RFP CONTRACT RE PSYCHIATRIC SERVICES WITH COMMUNITY BRIDGES INC.PDF

CONTRACT PURSUANT TO PH RFP 15-009
CONTRACT #: 860-15-009
This Contract is entered into this 1st day of February, 2015 by and between Maricopa County (“County”), a political
subdivision of the State of Arizona, and Community Bridges, Inc., an Arizona corporation (“Contractor”) for the
purchase of Psychiatric Service Community Provider services.
1.0 CONTRACT TERM:
1.1 This Contract is for a term of one (1) year, beginning on the 1st day of February, 2015 and ending
the 31st day of January, 2016.
1.2 The County may, at its option and with the agreement of the Contractor, renew the term of this
Contract for additional terms up to a maximum of five (5) years, (or at the County’s sole
discretion, extend the contract on a month-to-month basis for a maximum of six (6) months after
expiration). The County shall notify the Contractor in writing of its intent to extend the Contract
term at least thirty (30) calendar days prior to the expiration of the original contract term, or any
additional term thereafter.
2.0 FEE ADJUSTMENTS:
Any request for a fee adjustment must be submitted sixty (60) days prior to the current Contract expiration
date. Requests for adjustment in cost of labor and/or materials must be supported by appropriate
documentation. If County agrees to the adjusted fee, County shall issue written approval of the change.
The reasonableness of the request will be determined by comparing the request with the (Consumer Price
Index) or by performing a market survey.
3.0 PAYMENTS:
3.1 As consideration for performance of the duties described herein, County shall pay Contractor the
sum(s) stated in Exhibit “A.”
3.2 Payment shall be made upon the County’s receipt of a properly completed invoice.
3.3 INVOICES:
3.3.1 The Contractor shall submit one (1) legible copy of their detailed invoice before
payment(s) can be made. At a minimum, the invoice must provide the following
information:
 Company name, address and contact
 County bill-to name and contact information
 Contract serial number
 County purchase order number
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CONTRACT #: 860-15-009
 Invoice number and date
 Payment terms
 Date of service or delivery
 Quantity
 Contract Item number(s)
 Description of service provided
 Pricing per unit of service
 Extended price
 Total Amount Due
3.3.2 Problems regarding billing or invoicing shall be directed to the County as listed on the
Purchase Order.
3.3.3 Payment shall be made to the Contractor by Accounts Payable through the Maricopa
County Vendor Express Payment Program. This is an Electronic Funds Transfer (EFT)
process. After Contract Award the Contractor shall complete the Vendor Registration
Form located on the County Department of Finance Vendor Registration Web Site
(http://www.maricopa.gov/Finance/Vendors.aspx)
3.3.4 EFT payments to the routing and account numbers designated by the Contractor will
include the details on the specific invoices that the payment covers. The Contractor is
required to discuss remittance delivery capabilities with their designated financial
institution for access to those details.
3.4 STRATEGIC ALLIANCE for VOLUME EXPENDITURES ($AVE):
3.4.1 The County is a member of the $AVE cooperative purchasing group. $AVE includes the
State of Arizona, many Phoenix metropolitan area municipalities, and many K-12 unified
school districts. Under the $AVE Cooperative Purchasing Agreement, and with the
concurrence of the successful Respondent under this solicitation, a member of $AVE
may access a contract resulting from a solicitation issued by the County. If you do not
want to grant such access to a member of $AVE, please so state in your proposal. In the
absence of a statement to the contrary, the County will assume that you do wish to grant
access to any contract that may result from this Request for Proposal.
3.5 INTERGOVERNMENTAL COOPERATIVE PURCHASING AGREEMENTS (ICPA’s)
3.5.1 County currently holds ICPA’s with numerous governmental entities throughout the State
of Arizona. These agreements allow those entities, with the approval of the Contractor,
to purchase their requirements under the terms and conditions of the County Contract.
Please indicate on Attachment A, your acceptance or rejection regarding such
participation of other governmental entities. Your response will not be considered as an
evaluation factor in awarding a contract
4.0 AVAILABILITY OF FUNDS:
4.1 The provisions of this Contract relating to payment for services shall become effective when funds
assigned for the purpose of compensating the Contractor as herein provided are actually available
to County for disbursement. The County shall be the sole judge and authority in determining the
availability of funds under this Contract. County shall keep the Contractor fully informed as to the
availability of funds.
4.2 If any action is taken by any state agency, Federal department or any other agency or
instrumentality to suspend, decrease, or terminate its fiscal obligations under, or in connection
with, this Contract, County may amend, suspend, decrease, or terminate its obligations under, or in
connection with, this Contract. In the event of termination, County shall be liable for payment
only for services rendered prior to the effective date of the termination, provided that such services
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are performed in accordance with the provisions of this Contract. County shall give written notice
of the effective date of any suspension, amendment, or termination under this Section, at least ten
(10) days in advance.
5.0 DUTIES:
5.1 The Contractor shall perform all duties stated in Exhibit “B”, or as otherwise directed in writing
by the Procurement Officer.
5.2 During the Contract term, County shall provide Contractor’s personnel with adequate workspace
for consultants and such other related facilities as may be required by Contractor to carry out its
contractual obligations.
6.0 TERMS and CONDITIONS:
6.1 INDEMNIFICATION:
To the fullest extent permitted by law, and to the extent that claims, damages, losses or expenses
are not covered and paid by insurance purchased by the Contractor, the Contractor shall defend
indemnify and hold harmless the County (as Owner), its agents, representatives, agents, officers,
directors, officials, and employees from and against all claims, damages, losses, and expenses
(including, but not limited to attorneys' fees, court costs, expert witness fees, and the costs and
attorneys' fees for appellate proceedings) arising out of, or alleged to have resulted from the
negligent acts, errors, omissions, or mistakes relating to the performance of this Contract.
Contractor's duty to defend, indemnify, and hold harmless the County, its agents, representatives,
agents, officers, directors, officials, and employees shall arise in connection with any claim,
damage, loss, or expense that is attributable to bodily injury, sickness, disease, death or injury to,
impairment of, or destruction of tangible property, including loss of use resulting there from,
caused by negligent acts, errors, omissions, or mistakes in the performance of this Contract, but
only to the extent caused by the negligent acts or omissions of the Contractor, a subcontractor, any
one directly or indirectly employed by them, or anyone for whose acts they may be liable,
regardless of whether or not such claim, damage, loss, or expense is caused in part by a party
indemnified hereunder.
The amount and type of insurance coverage requirements set forth herein will in no way be
construed as limiting the scope of the indemnity in this paragraph.
The scope of this indemnification does not extend to the sole negligence of County.
6.2 INSURANCE:
Each Party (as "indemnitor") agrees to indemnify, defend, and hold harmless the other Party (as
"indemnitee") from and against any and all claims, losses, liability, costs, or expenses (including
reasonable attorney's fees) (hereinafter collectively referred to as "claims") arising out of the
negligent performance of this Agreement, but only to the extent that such claims which result in
vicarious/derivative liability to the indemnitee are caused by the act, omission, negligence,
misconduct, or other fault of the indemnitor, its officers, officials, agents, employees, or
volunteers.
Lessee, its contractors and subcontractors at Lessee’s or its contractors’ and subcontractors’ own
expense, shall purchase and maintain the herein stipulated minimum insurance from a company or
companies duly licensed by the State of Arizona and possessing a current A.M. Best, Inc. rating of
B++ 6. In lieu of State of Arizona licensing, the stipulated insurance may be purchased from a
company or companies, which are authorized to do business in the State of Arizona, provided that
said insurance companies meet the approval of Lessor. The form of any insurance policies and
forms must be acceptable to Lessor. All insurance required herein shall be maintained in full force
and effect until all work or service required to be performed under the terms of the Lease is
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satisfactorily completed and formally accepted and until the use of the Premises as contemplated
in this Lease has been terminated. Failure to do so may, at the discretion of Lessor, constitute a
material breach of this Lease. Lessee’s insurance shall be primary insurance as respects Lessor,
and any insurance or self-insurance maintained by Lessor shall not contribute to it. Any failure to
comply with the claim reporting provisions of the insurance policies or any breach of an insurance
policy warranty shall not affect the Lessor’s right to coverage afforded under the insurance
policies. The insurance policies may provide coverage that contains deductibles or self-insurance
retentions. Such deductible and/or self-insurance retentions shall not be applicable with respect to
the coverage provided to Lessor under such policies. Lessee shall be solely responsible for the
deductible and/or self-insurance retention and Lessor, at its option, may require Lessee to secure
payment of such deductibles or self-insurance retentions by a surety bond or an irrevocable and
unconditional letter of credit. Lessor reserves the right to request and to receive, within 10
business days, certified copies of any or all of the herein required insurance policies and/or
endorsements. Lessor shall not be obligated, however, to review such policies and/or
endorsements or to advise Lessee of any deficiencies in such policies and endorsements, and such
receipt shall not relieve Lessee from, or be deemed a waiver of, Lessor’s right to insist on strict
fulfillment of Lessee’s obligations under this Lease. Lessee and its contractors’ and
subcontractors’ insurance policies required by this Lease, except Workers’ Compensation, shall
name Lessor, its agents, representatives, officers, directors, officials and employees as Additional
Insureds. Lessee and its contractors’ and subcontractors’ insurance policies required hereunder,
except Workers’ Compensation, shall contain a waiver of transfer of rights of recovery
(subrogation) against Lessor, its agents, representatives, officers, directors, officials and
employees for any claims arising out of Lessee’s work or service or use or maintenance of the
Premises.
6.2.1 Commercial General Liability.
Commercial General Liability insurance and, if necessary, Commercial Umbrella
insurance with a limit of not less than $2,000,000 for each occurrence, $4,000,000
Products/Completed Operations Aggregate, and $4,000,000 General Aggregate Limit.
The policy shall include coverage for premises liability, bodily injury, broad form
property damage, personal injury, products and completed operations and blanket
contractual coverage, and shall not contain any provisions which would serve to limit
third party action over claims. There shall be no endorsement or modifications of the
CGL limiting the scope of coverage for liability arising from explosion, collapse, or
underground property damage.
6.2.2 Automobile Liability.
Commercial/Business Automobile Liability insurance and, if necessary, Commercial
Umbrella insurance with a combined single limit for bodily injury and property damage
of not less than $1,000,000 each occurrence with respect to any of the Lessee’s owned,
hired, and non-owned vehicles assigned to or used in performance of the Lessee’s work
or services or use or maintenance of the Premises under this Lease.
6.2.3 Workers’ Compensation.
Workers’ Compensation insurance to cover obligations imposed by federal and state
statutes having jurisdiction of Lessee’s employees engaged in the performance of the
work or services under this Lease; and Employer’s Liability insurance of not less than
$1,000,000 for each accident, $1,000,000 disease for each employee, and $1,000,000
disease policy limit.
Lessee, its contractors and its subcontractors waive all rights against Lessor and its
agents, officers, directors and employees for recovery of damages to the extent these
damages are covered by the Workers’ Compensation and Employer’s Liability or
commercial umbrella liability insurance obtained by Lessee, its contractors and its
subcontractors pursuant to this Lease.
6.2.4 Errors and Omissions (Professional Liability) Insurance.
Errors and Omissions (Professional Liability) insurance and, if necessary, Commercial
Umbrella insurance, which will insure and provide coverage for errors or omissions or
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professional liability of the CONTRACTOR, with limits of no less than $2,000,000 for
each claim.
6.2.5 Professional Liability.
Contractor shall maintain Professional Liability insurance which will provide coverage
for any and all acts arising out of the work or services performed by the Contractor under
the terms of this Contract, with a limit of not less than $1,000,000 for each claim, and
$3,000,000 aggregate claims.
6.2.6 Sexual molestation and physical abuse
When services involve working with these groups of individuals, the insurance
requirements in the contract need to be revised to include coverage for "sexual
molestation and physical abuse". Coverage for this type of claim, or allegation, is
excluded from standard general liability policies. Therefore, contractors whose services
include working with and/or caring for children/elderly and disabled persons should have
their policies specifically endorsed to include this coverage.
6.2.7 Commercial General Liability – Occurrence Form
Policy shall include bodily injury, property damage and broad form contractual
liability coverage.
a. The policy shall be endorsed to include coverage for physical/sexual
abuse and molestation.
b. The policy shall be endorsed to include the following additional insured
language: "(_____), its subsidiary, parent, associated and/or affiliated
entities, successors, or assigns, its elected officials, trustees, employees,
agents, and volunteers shall be named as additional insureds with respect to
liability arising out of the activities performed by, or on behalf of the
Contractor".
6.2.8 Minimum Limits:
General Aggregate $1,000,000
Products/Completed Operations Aggregate $1,000,000
Each Occurrence Limit $1,000,000
Personal/Advertising Injury $1,000,000
Sexual Abuse/Molestation $1,000,000
6.2.9 Medical Mal – Any contractor that has a medical degree doing work with patience
such as Psych or any other type of treatment
Medical Malpractice insurance and, if necessary, Commercial Umbrella insurance, which
will insure and provide coverage for Medical Malpractice of the Contractor, with limits
of no less than $5,000,000 for each claim.
6.2.10 Evidence of Insurance Coverage. Prior to AWARD and commencement of work,
services or occupancy of the Premises under this Lease, Lessee shall furnish Lessor with
the following: (1) a letter from Lessee’s Insurance Agent (“Agent”) stating Agent has
received all Reports and that prior to the determination of coverage, Agent has provided
all Reports to the insurance carrier that is chosen by Lessee to provide coverage; and (2)
Certificates of Insurance in a form acceptable to Lessor, or formal endorsements as
required by this Lease, in the form provided by the Lessor, issued by Lessee’s insurer(s),
as evidence that policies providing the required coverages, conditions and limits required
by this Lease are in full force and effect. Such certificates shall identify this Lease
number and title. In the event any insurance policies required by this Lease are written
on a “claims made” basis, coverage shall extend for two years past completion and
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acceptance of the term of Lessee’s work or services or Lessee’s use or maintenance of the
Premises and as evidenced by annual Certificates of Insurance.
The insurance policies required by this Contract, except Workers’ Compensation, and
Errors and Omissions, shall name COUNTY, its agents, representatives, officers,
directors, officials and employees as Additional Insureds.
The policies required hereunder, except Workers’ Compensation, and Errors and
Omissions, shall contain a waiver of transfer of rights of recovery (subrogation) against
COUNTY, its agents, representatives, officers, directors, officials and employees for any
claims arising out of CONTRACTOR’S work or service.
6.3 WARRANTY OF SERVICES:
6.3.1 The Contractor warrants that all services provided hereunder will conform to the
requirements of the Contract, including all descriptions, specifications and attachments
made a part of this Contract. County’s acceptance of services or goods provided by the
Contractor shall not relieve the Contractor from its obligations under this warranty.
6.3.2 In addition to its other remedies, County may, at the Contractor's expense, require prompt
correction of any services failing to meet the Contractor's warranty herein. Services
corrected by the Contractor shall be subject to all the provisions of this Contract in the
manner and to the same extent as services originally furnished hereunder.
6.4 INSPECTION OF SERVICES:
6.4.1 The Contractor shall provide and maintain an inspection system acceptable to County
covering the services under this Contract. Complete records of all inspection work
performed by the Contractor shall be maintained and made available to County during
contract performance and for as long afterwards as the Contract requires.
6.4.2 County has the right to inspect and test all services called for by the Contract, to the
extent practicable at all times and places during the term of the Contract. County shall
perform inspections and tests in a manner that will not unduly delay the work.
6.4.3 If any of the services do not conform with Contract requirements, County may require the
Contractor to perform the services again in conformity with Contract requirements, at on
increase in Contract amount. When the defects in services cannot be corrected by re-
performance, County may:
6.4.3.1 Require the Contractor to take necessary action to ensure that future
performance conforms to Contract requirements; and
6.4.3.2 Reduce the Contract price to reflect the reduced value of the services performed.
6.4.4 If the Contractor fails to promptly perform the services again or to take the necessary
action to ensure future performance in conformity with Contract requirements, County
may:
6.4.4.1 By Contract or otherwise, perform the services and charge to the Contractor any
cost incurred by County that is directly related to the performance of such
service; or
6.4.4.2 Terminate the Contract for default.
6.5 NOTICES:
All notices given pursuant to the terms of this Contract shall be addressed to:
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CONTRACT #: 860-15-009
For County:
Maricopa County
Department of Public Health
Attn: Cheryl Rentscheler, Procurement Officer
4041 N. Central Avenue, #1400
Phoenix, AZ 85012
(602) 506-6886
cherylrentscheler@mail.maricopa.gov
For Contractor:
Community Bridges, Inc.
Attn: John Hogeboom
1855 West Baseline Road, Suite 101
Mesa, AZ 85202
(480) 831-7566
jhogeboom@cbridges.com
6.6 TERMINATION FOR CONVENIENCE:
The County reserves the right to terminate the Contract, in whole or in part at any time, when in
the best interests of the County without penalty or recourse. Upon receipt of the written notice,
the Contractor shall immediately stop all work, as directed in the notice, notify all subcontractors
of the effective date of the termination and minimize all further costs to the County. In the event
of termination under this paragraph, all documents, data and reports prepared by the Contractor
under the Contract shall become the property of and be delivered to the County upon demand.
The Contractor shall be entitled to receive just and equitable compensation for work in progress,
work completed and materials accepted before the effective date of the termination.
6.7 TERMINATION FOR DEFAULT:
6.7.1 In addition to the rights reserved in the Contract, the County may terminate the Contract
in whole or in part due to the failure of the Contractor to comply with any term or
condition of the Contract, to acquire and maintain all required insurance policies, bonds,
licenses and permits, or to make satisfactory progress in performing the Contract. The
Procurement Officer shall provide written notice of the termination and the reasons for it
to the Contractor.
6.7.2 Upon termination under this paragraph, all goods, materials, documents, data and reports
prepared by the Contractor under the Contract shall become the property of and be
delivered to the County on demand.
6.7.3 The County may, upon termination of this Contract, procure, on terms and in the manner
that it deems appropriate, materials or services to replace those under this Contract. The
Contractor shall be liable to the County for any excess costs incurred by the County in
procuring materials or services in substitution for those due from the Contractor.
6.7.4 The Contractor shall continue to perform, in accordance with the requirements of the
Contract, up to the date of termination, as directed in the termination notice.
6.8 TERMINATION BY THE COUNTY:
If the Contractor should be adjudged bankrupt or should make a general assignment for the benefit
of its creditors, or if a receiver should be appointed on account of its insolvency, the County may
terminate the Contract. If the Contractor should persistently or repeatedly refuse or should fail,
except in cases for which extension of time is provided, to provide enough properly skilled
workers or proper materials, or persistently disregard laws and ordinances, or not proceed with
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work or otherwise be guilty of a substantial violation of any provision of this Contract, then the
County may terminate the Contract. Prior to termination of the Contract, the County shall give the
Contractor fifteen- (15) calendar day’s written notice. Upon receipt of such termination notice, the
Contractor shall be allowed fifteen (15) calendar days to cure such deficiencies.
6.9 STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF INTEREST:
Notice is given that pursuant to A.R.S. §38-511 the County may cancel this Contract without
penalty or further obligation within three years after execution of the contract, if any person
significantly involved in initiating, negotiating, securing, drafting or creating the contract on
behalf of the County is at any time while the Contract or any extension of the Contract is in effect,
an employee or agent of any other party to the Contract in any capacity or consultant to any other
party of the Contract with respect to the subject matter of the Contract. Additionally, pursuant to
A.R.S §38-511 the County may recoup any fee or commission paid or due to any person
significantly involved in initiating, negotiating, securing, drafting or creating the contract on
behalf of the County from any other party to the contract arising as the result of the Contract.
6.10 OFFSET FOR DAMAGES;
In addition to all other remedies at law or equity, the County may offset from any money due to
the Contractor any amounts Contractor owes to the County for damages resulting from breach or
deficiencies in performance under this contract.
6.11 ADDITIONS/DELETIONS OF SERVICE:
The County reserves the right to add and/or delete products and/or services provided under this
Contract. If a requirement is deleted, payment to the Contractor will be reduced proportionately to
the amount of service reduced in accordance with the proposal price. If additional services and/or
products are required from this Contract, prices for such additions will be negotiated between the
Contractor and the County.
6.12 RELATIONSHIPS:
In the performance of the services described herein, the Contractor shall act solely as an
independent contractor, and nothing herein or implied herein shall at any time be construed as to
create the relationship of employer and employee, partnership, principal and agent, or joint venture
between the District and the Contractor.
6.13 SUBCONTRACTING:
The Contractor may not assign this Contract or subcontract to another party for performance of the
terms and conditions hereof without the written consent of the County, which shall not be
unreasonably withheld. All correspondence authorizing subcontracting must reference the
Proposal Serial Number and identify the job project.
6.14 AMENDMENTS:
All amendments to this Contract shall be in writing and approved/signed by both parties. The
Public Health Procurement Officer and/or the Office of Procurement Services’ Chief Procurement
Officer shall be responsible for approving all amendments for Maricopa County.
6.15 ACCESS TO AND RETENTION OF RECORDS FOR THE PURPOSE OF AUDIT AND/OR
OTHER REVIEW:
6.15.1 In accordance with section MCI 367 of the Maricopa County Procurement Code the
Contractor agrees to retain all books, records, accounts, statements, reports, files, and
other records and back-up documentation relevant to this Contract for six (6) years after
final payment or until after the resolution of any audit questions which could be more
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than six (6) years, whichever is latest. The County, Federal or State auditors and any
other persons duly authorized by the Department shall have full access to, and the right to
examine, copy and make use of, any and all said materials.
6.15.2 If the Contractor’s books, records , accounts, statements, reports, files, and other records
and back-up documentation relevant to this Contract are not sufficient to support and
document that requested services were provided, the Contractor shall reimburse Maricopa
County for the services not so adequately supported and documented.
6.15.3 If at any time it is determined by the County that a cost for which payment has been made
is a disallowed cost, the County shall notify the Contractor in writing of the
disallowance. The course of action to address the disallowance shall be at sole discretion
of the County, and may include either an adjustment to future claim submitted by the
Contractor by the amount of the disallowance, or to require reimbursement forthwith of
the disallowed amount by the Contractor by issuing a check payable to Maricopa County.
6.16 AUDIT DISALLOWANCES:
If at any time, County determines that a cost for which payment has been made is a disallowed
cost, such as overpayment, County shall notify the Contractor in writing of the disallowance.
County shall also state the means of correction, which may be but shall not be limited to
adjustment of any future claim submitted by the Contractor by the amount of the disallowance, or
to require repayment of the disallowed amount by the Contractor.
6.17 SEVERABILITY:
The invalidity, in whole or in part, of any provision of this Contract shall not void or affect the
validity of any other provision of this Contract.
6.18 RIGHTS IN DATA:
The County shall own have the use of all data and reports resulting from this Contract without
additional cost or other restriction except as provided by law. Each party shall supply to the other
party, upon request, any available information that is relevant to this Contract and to the
performance hereunder.
6.19 INTEGRATION:
This Contract represents the entire and integrated agreement between the parties and supersedes
all prior negotiations, proposals, communications, understandings, representations, or agreements,
whether oral or written, express or implied.
6.20 VERIFICATION REGARDING COMPLIANCE WITH ARIZONA REVISED STATUTES §41-
4401 AND FEDERAL IMMIGRATION LAWS AND REGULATIONS:
6.20.1 By entering into the Contract, the Contractor warrants compliance with the Immigration
and Nationality Act (INA using e-verify) and all other federal immigration laws and
regulations related to the immigration status of its employees and A.R.S. §23-214(A). The
contractor shall obtain statements from its subcontractors certifying compliance and shall
furnish the statements to the Procurement Officer upon request. These warranties shall
remain in effect through the term of the Contract. The Contractor and its subcontractors
shall also maintain Employment Eligibility Verification forms (I-9) as required by the
Immigration Reform and Control Act of 1986, as amended from time to time, for all
employees performing work under the Contract and verify employee compliance using the
E-verify system and shall keep a record of the verification for the duration of the
employee’s employment or at least three years, whichever is longer. I-9 forms are available
for download at USCIS.GOV.
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6.20.2 The County retains the legal right to inspect contractor and subcontractor employee
documents performing work under this Contract to verify compliance with paragraph
6.20.1 of this Section. Contractor and subcontractor shall be given reasonable notice of the
County’s intent to inspect and shall make the documents available at the time and date
specified. Should the County suspect or find that the Contractor or any of its subcontractors
are not in compliance, the County will consider this a material breach of the contract and
may pursue any and all remedies allowed by law, including, but not limited to: suspension
of work, termination of the Contract for default, and suspension and/or debarment of the
Contractor. All costs necessary to verify compliance are the responsibility of the
Contractor.
6.21 CONTRACTOR LICENSE REQUIREMENT:
6.21.1 The Respondent shall procure all permits, insurance, licenses and pay the charges and
fees necessary and incidental to the lawful conduct of his/her business, and as necessary
complete any required certification requirements, required by any and all governmental
or non-governmental entities as mandated to maintain compliance with and in good
standing for all permits and/or licenses. The Respondent shall keep fully informed of
existing and future trade or industry requirements, Federal, State and Local laws,
ordinances, and regulations which in any manner affect the fulfillment of a Contract and
shall comply with the same. Contractor shall immediately notify both Materials
Management and the using agency of any and all changes concerning permits, insurance
or licenses.
6.21.2 Respondents furnishing finished products, materials or articles of merchandise that will
require installation or attachment as part of the Contract, shall possess any licenses
required. A Respondent is not relieved of its obligation to posses the required licenses by
subcontracting of the labor portion of the Contract. Respondents are advised to contact
the Arizona Registrar of Contractors, Chief of Licensing, at (602) 542-1525 to ascertain
licensing requirements for a particular contract. Respondents shall identify which
license(s), if any, the Registrar of Contractors requires for performance of the Contract.
6.22 CERTIFICATION REGARDING DEBARMENT AND SUSPENSION
6.22.1 The undersigned (authorized official signing for the Contractor) certifies to the best of his
or her knowledge and belief, that the Contractor, defined as the primary participant in
accordance with 45 CFR Part 76, and its principals:
6.27.1.1 are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by any Federal
Department or agency;
6.27.1.2 have not within 3-year period preceding this Contract been convicted of or
had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or
performing a public (Federal, State or local) transaction or contract under a
public transaction; violation of Federal or State antitrust statues or
commission of embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, or receiving stolen property;
6.27.1.3 are not presently indicted or otherwise criminally or civilly charged by a
government entity (Federal, State or local) with commission of any of the
offenses enumerated in paragraph (2) of this certification; and
6.27.1.4 have not within a 3-year period preceding this Contract had one or more
public transaction (Federal, State or local) terminated for cause of default.
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6.22.2 Should the Contractor not be able to provide this certification, an explanation as to why
should be attached to the Contact.
6.22.3 The Contractor agrees to include, without modification, this clause in all lower tier
covered transactions (i.e. transactions with subcontractors) and in all solicitations for
lower tier covered transactions related to this Contract.
6.23 GOVERNING LAW:
This Contract shall be governed by the laws of the state of Arizona. Venue for any actions or
lawsuits involving this Contract will be in Maricopa County Superior Court or in the United States
District Court for the District of Arizona, sitting in Phoenix, Arizona
6.24 ORDER OF PRECEDENCE:
In the event of a conflict in the provisions of this Contract and Contractor’s license agreement, if
applicable, the terms of this Contract shall prevail.
6.25 AUDIT REQUIREMENTS
6.25.1 If the Contractor expends $500,000 or more from all contracts administered and/or
funded via County, and/or receives $500,000 or more per year from any federal funding
sources, the Contractor may be subject to Federal audit requirements per P.L. 98-502
"The Single Audit Act". The Contractor shall comply with OMB Circulars A-128, A-
110, and A-133 as applicable. The audit report shall be submitted to the Maricopa
County Department of Public Health for review within the twelve months following the
close of the fiscal year. The Contractor shall take any necessary corrective action to
remedy any material weaknesses identified in the audit report within six months after the
release date of the report. Maricopa County may consider sanctions as described in OMB
Circular A-128 for contractors not in compliance with the audit requirements. All books
and records shall be maintained in accordance with Generally Accepted Accounting
Principles (GAAP).
6.25.2 The Contractor shall schedule an annual financial audit to be submitted to County for
review within twelve months following the close of the program’s fiscal year. Contractor
understands that failure to meet this requirement may result in loss of current funding and
disqualification from consideration for future County-administered funding.
6.25.3 The Contractor shall comply with the requirement of the Federal Office of Management
and Budget (OMB) Circular A-133. The Contractor is responsible for having an audit
performed in accordance with, and when required, by OMB Circular A-133, and for
sending a copy of the report issued as a results of the audit to the COUNTY within 30
days of issuance. The County reserves the right to engage an auditor, at the Contractor’s
expense, to perform an OMB Circular A-133 audit of the Contractor in the event that the
Contractor shall fail to engage an auditor or the County shall reject or disapprove of the
auditor engaged by the Contractor.
6.25.4 The Contractor must also comply with the following OMB Circulars:
1.0 A-102 Uniform Administrative Requirements for Grants to State and Local
Government.
2.0 A-110 Uniform Administrative Requirements for Grants and Agreement with
Institutions of Higher Education, Hospitals and other non-profit organizations.
3.0 A-122 Cost Principles for Non-Profit Organizations.
4.0 A-87 Cost Principles for State and Local Governments.
5.0 A-21 Cost principles for Education Institutions.
6.26 INFLUENCE
As prescribed in MC1-1202 of the Maricopa County Procurement Code, any effort to influence an
employee or agent to breach the Maricopa County Ethical Code of Conduct or any ethical conduct,
may be grounds for Disbarment or Suspension under MC1-902.
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An attempt to influence includes, but is not limited to:
6.26.1 A Person offering or providing a gratuity, gift, tip, present, donation, money,
entertainment or educational passes or tickets, or any type valuable contribution or
subsidy,
6.26.2 That is offered or given with the intent to influence a decision, obtain a contract, garner
favorable treatment, or gain favorable consideration of any kind.
If a Person attempts to influence any employee or agent of Maricopa County, the Chief
Procurement Officer, or his designee, reserves the right to seek any remedy provided by the
Maricopa County Procurement Code, any remedy in equity or in the law, or any remedy provided
by this contract.
6.27 PUBLIC RECORDS:
All Offers submitted and opened are public records and must be retained by the Records Manager
at the Office of Procurement Services. Offers shall be open to public inspection after Contract
award and execution, except for such Offers deemed to be confidential by the Office of
Procurement Services. If an Offeror believes that information in its Offer should remain
confidential, it shall indicate as confidential, the specific information and submit a statement with
its offer detailing the reasons that the information should not be disclosed. Such reasons shall
include the specific harm or prejudice which may arise. The Records Manager of the Office of
Procurement Services shall determine whether the identified information is confidential pursuant
to the Maricopa County Procurement Code.
6.28 INCORPORATION OF DOCUMENTS:
The following are to be attached to and made part of this Contract:
6.28.1 Exhibit A, Pricing;
6.28.2 Exhibit B, Scope of Work
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IN WITNESS WHEREOF, this Contract is executed on the date set forth above.
CONTRACTOR
AUTHORIZED SIGNATURE
PRINTED NAME AND TITLE
ADDRESS
DATE
MARICOPA COUNTY
CHAIRMAN, BOARD OF SUPERVISORS DATE
ATTESTED:
CLERK OF THE BOARD DATE
APPROVED AS TO FORM:
LEGAL COUNSEL DATE
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EXHIBIT A - PRICING
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CONTRACT #: 860-15-009
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CONTRACT #: 860-15-009
EXHIBIT A – SCOPE OF WORK
Original Scope of work from Solicitation:
2.0 SCOPE OF WORK:
2.1 Contractor shall assist in the development of a system for HCH staff to coordinate services for
behavioral health patients who are SMI, GMH, or have substance abuse issues and seen in the
primary care clinic.
2.2 Contractor shall provide assistance in the development of a system for HCH staff to coordinate
appointments for behavioral health patients who are experiencing a behavioral health crisis and are
seen in the primary care clinic.
2.3 Contractor shall provide ongoing services to all uninsured patients who have a GMH diagnosis
and who have a completed HCH referral/screening intake form at time of service.
2.4 Contractor shall coordinate a referral process to provide services to patients who are homeless,
served on the Human Services Campus, are Title 19 eligible, and have a GMH or SMI diagnosis.
2.5 Contractor shall coordinate a referral process to provide services to patients who are homeless,
served on the Human Services Campus, are non-Title 19 eligible, and have SMI diagnosis.
2.6 Contractor shall have the ability to provide services in a language the patient understands or via an
interpreter.
2.7 Contractor should be familiar with providing services to the indigent.
2.8 Contractor should be familiar with services rendered at Health Care for the Homeless.
2.9 Contractor shall provide a monthly invoice which specifies name and date of birth of patient and
cost of service.
2.10 Contractor shall provide comprehensive care management and medication management.
2.11 Contractor shall provide care coordination and health promotion.
2.12 Contractor shall provide a person-centered care plan for each individual that coordinates and
integrates all of his or her clinical and non-clinical health-care related needs and services.
2.13 Contractor shall provide individual and family support, which includes authorized representatives.
2.14 Contractor shall provide referrals to community and social support services, including appropriate
follow-up.
2.15 Contractor shall use health information technology to link services, facilitate communication
among team members and between the health team and individual and family caregivers, and
provide feedback to practices.
2.16 The Contractor shall maintain applicable licensure and skills according to the requirements by
State law, Department policies, and licensure agencies.
Contractor’s Response:
Section 3.18.4: Proposal
Community Bridges, Inc. (CBI) is responding to the Request for Proposal (PH RFP 15-009) to maintain our current
contract of providing psychiatric and co-occurring services at Healthcare for the Homeless. CBI is proposing to
maintain the co-location of one (1), full-time Peer Navigators, one (1), full-time Emergency Medical Technician
(EMT) as well as a qualified Behavioral Health Medical Practitioner (BHMP) within the Health Care for the
Homeless (HCH) facility in order to provide behavioral health services and psychiatric oversight to homeless
patients. In addition, CBI is proposing to increase our current staffing model to include one (1) full time,
Integrated Care Registered Nurse (RN) to act as a case manager/team lead and one (1) full time, licensed Behavioral
Health Professional (BHP) to provide individual and groups focused on substance abuse and psychiatric care.
In addition to providing direct care, CBI’s co-located staff will also increase the capacity for timely and appropriate
coordination of care to enhance on-going service provision to those patients presenting with behavioral health needs.
Although this proposal focuses on co-location of behavioral health services within the HCH facility, HCH staff and
patients will continue to benefit from the integrated relationship with CBI which provides immediate and ongoing
access to all of the services offered throughout the CBI systems of care network. CBI remains committed to
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maintaining open access to all of our services to ensure that our partnership is but the first step in building an
integrated model that will not only meet the needs of this RFP but also serve as the foundation for the provision of
high quality, behavioral health services to a population that both CBI and HCH are passionate in serving.
The proposed co-located staff, as well as the staff of HCH, will have the full support of all services offered by CBI
including direct access to our inpatient medical detoxification facilities, Community-Based Outreach Teams for
transport, 24/7 behavioral health stabilization outpatient facilities, psychiatric residential facilities for medication
stabilization, and secured telemedicine access to our Medical Team and Clinical Assessors. Our commitment to this
continuing partnership could not be stronger and we are willing to work hand in hand with HCH to modify practices
as we move forward to ensure the highest quality services and impact on the population served by the Human
Services Campus (HSC).
To maximize our commitment to this proposal, CBI has made the internal decision to reallocate a portion of our
existing Outpatient Services Team (Peer Support, Counselors, BluePrints Peers, Emergency Medical Technicians
and Clinical Assessors) to our existing co-located areas at the Lodestar Day Resource Center (LDRC) and at Central
Arizona Shelter Services (CASS). This reallocation will provide additional support to two locations on the HSC that
will in turn support the proposed co-located Peer Navigators and BHMPs at HCH. We realize that this has been a
service long needed at the HSC and once we begin, we will need to ensure that there is ample support to provide
needed wrap around and ancillary services. Thankfully, CBI is in a position where we can reallocate staff to be
housed at CASS 24/7/365 as well as at the LDRC during their business hours. Our goal will be to provide the
maximum amount of resources at both HCH as well as at the HSC to ensure full coordination of care and mutual
success.
To fully clarify the goals of this proposal, as well as our commitment to this partnership, we have chosen to respond
to each area in the scope of work to ensure that there is no question as to our dedication to this proposal.
2.1 - Contractor shall assist in the development of a system for HCH staff to coordinate services for behavioral
health patients who are SMI and seen in the primary care clinic.
CBI proposes that, if awarded this opportunity to maintain our current partnership, our team, described throughout
this proposal, be scheduled as any other practitioner at HCH would by the internal schedulers. If one of the HCH
Practitioners would like a patient to have a behavioral health screening or assessment on the same day of or
immediately after his/her scheduled medical appointment, we would suggest that the proposed co-located, CBI Peer
Navigator be notified so that he/she can meet with the patient and escort him/her to the designated area where he/she
will be seen by the CBI BHMP. If there is an alternative process that would work better for HCH, CBI is very
flexible and would adjust to the needs of HCH.
CBI has extensive history with the coordination for individuals who have behavioral history and/or have been
determined to be SMI and CBI was the first non-Provider Network Organization (PNO) to be awarded oversight of a
Forensic Assertive Community Treatment Team (F-ACT) in Maricopa County. All of our Psychiatric Nurse
Practitioners and Psychiatrists have extensive knowledge of services available as well as appropriate medical
interventions for stabilization and ongoing treatment. CBI is proposing to install a secured link to our internal
Telemedicine network so referred patients would have access to a practitioner 5-days a week during HCH business
hours. *CBI does have both Nurse Practitioners as well as Physicians on-duty 24/7/365 at any number of CBI
locations, thus a Practitioner is always available via Telemedicine.
As mentioned above, CBI is proposing to maintain the co-location of one, (1) full-time Peer Navigators that will be
at HCH during business hours and available to assist patients and HCH staff in navigating available services through
CBI as well as within the community. This Peer Navigator specialize in linking individuals back with their primary
behavioral health provider of record as well as in establishing new relationships for those who are not currently
enrolled with a provider for ongoing case and transition management.
In addition to the current Peer Navigator and EMT, CBI is proposing to add one, (1) full-time Integrated Care RN to
act as a case manager/team lead to oversee coordination of care activities. CBI has employed this model at our other
outpatient sites and has had great success in coordination with other joint providers, improving appointment follow-
ups, adherence to medication, disease management and decreased recidivism into a crisis episode of care. We
believe that by adding this position at HCH we will not only improve outcomes but also communication between
our staff.
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2.2 - Contractor shall provide assistance in the development of a system for HCH staff to coordinate
appointments for behavioral health patients who are experiencing a behavioral health crisis and are seen in the
primary care clinic.
CBI proposes that a EMT complete a pre-screening to determine the nature of the “behavioral health crisis” and then
provide the necessary information to the attending BHMP. Based on the patient’s presentation and/or situation an
“Urgent Assessment” will be completed through which a determination will be made as to the next appropriate level
of care. In the event that it has been determined that a patient requires a higher level of care than what is offered or
can be supported on the HSC, the BHMP will work with the EMT and Navigator Peer to complete one of the
following crisis-based actions:
1. Substance Intoxication and/or Withdrawal: CBI operates three (3), Inpatient Sub-Acute facilities that
provides medically monitored, 23-Hour Crisis Observation/Stabilization services as well as Inpatient
Medical Detoxification. In the event that a patient is intoxicated or in withdrawal, a direct admission order
will be given to the appropriate CBI facility and the patient will immediately be transported by a CBI
Outreach Team and admitted to the facility until it has been determined by the attending BHMP that the
patient is indeed stable and ready for discharge. **In FY13/14 CBI provided 42 cases of Inpatient
Detoxification for patients referred through HCH. **
2. Psychiatric Monitoring and/or Medication Stabilization: CBI operates two (2), 24-Hour Psychiatric
Outpatient facilities (Access Point), both of which have short-term Crisis Residential facilities (Transition
Point) attached for multi-day psychiatric stabilization needs. If it has been determined that the patient
requires ongoing monitoring, further assessment, or multi-day psychiatric medication stabilization, an order
will be written for direct admission to one of our Access Point or Transition Point locations. **In FY13/14
CBI provided 115 cases of Crisis Residential services for patients referred through HCH. **
3. Danger to Self/Danger to Others: The Peer Navigator would coordinate with either Connections AZ-
UPC or Recovery Innovations to arrange a voluntary admission to their observation unit or sit with the
patient one-on-one until a petition completed by CBI staff has been reviewed and accepted or denied. In
the cases of denial, the patient would be transferred to a CBI Access Point location for further monitoring
and determination of need.
The facilities mentioned above for transferring patients in a “behavioral health crisis” are considered urgent and are
contracted with each Tribal and Regional Behavioral Health Authority in the State of Arizona so the benefit type
(Title 19 or Non-19) of the patient is not a determining factor for transfer or admission. The determining factor is
that the “behavioral health crisis” is unable to be resolved safely in an outpatient or community setting and thus
transfer is required. HCH nor the patient would be billed directly for any of the above mentioned, facility-based
crisis services or transport if provided by CBI. CBI is funded for all facility-based crisis services through separate
contracts.
It is also important to note that CBI does have five (5) Community-Based Outreach Teams, staffed with an
Emergency Medical Technician (EMT) and a Peer Support Specialist, that are mobile and ready for dispatch and
transport 24/7/365. All of our vans are considered “secure” and are utilized by hospitals as well as by police and fire
departments across Maricopa County for transport. CBI proposes that our vans also be utilized for all transport of
patients being transferred from HCH to an alternative level of care due to a “behavioral health crisis.” **In FY13/14
CBI provided 732 cases of secured transport for patients referred through HCH, CASS and the LDRC. **
For those patients whom the BHMP does not recommend an alternative level of care, services will be coordinated
with the on-site, Peer Navigator for either placement at a Recovery Home or coordination with CASS for placement
in a bed that will have 24/7/365 access to a CBI BluePrints Peer for direct support and monitoring.
2.3 - Contractor shall provide services to uninsured patients who have a GMH diagnosis and who have a
completed HCH referral/screening intake form at time of service.
CBI will see patients referred by HCH regardless of benefit at the time of referral. As mentioned throughout this
proposal, CBI will maintain a Peer Navigator and EMT co-located at HCH and dedicated solely to the needs of and
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referrals from HCH. In the event that a CBI BHMP is not on-site, the assigned EMT will coordinate with a BHMP
at another CBI site to provide assessment or follow-up services via our secured Telemedicine system.
If the patient has not been enrolled in the Regional Behavioral Health Authority (RBHA) to receive needed
behavioral health services, the co-located Navigator Peer will complete the initial enrollment and CBI tailored
“Brief Assessment” at the time of referral so an episode of care can be opened. If the patient will be receiving on-
going behavioral health services with CBI, a full behavioral health assessment will be scheduled with a CBI Clinical
Assessor who is co-located at CASS.
If the patient is classified as undocumented then CBI will treat the patient just as if they did have a benefit. CBI has
recently updated our internal policies to ensure that each undocumented patient referred for services not only gets an
initial appointment but also ongoing behavioral health services.
CBI Peer Navigators are also trained to screen for other types of benefits that may be available to the patient, such as
Substance Abuse Prevention and Treatment (SAPT) Block funding, so the cost associated with the direct services
provided by both the Navigator Peer and the BHMP (including follow-up and ongoing support services provided by
CBI) will be covered, thus HCH will not be billed for direct services provided to SAPT eligible individuals.
2.4 - Contractor shall coordinate a referral process to provide services to patients who are homeless, served on the
Human Services Campus, are Title 19 eligible, and have a GMH or SMI diagnosis.
CBI has existing co-located Peer Navigators at the LDRC and BluePrints to Life Peers co-located at CASS. With
the addition of these co-located services at HCH, it would not be difficult to work with our existing providers to
establish a referral process to ensure that individuals are seen as needs are identified.
Once the contract with HCH is renewed, CBI will block out times for HSC referrals, which would be made available
through a central scheduling program accessible to the Peers already co-located at the LDRC and CASS. As
appointments are made, the information would be shared with the Peer Navigators co-located at HCH so they would
be able to coordinate appropriately with the identified HCH staff. All patient referrals from the HSC and made
through CBI Peers would result in the patient being escorted to his/her appointment so that follow-up instructions
can be shared as well as recommendations for coordination for care with other providers and community-based
resources.
CBI would be responsible for ensuring that these patients are enrolled with the RBHA for a behavioral health
episode of care and that all information is shared with HCH through the means and system requested by HCH.
2.5 - Contractor shall coordinate a referral process to provide services to patients who are homeless, served on the
Human Services Campus, are non-Title 19 eligible, and have SMI diagnosis.
As with Title-19 eligible referrals, CBI would utilize the same process for referrals as identified in section 2.4. We
recognize the limited benefits those who are non-Title 19 eligible have and are sensitive to that. We also recognize
that there are benefits to this population that are often under-utilized and, as a full service behavioral health provider;
we have access to many resources that may not be currently utilized. CBI would coordinate ongoing care needs
with any service providers who individuals may be enrolled with as well as work with other service providers who
receive non-Title 19 dollars for services.
2.6 - Contractor shall have the ability to provide services in a language the patient understands or via an
interpreter.
CBI has over 800 employees from a diverse group of cultures. CBI also offers a stipend for any employee who is
certified through our Human Resources Department as bi-lingual. In the event that CBI does not have an employee
who is fluent in the language of a patient, CBI does contract with a service that provides interpreters.
2.7 - Contractor should be familiar with providing services to the indigent.
CBI was founded in 1982 as a provider of medical detoxification to the homeless and indigent populations of
Maricopa County. Since that time, CBI has grown to become one of the largest providers of behavioral health
services in the State of Arizona, with over 24 sites providing services and impacting each community where we are
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located. In FY 13/14 CBI provided 46,625 Crisis episodes of care, 81% of whom identified themselves as homeless.
Although we have experienced a tremendous amount of growth, we have not separated from our initial dedication of
service to the homeless and indigent. This is perhaps most evident by our ongoing Navigator services that are
focused on homeless outreach and co-location at CASS, the LDRC, and scattered sites across Maricopa County and
on the Navajo Nation in Northern Arizona. Most recently CBI has been contracted by the City of Phoenix and
Maricopa County to provide Navigation services in an effort to house individuals who have been staying at the
Men’s Overflow Shelter (MOS).
Many of our Peers are themselves not only in recovery, but also former homeless men and women who have been
successful in escaping the grasps of despair and dedicating their lives to the vocation of helping others. We believe
that it is this dedication and singleness of purpose that has set CBI apart from other agencies and allowed us to
become a credible and trusted service provider to the population we serve.
2.8 - Contractor should be familiar with services rendered at Health Care for the Homeless.
CBI has a historic collaborative relationship with HCH going back to the early 1990s when CBI was known as
EVAC and located solely in Mesa. Over the years, as we have grown, so has our relationship with HCH specifically
with our CTN Navigation program and Blueprints to Life programs which are co-located at CASS and the LDRC.
Currently, HCH provides CTN Navigation referrals which require face to face contact with Navigators and the
development of an ongoing navigation plan. CBI has had an interactive and collaborative relationship with HCH in
an effort to provide mental health, substance abuse and ongoing education to clients living at CASS as well as those
who have been referred through the LDRC. Furthermore, CBI makes ongoing referrals to HCH for medical needs
as well as provides patient transport to and from appointments. If awarded a renewal to our current contract with
HCH, this relationship will only grow and become more collaborative.
2.9 - Contractor shall provide a monthly invoice which specifies name and date of birth of patient and cost of
service.
CBI is familiar with invoicing for services with HCH and is a vendor with Maricopa County. CBI has a billing staff
dedicated to the timely filing of claims in a manner that is requested by each individual agency for which we provide
services. CBI will not have any difficulty in providing a monthly invoice with the necessary information in order to
facilitate payment for services.
2.10 - Contractor shall provide comprehensive care management and medication management.
CBI is proposing to add one, (1) full-time Integrated Care RN to provide medical case management and to oversee
all coordination of care efforts. As mentioned in Section 2.1, we have employed this model at our other outpatient
sites and has had great success in coordination with other joint providers, improving appointment follow-ups,
adherence to medication, disease management and decreased recidivism into a crisis episode of care. The proposed
Integrated Care RN will review all referrals and meet with patients during their appointments to ensure that they are
educated in services being received and monitor the Peer Navigator responsible for follow-up. The Integrated Care
RN will also facilitate patient staffings with each member of the dedicated team as well as joint staffings with HCH
staff when clinically indicated.
As provided for additional support and any increase in the demand of capacity, CBI Peer Navigators and BluePrints
to Life Peers are trained and certified in “case management” through in person training received at CBI as well as
through an on-line certification process through Essential Learning. For the purposes of this proposal, CBI would
implement current policies that exist in our Outpatient and Inpatient facilities where the BHMP and Peer Navigators
work as a team to identify existing issues, ongoing needs, and wrap around services. This is done through daily
team meetings where cases are reviewed.
The role of the Peer Navigators is to focus on assisting the patient with accessing needed services in the community
that will help him/her achieve success in recovery as the BHMP focuses on the medical/behavioral health
management of the patient. In our existing Outpatient programs where this has been the model, we have been
successful in managing over 900 medication-assisted treatment cases annually. It is important to note that all
patients are transitioned through different levels of care and phases of treatment based on their ever-changing,
individual needs and progress towards their individual goals. This is done not only to ensure that case loads do not
become overwhelming, but also in order to continue to offer services that are responsive to the stage of change that
the patient is currently in.
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Medication management services are provided by the attending BHMP and incorporate the formularies approved by
the health plan of the patient. CBI has experience working with several different health plans as well as several
differed RBHAs, so our BHMPs are well versed in working with all associated payers to ensure we do not prescribe
or begin a treatment that cannot be adequately supported. CBI will work closely with HCH personnel to ensure that
our staff are educated on and utilize approved formularies and laboratory protocols specific to HCH.
2.11 - Contractor shall provide care coordination and health promotion.
CBI will apply current coordination of care and health promotion policies to all patients served through HCH. All
patients referred to CBI co-located staff for behavioral health services at HCH, whether for crisis intervention or on-
going behavioral health care, shall receive a screening that includes identification of current providers and supports
involved in his/her care. This includes not only a benefits screening, but also a review of the state roster to determine
whether or not the patient is currently enrolled with a behavioral provider and/or assigned a PCP. CBI staff will
work with the patient to obtain necessary releases of information for any assigned providers as well as other
supports who may be helpful in providing on-going care to promote overall health and wellness. CBI staff will then
reach out to these identified entities and individuals in order to develop a comprehensive care plan and coordinate
appropriate immediate and on-going services to maximize the potential for improved and sustained mental,
behavioral, and physical health.
In addition to the direct services provided by the BHMPs and care coordination provided through the Peer
Navigators and overseen by the Integrated Care RN, CBI will also offer support and health promotion services on
the HSC in the form of individual and group health education and skills development workshops facilitated by the
EMT and/or the Integrated Care RN trained in such interventions. Utilizing nationally-recognized and evidence-
based practices to enhance health promotion among individuals with co-occurring behavioral health and chronic
medical conditions, such as Illness Management and Recovery, Living in Balance, and MOVE!, CBI will offer
opportunities for patients to learn about their physical and behavioral health conditions and develop skills to manage
symptoms and enhance self-efficacy as experts in their own care.
2.12 - Contractor shall provide a person-centered care plan for each individual that coordinates and integrates all
of his or her clinical and non-clinical health-care related needs and services.
As previously mentioned, each patient who is referred to CBI’s co-located behavioral health services at HCH shall
be screened and assessed for the appropriate level of care to respond to his/her presenting behavioral health needs.
Regardless of the level of care deemed appropriate, each patient will be involved in developing a strengths-based
care plan that leverages the supports and resources, both intrinsic and extrinsic, available to the patient to maximize
success in both his/her clinical and non-clinical goals. The proposed co-located treatment team allows for both the
clinical and non-clinical aspects of each patient’s care to be addressed simultaneously. CBI has a network of
BHMPs that offers expertise in diverse areas of the behavioral health field as well as a network of internal and
external resources to address areas of life functioning and wellness that are indirectly related to, but critically
impactful upon a patient’s physical or mental health conditions, such as social support, housing, transportation, and
educational/vocational/employment status. Through initial and on-going screening and assessment, CBI staff will be
able to work with patients to identify these and develop a plan of care to address each individual’s unique, and ever-
changing needs with the ultimate goal of improving overall health and wellness.
2.13 - Contractor shall provide individual and family support, which includes authorized representatives.
As one of the largest providers of behavioral health care in Arizona, CBI recognizes the critical role that various
forms of support play in successful, sustained recovery. Through the multitude of services available to patients
within the CBI system of care network and those community-based resources that reach even further, CBI has the
ability to wrap appropriate support services around individuals each step along the way. Specifically for patients
who are served on the HSC, Peer Navigators and BluePrints Peers hold specialized expertise not only in the unique
needs often times associated with homelessness and behavioral health, but also in the navigation of support services
within the community to address these needs. Beyond individual support, though, CBI makes a concerted effort in
all cases to involve family and natural supports whenever possible. The greatest successes in physical, mental, and
behavioral health recovery are often made possible through not only professional collaboration, but also through
collaboration with informal supports. For this reason, CBI views family and natural supports as another extremely
important resource to be leveraged and integrated into care planning. Where allowed, CBI will reach out to these
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supports to maximize patient motivation, engagement in services, and sustained recovery. CBI also offers assistance
to family and natural supports through our 24/7/365 Access to Care Line.
2.14 - Contractor shall provide referrals to community and social support services, including appropriate follow-
up.
All referrals to community and social support services will be tailored to the individual need of the patient and will
be documented in his/her individualized service plan. Numerous social support services are offered by CBI on the
HSC as well as at CASS by BluePrints Peers. Additionally, CBI staff have access to a vast network of referral
sources throughout Maricopa County including social support, transitional and permanent housing, recovery-based
services, transportation, food boxes, assistance in obtaining identification, and faith-based supports, that are utilized
in developing comprehensive care plans with patients and are provided on an on-going basis as the needs of each
patient change throughout the episode of care.
Follow-up visits and appointment reminders are part of the ongoing protocol offered to all patients receiving
services with CBI. Patients who are seen as part of the co-location at HCH will be provided these same services and
will be added to an internal tracking system through our ClaimTrak electronic medical record “Medication Assisted
Treatment (MAT) Bed Board”. This “MAT Bed Board” allows our Integrated Care RN to manage medical
caseloads for lab follow-ups, medication reminders, and special needs reminders.
2.15 - Contractor shall use health information technology to link services, facilitate communication among team
members and between the health team and individual and family caregivers, and provide feedback to practices.
CBI currently utilizes the ClaimTrak electronic medical record system for all patients receiving services within the
CBI systems of care network. CBI also has a dedicated IT Department that works with our partners to develop
interfaces and linkages between our health information systems to ensure information is shared and accessible to all
parties involved, while maintaining necessary and appropriate security. If awarded co-location at HCH, CBI will
immediately begin working with their IT Team to ensure that secure healthcare information exchange is available
when services begin as well as to ensure that there are enough telemed ports available to provide access to patients,
CBI co-located staff, and HCH staff.
CBI would propose to work jointly with the HCH IT team to install a point to point Fiber Optics network at HCH
through CenturyLink or Cox Communications to CBI network colocation center. CBI and CenturyLink will work to
develop a plan to run Fiber Optics network into the HCH building through existing conduit paths. An alternative to
using Fiber optics network would be allowing Point-to-Point secured wireless network via Phoenix Internet. This
option will be explored if current conduit paths for Fiber Optics are not available. Additionally we would propose to
install a hidden secured wireless network at HCH to allow laptop users to connect to CBI network through WIFI.
Finally we would install additional network drop locations in each of the offices CBI occupies.
CBI’s 24/7/365 Access to Care Line that is staffed with Triage RNs and Peer Support Specialists. This service is
available to all patients as well as to those supports involved in their ongoing care, so if a question or need arises in
the middle of the night, on a holiday, or on a weekend there is always a staff member available to take the call,
review the file, and assist with needed services including consultation with the patient’s attending BHMP.
CBI also has a large network of BHMPs across the State of Arizona who specialize in many different behavioral
health disciplines and who are available for consultations and case staffings either in person or via telemedicine.
2.16 - The Contractor shall maintain applicable licensure and skills according to the requirements by State law,
Department policies, and licensure agencies.
The space currently utilized by CBI at HCH is licensed through the Office of Medical Licensure to provide
behavioral health and medication services. CBI has internal Quality Management, Medical Credentialing and
Clinical Training Departments that provide ongoing support and monitoring of licensure (facility-based and
individual) as well as training and certification. Each employee with CBI is required, regardless of licensure or
certification level, to complete annual trainings and maintain a level of continuing education hours that are
monitored internally. Our Director of Quality Management works closely with the Office of Medical Licensure,
Department of Behavioral Health Services and licensing boards to ensure that each facility and individual remains in
compliance with State and Federal laws.
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CONTRACT #: 860-15-009
CBI also maintains accreditation through the Commission on Accreditation of Rehabilitation Facilities (CARF) for
each behavioral health service delivered throughout the agency. All of CBI’s programs are monitored and audited
by the RBHAs, Substance Abuse and Mental Health Administration (SAMHSA), and the Drug Enforcement
Agency (DEA) for our ambulatory opiate detoxification programs.
3.18.6 Proposed compensation for uninsured clients
As stated CBI staff will initially screen all clients at that first engagement for potential alternative benefits such
SAPT (Substance Abuse Prevention and Treatment) funds which would be utilized to bill for services prior to billing
HCH. For clients who do not qualify for a publicly or privately funded benefit, CBI will submit a monthly invoice
to HCH for all of the psychiatric services provided that month. Psychiatric services will include the following codes
and rates:
 99213- Established Patient- $36.29
 99214- Established Patient- $55.84
 99215- Established Patient- $78.87
 99241- Consult 15 Min- Established Patient- $37.79
 99242- Consult 30 Min- Established Patient- $71.24
 99243- Consult 45 Min- Established Patient- $97.23
 99211- Established Patient- $54.95
 99212- Established Patient- $76.53
 99201- New PT 5 Min- $30.72
 99202- New PT 10 Min- $52.38
 99203- New PT H/P Low 30 Min- $76.06
 99204-New PT H/P Mod 45 Min- $116.35
 99205- New PT H/P High 60 Min- $144.53
 90791- Psychiatric Dx Evaluation- $126.25
 90792- Psychiatric Dx Evaluation w/ Med Services- $104.01
 90832- Psychotherapy 30 Min- $52.44
 90833- Psychotherapy 30 Min- Add on Code- $34.77
 90834- Psychotherapy 45 Min- $67.53
 90836-Psychotherapy 45 Min- Add on Code- $56.42
 90837- Psychotherapy 60 Min- $98.88
 90838- Psychotherapy 60 Min- Add on Code $90.90
 90785- Interactive Complexity- $4.00
These rates are based off of the AHCCCS facility based rates for psychiatric services and follow up services. The
monthly invoice would include a per month, per client breakdown for each of the services that were provided.
CBI’s Psychiatric Medical Practitioners will document services in our electronic medical record system and select
the applicable services code for the services provided. CBI’s billing department will prepare the monthly invoices
from the information that is saved in the electronic medical record system and then submit to HCH for payment.
Invoices will be submitted by the 15th day of the following month for the previous one. All rates are negotiable
upon award.
Contractor’s Best and Final Response:
Q.1 - Would you be open to replacing the EMT with a full time CM?
CBI is willing to replace the existing EMT positon with a full time case manager. Upon award of this proposal we
will begin the process of interviewing internal candidates with the goal of having placement at HCH within 30-days.
We are confident of filling this position quickly due to the number of internal candidates we have that are currently
working at another CBI site.
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CONTRACT #: 860-15-009
Q.2 - Can you please give a timeline on how long it is expected until the extra staff indicated (RN & BHP) will be
in place at HCH?
We hope to have these positons filled within the next 60 days. The BHP position should be able to be filled within
the next 30-days and the RN would be a little longer due to New Employee Orientation and initial training
requirements. Please see our explanation below:
Behavioral Health Professional Position: CBI has two internal and one external BHP candidate for placement at
HCH. Upon award of this proposal we will make an offer to the most appropriate candidate and move to HCH for
placement.
Registered Nurse Position: We interview RN candidates weekly for our other sites. Upon award of this proposal
we will add HCH to available sites and make an offer to the most appropriate candidate.
Q.3 - Is there a guarantee that staff will be present at HCH during all business hours whether that would call for
OT or not?
Yes – CBI management will be given approval to utilize overtime to maintain consistent staffing and to ensure that
CBI staff will be present at HCH during all business hours.
Q.4 - In section 2.4 you state that you are going to implement a new scheduling system for all of HSC, including
LDRC and CASS so that other Peer Navigators will have access to schedule appointments for clients to be seen
here at HCH. Upon that appointment being made when the Peer Navigator will inform HCH staff. Is this
indicating that our contracted time would be able to be used by other entities and would be bypassing our own
referral system? Also, if LDRC and CASS are making their own appointments for individuals who are not being
brought in through our referral process, would HCH be responsible for paying for those uninsured individuals?
Also, please verify that our HCH dedicated staff will be present within HCH during our business hours NOT just
available on campus.
Although we do have separate staff available on the Campus we would not circumvent the current HCH referral
process. CBI staff outside those dedicated to HCH may make a referral to HCH but we would not bypass anything
that has been established by HCH. In writing this section we were speaking to utilizing staff on the outside to assist
in outreach and coordination when an appointment has been missed or for enhanced outreach services that may be
required. CBI staff that is dedicated to HCH (outlined in the proposal) would solely be responsible for patients who
came through the existing HCH referral system and would be dedicated to HCH during business hours.
In regards to our new scheduling system, this was referring to a new electronic medical record system that is due for
implementation in the coming months that will allow us to track compliance with appointments as well as send
reminders to patients via text message and email.
Q.5 - Please verify coding and that no H or T codes will be billed.
We have reviewed with our Billing Department and have verified this. CBI would like to continue to work with
HCH on how to enhance behavioral health services to the patients we mutually serve.
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