Loading...
HomeMy WebLinkAboutResolution - 2020-R0410 - Contract 15620 with Cenikor FoundationResolution No. 2020-RO410 Item No. 7.5 December 1, 2020 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Mayor of the City of Lubbock is hereby authorized and directed to execute for and on behalf of the City of Lubbock, Contract No. 15620 for substance use disorder treatment services as per RFP 21-15544-MA, by and between the City of Lubbock and Cenikor Foundation, of Houston, Texas, and related documents. Said Contract is attached hereto and incorporated in this resolution as if fully set forth herein and shall be included in the minutes of the City Council. Passed by the City Council on December 1, 2020 DANIEL M. POPE, MAYOR K% ffirmas Rebec a Garza, City Secre APPROVED AS TO CONTENT: APPROVED AS TO FORM: 4an ooke, Assistant City Attorney ccdocs/RES.Contract 15620 Substance use disorder treatment services November 10, 2020 Resolution No. 2020-RO410 Contract 15620 City of Lubbock, TX SUBSTANCE USE DISORDER TREATMENT SERVICES Agreement This Service Agreement (this "Agreement") is entered into as of the IStday of December 2020 ("Effective Date") by and between Cenikor Foundation, (the Contractor), and the City of Lubbock (the «City„). RECITALS WHEREAS, the City has issued a Request for Proposals 21-15544-MA, SUBSTANCE USE DISORDER TREATMENT SERVICES. WHEREAS, the proposal submitted by the Contractor has been selected as the proposal which best meets the needs of the City for this service; and WHEREAS, Contractor desires to perform as an independent contractor to provide SUBSTANCE USE DISORDER TREATMENT SERVICES , upon terms and conditions maintained in this Agreement; and NOW THEREFORE, for and in consideration of the mutual promises contained herein, the City and Contractor agree as follows: City and Contractor acknowledge the Agreement consists of the following exhibits which are attached hereto and incorporated herein by reference, listed in their order of priority in the event of inconsistent or contradictory provisions: 1. This Agreement 2. Exhibit A — General Requirements 3. Exhibit B — Service Types and Unit Rates 4. Exhibit C — Proposal Narratives 5. Exhibit D — Business Associate Agreement 6. Exhibit E — Insurance Scope of Work Contractor shall provide the services that are specified in Exhibit A. The Contractor shall comply with all the applicable requirements set forth in Exhibit B, C, D and E attached hereto. Article 1 1.1 The contract shall be for a term of one year, with the option of three, one-year extensions, said date of term beginning upon formal approval. The City of Lubbock does not guarantee any specific amount of compensation, volume, minimum, or maximum amount of services under this bid and resulting contract. The Contractor must maintain the insurance coverage required during the term of this contract including any extensions. It is the responsibility of the Contractor to ensure that valid insurance is on file with the Purchasing and Contract Management Department as required by contract or contract may be terminated for non- compliance. 1.2 The Contractor shall not assign any interest in this Agreement and shall not transfer any interest in the Agreement, whatsoever, without prior consent of the City. 1.3 All funds for payment by the City under this Agreement are subject to the availability of an annual appropriation for this purpose by the City. In the event of non -appropriation of funds by the City Council of the City of Lubbock for the goods or services provided under the Agreement, the City will terminate the Agreement, without termination charge or other liability, on the last day of the then -current fiscal year or when the appropriation made for the then -current year for the goods or services covered by this Agreement is spent, whichever event occurs first. If at any time funds are not appropriated for the continuance of this Agreement, cancellation shall be accepted by the contractor on 30 days prior written notice, but failure to give such notice shall be of no effect and the City shall not be obligated under this Agreement beyond the date of termination. 1.4 This contract shall remain in effect until the first of the following occurs: (1) the expiration date, (2) performance of services ordered, or (3) termination of by either party with a 30 day written notice. The City of Lubbock reserves the right to award the canceled contract to the next lowest and best bidder as it deems to be in the best interest of the city. Article 2 Miscellaneous. 2.1 This Agreement is made in the State of Texas and shall for all purposes be construed in accordance with the laws of said State, without reference to choice of law provisions. 2.2 This Agreement is performable in, and venue of any action related or pertaining to this Agreement shall lie in, Lubbock, Texas. 2.3 This Agreement and its Exhibits contains the entire agreement between the City and Contractor and supersedes any and all previous agreements, written or oral, between the parties relating to the subject matter hereof. No amendment or modification of the terms of this Agreement shall be binding upon the parties unless reduced to writing and signed by both parties. 2.4 This Agreement may be executed in counterparts, each of which shall be deemed an original. 2.5 In the event any provision of this Agreement is held illegal or invalid, the remaining provisions of this Agreement shall not be affected thereby. 2.6 The waiver of a breach of any provision of this Agreement by any parties or the failure of any parties otherwise to insist upon strict performance of any provision hereof shall not constitute a waiver of any subsequent breach or of any subsequent failure to perform. 2.7 This Agreement shall be binding upon and inure to the benefit of the parties and their respective heirs, representatives and successors and may be assigned by Contractor or the City to any successor only on the written approval of the other party. 2.8 All claims, disputes, and other matters in question between the Parties arising out of or relating to this Agreement or the breach thereof, shall be formally discussed and negotiated between the Parties for resolution. In the event that the Parties are unable to resolve the claims, disputes, or other matters in question within 30 days of written notification from the aggrieved Party to the other Party, the aggrieved Party shall be free to pursue all remedies available at law or in equity. 2.9 At any time during the term of the contract, or thereafter, the City, or a duly authorized audit representative of the City or the State of Texas, at its expense and at reasonable times, reserves the right to audit Contractor's records and books relevant to all services provided to the City under this Contract. In the event such an audit by the City reveals any errors or overpayments by the City, Contractor shall refund the City the full amount of such overpayments within 30 days of such audit findings, or the City, at its option, reserves the right to deduct such amounts owing the City from any payments due Contractor. 2.10 The City reserves the right to exercise any right or remedy to it by law, contract, equity, or otherwise, including without limitation, the right to seek any and all forms of relief in a court of competent jurisdiction. Further, the City shall not be subject to any arbitration process prior to exercising its unrestricted right to seek judicial remedy. The remedies set forth herein are cumulative and not exclusive, and may be exercised concurrently. To the extent of any conflict between this provision and another provision in, or related to, this do. 2.11 The contractor shall not assign or sublet the contract, or any portion of the contract, without written consent from the Director of Purchasing and Contract Management. Should consent be given, the Contractor shall insure the Subcontractor or shall provide proof of insurance from the Subcontractor that complies with all contract Insurance requirements document, this provision shall control. 2.12 Contractor acknowledges by supplying any Goods or Services that the Contractor has read, fully understands, and will be in full compliance with all terms and conditions and the descriptive material contained herein and any additional associated documents and Amendments. The City disclaims any terms and conditions provided by the Contractor unless agreed upon in writing by the parties. In the event of conflict between these terms and conditions and any terms and conditions provided by the Contractor, the terms and conditions provided herein shall prevail. The terms and conditions provided herein are the final terms agreed upon by the parties, and any prior conflicting terms shall be of no force or effect. 2.13 Section 2270.002, Government Code, (a) This section applies only to a contract that: (1) Is between a governmental entity and a company with 10 or more full-time employees; and (2) has a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity. (b) A governmental entity may not enter into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. 2.14 SB 252 prohibits the City from entering into a contract with a vendor that is identified by The Comptroller as a company known to have contracts with or provide supplies or service with Iran, Sudan or a foreign terrorist organization. -----INTENTIONALLY LEFT BLANK----- IN WITNESS WHEREOF, the parties hereto have caused this Contract to be executed the day and year first above written. Executed in triplicate. CITY OF LUB OCK CONTRACTOR r BY: Daniel M. Pope, Mayor A thorized gepresentajtive ATTEST: '00-) ,, K eb Garza, City Secre APPROVED A TO CONTENT: Katherine Wells, Director of Health • : v 116JUIRTUI RyaAXke, Assistant City ttorney Bill Bailey Print Name 11931 Wickchester Lane, Suite 300 Address Houston, TX 77043 City, State, Zip Code GENERAL REQUIREMENTS 1 INTRODUCTION Exhibit A The City of Lubbock's Health Department invites proposals from qualified applicants to facilitate substance use treatment for Substance Use Disorder Treatment Services, Co -Occurring Psychiatric Substance Use Disorder (COPSD) services in the Lubbock area. This is to include residential, intensive outpatient, and other services as needed. The services are grant funded. 2 CONTRACT TERM The contract shall be for a term of one year, with the option of three, one-year extensions, said date of term beginning upon formal approval. The City of Lubbock does not guarantee any specific amount of compensation, volume, minimum, or maximum amount of services under this bid and resulting contract. The Contractor must maintain the insurance coverage required during the term of this contract including any extensions. It is the responsibility of the Contractor to ensure that valid insurance is on file with the Purchasing and Contract Management Department as required by contract or contract may be tenninated for non-compliance. 3. LEVELS OF CARE / SERVICE TYPES A. OUTPATIENT TREATMENT SERVICES (ASAM Level 1 Outpatient Services) Contractor shall: 1. Adhere to Texas Administrative Code ( TAC) rules adopted by System Agency related to SUD UM Guidelines for outpatient treatment programs / services. 2. Provide and document in Clinical Management of Behavioral Health Services (CMBHS) one (1) 3. Document in CMBHS a discharge follow-up sixty (60) calendar days after discharge from the outpatient treatment services. 4. When the assessment indicates placement in System Agency funded Women and Children Intensive or Supportive Residential services but there are no available beds, Contractor shall provide coordinated interim care until a Women and Children Intensive or Supportive Residential bed becomes available. A pregnant Client, if she chooses and is appropriate for this service type, shall be transferred to Women and Children Intensive and Supportive Residential services no later than the eighth month of pregnancy in order to provide sufficient time to adjust to the changes prior to delivery of her child. 5. As part of the education hours, Contractor will provide and document in CMBHS: i. A minimum of one (1) hour per week (or one (1) hour per month for Clients who have been transferred to outpatient after successfully completing a residential level of care) of evidence -based parenting education and document these services; and ii. A minimum of six (6) hours (or two (2) hours for Clients who have been transferred to outpatient after successfully completing a residential level of care) of reproductive health education prior to discharge and document these services. 6. Provide and document in CMBHS research -based education on the effects of ATOD on the fetus. B. SUPPORTIVE RESIDENTIAL TREATMENT SERVICES (ASAM Level 3.1 Clinically Managed Low -Intensity Residential Services) Contractor shall: 1. Adhere to TAC and SUD UM Guidelines applicable to supportive services requirements. 2. When the assessment indicates placement in System Agency -funded Women and Children Intensive or Supportive Residential services but there are no available beds, Contractor shall provide coordinated interim care until a Women and Children Intensive or Supportive Residential bed becomes available. A pregnant Client, if she chooses and is appropriate for this service type, shall be transferred to Women and Children Intensive and Supportive Residential services no later than the eighth month of pregnancy in order to provide sufficient time to adjust to the changes prior to delivery of her child. 3. As part of education hours, Contractor will provide: i. A minimum of one (1) hour per week of evidenced -based parenting education; and ii. A minimum of two (2) hours of reproductive health education within thirty (30) Service Days of admission. Document in CMBHS a discharge follow-up sixty (60) calendar days after discharge from the residential treatment services. C. SUPPORTIVE RESIDENTIAL FOR WOMEN AND CHLDREN (ASAM Level 3.1 Clinically Managed Low -Intensity Residential Services) Contractor shall: 1. Adhere to TAC and SUD UM Guidelines applicable to supportive services requirements. 2. In addition, adhere to TAC requirements applicable to Treatment Services for Women and Children. 3. As part of education hours, Contractor will provide and document in CMBHS: i. A minimum of two (2) hours per week of evidence -based parenting education and document these services; ii. A minimum of six (6) hours of reproductive health education within thirty (30) service days of admission and document these services; and iii. At minimum, evidenced -based education on the effects of ATOD during pregnancy. 4. Document in CMBHS a discharge follow-up sixty (60) calendar days after discharge from the residential treatment services. D. INTENSIVE RESIDENTIAL TREATMENT SERVICES (ASAM Level 3.5 Clinically Managed High -Intensity Residential Services) Contractor shall: l . Adhere to TAC and SUD UM Guidelines applicable to intensive services requirements. 2. When the assessment indicates placement in System Agency -funded Women and Children Intensive or Supportive Residential services but there are no available beds, Contractor shall provide coordinated interim care until a Women and Children Intensive or Supportive Residential bed becomes available. A pregnant Client, if she chooses and is appropriate for this service type, shall be transferred to Women and Children Intensive and Supportive Residential services no later than the eighth month of pregnancy in order to provide sufficient time to adjust to the changes prior to delivery of her child. 3. As part of education hours, Contractor will provide and document in CMBHS: i. A minimum of two (2) hours per week of evidenced -based parenting education; and ii. A minimum of six (6) hours of reproductive health education within thirty (30) service days of admission. 3. Document in CMBHS a discharge follow-up sixty (60) calendar days after discharge from the residential treatment services. E. INTENSIVE RESIDENTIAL FOR WOMEN AND CHLDREN (ASAM Level 3.5 Clinically Managed High -Intensity Residential Services) Contractor shall: 1. Adhere to TAC and SUD UM Guidelines applicable to intensive services requirements. 2. Adhere to TAC requirements applicable to Treatment Services for Women and Children. 3. As part of education hours, Contractor will provide: i. A minimum of two (2) hours per week of evidence -based parenting education and document these services; and ii. A minimum of six (6) hours of reproductive health education within thirty (30) Service Days of admission and document these services. F. RESIDENTIAL DETOXIFICATION / WITHDRAWAL MANAGEMENT (ASAM LEVEL 3.7 MEDICALLY MONITORED WITHDRAWAL MANAGEMENT) Contractor shall: 1. Adhere to TAC requirements for detoxification services. 2. Adhere to the SUD UM Guidelines for detoxification services. 3. Adhere to the following additional service delivery requirements: i Document in CMBHS a Withdrawal Management Intake Form. ii Document in CMBHS a discharge plan prior to discharge or transfer. iii Document in CMBHS a discharge follow-up no more than ten (10) calendar days after discharge from withdrawal management services. iv. Develop and Implement Policies, Procedures, and Medical Protocols to ensure Client placement into the appropriate level of withdrawal management services in accordance with national guidelines, peer - reviewed literature, and best practices and have available for System Agency review. G. AMBULATORY WITHDRAWAL MANAGEMENT (ASAM LEVEL 2 WITHDRAWAL MANAGEMENT) Contractor shall: 1. Adhere to TAC requirements for detoxification services. 2. Adhere to the SUD UM Guidelines for detoxification services. 3. Adhere to the following additional service delivery requirements: i. Document in CMBHS a Withdrawal Management Intake Form. ii. Document in CMBHS a discharge plan prior to discharge or transfer. iii. Document in CMBHS a discharge follow-up no more than ten (10) calendar days after discharge from withdrawal management services. iv. Develop and Implement Policies, Procedures, and Medical Protocols to ensure Client placement into the appropriate level of withdrawal management services in accordance with national guidelines, peer - reviewed literature, and best practices and have available for System Agency review. 4. Ambulatory detoxification shall not be a stand-alone service. Contractors shall ensure the Client is simultaneously admitted to a substance use disorder treatment service while admitted to ambulatory detoxification services. TARGET POPULATION A. TREATMENT FOR FEMALES (TRF) Adult pregnant women and women with Dependent Children (including women whose children are in custody of the State) who meet Client Eligibility for System Agency -funded substance use disorder services as stated in the System Agency Substance Use Disorder (SUD). Utilization Management (UM) Guidelines (attached as RFA Exhibit O within the Solicitation, Attachment I). 1. Outpatient Treatment Services (ASAM Level 1 Outpatient Services) 2. Supportive Residential Treatment Services (ASAM Level 3.1 Clinically Managed Low -Intensity Residential Services) 3. Intensive Residential Treatment Services (ASAM Level 3.5 Clinically Managed High -Intensity Residential Services) 4. Residential Detoxification Services (ASAM Level 3.7 Medically Monitored Withdrawal Services) 5. Ambulatory Detoxification Services (ASAM Level 2 Withdrawal Management) B. TREATMENT FOR WOMEN AND CHLDREN Adult pregnant women and women with Dependent Children (including women whose children are in custody of the State) who meet Client Eligibility for System Agency -funded substance use disorder services as stated in the System Agency Substance Use Disorder (SUD) Utilization Management (UM) Guidelines. Clients being admitted into Women and Children's treatment facilities must meet at least one (1) of the following criteria: A. Be in the third trimester of her pregnancy; and/or B. Have at least one (1) child physically residing overnight with her in the facility; and/or C. Have a referral by Department of Family and Protective Services (DFPS). Note: DFPS will not allow at least one (1) child to initially reside overnight but DFPS plans to place the child in the facility within the first thirty (30) Service Days of treatment. 1. Women and Children's Intensive Residential Services (ASAM Level 3.5 Clinically Managed High -Intensity Residential Services) 2. Women and Children's Supportive Residential Services (ASAM Level 3.1 Clinically Managed Low -Intensity Residential Services) Exhibit B SERVICE TYPE AND UNIT RATES TREATMENT FOR ADULT (TRA) Service Type Unit Rate Adult Outpatient -Individual Outpatient -Group Counseling $18.84 Outpatient -Group Education $17.79 Outpatient -Individual Counseling $60.69 Adult Intensive Residential $113.02 Adult - Supportive Residential $42.90 Adult - Ambulatory Detoxification $88.95 Adult — Residential Detoxification $234.41 Adult — HIV Residential $180.00 Adult HIV Residential Wraparound Services (Medicaid Adult — 21 and Over) $35.58 TREATMENT FOR WOMEN Service Type Unit Rate Adult Specialized Female Residential Intensive $113.02 Adult Specialized Female Residential Supportive $82.67 Adult Specialized Female Residential Detox $234.41 Adult Specialized Female Ambulatory Detox $88.95 Adult Specialized Female W/C Residential Intensive $217.67 Adult Spec Fem W/C Residential Wraparound Services — LESS THAN 21 $54.41 Adult Spec Fern W/C Residential Wraparound Services — 21 and OVER $107.78 Adult Specialized Female W/C Residential Supportive $185.22 Adult Spec Female Outpatient Services Adult Spec Female Outpatient Group Counseling $29.30 Adult Spec Female Outpatient Group Education $17.79 Adult Spec Female Outpatient Individual $80.57 Exhibit C SUBSTANCE USE DISORDER TREATMENT SERVICES PROPOSAL NARRATIVE City of Lubbock, TX Cenikor Foundation RFP 21-15544-MA RrP 21-15544-MA Substance Use Disorder Treatment Services Cenikor Foundation Cenikor Foundation is a not for profit substance use disorder treatment services provider who is licensed and regulated by the state of Texas and accredited by CARF, the Commission on Accreditation for Rehabilitation Facilities. Cenikor Foundation began providing services in 1967 and now has locations in Amarillo, Fort Worth, Tyler, Waco, Killeen, Austin, San Marcos, Corpus Christi and Houston Texas as well as Baton Rouge, Louisiana. We served over 9,000 clients in fiscal year 2020 and continue to see an increase in need for services. We provide detoxification, short and long-term residential treatment, outpatient treatment services as well as prevention and recovery support services. Our Amarillo facility, located at 1001 Wallace Boulevard, Amarillo, TX 79106 is licensed to serve 85 clients per day in detox and residential treatment services. Detoxification services, ASAM Level 3.7 Medically monitored withdrawal management, are overseen by a medical director and 24-hour nursing care. Clients are assessed by a physician or nurse practitioner and placed on the appropriate protocol. Monitoring occurs every four hours during the first 72 hours of their stay and every 8 hours for the remainder of their stay. Clients are given medication to mitigate the symptoms of withdrawal and participate in a daily motivational session. Detoxification is the begiruiing of the recovery process during which the client and clinician develop a plan of action for the next course of treatment typically either residential treatment or outpatient treatment. The average stay in detox is 4-5 days dependent on the clients needs as assessed by the medical staff. All policies, procedures and medical protocols are reviewed and approved, as necessary, by the Medical director. Intensive Residential services, ASAM Level 3.5 Clinically Managed High -Intensity Residential services, are provided by highly trained, licensed clinicians and monitored by 24-hour awake staff. Clients are provided at least 30 documented hours of group and individual counseling, education, and alternative activities per week with at least one hour of individual therapy per week. The evidenced based curriculum utilized include Living in Balance, Gorski's Relapse Prevention, Anger Management, Thinking for a Change, overdose prevention education and tobacco cessation services. To meet the increased needs of females who qualify for specialized female services, parenting and women's health education is added to the curriculum. At admission, each client receives a comprehensive assessment, the results of which are utilized to create an individualized treatment plan. The clinician and client work together to create the treatment plan and subsequent reviews. The treatment plan is reviewed at regular intervals throughout the stay to ensure maximum progress towards the goals. Discharge planning begins at admission and continues throughout the treatment episode. If ongoing treatment is reconunended, clients will be referred to outpatient services to complete the continuum of care. Following treatment, all clients are referred to and encouraged to our attend our virtual aftercare services for additional long-term support. The average length of stay for residential treatment services is 24 days. Clients receive three nutritious, dietician approved meals per day as well as snacks. Program services are provided seven days per week and in addition to group, clients are given individual assigmnents to complete. 10 City of Lubbock, TX Cenilcor Foundation RFP 21-15544-MA RF(P 21-15544-MA Substance Use Disorder Treatment Services Cenilcor Foundation All services for both detoxification and residential treatment are documented in CMBHS as well as our electronic health record, Welligent. A comprehensive quality and compliance program are in place to ensure that clinical records meet and exceed all requirements in the Texas Administrative code and SUD UM guidelines for services. Facility compliance is monitored and documented regularly to include all aspects of the physical plant described in the Texas Administrative code. Follow up is completed and documented with all clients 60 days after completion of treatment. 11 Cenilcor Foundation RFP 21-15544-MA Submit response to the questions below on a separate sheet TREATMENT OF ADULTS a. What services do you provide and how long have you provided services? How do you address the needs of the priority populations listed in the scope of work? b. How many individuals do you serve daily and annually? What is your rate of completion? What is the procedure for follow up after patient discharge? C. What curriculum and strategies do you currently implement? Do these meet the grant requirements listed in the scope of work? if not, what changes to programming need to be made? How many people do you propose serving through this funding program? Service Type Maximum enrolled at one time Capacity for 12 months Adult Outpatient -Individual Outpatient -Group Counseling Outpatient -Group Education Outpatient -Individual Counseling Adult Intensive Residential Adult - Supportive Residential Adult - Ambulatory Detoxification Adult —Residential Detoxification Adult — HIV Residential Adult HIV Residential Wraparound Services (Medicaid Adult— 21 and Over) 12 City of Lubbock, TX Cenikor Foundation RFP 21-15544-MA RF'P 21-15544-MA Substance Use Disorder Treatment Services Cenikor Foundation TREATMENT OF ADULTS a. What services do you provide and how long have you provided services? How do you address the needs of the priority populations listed in the scope of work? Cenikor Foundation provides detoxification, intensive and supportive residential and outpatient services. We have provided these services since 1967, over this time we have provided care to over 150,000 clients. For our Amarillo location, we acquired the facility and organization on January 1, 2019 and have been providing services since that date. Priority populations are identified from the first phone call to the access center and placed in services according to their priority. If a priority population client cannot be admitted immediately they are provided referrals to interim services and followed tip with while awaiting care. b. How many individuals do you serve daily and annually? What is your rate of completion? What is the procedure for follow up after patient discharge? Cenikor Foundation serves over 700 clients per day across all locations and treatment modalities with over 9000 served in fiscal year 2020. In our Amarillo facility, we are currently serving an average of 20 clients per day. However, we have recently received an expansion to our license allowing us to add detoxification services and increased beds to 85 per day. The completion rate for detox at our facilities averages 67.9%. The completion rate for residential at our facilities averages 54.9% After discharge, clients are placed in the follow up process. The access center is responsible for completing follow up calls. Per state contracts, each client should be followed up with after 60 and prior to 90 days following treatment. The access center pulls a list of clients in the follow tip window daily and makes phone calls. At least three attempts to reach the client are made and documented. The follow tip questions in CMBHS are utilized for the follow up interviews, results are documented in CMBHS. c. What curriculum and strategies do you currently implement? Do these meet the grant requirements listed in the scope of work? If not, what changes to programming need to be made? All services, curriculum and strategies meet and/or exceed the requirements listed in the scope of work. Intensive residential treatment services are provided seven days per week based on a comprehensive schedule and include a minimum of thirty hours of progranuning. This programming includes at least 10 hours of group and individual counseling, 10 hours of group education and life skills and 10 hours of structured activities. Programming is 13 City of Lubbock, TX Cenikor Foundation RFP 21-15544-MA RTP 21-15544-MA Substance Use Disorder Treatment Services Cenikor Foundation provided during the day as well as on evening and weekends, Makeup groups and additional hours are available in the schedule to ensure that clients meet and exceed the thirty -hour requirement for intensive services. All services are provided by appropriately licensed staff or counselor interns with appropriate Qualified Credentialed counselors overseeing the work. Caseloads are managed to allow the primary counselor time to provide case management services to their clients as well. Discharge planning begins at admission and continues throughout the treatment episode along with appropriate care coordination for movement through the entire continuum of care based on individualized needs. Licensed staff conduct a comprehensive assessment during the admissions process to include mental health, medical, physical health, family, legal, educational and other needs. Once the assessment is completed, the clinical staff begin the referral process in conjunction with individualized treatment planning. Through this process, the client and clinician work together to identify the needs and best resources to meet those needs. A referral is then made for needs outside of substance use disorder treatment. The clinician contacts the appropriate resource, makes an appointment and then schedules transportation for the client. Follow up to the referral is completed after the appointment by the referring clinician. Clients in residential treatment are provided with a comprehensive resource list for their local area Discharge planning begins at admission and continues throughout the treatment episode. The transition plan begins by addressing the client's needs and movement through the continuum of care, for example detox to intensive to supportive or outpatient, recovery support and recovery housing if needed. In addition, it includes a relapse prevention plan, home environment factors the addressed, education status, vocational status, support group referrals, mental and physical health as needed, and sober activities after discharge. Coordination of care includes the referral and referral follow up process for appointments occurring during the episode as well as referrals given at discharge with appointments set for firture dates. Counselors discuss with clients during individual sessions weekly their aftercare needs such as continued treatment (i.e. intensive outpatient, outpatient, support groups), housing situation, transportation to appointments, any mental health needs, and sober supports. d. How many people do you propose serving through this funding program? Service Type Maximum enrolled at one time Capacity for 12 months Adult Outpatient -Individual Outpatient -Group Counseling Outpatient -Group education Outpatient -Individual Counseling Adult Intensive Residential 8 139 Adult Supportive Residential Adult Ambulatory Detoxification Adult -Residential Detoxification 8 584 Adult HIV Residential i I I 14 City of Lubbock, TX RFP 21-15544-MA Substance Use Disorder Treatment Services Cenikor Foundation Adult HIV Residential Wraparound services (Medicaid Adult-21 and over Cenikoz- Foundation RFP 21-15544-MA 15 Cenilcor roundatioii RIFT 21-15544-MA Submit response to the questions below on a separate sheet TREATMENT OF FEMALE a. What services do you provide and how long have you provided services? How do you address the needs of the priority populations listed in the scope of work? b. How many individuals do you serve daily and annually? What is your rate of completion? What is the procedure for follow up after patient discharge? c. What curriculum and strategies do you currently implement? Do these meet the grant requirements listed in the scope of work? If not, what changes to programming need to be made? d. How many people do you propose serving through this funding program? Service Type Maximum enrolled at one time Capacity for 12 months Adult Specialized Female Residential Intensive Adult Specialized Female Residential Supportive Adult Specialized Female Residential Detox Adult Specialized Female Ambulatory Detox Adult Specialized Female W/C Residential Intensive Adult Spec Fern W/C Residential Wraparound Services — LESS THAN 21 Adult Spec Fern W/C Residential Wraparound Services — 21 and OVER Adult Specialized Female W/C Residential Supportive Adult Spec Female Outpatient Services Adult Spec Female Outpatient Group Counseling Adult Spec Female Outpatient Group Education Adult Spec Female Outpatient Individual 16 City of Lubbock, TX CenikOk' Foundation RFP 21-15544-MA RFP 21-15544-MA Substance Use Disorder Treatment Services Cenikor Foundation TREATMENT OF FEMALE a. What services do you provide and how long have you provided services? How do you address the needs of the priority populations listed in the scope of work? Cenikor Foundation provides detoxification, intensive and supportive residential and outpatient services. We have provided these services since 1967, over this time we have provided care to over 150,000 clients. For our Amarillo location, we acquired the facility and organization on January 1, 2019 and have been providing services since that date. Priority populations are identified from the first phone call to the access center and placed in services according to their priority. If a priority population client that qualifies as a specialized female cannot be admitted immediately they are provided referrals to interim services and followed up with while awaiting care. b. How many individuals do you serve daily and annually? What is your rate of completion? What is the procedure for follow up after patient discharge? Cenikor Foundation serves over 700 clients per day across all locations and treatment modalities with over 9000 served in fiscal year 2020. In our Amarillo facility, we are currently serving an average of 20 clients per day. However, we have recently received an expansion to our license allowing us to add detoxification services and increased beds to 85 per day. The completion rate for specialized female residential at our facilities averages 61.7%. After discharge, clients are placed in the follow up process. The access center is responsible for completing follow up calls. Per state contracts, each client should be followed up with after 60 and prior to 90 days following treatment. The access center pulls a list of clients in the follow up window daily and makes phone calls. At least three attempts to reach the client are made and documented in CMBHS. The follow up questions in CMBHS are utilized for the follow up interviews, results are documented in CMBHS. c. What curriculum and strategies do you currently implement? Do these meet the grant requirements listed in the scope of work? If not, what changes to programming need to be made? All services, curriculum and strategies meet and/or exceed the requirements listed in the scope of work. Intensive residential treatment services are provided seven days per week based on a comprehensive schedule and include a minimum of thirty hours of progranuning. This progranuning includes at least 10 hours of group and individual counseling, 10 hours of group education and life skills and 10 hours of structured activities. Programming is provided during the day as well as on evening and weekends. Makeup groups and additional hours are available in the schedule to ensure that clients 17 e. City of Lubbock, TX Cenilcor Foundation RFP 21-15544-MA Rr, P 21-15544-MA Substance Use Disorder Treatment Services Cenikor Foundation meet and exceed the thirty -hour requirement for intensive services. Specialized female residential treatment services follow a similar schedule with the addition of parenting, women's health and Seeking Safety. All services are provided by appropriately licensed staff or counselor interns with appropriate Qualified Credentialed counselors overseeing the work. Caseloads are managed to allow the primary counselor time to provide case management services to their clients as well. Discharge planning begins at admission and continues throughout the treatment episode along with appropriate care coordination for movement through the entire continuum of care based on individualized needs. Adult Specialized Female services include thirty hours of group and individual counseling, education and life skills with additional components of parenting, women's health and gender specific process groups. All staff working with specialized females receive additional training such as information on Medicaid, WIC programs, and child protective services. All services are provided in a culturally sensitive marmer and take into account trauma when addressing the clients. Licensed staff conduct a comprehensive assessment during the admissions process to include mental health, medical, physical health, family, legal, educational and other needs. Once the assessment is completed, the clinical staff begin the referral process in conjunction with individualized treatment plamling. Through this process, the client and clinician work together to identify the needs and best resources to meet those needs. A referral is then made for needs outside of substance use disorder treatment. The clinician contacts the appropriate resource, makes an appointment and then schedules transportation for the client. Follow up to the referral is completed after the appointment by the referring clinician. Clients in residential treatment are provided with a comprehensive resource list for their local area Discharge planning begins at admission and continues throughout the treatment episode. The transition plan begins by addressing the client's needs and movement through the continuum of care, for example detox to intensive to supportive or outpatient, recovery support and recovery housing if needed. In addition, it includes a relapse prevention plan, home environment factors the addressed, education status, vocational status, support group referrals, mental and physical health as needed, and sober activities after discharge. Coordination of care includes the referral and referral follow up process for appointments occurring during the episode as well as referrals given at discharge with appointments set for future dates. Counselors discuss with clients during individual sessions weekly their aftercare needs such as continued treatment (i.e. intensive outpatient, outpatient, support groups), housing situation, transportation to appointments, any mental health needs, and sober supports. How many people do you propose serving through this finding program? Service Type Maxirnium enrolled at Capacity for 12 one time months 18 City of Lubbock, TX Cenikor Foundation RPP 21-15544-MA RFP 21-15544-MA Substance Use Disorder Treatinent Services Cenikor Foundation Adult Specialized Female Residential Intensive Adult Specialized Female Residential supportive Adult Specialized Female Residential _ 2 146 detox �R Adult Specialized Female Ambulatory Detox Adult Specialized Female W/C Residential Intensive Adult Specialized Female W/C Residential Wraparound services LESS THAN 21__ Adult Specialized Female W/C Residential Wraparound services 21 and OVER Adult Specialized Female W/C Residential supportive Adult Specialized Female Outpatient group counseling Adult Specialized Female Outpatient group education Adult Specialized Female Outpatient Individual RV 2. Supportive Residential Treatment Services (ASAM Level 3.1 Clinically Managed Low -Intensity Residential Services) 3. Intensive Residential Treatment Services (ASAM Level 3.5 Clinically Managed High -Intensity Residential Services) 4. Residential Detoxification Services (ASAM Level 3.7 Medically Monitored Withdrawal Services) 5. Ambulatory Detoxification Services (ASAM Level 2 Withdrawal Management) B. TREATMENT FOR WOMEN AND CHLDREN Adult pregnant women and women with Dependent Children (including women whose children are in custody of the State) who meet Client Eligibility for System Agency -funded substance use disorder services as stated in the System Agency Substance Use Disorder (SUD) Utilization Management (UM) Guidelines. Clients being admitted into Women and Children's treatment facilities must meet at least one (1) of the following criteria: A. Be in the third trimester of her pregnancy; and/or B. Have at least one (1) child physically residing overnight with her in the facility; and/or C. Have a referral by Department of Family and Protective Services (DFPS). Note: DFPS will not allow at least one (1) child to initially reside overnight but DFPS plans to place the child in the facility within the first thirty (30) Service Days of treatment. 1. Women and Children's Intensive Residential Services (ASAM Level 3.5 Clinically Managed High -Intensity Residential Services) 2. Women and Children's Supportive Residential Services (ASAM Level 3.1 Clinically Managed Low -Intensity Residential Services) Exhibit D BUSINESS ASSOCIATES AGREEMENT BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (the "Agreement"), effective is entered into by and between the City of Lubbock ("City" or "Covered Entity") Cenikor Foundation. (the "Business Associate"), (each a "Party" and collectively the "Parties"). Business Associate is a provider of City clients for Substance Use Disorder Treatment Services. (the "Services"), and the Covered Entity is a political subdivision of the State of Texas. The Parties have an agreement (the "Master Agreement") under which the Business Associate regularly uses and/or discloses Protected Health Information in its performance of the Services described. Both Parties are committed to complying with the Standards for Privacy of Individually Identifiable Health Information under the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). This Agreement sets forth the terms and conditions, pursuant to which the Protected Health Information, that is provided, created, or received by the Business Associate, from or on behalf of the Covered Entity, will be handled between the Business Associate and the Covered Entity, and further with third parties during the term of the Master Agreement and after its termination. The Parties agree as follows: Covered Entity will make available to Business Associate certain information (e.g., medical records, patient information that is confidential and must be afforded special treatment and protection) in connection with Services provided by Business Associate to Covered Entity pursuant to the Master Agreement. Business Associate will have access to and/or receive from Covered Entity certain Information that can be used or disclosed only in accordance with this Agreement, the Master Agreement and the Department of Health and Human Service Privacy Regulations. Covered Entity and Business Associate agree as follows: 1. Business Associate shall not use or disclose Protected Health Information except as provided in this Agreement, the Master Agreement or required by law. A) The City of Lubbock agrees to provide Business Associate with a list of employees who are authorized to request retrieval of government documents. The City of Lubbock will be responsible for ensuring the fax machine is in a secured area for the receipt of confidential information. B) The City of Lubbock will fax to Business Associate a written, signed, and dated release of information request to Business Associate at: (713) 780- 3191. Business Associate will verify the name of the requestor and the incoming fax number prior to retrieving the requested document(s). Business Associate will verbally contact the original requestor prior to faxing or physically returning the documents and confirm request, verify documents, fax number and/or ship to address. C) Business Associate will return requested documents per City of Lubbock instructions. Fax requested returns will be to the authorized requestor's attention at (806)775-2164. Physical return of documents will be to the Business Associate Agreement — City of Lubbock Page 1 of 3 authorized requestor's attention at: The City of Lubbock, Citizens Tower, 1314 Avenue K, 9th Floor, Lubbock, TX 79401 D) Business Associate will document method of return and original written authorization of release. Business Associate will maintain all release information for a period of six (6) years. 2. Business Associate shall implement and maintain appropriate safeguards to prevent the use or disclosure of Protected Health Information other than as provided herein. 3. Business Associate shall report to Covered Entity any use or disclosure of Protected Health Information in violation of this Agreement or the Master Agreement in which Business Associate becomes aware. 4. Business Associate agrees that anytime information is provided to or made available to any subcontractors or agents, Business Associate shall enter into a subcontract with the subcontractor or agent that contains the same terms, conditions and restrictions on the use and disclosure of information as contained in this Contract. 5. Business Associate shall make Protected Health Information available through and upon written request of the Covered Entity, to the individual subjects of such information. 6. Business Associate shall incorporate into this Agreement any amendments or corrections to Protected Health Information when notified by Covered Entity. 7. Business Associate shall provide for an accounting of uses and disclosures of Protected Health Information as requested by Covered Entity. 8. Business Associate shall make its internal practices, books and records relating to the use and disclosure of Protected Health Information available to the Secretary of the Department of Health and Human Services (HHS) as necessary for purposes of determining Covered Entity's compliance with the HIPAA Privacy Rule. 9. At termination of this Agreement Business Associate agrees to return or destroy all information received from, or created or received by Business Associate on behalf of Covered Entity. Business Associate agrees not to retain any copies of the information after termination of this contract. If return or destruction of the information is not feasible, Business Associate agrees to extend the protections of this Agreement for as long as necessary to protect the information after the termination of this Contract. 10. Covered Entity may terminate this agreement if it determines that Business Associate has violated a material term of this agreement after first providing written notice of such breach to Business Associate. Business Associate will then Business Associate Agreement — City of Lubbock Page 2 of 3 have seventy-two (72) hours to rectify said breach and notify Covered Entity of the resolution. 11. If termination of the contract is not feasible, then Covered Entity must report this violation to the Secretary of HHS. 12. The information shall be and remain the property of Covered Entity. Business Associate agrees that it acquires no title or rights to the information, including any de -identified information, as a result of this Contract. In witness whereof, Business Associate and City have caused this Contract to be signed and delivered by their duly authorized representatives, as of the date set forth above. Thy Pri. Contractor 11 By: `S Print Name: Bill Bailey Title: INO- x ■ Title: President and CEO Business Associate Agreement — City of Lubbock Page 3 of 3 Exhibit E City of Lubbock, TX Purchasing & Contract Management INSURANCE COVERAGE REQUIRED TYPE OF INSURANCE COMBINED SINGLE LFNIIT GENERAL LIABILITY X Commercial General Liability General Aggregate '000M ❑ Claims Made ❑ Other Products-Comp/Op AGG X ❑ W/Hea%y Equipment ■❑ Occurrence Personal & Adv. InjLir% X ❑ XCU Contractual Liability X ❑ To Include Products of Complete Operation Endorsements Fire Damage (Any one Fire) Med Exp (Any one Person) X ❑ PROFESSIONAL LIABILITY ❑ Occurrence General Aggregate ❑ or Technical Errors and Omissions ❑ CYBER LIABILITY ❑ Occurrence General Aggregate OTHER: Combined Single Limit 1.000,000 x❑ Medical Malpractice ❑■ Occurrence General Aggregate - AUTOMOTIVE LIABILITY 0 Any Auto ❑ All Owned Autos Per Occurrence ❑ Scheduled Autos ❑ Hired Autos ❑ Non -Owned Autos Aggregate EXCESS LIABILITY ❑ Umbrella Form Each Occurrence _ Aggregate GARAGE LIABILITY ❑ Am Auto Auto Onh - Each Accident ❑ Other than Auto Onh : _ Each Accident Aggregate ❑ BUILDER'S RISK ❑ 100%of the Total Contract Price ❑ INSTALLATION FLOATER ❑ 100%of the Total Material Costs ❑ POLLUTION ❑ CARGO ❑� WORKERS COMPENSATION or OCCUPATONAL MEDICAL AND DISABILITY 500•000 ❑■ EMPLOYERS' LIABILITY OTHER: COPIES OF ENDOSENIENTS ARE REQt'IRED ❑■ City of Lubbock named as additional insured on Auto General Liability on a primary and non-contributory basis. ❑■ To include Products and Completed Operations Endorsements ❑■ Waiver of subrogation in favor of the City of Lubbock on all coverages ❑ No insurance required. IAdditional Comments: