SB202 MSO Community Action Plan SSPA Region 3 PRIORITY OVERVIEW FROM SSPA-3 PLAN REQUEST FOR PROPOSAL FOR FISCAL YEAR 2017-2018 THIS OVERVIEW CONTAINS THE INFORMATION IN ALL RFPS FOR SB 202 FUNDING AND PROVIDES AN OVERIVEW (PAGES 2 THROUGH 5 ) AND THE PROVIDER RESPONSE SECTION WHICH ARE THE CONSISTENT IN ALL SUBMISSIONS. THIS OVERVIEW DOES NOT CONTAIN A PARTICULAR PRIORITY, BUT CONTAINS A LIST OF ALL PRIORITY AREAS IN ADDITION TO THOSE WRITTEN TO WITHDRAWAL MANAGEMENT, MEDICATION ASSISTED TREATMENT AND RECOVERY SUPPORT SERVICES. ASPENPOINTE IS INTERESTED IN CONCEPTS THAT ADDRESS ANY PRIORITY AREA, AND WHILE NOT HAVING A PARTICULAR RFP TO ALL AREAS WOULD LIKE TO DISCUSS YOUR CONCEPT PRIOR TO A FORMAL SUBMISSION. IF YOU HAVE QUESTIONS OR IDEAS PLEASE CONTACT: STEVEN.GILBERTSON@ASPENPOINTE.ORG OR CALL 719-284-6562. THANK YOU FOR YOUR INTEREST IN THIS PROJECT. 6208 Lehman Drive, Suite 317, Colorado Springs, CO 80918 SB 202 PRIORITY OVERVIEW Page 1 of 7
INTRODUCTION AND OVERVIEW ABOUT AspenPointe Health Network AspenPointe Health Network is one of Colorado s four Managed Service Organizations. AspenPointe Health Network is responsible for providing a continuum of substance use disorder (SUD) services in the seven county Pikes Peak Region, also known as Substate Planning Area 3 (SSPA-3). The counties located in this region include El Paso, Fremont, Custer, Chaffee, Teller, Park and Lake Counties and their respective communities. Within SSPA-3, AspenPointe Health Network manages a provider network to ensure that services are available, delivered within the scope of federal and state regulations, and according to best practice standards in the substance abuse treatment field. AspenPointe Health Network is seeking responses from providers regarding services identified as needing expansion within SSPA-3 and may choose to deliver additional services by subcontracting with local providers who demonstrate competency, compliance with quality standards, and positive outcomes. Colorado s Managed Service Organizations (MSOs) work within Sub-State Planning Areas (SSPAs) that are comprised of multi-county areas of the state. There are seven SSPAs in Colorado and four MSOs: SSPA 1: Northeast Colorado (Signal Behavioral Health Network) SSPA 2: Metro Denver (Signal) SSPA 3: Colorado Springs and Pikes Peak Region (AspenPointe Health Network) SSPA 4: Southeastern Colorado including San Luis Valley (Signal) SSPA 5: Northern Western Slope (West Slope Casa) SSPA 6: Southern Western Slope (West Slope Casa) SSPA 7: Boulder (Mental Health Partners) Senate Bill 16-202 The INCREASING ACCESS TO EFFECTIVE SUBSTANCE USE DISORDER SERVICES ACT (SB16-202) During the 2016 Colorado Legislative Session, the Colorado Senate passed Senate Bill 202 as the Increasing Access to Effective Substance Use Disorder Services Act. The intended purpose of the legislation was to improve and extend the substance use disorder services offered in Colorado, whether treatment, prevention, or recovery. The state chose to use the regional MSO system to manage the funding attached to SB 202. The following first steps taken in the implementation of SB 202 included these tasks: 1) Conduct a statewide needs assessment to identify gaps in SUD services, including issues with capacity, access, and sustainability 2) Develop and refine community action plans, with intentions of addressing as many areas of priority within identified gaps as possible 3) Direct the funding, coordination and strategy identified in these goals towards the highest needs as evidenced by the needs assessment The needs assessment is now a report outlining community feedback from interviews, stakeholder meetings, surveys, previous research and needs assessments. This report is archived at the Colorado Behavioral Healthcare Council website: SB 202 PRIORITY OVERVIEW Page 2 of 7
http://www.cbhc.org/wp-content/uploads/2017/03/keystone-sud-final-revised-3.6.pdf Readers of this Request for Proposal are encouraged to review the above report in its entirety, to allow for a statewide context, and an understanding of the support needed for the initiatives targeted. Additionally the report targeting SSPA-3 can be downloaded at the following location: http://www.cbhc.org/wp-content/uploads/2017/03/sb202-community-action-plan-sspa-3- AspenPointe Health Network-MSO.pdf FUNDING AspenPointe Health Network s MSO SSPA-3 received approximately $1,400,000 in SB 202 funding for FY 2017-2018. Funding in the first year included the production of the Community Action Plan (CAP) and from that plan the areas targeted in SSPA 3 for expansion and development were developed. Priority objectives in AspenPointe Health Network s areas of oversight were identified and are targeted in separate proposals for FY 2017-2018. AspenPointe Health Network recognizes that SB 202 funding is only a part of the support necessary to provide the services. Additional funds are required via Medicaid, other governmental sources, client fees, grants, local support, and other sources in order to fully fund a program. The OBH capacity protocol provides a mechanism to capture all funding sources relative to total expenses and AspenPointe Health Network s funding may be used to cover any shortfall that may exist. ELIGIBLE PROPOSERS Proposers do not need to be part of the AspenPointe Health Network MSO to access this funding, but they must be an OBH-licensed entity authorized to provide substance abuse prevention, intervention, and/or treatment services. The funding must be utilized for programs and services within the continuum of SUD services, which may include prevention, early intervention, treatment, and recovery. Providers are not limited to the number of proposals they are allowed to submit. Responses must comprehensively speak to specifications outlined in this RFP. Additional technical information may be requested from any proposer, if clarification is required. SSPA 3 SERVICES EXPANSION OVERVIEW Substance-use services need to be operated within a continuum of substance-use care, and transitions actively managed along that continuum in order to achieve positive outcomes. This continuum of care should include detoxification, outreach, assessment, access to multiple levels of care including outpatient services, residential treatment, community-based case management, and continuing care. It is critical that connection to, and movement through, this continuum of community-based services be flexible. There also needs to be a relationship between SUD treatment and continuing care provided in a variety of settings including primary care and other medical settings, mental health services, child welfare, judicial settings and others. It is vital that comprehensive community-based case management services be directly connected to SUD treatment services. OBJECTIVE All treatment services must be managed so there is varying intensity, dose, and duration of treatment services. One-size-fits-all is inappropriate and not effective when focusing on a whole person SB 202 PRIORITY OVERVIEW Page 3 of 7
treatment model. Effective connections and transitions must be implemented between levels of care, and if needed, between different providers with particular emphases. Comprehensive case/care management, including system navigation should be routinely provided across all treatment modalities. There needs to be treatment transitions such as from treatment to recovery support which may include sober housing services, access to primary medical care that has sophistication regarding substance use conditions as well as other services that support a substance free/ substance managed lifestyle. Where possible, it is important to have a level of integration with primary care providers and other human services professionals, as well as ensuring a level of continuous education for external providers such as primary care regarding substance use disorders, and other community based providers. Integration between systems of care is a goal of the expansion of services. Bidirectional linkages throughout the service continuum are crucial. It is also essential that the healthcare provided be evidence-based, with utilization of best practices whenever possible. SUBMISSION of RFP Interested parties must submit proposals in Word format. Accompanying budgets shall be provided using OBH s capacity budget template, in Excel format. Please notify AspenPointe Health Network at the following email address of your intent to propose, specifying the SB 202 funding target area. Proposers may request a brief phone conference with AspenPointe Health Network staff to discuss concepts and processes. sb202proposals@aspenpointe.org Final proposals should be submitted via the same email. AspenPointe Health Network will acknowledge receipt. Proposers should contact AspenPointe Health Network if confirmation of receipt is not received within 7 days. Funds available for the FY 18 SB 202 period must be expended no later than June 30, 2018. Considering that, interested proposers should submit concepts as soon as possible in calendar year 2017. Proposals not accepted, as well as those not submitted timely enough for FY 18 funding, will be held for consideration in subsequent fiscal periods. Please include the following information: 1. When referencing this RFP, use RFP # (depends on are of submission) 2. The following representatives should be identified. Include name, title, email address, and phone number for each. a. Proposal project lead b. Chief Executive Officer, Executive Director, or equivalent. c. Chief Financial Officer, or equivalent d. Clinical Director TERM OF AGREEMENT AspenPointe Health Network seeks provider agencies who will offer or deploy the services outlined beginning as soon as possible, with optional renewals of the contract in subsequent years as funding remains available for this project. This funding is available for the State Fiscal Year of July 1, 2017 through June 30, 2018. TARGETED SERVICE PROPOSAL SB 202 PRIORITY OVERVIEW Page 4 of 7
Substance-use services need to be operated within a continuum of substance-use care, and transitions actively managed along that continuum to achieve positive outcomes. This continuum of care should include outreach, engagement, assessment, access to evidence based practices in outpatient services, community-based case management, and continuing care following a successful discharge. It is critical that connection to, and movement through, this continuum of community-based services be flexible to meet the needs of the clients served. There needs to be relationships between SUD treatment and continuing care provided in a variety of settings, including primary care and other medical settings, mental health services, child welfare, judicial settings and other areas of human service. Care should be directed at whole person care including helping clients meet their needs for emotional, mental/cognitive, spiritual and physical areas and including assistance with their social support systems that undergird recovery. It is vital that comprehensive community-based case management services be directly connected to SUD treatment services that address more than abstinence or harm reduction. AspenPointe Health Network SSPA-3 COMMUNITY ACTION PLAN PRIORITY: In the SB-202 SSPA-3 plan linked above on page 3, there is a list of priority areas. Please read this plan before considering discussion of a concept. For convenience, the priority areas listed on this plan are included following: Sustaining and Expanding Residential Services Sustaining and Expanding Detox Services (in Withdrawal Management RFP) Sustainable and Geographically Accessible Rural Detox Sustainable and Geographically Accessible Rural Outpatient Treatment Transitions to Recovery (Recovery Support Services RFP) Supportive Housing Services (Recovery Support Services RFP) Workforce Sufficiency and Capability/Competency MAT Expansion and Education (MAT RFP) Prevention - Primary and Secondary Outreach, Case/Care Management, System Navigation Specialty services which provide individual and overall health improvement (e.g., women s specific care) Integration with and Education for Primary Care Opioid and other drug/alcohol crisis management PROVIDER RESPONSE A. Program or service description 1. Identify the exact location(s) where services will be delivered. If there is more than one location, please discuss the rationale for multiple service locations. Were site(s) selected based on geographic need and advantageous client access? 2. Describe the proposed program in detail, including the specific population to be served. How many clients do you intend to serve, and for what specific time? 3. Is this a service your organization already offers? If so, how will you ensure you do not supplant funds and separate program growth from existing lines of business? 4. Will the proposed project expand capacity and/or increase client access? If so, please elaborate and provide baseline capacity data with forecasted growth for each subsequent SB 202 PRIORITY OVERVIEW Page 5 of 7
month (be specific). How will you ensure growth in the number of clients served? Will you market this program to the community, and if so, how? 5. How do you know this project is/will be successful? List the measures that will be used to track progress. Is it clear how each measure relates to the program or service goal? Please provide baseline program data and describe, in detail, how you will measure your success using well-defined outcomes. Designate specific performance goals. 6. Document how your organization operates and any applicable technologies/innovations it already uses/deploys which may be applicable to this proposal. Explain your organization's limitations and include any similar pilots or evidenced-based practices that are applicable to this project. B. Background and Justification of Need 1. Has a gap in services been defined in your community, organization? How was the gap identified and are other organizations involved in filling this gap? 2. How will the program impact, and more importantly, fill a void in current services? Please provide evidence and supporting data justifying the need for the program or service, using qualitative or quantitative data and/or a gap analysis. 3. Please describe, in detail, the need for the program or service in the community and whether the services exist elsewhere within the region. If similar services currently exist, clearly explain the need for additional funding? C. Continuum and Delivery of Requested Services 1. Describe the continuum included in the service offering below. Upon contract award, AspenPointe Health Network will work with service providers to develop and finalize project reporting formats and performance measures. 2. Expected outcomes for the program must address participants increases, decreases or maintenance of knowledge, skills, behaviors, condition, and/or status. 3. How will the provider track and meet reporting requirements? D. Implementation Timeline and Development of Key Elements of Proposal 1. What is the project timeline, specifically? Please include a proposed project start date, intermediate milestones and service delivery start if different from project start. 2. How will you ensure you can fulfill the project terms within this timeline? 3. Does the timeframe relate to the goals of the RFP? 4. Please describe the problems any challenges that may occur during the implementation phase. Include information about both key and/or optional requirements. E. Business Strategy for Sustainability 1. Does the project add additional staff, partially or wholly committed to successful outcomes? If no, how will your organization devote the necessary time and resources to make the project a success? 2. How will you sustain new staff, fund other non-personnel operating costs, and continue to deliver program services once funding is exhausted? 3. Identify program services which may generate income to offset on-going project expenses. 4. How will you sustain the program or services in the absence of this funding? Are there community partners or funders with whom your entity could collaborate to sustain this mission going forward? 5. How will the proposer braid funding to continue it beyond this first year initial funding from SB-202? F. Project Budget In addition to completion of the accompanying Capacity Budget/Invoice template please speak to the following questions: SB 202 PRIORITY OVERVIEW Page 6 of 7
1. Approximately what percentage (if any) of requested funds will be utilized for anything other than normal, recurring operating expenses (i.e., buildings, equipment, remodel expenses, or any other capital cost)? 2. Describe in a narrative, the planned use of project funds. What precisely will be funded with these dollars? What is the planned ratio between operating vs other costs, salary and benefit vs non-personnel expenses? 3. Include a Business Proposal indicating understanding, compliance with the intent of the funding and restatement of all provisions and requirements listed in section. 4. The goal is for increasing number of indigent clients served. Therefore this funding is intended to serve indigent clients. Indigent clients are defined as individuals whose household income is at or below 300% Federal Poverty Level (FPL). How will you determine which clients are eligible for this funding? ASPENPOINTE HEALTH NETWORK CREDENTIALING If not currently an AspenPointe Health Network provider, the provider must complete the AspenPointe Health Network credentialing process which will be provided as needed. The exception is the OBH licensing process which may begin concurrently for a provider offering these services. The required information should be included in the submission following receipt of the Credentialing Packet. EVALUATION AND DECISION AspenPointe Health Network will review all proposals upon receipt. Failure to provide a complete set of information requested in this document may result in exclusion from consideration. AspenPointe Health Network may seek clarifying information as necessary to make an informed decision either from the respondent provider or from other sources. All proposals will be reviewed by the AspenPointe Health Network SB-202 RFP Review Committee utilizing the SB 202 scoring template available upon request. Results will be available as soon as possible following receipt. After selection of a provider or providers for these services, AspenPointe Health Network will notify any remaining respondents of the decision. SB 202 PRIORITY OVERVIEW Page 7 of 7