in the budget section. I hereby certify that the information in this proposal is correct to the best of my knowledge, and that I am an official of the organization identified below authorized to sign and submit this proposal. Organization Name Mailing Address County/Counties Served in Proposal Type or Print Name Title Authorized Signature Date Individuals to be included in RFP communication: Name/Title Email Name/Title Email

Page 10 Name/Title Email Name/Title Email