Government Contract | New York
Medicaid Redesign Team Scattered Site Supportive/Supported Housing for Adults with SMI

Bid Information


Bid Alert No: 00000536785

Bid Title: Medicaid Redesign Team Scattered Site Supportive/Supported Housing for Adults with SMI

Agency Bid No. Title: Not Stated

Received Date: 04/13/2016

Close Date: 05/17/2016

Purchase Type: Not Stated

Delivery Point: Albany, New York

Delivery Date: Not Stated

Special Notices: Questions Due By 04/26/2016

Specifications

Specifications include, but are not limited to:. Scope of Work5.1 IntroductionOne (1) award for 24 units of scattered-site supportive housing will be made through this RFP. This RFP is issued to provide rental assistance, contingency funds, and housing case management services for 24 individuals who meet the criteria outlined below. Priority consideration must be given to those consumers who have an Assisted Outpatient Treatment (AOT) order. The housing and services developed through this RFP are designated for individuals with Serious Mental Illness as defined on Appendix D and who meet at least one of the following high need eligibility criteria: Individuals with a serious mental illness identified as high users of Medicaid in need of Scattered Site Supportive/Supported Housing who are referred by Health Homes. Individuals with a serious mental illness who are residents of NYS OMH Psychiatric Centers or OMH-operated residential programs. Individuals residing in NYS who have a mental illness and who are high users of Medicaid Services. Individuals with a serious mental illness who are being discharged from an Article 28 hospital or Article 31 hospital and in need of Scattered Site Supportive/Supported Housing or for whom housing would assist in a hospital diversion. Agencies awarded the contract(s) will be required to maintain accurate reporting of all admissions and discharges through OMHs Child and Adult Integrated Reporting System (CAIRS), and any requirements the OMH may subsequently develop to ensure documentation of Medicaid savings. Agencies will be required to provide residents CIN numbers to NYS OMH for Medicaid Spending Tracking. Agencies must work with the OMH Operated Psychiatric Center (PC) and the Health Homes established for the region where housing will be developed to target the appropriate housing for the population, i.e., provide in-reach, develop coordinated discharge/admission plans with PC staff, and Health Home(s) to identify/provide services and supports to ensure successful transition into the community. It is critical that agencies establish partnerships and/or collaborative agreements with at least one of the Health Homes serving their community and become a network partner in at least one Health Home. Note, however, that establishing a partnership with a particular Health Home does not preclude Scattered Site Supportive/Supported Housing agencies from being required to serve all individuals regardless of which Health Home they are assigned to. It is an11 expectation that agencies will work with all Health Homes regardless of established partnerships. Individuals moving into this Scattered Site Supportive/Scattered Site Supportive/Supported Housing should be enrolled in a Health Home or Managed Long Term Care Plan (MLTC) to receive care coordination. Home and Community Based Services may be available to HARP-eligible individuals. In addition, consumers may have access to Assertive Community Treatment (ACT) and Personalized Recovery Oriented Services (PROS). If the person being referred is not yet enrolled in a Health Home or MLTC it will be incumbent upon the Psychiatric Center staff or Housing agency to make a referral to the Health Home or MLTC. Lack of enrollment should not preclude high need individuals from being referred and admitted into a Scattered Site Supportive/Supported Housing unit. A list of designated Health Homes is available on the NYS Department of Healths website 5.2 Objectives and ResponsibilitiesScattered Site Supportive/Supported Housing is extended stay/permanent housing. Residents of this housing can remain in this housing as long as their clinical and financial circumstances render them eligible and allow them to meet their responsibilities as a tenant. Housing is not lost during acute hospitalization (90 days or less), and there are no program attendance requirements. Residents of Scattered Site Supportive Housing are tenants and will have the same rights and responsibilities as any other tenant in New York City. Scattered Site Supportive /Supported Housing provides affordable, independent housing and access to community based support services based on the needs and desires of the resident. Residents of this housing may be able to live in the community with a minimum of staff intervention from the contract agency. Others may need the provision of additional supports, such as an Assertive Community Treatment (ACT) team and intensive or supportive case management services. Some residents may be coping with co-occurring substance abuse disorders and be at various stages of recovery. Services provided by the contractor will vary, depending upon the needs of the resident. Scattered Site Supportive/Supported Housing staff will encourage and assist residents to develop natural community supports, use community resources and pursue an individualized path towards recovery. Staff will help the individual to establish a household and facilitate the resolution of landlord-tenant issues. It is expected that the need for services provided by the contractor and other agencies will decrease over time as integration in the community improves and the residents make progress in their recovery. When possible, tenants should hold their own leases. Renting studio, one- bedroom and two-bedroom apartments scattered throughout the community is the norm. In instances where roommates are involved, the agency must facilitate cooperative arrangements on bill payments, division of household responsibilities and other matters. Scattered Site Supportive Housing is integrated housing that consists of scattered12 site apartments located in multiple buildings throughout the community. The goal is to provide individuals with a setting in which they live in their own apartments and are able to interact with non-disabled persons to the fullest extent possible. There is no capital funding associated with this initiative to purchase or renovate an existing apartment building. Scattered Site Supportive/Supported Housing funding made available through this RFP provides rent stipends, housing case management services, and contingency funds as specified in the Scattered Site Supportive/Supported Housing Guidelines. There are no OMH licensing requirements. Contractors must comply with the OMH Scattered Site Supportive/Supported Housing Guidelines. A copy of the OMH Supported Housing Guidelines is posted on OMHs website as part of this RFP and should be reviewed prior to responding to the RFP. In addition, all buildings in which apartments are located must have a valid Certificate of Occupancy (where the C of O is applicable). The OMH New York City Field Office monitors Scattered Site Supportive/Supported Housing and conducts site visits to review compliance with the Guidelines. 5.3 Reporting RequirementsAgencies that receive an allocation of housing resources under this RFP must agree to ensure that these units will only be filled by: Individuals with a serious mental illness identified as high users of Medicaid in need of Scattered Site Supportive/Supported Housing who are referred by Health Homes. Individuals with a serious mental illness who are residents of NYS OMH Psychiatric Centers or OMH-operated residential programs. Individuals residing in NYS who have a mental illness and who are high users of Medicaid Services. Individuals with a serious mental illness who are being discharged from an Article 28 hospital or Article 31 hospital and in need of Scattered Site Supportive/Supported Housing or for whom housing would assist in a hospital diversion. Agencies must conform to all OMH fiscal reporting requirements as outlined in the Aid to Localities Spending Plan Guidelines. Agencies awarded the contract(s) will be required to maintain accurate reporting of all admissions and discharges through OMHs Child and Adult Integrated Reporting System (CAIRS), and any requirements the OMH may subsequently develop to ensure documentation of Medicaid savings. Agencies will be required to provide residents CIN numbers to NYS OMH for Medicaid Spending Tracking. Agencies must work with the OMH Operated Psychiatric Center (PC) and the Health Homes established for the region where housing will be developed to target the appropriate housing for the population, i.e., provide in-reach, develop coordinated discharge/admission plans with PC staff, and Health Home(s) to13 identify/provide services and supports to ensure successful transition into the community. It is critical that agencies establish partnerships and/or collaborative agreements with at least one of the Health Homes serving the region. If Health Homes are not yet established in the region where housing will be developed, agencies must agree to become a network member of the Health Home upon its establishment. Referrals for these Scattered-Site Supportive units will need to be reviewed, tracked, and monitored by the OMH. 5.4 Operating FundingFunding for Scattered Site Supportive /Supported Housing is a combination of client rent payments and OMH funds. Residents of Scattered Site Supportive/Supported Housing are required to pay no more than 30 percent of their net income for rent and reasonable utilities. Contractors will receive annual funding for units developed under this initiative though an OMH contract at the current New York City Scattered Site Supportive/Supported Housing rate (currently $15,874 per unit). This funding is for rent stipends, housing case management services and contingency funds, as specified in the Scattered Site Supportive/Supported Housing Guidelines. 5.5 Proposal NarrativeWhen submitting proposals for funding under this RFP, the narrative must address all of the components listed below, in the following order: 5.5.1 Population 1. State your commitment to filling these units in coordination with the NYC Field Office, the Single Point of Access (SPOA), along with the state psychiatric center that is being targeted. Indicate what regionally based Health Home(s) your agency is a network member of or what Health Home (s) your agency will become a network member. 2. Describe in narrative form the characteristics of the High Service Medicaid Use population to be served in Scattered Site Supportive/Supported Housing. Discuss such population characteristics as likely service history, present functional level, educational level, job history, forensic history, community living skills, existence of social supports, substance abuse history. 3. Describe in narrative form the service needs of the High Service Medicaid Use population, specific to the characteristics described in (2) above. Describe the approach that will be used to ensure the successful transition of individuals and their retention in the community.14 5.5.2 Housing Implementation 1. List the types/categories of housing you currently have in each borough. Please note housing that is NY/NY I, II, or III. If your agency does not have established housing in the region being targeted to develop the housing units in, please explain how you propose to develop this housing. Please explain what boroughs your agency intends to develop the housing. 2. Describe admission criteria and procedures including the information flow you would create to streamline and track referrals from HH care managers, including any necessary interface with HRA, OMH Field Office, and SPOA. 3. Describe the process your agency currently uses to develop an individualized community re-integration strategy that will address specialized needs of this population such as physical health needs (long term care) and mental health wrap around services and how this will be modified to work collaboratively with the HH care managers. Describe the services that will be provided directly by the sponsoring agency. 4. Explain how your agency will work with the health home to develop an integrated plan of care including mental health, physical health and substance abuse service if indicated and community supports necessary for the person to succeed in the chosen apartment. Describe how the housing service plan developed in collaboration with the HH care managers will be reviewed with the resident. Describe the role of the HH care manager and the role of the housing support staff. Describe how choice will be accommodated during the housing selection process. If an individual will share an apartment, explain how they will be matched and how roommate issues will be resolved. Include the agencys policy regarding family re-unification. 5. Identify community-based resources that will be available to residents through referrals and/or linkage agreements. Indicate how these services support the residents recovery from mental illness and substance abuse. Describe how all services will take into account the cultural and linguistic needs of the individual. Explain how Health Homes will be used to support the service needs of the individual. 6. Describe what resources your agency has to meet the needs of individuals who move directly into Scattered Site Supportive/Supported Housing. 7. Provide a staffing plan. Note if these proposed units will be part of the agencys current Scattered Site Supportive/Supported Housing, and if so, explain the impact on staffing ratios. Include a description of the roles and responsibilities of each staff member. Indicate the skills and experience each staff member will be expected to have. Describe initial and ongoing staff training and supervision. Describe the use of peer to peer services and supports that will be available. 8. Describe resident assessment procedures and the development of a person- centered, strengths-based support plan developed in coordination with the HH care manager. Attach a copy of any resident assessment tools and a sample support plan. Describe the process of support planning that will incorporate15 strategies to engage and motivate residents towards their recovery and provide an appropriate response to residents who are at risk of relapsing and/or begin not taking their medications. Discuss methods for ensuring integrated services for residents with co-occurring substance dependence/use disorders. Describe how residents will be assisted when a mental illness or substance use relapse occurs. Explain the process for handling resident emergencies after hours and on weekends. Describe your agencys procedures to minimize the use of 911 calls. 9. Attach a copy of the proposed lease or sublease agreement. For sublease arrangements, provide the rent collection and rent arrears procedure. Describe the supports provided by the agency to appropriately ensure rent payment is made on time by residents. Provide the policy and procedure for terminating tenancy. Include a description of the range of interventions that would be used to prevent someone from losing their housing. 10. Attach the grievance procedure that will be provided to residents. Explain how residents are empowered to provide input into Scattered Site Supportive/Supported Housing practice on a formal and informal basis. 5.5.3 Agency Performance 1. Describe the agencys experience and approach in providing recovery- oriented housing and/or mental health services to persons with mental illness, including helping these individuals achieve their rehabilitation and recovery goals. Include experience serving justice involved individuals with a co-occurring disorder of serious mental illness and substance abuse. 2. Current licensed OMH housing agencies must note their agency's ability to target OMH priority populations, average length of stay and ability to transition individuals into independent housing. OMH and DOHMH Housing agencies should indicate occupancy levels and ability to accept OMH and /or DOHMH priority populations. OMH providers shall base their response on the most recently published Residential Program Indicators Report. Also, please note that OMH agencies will be evaluated on the timeliness of CAIRS reporting. 3. Applicants that do not hold a current OMH housing contract must describe a situation where successful interventions were used to assist an individual with meeting his/her goals. 4. Applicants that do not hold a current OMH contract for housing must submit a copy of the agency's most recent audited financial statement. In addition, the applicant must attach a copy of recent monitoring reports of any housing or mental health service program the agency operates that is issued by a city, state or federal government agency. Note: The OMH internal review will consist of an assessment of the bidders organizational competency. This will include a review of the bidders residential programs over the past two years. Previous OMH actions including, but not limited16 to, fines, revocations of operating certificates, limitations on operating certificates and/or repeat citations impacting client care will be reviewed in scoring agency performance. Additional areas of organizational competence include: Scattered Site Supportive/Supported Housing review forms, percentage of admissions from OMH PCs or OMH-operated residential programs; transition of residents to more independent housing; and accuracy and timeliness of CAIRS reporting. If an agency received an award of housing from a previous allocation, the agencys performance in filling the units within the contractual time frame and with the priority population specified will be rated. 5.5.4 Financial Assessment 1. Attach an operational budget. Include start-up costs in Year 1 of the budget and assume a full year of operating funds (see Appendix B). The start-up should include the amount needed for the establishment of the units, including cost of staffing, broker fees, security deposits, furniture, moving expenses and other expenses. Show sources of income including client rent and OMH funding. Bidders should list staff by position, full-time equivalent (FTE), and salary. 2. Describe how client and, when applicable, non-client rent will be calculated. Explain how your agency plans to utilize contingency funds. Highlight other sources of funding, if any. Describe how your agency manages its operating budget. Also, bidders must complete a Budget Narrative which should include the following: detailed expense components that make up the total operating expenses; the calculation or logic that supports the budgeted value of each category; description of how salaries are adequate to attract and retain qualified employees; and description of how apartment rental assumptions and utility costs are calculated within the geographic area in which they are located. Use the Operating Budget (Appendix B) and the Budget Narrative (Appendix B1) to submit with your proposal. The Operating Budget (Appendix B) is a separate document on the RFP section of the OMH website and can be downloaded in PDF format. Do not substitute your own budget format. Failure to complete the Operating Budget using the correct form may be cause to reject your proposal for non-responsiveness

Product Codes: 95262, 95278, 95200

Agency Information


Issuing Agency: State of New York-Office of Mental Health

State: New York

Agency Type: State and Local

Contact: Carol Swiderski, Contracts and Claims Contracts and Claims, 44 Holland Avenue, Albany, New York, 12229

Fax: 518-402-2529

Email: carol.swiderski@omh.ny.gov

< PREVIOUS PAGE

GET A FREE
MARKET
ANALYSIS

FREE Market Analysis


Get a FREE 90-Day Market Analysis and see the bids you’ve been missing

GET BIDS NOW