Sandhills Center issues Request for Proposals for Child and Adolescent Residential Levels II (Program Type) and III
Publication Date: February 21, 2020
Sandhills Center is currently requesting proposals (RFPs) from for-profit and non-profit Child & Adolescent Residential providers to offer services to members whose Medicaid is within the Sandhills Center catchment area. Agencies are not required to be in the current Sandhills Center provider network, nor is the group home required to be located within the Sandhills Center catchment area. If selected through this RFP process, the group home(s) must already be licensed by the North Carolina Division of Health and Service Regulation or eligible/in process of obtaining a 27G.1300 or 27G.1700 license. National accreditation is required for these services; therefore, the provider must already be accredited for mental health residential services for children & adolescents with at least one of the designated accrediting agencies or in process of achieving national accreditation.
Residential treatment provides a structured, therapeutic and supervised environment to improve the level of functioning for beneficiaries. All residential services must be medically necessary, and approval for residential services must meet the criteria determined by the Division of Mental Health, Developmental Disabilities and Substance Abuse Service Definitions.
Residential Level II (Program Type): This level of service is responsive to the need for intensive, interactive and therapeutic interventions, which still fall below the level of staff secure/24-hour supervision or secure treatment settings. A minimum of one staff person is required per four beneficiaries at all times. The staff is not necessarily awake during sleep time but must be constantly available to respond to a beneficiary’s needs, while beneficiaries are involved in educational, vocational, social or other activities, except for periods of planned respite.
- This service in the Program setting includes individualized and intensive supervision and structure of daily living designed to minimize the occurrence of behaviors related to functional deficits to ensure safety during the presentation of out-of-control behaviors or to maintain an optimum level of functioning.
Residential Level III: This level of service is responsive to the need for intensive, active therapeutic interventions, which requires a staff-secure treatment setting in order to be successfully implemented. This setting has a higher level of consultative and direct service from psychologists, psychiatrists, medical professionals, etc. Staff are awake during sleep hours, and supervision is continuous.
- Consultative and treatment services at a qualified professional level shall be provided four hours per child per week. Individualized, intensive and constant supervision and structure of daily living designed to minimize the occurrence of behavior-related functional deficits that ensure safety and contain out-of-control behaviors to include intensive and frequent crisis management that maintains optimum level of functioning. Providers make efforts to contain and actively confront inappropriate behaviors and assist beneficiaries in unlearning maladaptive behaviors. Providers build relationships to support the beneficiary in managing the stress and discomfort associated with the process of change and maintenance of gains achieved earlier and specifically planned and implemented therapeutically focused interactive designed to assist the beneficiary in correctingvarious patterns of grossly inappropriate interpersonal behavior as needed. Additionally, providers should demonstrate significant skill in maintaining positive relationships in interpersonal dynamics, which typically provoke rejection, hostility, anger and avoidance.
POPULATION TO BE SERVED
Residential Level II (Program Type): Targeted to children under age 21 that offers a moderate to high structured and supervised environment in a program type setting. The beneficiary is eligible for this service when medically stable but may need some intervention to comply with medical treatment; the beneficiary’s identified needs cannot be met with Family Type Residential Treatment Level I services; and the beneficiary is experiencing the presence of severe affective, cognitive or behavioral problems or intellectual/developmental delays/disabilities.
Residential Level III: Targeted to children under age 21 that offers a highly structured and supervised environment in a program setting only. The beneficiary is eligible for this service when medically stable but may need significant intervention to comply with medical treatment; the beneficiary’s identified needs cannot be met with Family/Program Residential Treatment service; and the beneficiary is experiencing the presence of severe affective, cognitive or behavioral problems or intellectual/developmental delays/disabilities.
For more information on the Clinical Coverage policies for Child & Adolescent Residential Levels II (Program Type) and III, please visit the NC DMA website by clicking here: https://files.nc.gov/ncdma/documents/files/8D-2_0.pdf.
The complete Sandhills Center RFP form can be found here.