Request for Information - Constant...
-
Upload
truongphuc -
Category
Documents
-
view
218 -
download
3
Transcript of Request for Information - Constant...
Request for Information Autism Center of Excellence
Page 1 of 15 Nov. 1, 2016
Request for Information (RFI) Contact Person:
Bryan Belanger Email: [email protected]
Send questions and responses to: [email protected]
Description: Autism Center of Excellence
Information Due: Friday 12/2/2016 3:00 p.m. Arizona Time
PLEASE FORWARD QUESTIONS CONCERNING THE REQUEST FOR INFORMATION (RFI) TO
[email protected], VIA E-MAIL ON OR BEFORE WEDNESDAY 11/9/2016, 3:00 PM ARIZONA
TIME. TELEPHONIC QUESTIONS WILL NOT BE ANSWERED.
Responses to the RFI must be submitted to the contact listed above, on or prior to the date and
location indicated above. Late responses will not be considered.
Instructions for preparing a response are included in this request. In-person presentations, site
visits or readiness review will be scheduled as needed for additional information gathering if
necessary.
RESPONDENTS ARE STRONGLY ENCOURAGED TO CAREFULLY READ THE ENTIRE RFI
SUBMISSION OF A RESPONSE TO THIS RFI DOES NOT GUARANTEE AN OFFER OF CONTRACT.
Request for Information Autism Center of Excellence
Page 2 of 15 Nov. 1, 2016
Contents Overview ....................................................................................................................................................... 3
Purpose ......................................................................................................................................................... 3
Program Description .................................................................................................................................... 3
Collaboration............................................................................................................................................. 4
Functional Outcomes ................................................................................................................................ 5
Accessible Services .................................................................................................................................... 6
Best Practices ............................................................................................................................................ 6
Appropriate Setting ................................................................................................................................... 7
Timeliness ................................................................................................................................................. 7
Services Tailored to the Member and Family ........................................................................................... 7
Stability ..................................................................................................................................................... 8
Respect for the Member and Family’s Unique Cultural Heritage ............................................................. 8
Independence ........................................................................................................................................... 8
Connection to Natural Supports ............................................................................................................... 8
How to Respond ........................................................................................................................................... 9
Information Request .................................................................................................................................... 9
1.0 Organization & Intent ......................................................................................................................... 9
2.0 Capacity ............................................................................................................................................... 9
3.0 Program Design ................................................................................................................................... 9
4.0 Quality Management and Training ................................................................................................... 10
5.0 Reporting........................................................................................................................................... 10
6.0 Staffing and Supervision ................................................................................................................... 10
7.0 Staff Retention .................................................................................................................................. 11
8.0 Implementation Plan ........................................................................................................................ 11
9.0 Budget ............................................................................................................................................... 11
Reference Documents ................................................................................................................................ 13
Request For Information Cover Page......................................................................................................... 13
End Notes .................................................................................................................................................... 13
Request for Information Autism Center of Excellence
Page 4 of 15 Nov. 1, 2016
Overview Mercy Maricopa Integrated Care (Mercy Maricopa) and Mercy Care Plan (MCP) are looking for innovative
ideas and programs to develop the Autism Center of Excellence and enhance whole-health outcomes for
this population. We are seeking service providers who encompass and incorporate the Arizona Vision, the
Arizona Twelve Principles, Guiding Principles for Recovery-Oriented Adult Behavioral Health Services and
Systems, Patient Centered Medical Home principles, and best practices for Autism Spectrum Disorder
according to the American Academy of Pediatrics and the American Academy of Child and Adolescent
Psychiatry. The agencies selected to provide this program will continue to be on the forefront with Mercy
Maricopa and MCP in ensuring fully integrated care for members and families. The expectation is that
participating providers will efficiently and effectively manage the coordination of services across systems
through member and family team facilitation, as well as other services necessary to support and empower
families to thrive in their community. The Autism Center of Excellence will serve as a role model in
collaboration with the entire team promoting member and family voice and choice.
Program Description The Autism Center of Excellence will be a hub of knowledge and technical assistance within our system
and will facilitate the advanced coordination of high quality services to drive holistic outcomes. This will
be achieved through our framework for multi-system collaboration (Figure 1.0) that is grounded in the
Arizona Vision, the Arizona Twelve Principles, and the Guiding Principles for Recovery-Oriented Adult
Behavioral Health Services and Systems, and emphasizes the role of the member and their family in the
driver seat of their care. Our approach is to support families to not only advocate for the member’s care,
but teach them skills to help them actively participate in the member’s success.
Services will be guided by a multi-disciplinary, comprehensive assessment that considers the various
environments in which members live, including the school environment where they spend a majority of
their time during the week. Drawn from this assessment, service planning will be developed based on
evidence-based practices and will include strategies for families and natural supports to learn skills and
participate in the member’s care. Those skills will include non-verbal communication, sensory-sensitivity
and in-home behavior management. The Autism Center of Excellence will take a specialized approach that
focuses on developmental milestones and functional skills development with keen attention to providing
consistency and stability across systems through advanced coordination of care.
Request for Information Autism Center of Excellence
Page 5 of 15 Nov. 1, 2016
Figure 1.0 Autism Center of Excellence Framework for Multi-System Collaboration
Service Expectations
In accordance with the Arizona Vision, the Arizona Twelve Principles, and the Guiding Principles for
Recovery-Oriented Adult Behavioral Health Services and Systems, the Autism Center of Excellence will
maintain, at a minimum, the following expectations.
Collaboration The Autism Center of Excellence will coordinate care across all providers and systems involved with the
member and family. The Center of Excellence will:
Promote the member and family as the leaders of their care to other systems and team members
Serve as the ‘hub’ of the member’s care, facilitating advanced coordination with all ‘spokes’
supporting the member and family
Work with the member and family to actively participate in the assessment process and determine
who will be involved in service planning, the Child and Family Team (CFT), or the Adult Recovery Team
(ART)
Behavioral Health
•EBPs
•Transition to adulthood
•Inpatient
•Crisis Services
•Outpatient Services
Physical Health and Rehabilitation Services
•Dental/ Vision/ Hearing
•Preventive Care
•Specialists
•Home Health
•Inpatient
•Speech Therapy
•Occupational/Physical Therapy
Community Connections
•Family Support
•Peer Support
•Meaningful Day Activities
•Health Promotion
•Employment/Vocational Training
Stakeholders
•Department of Education
•Arizona Long Term Care System (ALTCS)
•Division of Developmental Disabilities
•Department of Child Safety
•DCS Specialist
•Foster care agency
•Therapeutic/foster care parent
•Department of Economic Security
Member
& Family
Request for Information Autism Center of Excellence
Page 6 of 15 Nov. 1, 2016
Include at all times Department of Education (ADE), Division of Developmental Disabilities (DDD),
Arizona Department of Juvenile Corrections (ADJC), Juvenile Justice, Arizona Department of
Corrections (ADOC), Adult Probation, Department of Child Safety (DCS) and other related system
partners in the planning and service coordination for members and families
Maintain appropriate documentation, coordination and communication with all integrated health
partners and assigned primary care physicians
Engage families and multi-system/inter-disciplinary service providers into the CFT or ART process
Serve as a role model for the implementation of the CFT or ART process, performance in a team
approach and supporting member and family voice and choice
Support and work with behavioral health professionals who are credentialed to complete the core
assessment, develop and implement crisis and general service plans as appropriate
Schedule and ensure services are delivered within all required timeframes
Participate, and when appropriate, lead the CFT /ART in the continuing assessment process
throughout the course of services
Seek out and actively participate in the Exceptional Student Services process (as invited) to provide
consistency and fluency in clinical treatment provided in clinical treatment and services provided in
the classroom through the Department of Education. At a minimum:
o Know the individual’s eligibility categories for exceptional student services (and request initial
eligibility determination/re-evaluation as appropriate)
o Coordinate care with the member’s school-based multi-disciplinary evaluation team and
individualized education plan team
Ensure services are planned and delivered in accordance with practice protocols
Address all domains of the Autism Center of Excellence Framework in the service plan and coordinate
services with appropriate system(s)
Advocate and ensure that those with Autism are enrolled in supports and services in other systems
according to their eligibility
Provide consultation and technical assistance to members of the individual’s team regarding Autism
Spectrum Disorders and evidence-based practices
Functional Outcomes The Autism Center of Excellence will:
Be responsible for tracking and reporting the member’s and family’s progress on goals outlined by the
CFT/ ART in the service plan
Monitor functional outcomes as a part of the CFT/ART in the manner and frequency as required by
the Arizona Health Care Cost Containment System (AHCCCS), Mercy Maricopa, and MCP
Accessible Services The Autism Center of Excellence and their families will:
Provide information about available services to the member, family and the CFT/ART to aid in the
identification of the most appropriate services, including the use of specialty providers if clinically
indicated
Teach members and families to self-advocate for supports and services from other systems and
provide assistance to navigate those systems
Request for Information Autism Center of Excellence
Page 7 of 15 Nov. 1, 2016
Best Practices The Autism Center of Excellence will make sure that:
All clinical staff are trained on, and show competency related to:
o The Arizona 12 Principles
o The Guiding Principles for Recovery-Oriented Adult Behavioral Health Services and Systems
o CFT Facilitation training
o Adult Recovery Teams
o AHCCCS EPSDT standards
o Autism Spectrum Disorders
In order to ensure collaboration between all team members, all clinical staff are trained on, and show
basic understanding related to:
o Applied Behavioral Analysis (ABA) techniques of data collection, contingency management
and positive reinforcement
o Antecedent management strategies of Treatment and Education of Autistic and Related
Communication Handicapped Children (TEACCH) i that includes use of visual supports for
communication and environmental structure
o Speech therapy intervention procedures to teach functional communication skills
o Occupational therapy intervention procedures to facilitate self-regulation
o Picture Exchange Communication System (PECS)
o Other nationally recognized best practices
The holistic treatment plan for individuals with Autism Spectrum Disorder will be driven by a panel of
assessments including at a minimum: the comprehensive assessment, CASII, and EPSDT assessments.
The treatment plan is to also include screening and diagnostic tools specific to Autism Spectrum
Disorder such as:
o Ages and States Questionnaire (ASQ)ii o Communication and Symbolic Behavior Scales (CSBS)iii o Parents’ Evaluation of Developmental Status (PEDS)iv o Modified Checklist for Autism in Toddlers, Revised with Follow-Up (MCHAT R/F)v o Screening Tool for Autism in Toddlers and Young Children (STAT)vi o Autism Diagnosis Interview – Revised ADI-Rvii o Autism Diagnostic Observation Schedule – Genericviii o Gilliam Autism Rating Scale 2nd Edition (GARS-2)ix o DSM-5 Criteria o Additional tools recognized by the American Academy of Pediatrics (AAP)x
Individuals are screened for Autism Spectrum Disorder, as appropriate, and in response to referrals
All assessments for a diagnosis of autism will be completed by provider types that are accepted by the
Division of Developmental Disabilities to facilitate eligibility
(https://des.az.gov/sites/default/files/Eligibiilty-Manual-chapter-200.pdf).
Clinical services are driven by the member and family and take a holistic approach to supporting
success in the home, in school and in the community. Treatment should consider the following life
domains and service types:
Table 1.0 Autism Center of Excellence Life Domains and Service Types
Request for Information Autism Center of Excellence
Page 8 of 15 Nov. 1, 2016
Inter-personal relationships Speech/communication Family system Sensory integration Behavior management Occupational abilities Personal care Vision Hearing Dental Psychiatric assessment and
treatment Academic success
Employment Housing Nursing care Post-secondary education Home-health Psychiatric crisis Diet and nutrition Medical Assessment Screening for co-morbidities
Complementary and alternative supports
Physical Activity
Technology/app-based supports
Appropriate Setting The Autism Center of Excellence will:
Work with members and families to ensure that they decide when and where services are delivered,
and participate in CFT/ART meetings
Follow the guidelines outlined in the DBHS Practice Protocol, Out of Home Services if a member is in
an out of home setting
Accommodate other system partners to ensure they are able to participate
Timeliness The Autism Center of Excellence will:
Work with the CFT or ART to complete the appropriate assessment addendums, Strengths and
Cultural Discovery and Service Plans meeting all timeliness requirements as dictated by AHCCCS
and the Mercy Maricopa and MCP Provider Manuals
Complete progress notes for every contact as required and within the timeframe as required by
AHCCCS, Mercy Maricopa, MCP, and service providers
Be responsible to ensure all the CFT/ART members, including formal and informal supports, have
the most current information and appropriate documentation in a timely manner
Complete EPSDT screenings according to AHCCCS-required timelines
Services Tailored to the Member and Family The Autism Center of Excellence will:
Ensure that staff and associated providers maintain work schedules that are sufficiently flexible to
meet the needs of the families and other system partners, including having evening and weekend
availability
Consider the sensory needs of the member and ensure services and team meetings are
responsive to the member and family’s preferences
Stability The Autism Center of Excellence will:
Ensure, by working with the CFT/ART, that crisis and safety plans are completed and up to date as
needed
Request for Information Autism Center of Excellence
Page 9 of 15 Nov. 1, 2016
Service plans should address periods when school is not in session (fall/winter/spring/summer
break, holidays etc.), or when the member’s routine may be disrupted
Respect for the Member and Family’s Unique Cultural Heritage The Autism Center of Excellence will:
Participate with the CFT/ART in the continued identification of the member’s and family’s
strengths and assure that the Strength, Needs and Cultural Discovery is completed with input and
approval by the family
Work with the member, family and CFT/ART to assess and prioritize underlying needs
Independence The Autism Center of Excellence will:
Plan for transitions initiated by the CFT/ART to occur in a collaborative manner between the
member, family, service agency and any other involved parties
Work with Transition Age Youth towards seamless transition to adulthood & coordinate transition
with Department of Education transition services
Connection to Natural Supports The Autism Center of Excellence will:
Work within the CFT/ART, members, and families to look within their community and explore how
their community can be incorporated into the member’s and family’s support system
Request for Information Autism Center of Excellence
Page 10 of 15 Nov. 1, 2016
How to Respond Submit a complete response using the “Cover Page” format on the last page of this document. The entire
response must be submitted to the RFI Contact listed on page 1 of this document via email and in PDF.
Information Request Provide a detailed written response to the categories below, no more than 20 pages written narrative and
50 pages in total including any attachments, excluding the Cover Page.
Respondents must respond to all questions to be considered.
1.0 Organization & Intent Identify the specific services your organization intends to deliver. Provide your agency’s philosophy,
mission statement, background, address & location of service provision sites, along with any information
to indicate how the physical location will support the service delivery needs. Include any providers you
plan to partner with to deliver the full continuum of services and describe those partnerships.
2.0 Capacity Describe how your program will be designed to meet the capacity and referral acceptance requirements
outlined in this RFI, to include but not limited to:
Current capacity and ability to increase capacity for the full array of services necessary to serve
members with Autism Spectrum Disorders, including speech therapy, occupational therapy, ABA,
and healthcare providers with the skill and experience to assess for ASD including those within the
specified provider types required by the department of developmental disabilities
Detail regarding knowledge and expertise related to members with ASD and how you will
facilitate/provide technical assistance to other system stakeholders/members of the CFT/ART
3.0 Program Design Describe how your program will be designed to meet the service expectations outlined in this RFI, to
include but not limited to:
Describe how your organization will manage and respond to referrals; include timeframes
Detail regarding coordination with the parties included in the Autism Center of Excellence
Framework (Figure 1.0), including how health information technology may be used to support this
coordination
Describe how you will coordinate care with other providers to ensure the member and family
have access to a full continuum of services; include how information will be shared and the
process for developing a single treatment plan
Availability, crisis coverage and hours of operation
Describe how you will ensure that each member receives a comprehensive assessment, including
a Functional Behavior Assessment as well as other assessments (developmental), as appropriate;
include the staff that will complete the assessments and their training and timeframes for
completion. Describe how the assessments will be shared with the CFT and other providers
Autism Center of Excellence Care Coordinator Job Description
Autism Center of Excellence Team Lead Description
Request for Information Autism Center of Excellence
Page 11 of 15 Nov. 1, 2016
Ability to provide services and address life domains included in Table 1.0. including:
Table 1.0 Autism Center of Excellence Life Domains and Service Types
Inter-personal relationships Speech/communication Family system Sensory integration Behavior management Occupational abilities Personal care Vision Hearing Dental Psychiatric assessment and
treatment Academic success
Employment Housing Nursing care Post-secondary education Home-health Psychiatric crisis Diet and nutrition Medical Assessment Screening for co-morbidities
Complementary and alternative supports
Physical Activity
Technology/app-based supports
4.0 Quality Management and Training Describe how your agency will address and support the QM requirements related to this program, to
include but not limited to:
Processes for monitoring staff and provider adherence to evidence-based practices
Staff and provider orientation and advanced level training and curriculum requirements
Ongoing continuing education and coaching
Systems for communicating performance and quality measures throughout your organization and
any other partner organizations
Specific outcomes and data that will be tracked, and the frequency of reporting and analysis
Peer review process for all medical providers
5.0 Reporting Describe how your agency will address and support the reporting requirements related to this program,
as well as current AHCCCS and Mercy Maricopa Provider Manual identified deliverables, to include but
not limited to:
Functional outcomes by member and service
Service utilization
Length of stay data
Caseload size and ratio
6.0 Staffing and Supervision Describe how your agency will address and support the staffing and supervision related to the service
expectations for this program, to include but not limited to:
Technical knowledge and expertise to support members and families with ASD, including clinical
knowledge of the disorders and system knowledge of the services and supports available to
member and families
Plan to maintain appropriate caseloads
Request for Information Autism Center of Excellence
Page 12 of 15 Nov. 1, 2016
Additional clinical expertise resources, internal or external, to be available as needed to consult
and support the Autism Center of Excellence regarding exceptionally complex cases or at risk for
out of home (i.e. Behavioral Health Medical Practitioner (BMHP), specialty provider, personal care
services, home-nursing care etc.)
7.0 Staff Retention Describe how your agency will ensure the Autism Center of Excellence FTE status will not fall below a 5%
employment rate and will be staffed with individuals appropriately trained to work with this population.
8.0 Implementation Plan Please provide as an attachment an implementation plan should you be selected to provide the Autism
Center of Excellence. We will ideally have contracts completed by Q2 2017. The plan must include detail
regarding the time that your agency proposes from program start up through full implementation.
Assuring all staffing, training and capacity in place at full implementation go live date, to include but not
limited to:
Tasks, responsible party and dates necessary to implement this service
9.0 Budget Please provide, as an attachment, a budget to include operational costs, administrative costs, salaries,
technology, capital costs and any other costs related to being selected to build and provide the Autism
Center of Excellence services.
Conclusion This RFI is intended only as a formal means for providers to supply information related to their ability to
provide this program if selected. Submission of a response to this RFI does NOT a guarantee of an offer
of contract.
Request for Information Autism Center of Excellence
Page 13 of 15 Nov. 1, 2016
Reference Documents
Mercy Maricopa and MCP Provider Manuals
https://www.mercymaricopa.org/providers/resources/manual
https://www.mercycareplan.com/assets/pdf/MCP%20Provider%20Documents/Mercy-Care-Plan-
MCP-Provider-Manual-July-2016-Final.pdf
Collaborative Protocol Maricopa County Juvenile Probation Department
http://www.mercymaricopa.org/assets/pdf/providers/forms/new-provider-manual-forms-and-
attachments/Collaborative_Protocol_Maricopa_Juvenille_Probation_Dept.pdf
Collaborative Protocol with the Arizona Department of Juvenile Corrections
http://www.mercymaricopa.org/assets/pdf/providers/forms/new-provider-manual-forms-and-
attachments/Collaborative_Protocol_AZ_Dept_of_Juvenile_Corrections.pdf
Collaborative Protocol with the Division of Developmental Disabilities http://www.mercymaricopa.org/assets/pdf/providers/forms/new-provider-manual-forms-and-
attachments/Collaborative_Protocol_DES-DDD.pdf
Collaborative Protocol with the Department of Child Safety http://www.mercymaricopa.org/assets/pdf/providers/forms/new-provider-manual-forms-and-
attachments/Collaborative_Protocol_Dept_of_Child_Safety.pdf
Practice Protocol- Child and Family Team Practice
https://www.azahcccs.gov/PlansProviders/Downloads/GM/ClinicalGuidanceTools/cft.pdf
Covered Behavioral Health Services Guide
https://www.azahcccs.gov/PlansProviders/Downloads/GM/CoveredServiceGuide/covered-bhs-
guide.pdf
Practice Protocol- Working with Birth to Five Population
https://www.azahcccs.gov/PlansProviders/Downloads/GM/ClinicalGuidanceTools/birthtofive.pdf
Practice Protocol- Transition to Adulthood
https://www.azahcccs.gov/PlansProviders/Downloads/GM/ClinicalGuidanceTools/tas.pdf
Arizona Department of Education, Exceptional Student Services http://www.azed.gov/special-education/
Governor’s ASD Advisory Committee Report https://www.azahcccs.gov/shared/Downloads/ASD/ASDAdvisoryCommReport.pdf
AHCCCS Medical Policy Manual, chapter 10000
https://www.azahcccs.gov/shared/Downloads/MedicalPolicyManual/Chap1000.pdf
Request for Information Autism Center of Excellence
Page 14 of 15 Nov. 1, 2016
Request for Information Cover Page
Respondent Information
Organization Name: _______________________________________________________
Tax ID#: ________________________
Organization CEO Name: ___________________________________________________
Organization Address: _____________________________________________________
City _________________________ State _____ Zip _______________
RFI Contact
RFI Contact Name: ________________________________________________________
RFI Contact Title: _________________________________________________________
RFI Contact Phone: _______________________________________________________
RFI Contact Email: ________________________________________________________
I attest that the information included in this response is true and accurate to the best of my
knowledge. I understand that responding to this Request for Information (RFI) is for
informational purposes only and does not signify a contracting opportunity, nor a guarantee of
contracting for the provision of an Autism Center of Excellence.
Authorized Respondent
Signature: _____________________________________ Date: ___________________
Printed Name: _________________________________ Title: ____________________
Request for Information Autism Center of Excellence
Page 15 of 15 Nov. 1, 2016
End Notes
i University of North Carolina School of Medicine (2016). TEACCH Autism Program. Retrieved from: http://www.teacch.com ii Brookes Publishing Company. Ages and Stages Questionnaire. Retrieved from: http://agesandstages.com/ iii Wetherby, A.M. & Prizant, B.M (2002). Communication and Symbolic Behavior Scale Development Profile. Retrieved from: http://firstwords.fsu.edu/pdf/checklist.pdf iv Glascoe, F.P. (2013). Parents Evaluation and Developmental Status (PEDS) Developmental-Behavioral Screening Tool. Retrieved from: http://www.pedstest.com/default.aspx v Robins, D.L. (2016). Modified Checklist for Autism in Toddlers. Retrieved from: http://mchatscreen.com vi Vanderbilt Kennedy Center (2016). Screening Tool for Autism in Toddlers and Young Children (STAT). Retrieved from: http://mchatscreen.com vii Lord C., Rutter, M., Le Couteur, A., (1994). Autism Diagnostic Interview-Revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism Developmental Disorders. 1994 (5): 659 – 685. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/7814313 viii Lord C., Risis, S., Lambrecht, L., Cook E.H., Leventhal, B.L., DiLavore, P.C., Pickles, A., Rutter, M. (2000). The autism diagnostic observation schedule-generic: a standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism Spectrum Disorders. (3). 205 – 223. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/11055457 ix Pearson Education (2016). Gilliam Autism Rating Scale, 2nd Edition (GARS-2). Retrieved from: http://www.pearsonclinical.co.uk/Psychology/ChildMentalHealth/ChildAutisticSpectrumDisorders/GilliamAutismRatingScale-SecondEdition(GARS-2)/GilliamAutismRatingScale-SecondEdition(GARS-2).aspx xAmerican Academy of Pediatrics (2016). https://medicalhomeinfo.aap.org/Pages/default.aspx American Academy of Pediatrics clinical reports: Identification and Evaluation of Children with ASD and Management of Children with ASD” by the AAP Council on Children with Disabilities.