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Contracts Unit
1900 Embarcadero Cove, Suite 205
Oakland, Ca 94606
510-567-8296 / Fax 510-567-8290
ALAMEDA COUNTY BEHAVIORAL HEALTH DEPARTMENT (ACBHD)
ADDENDUM NO. 1
TO
REQUEST FOR PROPOSAL (RFP) 26-04
SPECIFICATIONS, TERMS & CONDITIONS
FOR
JUVENILE FACILITIES MEDICAL SERVICES
This County of Alameda RFP Addendum has been electronically issued to potential bidders
via e-mail. E-mail addresses used are those in the County’s Small Local Emerging Business
(SLEB) Vendor Database or from other sources. If you have registered or are certified as a
SLEB, please ensure that the complete and accurate e-mail address is noted and kept
updated in the SLEB Vendor Database. This RFP Addendum will also be posted on the GSA
Contracting Opportunities website located at
https://www.acgov.org/gsa_app/gsa/purchasing/bid_content/contractopportunities.jsp
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RFP #26-04 Juvenile Facilities Medical Services Amendment #1
The following Sections have been modified to read as shown below. Changes made to the
original RFP document are in bold print and highlighted, and deletions made have a strike through.
CLARIFICATIONS & CORRECTIONS/CHANGES THAT PERTAIN TO…
I. RFP
Section I. F. Bidder Experience, Ability, and Plan
2. Service Delivery Approach
Other Off-Site Hospital and Specialty Services (pp 13-14)
Costs or payments associated with off-site hospitals and specialty services will be covered
by the provider/hospital providing said care awarded Contractor. In cases where a youth
must be hospitalized for more than 24 hours, the cost associated with care can be recouped
by the hospital providing said care through the Medi-Cal Inmate Program.
II. Instructions to Bidders
Section II. B. Calendar of Events
Event Date/Location
Board Consideration May 2027 June 22, 2027
Award Date
Contract Start Date July 1, 2027
Note: Award Recommendation, Board Agenda and Contract Start dates are approximate. Other
dates are subject to change. Bidders will be notified of any changes via email. It is the responsibility
of each Bidder to be familiar with all of the specifications, terms and conditions. By submission of a
proposal, Bidder certifies that if awarded a contract Bidder shall make no claim against the County
based upon ignorance of conditions or misunderstanding of the specifications.
RESPONSES TO BIDDER’S QUESTIONS
Q1: Could the County clarify the specific medical services required under this contract, including
routine medical care, emergency response, medication administration, health assessments, and
follow-up care?
Is there a current provider, and will transition coordination be required?
What is the initial contract duration, and are renewal options available?
What are the average daily population and estimated monthly medical service demands at
each facility?
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RFP #26-04 Juvenile Facilities Medical Services Amendment #1
Is pricing required by hourly rate, staff classification, facility, or fixed contract amount?
Will the County provide the necessary medical equipment and supplies, or must the
contractor include these costs in its proposed pricing?
A1: The specific medical services are listed in Section I.F.2. Service Delivery Approach (pp 7-
15).
The current provider is Children's Hospital & Research Center at Oakland dba UCSF
Benioff Children's Hospital Oakland. Transition coordination will be required.
As noted in Section II.M (pg. 35 of RFP), the term of the contract will be one year, or a
pro-rated portion of that Fiscal Year, and may be renewed thereafter.
The estimated monthly medical service demands at each facility vary greatly. As noted
in Section I.C (p. 5 of RFP), the number of youth detained in Juvenile Hall fluctuates
between 50-65 youth daily, while the number of youth detained at Camp Sweeney
fluctuates between 10-15 young men. However, the awarded Contractor should be
prepared to serve additional youth as needed.
Contract costs will be reimbursed on an actual cost basis.
Limited equipment will be provided by the County. Please see below Q40 for detailed
inventory. Bidders should include costs for medical supplies in its proposed pricing.
Q2: Could the County provide the estimated number of juveniles requiring medical services daily or
monthly?
A2: See response to Q1 above, third bullet.
Q3: Please provide the current average daily population (ADP) and peak census for Juvenile Hall
and Camp Wilmont Sweeney (Camp Sweeney), separately, to support accurate staffing and
resource planning.
A3: Please see above answer to Q1. For the last 12 months the peak census for Juvenile Hall
has been 58 youth and for Camp Sweeney has been 10 youth.
Q4: Section I.C provides daily census ranges. For the most recent 12 months, please provide the
average number of admissions per 24-hour period and the average length of stay for Juvenile Hall
and Camp Sweeney.
A4: See response to Q1 above, third bullet. ACBHD does not track the average number of
admissions per 24-hour period and as such cannot provide this data. The average length of
stay for youth detained in the Juvenile Hall is difficult to calculate. Most youth stay at least 72-
hours and are released within six days. The Juvenile Hall also has a long-term detention unit
where the average length of stay is 18 months. The average length of stay for youth at Camp
Sweeney is seven months.
Q5: For the past 12 months, please provide: (a) average daily number of youth requiring withdrawal
monitoring, (b) percentage of youth on any medication, and (c) percentage of youth on psychotropic
medication.
A5: a) For the past 12 months, 25 youth have required withdrawal monitoring. b) ACBHD
cannot currently provide this number as every youth on any medication is not tracked. c) Over
the past nine months, 45% of youth receiving mental health services are on psychotropic
medication.
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RFP #26-04 Juvenile Facilities Medical Services Amendment #1
Q6: Please provide the following for Juvenile Hall and Camp Sweeney: (a) number of medication
carts used per medication pass, (b) duration of each medication pass, and (c) number of personnel
assigned to each pass.
A6: ACBHD does not track this information and therefore cannot respond to questions (a) and
(c). (b) The duration of medication pass varies depending on facility logistics and ACPD
staffing.
Q7: Are there established medical protocols, policies, or procedures that the selected contractor
must follow when providing services at the juvenile facilities?
A7: Yes, there are established protocols that the selected Contractor must follow when
providing services at the juvenile facilities, including the required California certification and
licensure requirements.
Q8: Must the contractor comply with any additional County, state, or federal healthcare standards
or accreditation requirements?
A8: The awarded Contractor must maintain the required California certification and licensure
requirements, along with necessary fire clearance. There are no current accreditation
requirements that the awarded Contractor must comply with.
Q9: Please describe the expected on-site presence at Camp Sweeney, including (a) who administers
the medication pass (Contractor staff or ACPD staff), (b) the number of medication passes per day,
and (c) the expected frequency of Contractor visits for individual services.
A9: (a) The medication pass is administered by Contractor staff. (b) The number of medication passes
per day can vary depending on the needs of the youth. Current medication pass occurs twice daily. (c)
The frequency of Contractor visits for individual services can vary based on need and urgency.
Q10: Do the Juvenile Facilities allow Keep on Person (KOP) or self-administered medications (e.g.,
inhalers)? If so, approximately how many youth are currently in this program?
A10: The Juvenile Facilities do not allow Keep on Person (KOP) or self-administered
medications (e.g., inhalers).
Q11: What is the average monthly number of youth over the past 12 months receiving treatment for
Hepatitis C, HIV, or blood factor disorders? How many long-acting injectables (including long-acting
contraceptives) were administered over the past 12 months?
A11: For privacy purposes, ACBHD cannot disclose the number of youth receiving treatment
for Hepatitis C, HIV, or blood factor disorders over the last 12 months.
Q12: Who is the current pharmacy vendor for the Juvenile Facilities?
A12: The current pharmacy vendor for the Juvenile Facilities is Clinical Solutions.
Q13: How many days' supply of medication is expected to be provided to youth at release?
A13: The RFP does not specify the days’ supply of release medication. This will vary depending
on the clinical/medical needs.
Q14: Do the Juvenile Facilities have a negative pressure (airborne infection isolation) room?
A14: The Juvenile Facilities have isolation rooms, however they are not negative pressure
rooms.
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RFP #26-04 Juvenile Facilities Medical Services Amendment #1
Q15: Please list any specialty services currently provided on site (e.g., OB/GYN, optometry, dental
specialty), with the provider, frequency and hours on site.
A15: Some current specialty onsite services include OB/GYN, maternal care, post-partum
care, dental care, dermatology, and medication assisted treatment. However, this is not an
exhaustive list. Frequency and hours of onsite specialty care are not tracked and therefore
cannot be provided.
Q16: For the past 12 months, how many off-site specialty visits (by specialty type) and hospital stays
occurred for youth in the Juvenile Facilities?
A16: ACBHD does not have the requested data related to off-site specialty visits by specialty
type. Zero hospital stays for youth have occurred in the past 12-months.
Q17: Does the Alameda County Public Health Department currently provide any services on site
(e.g., TB, HIV, Hepatitis C or STI testing, immunizations)?
A17: Alameda County Public Health currently provides non-medical case management
services and supports infection control, as needed. However, the selected Contractor is
responsible for all on site medical services including TB, HIV, Hepatitis, and STI testing and
immunizations.
Q18: Approximately what percentage of youth detained in the Juvenile Facilities are Medi-Cal eligible
or enrolled?
A18: ACBHD does not currently have data on the percentage of youth detained in the Juvenile
Facilities who are Medi-Cal eligible or enrolled. Approximately 42% of detained youth report
being uninsured.
Q19: What juvenile case management or detention management system do the Juvenile Facilities
use, and will the Contractor require access or an interface?
A19: ACPD uses Enterprise as a data and case management system for the Juvenile Facilities.
The awarded Contractor is not required to interface with this system and will not be granted
access.
Q20: Is the vendor expected to furnish comprehensive pharmacy services, including the supply of
medications and act as the designated pharmacy provider?
A20: Yes, the RFP requires the awarded Contractor to provide pharmacy services, including
medication ordering, storage, and dispensing.
Q21: Could you please clarify whether the selected vendor must directly supply all medications
and operate as the designated pharmacy provider, or whether these services may be delivered
through a third-party pharmacy provider?
A21: See above response to Q20. These services may be delivered through a third-party
pharmacy provider, as long as the criteria outlined in the RFP are adhered to.
Q22: Does Alameda County currently use an Electronic Health Records (EHR) system at the
Juvenile Facilities? If so, please identify the existing system and clarify whether the County will
provide the selected contractor with access, or whether the contractor is expected to provide and
implement its own EHR system.
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RFP #26-04 Juvenile Facilities Medical Services Amendment #1
A22: ACBHD currently uses an EHR called Clinician’s Gateway which is only used for mental
health services. The selected contractor may be given limited access to Clinician’s Gateway
to review information for youth on psychotropic medication. As stated in section 5 of the RFP,
Contractor shall input data into an electronic data collection and claiming system approved
by ACBHD and ACPD. This would include the contractor providing its own EHR.
Q23: Please clarify whether the contractor must provide advanced dental procedures, including
root canal treatment and indirect crowns, within the Juvenile Justice Center dental office.
A23: Please refer to Section I.F.2. Dental Services (p. 10 of the RFP), which outlines required
dental services.
Q24: If the contractor must provide advanced dental procedures on site, does the existing dental
clinic have the equipment and capacity required to perform those procedures? Please provide an
inventory of available dental equipment.
A24: The awarded Contractor is not expected to provide advanced dental procedures on site.
The awarded Contractor must provide necessary equipment.
Q25: The Specific Requirements (page 6) include "substance use treatment." Please clarify
whether the medical contractor must provide substance use counseling or other nonmedical
substance use treatment services. If so, please identify the required services, staffing
qualifications, and anticipated service volume.
A25: Please refer to Section I.F.2. Substance Use Treatment (p. 10 of the RFP), which outlines
required services. The selected Contractor must provide ongoing individual education for
youth on medication assisted treatment (MAT) and refer youth to substance use services
available at the Juvenile Justice Center. Please see Section I.F.3 for staffing requirements and
qualifications. ACBHD cannot provide anticipated service volume as this can vary greatly
depending on the needs of detained youth.
Q26: Section I.E lists "mental health care" and "involuntary psychiatric holds" among required
services, while Section I.F.2 states that mental health care is provided by ACBHD and that initiation
and execution of involuntary holds is the sole responsibility of ACBHD staff. Please confirm that the
Contractor's mental health responsibilities are limited to medical clearance, participation in
multidisciplinary team meetings, after-hours/weekend bridge prescribing, and medication
administration, and that no licensed mental health clinicians are required in the Contractor's
staffing.
A26: The mental health care referenced in this RFP relates to standard medical services, for
example, basic screening. Please see Section I.F.2 Service Delivery Approach, which outlines
the specific health screenings, assessments, and appraisals. All other mental health services
are delivered by ACBHD. Involuntary psychiatric holds as references in Section I.E. relates to
medical clearance as required as part of psychiatric holds.
Q27: The Specific Requirements (page 6) include "mental health care." Please identify the mental
health services the medical contractor must provide, including any required assessments,
counseling, crisis services, psychiatric support, staffing, or documentation responsibilities.
A27: See above answer to Q26.
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RFP #26-04 Juvenile Facilities Medical Services Amendment #1
Q28: Are mental health services, psychiatric evaluations, dental services, and specialty medical
consultations included in the scope of work, or will these services be provided by separate
contractors?
A28: See above answer to Q26. Dental services and specialty medical consultations are
included in the Contractor scope of work.
Q29: Does the bidder need to provide all medical personnel positions listed in the RFP, or may the
bidder submit a proposal for only selected positions?
A29: Yes, minimum staffing requirements, as listed in the RFP (p. 15), are requirements.
Bidder may propose additional staff as appropriate.
Q30: What professional licenses, certifications, and specialized training are required for each
category of medical personnel?
A30: All medical, nursing, clinical and administrative personnel must be certified and
licensed by the appropriate certification and/or licensing board, as required by the State of
California (RFP pp 15-16).
Q31: If a scheduled medical staff member is unavailable, what is the required timeframe for
providing a qualified replacement?
A31: The RFP does not specify a required timeframe for providing a qualified replacement.
Please see Section I.F.3 Planned Staffing and Organizational Capacity (RFP pp 15-16) for
staffing requirements.
Q32: The minimum staffing table identifies 0.1 FTE for the Charge RN/Assistant Nurse Manager.
Please confirm whether 0.1 FTE is correct and identify the expected weekly hours for this position.
A32: The 0.1 FTE identified for the Charge RN/Assistant Nurse Manager is the minimum
staffing requirement. A 0.1 FTE is four hours per week. Bidders shall include a staffing
structure that is well matched to program services and goals.
Q33: Please confirm whether the minimum staffing matrix (20.2 FTE) reflects current staffing at the
Juvenile Facilities. May bidders propose an alternative skill mix (e.g., substituting RN and LVN hours)
if all service requirements and Title 15 standards are met? Please also indicate the expected weekly
hours for the Medical Doctor serving as Medical Director.
A33: The staffing matrix does not reflect the current staffing at the Juvenile Facilities. The
minimum staffing requirements, as listed in the RFP (p. 15), are requirements. Bidders may
propose additional program staff, as appropriate, to provide program services, account for
potential gaps in staffing, and to support and/or supervise program staff. The Medical Director
should be available throughout the week and on weekends, as needed (e.g., for urgent
situations). The RFP does not indicate the expected weekly hours the Medical Director needs
to be on site. Bidders can propose onsite hours as part of their staffing model.
Q34: To plan recruitment and transition staffing, please provide a list of medical staffing positions
that are currently vacant.
A34: The awarded Contractor is responsible for recruiting and hiring all positions listed under
minimum staffing requirements.
Q35: Please specify which job category is most frequently used by the County.
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A35: Please see minimum staffing requirements in Section I.F.3 (p. 15 of RFP).
Q36: Please provide the number of FTEs with respect to job titles required under the current
contract.
A36: There are no number of FTEs with respect to job titles required under the current contract.
Bidders should refer to the minimum staffing requirements in Section I.F.3 (p. 15 of RFP).
Q37: Could you please provide the number of full-time equivalents (FTEs) currently working under
the existing contract, broken down by job title?
A37: See above response to Q36.
Q38: The RFP requires dedicated time from a Medical Doctor to serve as Medical Director. Could
you please clarify whether the selected vendor is responsible for recruiting and providing the
Medical Director, or whether the County will provide this resource?
A38: The awarded Contractor is responsible for recruiting and hiring all positions listed under
minimum staffing requirements.
Q39: Could the County clarify the required pricing structure, such as hourly rates by staff
classification, fixed monthly fees, per-visit charges, or another compensation method?
A39: The awarded Contractor will be reimbursed on an actual cost basis up to the contract
maximum. Costs must be appropriate and reasonable, and the awarded Contractor must
comply with all applicable minimum wage requirements. There is no additional required pricing
structure such as fixed hourly rates by staff classification, monthly fees, etc.
Q40: Please provide an inventory of County-owned medical equipment (age and condition) in the
Main Clinic and living-unit exam rooms that the new Contractor may use, and identify any known
equipment needs.
A40: Below is an inventory of County owned equipment in the current medical center. The age
of these items is unknown. All items are in working condition.
Item Description Qty
AED Machine 1
Bookshelf 4
Bulletin Board 4
Chair 1
Computer 1
Control Room Monitor 1
Dental Built-In Cabinet 1
Desk 3
Desk Chair 11
Desk with Overhead Unit 6
Faucet 1
File Cabinet/Bookcase Unit 5
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Filing Cabinet 12
Handheld Showerhead 1
Lateral 2 Drawer Cabinet 1
Magazine Rack 1
Microwave 1
Molded Plastic Sofa Chair 4
Office Cart 2
Pedestal File Cabinet 9
Plastic Chair 13
Privacy Ceiling Curtain 15
Refrigerator 2
Rolling Chair 1
Shelving Unit 8
Shower Tub 1
Small Refrigerator 6
Square Table 2
Table 2
Task Chair 11
Telephone 25
Television 1
Trash Can 17
Utility Cart 2
Walkie Talkie Radio 1
Wall File Tray 8
Q41: Who owns and maintains the equipment in the Juvenile Hall dental operatory (chair, light,
sterilizer, drill, suction, x-ray)? Will the Contractor be responsible for repair or replacement?
A41: The awarded Contractor would acquire the relevant equipment referenced under the
response to Q40, and would need to purchase any additional dental and medical equipment
required for provision of the specified services. The awarded Contractor will be responsible
for any dental or medical equipment repair or replacement, including any replacement of
items under Q40. Bidders should include costs for medical equipment and supplies in its
proposed pricing.
Q42: Is there a cost threshold that defines Contractor versus County responsibility for purchasing,
maintaining or replacing medical equipment?
A42: Please see response to Q40.
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Q43: Will the County provide access to existing medical equipment, examination rooms, and other
necessary facility resources, or must the contractor supply these items?
A43: Please see response to Q40. The awarded Contractor will have access to a medical
clinic with exam rooms, isolation rooms, and multiple offices. The selected Contractor will
also have access to sick call rooms where youth can be seen on the housing units.
Q44: Who will be responsible for purchasing and replenishing medications, medical supplies,
personal protective equipment, and other consumables required to perform the services?
A44: The awarded Contractor will be responsible for purchasing and replenishing
medications, medical supplies, personal protective equipment, and other consumables
required to perform the services.
Q45: Will we need to provide any products or equipment under this contract? If so, please
elaborate.
A45: Please see response to Q40.
Q46: Page 13 states the Contractor "will make arrangements and payments for all consulting
medical specialty services (e.g., orthopedics, cardiology, emergency room services)," while page 14
states that "costs or payments associated with off-site hospitals and specialty services will be
covered by the provider/hospital providing said care." Please clarify which specialty, emergency
room, laboratory and x-ray costs the Contractor is financially responsible for, and which are billed
by the provider or hospital directly (e.g., to Medi-Cal or the Medi-Cal Inmate Program).
A46: Please see clarifications and corrections above. Costs or payments associated with off-
site hospitals and specialty services will be covered by the awarded Contractor. The awarded
Contractor will be financially responsible for any specialty, emergency room, laboratory, and
x-ray costs that do not involve situations where a youth must be hospitalized for at least 24-
hours.
Q47: The Contractor is responsible for the expense of all pharmaceuticals in its formulary, including
psychotropic medications prescribed by ACBHD psychiatrists, and for second-generation
antipsychotics and psychostimulants not in the Contractor formulary when approved by the ACBHD
Medical Director. To price this accurately, please provide annual pharmaceutical expenditures for
the Juvenile Facilities for FY 2024-25 and FY 2025-26, with psychotropic medications shown
separately. Would ACBHD consider a pass-through or cost cap for psychotropic medications
prescribed by ACBHD psychiatrists?
A47: ACBHD is unable to provide annual pharmaceutical expenditures. ACBHD will not
consider a pass-through or cost cap of psychotropic medications prescribed by ACBHD
psychiatrists. However, ACBHD is committed to working with the Contractor to monitor costs
for psychotropic medication on a monthly basis.
Q48: Please identify the payers the Contractor will bill for youth under a Placement Order (e.g., Medi-
Cal managed care plans, commercial insurance), the approximate number of such youth per month,
and whether revenue collected is retained by the Contractor or offsets the contract allocation.
A48: The awarded Contractor will bill Medi-Cal for youth under a Placement Order. The
approximate number of youth on a Placement Order per month is 45. Revenue collected from
Medi-Cal is retained by the Contractor to offset costs for medication.
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RFP #26-04 Juvenile Facilities Medical Services Amendment #1
Q49: Please confirm (a) whether the $8,815,323 annual allocation is intended to cover
pharmaceuticals, specialty services, supplies and equipment in addition to staffing; (b) whether
there is a maximum allowable administrative/indirect rate on the Admin Expense Detail tab; (c)
whether the three-month start-up period (up to $2,203,830.75) is in addition to the first-year
allocation; and (d) whether the allocation will be adjusted in renewal years for cost-of-living or wage
increases.
A49:
(a) Yes, the annual allocation is intended to cover pharmaceuticals, specialty services,
supplies and equipment in addition to staffing
(b) ACBHD does not have a maximum allowable administrative rate. Bidders should
justify any proposed administrative rate that is over 15% in the budget narrative.
(c) The three-month start-up period, for the first three months of the program, is in
addition to the first-year allocation, which will begin at month four.
(d) Cost-of-living increases may be considered by the Alameda County Board of
Supervisors.
Q50: With Board consideration expected in May 2027 and a July 1, 2027 contract start, please clarify
whether the three-month start-up period runs before July 1, 2027 or is the first three months of the
contract term, and whether start-up activities (recruitment, ACPD clearances, onboarding) may
begin before contract execution.
A51: The Contract Start Date is anticipated to be July 1, 2026, and ACBHD anticipates that this
contract will be reviewed and approved by the Alameda County Board of Supervisors in late
June or early July. The three-month start-up period is anticipated to run from July 1, through
September 30, 2027. ACBHD will not cover any start-up activities prior to July 1, 2027. ACPD
clearances cannot be obtained until the Contractor recommended for award is approved by
the Alameda County Board of Supervisors.
Q52: What is the typical timeline for background checks, security clearance and ACPD approval for
new medical staff? May the awarded Contractor begin the clearance process for candidates before
contract execution?
A52: There is no typical timeline as this can vary depending on each staff member’s record.
Background checks can start as soon as a Contractor is approved by the Alameda County Board
of Supervisors.
Q53: Please provide the current contract value or annual expenditure for the existing Juvenile
Facilities Medical Services contract, including any relevant information on the current contract
term and scope of services, to support proposal pricing and budget development.
A53: Current contract costs were documented as roughly $1.3 million in a recent quarter.
However, ACBHD recommends Bidders base their pricing on the RFP annual contract
allocation of $8,815,323.
Q54: What is the estimated budget for this RFP? If unknown, please specify previous spending.
A54: The annual contract allocation, $8,815,323, is listed on page 3 of the RFP.
Q55: What is the average length of the assignment?
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A55: As noted in Section II.M., the term of the contract will be one year, or a pro-rated portion
of that Fiscal Year, and may be renewed thereafter.
Q56: Please identify the electronic claims system currently used for CalAIM Justice-Involved
Initiative and other applicable claims. Will the contractor receive direct access to that system? If
so, please identify the applicable technical, account, network, and security requirements.
A56: ACBHD is still in the process of planning and implementing the CalAIM Justice-Involved
Initiative. There is no current electronic claims system currently used. As outlined in RFP
section I.F.5, the selected Contractor shall work with ACBHD to submit claims data directly for
reimbursement or via a third-party billing provider. ACBH cannot currently confirm the
applicable technical, account, network, and security requirements, though Bidders should
identify their own electronic data collection and claiming system as part of their proposal so
that it can be included in the bid review process.
Q57: Will claims data require an interface or other electronic exchange with the contractor's
electronic health record? If so, which party will be responsible for developing, funding, maintaining,
and supporting the interface?
A57: See above answer to Q56.
Q58: Please clarify (a) whether CalAIM Justice-Involved reimbursement for claims submitted by the
Contractor is retained by ACBHD or the Contractor, (b) which third-party billing provider ACBHD
currently uses, if any, and (c) whether the Contractor is expected to deliver or staff specific CalAIM
pre- release services beyond the medical services described in the RFP.
A58: ACBHD is still in the process of CalAIM planning and implementation and therefore cannot
currently respond to questions (a) or (b). (c) The awarded Contractor will be the medical
provider for the Juvenile Facilities. As such, they will be expected to meet all CalAIM pre-
release medical services, which align with medical services described in the RFP.
Q59: Please identify the "electronic data collection and claiming system approved by ACBHD and
ACPD." Will the Contractor use a County-provided system (and if so, will the County provide licenses
and hardware), or its own electronic health record with data submitted to the County? How will
existing medical records be transitioned from the current provider?
A59: Bidders should identify their own electronic data collection and claiming system as part
of their proposal. The approval process is part of the bid review. The awarded Contractor will
not use a County provided system. The County will not provide licenses or hardware. The
transition of medical records will be part of the three-month start-up period.
Q60: Please identify which party must provide and fund internet connectivity, network equipment,
Wi-Fi, structured cabling, clinical computers, peripherals, copiers, and other end-user technology
required for contract performance.
A60: The awarded Contractor will use the facility's internet, which is paid for by the County.
Additional network equipment, Wi-Fi access points, clinical computers, peripherals, copiers,
and other end-user technology must be paid for by the awarded Contractor. Access to cabling
is managed by the County General Service Agency (GSA) and Information Technology
Department (ITD). The selected Contractor must work with GSA around any cabling needs.
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Q61: If the contractor must provide technology infrastructure, may it use the facilities' existing
network drops, fiber, wiring closets, and other infrastructure? Please identify any County
technology, cybersecurity, product, or network restrictions that the contractor must address in its
proposal and budget.
A61: See above response to Q60. Access to network drops, fiber, wiring closets, and other
infrastructure is managed by the County General Service Agency (GSA) and Information
Technology Department (ITD). The selected Contractor must work with GSA and ITD for all
technology infrastructure needs and technology, cybersecurity, product, or network
restrictions.
Q62: Does Alameda County, ACBHD, or any evaluation consultant intend to use artificial
intelligence, machine learning, automated scoring, generative AI, or other algorithmic tools to
review, summarize, compare, screen, or score proposals submitted in response to RFP 26-04? If
so, please describe each intended use; identify whether the resulting output will influence
responsiveness determinations or evaluation scores; explain what human review and validation
will occur; and identify any proposal content that will be entered into or retained by an external AI
system.
A62: No, the County does not use artificial intelligence, machine learning, automated scoring,
generative AI, or other algorithmic tools to review, summarize, compare, screen, or score
proposals.
Q63: Are current clinical staff at the Juvenile Facilities represented by a collective bargaining unit? If
so, will ACBHD share the applicable salary schedules or labor agreements so bidders can price
staffing accurately?
A63: Current clinical staff are represented by a collective bargaining unit. Because these staff
are not employed by the County, ACBHD cannot share the salary scheduled or labor
agreements.
Q64: Are the Juvenile Facilities currently accredited by NCCHC or ACA, or pursuing accreditation?
Will the Contractor be expected to support accreditation?
A64: The Juvenile Facilities are not accredited by NCCHC or ACA and are not currently
pursuing accreditation. As the Juvenile Facilities medical provider, the awarded Contractor
would be expected to support any future accreditation.
Q65: Please provide the current contract, all amendments, the FY 2025–26 and FY 2026–27 contract
values, and the incumbent staffing matrix.
A65: All ACBHD contracts are publicly available at https://agendadocsearch.acgov.org/. The
incumbent staffing matrix is not managed by ACBHD.
Q66: Does ACBHD intend to award a new contract through RFP 26-04, or is continuation with the
current provider being considered independently of the competitive evaluation?
A67: ACBHD intends to award a new contract through RFP 26-04.
Q68: What prompted the County to issue RFP 26-04 at this time, and what specific improvements or
changes does the County seek from the existing service delivery model?
A68: ACBHD issued this RFP due to recent changes to the program model and funding.
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RFP #26-04 Juvenile Facilities Medical Services Amendment #1
Q69: Please identify any new positions, expanded services, or material scope changes reflected in
the $8,815,323 annual allocation compared with the current contract.
A69: ACBHD declines to identify new positions, expanded services, or material scope
changes. Bidders should review the RFP and consider staffing, services, and scope as part of
their proposal.
Q70: To identify any exceptions before submission, may bidders obtain the Master Agreement
template before the proposal due date? Will ACBHD consider mutual indemnification provisions
during contract negotiations?
A70: Bidders may view the contract provisions here:
Master Contract:
https://bhcsproviders.acgov.org/providers/network/docs/Forms/AC_MASTER_CONTRACT_TE
MPLATE.pdf
Standard Requirements for Mental Health Programs:
https://bhcsproviders.acgov.org/providers/network/docs/master_contracts/26-27/exhibit-a-
1-mh-standard-requirements-fy26-27.pdf. Any contract negotiations would take place after
notification letters have been sent to all bidders around the award recommendation from the
County Selection Committee.
Q71: Item 4 states proposals shall be valid for a minimum of eighteen months, while item 13 states
the bid shall remain open and irrevocable for 180 days. Please confirm which period applies.
A72: Section II.E.4 (p. 23 of the RFP) refers to the Bidder proposals, while Section II.E.15 (p. 24)
refers to the bid/RFP.
Q73: Please confirm whether the cover page, table of contents, signing-authority statement,
implementation schedule table, and Budget Narrative count toward the 18-page limit, and whether
an organizational chart and key staff resumes may be included as attachments outside the page
limit.
A73: Only the Proposal Narrative is subject to the page limit of 18 pages. All Proposal
Supporting Documentation is not included in this limit. As noted in Section II.F, any
superfluous and unrequested material submitted with the bid will be removed and will not be
viewed by the Evaluation Panel (p. 25 of the RFP).
Q74: Could you please confirm whether we are required to prepare the technical proposal directly
in the County-provided Bid Response Packet (Word document), or if we may prepare a separate
technical proposal document, provided it follows the RFP requirements and page limits?
A74: Bidders may submit proposals in a format of Bidder’s choice, providing RFP
requirements and page limits are adhered to, and all required statements and exhibits are
included.
Q75: Is this a new contract opportunity, or a re-competition of an existing contract? If it is the latter,
could you please provide the name(s) of the incumbent vendor(s)? Additionally, are there any
known service challenges or areas of concern the County is seeking to address through this RFP?
A75: This is a re-procurement of an existing contract.
Q76: Is the current medical-services contractor meeting the County's SLEB participation
requirement through one or more certified SLEB subcontractors, or is it operating under an
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RFP #26-04 Juvenile Facilities Medical Services Amendment #1
approved waiver or exemption? If certified SLEB subcontractors currently participate, please
identify each subcontractor, the services or supplies it provides, its committed participation
percentage, and the actual dollar value and percentage of contract expenditures paid to it during
the most recently completed contract year. If the incumbent operates under a waiver or
exemption, please provide the type and scope of that waiver or exemption.
A76: The current contractor is exempt from the County’s SLEB requirements as a non-profit
community-based organization providing direct services to County residents.
Q77: Footnote 4 states that "Bidders who do not meet SLEB requirements may request a waiver."
Please describe the waiver process, including (a) the criteria ACBHD uses to evaluate a waiver
request, (b) the documentation that should accompany the request (e.g., record of good-faith
outreach to certified SLEBs), (c) where in the proposal the request should be submitted, and (d)
whether ACBHD would consider a partial waiver where a bidder commits to SLEB participation below
20%. Please also confirm whether the 20% is calculated on the annual allocation only or on the
annual allocation plus the three-month start-up period.
A77: If a bidder recommended for award required a SLEB waiver to deliver the program, ACBHD
would request a SLEB waiver as part of the Board Letter process. There would be no action
required on behalf of the Bidder to obtain the waiver. ACBHD would not consider a partial
waiver in the case of a SLEB sub-contractor, and any provider proposing to meet the SLEB
requirement via subcontracting must ensure that payment to a SLEB-certified provider is equal
20% of the total annual allocation.
Q78: Please confirm whether a bidder that is not SLEB-certified must subcontract at least 20% of
the total estimated bid amount to an SLEB for this procurement, and whether any additional
documentation is required to demonstrate compliance.
A78: Bidders who are not SLEB-certified or SLEB-exempt may chose to subcontract with a
SLEB certified entity, however that is not mandatory.
Q79: Please clarify whether RFP 26-04 requires non-SLEB-certified bidders to subcontract a
minimum percentage of the total contract value to certified Small Local Emerging Businesses
(SLEBs), or whether SLEB participation is limited to the preference points described in Section II.C.
A79: Non-SLEB-certified Bidders that are not exempt from the County’s SLEB requirements
may subcontract with a SLEB in order to meet the SELB requirements. Such Bidders may also
request a waiver by noting such on the SLEB Partnering Information Sheet included in the Bid
Response Packet.
Q80: If a mandatory SLEB subcontracting requirement applies, please confirm the required
percentage, how the percentage is calculated, and whether it applies to the total annual contract
value or only eligible subcontractable services.
A80: See response to Q79. The SLEB sub-contract value would apply to the total annual
allocation.
Q81: Given the specialized nature of juvenile correctional healthcare services, including
professional licensing, security clearances, continuous staffing, and clinical oversight
requirements, will the County consider reducing or waiving SLEB participation requirements when
qualified local subcontractors are unavailable or subcontracting would compromise operational
efficiency or continuity of care?
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RFP #26-04 Juvenile Facilities Medical Services Amendment #1
A81: Yes, ACBHD would consider a SLEB waiver.
Q82: Please confirm whether the current Juvenile Facilities medical services contractor is subject to
SLEB participation requirements and, if applicable, the current approved participation percentage
or waiver status.
A82: The current Contractor is exempt from the County’s SLEB requirements, as a non-profit
community-based organization providing direct services to County residents.
Q83: Please identify which services under the proposed scope of work may qualify toward SLEB
participation, including pharmacy, laboratory, dental, medical supplies, specialty healthcare
services, and other ancillary services. Please also clarify whether purchases from certified local
suppliers may count toward the participation requirement.
A83: All payments made to SLEB certified organization, regardless of service or type of
equipment or supply, would qualify toward SLEB participation.
Q84: Must a SLEB waiver be requested and approved before proposal submission, or may bidders
submit a waiver request with their proposal? Additionally, would a pending waiver request affect
proposal responsiveness, eligibility, or evaluation scoring?
A84: Bidders who are not SLEB-certified at the time their proposal is reviewed would not be
eligible for SLEB preference points (although, depending on their location, they may be
eligible for local preference points). Please see Section II.C (pg. 21 of RFP). ACBHD would
submit a request for SLEB waiver on behalf of any bidder recommended by the County
Selection Committee who is not SLEB-certified or SLEB-exempt. Alameda County has
historically approved SLEB waivers for providers who are not SLEB-certified or SLEB-exempt
and selected through RFPs to provide direct health and human services. If there were to be a
change to this practice, that may delay or impact ACBHD’s ability to move forward with the
contract award.
Q85: Please clarify whether bidders who are not SLEB-certified but obtain an approved waiver
remain eligible for consideration and award without penalty, other than the loss of applicable SLEB
or local preference points.
A85: See response to Q84.
Q86: Are nonprofit healthcare organizations, hospital-affiliated providers, or other specialized
healthcare contractors eligible for exemptions from SLEB participation requirements? If so, please
clarify whether equivalent exemptions or waivers are available to other qualified bidders regardless
of organizational structure.
A86: As noted on the SLEB Partnering and Information Sheet included with the Bid Response
Packet, Bidders are exempt from SLEB requirements if they are: A) a non-profit organization
providing services on behalf of the County directly to County clients/residents; B) a non-profit
church or religious organization; C) a public school or university; or D) a government agency.
Bidders may choose ‘Other’ on the SLEB Partnering and Information Sheet if neither SLEB
option or exemption apply and provide reason.
Q87: Is it mandatory for a firm to utilize a subcontractor? If yes, please define the exact goals and
list the certifications and attachments required from the subcontractor.
A87: No, there is no requirement to utilize a subcontractor.
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RFP #26-04 Juvenile Facilities Medical Services Amendment #1
Q88: Please provide a list of all attachments and forms necessary to include with the proposal.
A88: All necessary attachments and forms are found with the Bid Response Packet, available
here: https://procurement.opengov.com/portal/acgov/projects/314505.
Q89: To be a compliant bidder, kindly clarify the list of forms to be submitted and exact format.
Kindly clarify exact proposal format.
A89: Please see response to Q88.
Q90: Do we need to submit the Certificate of Insurance and Business License with the proposal?
A90: Certificate of Insurance and Business License are not required documents to be
submitted with Bidder proposals.
Q91: Is hard copy submission the only acceptable format, or is electronic submission (via email or
portal) permitted?
A91: Please see cover page of RFP. All proposals must be submitted electronically via the
County of Alameda OpenGov portal.
Q92: Are bidders required to submit live or sample resumes for the job categories listed in the RFP
as part of their proposal response? If yes, please specify the required number of resumes for each
job category and any applicable submission requirements.
A92: No, Bidders are not required to submit live or sample resumes with their proposal
response.
Q93: Could you please clarify whether the five required references must specifically relate to
correctional or juvenile healthcare services, or whether references from other healthcare service
contracts will also be accepted?
A93: References should be those with which the Bidder has worked on a similar scope,
volume, and requirements to those outlined in the RFP.
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RFP #26-04 Juvenile Facilities Medical Services Amendment #1
Company Name and Address Representative Name Contact Information
Alameda County Behavioral Health
Elizabeth Delph Elizabeth.Delph@acgov.org
Department
Alameda County Behavioral Health
Katie Lampi Catherine.Lampi@acgov.org
Department
Alameda County Behavioral Health
Flor Corral Flor.Corral2@acgov.org
Department
Alameda County Behavioral Health
Michiko Ronne
Michiko.Ronne@acgov.org
Department
Alameda County Behavioral Health
Juan.Taizan@acgov.org
Juan Taizen
Department
Correctional Healthcare Partners Mylah Johnson mylah.johnson@chphealth.com
Correctional Healthcare Partners Nicole Lanier nicole.lanier@chphealthcare.com
Correctional Healthcare Partners Melissa Martinez melissa.martinez@chphealth.com
april.moses@chphealth.com
Correctional Healthcare Partners April Moses
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RFP #26-04 Juvenile Facilities Medical Services Amendment #1
jessaporter@generationshealthcare.com
Justice Health Partners Jessa Porter
robertmooney@generationshealthcare.com
Justice Health Partners Robert Mooney
Ryan Bernat rbernat@wellpath.us
Wellpath
Celia Brown Celibrown@wellpath.us
Wellpath
Kim Christie
Wellpath Kchristie@wellpath.us
Wellpath Adolfo Cisnero acisnero@wellpath.us
Wellpath Matt Reaves mreaves@wellpath.us
Wellpath Keri Rubalcava KRubalcava@Wellpath.us
Life Generations Healthcare LLC Thomas Jurbala Thomasjurbala@generationshealthcare.com
19