Rapid Induction Training

PROCUREMENT JUSTIFICATION FORM (PJF) This form must accompany all contract requests and sole source requisitions (RQS) over $5,000 submitted to the Division of Procurement Services. INSTRUCTIONS: Please provide the requested information in the white spaces below. All responses (except signatures) must be typed; no hand-written forms will be accepted. See the guidance document posted with this form on the Division of Procurement Services intranet site (Forms page) for additional instructions. Oh Ala Department Office/Division/Program: | DHHS/OBH/Robert Porter/Kristen King Department Contract Administrator or Grant Coordinator: Jeanne Garza / Brianne Carrero (lf applicable) Department Reference #:| OSA-23-2013 CT 10A 20221013000000001092 __ CONTRACT. | Proposed Start Date: 9/30/2022 Proposed Ea Original Start Date: - Effective Date: Previous End Date: New.End:Date: Project-Start Date: Grant Start Date: ae Project:End Date: Grant End Date: Vendor/Provider/Grantee Name, | Maine Medical

Association/Manchester, ME Amount: . Contract/Amendment/Grant $ 99,625.00 Advantage CT /.ROS.#: 9/29/2023 City, State: Brief Description of.) Rapid Induction Training Goods/Services/Grant: PART tl: JUSTIFICATION FOR VENDOR SELECTION Mark an "X" before the justifcation(s) that applies to this request. (Check all that apply.) O |.A& Competitive Process O |.G. Grant OB. Amendment O | He State Statute/Agency Directed B |-C.. Single Source/Unique Vendor O | Ie: Federal Agency Directed O |-D: .Proprietary/Copyright/Patents Oj J.--Willing and.Qualified OQ |-E: Emergency: O |: Ke-Client Choice O /Fi' University.Cooperative Project | (| L Other Authorization REV 10/19/2021 Page 1 of 2 Kathy Paquette 1/26/2023 Procurement Justification Form (PJF) Please respond to ALL of the questions in the following sections. PART Ill: SUPPLEMENTAL INFORMATION 4. -Providea more detailed description and explain. the need for the. goods;-services or grant to supplement the response in: Part. To support additional needs for statewide opioid trainings on the adoption and implementation of Medication-Assisted Treatment (MAT) Induction in the Emergency Department (ED) setting, this Agreement is to provide technical assistance services to Emergency Departments who receive MAT Training in support of workflow development and care coordination processes. This technical assistance will be provided after each Emergency Department has received initial training and will focus on processes and connections to ensure linkage to community-based MAT providers, help in linking patients to navigators at critical time of care junctions. Additional support will provide coaching to each ED on workflow development and metric tracking to overcome barriers to implementation. 2. Provide a brief justification for the selected-vendor to supplement the response in Part Il. Reference the RFP:number, if applicable. Rapid Induction is a new service in Maine hospitals, and the Department intends on supporting its continued growth and success by providing the technical assistance team to Emergency Departments. The Provider has unique experience in Rapid Induction training. There are not any other neutral convening quality improvement teams in the state that offer Rapid Induction training and technical assistance. The Provider has created the buprenorphine induction tool kit and on demand training within their learning management system for all Maine Emergency Department staff. 3. Explain how the negotiated costs or rates are fair. and reasonable; or how the funding was allocated to grantee. Costs associated with this procurement were negotiated between the Provider and OBH based on Bureau of Labor statistics for salary and fringe and available funding. 4. Describe the plan for future competition forthe goods or services. The Department does not intend to competitively procure this service in the future. PART IV: AMERICAN RESCUE PLAN ACT (ARPA) / MAINE JOBS & RECOVERY PLAN (MJRP) Does this. request utilize ARPA/MJRP-funds?. (1 Yes - If Yes, please attach the approved Business Case(s). i No -If No, proceed to Part V PART V: APPROVALS The. signatures below indicate approval of this procurement request. Signature of requesting Department's. Commissioner (or designee): Typed Name: Signature of DAFS b Po een Procurement Official: - Typed Name: Date: REV 10/21/2021 Page 2 of 2 i DocuSigned by: 41C2BA36FAF44CD...