1. a Growth and Nutrition Programs RFR # 160722 Bidder’s Conference June 4 th, 2015 10:00 – 11:30 AM 1

2.  Julie Schaeffer, State Nutritionist  Rachel Colchamiro, Director of Nutrition Services  Deitri Collins, Nutrition Division Accountant  Dele Faly, Manager of POS Procurements 2

3.  History of Growth and Nutrition Clinics  Overview of the Request for Response (RFR)  How to respond to this RFR  Questions Today’s Agenda 3

4. Procurement Calendar EVENTDATE RFR Release DateThursday, May 21, 2015 Bidders’ Conference via Go To Meeting Thursday, Jun 4, 2015 10:00 - 11:30 AM Deadline for Questions and Answers Tuesday, July 7, 2015 by 4:00 PM All Questions must be received in writing to julie.schaeffer@state.ma.us julie.schaeffer@state.ma.us Bid Opening Date (Deadline for Submission of Response) Thursday, July 16, 2015 by 4:00 PM Deadline for Forms that require “Ink Signatures” Thursday, July 23, 2015 Anticipated Contract Start Date Thursday, October 1, 2015 4

5. Growth and Nutrition Program History  Established in 1984 as a legislative mandate to provide treatment to children with growth delay  Currently, over 1,000 children receive services at:  Baystate Children’s Hospital  Boston Medical Center  Brockton Neighborhood Health Center  Children’s Hospital – Boston and Waltham  Greater Lawrence Family Health Center  Lowell General Hospital - Saints Campus  Saint Anne’s Hospital  UMASS Memorial Health Care  Current contracts expire October 2015 5

6. Overview of RFR  Seeks to fund up to 9 Clinics to provide nutritional, medical, and behavioral therapy to eligible children to promote proper health, growth and development.  Estimated funding available annually is $700,000:  Covers program, administrative and supportive services such as non-reimbursable direct care and administrative staff, training, and program support.  Proposals are sought to ensure regional accessibility 6

7. Proposals from qualified bidding agencies will be reviewed and evaluated according to requested criteria in a two level process.  Technical Review: The quality of the response to each question in the narrative is evaluated by a team of objective reviewers who score each question according to criteria related to that question. Reviewers are instructed to evaluate each question for content, comprehensiveness, and clarity of each answer.  Second Level Review: the applicant’s past performance, billing, license status, ADA compliance, agency demographics, need, resources available, and other criteria are considered and scored.  Based on all review scores, recommendations will be made to the DPH Commissioner who makes the final funding determination. 7

8. Clinic Model  A multi-disciplinary team to provide comprehensive, coordinated family-centered assessment and treatment to children with growth delay and their families.  Eligible children:  reside in Massachusetts,  up to 6 years of age, and their families,  demonstrate delayed growth or growth deceleration  Each Clinic must have qualified staff to perform the full range of services; including a pediatrician or nurse practitioner, a dietitian, a nurse, a social worker/mental health worker, and a case manager who are present at each clinic session. 8

9.  Family-centered model of care including input from the GNP team, family members, and community providers  Culturally and linguistically appropriate services  Children are followed until growth has stabilized, at which time they are discharged from Clinic (or until the child reaches the age limit of 7 years of age). Clinic Model 9

10.  Clinics must seek third party reimbursement as the primary payer for clinical services.  DPH funding policy supports program costs for which there are no other or inadequate sources of funds.  Contractors must demonstrate that all other sources of reimbursement are fully utilized, and a system must be in place to accurately identify all program income. DPH as Payer of Last Resort 10

11.  Clinics will accept referrals for evaluation and treatment of all children from infancy through six year of age with documented delayed growth or growth deceleration, regardless of income.  Referrals may be completed by primary care providers, hospitals, or community-based agencies including WIC, EIP, and Early/Head Start Programs. 11

12.  Includes an anthropometric assessment, a physical examination, medical and nutritional histories  Children are enrolled in the program if they have documented growth delay or growth deceleration  Developmental skills, parent-child interactions, and the family’s social situation are evaluated  Assists the family with accessing and coordinating with other services, as needed 12

13. Treatment Plan  Depends on the severity and etiology of the growth delay  Ongoing referrals  Offer treatment in a variety of settings:  Clinic, home, day care, or school  In coordination with community-based programs  Feeding groups, cooking classes, shopping tours, and other supportive activities 13

14. Performance Requirements Timely Delivery  Obtain timely and confidential collection and submission of client and service data to DPH. Enrollment and disenrollment forms will be submitted into the Virtual Gateway within 60 days of client’s enrollment and disenrollment.  Program will bill on a monthly basis in an accurate and timely manner.  Program corrects non-compliance issues in a timely manner. 14

15. Performance Requirements Quality of Deliverables  Clinic services are family-centered, multidisciplinary and coordinated with community partners  Provide culturally and linguistically appropriate services  Establish and maintain procedures to ensure children at greatest risk of growth delay are identified, evaluated, and treated in a timely and comprehensive manner.  Demonstrate specific strategies to strengthen linkages and communication between Clinic and community-based programs  Clinic staff will receive continuing professional education annually 15

16. Performance Requirements  Utilize the Virtual Gateway’s ESM to document data elements such as:  date of enrollment  basic demographics  household income  documentation of growth deceleration at enrollment  frequency and type of visits throughout enrollment  date of and reason for discharge at disenrollment  documentation of other services received at enrollment and disenrollment  Responsiveness to Departmental Inquiries 16

17. Performance Benchmarks  75% percent of children enrolled will have improvement in their growth velocity as measured by the percentage of children who have been discharged for this reason.  Clinics maintain an average annual caseload within 80% of the intended number of infants and children served based on the proposed/approved budget.  75% of children enrolled in the GNP will be offered appropriate community-based health and social service referrals.  Attendance at scheduled meetings 17

18. Procurement Calendar EVENTDATE RFR Release DateThursday, May 21, 2015 Bidders’ Conference via Go To Meeting Thursday, Jun 4, 2015 10:00 - 11:30 AM Deadline for Questions and Answers Tuesday, July 7, 2015 by 4:00 PM All Questions must be received in writing to julie.schaeffer@state.ma.us julie.schaeffer@state.ma.us Bid Opening Date (Deadline for Submission of Response) Thursday, July 16, 2015 by 4:00 PM Deadline for Forms that require “Ink Signatures” Thursday, July 23, 2015 Anticipated Contract Start Date Thursday, October 1, 2015 18

19.  Hospital, community health center, or other medical organization  Experience providing multidisciplinary services to families with infants and children with growth delay. Qualified Bidders 19

20. Application Instructions  All responses are to be submitted using the online submission tools available to Vendors registered in COMMBUYS. To Register go to www.COMMBUYS.com and click on the “Register” link on the front page.www.COMMBUYS.com  All Bidders are advised to allow adequate time for submission by considering potential online submission impediments like Internet traffic, Internet connection speed, file size, and file volume.  All Bids are time stamped by the COMMBUYS system clock which is considered the official time of record. 20

21. The Application Response Form, Instructions and Checklist were prepared using Microsoft Word and needs to be completed using Microsoft Word. 1. Save the document file to your computer. 2. Enter your responses in the text box, moving between the text boxes using the tab key on your keyboard. 3. Responses to check boxes are made by clicking once on the check box. To remove the X from a check box, click on the check box again. 21

22. 22 Formatting Instructions 4. Text responses are limited to a maximum number of characters and the limits are noted in each question. Please note that a space is counted as a character, and using the enter key to begin a new line in a response is also counted as a character. Spell-check does not work in text boxes. 5. Delete the instructions page before submitting your proposal. Those with visual impairments may use an electronic text reader by unlocking the Application Response Form.

23.  All responses must be submitted electronically using the online submission tools available in COMMBUYS.  All responses must be received by the Department of Public Health before 4:00 P.M. Thursday, July 16, 2015.  DPH is not responsible for delays encountered by Bidders or their agents 23

24. File Format  Zipped file are preferred. Please zip all your saved documents into one zip file and upload the one zip file in a.zip format.  Scanned documents will be accepted and must be scanned in such a way that they can be read on a computer monitor and printed on 81/2” x 11” paper, unless otherwise specified. 24

25.  For additional instructions see the Checklist of Attachments found in the Application Response Form on page 7.  The description entered during the file upload process ensures each file is readily identified by “Company Name”, RFR number and content.  Use your agency’s legal name 25

26. Document TitleFile Name Assign when creating documents Application Response Cover PageCompany Name _ RFR160722 _App Resp Form Organization ChartCompany Name _ RFR160722_Org Chart Mission StatementCompany Name _ RFR 160722 _Mission Statement Supplier Diversity Plan Form for POSCompany Name _ RFR 160722_SDP Form for POS Agency Staff Demographics TableCompany Name _ RFR 160722_Agency Staff Demo Subcontractor Identification ListCompany Name _ RFR 160722_ Sub Cont List Program BudgetCompany Name _ RFR 160722_Program Budget Renaming Files Don’t forget to add your “Company Name”! 26

27. Contractors are required to submit original ink- signature versions of the following forms:  Contractor Authorized Signatory Listing - BOTH PAGES are required  Commonwealth Terms and Conditions (If not already on file with the Comptroller)  Request for Taxpayer Identification and Verification (Mass. Substitute W9 Form) (If not already on file with the Comptroller)  Electronic Funds Transfer Sign Up Form (If not already on file with the Comptroller)  SDP Plan form (part of Question 1 on RFR) 27

28. All forms must be submitted by July 23, 2015 to: Julie Schaeffer Department of Public Health Nutrition Division 250 Washington Street, 6 th floor Boston, MA 02108 28

29.  An online job aid on “Creating a Quote in COMMBUYS for DPH; POS RFRs” Webcast video on How to Find Bids (Solicitations) and Submit Quotes (Responses) through COMMBUYS  Website: Go to www.mass.gov/osd/commbuys and select the COMMBUYS Resource Center link offered under Key Resources.www.mass.gov/osd/commbuys  Email: Send inquiries to the COMMBUYS Helpdesk at COMMBUYS@state.ma.us COMMBUYS@state.ma.us  Telephone: Call the COMMBUYS Help Desk at 1-888- MA-STATE (1-888-627-8283). The Help Desk is staffed from 8:00 AM to 5:00 PM Monday through Friday, except on federal and state holidays. COMMBUYS Support 29

30. 30  Don’t wait until the last minute  Plan one week to write the response to the RFR  Plan to submit RFR early  Assume the reader knows nothing  Don’t hesitate to ask for help  All technical questions go to COMMBUYs  All other questions go to Julie via email Reminders

31. Questions?  Written questions must be sent to: julie.schaeffer@state.ma.us by Thursday, July 7th at 4:00 PM. julie.schaeffer@state.ma.us  Questions and answers will be posted on COMMBUYS. Thank You! 31