District of Columbia Operating Agreement

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District of Columbia Operating Agreement Powered By Docstoc
					                          Government of the District of Columbia
                            Department on Disability Services




                    REQUEST FOR INFORMATION
Service Array               Residential Services
                            Supported Employment Services
                            (Funded through the DDS Home and Community Based
                            Waiver and Human Care Agreement)
Target Population           Adults with Intellectual and Developmental Disabilities, 18
                            years or older who are eligible for services offered by the
                            Department on Disability Services



Action                      Timeline
RFI Availability            Immediate

Deadline for Receipt of     June 15, 2007
RFI Responses
Evaluation of RFI           Upon Submission


Agency Contact:

Brenda L. Emanuel, Contracting Officer
1125 15th St. NW (9th Floor)
Washington, DC 20005

Brenda.Emanuel@dc.gov
(202) 730-1549



Background
The Department on Disability Services (“DDS”) was permanently established by Title I
of D.C. Law 16-264, the “Department on Disability Services Establishment Act of 2006,”
effective March 14, 2007, as a separate Cabinet-level agency, subordinate to the Mayor.
This legislation, and the emergency legislation which preceded it, was introduced by then
Council member Adrian Fenty in order to create an agency capable of leading and
sustaining reform of the District’s system of care and habilitation services for citizens
with mental retardation and other developmental disabilities. The DDS Director has been
provided with “the authority to organize the Department as the Director may determine is
necessary and appropriate to carry out the Department’s mission.” In addition, the Mayor
was required to “delegate to the Director all personnel authority” and that authority is
“independent of the Office of Personnel; and to “delegate to the Director all procurement
authority, including contracting and contracting oversight,” and that authority is
“independent of the Office of Contracting and Procurement. The Mayor delegated
personnel, procurement, and rulemaking authority to the DDS Director in Mayor’s Order
2007-68 dated March 20, 2007.


Introduction
The District of Columbia was one of the first to lead the reform in moving persons with
mental retardation or other developmental disabilities from large institutions to
community-based facilities. DDS works as a partner with over 260 providers to offer an
extensive array of services that enable persons with developmental disabilities to reside
with their families or in other community living situations, and to continue to learn, grow
and contribute in the community. The Home and Community Based Waiver is a federal
funding stream that puts supports in place that allow our consumers to remain in their
natural homes, live, and work in the most integrated settings possible. As of May 14,
2007, there are currently 973 consumers enrolled in this program.

Purpose

DDS is interested in identifying organizations that are qualified and interested in
providing Residential and/or Supported Employment services to a culturally diverse
population who are residents of Washington, DC and have developmental disabilities.
Some individuals may have multiple disabilities, which include, but are not limited to,
autism, cerebral palsy, psychiatric diagnoses, physical and medical disabilities, etc.

DDS is interested in providers that can bring new and innovative approaches to providing
services within the scope of the agency’s Human Care Agreement (HCA) and the Home
and Community Based Waiver (HCBW). For the purpose of this RFI, the community
living arrangements under the HCA and HCBW are Residential Habilitation, for people
who require 24-hour support, and Independent Habilitation, for people who can live
semi-independently.

DDS is responsible for the delivery of services to District of Columbia citizens with
mental retardation and other developmental disabilities. DDS provides them with both
direct services and life planning strategies. The agency is seeking to lead the reform to
further integrate persons with mental retardation or other developmental disabilities into
their communities in order to enhance the quality of their lives.




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When answering the questions below, it is important to note that DDS is
particularly interested in providers with experience with specific populations, such
as people who are medically complex, behaviorally challenging, dually diagnosed, or
in other areas of specific expertise.


INFORMATION REQUESTED

   1. A description of your organization including your philosophy and your experience
       in providing services to individuals with developmental disabilities. Include a
       description of the array of services you currently offer.
   2. A roster of key personnel, their qualifications, and a copy of their position
       description along with an organizational chart. (Please include the number of
       disabled and non-English speaking individuals currently employed by your
       organization).
   3. Describe your organizations past performance on similar contracts with other
       governmental agencies and private organizations in terms of compliance with
       quality review standards and quality of work. Have you ever has an operating
       license revoked or issued conditionally? Are your services accredited and, if so,
       by whom?
   4. Describe your organizations experience with community collaborations.
   5. Describe your organization’s ability to serve an ethnically and culturally diverse
       population.
   6. Provide a statement verifying that, if you are invited to apply, you will be able to
       provide a copy of you most recent independent financial audit, verification of
       your organization’s solvency, and a certificate of good standing.
   7. Provide written materials or a description of that which makes your agency unique
       as well as any specialized services and supports you offer.
   8. Please indicate the types of services you would be interested in developing for the
   service consumers from the Department of Disability Services. (Service descriptions
   are below.)


Introduction to Scope of Services: Please note that DDS is in the process of revising its
Home and Community Based Waiver to create more flexibility and a greater array of
options for people with developmental disabilities. If approved by the Centers for
Medicaid and Medicare (CMS), starting in November 2007, some of the service
categories will change. These proposed changes are noted below.




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Scope of Services for Residential Habilitation and Independent Habilitation:

The organization shall be capable of meeting the requirements as delineated in this scope
of services:

           A. Independent Habilitation services, which will become Supported Living
              services, are for one (1) to three (3) individuals in an apartment or house
              located in Washington, D.C. or within a twenty-five (25) mile radius in the
              State of Maryland.
           B. Residential Habilitation services are for four (4) to six (6) individuals in a
              group home located in Washington, D.C. or within a twenty-five (25) mile
              radius in the State of Maryland.

                     Provide consumers with a safe home environment with supervision
                      and guidance based on the consumer’s Individual Support Plan
                      (ISP);

                     Implement behavior management plans based on the assessed
                      needs of an individual;

                     Provide daily experiences and staff support that would enable an
                      individual to develop skills and interests and become included in
                      his/her community;

                     Provide for routine and special medical care and provide for
                      special dietary needs;

                     Provide or arrange for transportation so that individuals can get to
                      work, day programs, medical appointments, recreation activities,
                      court hearings, ISP meetings and other activities that are
                      designated in the ISP and/or important to the individual.



Scope of Services for Companion Care, Host Home, and In-Home Supports

In the following service areas, DDS is looking for providers who have existing expertise
and can provide leadership with the development of programs that are new to the District
of Columbia. Because these are new areas, of service, DDS will work closely with
providers to support the development of new programs and as a result, DDS is
particularly interested in providers who have the expertise to provide leadership in the
development of these new service areas.




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Description of Services for Host Home, Live-In Caregiver and In Home Supports:

These services are new additions to the District of Columbia Home and Community
Based Waiver. All services will be operated by a full services agencies that can provide
training, direct support, health coordination and therapy coordination, transportation
coordination, day program or vocational coordination, respite, and administrative
support.


A. Host Home

   This service requires taking over the administration of some or all of the 29 providers
   and 33 residents currently placed in the DDS Specialized Homecare Provider system
   as well as recruiting and operating new Host Homes. Specialized Homecare
   Providers currently operate as independent contracts that are not eligible for waiver
   services.

   The services required to operate host homes are:
             Recruit and coordinate the operation, administration and management of a
      system of homeowners who are willing to rent appropriate living spaces to people
      supported by DDS;
             Host homes will provide room and board and a relatively small number of
      direct care hours with a general goal of providing a safe environment based on the
      customer’s Individual Support Plan (ISP);
              Provider assures through training and supervision that Hosts will provide
      customers with primarily passive supervision and support and guidance to meet
      day programming, vocational, recreational or personal enrichments goals as stated
      in the customer’s Individual Support Plan (ISP);
             Hosts through training and supervision will have protocols in place to
      request additional supports when issues of health and safety are concerned;
             Provider will provide coverage on weekends, holidays, during periods of
      host’s illness or schedule conflicts;
             Provider assures through training and supervision that hosts provide
      customers with a safe, homelike environment.

B. Live In Caregiver

   These new services require providing supports for people who live in their own home
   or in a home with their family or another non-professional caregiver.

   The services required to operate Live In Caregiver program are:
             Have expertise in brokering and supporting people with developmental
      disabilities to purchase or lease their own homes utilizing available Federal and
      local funding and housing development programs




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              Recruit and coordinate the operation, administration and management of a
       system of caregivers who are willing to live in the home of a person supported by
       MRDDA in exchange for free rent and who provide minimal supports;
              Provider assures through training and supervision that Live-in Caregivers
       will provide customers with primarily passive supervision and support and
       guidance to meet day programming, vocational, recreational, or personal
       enrichments goals as stated in the customer’s Individual Support Plan (ISP):
              Live-in Caregivers through training and supervision will have protocols in
       place to request additional supports when issues of health and safety are
       concerned;
              Providers will provide coverage on weekends, holidays, during periods of
       Live- In Caregiver’s illness or schedule conflicts;
              Live in Caregivers/Providers will assist with the coordination of
       transportation, day programming, vocational requirements, medical appointments,
       and other health related appointments.


C. In Home Supports
   In-Home Supports are provided to participants in order to assist people to reside
   successfully in homes owned or leased by the family or participant. Services may be
   provided in the home or community, with the place of residence as the primary
   setting.

   The services required to operate In Home Supports programs are:
             Recruit and coordinate the operation, administration and management of a
      system of caregivers who are willing to work in the home of a person supported
      by DDS;
             In Home Supports, provide a maximum of 8 hours direct care with a
      general goal of providing a safe environment with supervision and guidance based
      on the customer’s Individual Support Plan (ISP);
             Provider assures through training and supervision that In Home Supports
      will provide customers and their families with counseling and training for
      supporting a person with developmental disabilities as they grow and age;
          o Provide support for customers and the families of people with autism and
              other disabilities that require specific supports and guidance;
          o Provide habilitative support, chore services, and hands on supports as
              necessary while supporting the individual;
          o Provide support and guidance to the person and their family to meet day
              programming, vocational, recreational, or personal enrichments goals as
              stated in the customer’s Individual Support Plan (ISP):
          o Provide support and guidance to the person and their family to maintain a
              safe environment based on the customer’s Individual Support Plan (ISP);
          o Establish to request additional supports when issues of health and safety
              are concerned;




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              In Home Supports/Providers will assist with the coordination of
        transportation, day programming, vocational requirements, medical appointments,
        and other health related appointments.




Supported Employment

Supported employment providers provide support in a competitive work environment so that
individuals with developmental disabilities can obtain and maintain competitive work in
integrated work settings and for whom competitive employment has not traditionally occurred,
because of the nature and severity of their disability. Service consumers typically require
ongoing support in order to successfully perform their job. Supported employment providers
offer assistance in the form of job development, job coaches, specialized job training, job
accommodations, and supervision.
 In addition to the vocational assessment, job development and follow along support of traditional
supported employment programs DDS is also looking for organizations with expertise in
developing supported employment enclaves, mobile work crews, and micro-enterprises.

   Enclaves are groups of eight or fewer participants working at a particular work setting
    either disbursed throughout the company or congregated as a group in one part of the
    business;
   Mobile Work Crews are group of people performing work in a variety of locations
    under the supervision of a permanent employment specialist.
   Micro-enterprises are businesses owned and operated by the participant(s). Support
    for micro enterprises consists of: assisting with identifying potential business
    opportunities; development of a business plan, development of financing,
    development of operating procedures. Then once the business is in place support with
    launching the business and, ongoing assistance, counseling and guidance once the
    business has been launched.


To view a complete listing of Current Waiver Services please visit the web site below:

http://mrdda.dc.gov/forms/DDS_Waiver.pdf

All interested parties should submit their response to:

Brenda L. Emanuel DDS, Contracting Officer
1125 15th Street N.W. (9th Floor)
Washington, D.C., 20005
(202) 730-1549
Other contacts:
Brenda.Emanuel@dc.gov




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