REQUEST FOR INFORMATION

Home and Community Based Services-Adult Mental Health

(HCBS-AMH)

Assisted Living Services

Issued:August 29, 2017

Proposals Due:September 18, 2017

Point of Contact:Janie Solis

Contracts/Purchasing Manager

TROPICAL TEXAS BEHAVIORAL HEALTH

REQUEST FOR INFORMATION

HCBS-AMH Assisted Living Services

TABLE OF CONTENTS

I.Introduction …………………………………………………………………………..Page 3

II.Calendar of Events ………………………………………………………………….Page 3

III.Scope of Project .…………………………………………………………………….Page4

IV.Criteria for Evaluation ……………………………………………………………….Page 4

V.Proposal Requirements ……………………………………..………………………Page 4

VI.General Conditions ………………………………………………………………….Page5

VII.Procedures for Submitting Proposal ..…………………………………………….Page7

VIII.Board of Trustees Approval …………………………………………………………Page7

IX.Request for Proposal Inquiries ………………………………………………………..Page8

Attachments:

Conflict of Interest Questionnaire (CIQ) Form

Disclosure of Kinship

Notice of Felony Conviction

TROPICAL TEXASBEHAVIORAL HEALTH

SPECIFICATIONS

HCBS-AMH Assisted Living Services

  1. INTRODUCTION

TropicalTexasBehavioral Health (TTBH) is a community center providing services to individuals with mental illness, intellectual and developmental disabilities, or addiction disorders. TTBH was established under Article 534, Texas Health and Safety Code, V.T.C.A., and is operated through a nine-person Board of Trustees. TTBHprovides services to residents of Hidalgo, Cameron and Willacy counties.

Notice is hereby given that TTBH will receive proposals from all interested parties for the provision of assisted living services to individualswho have resided in Texas state mental health facilities for extended periods of time. TTBH has received funding from the Department of State Health Services (DSHS) through the newly created Home and Community-Based Services-Adult Mental Health Program (HCBS-AMH) to provide home and community based services to adults with extended tenure in psychiatric hospitals. Sealed proposals will be received at the office of Janie Solis, Contracts/Purchasing Manager, until 2:00 p.m._September 18, 2017.

Each proposal should specifically address the requirements described in the proposal requirements. Clarifying information is required on all proposed exceptions or alternatives should be provided in the proposal. Language in the requirements should not be construed so as to preclude a proposer from presenting alternative features (in detail) to the ones stated. All listed and described alternatives will be evaluated by TTBH.

The award of contract(s)to provide assisted living services will be made to the responsive proposal(s) that demonstrate experience in providing these services and determined to be in compliance with the provisions of the specifications.

  1. CALENDAR OF EVENTS

Target DateDescription

September 03, 2017Advertise notice in the newspapers

September 10, 2017

September 04, 2017RFI distributed to interested providers

September 18, 2017Receive proposals from interested providers

by 2:00 p.m.

To Be DeterminedBoard of Trustees presentation for award of

contract

To Be DeterminedContract start date

  1. SCOPE OF PROJECT

The scope of the proposalis to select qualified provider(s) to provideAssisted Living servicesto individuals served by TTBH. Funding for the contract(s) will be through the Department of State Health Services (DSHS).

Assisted Living Services are described as:

  • Personal care, homemaker, and chore services;
  • Medication oversight;
  • Therapeutic, social, and recreational programming provided in a home-like environment in a licensed community setting on conjunction with residing in the assisted living setting.
  • 24-hour on-site response staff to meet schedule or unpredictable needs in a way that promotes maximum dignity and independence;
  • Supervision, safety, and security.

Assisted Living is furnished to individuals who reside in their own living units, which may include dually-occupied units when both occupants consent to the arrangement, that contain bedrooms and toilet facilities, and may or may not include kitchenette and/or living rooms. The Assisted Living setting must have a central dining room, living room or parlor, and common activity center(s) which may also serve as living rooms or dining rooms.

Assisted Living is inclusive of assisting individuals in acquiring, retaining, and improving skills such as communication, self-help, domestic, self-care, socialization, fine and gross motor skills, mobility, personal adjustment, relationship development, use of community resources, and adaptive skills necessary to reside successfully in home and community-based settings.

  1. CRITERIA FOR EVALUATION

Providers that wish to respond to the RFI will be required to provide a completed questionnaire (attached) that includes information regarding experience and reputation. Contracts will be awarded to providers that demonstrate experience in providing these services and determined to be in compliance with the provisions of the specifications.

V.PROPOSAL REQUIREMENTS

Proposals are required to address the following:

  1. A brief profile of the provider’s company and experience in providing assisted living services.
  1. Completed questionnaire that provides information regarding experience and reputation.
  1. A statement that provideris not disbarred, suspended or otherwise prohibited from professional practice by any federal, state or local agency.

4.A list of business references including business name, address, contact name, email address, and telephone number. A minimum of three (3) references is required.

5.Furnish TTBH with any additional information considered essential to the proposal.

6.Complete the attached Conflict of Interest Questionnaire (CIQ) Form, Disclosure of Kinship, and Notice of Felony of Conviction.

VI.GENERAL CONDITIONS

The following conditions and information applies to all proposals:

  1. Right to Accept or Reject Any/Or All Proposals. TTBH reserves the right to accept or reject any or all proposals submitted and to waive any informality in proposals received. TTBH also reserves the right to request additional information from proposers. Award will be made to the provider(s) which, in the opinion of TTBH, is the best qualified and is in the best interest of TTBH and TTBH clients.
  1. Late Proposals. Proposals received after the submission deadline shall be unopened and will be considered VOID AND UNACCEPTABLE. TTBH is not responsible for the lateness of mail, courier, etc.
  1. Altering Proposal. Proposals cannot be altered after the submission deadline. Any interlineations, alteration, or erasure made before the opening must be initialed by the signer of the proposal.
  1. Addenda. Any interpretations, corrections, or changes to this Request for Information will be made by addenda. Addenda will be mailed, faxed, or emailed to all parties that are known to have received a copy of the Request for Information.
  1. Oral Interviews. Oral interviews may be required.
  1. Proposals Retained. All proposals submitted become the exclusive property of TTBH.
  1. Changes. No oral statement of any person shall modify or otherwise change or affect the terms, conditions, plans and/or specifications stated in the various proposal packages and/or proposal instructions/requirements.
  1. Ethics. The proposer shall not accept or offer gifts or anything of value, nor enter into any business arrangement with any employee, official or agent of TTBH.
  1. Minimum Standards for Responsible Proposer. A prospective proposer must affirmatively demonstrate proposer’s responsibility. A prospective proposer must meet the following requirements:
  1. Have adequate financial resources, or the ability to obtain such resources as required;
  2. Be able to comply with the required or proposed delivery schedule;
  3. Have a satisfactory record of performance; and
  4. Be otherwise qualified and eligible to receive an award.
  1. Rights to Request Additional Information. TTBH may request representation and other information sufficient to determine proposer’s ability to meet these minimum standards listed above.
  1. References. TTBH requires proposer to furnish, with this proposal, a list of at least three (3) references where like services have been supplied by the provider. Include the name of the business, address, contact name, email, and telephone number.
  1. Documentation. Proposer shall provide, with this proposal response, all documentation required by the proposal. Failure to provide this information may result in rejection of the proposal.
  1. Silence of Specifications. The apparent silence of these specifications as to any detail or to the apparent omission from it of a detailed description concerning any point shall be regarded as meaning that only the best practices are to prevail. All interpretations of these specifications shall be made on the basis of this statement.
  1. Legibility. Proposals must belegible and of a quality that can be reproduced.
  1. Vendor Proposal and Demonstration Costs. All costs incurred by the proposer associated with preparing proposal responses shall not be charged to TTBH.
  1. Sales Tax. TTBH is, by statute, exempt from State sales tax and Federal excise tax.
  1. Time of Award. Awardmay be made during a TTBHBoard of Trustees meeting (date to be announced). TTBH reserves the right to schedule a Special Called Meeting on another date for the purpose of making the award.
  1. Contract Award. Awarding of the contract will be made by TTBH’s Board of Trustees. The term of this agreement will begin upon final execution of the contract by both parties and will extend until final acceptance of the completed project by TTBH.

The following provisions may apply to the contract with the selected provider:

  1. Contract. TTBH reserves the right to negotiate a contract with the selected provider(s). This proposal, when properly accepted by TTBH, shall constitute a contract equally binding between the successful proposer and TTBH. No different or additional terms will become part of this contract.
  1. Indemnification. The provider will indemnify TTBH against any claims, demands, and judgments of sums of money to any party accruing against TTBH for the loss of life or injury or damage to persons or property growing out of or resulting from this agreement.
  1. Termination for Default. TTBH reserves the right to enforce the performance of this contract in any manner prescribed by law or deemed to be in the best interest of TTBH in the event of breach of default of this contract. Non-performance of the provider in terms of specifications shall be a basis for the termination of the contract by TTBH. TTBH shall not pay for services which are unsatisfactory. Provider will be given a reasonable opportunity before termination to correct deficiencies. This, however, shall in no way be construed as negating the basis for termination for non-performance.
  1. Independent Contractor. Provider will be considered an independent contractor and not an employee of TTBH for any purpose. TTBH will not withhold or pay on behalf of Provider any sums for income tax, unemployment insurance, social security, or any other withholding, or make available to Provider any of the benefits, including workers’ compensation insurance coverage, afforded to employees of TTBH. All such benefits, if any, are the sole responsibility of the Provider.
  1. Insurance. Provider agrees to maintain at its sole cost and expense policies of general and liability insurance coverage to insure Provider and TTBH against any claim for damages arising in connection with Provider’s responsibilities under the contract. Provider shall furnish copies of general and liability insurance policies and a certificate of insurance to TTBH prior to execution of the contract.
  1. Certification of Child Support Payment Obligor. Under Section 231.006 (Texas Family Code related to child support), a contractor is considered ineligible to receive payments from TTBH in the event contractor is past due on child support payments.
  1. Confidentiality of Information and Prohibition Against Disclosure. In accordance with Texas Health and Safety Code, Chapter 611, and the Texas Administrative Code, Chapter 414, Subchapter A, “Protected Health Information”,Provider may not disclose confidential communications or records except as provided by Section 611.004 or 611.0045.
  1. Contractual Abeyance or Bar. Prior to the execution of a contract, Provider must notify TTBH if it is, or becomes held, in abeyance or barred from the award of a federal or state contract during the term of the contract.

VII. PROCEDURES FOR SUBMITTING PROPOSAL

Submit one (1) signed original (clearly marked) and three (3) copies of the Proposal and any attachments in a sealed envelope, marked “Assisted Living Services RFI_2017”. Proposals must be received no later than 2:00 p.m. on _September 18, 2017 and should be addressed to:

Attn: Janie Solis

Contracts/Purchasing Manager

TropicalTexasBehavioral Health

1901 South 24th Avenue

Edinburg, TX 78539

or

P.O. Box 1108

Edinburg, TX78540-1108

VIII. BOARD OF TRUSTEES APPROVAL

TTBH’s Board of Trustees will make the final selection of the award, if any, at one of its scheduled meetings.

TTBH reserves the right to reject, for any reason and at its sole discretion, in total or in part, any and/or all proposals, regardless of comparability for price, terms or any other matter, to waive any formalities, and to negotiate on the basis of the proposals received for the most favorable terms and best service for TTBH. If aprovider(s) is selected, TTBH will execute a contract. If funds become unavailable through lack of appropriations, budget cuts, or any other disruption of current appropriated funding for the contract, TTBH may restrict, reduce, or terminate funding for the contract.

No contract shall be deemed to exist between TTBH and provider(s) until a mutually acceptable, comprehensive and binding agreement has been executed by TTBH and provider(s). A countersigned copy of the proposal or any other preliminary written agreements shall not suffice to bind TTBH to any legal obligation of any kind whatsoever regarding the work considered hereby.

  1. IX. REQUEST FOR INFORMATION INQUIRIES

Direct proposal inquiries to JanieSolis, Contracts/Purchasing Manager

QUESTIONNAIRE:

A. Demographics

Business Name: ______

Street Address: ______

City: ______State: ______Zip Code: ______

Phone: ______E-Mail: ______

Number of Years in Operation: ______Website address ______

Contact Person: ______Title: ______

Phone: ______E-Mail: ______

Billing Address if Different From Above (include Street, City, State and Zip Code)

______

______

Billing Manager: ______

Phone: ______E-Mail: ______

B.Programming/Treatment

1.What is your facility’s bed capacity for assisted living services?

2.Provide the location(s) of your facility(ies).

3.Do you currently bill Medicaid for services?

4.What is the average cost per stay?

C.Licenses, Accreditations, Staffing

List all licenses, credentials, certifications, and/or accreditations the Provider currently holds related to the services. Provide copies of all licenses, certifications, and accreditations.

Provide a list of staff who will be involved in the contract and their corresponding education and license credentials. Designate if they are full time, part time, or on call.

D.Statement

Provide a statement detailing why Provider’s services best meet the needs of persons requiring assisted living services. Identify any best practices Provider is currently utilizing in delivering services similar to the services sought under this RFI.

List any workload measures or data collected and used that pertains to positive outcomes for this population. Describe how Provider links services or provides continuity of care with other providers. Describe how Provider collaborates and shares data with other providers and any limits of this sharing.

CONFLICT OF INTEREST (CIQ) QUESTIONNAIREFORM CIQ

For vendor or other person doing business with local governmental entity

This questionnaire is being filed in accordance with Chapter 176 of the Local Government Code by a person doing business with the governmental entity.

By law this questionnaire must be filed with the records administrator of the local government not later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed. See Section 176.006, Local Government Code.

A person commits an offence if the person violates Section 176.006, Local Government Code. An offense under this section is a Class C misdemeanor.

1. Name of person doing business with local governmental entity.

2. ___ Check if you are filing an update to a previously filed questionnaire.

(The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than September 1 of the year for which an activity described in Section 176.006(a), Local Government Code, is pending and not later than the 7th business day after the date the originally filed questionnaire becomes incomplete or inaccurate.)

3. Describe each affiliation or business relationship with an employee or contractor of the local governmental entity who makes recommendations to a local government officer of the local governmental entity with respect to expenditure of money.

4. Describe each affiliation or business relationship with a person who is a local government officer and who appoints or employs a local government officer of the local governmental entity that is the subject of this questionnaire.

CONFLICT OF INTEREST (CIQ) QUESTIONNAIREFORM CIQ

For vendor or other person doing business with local governmental entity Page 2

5. Name of the local government officer with who filer has affiliation or business relationship. (Complete this section only if the answers to A, B, or C is YES.)

This section, item 5 including subparts A, B, C & D, must be completed for each officer with whom the filer has affiliation or business relationship. Attach additional pages to this Form CIQ as necessary.

A. Is the local government officer named in this section receiving or likely to receive taxable income from the filer of the questionnaire? _____Yes _____ No

B. Is the filer of the questionnaire receiving or likely to receive taxable income from or at the direction of the local government officer named in this section AND the taxable income is not from the local governmental entity? _____ Yes _____ No

C. Is the filer of this questionnaire affiliated with a corporation or other business entity that the local government officer serves as an officer or director, or holds an ownership of 10 percent or more?

_____ Yes _____ No

D. Describe each affiliation or business relationship.

6. Describe any other affiliation or business relationship that might cause a conflict of interest.

7.

______

Signature of person doing business with the governmental entity Date

TROPICAL TEXAS BEHAVIORAL HEALTH

DISCLOSURE OF KINSHIP

(check applicable)

( )I certify that no person who is employed by our company, ______,

a bidder on a project of Tropical Texas Behavioral Health, is related to any of the members of the Board of Directors within any of the following degrees of relationship:

CONSANGUINITY (blood relatives)

1st degree of consanguinity: parent, child

2nd degree of consanguinity: brother, sister, grandparents, grandchildren

3rd degree of consanguinity: great-grandparents, great-grandchild, brother or sister’s child, parents’ brother or sister

AFFINITY (related by marriage)