Download ExhA_(Conslt-Pers)_5-09

Contractor’s Name
15-92265
Page 1
Exhibit A
Scope of Work
1.
Service Overview
On August 13, 2015, the Centers for Medicare & Medicaid Services (CMS) approved the Drug
Medi-Cal Organized Delivery System amendment to the California Bridge to Reform Demonstration
waiver (DMC-ODS Waiver). The DMC-ODS Waiver provides counties with the option to participate
and tailor substance use disorder (SUD) services to meet the unique needs of the beneficiaries of
each individual county.
Counties that choose to participate in the DMC-ODS pilot program will offer Waiver services in one
of five regional phases. Those counties may elect to individually provide the required DMC-ODS
Waiver services, or may, upon Departmental approval, implement a regional model to provide the
required services.
As described in this Scope of Work, the Contractor shall perform the following Services:
1. Provide DMC-ODS Waiver trainings to counties that opt into the DMC-ODS Waiver, counties
that receive approval to form a Regional Delivery System, and providers selected by counties to
provide DMC-ODS Waiver services;
2. Provide Technical Assistance to counties and providers as required by DHCS;
3. Provide DHCS with Monthly Progress Reports;
4. Provide DHCS with Trainings up to once Quarterly; and
5. Provide DHCS with a Final Report.
2.
Service Location
The Contractor shall be available to perform the Services within any California county that opts into
the DMC-ODS Waiver, any region that receives approval from DHCS to form a Regional Delivery
System, and any SUD treatment providers within those counties and regions.
3.
Service Hours
The Contractor shall provide the Services during normal Contractor working days and hours,
excluding national and State holidays.
4.
Project Representatives
A. The project representatives during the term of this Agreement will be:
Department of Health Care Services
Contractor’s Name
Contract Manager: Ilana Rub
Telephone: (916) 552-9690
Fax: (916) 440-5230
Email: [email protected]
[Enter Name of Contract Manager]
Telephone: (XXX) XXX-XXXX
Fax: (XXX) XXX-XXXX
Email: Xxxxxxxx@xxxxxxxx
Contractor’s Name
15-92265
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Exhibit A
Scope of Work
B. Direct all inquiries to:
Department of Health Care Services
Contractor’s Name
Narcotic Treatment Programs
Attention: Ilana Rub
Mail Station Code 2603
1501 Capitol Avenue
P.O. Box 997413
Sacramento, CA, 95899-7413
Section or Unit Name (if applicable)
Attention: [Enter name, if applicable]
Street address & room number, if applicable
P.O. Box Number (if applicable)
City, State, Zip Code
Telephone: (916) 552-9690
Fax: (916) 440-5230
Email: [email protected]
Telephone: (XXX) XXX-XXXX
Fax: (XXX) XXX-XXXX
Email: Xxxxxxxx@xxxxxxxx
C. Either party may make changes to the information in Section 4(A) and (B) above by giving
written notice to the other party. Said changes shall not require an amendment to this
Agreement.
5.
Services to be Performed
A. Trainings
As described below, the Contractor shall provide DMC-ODS Waiver Trainings to those counties that
opt into the DMC-ODS Waiver, those counties that receive approval from DHCS to form Regional
Delivery Systems, those providers selected by counties to provide DMC-ODS Waiver services, and
supplemental training for counties, regions, and providers to address specific issues that arise
during the DMC-ODS Waiver implementation and continuance of DMC-ODS Waiver services.
All costs associated with the trainings, including materials provided to training attendees, travel and
accommodations for the trainers/instructors, compensation for trainers/instructors, and presentation
devices (projectors, computers, visual aides, etc.) shall be provided, and paid for, by the Contractor.
1. Trainings
a. Training Plan Outline
The Contractor shall, within 30 days of the execution of this Contract, provide the
DHCS Project Representative with a Training Plan Outline.
The Training Plan Outline shall include a Training Schedule that sets forth the
anticipated dates of all County/Regional and Provider Trainings to be held during the
entire Contract period. The Training Schedule shall be evaluated annually by the
DHCS Project Representative and the Contractor at the anniversary date of this
Contract to address necessary modifications based on counties opting into the
Waiver. Changes cannot be made to the Training Schedule prior to the annual
evaluation date without prior written consent from the DHCS Project Representative.
The Contractor must submit any proposed changes to the Training Schedule 30 days
Contractor’s Name
15-92265
Page 3
Exhibit A
Scope of Work
prior to the scheduled training date. DHCS shall either approve or deny the request
to amend the Training Schedule within 15 days of receiving the Contractor’s request.
The Training Plan Outline shall include a County Training Template and Provider
Training Template that identify and describe the specific curriculum topics to be
covered, including those topics identified in Section 5(A)(1)(d). The Training Plan
Outline shall also attach an evaluation form to be completed by the training
participants (a sample evaluation form is attached as Exhibit I).
Within 30 days of receiving the Contractor’s Training Plan Outline, the DHCS Project
Representative shall either approve the Training Plan Outline as submitted by the
Contractor or provide the Contractor with notice requiring modifications to the
Training Outline Plan. Within 15 days of receiving notice of required modifications,
the Contractor shall re-submit Training Plan Outline that addresses DHCS’ request
for modifications.
b. County/Regional Specific Training Plan
The Contractor shall, 30 days prior to a County/Regional Training date, submit a
County/Regional Specific Training Plan to the DHCS Project Representative. The
County/Regional Specific Training Plan shall include the following:
i. The training curriculum and materials;
ii. The location(s) of the County/Regional Training; and
iii. The names and resumes of all presenters/instructors.
Within 10 days of receiving the Contractor’s County/Regional Specific Training Plan,
the DHCS Project Representative shall either approve the plan as submitted by the
Contractor or provide the Contractor with notice requiring modifications to the
County/Regional Specific Training Plan. Within 10 days of receiving notice of
required modifications, the Contractor shall re-submit the County/Regional Specific
Training Plan that addresses DHCS’ request for modifications.
c. Provider Specific Training Plan
The Contractor shall, 30 days prior to a Provider Training date, submit a Provider
Specific Training Plan to the DHCS Project Representative. The Provider Specific
Training Plan shall include the following:
i. The training curriculum and materials;
ii. The location(s) of the Provider Training; and
iii. The names and resumes of all presenters/instructors.
Within 10 days of receiving the Contractor’s Provider Specific Training Plan, the
DHCS Project Representative shall either approve the plan as submitted by the
Contractor or provide the Contractor with notice requiring modifications to the
Provider Specific Training Plan. Within 10 days of receiving notice of required
modifications, the Contractor shall re-submit the Provider Specific Training Plan that
addresses DHCS’ request for modifications.
Contractor’s Name
15-92265
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Exhibit A
Scope of Work
d. Training Content
The curriculum presented at a training must remain within the scope of the
curriculum approved by DHCS. Additionally, only materials approved by DHCS may
be distributed at a training. Instructors can only address or answer questions from
training attendees that are within the scope of the approved training curriculum. All
questions that deviate from the scope of the approved training curriculum shall be
presented to the DHCS Project Representative in the Training Report, as described
in Section 5(A)(1)(e) below.
The training content shall include the following DMC-ODS Waiver subject matters:
i.
ii.
iii.
iv.
v.
vi.
DMC-ODS Waiver Assessment of Modality Services: The Contractor shall
assist counties in identifying the existing modalities for DMC-ODS Waiver
services and the infrastructure needed to integrate additional modalities as
required by the STCs.
American Society of Addiction Medicine (ASAM) Criteria: The Contractor
shall provide a general overview of ASAM as well as instruction related to the
proper utilization of ASAM criteria for appropriate patient placement, and
guidance for utilizing ASAM criteria to determine the appropriate treatment of
patients based upon their level of care.
Selective Contracting: The Contractor shall provide guidance to counties on
how to draft a request for proposal (RFP) to ensure that the contracting
requirements and selection criteria set forth in the DMC-ODS Waiver
Standard Terms and Conditions (STCs) are clearly articulated. The
Contractor shall also address with counties, and each county’s respective
board of supervisors, the appropriate written policies and procedures for
selection and retention of providers that are in compliance with the STCs.
Quality Assurance Processes: The Contractor shall provide counties with
instructions for drafting the quality assurance plans in a manner that complies
with the Code of Federal Regulation section 438 requirements. The
Contractor shall also provide counties with guidance on the practical
application of the quality assurance plans and organizational structure and
operation of the quality assurance committee.
Medication-Assisted Treatment (MAT): The Contractor shall provide a
general overview of the medications used in MAT that are available through
the DMC-ODS Waiver. The overview shall address each specific medication,
including the primary use for treatment and the relationship, if any, with other
medications available for treatment. As part of the MAT training content, the
Contractor shall educate counties on the theory of MAT and how MAT can be
utilized to treat substance use disorders.
Continuum of Care: The Contractor shall address, in detail, each ASAM
level of care set forth in STCs. The Contractor shall specifically discuss the
nature of services provided at each level of care and the appropriate
interaction between providers when transitioning patients within the
continuum of care to levels appropriate to meet their needs.
Contractor’s Name
15-92265
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Exhibit A
Scope of Work
e. Training Reports
Within 15 days of completing a County/Regional or Provider Training, the Contractor
shall submit a Training Report to the DHCS Project Representative.
The Training Report shall include:
i. The date, time, and location of the training;
ii. The number of attendees;
iii. The attendees’ competed evaluation sheets;
iv. The questions asked by participants at the trainings that were within the
scope of the approved training curriculum and the responses provided by the
Contractor; and
v. The questions asked by participants that were outside the scope of the
approved training curriculum, if applicable.
Within 15 days of receiving a Training Report, DHCS shall provide the Contractor
with responses to questions outside the scope of the approved training curriculum.
2. Supplemental Trainings
a. Supplemental Training Plan
The Contractor shall provide Supplemental Trainings at the direction of DHCS.
Within 10 days of receiving a request for additional training services, the DHCS
Project Representative shall notify the Contractor by providing the specific request
from the county/region or provider. Within 15 days of receiving a Supplemental
Training request, the Contractor shall provide the DHCS Project Representative with
its Supplemental Training Plan to address the specific request.
The Supplemental Training Plan shall include:
i.
ii.
iii.
iv.
v.
vi.
A training schedule that will address the specific request from the county or
region;
The number of trainings;
The locations of the trainings;
The curriculum topic(s) to be provided at the trainings;
The names and resumes of the trainers/instructors; and
The evaluation form to be completed by the training attendees.
Within 15 days of receiving the Contractor’s Supplemental Training Plan, DHCS shall
either approve the plan as submitted by the Contractor or provide the Contractor with
notice requiring modifications to the Supplemental Training Plan. Within 10 days of
receiving notice of required modifications, the Contractor shall re-submit its
Supplemental Training Plan that addresses the request for modifications.
Changes cannot be made to the Supplemental Training Plan without prior written
consent from the DHCS Project Representative. The Contractor must submit any
proposed changes to the Supplemental Training Plan 15 days prior to the training
date. DHCS will either approve or deny the request to amend the Supplemental
Training Plan within 10 days of receiving the Contractor’s request.
Contractor’s Name
15-92265
Page 6
Exhibit A
Scope of Work
b. Training Content
The curriculum presented at a training must remain within the scope of the
curriculum topic(s) approved by DHCS in the Supplemental Training Plan.
Additionally, only materials approved by DHCS in the Supplemental Training Plan
may be distributed at a training. Instructors can only address or answer questions
from training attendees that are within the scope of the approved training curriculum.
All questions that deviate from the scope of the approved training curriculum shall be
presented to the DHCS Project Representative in the Training Report, as described
in Section 5(A)(2)(b).
c. Training Reports
Within 15 days of completing a Supplemental Training, the Contractor shall submit a
Training Report to the DHCS Project Representative.
The Training Report shall include:
i.
ii.
iii.
iv.
The date, time, and location of the training;
The number of attendees;
The attendees’ competed evaluation sheets;
The questions asked by participants at the trainings that were within the
scope of the approved training curriculum and the responses provided by the
Contractor; and
v. The questions asked by participants that were outside the scope of the
approved training curriculum and the Contractor’s proposed responses, if
applicable.
Within 15 days of receiving a Training Report, DHCS shall provide the Contractor
with responses to questions outside the scope of the approved training curriculum.
B. Technical Assistance
As counties/regions and selected providers implement the DMC-ODS Waiver, DHCS anticipates
the need for Technical Assistance to address modality specific questions and implementation
challenges.
Furthermore, DHCS will oversee and monitor counties participating in the DMC-ODS Waiver to
ensure compliance with standards, access, and delivery of quality care and services through an
External Quality Review Organization. The participating counties will also monitor the contracted
providers at least once per year to ensure compliance with standards, access, and delivery of
quality care and services. If significant deficiencies or significant evidence of noncompliance with
the DMC-ODS Waiver, the county implementation plan, or the state/county intergovernmental
agreement are found, then the Contractor shall, at the direction of DHCS, engage the county to
determine if the challenges can be addressed with technical assistance.
1. Direct Requests for Technical Assistance
A county/region or provider may request Technical Assistance through DHCS or directly
from the Contractor.
Contractor’s Name
15-92265
Page 7
Exhibit A
Scope of Work
If a county/region or provider requests Technical Assistance through DHCS, within 10 days
of receiving such request, the DHCS Project Representative shall notify the Contractor by
providing the specific request from the county/region or provider. The Contractor shall
provide the DHCS Project Representative with a Technical Assistance Plan within 15 days
of receiving notice from DHCS.
If a county/region or provider requests Technical Assistance directly from the Contractor,
within 15 days of receiving such request, the Contractor shall provide the DHCS Project
Representative with its Technical Assistance Plan.
The Technical Assistance Plan shall include:
1.
2.
3.
4.
The specific request;
Any necessary documents and information;
The proposed response to the request for Technical Assistance; and
The timeframe in which the Contractor shall address the request for Technical
Assistance.
Within 10 days of receiving the Contractor’s Technical Assistance Plan, DHCS shall either
approve the plan as submitted by the Contractor or provide the Contractor with notice
requiring modifications to the Technical Assistance Plan. Within 5 days of receiving notice of
required modifications, the Contractor shall re-submit its Technical Assistance Plan that
addresses the request for modifications.
The Contractor’s response to the request for Technical Assistance shall not deviate from the
scope of the DHCS approved response.
Within 15 day of closing a request for Technical Assistance, the Contractor shall submit a
Technical Assistance Report to the DHCS Project Representative.
The Technical Assistance Report shall include:
1.
2.
3.
4.
The issue or question presented by the requestor;
The response provided by the Contractor to the requestor;
The method in which the Contractor delivered the response; and
Any additional proposed follow up actions for the specific requestor.
2. Monitoring Deficiency Technical Assistance
Upon determination by DHCS of a deficiency that requires Technical Assistance, as
required by the Standard Terms of Conditions (STCs), DHCS shall notify the Contractor by
providing:
1. The specific deficiency;
2. The DHCS approved Plan of Action to correct the specific deficiency; and
3. The timeframe in which the Contractor shall complete the Plan of Action.
When addressing the specific deficiency, the Contractor shall not deviate from the DHCS
approved Plan of Action. In working with the county or provider to address the specific
deficiency, any questions regarding the Plan of Action must be directed to the DHCS Project
Representative.
Contractor’s Name
15-92265
Page 8
Exhibit A
Scope of Work
Within 15 days of completing the Plan of Action, the Contractor shall submit a Technical
Assistance Report to the DHCS Project Representative.
The Technical Assistance Report shall include:
1. The specific deficiency addressed by the Plan of Action;
2. The response provided by the Contractor to the county or provider; and
3. Any additional proposed follow up actions for the specific deficiency.
C. DHCS Trainings
DHCS employees shall have the right to attend any and all of the County/Regional and Provider
Trainings presented by the Contractor without advanced notice or cost to DHCS.
In addition to attending County/Regional and Provider Trainings, DHCS may request additional
trainings from the Contractor up to once quarterly on any requested DMC-ODS Waiver specific
subject matter. Contractor shall teach DHCS staff how to effectively utilize the procedures
developed by the Contractor to successfully address typical issues encountered by counties,
providers, and Regional Delivery Systems, if applicable, of varying size, population density,
demographics, and geographic region.
D. Monthly Reports
On the final day of each month, the Contractor shall submit a Monthly Report to the DHCS Project
Representative. The Monthly Report shall include:
1. A summary of all Trainings provided and Technical Assistance rendered during that
month;
2. A summary of challenges encountered by counties categorized according to
geographical size, population density, and geographical regions;
3. A summary of challenges encountered by Regional Delivery Systems, if applicable;
4. A summary of modality specific challenges encountered by counties;
5. A summary of modality specific challenges encountered by providers; and
6. A summary of successful strategies and procedures utilized by counties and Regional
Deliver Systems, if applicable, during DMC-ODS Waiver implementation and
continuance of DMC-ODS Waiver services.
E. Invoices
The Contractor shall submit invoices in conjunction with the Monthly Report and in accordance with
the requirements of Exhibit B. Each invoice shall detail the number of hours worked on any of the
following services:
1.
2.
3.
4.
5.
Preparation of the Training Plan Outline;
Preparation of any County/Regional Specific Training Plan;
Preparation of any Provider Specific Training Plan;
Performing any County/Regional or Provider training;
Preparation of any Training Reports;
Contractor’s Name
15-92265
Page 9
Exhibit A
Scope of Work
6.
7.
8.
9.
Performing Technical Assistance at the direction of DHCS;
Preparing of any Technical Assistance Reports;
Performing DHCS trainings, if requested, up to once a quarter; and
Preparation of the Final Report.
Invoices must include the dates associated with each of the hours of work specified above as well
as a description of services performed. The DHCS Project Representative shall reserve the right to
request additional information from the Contractor if he or she deems the invoice to be inadequate.
F. Final Report
On or before the expiration of the Contract, the Contractor shall submit a Final Report to the DHCS
Project Representative. The Final Report shall include:
1. Templates, scripts, and materials for County Trainings categorized according to
geographical size, population density, demographics, and geographical regions;
2. Templates, scripts, and materials for Provider Trainings categorized by modality and
geographic location;
3. Templates, scripts, and materials for Regional Delivery Systems, if applicable;
4. A list of Frequently Asked Questions (FAQs) posed by counties during DMC-ODS
Waiver implementation and continuance of DMC-ODS Waiver services and the
Contractor’s responses to those FAQs;
5. A list of FAQs posed by providers during DMC-ODS Waiver implementation and
continuance of DMC-ODS Waiver services and the Contractor’s responses to those
FAQs;
6. A list of FAQs posed by Regional Delivery Systems during DMC-ODS Waiver
implementation and continuance of DMC-ODS Waiver services and the Contractor’s
responses to those FAQs, if applicable;
7. A summary of challenges encountered by counties grouped according to geographical
size, population density, demographics, and geographical regions;
8. A summary of challenges encountered by Regional Delivery Systems, if applicable;
9. A summary of modality specific challenges encountered by counties;
10. A summary of modality specific challenges encountered by providers; and
11. A summary of successful strategies and procedures utilized by counties and Regional
Delivery Systems, if applicable, during DMC-ODS Waiver implementation and
continuance of DMC-ODS Waiver services.