This Request for Proposal (RFP) announces the intent of the County of Mendocino to seek proposals from qualified organizations to provide select administrative, utilization review, and quality assurance/quality improvement services for Short-Doyle Specialty Mental Health Services required by the State/County Mental Health Plan (MHP) Contract. Mendocino County Behavioral Health and Recovery Services (BHRS) has historically provided services to seriously and persistently mentally ill adults, older adults, and seriously emotionally disturbed children who are Medi-Cal beneficiaries through the County managed Short-Doyle system.

The successful proposer will be contracted to provide selected administrative services, utilization review and quality assurance/quality improvement services required to manage and oversee the myriad Short-Doyle specialty mental health services provided to individuals who are Mendocino County Medi-Cal beneficiaries and selected administrative and utilization review services for indigent individuals. The successful proposer will demonstrate a comprehensive understanding of all state and federal requirements specific to the delivery, payment and cost reporting of specialty mental health services.

The successful proposer must clearly demonstrate an understanding of the role and responsibilities, and an ability to provide and manage timely and satisfactory services to support the provision and appropriate utilization of Short-Doyle specialty mental health services, including, but not limited to the management of the County contracted Network of Providers, timely claims processing and adjudication, utilization management, provider complaint resolution, quality assurance, data collection, analysis and reporting, and fiscal monitoring and reporting.

The contract awarded through this solicitation is anticipated to include (1) a designated dollar amount for payment of Specialty Mental Health Claims based upon previous year paid claims and anticipated eligible members’ requests for services; and (2) actual allowable costs (direct and indirect) for administrative services, utilization review, quality assurance and quality improvement services based on an approved operating budget. Any contract resulting from this solicitation is contingent upon sufficient funds being made available by federal and state governments for the term of the contract.

The purpose of the RFP is to accept proposals from organizations to provide the administrative, utilization review, and quality assurance/quality improvement services delineated in Section XI – Scope of Work.

Specialty Mental Health Services Admin Services Organization RFP

Addendum 1

Procedural and Technical Inquiries:

Health and Human Services Agency
Administrative Services
PO Box 1060
Ukiah, CA 95482
707-472-2335 (fax)
championj@mendocinocounty.org

September 17, 2020 Pre-bidder's Meeting Info: