Assessment and Long Term Modified Therapeutic Community Substance Use Disorders Treatment Services Program for Ozark Correctional Center

INVITATION FOR BID IFB SDA411-066 ADDENDUM 001 Assessment and Long Term Modified Therapeutic Community Substance Use Disorders Treatment Services Program FOR Ozark Correctional Center Contract Period: Date of Award through June 30, 2018 Date of Issue: May 16, 2017 Page i of 83 Missouri Department of Corrections Fiscal Management Unit Purchasing Section 2729 Plaza Drive, P.O. Box 236 Jefferson City, MO 65102 Buyer of Record: Beth Lambert Procurement Officer II Telephone: (573) 526–6494 Beth.Lambert@doc.mo.gov REVISED BY ADDENDUM #001 Bids Must Be Received No Later Than: 2:00 p.m., May 31, 2017 Bids may be submitted electronically through MissouriBUYS only or a hard-copy bid may be submitted. Hard-copy bids must be SEALED and be delivered to the Missouri Department of Corrections, Purchasing Section, 2729 Plaza Drive, Jefferson City, MO 65109, or P.O. Box 236, Jefferson City, Missouri 65102. The bidder should clearly identify

the IFB number on the lower right or left-handed corner of the container in which the bid is submitted to the Department. This number is essential for identification purposes. We hereby agree to provide the services and/or items, at the price quoted, pursuant to the requirements of this document and further agree that when this document is countersigned by an authorized official of the Missouri Department of Corrections, a binding contract, as defined herein, shall exist. The authorized signer of this document certifies that the contractor (named below) and each of its principals are not suspended or debarred by the federal government. Company Name: Mailing Address: City, State Zip: Telephone: ____________________________Fax: ____________________________ Federal EIN #:____________________________State Vendor #__________________ Email: ________________________________________________ Authorized Signer's Printed Name and Title ________________________ Authorized Signature: Bid Date ______ NOTICE OF AWARD: This bid is accepted by the Missouri Department of Corrections as follows: Contract No. _________________________________________________________________________________________________ Matt Sturm, Director, Division of Offender Rehabilitative Services Date The original cover page, including amendments, should be signed and returned with the bid. mailto:beth.lambert@doc.mo.gov IFB #SDA411-066 Page ii Addendum #001 for IFB SDA411-066 Title: Assessment and Long Term Modified Therapeutic Community Substance Use Disorders Treatment Services Program Contract Period: Date of Award through June 30, 2018 PROSPECTIVE BIDDERS ARE HEREBY NOTIFIED IFB SDA411-066 IS HEREBY AMENDED AS FOLLOWS: 1. The "Bids Must Be Received" date has changed as a result of Amendment #001: 2. The following paragraphs were revised as a result of Addendum 001: 2.2.7 b.3 on page 10 2.2.9 on page 10 - 11 2.5.4 on page 14 2.14.1 a. on page 20 3.3.1 on page 36 4.1.1 on page 38 4.1.2 on page 38 Attachment 3 on page 77 3. The following paragraph was added as a result of Addendum 001. 2.2.8 on page 10 4. Bidders shall discard the original IFB SDA411-066 pages 10 - 38 and page 77, and replace with IFB SDA411-066 Addendum #001, pages 10 - 38 and page 77. All other requirements, specifications, terms and conditions for IFB SDA411-066 remain the same. Note: The revisions made as results of this amendment have been italicized and bolded. Listed below are questions asked by potential bidders and the corresponding answers that are provided for clarification purposes only. In the event of a conflict between the responses to the questions listed below and the IFB, the IFB shall govern. IFB Section Reference Question/Response 2.1.4 a What is the average daily census for the Program within the last year? The Department does currently track this information 2.1.4 a What is the average daily census of offenders with Co-occurring Disorders within the Program within the last year? The Department does currently track this information 2.2.7 b Does this statement indicate the Department will provide writing paper or notebooks for homework assignments, etc. Please see sections 2.2.7 b.3 and section 2.2.8 on page 10 2.2.8 How many computers will the Department make available for the vendor? Please see section 2.2.9 on page 10 - 11. The contractor, in collaboration with the OCC Warden, IFB #SDA411-066 Page iii will determine the number of computers and printers needed. The actual quantity of computers and printers provided shall be subject to the Department’s approval based upon availability, proposed usage, and proposed location of the computer(s). Computers and equipment that are requested in excess of those provided by the Department shall be obtained by the contractor and be subject to the Department’s approval. 2.2.8 The IFB states the Department will provide printers and ink for printers. Can you please confirm? Please see section 2.2.10 d. on page 12 2.2.8 Does the vendor currently have phone lines/scanners/fax capability? Yes 2.2.8 Do the staff computers have internet access? Yes, the Department determines the level of access permitted. Contractor staff will be required to follow Department policy in regards to internet access and usage. 2.2.9 d. The IFB indicates that printer toner will be provided by the Department; however, does not stipulate the printers will be provided. Will the Department provide printers for connection to DOC provided computers? Please see section 2.2.9 on page 10 - 11 2.2.11 Can the Department please verify the current program operating hours? Hours may vary dependent on the OCC Warden's determination 2.2.11 Will the Department please provide the current Program Schedule? The program schedule is proprietary to the current vendor. Hours may vary dependent on the OCC Warden's determination 2.5.4 The physical plant at OCC does not accommodate facility wide meetings. Can the Department remove facility wide meetings from the meeting requirements? Please see section 2.5.4 on page 14. Some facility wide events have been held outdoors. 2.12.2 a. The contractor accepts and understands that when the collaboratively developed, revised institutional standards are approved by the Department of Mental Health, the contractor is expected to transition to those revised standards. Question: Please confirm that if a financial impact is assessed as a result of any revised standards, the Contractor will be provided the option to waive the change or renegotiate the fixed price to cover the cost. When and if revised standards are implemented, there will not be an option to waive the revisions. 2.14.1 a The IFB speaks to a "3 Week Basic Training" requirement for all staff. The current requirements for contracted staff is 3 days. Could the Department clarify if this is an actual change? Please see section 2.14.1 a. on page 20 2.15.1 a Can the Department clarify if the minimum age of employee is 18 (referenced on page 36) or 21 (reference on page 21)? Conflicting statements appear in the IFB. Please see section 3.3.1 on page 36 Attachment 3 In practice DOC has replaced the Long Distance Dads materials with Inside/Out Dads materials. Is it the Departments intent to continue to use the current curriculum or to return to Long Distance Dads? Please see Attachment 3 on page 77 IFB #SDA411-066 Page iv Attachment 3 Will the Department please confirm that Pathways to Change is the required programming? Please see section 2.14.1 on page 20 Attachment 3 Will the DOC pay for Pathways to Change and the associated training required, or will both be the responsibility of the vendor? The Department will be responsible for training that is provided by the Department. Who is the current program Provide? How long have the current vendor held the contract? Please refer to the current contract which can be viewed on the Department's website at http://doc.mo.gov/DHS/Professional_Services_Awarded.php Will the Department please consider allowing vendors 10 days to respond to the RFP once the clarifications have been answered? Please see the response date on the cover page of this Addendum Can the Department please provide clarification on the Assessed Liquidated Damages? The Department will not pay out liquidated damages. Can the Department please provide information on the Current staff vacancies? Information regarding current staff vacancies at OCC are not currently available. Can the Department please provide the current staffing plan? Please refer to the current contract which can be viewed on the Department's website at http://doc.mo.gov/DHS/Professional_Services_Awarded.php Can the Department please provide the Contract amendments for the current contract? Please refer to the current contract which can be viewed on the Department's website at http://doc.mo.gov/DHS/Professional_Services_Awarded.php Can the Department please provide the results on any Recent audits? Annual contract compliance audits are not available to the public. Can the Department please provide clarification on how much the Dept. spent on this program for the past 2 years? An estimated $2,714,000 was paid towards the current contract in the last two (2) years. Can the Department please provide clarification on the total available funding for each year of the prospective contract? Please see section 1.5.8 on page 8 http://doc.mo.gov/DHS/Professional_Services_Awarded.php INVITATION FOR BID SDA931411-066 Assessment and Long Term Modified Therapeutic Community Substance Use Disorders Treatment Services Program FOR Ozark Correctional Center Contract Period: July 1, 2017 through June 30, 2018 Date of Issue: April 18, 2017 Page 1 of 80 Missouri Department of Corrections Fiscal Management Unit Purchasing Section 2729 Plaza Drive, P.O. Box 236 Jefferson City, MO 65102 Buyer of Record: Beth Lambert Procurement Officer II Telephone: (573) 526–6494 Beth.Lambert@doc.mo.gov Bids Must Be Received No Later Than: 2:00 p.m., May 17, 2017 Bids may be submitted electronically through MissouriBUYS only or a hard-copy bid may be submitted. Hard-copy bids must be SEALED and be delivered to the Missouri Department of Corrections, Purchasing Section, 2729 Plaza Drive, Jefferson City, MO 65109, or P.O. Box 236, Jefferson City, Missouri 65102. The bidder should clearly identify the IFB number on the lower right or left-handed corner of the container in which the bid is submitted to the Department. This number is essential for identification purposes. We hereby agree to provide the services and/or items, at the price quoted, pursuant to the requirements of this document and further agree that when this document is countersigned by an authorized official of the Missouri Department of Corrections, a binding contract, as defined herein, shall exist. The authorized signer of this document certifies that the contractor (named below) and each of its principals are not suspended or debarred by the federal government. Company Name: Mailing Address: City, State Zip: Telephone: ____________________________Fax: ____________________________ MissouriBUYS System ID (See Vendor Profile - Main Information Screen):________________________ Email: ________________________________________________ Authorized Signer's Printed Name and Title ________________________ Authorized Signature: Bid Date ______ NOTICE OF AWARD: This bid is accepted by the Missouri Department of Corrections as follows: Contract No. _________________________________________________________________________________________________ Joan Reinkemeyer, Director, Division of Offender Rehabilitative Services Date The original cover page, including amendments, should be signed and returned with the bid. mailto:beth.lambert@doc.mo.gov SDA931411-066 2 Instructions for Submitting a Solicitation Response The Missouri Department of Corrections is now posting all of its bid solicitation documents on the new MissouriBUYS Bid Board (https://www.missouribuys.mo.gov). MissouriBUYS is the State of Missouri’s web- based statewide eProcurement system which is powered by WebProcure, through our partner, Perfect Commerce. For all bid solicitations, bidders now have the option of submitting their solicitation response either as an electronic response or as a hard copy response. As a means to save bidders the expense of submitting a hard copy response and to provide bidders both the ease and the timeliness of responding from a computer, bidders are encouraged to submit an electronic response. Both methods of submission are explained briefly below and in more detail in the step-by-step instructions provided at https://missouribuys.mo.gov/pdfs/how_to_respond_to_a_solicitation.pdf. (This document is also on the Bid Board referenced above.). Notice: The bidder is solely responsible for ensuring timely submission of their solicitation response, whether submitting an online response or a hard copy response. Failure to allow adequate time prior to the solicitation end date to complete and submit a response to a solicitation, particularly in the event technical support assistance is required, places the bidder and their response at risk of not being accepted on time. • ELECTRONIC RESPONSES: To respond electronically to a solicitation, the bidder must first register with MissouriBUYS by going to the MissouriBUYS Home Page (https://missouribuys.mo.gov), clicking the “Register” button at the top of the page, and completing the Vendor Registration. Once registered the bidder should log back into MissouriBUYS and edit their profile by selecting the organizational contact(s) that should receive an automated confirmation of the bidder’s electronic bid responses successfully submitted to the Department. To respond electronically to a solicitation, the bidder must login to MissouriBUYS, locate the desired solicitation on the Bid Board, and, at a minimum, the bidder must read and accept the Original Solicitation Documents and complete pricing and any other identified requirements. In addition, the bidder should download and save all of the Original Solicitation Documents on their computer so that they can prepare their response to these documents. Bidders should upload their completed response to these downloaded documents (including exhibits, forms, and other information concerning the solicitation) as an attachment to the electronic solicitation response. Step-by-step instructions for how a registered bidder responds to a solicitation electronically are available on the MissouriBUYS system at: https://missouribuys.mo.gov/pdfs/how_to_respond_to_a_solicitation.pdf. o Bidders are encouraged to submit their entire bid electronically; however in lieu of attaching exhibits, forms, pricing, etc. to the electronic solicitation response, a bidder may submit the exhibits, forms, pricing, etc. through mail or courier service. However, any such submission must be received prior to the solicitation’s specified end date and time. Be sure to include the solicitation/opportunity (OPP) number, company name, and a contact name on any hard copy solicitation response documents submitted through mail or courier service. o In the event a registered bidder electronically submits a solicitation response and also mails hard copy documents that are not identical, the bidder should explain which response is valid for the Department's consideration. In the absence of such explanation, the Department reserves the right to evaluate and award the response which serves its best interest. Addendum Document: If an addendum document is subsequently issued, please follow these steps to accept the addendum document(s). https://www.missouribuys.mo.gov/ https://missouribuys.mo.gov/pdfs/how_to_respond_to_a_solicitation.pdf https://missouribuys.mo.gov/ https://missouribuys.mo.gov/pdfs/how_to_respond_to_a_solicitation.pdf SDA931411-066 3 1. If you have not accepted the original solicitation document go to the Overview page, find the section titled, Original Solicitation Documents, review the solicitation document(s) then click on the box under Select, and then click on the Accept button. 2. To accept the addendum document, on the Overview page find the section titled Addendum Document, review the addendum document(s) then click on the box under Select, and then click on the Accept button. Note: If you submitted an electronic response prior to the addendum date and time, you should review your solicitation response to ensure that it is still valid by taking into consideration the revisions addressed in the addendum document. If a revision is needed to your solicitation response and/or to indicate your acceptance of the addendum document, you will need to retract your response and re-submit your response by following these steps: 1. Log into MissouriBUYS. 2. Select the Solicitations tab. 3. Select View Current Solicitations. 4. Select My List. 5. Select the correct Opportunity Number (Opportunity No); the Overview page will display. 6. Click on Review Response from the navigation bar. 7. Click on Retract if your response needs to be revised. 8. A message will come up asking, “Are you sure you want to retract the Bid”. Click on Continue to confirm. 9. Click on Respond and revise as applicable. 10. Click on Review Response from the navigation bar and then click on Submit to submit your response. • HARD COPY RESPONSES: Be sure to include the solicitation/opportunity (OPP) number, company name, and a contact name on any hard copy solicitation response documents. End of Instructions for Submitting Solicitation Response SDA931411-066 4 TABLE OF CONTENTS This document, referred to as an Invitation for Bid (IFB), is divided into the following parts: Part One: Introduction and General Information Part Two: Scope of Work Part Three: General Contractual Requirements Part Four: Bid Submission, Evaluation, and Award Information Exhibit A Pricing Page Exhibit B Bidder Information Exhibit C Current/Previous Experience Exhibit D Expertise of Key Personnel Exhibit E Expertise of Personnel Exhibit F Method of Performance Exhibit G Participation Commitment Exhibit H Document of Intent to Participate Exhibit I Business Entity Certification, Enrollment Documentation, and Affidavit of Work Authorization Exhibit J Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Exhibit K Miscellaneous Information Exhibit L Employee Expense Charged to Contract Exhibit M Personnel Control Listing Attachment 1 Mental Health Needs Scoring Attachment 2 Missouri Reentry Process Attachment 3 Transitional Services Attachment 4 Institutional Treatment Center Contract Attachment 5 Acknowledgement of Offender Program Options for Self-Help Attachment 6 Community Treatment and Recovery Services Referral Form END OF TABLE OF CONTENTS SDA931411-066 5 1. INTRODUCTION AND GENERAL INFORMATION This section of the IFB includes a brief introduction and background information about the intended acquisitions and/or services for which the requirements herein are written. The contents of this section are intended for informational purposes and do not require a response. 1.1 Purpose: 1.1.1 This document constitutes a request for competitive, sealed bids from qualified vendors and organizations to provide Assessment and Long Term Modified Therapeutic Community Substance Use Disorders Treatment Services Program for the Missouri Department of Corrections, in accordance with the terms and conditions set for herein. 1.1.2 It is recommended that all bidders review the Terms and Conditions governing this solicitation in its entirety, giving particular emphasis to examining those sections related to: • Open Competition • Preparation of Bids • Submission of Bids • Preferences • Evaluation and Award 1.1.3 Any bidder desiring to appeal a decision related directly to the award of a contract must do so within ten (10) working days from the date of formal contract award, evidenced by the Notice of Award. A specific format for submission of an appeal is not required. However concerns must be submitted in a manner that clearly sets forth the issue(s), referencing applicable section(s) of the IFB together with an opinion of what a recommended remedy should include. 1.2 Questions Regarding the IFB: 1.2.1 IFB Questions - It is the bidder’s responsibility to ask questions, request changes or clarifications, or otherwise advise the Department if the bidder believes that any language, specifications, or requirements are: (1) ambiguous, (2) contradictory or arbitrary, or both, (3) violate any state or federal law or regulation, (4) restrict or limit the requirements to a single source, or (5) restrict or limit the bidder’s ability to submit a bid. a. Except as may be otherwise stated herein, the bidder and the bidder’s agents (including subcontractors, employees, consultants, or anyone else acting on their behalf) must direct all of their questions or comments regarding the IFB, the solicitation process, the evaluation, etc., to the buyer of record indicated on the first page of this IFB. Inappropriate contacts to other personnel are grounds for suspension and/or exclusion from specific procurements. Bidders and their agents who have questions regarding this matter should contact the buyer. 1) The bidder may contact the Office of Equal Opportunity (OEO) regarding MBE/WBE certification or subcontracting with MBE/WBE companies. b. All questions and issues should be submitted at least ten (10) working days prior to the due date of the bid. If not received prior to ten (10) working days before the bid due date, the Department may not be able to fully research and consider the respective questions or issues. Questions and issues relating to the IFB, including questions related to the competitive procurement process, must be directed to the buyer. It is preferred that questions be e-mailed to the buyer at Beth.Lambert@doc.mo.gov. mailto:beth.lambert@doc.mo.gov SDA931411-066 6 c. The Department will attempt to ensure that a bidder receives an adequate and prompt response to questions, if applicable. Upon the Department's consideration of questions and issues, if the Department determines that changes are necessary, the resulting changes will be included in a subsequently issued IFB amendment(s); absence of such response indicates that the questions and issues were considered but deemed unnecessary for IFB amendment as the questions and issues did not provide further clarity to the IFB. All bidders will be advised of any change to the IFB’s language, specifications, or requirements by a formal amendment to the IFB. NOTE: The only official position of the State of Missouri shall be that which is contained in the IFB and any amendments thereto. 1.3 Tour of Facility: 1.3.1 A non-mandatory tour of the site is available by appointment. To make an appointment for a tour, please contact Teri Myers at (417) 767-4491 extension 2256, or via email at Teri.Myers@doc.mo.gov, Monday through Friday, 8:00 a.m. to 4:00 p.m., at least four (4) days prior to desire tour date. a. Any potential bidder interested in participating in the facility tour must provide the full name, date of birth, social security number, driver's license number, and the state that issued the driver's license of each individual planning to attend the tour. Each potential bidder is limited to two (2) individuals taking the tour. The potential bidder must submit the required information to the facility contact listed in 1.3.1. Those individuals attending the tour must bring photo identification, preferable a current driver's license, to the facility. No medications, gum, tobacco products, purses, cell phones, tape recorders, cameras, pagers, or items that could bused as a weapon will be permitted into the facility. 1.3.2 The bidder and the bidder’s agents (including subcontractors, employees, consultants, or anyone else acting on their behalf) must direct all of their questions or comments regarding the IFB, the evaluation, etc., to the buyer of record indicated on the first page of this IFB. Prior to the due date for receipt of bids, those questions which necessitate a change to the IFB will be addressed via an amendment to the IFB. Written records of the questions and answers will not be maintained. a. The buyer may be contacted via e-mail or phone as shown on the first page, or via facsimile to 573- 522-1562. b. Questions must be submitted in writing to the Purchasing Section and should be received at least 10 days prior to the official bid closing date. Bidders are advised that any questions received less than ten (10) calendar days prior to the IFB closing date may not be answered. c. Bidders are advised that when communicating with the Purchasing Section, it is the responsibility of the bidder to confirm the accuracy of all Vendor Information Data provided, particularly as it relates to a current address, phone number, facsimile number and electronic mailing address. The Department of Corrections shall not be responsible for any non-deliverable response to an individual inquiry, and is under no obligation to solicit the bidder regarding such information once submitted unless otherwise advised. 1.2.4 Bidders and their agents may not contact or discuss the IFB with any other state employee regarding any of these matters during the solicitation and evaluation process. Inappropriate contacts are grounds for suspension and/or exclusion from specific procurements. 1.3.3 The purpose of the tour is to provide bidders an opportunity to inspect, examine, and assess the facility and to determine any existing conditions and factors of the facility that may affect the performance of the services required herein. 1.4 Definitions: mailto:teri.myers.doc.mo.gov SDA931411-066 7 1.4.1 Individual counseling shall be defined as a structured goal-oriented therapeutic process in which the offender interacts on a face-to-face basis with a qualified professional or trainee under supervision of the contractor to address problems identified on the individual treatment plan. 1.4.2 Group counseling shall be defined as a face-to-face goal-oriented therapeutic interaction between a qualified professional or trainee under the supervision of the contractor and three (3) or more offenders. 1.4.3 Recovery centered education shall be defined as didactic presentation of general information regarding substance use disorders, criminality, and related topics, and the practical application of the information through group discussion and as indicated by the offenders treatment plan. 1.5 Background Information: 1.5.1 The Office of Administration has issued a special delegation of authority to the Department of Corrections (hereinafter referred to as the Department) which permits the Department to administer the development, issuance, evaluation, and award of contracts for substance use disorders treatment services for offenders under the supervision of the Department. 1.5.2 Substance misuse among offenders causes serious problems in Missouri and the United States. In October 2016, there were 32,853 offenders in Missouri's prisons. In 2016, substance use related convictions accounted for 39% of new admissions. Substance use screening conducted by the Department reveals that 83% of the offenders were engaged in substance abuse within twelve (12) months prior to their incarceration. The Department has established institutional treatment services to address the needs of the offender. 1.5.3 This Invitation for Bid pertains to assessment and Long Term Substance Use Disorders Treatment Program at the Ozark Correctional Center, 929 Honor Camp Lane, Fordland, Missouri 65652. Within a correctional setting, the community, including provider and State agency staff, is the change agent. 1.5.4 Ozark Correctional Center (OCC) is an adult male facility with a total treatment population of 650. The facility also has 88 saturation beds for offenders waiting for treatment or those who have completed treatment who are awaiting release. The facility is a medium profile facility entirely dedicated to the Long Term Treatment Program. These services are currently provided in a modified Therapeutic Community model. Department of Corrections staff members at Ozark Correctional Center have a strong and demonstrated commitment to substance use disorders treatment and successful offender reentry. There is an ongoing expectation for collaboration between the department and contracted staff in all sections and at every level of the institution. Successful reentry is assisted by the Ozark Correctional Center’s commitment that each offender participate in “Employability Skills and Life Skills” classes and a collaborative approach towards offender continuing care placement. Eligible offenders participating in less intensive levels of treatment are involved in work release or assigned to jobs within the facility while continuing in ongoing recovery services. Therefore, the contractor should anticipate that close collaboration is both an expectation and necessity. 1.5.5 Pathway to Change is the Department of Corrections approved cognitive skills curriculum that addresses factors that lead to criminal behavior such as, anger management techniques, responsible decision- making, examination of values and attitudes, successful relationships and identifying and correcting thinking errors. The Department of Corrections requires Long Term Substance Use Disorders Treatment to provide a minimum of twelve (12) sessions of Pathway to Change (PTC) to appropriate offenders. The contractor, in collaboration with department staff, provides these classes to offenders who are assessed to need cognitive skills programming. 1.5.6 In general, classification and custody staff from within the Department of Corrections (and its other contractors) will continue to perform the activities of administration, security, classification, food services, maintenance, health care and mental health, education, and recreation. SDA931411-066 8 1.5.7 In the Department computer system, substance use disorders treatment documentation is entered in the Healthcare Module of MOCIS (Missouri Corrections Integrated System). a. The contractor shall utilize the required treatment documentation format in the MOCIS Healthcare module. 1.5.8 The Department shall not expend funds in excess of $1,482,000.00 per fiscal year for the services provided at OCC. The expended funds amount for this contract is subject to general revenue allocations; however, it is not guaranteed by the State of Missouri. 1.5.9 Although an attempt has been made to provide accurate and up-to-date information, neither the Department, nor the State of Missouri warrants or represent that the background information provided herein reflects all relationships or existing conditions related to this Invitation for Bid. 1.5.10 An invitation for bid SDA411-060 was issued in 2012 requesting services as identified in this IFB for Ozark Correctional Center. Gateway Foundation, Inc. is the current provider of services for this contract. A copy of the contract and any amendments can be viewed and printed from the Missouri Department of Corrections website located on the Internet at: http://doc.mo.gov/DHS/Professional_Services_Awarded.php. a. State expenditures - The Missouri Accountability Portal (MAP) located on at: http://mapyourtaxes.mo.gov/MAP/Expenditures/ provides financial data related to the purchase of the services under the contract. Be sure to read the information provided in the links to "Site Information" and "Disclaimer". Then search by the contract number shown above when searching for the financial information. END OF PART ONE: INTRODUCTION AND GENERAL INFORMATION http://doc.mo.gov/DHS/Professional_Services_Awarded.php http://mapyourtaxes.mo.gov/MAP/Expenditures/ SDA931411-066 9 2. SCOPE OF WORK This section of the IFB includes requirements and provisions relating specifically to the performance requirements of the Department. The contents of this section include mandatory requirements that will be required of the successful bidder and subsequent contractor. Response to this section by the bidder is requested in the Exhibit section of this IFB. The bidder’s response, whether responding to a mandatory requirement or a desired attribute will be binding upon the bidder in the event the bid is accepted by the State. 2.1 General Requirements: 2.1.1 The contractor shall provide Assessment and Long Term Modified Therapeutic Community Substance Use Disorders Treatment on an as needed, if needed basis at the Ozark Correctional Center (OCC) in accordance with the provisions and requirements specified herein. 2.1.2 The contractor shall understand and agree that all services shall be performed to the sole satisfaction of the Department. The Department is the final judge of the quality of the contractor's performance under the contract, and any dispute arising from conflicts with Department policy and appropriate clinical practice for assessments and treatment shall be resolved by the Assistant Director, Division of Offender Rehabilitative Services (DORS), Substance Use and Recovery Services (referred to herein as Assistant Division Director, DORS). Therefore, it is understood and agreed that: a. The contractor shall establish appropriate and professional services consistent with Department objectives of maintaining a structured and well-managed state facility. b. The contractor and the Department shall jointly develop and maintain a standardized operating procedure governing the provision of substance use assessment and treatment services, consistent with the Department’s Standard Operating Procedures. c. The contractor shall be responsible for coordinating all aspects of the contracted services with the OCC Warden and the Assistant Division Director, DORS. The contractor shall identify a contact person at the facility responsible for the oversight of the contracted services. 2.1.3 The contractor shall have the capability of providing all programming services as indicated herein. 2.1.4 On a daily basis, the Department shall conduct a head count of the population at the facility and provide an electronic summary report to the contractor. The Department will deduct all those individuals not receiving treatment under the contract (i.e., overnight medical out counts to another facility or off-site medical provider, transfers and/or discharges). The contractor shall agree that the Department’s determination of the head count at the facility shall be final and without recourse. a. The Department makes no specific guarantee as to the minimum or maximum number of offenders that will be referred and who will participate in services. However, all 650 beds at OCC are designated for offenders in the program. 2.1.5 The contractor shall understand and agree that if additional funding exists, the contractor shall be required to provide additional services at the firm, fixed price as indicated on the EXHIBIT A, Pricing Page. 2.1.6 The contractor shall understand and agree that because the contractor is familiar with the facility and the conditions that existed prior to award of the contract, the contractor shall not be relieved of the performance of the provisions and requirements specified herein. 2.2 Performance Requirements 2.2.1 The contractor shall agree and understand that the Department alone is the sole source of referral and without exception retains the right to terminate any participant it deems necessary in order to maintain program integrity and a safe and secure correctional environment. SDA931411-066 10 2.2.2 The contractor shall provide services that are accessible to persons of all faiths and to persons of no faith who are atheist, agnostic, or undecided. Therefore, the contractor is expected to ensure the provision of secular recovery support groups that offer an alternative to 12 step groups. 2.2.3 The contractor shall also provide secular alternative program materials to any and all offenders in treatment and ensure provision of alternative self-help groups when two or more offenders request an alternative. 2.2.4 The contractor must begin providing all services on July 1, 2017. This start date is non-negotiable and the contractor accepts full responsibility for compliance. In the event the contractor is unable to provide services by the date specified due to no fault of the contractor, an extension may be considered. A written request for an extension, of up to thirty (30) calendar days beyond the original startup date, must be approved by the Assistant Division Director, DORS, and incorporated into the contract via an amendment. 2.2.5 Unless otherwise specified, the contractor shall be responsible for furnishing all treatment curricula, and copies of treatment material. Standardized program materials and supplies used for Department required core programming, such as Pathway to Change, Long Distance Dads and Impact of Crime on Victims Class (ICVC), will be provided by the Department. 2.2.6 The contractor shall comply with the Fair Labor Standard Act, Equal Opportunity Employment Act, and any other federal and state laws, rules, regulations and executive orders to the extent that these may be applicable and further agrees to insert the foregoing provision in all subcontracts awarded. 2.2.7 Unless otherwise specified herein, the contractor shall furnish all materials, labor, equipment and supplies necessary to perform the services required herein. The contractor shall assume all costs for providing services, except as otherwise specified herein: a. The contractor shall provide any private telephone lines, fax lines or fax equipment, if required, as well as scanners for implementation of services The contractor shall provide justification in a formal, written request to the Department which maintains sole discretion for approval or rejection. If approved, the contractor shall be responsible for the payment directly to the provider of all phone/fax line services and or equipment specified in the request for the remaining duration of the contract. b. The Department shall assume responsibility for the upkeep, maintenance, and repair of the correctional facility, providing office space, furnishings (i.e. desks, chairs, furniture), and utilities as follows: 1) The Department will provide the contractor with classrooms and offices for service implementation as well as furniture needed for offender programming such as chairs, tables, bulletin boards, white boards, easels and electronic equipment required to display DVDs and CDs. 2) The Department shall provide and make available all labor, equipment, supplies, and other materials as may be necessary for the upkeep and sanitation of the Department facility. REVISED BY ADDENDUM #001 3) DVDs and CDs to be used in connection with Department core curricula. ADDED BY ADDENDUM #001 2.2.8 Writing materials and supplies for offenders that are needed for core curriculum implementation, will be provided by the Department. REVISED BY ADDENDUM #001 2.2.9 If deemed necessary, the Department shall provide the contractor with access to the Department’s database and to the Missouri Corrections Integrated System (MOCIS). The Department shall provide a limited number of computers and printers to the contractor for on-site services. The contractor, in SDA931411-066 11 collaboration with the OCC Warden, will determine the number of computers and printers needed. The actual quantity of computers and printers provided shall be subject to the Department’s approval based upon availability, proposed usage, and proposed location of the computer(s). Computers and equipment that are requested in excess of those provided by the Department shall be obtained by the contractor and be subject to the Department’s approval. 2.2.10 Access to Department information systems shall only be provided on a need-to-know basis. Approval for access shall be obtained through the Assistant Division Director, DORS, and the OCC Warden and shall be limited to contract staff who have been approved access by the Client Services Manager, Office of Administration, Information Technology Services Division (hereafter referenced as “Client Services Manager, ITSD”). a. The Department will provide any computer requiring Department network access. b. The contractor understands and agrees that the contractor shall be responsible for the provision of required assessment software and any necessary hardware for the implementation of Department approved assessment(s). All hardware and software placed on the State network must be approved by ITDS and must comply, at minimum, with the following general requirements: 1) All systems must abide by the standards and processes set forth in SDC’s (State Data Center) Standard Operating Procedures and Best Practices. Variances from Standard Operating Procedures, processes, and approved standards are dependent upon approval by the SDC Director, in conjunction with appropriate SDC senior management. 2) For State and vendor managed solutions all software products must be at N or N-1 (current manufacturer supported and fully patched) versions prior to production implementation unless variance is approved. Any variances from requirements must be approved by the Missouri Enterprise Architecture Standards, in conjunction with appropriate ITSD senior management. Variances will be recorded and reviewed annually. The risk associated to the variance should be assumed by the agency. 3) If the system is a browser-based client, it must be compatible with the current version (N) and the previous two versions (N-2) of Internet Explorer. The public portal must be compatible with N or N-1 versions of the top three browsers. 4) Production solutions must not include Beta software. 5) All software components must be on the SDC Technology Stack or approved by the respective area ITSD manager. Software components not approved by the functional area manager may result in the non-support of component. 6) All software components within the proposed solution must comply with the ITSD’s patch management process. This process applies all security and vulnerability patches to production systems quarterly and all test/dev systems monthly. ITSD will apply patches to State managed systems. The vendor must apply patches to non-State managed systems. 7) All software and solutions must adhere to industry best practices. 8) All hardware components must be approved by the respective area ITSD manager. Hardware components not approved by the functional area manager may result in the non-support of component. c. The contractor agrees that if computers and internet access are requested for use by the contractor, all approvals shall be received in advance through the OCC Warden, the Assistant Division Director, DORS, and the Client Services Manager, ITSD. SDA931411-066 12 d. Printer toner and ink cartridges required for the operation of Department owned printers will be provided by the Department with the agreement that the contractor will limit printer use to program specific needs and will provide pre-printed materials whenever possible. The contractor shall provide copy paper for program materials and treatment file materials. 2.2.11 The Department shall have the right, at any time, to review and approve all written communications and materials developed and used by the contractor to communicate with offenders or the Department. In addition, the contractor shall coordinate and submit for approval any formats, forms and materials to the Assistant Division Director, DORS, before implementation. a. The contractor shall understand and agree that any and all standardized forms used by the contractor that are not official Department forms must be approved (as to content and format) in writing by the OCC Warden and the Assistant Division Director, DORS. The contractor and Department staff will use the same Department approved forms for consistency. If a specific quality assurance format is required by the Division of Offender Rehabilitative Services, the contractor must comply as requested. b. The contractor shall not use the name, logo, or other identifying marks of the State of Missouri or the Department on any materials produced or issued, without the prior written approval of the Department. 2.2.12 The contractor shall provide services six (6) days per week (Monday through Saturday). a. The contractor shall not be required to provide services on state holidays. A list of state holidays may be found on the State of Missouri website http://oa.mo.gov/pers/hoursofwork.htm. 1) If the contractor selects not to provide services on State holidays, they shall not bill for those holidays. 2.3 Specific Services Requirements: 2.3.1 The contractor shall provide gender responsive, evidence-based substance use disorders treatment to those offenders referred by the Department as eligible to receive services. Services shall include the following: a. Assessment services for offenders at OCC as requested by the Department. b. Long Term (12 months) Modified Therapeutic Community Substance Use Disorders Treatment for offenders ordered by the court pursuant to RSMO 217.362, ordered by the court pursuant to RSMO 577.023 and stipulated by the Board of Probation and Parole. 2.3.2 Due to the importance of close collaboration with the Department, the contractor shall submit for pre- approval to the OCC Warden and Assistant Division Director, DORS, an implementation plan that provides for a seamless integration of program services into the facility’s organizational structure and functions. Submission must be no later than ten (10) working days following the Department's authorization to proceed with services. 2.3.3 Services shall be modified to adequately address individualized offender needs. The contractor shall develop and maintain on-going consultative communication with facility staff regarding special considerations pertaining to each offender. 2.3.4 The contractor staff shall provide services that meet both Department requirements and institutional needs for timeliness. The contractor shall agree and understand that service needs must be covered consistently during the workweek. Trained back-up staff must be available as needed to administer services and assessments in accordance with established timelines. http://oa.mo.gov/pers/hoursofwork.htm SDA931411-066 13 2.3.5 Within thirty (30) calendar days after the receipt of the Department's authorization to proceed with services, the contractor shall develop and implement a plan to provide emergency/crisis counseling for those offenders in need, and provide the plan to the Department. 2.4 Assessment Requirements 2.4.1 It is understood and agreed by the contractor that the contractor will be responsible for providing an assessment for the majority of those offenders entering the treatment program at OCC. 2.4.2 The Department approved alcohol and drug use assessment instrument shall be administered and scored by the contractor if one has not been previously completed at a Department Reception and Diagnostic Center during the prior 12 months. The contractor shall utilize the Department approved substance use assessment, the Initial Classification Analysis - Substance Abuse (ICA-SA), and an approved assessment tool for motivation for change. a. The contractor shall use an assessment administration and scoring format that is approved by the Assistant Division Director, DORS, and the Assistant Client Services Manager, ITSD. b. The assessment instrument and interview must be completed by qualified substance use disorders professional/qualified addictions professional as defined by the Department of Mental Health’s Certification Standards for Alcohol and Drug Abuse Programs in Missouri. 1) Assessment services shall be provided within ten (10) calendar days after program placement. 2.4.3 Offenders with special needs shall also be assessed. Those persons will include, but are not limited to, substance abusing offenders with co-occurring mental health disorders, physical disabilities, and learning disabilities and/or cognitive deficits. 2.4.4 The contractor shall ensure that appropriate releases are signed for the request of previous treatment and assessment records of offenders, as needed. 2.4.5 At a minimum, the written narrative summary of the assessment must comply with the assessment documentation requirements as reflected by the Certification Standards for Alcohol and Drug Abuse Programs, 9 CSR 10-7.010, et al “Core Rules for Psychiatric and Substance Abuse Programs.” The standards can be viewed and downloaded from the following website: http://sos.mo.gov/adrules/csr/current/9csr/9c10-7.pdf 2.4.6 The contractor shall understand and agree that if the available funding for the programs changes the life of the contract, the Department will work with the contractor to modify the contract to the mutual satisfaction of both the Department and the contractor via an amendment to the contract. 2.5 Long Term Modified Therapeutic Community Substance Use Disorders Treatment Program Requirements: 2.5.1 The contractor must utilize evidence-based practices for long term modified therapeutic community substance use disorders treatment services within the criminal justice system. 2.5.2 The provision of long term modified therapeutic community substance use disorders treatment shall utilize a cognitive restructuring approach to address substance use disorders and criminality. The treatment process shall incorporate both experiential and cognitive learning that targets an individual’s values, behaviors, and attitudes. 2.5.3 The contractor’s program must emphasize a stage of change approach to treatment and recovery. The contractor shall incorporate this approach into the program design and identified treatment protocols, curricula, treatment phases, and program materials. In addition, the contractor must also clearly delineate the application of the stage of change approach to the practices of their program. http://sos.mo.gov/adrules/csr/current/9csr/9c10-7.pdf SDA931411-066 14 REVISED BY ADDENDUM #001 2.5.4 Therapeutic activities shall be provided six (6) days per week and shall include wing meetings, facility wide events, offender work responsibilities for the institution (general housekeeping, food services, and other day-to-day tasks) and other specified community responsibilities. 2.5.5 Therapeutic assignments shall consist of, but not be limited to, homework assignments, program specific job assignments, and adjunctive activities that are therapeutic in nature such as program health and wellness activities, community meetings and peer recovery support groups. 2.5.6 In addition to the curricula provided to all program participants, the contractor’s program shall provide a targeted curriculum with increased emphasis on: the effects of driving under the influence of alcohol and/or drugs, victims and the community at large, victim's rights issues, and advanced alcohol use issues. Final approval by the Assistant Division Director, DORS, shall be required before implementation of the curriculum. 2.5.7 The program shall be provided in a three phase modality. If the contractor establishes additional phases, the provision of all services identified herein must be ensured. 2.5.8 Services for the programs shall be provided in the following phases: a. Phase I: During this phase, each offender not assessed within the past twelve (12) months shall receive a substance use disorders assessment and every offender shall receive orientation to Department rules, regulations, the treatment center and the treatment process. During this phase, each offender shall receive a minimum of thirty (30) hours of therapeutic activity per week. 1) The length of Phase I shall be approximately four (4) weeks. b. Phase II: During this phase, each offender shall receive an intensive level of treatment. During this phase, each offender shall receive a minimum of thirty (30) hours per week of therapeutic activity which shall include, but not limited to the following: • Individual counseling as required in the Institutional Corrections Programs Standards as reflected in the Missouri Department of Mental Health for Alcohol and Drug programs. The standards can be downloaded from the following website: http://s1.sos.mo.gov/cmsimages/adrules/csr/current/9csr/9c30-3.pdf • Group counseling • Recovery focused substance use disorders education • Therapeutic community meetings • Self-help recovery support groups 1) A continuing care/aftercare plan shall be initiated during this phase. This plan shall follow a structured and holistic approach for on-going recovery that will include, but not be limited to a relapse prevention plan. 2) The length of Phase II shall be approximately twenty-eight (28) weeks. c. Phase III: During this phase, treatment services must be primarily focused on appropriate pre- release and re-entry planning. The contractor shall provide a minimum fifteen (15) hours of therapeutic activity per week, per offender that do not conflict with an offender's work schedule. Offenders not participating in work release shall receive additional services deemed appropriate for reentry preparation by the contractor in cooperation with the Department. Therapeutic activity shall include, but be limited to: http://s1.sos.mo.gov/cmsimages/adrules/csr/current/9csr/9c30-3.pdf SDA931411-066 15 • Individual counseling/contacts as required in the revised Institutional Corrections Programs Standards as reflected by the Missouri Department of Mental Health (See Certification Standards for Alcohol and Drug Abuse Programs). The standards can be viewed and downloaded from the following website: http://s1.sos.mo.gov/cmsimages/adrules/csr/current/9csr/9c30-3.pdf • Group counseling • Recovery focused substance use disorders education • Therapeutic community meetings • Self-help recovery support groups • Continuing care/aftercare plan 1) The contractor shall ensure that every offender has an individualized, structured plan for recovery prior to release that will be forwarded to the appropriate field Probation and Parole Officer and community provider by the date of the offender's discharge, if identified. 2) The contractor should facilitate one (1) family support group activity per week. The activity should be at least two (2) hours in length whenever possible. The activity will include family visitors or approved visitors who are non-family significant others in order to assist the offender with integration into the community upon release. 3) The length of Phase III shall be approximately twenty (20) weeks. 2.5.9 In concert with the Department, the contractor shall establish in writing clear and distinct criteria for movement from one phase to another. The criteria for advancement must reflect appropriate treatment intervention progress, and be listed in the offender handbook. Decisions regarding phase movement shall be made through a “formal clinical staffing process” that includes at least one (1) Department staff member identified by the Warden. 2.6 Individual Counseling 2.6.1 Each offender shall receive a minimum total of one (1) hour of individual counseling per month during all phases. 2.7 Group Counseling 2.7.1 The contractor shall provide group counseling designed to promote an offender’s self-understanding insight into the addictive process, and resolution of personal problems through personal disclosure and interaction among group members. a. Group counseling sessions shall be limited to a maximum of twelve (12) offenders per group. b. Each offender shall receive a minimum of two (2) one (1) hour sessions of group counseling each week. 2.8 Recovery Centered Education 2.8.1 Before the implementation of services for Recovery Centered Education, the contractor shall provide the chosen curricula to the Assistant Division Director, DORS, for final approval. Curriculum changes must be submitted for approval before implementation. a. Recovery centered education sessions shall be limited to a maximum of forty (40) offenders per group session. b. Recovery centered education topics shall include, but are not limited to, the following: • Stage of Change Approach http://s1.sos.mo.gov/cmsimages/adrules/csr/current/9csr/9c30-3.pdf SDA931411-066 16 • Disease Concept of Addictions • Influence of Trauma on Substance Use • Criminal Thinking • Gender Issues in Recovery • Relapse Prevention for Substance Use and Criminality • Review of Effective Approaches to Recovery • Emotions Management • Stress Management Techniques • Family and Social Relationships in Recovery • Domestic/Family Violence • HIV and Other STD Prevention • Recreational/Leisure Skills Development • Smoking Cessation and Nicotine Addiction • Medication Assisted Treatment • Driving under the Influence • Victims’ Impacts • Co-dependency & Enabling 2.9 Offenders with Co-Occurring Substance Use and Mental Health Disorders 2.9.1 Including those on psychotropic medications, offenders shall receive services as indicated herein if they have been classified as moderately (MH-3) impaired (See Attachment #1). 2.9.2 The contractor shall develop and submit a plan within ten (10) calendar days of the Department's authority to proceed with services for the integration of substance use and mental health services to offenders with Co-Occurring Disorders. The plan shall include any modifications to the treatment model that are deemed necessary and appropriate for these offenders as well as rationale for those modifications. a. The contractor shall obtain the approval from the Assistant Division Director, DORS, prior to implementation of curricula and services provided. 2.9.3 The contractor's program director, working in cooperation with the Assistant Division Director, DORS, and the OCC Warden, shall ensure that program rules, structure, procedures, interventions and policies are modified as needed to serve offenders with Co-Occurring Disorders. 2.9.4 The contractor's program director shall collaborate with the Assistant Division Director, DORS, and the institutional Mental Health services provider to ensure that the diverse needs of individuals with Co- Occurring Substance Use and Mental Health Disorders are met by the program services. 2.9.5 The contractor shall incorporate the following psycho-educational topics in Phase II: • Types of mental illness/special needs; • Effects of various mental illnesses on perceptions and behaviors; • An introductory discussion of the biochemical bases of mental health disorders including the physiological effects of psychological trauma; • Basic concepts in understanding the relationship between mental illness and substance use; • Managing and coping with symptoms of mental health and substance use disorders; • Interplay between the effects of co-occurring substance abuse and mental health disorders with interpersonal relationship issues; • Interplay of psychological trauma and psychiatric illness in men; SDA931411-066 17 • Family relationships and co-occurring disorders; • Role and importance of medication management and compliance in recovery from mental illness and addiction; • Coping with judgments and stereotypes and overcoming obstacles; • Role of desirable health habits and sound nutrition in recovery; • Psychosocial influences in men’s recovery from mental illness and substance abuse; and, • Relapse management and prevention. 2.9.6 Curricula for the psycho-educational topics listed in 2.9.5 must be submitted to the Assistant Division Director, DORS, for approval before implementation. a. The Department’s medical contractor currently provides one session on medication issues. b. The contractor shall coordinate programming in the above areas with the OCC Chief of Mental Health Services to avoid duplication of services. 2.10 Treatment Plan 2.10.1 The contractor shall ensure that the treatment plan includes goals, objectives, and specific interventions to address recovery from substance use disorders, criminality and additional assessed mental health disorders as appropriate. Other special needs necessitating adaptations of the treatment process and interventions shall also be addressed in the offender’s individualized treatment plan. a. At a minimum, the contractor shall provide the departmental-approved substance abuse and motivation for change assessment(s) that identifies needs, problems and assets. The assessment(s) will be used to develop an initial individualized treatment plan for each offender as described in the above paragraph. b. The contractor shall complete an initial individualized treatment plan within ten (10) calendar days of program admission. c. The contractor shall complete a treatment plan review and update on each offender at a minimum of every ninety (90) days. d. The contractor shall invite the OCC Warden and a designated Probation and Parole representative to all treatment team meetings. e. Treatment plan reviews shall include input from all treatment team members. Each offender shall participate in his treatment plan review. f. The contractor shall ensure that all assigned treatment team members, as well as the offender, sign the treatment plan reviews and updates. 2.10.2 Prior to discharge, the contractor shall address within the treatment plan continuing care needs as discussed with the offender. The plan must detail continuing substance use and mental health service needs. The contractor should consult with the OCC Chief of Mental Health Services to determine appropriate referral(s) for offenders with diagnosed mental health problems. SDA931411-066 18 a. The contractor shall review the continuing care and recovery plan with the supervising institutional Probation and Parole Officer and consult with field Probation and Parole staff regarding appropriate referrals. 2.10.3 The contractor shall complete a discharge summary preferably by the day of treatment discharge, but no later than three (3) working days of the offender’s discharge from the program. The treatment plan with applicable continuing care recommendations and the discharge summary, must be completed in the Department computer system and made available to Probation and Parole and Classification staff in accordance with Department policy. 2.10.4 The contractor shall ensure that the offender signs the Department approved Release of Information form to facilitate the release of the documents contained within the Continuing Care Packet, to the designated community resource and referral agencies for clients designated high risk and those receiving medication assisted treatment. The contractor shall work with Department staff to ensure that the documents are forwarded immediately to the referral agencies as requested. 2.10.5 The contractor shall collaborate with interdivisional institutional staff to provide the assessment information necessary to assist in the development of an effective Transition Accountability Plan (TAP) and to ensure that, in accordance with Department policy, information pertaining to appropriate continuing care and recovery support services are provided to Department staff for inclusion in the transitional components of the TAP. 2.11 Clinical Records and Documentation 2.11.1 The contractor shall ensure that the clinical records contain the following documentation: • Initial screening and assessment interview, substance use assessment, and ICA-SA • Summary report/narrative of initial assessment • Treatment contract (See Attachment #4), offender orientation to program services and rules, offender’s rights to confidentiality statement, and offender’s rights to grievance procedures • Verification of Program Options Form • Requests, receipts, or releases of information signed by offender • Initial individualized treatment plan, updated treatment plan(s) and treatment plan review • Discharge summary • Program completion forms • Substance Abuse Traffic Offender Program (SATOP) Comparable Program Form if appropriate 2.11.2 Documentation of the assessment must include, but is not limited to: • Demographic and identifying information • Statement of needs and treatment expectations from the offender • Presenting problem/situation and referral source • History of previous substance use and/or psychiatric treatment including number and type of admissions as well as any current psychiatric symptoms • A brief summary of health/medical history, if available • Current medications and identification of any medication allergies and adverse reactions • Alcohol and drug use for the thirty (30) days prior to incarceration and a substance abuse history that includes type of drug, patterns of use, duration and consequences of use • Family, social, vocational, educational, legal, and recreational/leisure status and functioning (the collection and assessment of historical data is required in addition to the current status) • Personal and social resources and strengths, including the availability and use of family, social, peer, and other natural support systems • The offender's assessed readiness for change for both substance use and criminality 2.11.3 Individualized Treatment Plan shall include the following information: SDA931411-066 19 • Measurable goals and outcomes • Objectives for achieving stated goals • Specific interventions for each objective • Service supports and actions of both the offender and staff to accomplish each goal/outcome • Involvement of family and other supports when applicable • Target and achievement dates for goals, objectives and interventions • Dates for treatment plan reviews and updates • Estimated discharge/completion date 2.11.4 Progress Notes shall include the following information: • Description of the specific service provided • Date and actual time (beginning and ending times) for the service was rendered • Legible signature and title of staff rendering services • Relationship of services to the individualized treatment plan, with references to specific goals, objectives and interventions • Description of offender’s participation and response to services provided • A brief summary of important information shared by the offender during the session • Planned future action by offender and/or staff 2.11.5 Discharge Summary shall include, regardless of discharge status, the following information: • Admission and discharge dates • Reasons for admission and referral source • Statement of the problem • Assessment summary completed in accordance to specifications herein • Description of services provided, progress, and outcomes achieved • Medical status and any needs that require ongoing monitoring or support, including prescribed medications • Reason for and type of discharge • Continuing care/aftercare plan and a structured plan of recovery including relapse prevention guidelines for substance use and criminality 2.12 Certification Requirements 2.12.1 The contractor shall comply with and continuously meet the certification requirements set forth by the Missouri Department of Mental Health, Division of Alcohol and Drug Abuse as may be applicable. (See Certification Standards for Alcohol and Drug Abuse Programs 9CSR 10 Chapter 7 Core Rules for Psychiatric and Substance Abuse Programs.) The standards can be viewed and downloaded from the following website: http://s1.sos.mo.gov/cmsimages/adrules/csr/current/9csr/9c10-7.pdf 2.12.2 The contractor shall obtain certification from the Missouri Department of Mental Health, Division of Alcohol and Drug Abuse within one (1) calendar year of service implementation, unless granted written permission by the Assistant Division Director, DORS, and the Division of Behavioral Health/DMH to delay full certification. a. The contractor accepts and understands that when the collaboratively developed, revised institutional standards are approved by the Department of Mental Health, the contractor is expected to transition to those revised standards. 2.13 Security 2.13.1 The Department shall provide and be entirely responsible for the security of the contractor’s staff while in the Department facility. The level of security provided shall be consistent with and according to the same standards of security afforded to Department personnel. http://s1.sos.mo.gov/cmsimages/adrules/csr/current/9csr/9c10-7.pdf SDA931411-066 20 2.13.2 The Department shall provide security and security procedures to protect the contractor’s equipment as well as Department equipment. The contractor shall ensure that its own staff adheres to all Department policies and procedures regarding security, custody, and control of offenders. 2.14 Training Requirements 2.14.1 The contractor shall cooperate with the Department regarding orientation and training efforts as may be required herein. The contractor understands and agrees that expenses incurred on behalf of its employed or contracted staff members, including, but not necessarily limited to meals, mileage, lodging and displacement, shall be its own responsibility for payment. The contractor shall not be obligated nor be allowed to pay any expenses incurred by the Department in such instances. Orientation and training shall include the following: REVISED BY ADDENDUM #001 a. Completion of the Department’s three (3) day Basic Training prior to initiation of services. 1) At the discretion of the Department and upon the Department's authorization to proceed with services, the contractor’s staff members attending basic training may be staggered over a period of time to be mutually agreed upon by the Department and the contractor. b. Completion of host institution orientation as required by the OCC Warden 1) The contractor shall also require all full time, part time, backup or substitute personnel to complete the host institution orientation prior to initiation of services. 2) Backup or substitute personnel shall meet the three (3) week Basic Training requirement if they will provide services in the institution for sixty (60) consecutive working days or longer. c. A minimum of up to thirty (30) hours of professional development/Department of Corrections training annually, which shall include: • Training on the MOCIS Healthcare Module (confidentiality/treatment documentation), as required; • Harassment, Discrimination and Retaliation • Prison Rape Elimination Act (PREA) • Maintaining Appropriate Professional Boundaries • Security Mentor and other cyber security training 2.14.2 In addition to Department required trainings, the contractor shall ensure that staff receive a minimum of twenty (20) hours of professional development and in-service training. 2.14.3 The contractor shall agree to participate in additional training as deemed necessary by the Department to ensure successful compliance of the contract. a. Training in the OCC model of modified therapeutic community shall be included 2.14.4 The contractor shall provide on-going in-service training to clinical staff. 2.14.5 The contractor shall provide cross-training to department staff on an annual basis. 2.14.6 Pathway to Change Facilitator Training: The three (3) day facilitator training is required for all staff who facilitate Pathway to Change groups prior to assuming that role. 2.14.7 Participation in and attendance at training shall be documented in staff training records. 2.14.8 The contractor shall maintain an ongoing counselor clinical supervision plan for staff trainees who are not certified, or qualified counselors as referenced in the Missouri Credentialing Board requirements. SDA931411-066 21 2.14.9 The contractor shall agree that no staff person shall work unsupervised prior to completing basic training. 2.15 Personnel Requirements 2.15.1 The contractor shall comply with the following personnel requirements: a. All contractor and subcontractor employees who provide services in the facility must be at least 21 years of age and must submit to and pass a background investigation conducted by the Department or its designee. Such investigation shall be equivalent to investigations required of all personnel employed by the Department. b. All contractor and subcontractor employees must submit to and pass a pre-employment drug- screening test and thereafter random drug testing pursuant to the Department policy and procedures on employee drug testing. c. Any Department employee utilized by the contractor to perform services under the contract, either compensated or volunteer, must comply with Department policy regarding Secondary Employment/Volunteer work. d. Offenders under active Federal or State felony or misdemeanor supervision must receive written Division Director approval prior to becoming a contractor/employee in an agency contract. Contractors/employees with prior felony convictions and not under active supervision must receive written approval in advance from the Director, Division of Offender Rehabilitative Services or designee. e. The contractor shall comply with applicable state licensure/certification regulations and requirements regarding performance of services pursuant to all applicable Revised Statutes of Missouri that address the provisions of professional services in the State of Missouri. Any and all licensure and certifications held by the contractor’s personnel must be current. f. The contractor shall be responsible for the “licensing/certification supervision” of members of the contractor’s staff that require the supervision of a Missouri Licensed or Certified Professional because of a professional standard or statutory regulation. g. The contractor shall provide the Department with current curriculum vitae information and evidence of licensure and/or certification of any member of the contractor’s staff prior to the employment of the person for on-site delivery of services. The Department reserves the right to approve all personnel prior to the hiring, actual employment, and placement of any staff member. Therefore, the OCC Warden and the Assistant Division Director, DORS, or designee must approve all staff suggested for placement at OCC. 1) The contractor shall keep on file all licenses/certifications of any member of the contractor's staff, and have them immediately available upon request from the Department at all times during the life of the contract. h. The contractor shall establish a goal for the employment of a diversified staff, which reflects the ethnicity, and cultural diversity of the target population. The goal and plan to meet this objective must be included in the contractor's policy and procedure manual. i. The contractor shall agree and understand that the Department's award of this contract is predicated, in part, on the utilization of the specific individual(s) and/or personnel qualifications as identified and/or described in the contractor's bid. Therefore, the contractor agrees that no substitution of such specific individual(s) and/or personnel qualification(s) may be made without the prior written approval of the Department. The contractor further agrees that any substitution made pursuant to this paragraph shall be equal or better than that originally proposed, and that the Department's SDA931411-066 22 approval of a substitution shall not be construed as an acceptance of the substitution's performance potential. The Department agrees that an approval of a substitution will not be reasonably withheld. In such instances, an amendment may be required. 1) Contracted staff providing substance abuse services shall be approved by the Department as indicated in section 2.15.1 f. 2) The preferred counselor-to-offender ratio for direct services treatment staff shall be one (1) counselor to twenty-two (22) offenders. 3) The contractor understands and agrees that the award of the contract does not exempt the contractor from the requirement to obtain approval of all staff proposed for employment prior to contract implementation. 4) For the purposes of this contract, minimum staffing shall be defined as all the individual positions listed in the contractor’s Exhibit M, Personnel Control Listing, included with their bid at the time of submission. The contractor shall maintain minimum staffing levels throughout all periods of this contract. Additions of staff members following contract award will be considered as an increase to the contractor’s minimum staffing levels. 5) The contractor must notify in writing the Assistant Division Director, DORS, if staffing falls below the minimum levels guaranteed in Exhibit M, Personnel Control Listing, for a period in excess of two weeks. 6) In the absence of a contractor’s staff member, other qualified contractor staff may provide duties on a temporary basis as agreed to by the Department; however, said staff may not be assigned to more than one (1) duty at a given time and said duties shall not conflict with each other. 7) The contractor shall consult with the OCC Warden and Assistant Division Director, DORS, when any personnel performing under the terms of the contract are terminated for disciplinary reasons within forty-eight (48) hours of the termination. The Assistant Division Director, DORS, and OCC Warden shall be consulted and/or informed prior to staff terminations. j. If the Department is dissatisfied with any member of the contractor’s staff, the contractor must resolve the problem to the Department’s sole satisfaction. If circumstances exist which prevent resolution to the satisfaction of the Department, the contractor shall replace the staff member with appropriate part-time or overtime staff until a full-time replacement meeting the Department’s approval can be employed. In such instances, the contractor must maintain the number of Full Time Equivalent (FTE) in the staffing plan included with the contractor’s awarded bid. 1) For the purposes of the contract, an FTE shall be defined as a contractor position working 2080 hours annually, with all salary, benefits, and compensation paid for by the contractor. k. The contractor shall not bind any members of the contractor’s staff to an agreement that would inhibit, impede, prohibit, restrain, or in any manner restrict the members of the contractor’s staff in or from accepting employment with other providers similarly situated. l. The contractor, its employees, and others acting under the contractor’s control, shall at all times observe and comply with all applicable state statutes, Department rules, regulations, guidelines, internal management policy and procedures, and general orders of the Department that are applicable, regarding operations and activities in and about all Department property. The contractor and the contractor’s staff shall assist the Department in enforcing offender rules by reporting violations to the Department or its designee. The Department has a zero tolerance policy for offender abuse, including sex abuse. Furthermore, the contractor shall not obstruct the Department SDA931411-066 23 or any of its designated officials from performing their duties in response to court orders or in the maintenance of a secure and safe correctional environment. The contractor shall comply with the Department’s policy and procedures relating to employee conduct. m. The contractor shall be responsible for supervising its employees. The unique nature of working within the Department, including safety and security issues, requires the Department to carefully monitor the contractor’s employees when they are working at a Department facility. Any concerns a Department employee has regarding a contract employee, their job performance, or the conditions of their employment shall be reported through the chain of command to the OCC Warden or designee of the facility, and to the Assistant Division Director, DORS, in order that proper communications can occur with the contractor. 1) The contractor shall be responsible for the conditions of employment, work environment, and employee rights of the contractor’s staff. The contractor must provide a means, and orient the staff members to such means, of resolving complaints or problems regarding the staff members’ work at a Department facility. Because of the unique nature of the work, close cooperation between the contractor’s staff and Department employees shall be required. However, the contractor is responsible that contractor’s staff work the correct hours, receive correct pay, have the tools they need to do their work, receive additional job training as needed, and have adequate supervision. Adequate supervision shall include access to supervisory personnel for staff problems, including but not limited to, complaints about working conditions, harassment, discrimination, or any other matters. The contractor shall provide written communications to the Department regarding any action requested of the Department based on a complaint from a member of the contractor’s staff. 2) The contractor shall be responsible for submitting a Personnel Control Listing, Exhibit M, Personnel Control Listing, to the OCC Warden and the Assistant Division Director, DORS, on a monthly basis, and a copy to the assigned Area Treatment Coordinator, within the first five (5) working days of each month. Exhibit M, Personnel Control Listing, must be thoroughly completed and up to date in its entirety including name, positions, and qualifications (including licensure, certification, and registration numbers) of all persons associated with the provision of services under the contract. On the Exhibit M, Personnel Control Listing, the contractor shall identify the staff member responsible for staff supervision and what percentage of FTE is devoted to supervision. n. The contractor shall provide a full time, on-site program administrator responsible for organizing and delivering treatment services in cooperation with the OCC Warden and the Assistant Division Director, DORS. o. The program administrator should possess a Master’s degree in a mental health related discipline or in the field of criminal justice, plus a minimum of three (3) years experience in treatment of substance abuse and/or mental health disorders, and related experience in the supervision and management of substance use disorders professionals, as well as completion of Missouri Credentialing Board (MCB) Clinical Supervision Training. The program administrator shall also hold Missouri licensure, certification, or registration, or be eligible for same within one year of assuming the position. 1) While a master’s degree is strongly preferred, the following qualifications may be considered upon review and prior approval of the Assistant Division Director, DORS: • A bachelor’s degree in an appropriate field, plus a minimum of five (5) years experience in treatment of substance use, plus certification as a Certified Reciprocal Alcohol Drug Counselor or a Certified Reciprocal Advanced Alcohol Drug Counselor, Certified Criminal Justice Professional, or Co-Occurring Disorders Professional holding current licensure or certification through the Missouri Board of Professional Registration as a SDA931411-066 24 substance abuse counselor, plus documented supervisory and managerial experience in a closely related substance abuse or mental health program. 2.16 Co-Occurring Mental Health and Substance Use Disorders: 2.16.1 Due to the significant percentage of offenders with diagnosed co-occurring substance use and mental health disorders in the program, the Department requires that a minimum of one full time on-site senior clinical supervisor shall hold state licensure as a mental health professional (i.e., LPC, LCSW or licensure as a psychologist). Missouri certification as a Co-Occurring Disorders Professional and a Masters Degree in a mental health related discipline is also desirable. The appointment of a supervisor to this role shall be approved by the Assistant Division Director, DORS. a. The senior clinical supervisor shall be responsible for facilitating on-going communication with the Department and any applicable contractors regarding the delivery of substance use and co- occurring mental health and substance use services. 2.16.2 The Department prefers that co-occurring disorder offenders are assigned to primary counselor(s) with training, education, and experience in working with individuals with co-occurring disorders. The training and experience must be documented and reviewed by the Assistant Division Director, DORS, prior to employment. 2.16.3 If the contractor has made a documented good faith effort to employ counselors with the background listed above, counselors who do not possess previous experience and training in co-occurring disorders may be approved if the contractor submits a plan for supervision by senior counselors with experience and education in working with individuals with co-occurring disorders. 2.16.4 The contractor shall anticipate and be prepared to meet a range of individual needs related to the offenders' individual assets and challenges. Therefore, services must be individualized on a continuous basis. Offenders identified as MH-3 at OCC shall be served with other treatment offenders, provided their needs can be adequately addressed. 2.16.5 The contractor shall collaborate with education, mental health, medical, and other interdisciplinary staff to achieve appropriate levels of care and to promote success for the offenders. 2.16.6 Offenders identified as eligible for these services must receive a minimum of one additional psycho- educational group per week. 2.16.7 The contractor shall incorporate the following topics into programming for eligible offenders: • Basic concepts in understanding the relationship between mental illness and substance use disorders • Types of Co-occurring Disorders • Introduction to biochemical bases of mental health disorders and substance use disorders • Impacts of trauma and abuse on psychiatric illness in survivors and unique challenges for abuse and trauma survivors during recovery from substance use disorders • Psychosocial influences in men's recovery from mental illness and substance use disorders • Role of medication management and compliance in recovery from mental illness and chemical dependency • Coping with judgments, stereotypes and overcoming obstacles • Managing and coping with symptoms of mental illness and substance use disorders • Managing symptoms in a healthy manner to minimize impacts on relationships • Role of desirable health habits and sound nutrition recovery • Relapse management and prevention for individuals with co-occurring substance use and mental health disorders SDA931411-066 25 2.17 Interpretive/Translation Services: 2.17.1 The Department shall determine whether an offender requires Interpretive/Translation services due to an offender’s physical impairment or language barrier. The Department will obtain and bear the financial responsibility for such services. a. The contractor shall consult with the Assistant Division Director, DORS, regarding which specific treatment services will be assisted by an interpreter. 2.18 Meeting and Other Requirements 2.18.1 Meeting Requirements: a. The contractor shall meet with the Department on an as needed basis after the contractor has fully implemented services. If acceptable to the Department, such meetings may be conducted via telephone call. b. At the request of the Department, the contractor’s managers and associated administrative personnel shall attend periodic Department staff meetings. These meetings may be held regionally or in Jefferson City, depending on the nature of the agenda. Expenses incurred by the contractor’s personnel to attend such meetings shall be the responsibility of the contractor. c. The OCC Warden/designee will meet at least weekly with the contractor’s on-site program administrator to discuss pertinent program/Department issues. d. The contractor shall actively participate in monthly contract/program oversight meetings, chaired by the OCC Warden/designee. When full contract implementation is achieved, meetings will be conducted, at a minimum, on a quarterly basis. 2.18.2 The contractor shall design and implement monthly quality assurance (QA) activities to ensure appropriate contract compliance and service quality. A report summarizing the monthly QA activities shall be forwarded to the Assistant Division Director, DORS, and the OCC Warden/designee on a quarterly basis according to the following schedule: October 15 (for the months of July, August, September), January 15 (for the months of October, November, December), April 15 (for the months of January, February, March), and July 15 (for the months of April, May, and June). a. Upon award of the contract, but no later than July 1, 2017, the contractor shall provide to the OCC Warden, and the Assistant Division Director, DORS an initial quality assurance plan. b. The contractor will collaborate with the OCC Warden/designee to submit required monthly treatment center information reports to the Assistant Division Director, DORS. c. The contractor agrees and understands that requirements for quality assurance reports and data submitted to the Department may be revised over the course of the contract in accordance with changing expectations, policy and needs of the Division and/or the Department. 2.19 Audit Requirements 2.19.1 At any and all times, the contractor must provide the Department and any Department designees, including other state and federal representatives, access to the contractor, the contractor’s facilities, any personnel providing services pursuant to the contract, or any other activities of the contractor pursuant to the contract for purposes of audit and evaluation of the services performed. a. The contractor shall produce, upon a forty-eight (48) hour notice and at a location designated by the Department, all books and records relating to the contract for purposes of a Department audit. SDA931411-066 26 b. The contractor must provide access for audits of the operating systems, procedures, programs, documentation, software packages, facilities, and equipment used in support of the contract. 1) The contractor shall provide read-and-copy access for the Department to all files that are used. Such files shall include, but are not limited to, inventory control files, case management files, procedure files, and any other files related to the contract. 2) The contractor shall provide the personnel and resources necessary for the automated and/or manual sampling of operation or other data maintained by the contractor, including historical data and any necessary follow-up that may be required to meet any performance or audit review requirements. c. The Department reserves the right to request an audit performed in accordance with generally accepted auditing standards at the expense of the contractor at any time contract monitoring reveals such an audit is warranted. The contractor shall submit the name of the auditor to the Department Comptroller for approval prior to the audit being conducted. Upon completion, the audit report shall be submitted to the Comptroller. The contractor further agrees that any audit disallowance pertaining to the contract shall be the sole responsibility of the contractor. 2.19.2 The contractor shall retain all books, records, and other documents relevant to the contract for a period of five (5) years after final payment or the completion of a State of Missouri audit. If any litigation, claim, negotiation, audit or other actions involving the records has started before the expiration of the five (5) year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular five (5) year period, whichever is later. The contractor shall allow authorized representatives of the Department, other state of Missouri agencies, and the federal government to inspect these records with the approval of the Department. 2.19.3 The contractor shall stamp all correspondence, forms, documents, notices, and any other material pertinent to offenders as well as material pertinent to the administration of the contract, with the date of receipt by contractor office personnel. 2.19.4 The contractor shall not issue press releases, participate in interviews with media, or engage in any form of public release of information regarding the Department or the contractor’s duties pursuant to the contract without the prior, written approval of the Department of Correction’s Public Information Officer. 2.19.5 Unless otherwise specified herein, the contractor shall furnish all material, labor, facilities, equipment, and supplies necessary to perform the services required herein. 2.20 Invoicing and Payment Requirements: 2.20.1 The contractor shall understand and agree the Department reserves the right to make contract payments to the contractor through electronic funds transfer (EFT). Therefore, prior to any payments becoming due under the contract, the contractor must update their vendor registration with their ACH-EFT payment information at https://MissouriBUYS.mo.gov. Each contractor invoice must be on the contractor’s original descriptive business invoice form and must contain a unique invoice number. The invoice number will be listed on the state’s EFT addendum record to enable the contractor to properly apply state payments to invoices. The contractor must comply with all other invoicing requirements stated in the IFB. 2.20.2 The contractor may obtain detailed information for payments issued for the past 24 months from the State of Missouri’s central accounting system (SAM II) on the Vendor Services Portal at: https://www.vendorservices.mo.gov/vendorservices/Portal/Default.aspx. https://missouribuys.mo.gov/ https://www.vendorservices.mo.gov/vendorservices/Portal/Default.aspx https://www.vendorservices.mo.gov/vendorservices/Portal/Default.aspx SDA931411-066 27 2.20.3 Other than the payments specified above, no other payments or reimbursements shall be made to the contractor for any reason whatsoever, including, but not limited to, taxes, insurance, penalties, termination payments, attorney fees, liquidated damages, etc. a. The Department does not pay state or federal sales tax. 2.20.4 All payment terms shall be as stated in the terms and conditions of this contract. Payments will be processed based on final delivery, inspection, and acceptance of services rendered. 2.20.5 The contractor shall accurately invoice per the price indicated on EXHIBIT A, Pricing Page. 2.20.6 The contractor shall provide an itemized invoice with the following information: • Daily average program census • Date(s) the offenders are provided services listed by program a. The contractor shall attach a list containing the name and DOC ID number for each offender who received the Department approved assessment during that month. 2.20.7 On or before the tenth day of each month, the contractor shall submit an itemized invoice, for service provided during the previous month, with copies to the OCC Warden and the Assistant Division Director, DORS: Randell Hughes, Business Manager Division of Offender Rehabilitative Services Missouri Department of Corrections 2729 Plaza Drive, P.O. Box 236 Jefferson City, Missouri 65102 2.20.8 Upon receipt and approval of the services provided, the Department’s Fiscal Management Unit will process the invoice, subject to the following: a. The contractor shall invoice for services provided at the contracted unit price stated on the EXHIBIT A, Pricing Page. b. In any instance when an additional source of funding is available to the contractor, through public and/or private sources, that is intended to offset a portion of service cost, the total obligation due the contractor shall be reduced by the amount of the funding received. In such instances, the Department shall notify the contractor by means of an amendment, notifying the contractor of such change. c. The Department reserves the right to audit all invoices and to reject any invoice for good cause. d. The Department reserves the right to make invoice corrections and/or changes with appropriate notification to the contractor when recognition of error, omission, or a practice uncommon to Generally Accepted Accounting Practices is evidenced. e. Other than the payments specified on the pricing page herein, no other