Federally Qualified Health Center (FQHC) Compliance Consulting

05 December 2022 Federally Qualified Health Center (FQHC) Compliance Consulting Multnomah County Community Health Center (MCCHC) seeks responses from contractors interested in and able to provide a Federally Qualified Health Center (FQHC) compliance/risk gap assessment. 05 December 2022 Open 11/11/2022 8:00 AM PST Type Request for Proposal (RFP) Close 12/12/2022 4:00 PM PST Number RFP-67-2023 Currency US Dollar Sealed Until 12/12/2022 4:00 PM PST Payment Terms 0% 0, Net 30 05 December 2022 Contacts Kathi Braeme-Burr kathi.braeme-burr@multco.us Phone +1 503-988-7550 ext. 87550 05 December 2022 Commodity Codes Commodity Code Description 80101599 Consulting Services, General 85010000 Healthcare Services 85101705 Public Health Administration 99070214 Health Promotion Services 99070220 Mental Health Services 05 December 202205 December 202205 December 202205 December 202205 December 202205 December 202205 December 202205

December 202205 December 2022 mailto:kathi.braeme-burr@multco.us Addendum 1 - Deleted text in Question 2.1.7. PRE-PROPOSAL CONFERENCE: There will be an optional virtual Pre-Proposal conference for this Request for Proposal (RFP) as follows: Google Meet joining info: Pre-Proposal meeting - RFP-67-2023- FQHC compliance consulting Monday, November 28, 2022 · 3:00 pm Pacific time Google Meet joining info Video call link: https://meet.google.com/pmg-aqoj-dkk Or dial: (US) +1 413-438-3817 PIN: 143 938 321# More phone numbers: https://tel.meet/pmg-aqoj-dkk?pin=6637103036266 Attendance is optional, but strongly encouraged. IMPORTANT: Suppliers who do not currently have access to the Multco Marketplace Supplier Portal will need to complete the "MMP Supplier Access Request Form". The optimal time to submit the "MMP Supplier Access Request is 14 days. This will allow the County sufficient time to review your request and for you, the supplier, to access the Sourcing Event and to perform the actions needed before the event close date. INSTRUCTIONS TO PROPOSERS. 1. All questions will be answered in the text boxes provided after each question. 2. Except as noted below, no other uploaded documents will be reviewed or evaluated. SUBMITTING YOUR PROPOSAL: ITEM TO UPLOAD AS ATTACHMENT FOR THIS RFP (Upload in the Supplier's Attachment Section) 1. Question 2.1.7 - Budget Plan Sheet- Label as Attachment A. Page Limit is three (3) Pages. INTRODUCTION For over 30 years, Multnomah County has operated a Federally Qualified Health Center (FQHC) and developed an integrated delivery system of programs, services and patient-centered interventions that intentionally target the full continuum of its communities. Multnomah County’s health center serves more than 53,000 individuals across 8 primary care clinics, 9 student health centers, and 7 dental clinics throughout a geographically diverse area. The population served by the Health Center includes uninsured, underinsured, Medicaid, Medicare, and private insurance. Patients of the health center speak around 100 languages, including half of the population whose preferred language is something other than English. Under a Co-Applicant Agreement between the Board of County Commissioners (the federal grantee) and the Community Health Center Board (the federally designated governing authority of the Health Center), Integrated Clinical Services (a Division of the Multnomah County Health Department) oversees the Health Center, including: clinical services at six integrated clinics that offer primary care, dental and pharmacy services; one stand-alone dental clinic; one stand-alone primary care clinic specializing in care for individuals living with HIV, one standalone primary care clinic specializing in Description https://solutions.sciquest.com/apps/Router/SupplierLogin?CustOrg=Multnomah care for Spanish speaking populations, and nine student health centers. The Health Center operates on a Patient Centered Primary Care Home model and maintains accreditations by the Joint Commission. SCOPE OF WORK The Multnomah County Community Health Center (Health Center) seeks responses from contractors interested in and able to provide a Federally Qualified Health Center (FQHC) compliance/risk gap assessments, including risks and benefits, costs, timelines, and recommendations for changes to make improvements and reduce risks to the Health Center. Contractors should have in-depth knowledge and understanding of compliance and risk specifically for Federally Qualified Health Centers related to the in-scope topics, in particular for public entity FQHCs with a co-applicant agreement. In scope:  FTCA  340B  HRSA Federal 330 grant funding  Medicare/Medicaid compliance  Privacy and confidentiality  Incentives  Provider coding and billing practices  Other related topics Out of scope:  Legal advice The County anticipates this project to begin in the first half of 2023. Supplier will:  Provide compliance/risk gap assessments related to the in-scope activities as requested by Health Center during the course of the contract.  Provide recommendations in the form of written reports and live presentations, including rationale, examples and best practices, and references to statute/standards/requirements. May include draft policy recommendations, standing orders and related operational workflows.  Provide consultation as requested by the Health Center on in-scope topics. Minimum Contractor Qualifications  Demonstrated experience with FQHC compliance topics listed in-scope  Demonstrated understanding of Health Care quality, compliance, and risk  Examples of reports that include risk assessments, gap analysis, and recommendations DELIVERABLES/OUTCOMES The following outcomes are expected for this scope of work:  As requested by the Health Center, completed compliance/risk assessments and recommendations related to in-scope topics.  As requested by the Health Center, ad hoc consultation related to in-scope topics  Written reports related to risk assessments and recommendations  Live presentations related to assessments, recommendations, and education on in-scope topics PERFORMANCE REQUIREMENTS AND MEASURES Successful performance will be based on timely completion of the Deliverables/Outcomes. METHOD OF AWARD The County intends to award one contract. Award, as determined by the County, will be made to the highest scoring Proposer whose Proposal the County determines is most advantageous to the County based on the described evaluation process and evaluation factors. Multnomah County strongly encourages the participation of Minority-Owned, Women-Owned, and Emerging Small Businesses and Organizations in providing these services. ESTIMATED PURCHASES Estimated Cost this service is budgeted for approximately $50,000-$100,000 per year for a total of $250,000-$500,000 over the 5 year life of the contract. METHOD OF CONTRACTING A sample Services Contract form is attached showing the standard terms and conditions. Carefully review the terms and conditions of the Contract. Additional Contract terms related to this procurement, if any, are set out below in the section entitled Special Contract Terms and Conditions. TERM OF CONTRACT The contract term shall be 5 years. The County shall have the option to renew this contract for one (1) additional one (1) year period(s) or until a project started under this contract has completed, whichever is later. The effective date of the contracts shall be the date on which each party has signed the contract, Unless earlier terminated, the termination date of all contracts issued under this RFP shall be five (5) years from the initial, first contract execution. CONTRACT NEGOTIATIONS The County will initiate contract negotiations with the responsive and responsible Proposer with the highest scoring proposal. Multnomah County may, at its option, elect to negotiate general contract terms and conditions, services, pricing, implementation schedules, and such other terms as the County determines are in the County’s best interest. If negotiations fail to result in a contract, the County reserves the right to terminate the negotiations and initiate contract negotiations with the next highest scoring responsive and responsible Proposer. This process may continue until a contract agreement is reached. INSURANCE REQUIREMENTS The insurance requirements are set forth in Exhibit 2 of the sample Services Contract located in the Buyer Attachments page. Please review these requirements carefully. Final insurance requirements will be subject to negotiation between, and mutual agreement of the parties prior to contract execution. COOPERATIVE PURCHASING Other public agencies may establish contracts or price agreements directly with the awarded contractor under the terms, conditions and prices of the original contract; pursuant to ORS 279A.215 and agreement by the selected Contractor to extend the terms, conditions and prices of the original contract. Proposer must signify if they agree or not in Question 1.1.13 Cooperative Purchasing Vendor Agreement located in the Company Certification section of this sourcing event. PRE-AWARD RISK ASSESSMENT Successful proposers whose contract award includes federal funding (as identified by a Catalog of Federal Domestic Assistance number) will be subject to a Pre-Award Risk Assessment (which includes an evaluation of financial stability, quality of financial/management systems, experience with federal funds, reports and findings from audits) completed by Multnomah County (if one has not been submitted in the last year) prior to the issuance of a contract. Contractors who fail to submit the required documents will not be eligible for a contract from the County. MINIMUM PROPOSAL SUBMITTAL REQUIREMENTS At the time of proposal submission, Proposers must meet the following minimum requirements. Failure to provide any of the required documents or meet any of the below requirements shall result in rejection of the proposal. 1. The Proposal response must be received by Multnomah County Purchasing no later than 4:00 P.M. local Portland time on the proposal submission deadline. Proposer Representations and Certifications 1. The Proposer must certify that they agree to the Proposers Representation and Certification terms in the Pre-requisite page of the Sourcing Event. At the time of Contracting, Proposers must meet the following minimum requirements. Failure to provide any of the required documents or meet any of the below requirements shall result in cancellation of the contract.  Proposers must be legal entities, currently registered to do business in the State of Oregon (per ORS 60.701).  Proposers must submit verification that all insurance requirements are met.  Proposers must have a completed Pre-Award Risk Assessment if federal funds are used for this Sourcing Event. (See Procedural Instructions in the Buyer Attachments page of this Sourcing Event). Required to View Event Prerequisites Required to Enter Bid 05 December 2022 1. Proposer/Bidder agrees to receive all correspondence electronically and are responsible for keeping their supplier portal updated with current contact information. 2. Please review the statements in this certification regarding Assurances, Certification Regarding Debarment, Suspension and Other Responsibility Matters and Certification Regarding Conflict of Interest. 3. CONFIDENTIALITY - Please read the statutory requirements in the prerequisite link. 4. VACCINE ATTESTATION - Please read the vaccine attestation requirements in the prerequisite link. 05 December 202205 December 202205 December 202205 December 202205 December 202205 December 202205 December 2022 Buyer Attachments 1. Procedural Instructions (Proposals) 2. How to Complete and Submit a Response to a Sourcing Event - MMP Supplier Guide 3. Attachment H-1 4. Sample Exhibit 2 - Insurance Requirements.pdf 5. Sample Exhibit 3 - Certification Statement for Corporation or Independent Contractor.pdf 6. Sample Exhibit 4 7. Sample Exhibit 5 - Equal Employment Opportunity Certification Statement 8. RFP-67-2023 Addendum 1.pdf 05 December 202205 December 202205 December 202205 December 202205 December 202205 December 2022 https://bids.sciquest.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMTA1NjkwLTgxNzc3NzIzOFByb2NlZHVyYWwgSW5zdHJ1Y3Rpb25zX1Byb3Bvc2FscyAwNi4yNi4xOSAoMSkucGRm&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9 https://multco.us/file/73233/download https://bids.sciquest.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMTA1NjkwLTEwNTExNzk0MjFBdHRhY2htZW50K0gtMStISVBBQStCdXNpbmVzcytBc3NvY2lhdGVzK0FncmVlbWVudC5wZGY%3D&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9 https://bids.sciquest.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMTA1NjkwLTEyODA2Mjk2NjVTYW1wbGUgRXhoaWJpdCAyIC0gSW5zdXJhbmNlIFJlcXVpcmVtZW50cy5wZGY%3D&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9 https://bids.sciquest.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMTA1NjkwLTEyODA2MzAzMTNTYW1wbGUgRXhoaWJpdCAzIC0gQ2VydGlmaWNhdGlvbiBTdGF0ZW1lbnQgZm9yIENvcnBvcmF0aW9uIG9yIEluZGVwZW5kZW50IENvbnRyYWN0b3IucGRm&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9 https://bids.sciquest.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMTA1NjkwLTY2ODI0NTUxMlNhbXBsZSBFeGhpYml0XzRfLV93b3JrZXJzX2NvbXBfZXhlbXB0aW9uX2NlcnRpZmljYXRlXzA4XzIwXzEzLnBkZg%3D%3D&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9 https://bids.sciquest.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMTA1NjkwLTY2ODI0NTUxM1NhbXBsZSBFeGhpYml0XzVfLV9FcXVhbCBPcHBvcnR1bml0eS5wZGY%3D&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9 https://bids.sciquest.com/apps/Router/PublicEventDownload?file=U291cmNpbmdldmVudC8xMTA1NjkwLTEzNTA0MTk4NjdSRlAtNjctMjAyMyBBZGRlbmR1bSAxLnBkZg%3D%3D&auth=MDpBRVMyI0NQNVp4a2IvSnkxZDNIUm81TGpka2h4M0V4bkpBZDlVSkVFUnk5WnZrK2l5eGZjOVRGNkRHUlU9 Questions Required Questions Group 1.1: Company Certification Information - This section is not scored Instructions: 1.1.1 State of Incorporation 1.1.2 Date of Incorporation 1.1.3 ASSURANCES - Proposer attests that Proposer is either a non-resident proposer or a resident proposer, as described in ORS 279A.120, of the State of _________ and has not discriminated against any minority, women, or emerging small business enterprises certified under ORS 200.055 or a business enterprise that is owned or controlled by or that employs a disabled veteran as defined in ORS 408.225 in obtaining any required subcontracts, in accordance with ORS 279A.110. Enter state of residency here: 1.1.4 Where Proposer is unable to certify to any of the statements in Proposer Representations and Certifications of the pre-requisite, Proposer shall provide an explanation to their offer here. 1.1.5 The Proposer certifies to the best of its knowledge and believe that neither it nor any of its principal participants and agents has or has had the following relationships with the specific firm(s)/individual(s), identified in this sourcing event, which may be determined to be an organizational conflict of interest. I understand that based on the information provided by Proposer, Multnomah County may exclude the Proposer from further consideration and may withdraw its selection if the real or apparent organizational conflict of interest cannot be avoided or mitigated. Proposer further certifies that the degree and extent of the relationship of the Proposer with these named firm(s)/individual(s) will be fully disclosed: 1.1.6 Upload additional explanation as needed 1.1.7 Name of person submitting the Proposal: 1.1.8 Title of person submitting the Proposal: 1.1.9 I represent that I am at least eighteen (18) years of age. 1.1.10 I represent that the printing of my name and the submittal of a Proposal is intended to authenticate this writing and to have the same force and effect as my manual signature. 1.1.11 I represent that I am either authorized to bind the Proposer, or that I am submitting the Proposal on behalf of and at the direction of the Proposer's representative authorized to contractually bind the Proposer. 1.1.12 I represent that the Proposer and/or its applicable representative(s) has reviewed the information contained in this Proposal and that the information submitted is accurate. 1.1.13 COOPERATIVE PURCHASING VENDOR AGREEMENT - Other public agencies may establish contracts or price agreements directly with the awarded Contractor under the terms, conditions and prices of the original contract as established from this RFP, pursuant to ORS 279A.215 and Multnomah County's Public Contracting Review Board procurement rules. Any such purchases shall be between the Contractor and the participating public agency and shall not impact the Contactor’s obligation to Multnomah County. Any estimated purchase volumes listed herein do not include other public agencies and Multnomah County makes no guarantee as to their participation. Any proposer, by written notification included with their solicitation response, may decline to extend the prices and terms of this solicitation to other public agencies. Will your company extend pricing and terms to other public agencies? Group 2.1: Programmatic Questions (75%) Instructions: 2.1.1 2.1.1: Describe experience providing consulting and recommendations for Federally Qualified Health Centers (FQHCs), including Public/Co-Applicant FQHCs. Evaluation Criteria: Experience includes robust experience providing this service. (20% of the Programmatic questions). 2.1.2 2.1.2: List and describe your services for performing Federally Qualified Health Center (FQHC) compliance and risk assessments. Evaluation Criteria: Response includes services as described in the scope of this RFP. (20% of the Programmatic questions). 2.1.3 2.1.3: What experience does your firm have with Oregon statutes and regulations related to FQHCs, including Medicaid/Medicare fraud, waste, and abuse compliance. Evaluation Criteria: Response includes robust experience with providing analyses and recommendations. (20% of the Programmatic questions). 2.1.4 2.1.4: Describe your experience performing audits of provider charts for billing and coding practices. Evaluation Criteria: Response includes experience in audits of provider charts for billing and coding practices. (10% of the Programmatic questions). 05 December 202205 December 202205 December 202205 December 202205 December 2022 2.1.5 2.1.5: Describe your experience reviewing and providing recommendations for policies and procedures. Evaluation Criteria: Response includes experience in analyzing and providing recommendations for policies and procedures. (10% of the Programmatic questions). 2.1.6 2.1.6: In addition to assessments and consulting services, please describe other educational and support services provided by your organization. Evaluation Criteria: Response includes descriptions and/or examples of training, presentations, and materials related to Health Center compliance/risk. (10% of the Programmatic questions) 2.1.7 2.1.7: Using your own format, Please provide a budget plan describing your pricing model, including startup and ongoing costs. Describe how these amounts are calculated in the answer box. Attach the Budget Plan sheet labeled as Attachment A in the Supplier Attachments section. Attachment A will be limited to three (3) pages. Evaluation Criteria: Costs are within expected budgets. (10% of the Programmatic questions) Group 2.2: Responsible Business Practice Questions (25%) Instructions: 2.2.1 2.2.1: Environmental Consideration: How does your work minimize negative impacts to the environment? Evaluation Criteria: Proposer demonstrates how energy is conserved in the delivery of services with metrics that include water and energy savings, waste minimization and toxic reduction. (40% of the responsible business practice questions) 2.2.2 2.2.2: Social Equity: Through stories and metrics describe how your agency incorporates equity values, manages diversity and systematically involves consumers, families and communities in all aspects of policy and service delivery? Evaluation Criteria: Proposer demonstrates through stories & metrics how the organization has incorporated input from the community and within the organization to improve service delivery, practices, or policies. (40% of the responsible business practice questions) 2.2.3 2.2.3: Economic Impact: Please describe how your service delivery has positive economic impacts for the communities you are serving? Evaluation Criteria: Proposer demonstrates how service delivery will help the client and community have positive economic impacts. This may include developing a workforce that is internally that is from the community, providing services that aid in obtaining job skills and assisting in building a business community where services are delivered. (20% of the responsible business practice questions) 05 December 202205 December 202205 December 202205 December 202205 December 2022 Product Line Items Product Line Items There are no Items added to this event. 05 December 202205 December 202205 December 202205 December 2022 Service Line Items Service Line Items 1. # Item Name, Commodity Code, Description Allow Alternates Qty. UOM Requested Service Delivery S1 Do Not Complete - ADMN 1 Proposers do not need to fill out this information 05 December 202205 December 202205 December 2022