Loading...
HomeMy WebLinkAboutWashington State Health Care Authority for Law Enforcement Assisted Diversion (LEAD) - ContractWashington State 3 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 1a ATTACHMENT 1a Statement of Work 1. Purpose The Contractor shall facilitate the Law Enforcement Assisted Diversion (LEAD) Program, providing services that adhere to the core principles of LEAD as noted in Substitute Senate Bill (SSB) 5380 and Revised Code of Washington (RCW) 71.24.589, which indicates that HCA must partner with the national LEAD Support Bureau to expand availability of Law Enforcement Assisted Diversion (LEAD) Programs statewide. 2. Background In 2020, the LEAD model was used as a template to establish pilot site programs in Mason, Snohomish, Thurston, and Whatcom Counties. LEAD is a field-based program involving case management and coordination with law enforcement. Contacts with individuals often happen in the field (e.g., someone camping in a park). Rather than law enforcement arresting individuals, the LEAD contractor is contacted, and a LEAD Case Manager arrives at the scene to evaluate the individual’s capacity and eligibility for LEAD services. 3. Definitions 3.1 DBHR (Division of Behavioral Health and Recovery) – A division within HCA that provides funding, training, and Technical Assistance (TA) to community-based providers for prevention, intervention, treatment, and recovery support services to people in need. 3.2 LEAD (Law Enforcement Assisted Diversion) – A model framework that supports community- based alternatives to jail and prosecution for people whose unlawful behavior stems from unmanaged substance use, mental health challenges, or extreme poverty. The LEAD model originated in Seattle in 2011 and is founded on evidence-based core principles that include advancing safety, health, and equity by equipping communities with improved ways to respond to issues flowing from unmet behavioral health needs and extreme poverty. LEAD is designed to provide care coordination for people with complex, ongoing, unmet behavioral health needs and/or income instability who may lack shelter/housing, income, food, health care, and social networks and for whom existing systems prove inaccessible, overly complicated, or insufficiently responsive. 3.3 LEAD Program Director – A member of the Contractor’s staff. 3.4 LEAD Support Bureau – A national organization that provides strategic guidance and TA to local entities and for implementation and administration of LEAD programs with fidelity to the LEAD core principles. 3.5 PDA (Purpose.Dignity.Action.) – Formerly known as the Public Defenders Association. PDA provides TA for the LEAD program site selection, implementation, and evaluation. It is a third- party organization that advocates for social service programs in Washington State and serves as the parent organization supporting the National LEAD Support Bureau and LEAD efforts statewide. 3.6 Recovery Navigator Program – RCW 71.24.115 outlines the scope of activities for the Recovery Navigator Program as a pre-arrest diversion program operated by the regional behavioral health administrative service organizations in Washington State. Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 4 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 1a 4. The HCA Contract Manager shall: 4.1 Work together with the Contractor to ensure that the Contractor’s administration of the program adheres to LEAD standards and requirements. 4.2 Respond to questions and issues, as needed. 4.3 Coordinate the provision of TA and training. 4.4 Monitor program development and implementation, and ongoing operations. 5. The Contractor shall administer the LEAD program in fidelity to the LEAD Model, as referenced in RCW 71.24.589, and in coordination with the HCA Contract Manager, including, but not limited to: 5.1 Align program efforts with other pre-existing, similar work in the region (e.g. Recovery Navigator Program under RCW 71.24.115 and arrest and jail alternative under RCW 36.28a.455). 5.2 Develop case management protocols necessary to maintain LEAD standards and requirements for the purposes of independent site evaluations. 5.3 Establish and maintain effective procedures, programs, and/or processes to ensure appropriate program operations and the submission of program monitoring reports to HCA associated with this Contract. 5.4 Implement referral functions, to include, but not limited to: 5.4.1 Accepting referrals to identify possible LEAD program participants. 5.4.2 Tracking the use of external referral links to receive referrals from program partners and other social service resources in the community who identify possible program participants. 5.4.3 Referring program participants to local community agencies for appropriate services, including but not limited to the following: a. Substance use; b. Mental health; and c. Behavioral health assessment and treatment. 5.4.4 Monitoring the program to ensure that referrals are sufficient to occupy the funded case managers within or near an average caseload of twenty (20) active participants, per case manager. 5.5 Providing a periodic satisfaction survey to participants, officers, and stakeholders within the last quarter of the LEAD program. Use the participant surveys to evaluate LEAD program participation and engagement. 5.6 Upon request, participating in presentations to key state and local stakeholders on progress. Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 5 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 1a 6. The Contractor, through the LEAD Program Director, shall coordinate with national LEAD Support Bureau for guidance regarding: 6.1 Training on policies and protocols for LEAD referrals and diversion-eligible offenses; 6.2 Developing and refining a LEAD program site evaluation plan, to the extent this is not provided for by other statewide evaluation initiatives, with the intent of yielding results that include but are not limited to: 6.2.1 Reduction in arrests, time spent in custody, and/or recidivism for the LEAD program participants; 6.2.2 Increase access to and utilization of non-emergency community behavioral health and/or substance use services; 6.2.3 Reduction in the utilization of emergency services. 6.2.4 Increased resilience, stability, and well-being for LEAD program participants; and 6.2.5 Reduction in cost for the justice system in comparison to processing cases as usual through the justice system. 6.3 Providing intensive case management services that shall adhere to the LEAD core principles recognized by the LEAD Support Bureau. 6.4 Maintaining the governance structure consisting of an executive committee, called the Policy Coordinating Group (PCG) and the Operational Work Group (OWG) to include, but not limited to: 6.4.1 The purpose of the PCG is to support the development and modification of any overarching policies to reflect the program site’s intentions, and to develop the local vision for the program, including (but not limited to) eligibility criteria and referral policies. Membership may include, but is not limited to: a. Community-based organizations; b. Local government; c. Law enforcement making referrals to the LEAD program; d. Prosecutors considering cases involving LEAD participants; e. LEAD project managers; f. Public health experts; and g. Organizations led by and representing individuals with past justice system involvement, and/or civil rights organizations addressing racial and/or disability justice. 6.4.2 The OWG shall be made up of members appointed by the PCG to facilitate the regular operations of the LEAD program. 6.4.3 Ensure that the LEAD program is managed to achieve expected outcomes that are measurable and will be used in the future to evaluate the performance and to ensure accountability for the use of this funding. Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 6 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 1a 6.4.4 Coordination of care for LEAD participants through identifying, monitoring, discussing, and addressing operational, administrative, and client-specific issues. 6.4.5 Schedule, convene, facilitate, and keep records of meetings, at least monthly, in coordination with the HCA Contract Manager. a. Meetings may be scheduled as frequently as necessary to maintain the integrity and operation of LEAD. b. As needed, to inform decisions made by the PCG, the LEAD Program Director shall coordinate and schedule presenters and subject matter experts to address members at LEAD PCG meetings. c. Work with PDA and the HCA Contract Manager to determine if an alternate schedule is needed. 6.4.6 Develop and provide an agenda to LEAD OWG and/or PCG members for each meeting. a. Discussions regarding specific program participants at meetings shall be permitted only if the program participant has provided a signed Release Of Information (ROI) form to LEAD staff or a LEAD OWG or PCG member. b. Ensure that the LEAD program is managed to achieve expected outcomes that are measurable and will be used in the future to evaluate the performance and to ensure accountability for the use of this funding. c. The LEAD Program Director will meet at least monthly with, and provide all meeting agendas, minutes, and pertinent documents to, the HCA Contract Manager. d. Provide OWG reports to the HCA Contract Manager via the MFT portal, and in accordance with the due dates, rates and instructions referenced in Section 7, Deliverables Table and Attachment 2, LEAD Operational Work Group Meeting (OWG) Report Template. e. Provide PCG reports to the HCA Contract Manager via the MFT portal, and in accordance with the due dates, rates and instructions referenced in Section 7, Deliverables Table and Attachment 3, LEAD Policy Coordinating Group (PCG) Report Template. 6.5 TA 6.5.1 The LEAD Program Director will participate in TA calls with the PDA TA team at least quarterly, or more often, if applicable. 6.5.2 The LEAD Program Director/Coordinator will follow the guidance provided by PDA TA team. 6.5.3 The Contractor will provide TA reports prepared by the LEAD Program Director to the HCA Contract Manager via the MFT portal, and in accordance with the due dates, rates and instructions referenced in Section 7, Deliverables Table, and Attachment 4, Technical Assistance (TA) Report Template. Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 7 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 1a 6.6 Maintaining employees and/or contract support positions, including, but not limited to the following positions, or their equivalents, as approved by the HCA Contract Manager: 6.6.1 Outreach Coordinator; 6.6.2 Clinical Supervisor; and 6.6.3 Case Manager. 6.7 Provide quarterly reports to the HCA Contract Manager via the MFT portal, and in accordance with the due dates, rates and instructions referenced in Section 7, Deliverables Table, and Attachment 5, LEAD Quarterly Report Template. 6.8 Self-assessment 6.8.1 Work with the HCA Contract Manager to facilitate a self-assessment; and 6.8.2 After the self-assessment is completed, provide a completed report to the HCA Contract Manager via the MFT portal, and in accordance with the due dates, rates and instructions referenced in Section 7. Deliverables Table, and Attachment 6, LEAD Site Self- Assessment Report Template. 7. Deliverables Table 7.1 The Contractor shall provide reports in accordance with the referenced Attachments, due dates and rates. 7.1.1 The HCA Contract Manager shall provide templates to Contractor as needed. 7.1.2 The Contractor shall use the current templates and format to fulfill reporting deliverables. 7.2 The Contractor shall transmit all reports via the Washington Technology Solutions (WaTech) Managed File Transfer (MFT) portal. 7.3 The contractor shall notify the HCA program manager via email within five (5) business days after documents are uploaded into the MFT portal, attaching the A-19 invoice to the email for any reports provided. 7.4 The Contractor may invoice for indirect costs to cover administrative and operational expenses, as long as the Total Maximum Compensation noted for Deliverable 6 for the Contract is not exceeded. 7.5 For reports that are due quarterly, the following is how the quarters are identified: Quarter Range Q1 July – September Q2 October – December Q3 January – March Q4 April - June Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 8 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 1a 7.6 Report Tables 7.6.1 Report Table for SFY2026 # Description Att Rate Date Range Due Date Amount Direct Costs 1. Submit LEAD OWG meeting minutes detailing topics discussed, actions taken, and any future action items assigned 2 $17,000.00 per month x 12 months July 2025 through June 2026 July 2025 – June 2026: Due the 15th of each month, following each month of service $204,000.00 2. Submit PCG meeting minutes detailing topics discussed, actions taken and any further items assigned 3 $17,000.00 per quarter x 4 quarters Q1-Q4 SFY2026: The 15th of the month following the end of each quarter $68,000.00 3. Submit reports demonstrating monthly TA calls with the PDA TA team 4 $68,000.00 4. Submit LEAD Quarterly Reports 5 $68,000.00 5. Submit a copy of your annual LEAD site self- assessment, with site development plan 6 $41,570.45 per report x 1 copy February 15, 2026 $41,570.45 Subtotal, Direct Costs $449,570.45 6. Indirect (administrative) costs N/A Up to 10% of each monthly invoice July 2025 through June 2026 July 2025 – June 2026: Due the 15th of each month, following each month of service $44,957.05 Total Maximum Compensation for deliverables completed in SFY2026 $494,527.50 Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 9 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 1a 7.6.2 Report Table for SFY2027 # Description Att Rate Date Range Due Date Amount Direct Costs 1. Submit LEAD OWG meeting minutes detailing topics discussed, actions taken, and any future action items assigned 2 $17,000.00 per month x 12 months July 2026 through June 2027 July 2026 – May 2027: Due the 15th of each month, following each month of service June 2027: With final invoice $204,000.00 2. Submit PCG meeting minutes detailing topics discussed, actions taken and any further items assigned 3 $17,000.00 per quarter x 4 quarters Q1-Q3 SFY2027: The 15th of the month following the end of each quarter Q4 SFY2027: With final invoice $68,000.00 3. Submit reports demonstrating monthly TA calls with the PDA TA team. 4 $68,000.00 4. Submit LEAD Quarterly Reports 5 $68,000.00 5. Submit a copy of your annual LEAD site self-assessment, with site development plan 6 $41,570.45 per report x 1 copy February 15, 2027 $41,570.45 Subtotal, Direct Costs $449,570.45 6. Indirect (administrative) costs N/A Up to 10% of each monthly invoice July 2026 through June 2027 July 2026 – May 2027: Due the 15th of each month, following each month of service June 2027: With final invoice $44,957.05 Total Maximum Compensation for deliverables completed in SFY2027 $494,527.50 Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 10 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 2 ATTACHMENT 2 LEAD Operational Work Group (OWG) Meeting Report Template 1. Purpose: Provide ongoing details and status of the activities of all local LEAD Operational Workgroup (OWG) meetings. 2. Format: Word document template, as provided by the HCA Contract Manager 3. Components: 3.1. Date; 3.2. Name of person completing this report; 3.3. Number of the Contractor’s OWG meetings that were held during the current report month; 3.4. Narrative description of any actions taken or assigned tasks denoting future activities that came out of any meetings that took place; and 3.5. Attached a copy of the meeting agenda, showing the following: 3.5.1. Date; 3.5.2. Time; 3.5.3. Participants; and 3.5.4. Topics. Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 11 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 3 ATTACHMENT 3 LEAD Policy Coordinating Workgroup (PCG) Report Template 1. Purpose: Provide ongoing details and status of the activities of all local LEAD Policy Coordinating Group (PCG) meetings. 2. Format: Word document template, as provided by the HCA Contract Manager 3. Components: 3.1. Date; 3.2. Name of the person completing the report; 3.3. Number of the Contractor’s Policy Coordinating Group (PCG) meetings that were held during the current report month; 3.4. Narrative description of any actions taken or assigned tasks denoting future activities that came out of any meetings that took place. 3.5. Attached copy of the meeting agenda, showing the following: 3.5.1. Date; 3.5.2. Time; 3.5.3. Participants; and 3.5.4. Topics. Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 12 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 4 ATTACHMENT 4 Technical Assistance (TA) Report Template 1. Purpose: Provide ongoing details and status of TA activities 2. Format: The Contractor may submit monthly LEAD TA meeting minutes or use this template for this report. LEAD Program Technical Assistance Report Health Care Authority - Division of Behavioral Health and Recovery MONTHLY PROGRESS REPORT Report Month/Year ☐ July ☐ August ☐ September ☐ October ☐ November ☐ December ☐ January ☐ February ☐ March ☐ April ☐ May ☐ June Year ________ Name of individual completing Report: Please enter responses for each question below, for the month indicated. If the deliverable is incomplete, please list your Plan of Correction (POC) that includes lead person, actions to be taken, and target date for completion. 1. List any tech assistance sessions with the LEAD WA TA team that occurred in the current month 1.1 If no, please explain; 1.2 If yes, please provide a short narrative that includes: 1.2.1 Date; 1.2.2 Time; 1.2.3 Staff members involved; 1.2.4 Topics; 1.2.5 Concerns, and 1.2.6 Other relevant information. 2. Have any new training or informational materials been developed as part of presentations or outreach efforts for your program. If yes, please attach a copy of such materials to this report. 3. Was there any communication or outreach with local stakeholders (whether organizations or individuals) during this report period? 4. Describe any other significant program milestones. 5. Summarize any barriers encountered and plans to overcome with a timeline. 6. Please attach any other relevant materials created that are being developed or revised. Have TA needs changed since the last reporting period? If yes, describe what has shifted and why. 7. Are there recurring or systemic challenges that TA alone has not resolved? Please describe and note if additional structural, funding, or policy support is needed. Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 13 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 5 ATTACHMENT 5 LEAD Quarterly Report Template 1. Purpose: Assist in tracking and providing quarterly LEAD activity information, graphics, screenshots and narratives. 2. Format/Components: 3.1 Excel spreadsheet template, as provided by the HCA Contract Manager, or other format/method, as approved by the HCA Contract/Program Manager. 3.1.1 Referral type (screen shot provided below) 3.1.2 Admitted to LEAD (screen shot provided below) 3.1.3 Race (screen shot provided below) Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 14 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 5 3.1.4 Gender (screen shot provided below) 3.1.5 Age (screen shot provided below) 3.1.6 Housing status (screen shot provided below) 3.1.7 Intake (screen shot provided below) Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 15 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 5 3.1.8 1st response system (screen shot provided below) 3.1.9 Participant engagement (screen shot provided below) 3.1.10 Service connections (screen shot provided below) Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 16 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 5 3.2 Word document narrative 3.2.1 Name of LEAD site 3.2.2 Contract # 3.2.3 Date 3.2.4 Describe key partnerships 3.2.5 Key successes 3.2.6 Work accomplished 3.2.7 Challenges: 1. Description of barriers identified that impact service provision. 2. Narrative on attempts to resolve barriers, including plans and timeline for addressing them. 3. Number of days between initial referral and intake assessment for participants. 4. Staffing changes since the last reporting period, with explanations of positions and locations impacted. 5. Participant success stories or programmatic accomplishments of note. 6. Significant programmatic growth accomplishments or achievements. 7. Have any partnerships (new or existing) contributed to program success this period? Describe how these partnerships are supporting participant engagement or outcomes. 3.2.8 Describe any trends in participant needs or characteristics observed in this reporting period (e.g., increases in co-occurring disorders, housing insecurity, age groups)? 3.3 Metrics in an Excel spreadsheet, or equivalent tables/graphics, as approved by the HCA Contract Manager 1. AGGREGATED DEMOGRAPHICS FOR INDIVIDUALS ADMITTED, INCLUDING BUT NOT LIMITED TO: a. RACE: 0 b. GENDER: 0 c. AGE: 0 d. HOUSING STATUS: 0 2. AGGREGATED NUMBERS FROM THE INITIAL LEAD INTAKE : a. SELF-REPORTED BEHAVIORAL HEALTH: 0 b. EMPLOYMENT STATUS (EX: WORKING, NOT WORKING, JOB SEEKING ACTIVITIES): 0 c. FAMILY STATUS: 0 d. FINANCIAL AND INCOME STATUS: 0 Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 17 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 5 3. NUMBER OF POLICE CONTACTS RELATED TO CRIMINAL BEHAVIOR/SUSPECTED CRIMINAL BEHAVIOR: 4. NUMBER OF ARRESTS-CATEGORIZE BY TYPE: 5. NUMBER OF CONTACTS WITH FIRE/EMERGENCY MEDICAL SYSTEM (EMS): 6. NUMBER OF TIMES TEAM MEMBERS MEETS WITH PARTICIPANTS-CATEGORIZED BY TYPE: a. CASE MANAGEMENT: 0 b. PEER COUNSELING: 0 c. BRIEF OUTREACH: 0 7. NUMBER OF REFERRALS TO SERVICE-CATEGORIZED BY TYPE: a. MENTAL HEALTH: 0 b. SUBSTANCE USE DISORDER (SUD): 0 c. MEDICAL: 0 d. HOUSING: 0 e. INSURANCE: 0 f. BENEFITS: 0 g. FOOD: 0 h. SHELTER: 0 i. EMPLOYMENT: 0 j. OTHER: 8. NUMBER OF CONNECTIONS TO SERVICES-CATEGORIZED BY TYPE: a. MENTAL HEALTH: 0 b. SUBSTANCE USE DISORDER (SUD): 0 c. MEDICAL: 0 d. HOUSING: 0 e. INSURANCE: 0 f. BENEFITS: 0 g. FOOD: 0 h. SHELTER: 0 i. EMPLOYMENT: 0 j. OTHER Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C Washington State 18 LEAD Services Health Care Authority HCA Contract No. K7592-01 Attachment 6 ATTACHMENT 6 LEAD Site Self-Assessment Report Template 1. Purpose: Assist in tracking and providing quarterly LEAD activity information, graphics, screenshots and narratives. 2. Format: Word document template, as provided by the HCA Contract Manager 3. Components: 3.1 Work with LEAD TA to set up instruction and training for the site development tool and submit a copy of your results by February 15th of each year. 3.2 Please submit results to the MFT portal and email grace.burkhart@hca.wa.gov within three (3) days of MFT portal submission. Docusign Envelope ID: 5D9979E0-6541-4F2B-BF49-B898BF94410C