Request for Information (RFI) Announcement Intensive Recovery Supports June 19, 2014 Introduction of Cardinal Innovations Healthcare Solutions (“Cardinal Innovations”): Cardinal Innovations Healthcare Solutions is a Managed Care Organization (“MCO”) that manages all Medicaid and State funding for mental health, intellectual and developmental disabilities and substance use/addiction services across a 16 county catchment area. Cardinal Innovations’ catchment area is both rural and urban/suburban, and includes the following five service areas and respective counties: Piedmont Alamance Caswell Five County OPC Mecklenburg Cabarrus, Davidson, Rowan, Stanly, Union Alamance, Caswell Franklin, Granville, Halifax, Vance, Warren Orange, Person, Chatham Mecklenburg Cardinal Innovations’ manages funding and connects enrollees in need of mental health, intellectual and developmental disabilities and substance use/addiction services to appropriate, medically necessary services. These services are provided by our network of provider agencies and licensed independent practitioners located both in and outside of our covered area. Our model is consumer and family driven and is capable of meeting the changing needs and choices of our enrollees. Cardinal Innovations’ has been successfully operating the 1915 (b)(c) waiver since 2005 and is interested in expanding services throughout the Cardinal Innovations’ network with the introduction of the new service, Intensive Recovery Supports. Intensive Recovery Supports: The Intensive Recovery Supports (IRS) services can be provided in a group or individually. It is intended to provide supports to women with children who have been discharged from substance abuse programs and have a drug or alcohol addiction. It is a recovery-based, consumer focused community program designed to facilitate an individual's recovery. The focus of this service is to assist persons with substance use disorders to increase their functioning so they are successful and satisfied in the environments of their choice with the least amount of ongoing professional intervention. This service is intended to strengthen recipient’s recovery and independence to 1 RFI – IRS build positive relationships and support networks through the use of interventions from a qualified professional. It is designed to assist recipients to take an active role in their path to wellness. These services are designed around the preferences and choice of each individual and will offer focus on training and supports to include citizenship skills, communication, crisis management, relapse prevention, socially appropriate behaviors, self advocacy, informed choice, community integration, and relationship building. The service is also designed to assist in integration of all service providers including the medical home related to long term outcomes and stabilization. Services are customized in a consumer-focused recovery service plan. Services include:        Coaching related to life skills, including stress management, personal development, and focus on strategies for achievement of long term goals Training and education related to impact of Diagnosis across settings (ex. family life, employment, social interactions, relapse prevention) Recovery education and implementation of recovery skills Enhancing skill development- related to communication, community living skills, interpersonal skills, pre-employment readiness Responsible for integration of all treatment providers, including Medical home, Outpatient providers, related to long term planning and consumer stabilization Assisting in development of a healthy living environment, that supports recovery, including development of a strong support network Development of Parenting Skills impacted by Substance Abuse Diagnosis and other CoOccurring diagnosis The service is based on the principles of recovery, emphasizing self-determination, using natural and community supports, providing individualized intervention, valuing dignity and respect. Staff Requirements: This service will be delivered by a person who meets the requirements for a qualified professional (QP) according to 10A NCAC 27G .0104 and who have the knowledge, skills, and abilities required by the population and age to be served. The QP must be employed by the contracted provider. The qualified professional must have documented training related to substance use disorders. The specific details of the service definition can be reviewed in the attached definition. The rates for this service will be $14 per 15 minute unit for individual, and $5 per 15 minute unit for group. To evaluate the effectiveness of this pilot program, participating providers will be expected to collect and submit clinical data to Cardinal Innovations Healthcare Solutions. This will include use of standardized tools to measure progress through the service. 2 RFI – IRS RFP Timeline and Process 1. RFI Announcement disseminated to Providers on June 19, 2014 2. Prospective providers must submit the RFI application and related documents no later than the close of business (5:00 P.M.) on July 7, 2014. Late RFI applications / documents will not be accepted. Prospective providers must submit hard copies (printed) of their RFI applications. Electronic copies will not be accepted. Three (3) copies of the RFI submission packet shall be submitted to: Cardinal Innovations Healthcare Solutions Network Operations Department Attn: Deidra Cook, Director of Network Operations 4855 Milestone Avenue Kannapolis, North Carolina 28081 3. RFI designations will be selected and notified by close of business on July 21, 2014. Prospective providers not selected will also be notified. 4. The providers selected will be required to attend a mandatory training specific to required assessments, documentation and expectations for implementation. This mandatory training will be provided by Cardinal Innovations. The date, time, and location will be provided to those Providers who are designated. 3 RFI – IRS Request for Information (RFI) Application Instructions: Please complete this form and include any supporting material with your RFI submission packet. For application submission questions related to this RFI please contact the Director of Network Operations Deidra Cook, Director of Network Operations Email: [email protected] For Specific Service questions related to this RFI please contact the Utilization Management Department at: [email protected] 1. Agency Name: 2. Agency Point of Contact (“POC”) for RFI submission: 3. Agency POC Phone Number: 4. Agency POC Email: 5. Agency Mailing Address: 4 RFI – IRS 6. Please indicate ( ) which region(s) your agency would be able to provide b(3) Intensive Recovery Supports and notate the implementation date that your Agency would be able to begin rendering the service? Catchment Implementation Date: Piedmont (Cabarrus, Davidson, Rowan, Stanly, Union) Alamance/Caswell Five County (Franklin, Granville, Halifax, Vance, Warren) OPC (Orange, Person, Chatham) Mecklenburg 7. Please give brief summary demonstrating provider’s understanding of the intent of this service and why you feel that your agency should be selected to provide this service. 8. Please provide a detailed “readiness implementation plan” that outlines the activities that would be taken to implement Intensive Recovery Supports according to the implementation date that you have indicated above. Your readiness implementation plan should be drafted in a separate/attached document and include a clear outline related to the following: a. How provider will secure appropriate staff, including how many total staff will be hired to provide this service initially b. Staff training to include the types training that will be received and how many hours of training will occur c. Plan for assessing consumer’s appropriateness for this service, including what standardized assessment tools will be used d. Standardize measurement tools that will be utilized at admission and throughout treatment to measure progress. Cardinal Innovations is not designating a specific tool, but each provider must select a tool to be used throughout treatment for outcome measurement e. Plan for referrals and start up f. How many referrals could be accepted at initiation and how many consumers provider anticipates being able to serve at any given time. 9. Please describe your agency’s understanding of a recovery-oriented system of care? 5 RFI – IRS 10. Please describe your agency’s experience providing substance abuse treatment and or working with consumers with substance use disorders? 11. Please describe how your agency would assess on an ongoing basis the need for additional services and provide linkage to services as appropriate. How would provider determine if service should be received through group or individual? 12. Please outline specifically how measurement tools will be used throughout treatment, how progress/lack of progress will be measured, and how modifications to increase effectiveness of will be determined? 13. How will you train the Intensive Recovery Supports staff on the continuum of care and community resources, to help them to link consumers to other services/natural supports so Intensive Recovery Supports can be faded out? 14. How will your agency coordinate services with other providers involved, or the Cardinal Innovations In-Reach Specialists and Care coordinators? 15. Please outline your plan for supervision of the Intensive Recovery Supports staff. 16. Please describe what supports would be available to the staff in the event of a consumer crisis. 17. Please outline how your agency will track outcome measures for this service. 6 RFI – IRS