Request for Information for the Targeted Case Management and Substance Use Case Management

The purpose of this Request for Information (RFI) is to give interested, qualified organizations the opportunity to inform Community Behavioral Health (CBH) of their capacity, and ability to meet the current case management needs of our members. Through this RFI process, CBH is soliciting responses to gather information on TCM/SU CM services from current CBH providers.

Proposals must be received no later than 2:00 P.M., Philadelphia, PA, local time, on April 8, 2022. CBH will review all submissions and determine next steps based on information submitted. CBH plans to share relevant insights publicly.

Project Background

Case management remains one of the most important services in CBH’s continuum of care. However, there are barriers to members being connected to this service in a timely manner. Case managers are the frontline to connection to services, community-based resources, and overall support to help our members thrive in their communities. Therefore, this RFI has been designed to identify what challenges providers are facing.

Terms of RFI

This RFI is for information gathering purposes only and is not intended to result in a contract with any respondent. CBH is seeking community insight and information prior to considering the development of a Request for Proposals (RFP). While the goal of the RFI is to inform potential service development, this RFI does not commit CBH to publish a Request for Qualifications (RFQ), RFP, or award a contract. The issuance of an RFQ or RFP as a result of information gathering from these responses is solely at the discretion of CBH. Responses to this RFI will in no way impact any future proposal submitted to RFQs or RFPs regarding this service. Those wishing to respond to any potential future proposals are not required to have first responded to this RFI.

Applicant & Project Requirements

Threshold requirements include having the requisite experience and licenses to implement the program and being a service provider in good standing with the City of Philadelphia and CBH (as applicable). To be eligible for submission in this RFI, applicants must either be currently enrolled or willing to enroll in Medicare and Medicaid programs.

Applicant Agency

Indicate the type(s) of service offered by the agency

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Organization

Operational Component

Describe your organization’s approach to hiring TCM/SU CM and incentivizing retention.

Please describe any other barriers that your organization has experienced in becoming fully staffed.

Please describe any other barriers that have impacted your ability to connect with members.

Describe the average caseload that TCM/SU CM has within your agency.

Clinical Components

Describe how your organization ensures timely intake into the TCM/SU CM program. Discuss any challenges that you may have.

Describe how your organization trains TCM/SU CM to develop rapport with members who have had previous experiences of varying degrees within the mental/behavioral health system.

How does your organization utilize social determinants of health assessment tools to support members?

How does your organization engage in linkage strategies and intervention activities to help improve members lives in the area of social determinants of health?

What trainings are provided to staff regarding TCM/SU CM services? Are these annual trainings?

What challenges do you face when attempting to discharge members who have made the appropriate amount of progress?

Describe any barriers your organization has with engaging members for initial contact or follow up.

What is your organization’s expectation of face-to-face contact with members?

If your organization is utilizing telehealth what is the protocol for assisting with a crisis in the community?

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