MODIFICATION
G -- Detoxification Substance Abuse Assessment and Treatment Services
- Notice Date
- 11/5/2003
- Notice Type
- Modification
- Contracting Office
- Court Services and Offender Supervision Agency, D. C. Pre-Trial Services Agency, Finance and Administration, 633 Indiana Avenue, NW, Suite 1120, Washington, DC, 20004
- ZIP Code
- 20004
- Solicitation Number
- PSA-04-RPG-0002
- Response Due
- 12/2/2003
- Archive Date
- 12/17/2003
- Point of Contact
- Darren Brown, Contracting Officer, Phone (202) 220-5675, Fax (202) 220-5739,
- E-Mail Address
-
darren.brown@csosa.gov
- Small Business Set-Aside
- Total Small Business
- Description
- 6. Client Records 6.1 The Contractor shall establish and maintain complete and up-to-date client records. The records shall document and monitor client care and shall be kept confidential in a secured limited access space within the facility. 6.1.1 All documents and correspondence maintained by the Contractor for the Government shall contain the client?s Police Department Identification (PDID) number and related Court docket number(s) as provided by PSA or CSOSA. 6.2 Confidential client records must be protected from disclosure except as provided below: 6.2.1 Disclose client records to and discuss client treatment with case manager, Government or designated representative of the Government on an ?unrestricted communication? basis. 6.2.2 Disclose client records only in accordance with 42 C.F.R. Part 2 and the DC Mental Health Act as amended, and where disclosure is permitted under those regulations, disclose only if consistent with the policies and procedures of PSA and CSOSA. 6.3 The Contractor shall be responsible for the client files during the time those files are in the Contractor?s possession. The Contractor shall ensure that all persons having access to or custody of client records follow the disclosure and confidentiality requirements of this agreement and federal law. These records are property of the Government and shall be returned to the case manager upon completion/removal of a client from the treatment program or upon request of the case manager. 6.4 The Contractor shall notify the Contracting Officer, or the designated Contracting Officer?s Technical Representative (COTR) immediately upon receipt of legal process requiring disclosure of client records. 6.5 The Contractor?s file on each client shall contain, at a minimum: 6.5.1 Chronological notes that record all contacts (face-to-face, telephonic, etc.) with the client including collateral contacts with family members, employers and others. Those notes shall be available for audit by the case manager and PSA or CSOSA representatives. 6.5.2 Written treatment plan, and any amendments thereto, that identifies treatment services to be provided to the client and billed to the Government as authorized by the task order. NOTE: The Contractor shall only provide those services identified in the treatment plan and authorized by the task order. The case manager must concur with the plan and the Contracting Officer, or the designated Contracting Officer?s Technical Representative (COTR) authorizes the duration and frequency of these services. 6.5.3 Monthly Treatment Report that summarizes client?s activities during the month and accompanies the monthly bill. This report will indicate client progress (e.g., adjustment, responsiveness, significant problems,) and reflects changes in the Program Plan. 6.5.4 Authorization to release confidential information that the client signs. The client must execute this document before any information regarding the client or the client?s treatment and progress is released by the Contractor to PSA or CSOSA representatives. 6.5.5 Copies of weekly progress reports submitted to the case managers. 6.5.6 Any other document required by the case manager to be included. Copies of blank forms shall be made available to the Contractor upon request. 7. Case Review Conferences (Does not apply to detoxification programs) 7.1 The Contractor?s professional staff will consult with the case manager for an initial case staffing conference to develop the treatment plan. This conference may be face-to-face or telephonic and shall be at no additional cost to the Government. The Contractor shall provide the assigned case manager with the written treatment plan within 10 days of the initial case staffing conference. 7.2 The Contractor shall meet at least monthly with the case manager to discuss the client?s progress in treatment and at other times as needed. 7.3 The Contractor shall provide the case managers with verbal or written weekly compliance reports on clients under the supervision of PSA (if the client is a CSOSA client, the report will go to CSOSA). Verbal reports shall be submitted in writing to the case manager no later than five business days after the initial communication. 8. Contractor?s Facilities 8.1 All Contractor?s facilities used in support of this contract shall meet all local/state/federal requirements for zoning, certification/licensure as a treatment facility, as well as, fire prevention and overall safety. The Contractor shall provide copies of state licensure, copy of the food handler certification, medication management policy, and process for assisting clients to obtain medication and/or medical services demonstrating that the facility meets all the requirements of the applicable local, state and federal regulations. 9. DETOXIFICATON AND TREATMENT SERVICES 9.1 Medically Managed and Medically Monitored Intensive Inpatient Detoxification 9.1.1 The Contractor shall provide detoxification services to dually diagnosed clients whose physiological substance dependence requires Medically Managed or Medically Monitored Intensive Inpatient Detoxification on a short-term basis to stabilize and prepare the client for a treatment regimen. Concurrent with their substance dependence, some of these clients will have been prescribed psychotropic medications to treat mental illness. Only the Contracting Officer, or the designated Contracting Officer?s Technical Representative (COTR) will refer clients from various PSA or CSOSA programs in accordance with terms of this contract. The Contractor shall accept the number of clients that are referred by PSA officials at any time up to the Contractor?s stated capacity. Client referrals are difficult to project and may occur any time during the contract term. However, referrals occurring in the last month of the contract shall be task ordered to continue through the completion of the treatment plan unless otherwise notified by PSA. 9.1.1.1 In addition to co-morbid psychiatric and substance disorders, clients may also present with other needs and conditions, including but not limited to: HIV disease; Learning disability; High risk or otherwise complicated pregnancy; Severe alcohol or opiate dependence; Other medical problems. 9.1.1.2 The Contractor shall provide appropriate services to Spanish-speaking populations. 9.1.1.3 The Contractor shall be capable of providing services to hearing-impaired, visually impaired, and mobility-impaired clients. 9.1.1.4 Services shall be provided for dually diagnosed (substance and mental disordered) clients in accordance with ASAM PPC-2R requirements for Medically Managed or Medically Monitored Intensive In-patient Detoxification, the DC Certification Standards, and any other state or federal criteria. In the event these standards conflict, the Contractor shall follow the more stringent of the standards. 9.1.1.5 Duration ? Detoxification beds shall be available up to your stated capacity. The usual course detoxification for each client shall be 3 to 5 days. Detoxification services beyond 5 days must be medically justified and shall be approved in advance by the Contracting Officer, or the designated Contracting Officer?s Technical Representative (COTR). The Contractor may bill the Government for the day of admission and for each day prior to discharge, but may not bill for day of discharge. 9.1.1.6 The Contractor shall provide nutritionally balanced meals three times per day, and an evening snack, seven days per week, in accordance with D.C. Certification Standards. 9.1.1.7 The Contractor shall ensure that vacant rooms are kept in a state of readiness to accept clients upon referral by PSA. Referrals may be made twenty-four hours per day, seven days per week, including holidays. 9.1.2 As a component of the history and physical conducted upon admission, the Contractor shall administer the PPD Mantoux Tuberculin Skin Test (or its equivalent) and all necessary follow-up examinations to any PSA or CSOSA client who reports without documented evidence of the test within the previous six months. 9.2 Medically Monitored Intensive Inpatient Treatment 9.2.1 The Contractor shall provide comprehensive Dually Diagnosis Enhanced Medically Monitored Intensive Inpatient Treatment services for clients with both psychiatric and substance disorders which includes daily therapeutic activities, a protective environment that includes medical stabilization, support and treatment for psychiatric and substance disorders and daily living support and supervision. Other required services include, but are not limited to: physical examination, orders for appropriate tests, and face-to-face consultation with a physician; psychotropic medication prescribing, dispensing, and monitoring; bio-psychosocial assessment, evaluation and diagnostic services; dually diagnosed-enhanced individual counseling, group and/or family counseling; recreation and therapeutic activities; case management and comprehensive discharge planning. Programs shall offer integrated treatment for both addiction and mental illness in all program elements. The usual length of stay is estimated at 14 days. Any requests for additional days must be requested by the treating physician representing the Contractor and approved in advance by the Contracting Officer, or the designated Contracting Officer?s Technical Representative (COTR). The Contractor shall provide written documentation with medical justification and an updated treatment plan agreed to by the assigned case manager when requesting treatment beyond the usual length of stay (14 days). Request for treatment extension will be reviewed with intense scrutiny and in no case shall exceed 14 additional days. Only the Contracting Officer, or the designated Contracting Officer?s Technical Representative (COTR) will refer clients from various PSA or CSOSA programs by issuance of a written task order. 9.2.2 The Contractor shall not authorize a PSA/CSOSA client to leave the inpatient facility, for any reason other than medical emergency requiring alternate medical care, without prior coordination and approval of the case manager. 9.2.3 Social setting detoxification services shall be provided as needed in cases when a client relapses and requires neither medically managed nor medically monitored detoxification for stabilization and is not a danger to him or herself or others in the treatment program. Unless deemed medically necessary, the Contractor shall provide these services on the inpatient treatment unit without transferring the client to an inpatient detoxification program/unit. Such services shall be equivalent to those describe by the ASAM PPC-2R as required within a Clinically Managed Residential Detoxification Setting. A relapse shall not necessarily constitute an expulsion violation. Prior to any PSA client being expelled from a treatment program for relapse, the Contractor shall contact the assigned case manager. If there is a dispute between the case manager and the Contractor on whether a client should be expelled, the situation shall be referred to the Government and a meeting will be held to resolve the issue. 9.2.4 The Contractor shall provide appropriate services to Spanish-speaking populations. 9.2.5 The Contractor shall be capable of providing services to hearing-impaired, visually impaired, and mobility-impaired clients. 9.2.6 The Contractor shall provide transportation of the client from the point of origin, (i.e., court, DC jail, Detox, halfway house, etc.) to the inpatient facility. 9.2.7 The Contractor shall develop or show proof of an existing written service policy and procedures for the treatment program, including: 9.2.7.1 The objective of the program to be attained by the provision of the services to the client. 9.2.7.2 The criteria used to measure the client?s progress towards the attainment of program objectives. 9.2.7.3 A description and justification of the primary diagnostic and treatment modalities utilized by the program within appropriate models for dual diagnosis treatment. 9.2.7.4 A description of available individual, group and family counseling sessions; substance abuse, mental health and duo-diagnosis education curricula; relapse preventions approaches; health and nutritional seminars; a policy to introduce each client to self-help 12-step programs and the required attendance schedule; assessment, testing, and evaluations tools and procedures; and treatment and aftercare planning tools and procedures. 9.2.7.5 A description of the therapeutic (leisure) activities available for clients at the treatment facility. 9.2.7.6 Any discovery of a medical or mental condition that would impede the client?s full participation in treatment may result in the client?s disqualification for eligibility. 9.2.7.7 Safety precautions and procedures. 9.2.7.8 Crisis intervention procedures. 9.2.7.9 Personnel policies. 9.2.7.10 Definitions of client non-compliance and methods of addressing and documenting client non-compliance. 9.2.7.11 Methods of investigating, documenting, and handling client grievances. 9.2.7.12 Methods of investigating, documenting, and reporting unusual incidents. 9.2.8 The Contractor shall develop or have in place policies and procedures to both detect and prevent instances of a client?s possession of contraband and use of illegal drugs or alcohol while in treatment. The fact that contraband is found on a client?s person or in his/her possession or that he/she tests positive for illegal drugs or alcohol shall not necessarily be grounds for expulsion. The Contractor shall create or have in place a graduated response/sanction regimen to address these infractions internally. All program responses/sanctions to contraband or drug and alcohol use violations shall be discussed with the case manager no later than the next business day of the infraction and before any decision is made about the client?s continued participation in the program. 9.2.9 Treatment beds shall be available up to the Contractor's stated capacity. The Contractor shall accept the number of clients that are referred by PSA officials at any time up to the Contractor?s stated capacity. Client referrals are difficult to project and may occur any time during the contract term. However, referrals occurring in the last month of the contract shall be tasked ordered to continue through the completion of the treatment plan unless otherwise notified by PSA. 9.2.10 The Contractor?s facility shall meet all federal, state and local requirements for a dually diagnosed enhanced medically monitored intensive inpatient treatment facility as well as the D.C. Certification Standards. The following Federal Acquisition Regulation provisions and clauses apply to this acquisition: The provision at 52.212-1, Instructions to Offerors-Commercial and 52.212-4 Contract Terms and Conditions-Commercial Items, apply to this acquisition. Offerors shall include a completed copy of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Items, with its offer Full text of clauses and provisions are available at Federal Acquisition Regulations (FAR): http://www.arnet.gov/References/References.html. The following clauses are incorporated by reference and apply to this acquisition: 52.252-2 Clauses Incorporated By Reference (Feb 1998), 52.217-8 Option to Extend Services; 52.217-9 Option To Extend The Term Of The Contract-Services; 52.224-1 Privacy Act Notification; 52.224-2 Privacy Act; 52.212-5 Contract terms and Conditions Required to Implement Statutes or Executive Orders-Commercial Items applies to this acquisition and the following FAR clauses cited in the clause are applicable to this acquisition: 52.219-8 Utilization of Small Business Concerns; 52.222-21 Prohibition of Prohibition of Segregated Facilities, 52.222-26 Equal Opportunity; 52.222-35-Affirmative Action for Disabled Veterans and Veterans of the Vietnam Ear; 52.222-36 Affirmative Action for Workers and Disabilities; 52.222-37; 52.232-18 Availability Of Funds; 52-232-19 Availability of Funds for the Next Fiscal Year; 52.232-33 Payment by Electronic Funds Transfer?Central Contractor Registration; 52.212-2 Evaluation--Commercial Items applies to this acquisition; Commercial Items; 52.219-6 Notice of Total Small Business Set-Aside; 52.222-26, Equal Opportunity, 52.232-34; 52.237-7 Indemnification and Medical Liability Insurance; 52.216-18, Ordering 52.216-19, Order Limitations 52.216-22; Indefinite Quantity 52.216-27 Single or Multiple Awards. Award will be made to the responsible offeror whose quote conforms to the requirements of the solicitation; Technical Capability meets the needs of the Government and offers the lowest price and past performance. Past performance information shall include a list of five (5) of the most recent and relevant past and present contracts performed for Federal agencies and commercial customers within the last five years. Furnish the following information for each reference: (1) Company name, (2) Service provided, (3) Contracting Officer Name and Phone Number, (4) Contract Number, (5) Contract Dollar Amount, (6) Period of Performance. Award may be made with or without discussions. The contractor shall provide a copy of all diplomas and/or certificates to support stated qualifications. Responses to this requirement shall be provided in writing to Attn: Darren Brown, D.C. Pretrial Services Agency, 633 Indiana Avenue, NW, Suite 1100, Washington, DC 20004, or faxed at (202) 220-5675. Responses are due by 3:00 P.M., EST. on December 2, 2003. Facsimile quotes are not acceptable
- Record
- SN00464839-W 20031107/031105212930 (fbodaily.com)
- Source
-
FedBizOpps.gov Link to This Notice
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