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10. CMCVAMC PWS upd 12.22.docx

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Contract Opportunity
Date Originally Posted
Dec. 30, 2021, 7:40 a.m.
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PERFORMANCE WORK STATEMENT – CONTRACTED RESIDENTIAL SAFE HAVEN

1.0Description:

The Department of Veteran Affairs’ Corporal Michael J. Crescenz Veterans Affairs medical Center, CMCVAMC is located at 3900 Woodland Avenue, Philadelphia, Pennsylvania 19104, is seeking Contractor to provide a 24-hours a day/7 days a week (24/7) community-based early recovery model through a “Safe Haven” model of residential care at a facility located within the city of Philadelphia and accessible by public transportation that serves homeless Veterans, including those with serious mental illness, physical disabilities and substance use disorders. CMCVAMC requires two separate programs that serve two distinct levels of HCHV Contracted Residential Services, as outlined below in accordance with VHA Handbook 1162.09.

Contract will provide emergency residential placement and treatment services through the Health Care for Homeless Veterans (HCHV) program for a total 45 homeless Veterans in two separate programs who need immediate placement in a safe environment with onsite treatment services. The goal of the HCHV Contracted Residential Care Safe Haven is to rapidly stabilize Veterans’ medical, mental health, substance abuse and other psychosocial problems in order to place Veterans in other appropriate transitional or permanent housing within 30 to 90 days, with no more than 180 days, without a planned reason for the extension, is an expected outcome of this Contract. Contractor will provide rapid placement of VA-referred Veterans in a safe, residential treatment setting while addressing Veterans’ complex needs through on-site treatment case management services. This housing must meet the criteria establish both by HCHV clinical staff and VA fire and safety officials. Contractors are urged in the strongest terms to carefully review the requirements outlined in the Performance Work Statement to ensure that all facilities fire and safety and treatment services criteria can be met in a timely way.

This contract will be awarded to a Contractor having an acceptable facility within the City of Philadelphia. If no facilities are available within this area, consideration will be given to the Contractor whose facility meets all the stated requirements and is closest to the Corporal Michael J. Crescenz VA Medical Center. A VA Liaison to the Contractor will be identified by Homeless Program leadership at CMCVAMC. This individual will act as the clinical liaison for all client related issues between the Contractor and VA by providing clinical oversight. The VA Liaison will not provide direct clinical supervision. The VA Liaison will also consult with and provide input to the Contractor as needed.

The Contractor shall provide all labor, supervision, transportation, housing, material and supplies necessary to provide emergency residential placement, treatment and supportive services through the HCHV program Safe Haven Model. Services will be provided on-site at the Contractor’s facility, in accordance with all terms, conditions, provisions and requirements listed herein. The prices provided in the Price Schedule shall be inclusive of all “basic services” as may be necessary in the treatment of the Veteran. “Basic services” shall be as defined in the Statement of Work.

The goal of the Contracted Residential Care Safe Haven residential services is to remove homeless Veterans from the street or habitation unfit for Veterans, provide housing and case management services to Veterans and facilitate their access to a broad range of medical, mental health, and rehabilitative services utilizing Safe Haven “low demand” model guidelines. The target population for this HCHV Contracted Residential Care Safe Haven is chronically homeless, chronically mentally ill Veterans, Veterans with chronic substance abuse disorders and complex needs. This is an indefinite delivery/indefinite quantity contract for the period 7/5/2022 – 7/4/2027, or five years, in accordance with FAR 16.5.

2.0Contract Definitions:

2.1Homeless: A literally homeless individual who lacks a fixed, regular and adequate nighttime residence, meaning:

(i) Has a primary nighttime residence that is a public or private place not meant for human habitation

(ii) is living in a publicly or privately operated safe haven or emergency shelter, or

(iii) in an institutional care facility if the individual has been living in the facility for fewer than 90 days and had been living in a place not meant for human habitation, a safe haven, or in an emergency shelter before entering the institutional care facility.

(For Homeless HUD’s Homeless Definition criteria, see https://files.hudexchange.info/resources/documents/HomelessDefinition_RecordkeepingRequirementsandCriteria.pdf)

2.2Chronic Homeless: In order to meet the “chronically homeless” definition, the individual must meet the “homeless” definition in addition to continuously experiencing homelessness for at least twelve (12) months or on at least four (4) separate occasions in the last three (3) years, where the combined occasions total a length of time of at least 12 months. Each period separating the occasions must include at least 7 nights of living in a situation other than a place not meant for human habitation, in an emergency shelter, or in a safe haven. (see https://www.govinfo.gov/content/pkg/FR-2015-12-04/pdf/2015-30473.pdf for additional information)

2.3Contracted Residential Care Safe Haven is a community-based early recovery model of supportive housing that serves hard to reach, hard to engage homeless individuals with severe mental illness and substance use disorders. Many have not been able to comply with traditional program requirements resulting in high use of emergency room and acute care services and more Veterans living on the streets or in shelters. Contracted Residential Care Safe Haven places no treatment participation demands on residents but expects a transition from unsafe and unstable street life to permanent and stable housing and to re-engage with physical, mental health and/or substance use/abuse treatment services. It is a “low demand” model of service delivery that allows clients to engage in treatment and services at their own pace under the harm-reduction model.

2.4Harm Reduction Model: A range of public health policies and practices designed to lessen the negative social and/or physical consequences associated with drug use. Harm reduction incorporates a spectrum of strategies that include safer use, managed use, abstinence, meeting people who use drugs “where they’re at” and addressing conditions of use along with the use itself.

2.5Low Demand Safe Haven (LDSH) program: LDSH are 24-hour staffed transitional residences with private or semi-private accommodations, that target the population of hard-to-reach, chronically homeless Veterans with mental illness and/or substance use problems who require a low-demand environment. The low-demand or non-intrusive environment is designed to re-establish trust and motivate the homeless Veteran to seek needed treatment services and transitional and permanent housing options. Length of stay in LDSH programs are 180 days with the option to extend based on clinical need.

2.6Contracted Emergency Residential Services (CERS) program: CERS programs target and prioritize homeless Veterans transitioning from literal street homelessness, Veterans being discharged from institutions, including those in need of medical respite, and Veterans who recently became homeless and require safe and stable living arrangements while they seek permanent housing. CERS Programs, either directly or through linkage with community and other VA services, provide low-demand time-limited services, such as supporting mental health stabilization, Substance Use Disorder (SUD) treatment services, enhancement of independent living skills, vocational training and employments services. Emphases is placed on referral and placement in permanent housing or longer-term residential programs utilizing VA and/or community resources. Length of stay in CERS typically range from 30- to 90 days with the option to extend based on clinical need.

2.7Quality Assurance Surveillance Plan (QASP): An organized written document used for quality assurance surveillance. The document contains specific methods for performing surveillance of the Contractor’s continuous performance.

3.0Performance Requirements:

3.1Implementation Timeline: The contract facility and associated onsite services are expected to pass inspection and become fully operational within 30 days from the date of contract award. Failure to meet the 30-day milestone may result in the contract being terminated. The Contractor will demonstrate successful completion of the following tasks, validated by VA inspection, prior to receiving Veteran referrals and invoicing for payment:

a.Site control demonstrated at time of contract award.

This may be through ownership or lease. All permits and license will be reviewed. The Contractor is required to ensure that the facility used for this contract meets fire and safety code imposed by the State law, and the Life Safety Code of the National Fire and Protection Association. It is important to note that typically the Life Safety Code is more stringent than local or state codes. No additional funds will be made available for capital improvements under this contract. Applicants also should note that all facilities, unless they are specifically exempted under the Life Safety Code, are required to have an operational sprinkler system. VA will conduct an inspection that Contractor sites must pass prior to contract award. The Contractor is required to ensure the facility used for this contract meets the Americans with Disabilities Act (ADA) guidelines for accessible accommodations for Veterans wi… Show All