Texas Health and Human Services Commission (HHSC) Procurement and Contracting Services (PCS) Vendor Conference Department of State Health Services Request for Proposals # Date:January 12, 2016 Time:1:30 PM Location:HHSC-Brown-Heatly Bldg., 4900 N. Lamar Blvd. Room: 3501 Austin, TX 78751

- 2 - Introductions Charlotte Brooks, Procurement Project Manager, HHSC-PCS Lisa Cruz Hidrogo, Contract Development Lead, DSHS Mariselle McKeon Ph.D., Program Specialist. DSHS Courtney Harvey Ph.D., Team Lead, DSHS Karen Williams, HUB Coordinator, HHSC-PCS Housekeeping Items WELCOME

- 3 - PCS - Responsible for procurement activity Program Services - Responsible for project scope, requirements, performance, results, contract management/monitoring HUB - Responsible for HUB activity Legal – Questions/answers and legal activity HHSC Procurement Roles

- 4 - Procurement Activities Program Overview HUB Overview Questions Submittal Break Preliminary Responses to Questions Closing Comments Vendor Conference Overview

- 5 - Sole Point of Contact – Section 1.2 Procurement Schedule – Section 1.3 RFP Amendment and Announcements – Section 1.8 Evaluation Criteria & Screening – Section 17 Questions & Comments – Section 18.2 Submission Requirements – Section 19 Solicitation Access: Procurement Activities

- 6 - RFP Release Date 01/4/16 Vendor Conference 1/12/16 Vendor Questions Due 1/15/16 Post Response to Vendor Questions1/21/16 Proposals Due 1/28/16 Deadline for Proposal Withdrawal1/28/16 Award Announcement 3/1/16 Anticipated Contract Begin Date3/1/16 Schedule of Events

- 7 - DSHS Third Party Evaluator Program Overview

- 8 - Program Overview Pursuant to Rider 82 – Behavioral Health Services Provider Contracts Review, of the 84 th Regular Legislative Session, the Department of State Health Services (DSHS) will contract with a Third Party Reviewer (Contractor) with expertise in health purchasing to identify improvements to DSHS’ performance measurement, contract processing, and payment mechanisms for behavioral health services contracts with DSHS. DSHS is seeking proposals from entities with experience and expertise in the following areas: The evaluation of DSHS’ statewide service delivery systems to include mental health, substance use, inpatient and outpatient services, as well as, the benchmarking of performance measures to national norms and standards; The development of performance measures and payment systems that align with the vision and priorities of the Substance Abuse and Mental Health Services Administration (SAMHSA) as well as Centers for Medicare/Medicaid Services (CMS). This includes incorporating best practices in performance measurement and payment mechanisms utilized by Managed Care Organizations (MCOs) in the purchasing of behavioral health services; The collection and analysis of state and national longitudinal data that measures the efficiency and effectiveness of behavioral health services; and The development and/or expansion of the publicly available web-based dashboard to compare the performance of behavioral health service providers.

- 9 - Evaluation of Statewide Behavioral Health Services The successful respondent will conduct an evaluation on DSHS statewide behavioral health services. The evaluation must include the following: Conduct a review of the metrics and methodology associated with the withholding of allocations made under DSHS Rider 58, Mental Health Outcomes and Accountability; Review the existing performance measures for DSHS’ statewide behavioral health service delivery systems compared to national norms and standards. This review shall include best practices in performance measurement including incentive payments and financial sanctions that are aligned with models utilized by MCOs and the Health and Human Services Commission (HHSC), as well as, the vision and priorities of SAMHSA and CMS; Provide recommendations and identify areas for improvement regarding best practices in contract development and management, such as value based purchasing which are aligned with the models used by HHSC for purchasing health care services, methodology for determination and use of incentive payments, financial sanctions, and payment mechanisms for behavioral health service contracts;

Evaluation of Statewide Behavioral Health Services Continued Identify performance measures and other requirements not necessary by state or federal requirements that could be eliminated from contracts; Identify new or modified appropriate performance measures that are consistent with currently available data which may be included in DSHS behavioral health contracts. The performance measures will include all performance measures such as measures developed as required in Rider 78 of the 83 rd Legislative Session, Mental Health Outcomes and Accountability. Contractor must identify and recommend future performance measures and recommendations to include new populations and new or upgraded data systems that are cost effective. Enhance and expand the current publicly available web-based dashboard. In addition, propose a cost effective publicly available web-based dashboard to compare the performance of DSHS operated and contracted behavioral health service providers.

Evaluation Components Part 1 – Business Proposal Section 1 – Executive Summary Section 2 – Corporate Background and Experience Section 3 – Project Work Plan Section 4 – Value-added Benefits Section 5 – Assumptions Section 6 – Appendices Section 7 – HUB Subcontracting Plan Section 8 – Certifications and Other Required Forms Part 2 - Cost Proposal

Historically Underutilized Business (HUB) Requirements

Requirements HUB PARTICIPTATION REQUIREMENTS The goal for this solicitation is: 26% Responding entities must choose an HSP method and provide proper, and complete documentation. A Notification to solicit HUBs is preferred to be in writing. Review attached HSP Checklist for assistance. To meet eligibility requirement for HUB certification you must be: For Profit, 51% owned by an Asian Pacific American, Black American, Hispanic American, American Women, Native American and/or Service Disabled Veteran who reside in Texas and actively participate in the control, operations and management of the company’s affairs. Definitions: Respondent – a person that submits a response – go to CPA website: Rule 20.11, (24), that is posted on ESBD or other websites, providing a bid for the entire project. Subcontractor – firm providing Respondent with bid – go to CPA website: Rule 20.11, (27) for a particular scope or portion of the solicitation including supplies. Responses that do not include a complete HSP shall be Rejected pursuant to Texas Gov’t Code § (b).

HUB SUBCONTRACTING PLAN (HSP) METHODS & REQUIREMENTS Respondent Information Respondent Company Information List of Subcontractors + percentage Good Faith Effort – Attachment A when using all certified HUB’s for project, or meeting or Exceeding the HUB goals Self Performing Justification Good Faith Effort – Attachment B use when HUB total does not meet or exceed HUB goals HUB Subcontracting Opportunity Notification form (optional) Progress Assessment Report Method IIMethod IIIMethod IVMethod VMethod I HSP Submission Requires HSP Methods

HSP Method Options Method I 100 % of your subcontracting opportunities will be performed using only HUB vendors; Method II Method utilizes HUB protégé (HUB only) for one or more of the subcontracting opportunities. Which is an approved M/P relationship by a state agency and posted on CPA’s website. Method III Method utilizes HUB’s and Non-HUB’s to perform the subcontracting work identified and the HUB goal identified in the solicitation is met or exceeded. Method IV Method utilizes HUB’s and Non-HUB’s to perform the subcontracting work identified and the HUB goal identified in the solicitation is not met or exceeded. Method V Respondent intends to self-perform all of the work utilizing their own resources, equipment, materials, supplies, transportation, delivery and employees. All Methods Require respondent information, company name and requisition number, plus subcontracting intentions and affirmation signature. HSP SUBMISSION METHODS

HSP Method Options All Methods Require Respondent, Company and Requisition information, plus subcontracting intentions and affirmation signature. (Note: Please be sure to thoroughly read page 3 section 4 of the HSP) HSP SUBMISSION METHODS

HUB SUBCONTRACTING PLAN – RESPONDENT PLANNING ON SUBCONTRACTING This page is for subcontracting opportunities identified by the scope of work. Place subcontracting opportunity description, percentage of the contract expected to be subcontracted to HUBs and Non- HUBs in correct column. 3. Subcontracting Opportunities 2. Respondent’s Subcontracting Intentions 1. Respondent Name/ Req. Number 1 2 3

Subcontractor Selection 2. Subcontracting Opportunity 1. Respondent Name/ Req. Number Identify: Company Name Texas Certified HUB (Y) or (N) (note: VID # is required, for HUB and Non-HUB. Do not enter Social Security Numbers). Texas VID or Federal EIN # Number Percentage Dollar Amount HSP ATTACHMENT A – IF USING METHOD I OR III (required for each subcontracting opportunity listed) 1 2 3

HSP ATTACHMENT B – IF USING METHOD II (required for each subcontracting opportunity listed) 3. Mentor Protégé Program (check yes) 2. Subcontracting Opportunity Description 1. Respondent Name/ Req. Number Complete section B2: if the respondent is participating in a Mentor Protégé Program please complete section B1 and B2 for each sub- contracting opportunity

HSP ATTACHMENT B – IF USING METHOD IV (required for each subcontracting opportunity listed) 3. Subcontractor Written Notification 2. Subcontracting Opportunity Description 1. Respondent Name/ Req. Number Complete form documenting contact information for each subcontracting opportunity listed. List (3) three certified HUBs and (2) two Trade Organizations or Development Centers for each subcontracting opportunity listed. Provide Supporting documentation ( , fax, etc.). Contact potential bidders with a minimum of 7 Working days. The initial day of notification is Considered to be “day zero”

HSP ATTACHMENT B – IF USING METHOD II OR IV (required for each subcontracting opportunity listed) 3. Subcontractor Selection Name Identify: Company Name Texas Certified HUB (Y) or (N) (note: VID # is required, for HUB and Non-HUB. Do not enter Social Security Numbers). Texas VID or Federal EIN # Number Percentage Dollar Amount (please provide justification if Non-HUB subcontractor is not selected) 2. Subcontracting Opportunity Description 1. Respondent Name/ Req. Number 1 2 3

Method V Requires Respondents, Company, Requisition information, subcontracting intentions, page 3 “Self Performing Justification and affirmation signature. HSP if using Method V 1. Respondent Name/ Req. Number 2.Subcontracting Intentions 3.Self Performing Justification Affirmation Signature 4

HSP REMINDERS Documentation is also a key to a successful HUB Subcontracting Plan. The Respondent must submit documentation to the HUB Program Office with their initial response to demonstrate that a Good Faith Effort was made in the process of developing and submitting an HSP. Examples include : 1.Read Receipt from 2.Fax Log 3.Certified Letter Supporting Documentation for Method IV Communication Changes to the HSP are not allowed by the Respondent, until after Contracts are awarded. The HUB Program Office must be notified immediately and in advance in order to receive approval of the HUB Subcontracting Plan. The HUB Program Office will contact the awarded contractor requesting their participation in a Post Award Meeting once the contract has been awarded.

POST AWARD REMINDERS Prime Contractor Progress Assessment Report Required Monthly with All Pay Request. List All Sub-contractors payments (HUBs and Non-HUBs). Required even if you are Self-Performing all the work. Send notification to subcontractors within 10 days of the award and a copy to the HUB Program Office at

QUESTIONS – HHS HUB PROGRAM COORDINATORS DFPS Joy Simmons – 512/ The link below will access the HHSC website for HUB organizations and subcontracting opportunities. The link below will access general information and step by step instructions concerning the required steps to complete the form(s). DADS/DARS Stella Roland – 512/ DSHS Michael Herman – 512/ DSHS Karen Williams– 512/ HHSC Sherice Williams – 512/ HHSC John Wesley Smith– 512/ Health and Human Services Commission – HHSC Department of Aging and Disability Services – DADS Department of Assistive and Rehabilitative Services – DARS Department of Family and Protective Services – DFPS Department of State Health Services - DSHS

Permissible Contact The sole point of contact for inquiries concerning this RFP is: Charlotte Brooks, M.Ed., CTCM (512)

Texas Health and Human Services Commission (HHSC) Procurement and Contracting Services (PCS) Questions Submittal Followed by Break

Texas Health and Human Services Commission (HHSC) Procurement and Contracting Services (PCS) Non-Binding responses to Vendor Questions Responses given at the Vendor Conference are non- binding verbal responses to vendor questions. Binding responses will be posted on the ESBD (Electronic State Business Daily) website by XXX.

Texas Health and Human Services Commission (HHSC) Procurement and Contracting Services (PCS) Closing Comments