Collaborative Behavioral Health Care Program Bidder’s Conference Good morning and welcome. This is the bidder’s conference for the Collaborative Mental Health Care Pilot Program. My name is Mollie Greene, and I am the Director of Clinical Services for the Department of Children and families. I will be giving a brief overview of the program this morning, after which, we will entertain questions pertaining to proposals. Should you have questions during the presentation, please hold them until the Q&A session. Some of you may be very familiar with the Department; however, some of you may not. Therefore, in the presentation we will be giving an overview of the Department and its Divisions as well as providing insight on what the Department is requesting with this RFP. So let’s begin… March 21, 2017

Department of Children and Families (DCF) Created in July 2006 First Cabinet-level Department devoted exclusively to serving and safeguarding children and families Ensure the safety, well-being and success of children, youth, families and communities [Read bullets] DCF was previously multiple Divisions within the Department of Human Services.

Department of Children and Families (DCF) Four Major Operating Divisions: Child Protection and Permanency Children's System of Care Family and Community Partnerships Women The Department has multiple Divisions. These are the four (4) major operating ones. [Read Each]

Child Protection and Permanency (CP&P) Formerly the Division of Youth and Family Services (DYFS) Investigates allegations of child abuse and neglect and addresses child welfare concerns Child Abuse Hotline (State Central Registry) operates 24-hours a day, 7-days a week. Read this, not the bullets: The Division of Child Protection and Permanency is charged with investigating allegations of child abuse and neglect and addressing child welfare concerns. Referrals are made to the child abuse hotline, SCR.

Child Protection and Permanency (CP&P) 46 Local Offices 9 Area If a child protective services or child welfare services referral is received, it is forwarded to one of CP&P’s 46 local offices. There is at least one LO in each NJ county. Area offices provide oversight and support to the LO’s. *As of November 1, 2014, there will be nine (9) areas offices

Children’s System of Care (CSOC) DCF's Children's System of Care, CSOC, (formerly the Division of Child Behavioral Health Services) serves children and adolescents with emotional and behavioral health care challenges and their families; and children with developmental and intellectual disabilities and their families. PerformCare, the Administrative Service Organization (ASO) for Children's System of Care, is the single point of access for Children’s System of Care services. Read this, not the bullets The Children's System of Care offers a wide range of services for children up to age 21 with behavioral health or developmental disability needs. These services include community-based services, in-home services, out-of-home residential services, and family support services. CSOC is committed to providing these services based on the needs of the child and family in a family-centered, community-based environment. For questions about or to access behavioral health or developmental disability services for children and youth, call the 24-hour, toll-free Access Line at PerformCare, the Administrative Service Organization (ASO) and single point of access for Children’s System of Care services

Family and Community Partnerships DCF's Family and Community Partnerships (FCP) promotes the health, well-being and personal safety of New Jersey's children and families by working together with parents, caregivers, organizations and communities to ensure an effective network of proven support services, public education and community advocacy to prevent maltreatment. Offices include: The Office of Early Childhood Services The Office of School-Linked Services The Office of Family Support Services The Office of Domestic Violence Services Read this, not the bullets: Family and Community Partnerships (FCP) works with parents, caregivers, organizations and communities to ensure an effective network of proven support services, public education and community advocacy to prevent maltreatment. The Division includes four offices: The Office of Early Childhood Services is responsible for the planning, development, implementation and evaluation of prevention services for families and caregivers of children from pregnancy/birth to kindergarten. The Office of School-Linked Services coordinates the School-Based Youth Services Programs, Newark School-Based Health Services and the NJ Child Assault Prevention Project, in order to address the emotional, behavioral, and family problems encounter by children and youth that threaten their safety, well-being, and educational achievement. The Office of Family Support Services provides leadership, support, and development to communities and family serving organizations in order to identify community strengths, needs, and community-based promising strategies that will improve the accessibility of support programs and improve the community context in which families live. The Office of Domestic Violence Services works with community stakeholders in an effort to improve and enhance services that are culturally-competent, strength-based, empowering, accessible, and non-stigmatizing to those who voluntarily request these services.

Women The New Jersey Division on Women (DOW) is a pioneering state agency that advances public discussion of issues critical to the women of New Jersey and provides leadership in the formulation of public policy in the development, coordination and evaluation of programs and services for women. DOW evaluates the effectiveness of program implementation and plans for the development of new programs and services. Read bullet then this: The Division is also charged with establishing a liaison with state departments and other public and private agencies involved with laws, regulations and program development affecting women in joint efforts to expand opportunities for women.

Collaborative Behavioral Health Care Program Background Pediatric primary care is ideally provided within a patient’s medical home. The medical home model promotes care that is: accessible, continuous, comprehensive, collaborative, compassionate, culturally competent, and family‐centered. PCPs practicing within the medical home model have an important role in identifying and accessing care for children, youth, and young adults with behavioral health disorders. Read the bullets then this: There are a number of barriers to providing these services in the primary care setting, including: lack of behavioral health training, lack of time,, lack of knowledge about community mental health care resources, and insufficient referral feedback from community mental health clinicians. Safe and effective behavioral health care in the primary care setting requires effective collaborative partnership between BH clinicians and PCPs to overcome these challenges.

Collaborative Behavioral Health Care Program Background Collaborative partnerships are crucial to integrating behavioral health into pediatric primary care and improving access to timely and appropriate behavioral health. Successful partnerships are characterized by effective collaboration, communication, and coordination between mental health clinicians and PCPs in consultation with children, youth, young adults, and their families.

Program Overview The Collaborative Behavioral Health Care Program will implement a best practice collaborative care model between primary care physicians and child mental health and substance use disorder specialists in order to provide for the timely screening, assessment, diagnosis, and treatment of behavioral health disorders of children, youth, and young adults served by the program.

Program Overview In 2014, DCF established the first Collaborative Mental Health Care Pilot Program. A vendor was selected through the competitive bidding process to establish two hubs to serve the Monmouth/Ocean and Burlington/Camden regions. In 2015, funding was made available to expand the Pilot program to two additional hubs to serve the Atlantic/Cape May/Cumberland/Salem and Mercer/Middlesex regions. In February 2017 Governor Christie announced the availability of state funding to expand the “Collaborative Behavioral Health Care Program” in fiscal year 2018. Read bullets then: Funding for the program is contingent upon state budget approval.

Program Overview This Request for Proposals seeks to expand the program statewide by establishing five (5) additional hubs in the following five (5) regions: Bergen County Essex County Hunterdon, Somerset, Sussex, and Warren Counties Morris and Passaic Counties Union and Hudson Counties One “hub” shall be established in each region. Applicants may propose to serve more than one region. However, a separate proposal must be submitted for each region the applicant proposes to serve.

Program Overview Behavioral Health Collaborative Designated Service Hubs US 2015 Census population under 18 years old Atlantic/Cape May Cumberland/Salem/Gloucester 193,345   Camden/Burlington 214,372 Essex 191,384 Bergen 201,779 Hunterdon/Somerset/Warren/ Sussex 265,502 Mercer/Middlesex 264,750 Morris/Passaic 234,045 Ocean/Monmouth 276,667 Union/Hudson 157,697 This slide displays the configuration of the regions, including the geographical area and population to be served.

Services to be Funded Universal screening of children, youth, and young adults for behavioral health disorders Timely access to psychiatric consultation for PCPs with urgent requests for consultation receiving a same-day response and all requests receiving a response in no more than 72 hours Timely patient access to direct psychiatric evaluation, when indicated, with urgent requests receiving services within services within two weeks and all requests receiving services within four weeks Care coordination to support fluidity of referral, engagement with specialty care at the appropriate levels of care, and collaborative treatment planning Practitioner enrollment and support, including best practice education and a web portal to support program implementation and operation Collaboration with systems partners, including the CSOC Contracted Systems Administrator (CSA) and Care Management Organizations (CMOs), private third-party payers, and treatment/service providers Data collection and reporting Program evaluation Read this and then bullets: The successful applicant shall implement a collaborative behavioral health partnership program that employs an integrated, regionally-based behavioral health hub team approach to the delivery of behavioral health services in pediatric primary care settings. Applicants must have sufficient infrastructure to implement the program within the region or regions it proposes to serve. The program shall include the following core components:

Funding Information For the purpose of this initiative, the Department will make available up to $2,777,775 once the state budget is approved for fiscal year 2018. Up to $555,555 in funding is available to support each regional hub. Applicants may propose to serve more than one region. However, a separate proposal must be submitted for each region the applicant proposes to serve. Contract renewals will be dependent upon performance and compliance. It is intended that the contract term will be for 12 months subject to appropriation. Read bullets then this: The initial funding period for this program is from the contract to June 30, 2018. Contract renewals will be dependent upon performance and compliance. Proposals should include a 12-month budget. Matching funds are not required. Funds awarded under this program may not be used to supplant or duplicate existing funding. Any expenses incurred prior to the effective date of the contract will not be reimbursed by DCF.

Funding Information NOTE! Indirect costs shall be no more than 8% of the total project budget. I would also draw your attention to the required appendices on pages 23-26 of the RFP, including the logic model requirement. A sample logic model (EXHIBIT D) is posted on the DCF website with the RFP

RFP Correction There is an error on page 22 of the RFP. The sentence in the budget narrative section should read: “All costs associated with the completion of the project must be clearly delineated, and the budget narrative must clearly articulate budget items, including a description of miscellaneous expenses or “other” items.” There is NO minimum budget requirement for evaluation activities. I would also draw your attention to the required appendices on pages 23-26 of the RFP, including the logic model requirement. A sample logic model (EXHIBIT D) is posted on the DCF website with the RFP

Deadline for inquiries: RFP Inquiries Deadline for inquiries: March 20, 2017 by 12:00 pm Email: DCFASKRFP@dcf.state.nj.us

April 12, 2017 by 12:00 PM Twenty-five (25) pages RFP Submission Deadline for receipt of proposals: April 12, 2017 by 12:00 PM Proposal narrative page limit (change from RFP): Twenty-five (25) pages

Questions