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Open Development Period - Winter 2017

Limited Special Project – Early Start Specialized Therapeutic Services, Service Code 116
Location: Antelope Valley ONLY

Project Overview
The Community Services Department of the North Los Angeles County Regional Center (NLACRC) is releasing this Request for Proposal (RFP) to seek qualified individuals who are licensed as Speech-Language Pathologists, Occupational Therapists, or Physical Therapists with at minimum one year of pediatric experience to support infants and toddlers from birth through 36 months who have been found eligible for Early Start services.

All services are to be delivered in the child’s home in the Antelope Valley, which includes the following regions: Lancaster, Palmdale, Lake Los Angeles, Quartz Hill, Antelope Acres, Acton, Lake Hughes, Little Rock, Pearblossom, and any other Antelope Valley region served by North Los Angeles County Regional Center. This is the ONLY area eligible to receive Early Start Specialized Therapeutic Services under the 116 Service Code.

All services are delivered physically face to face, and not by any electronic means.

Early Start Specialized Therapeutic Services, Service Code 116, Service Description is as follows:
“A regional center shall classify an individual as an Early Start Therapeutic Services provider if the person provides services for consumers aged birth to 36 months who require specialized services, as deemed necessary based on informed clinical opinion. These services must be identified in the Individualized Family Service Plan. Early Start Specialized Therapeutic Services include, but are not limited to: services necessary to increase or maintain health and/or developmental progress; and, when provided as ancillary to these services, family and/or individual education and training; family support and counseling; provider travel; interagency consultation; and consultation with and training for other involved professionals. Vendors shall be individuals offering these services, and shall ensure possession of licenses, certifications, and/ or credentials as required by the State of California to practice in the field being offered. In addition, the vendor shall have at a minimum, one year’s experience working with persons with developmental disabilities”.

>> View the Limited Special Project – Early Start Specialized Therapeutic Services, Service Code 116 RFP

Individuals to be Served
Infants and toddlers from birth through the age of 36 months with a developmental delay of 33% or more in one or more of the following five areas: cognitive development; physical and motor development, including vision and hearing; communication development; social and emotional development and adaptive development.

Infants and toddlers with established risk conditions, of known etiology or with established harmful developmental consequences.

Infants and toddlers who are at high risk of having substantial developmental disability due to a combination of biomedical risk factors.

Proposed Models of Service
Individuals who are licensed Speech Pathologists, Occupational Therapists, or Physical Therapists with at least one year of pediatric experience will deliver assessment services and one to one therapy to children under the age of three in the child’s home. Occasionally when clinically appropriate for an individual child, services may be delivered in a professional clinic setting where the therapist practices in the community.

Individual therapists must be able to complete an accurate and detailed assessment and submit a written report no later than 7-14 days from the initial visit.

Developmental evaluations if requested must be completed using a standardized tool, (i.e., Gesell, Bayley III, DAYC, Mullens, etc.). Progress reports are due on a semi-annual basis. Developmental evaluations and subsequent progress reports should highlight development profile and evaluations must indicate developmental levels at all times. Closing reports must also be completed using a standardized tool such as those listed above for evaluations.

MINIMUM QUALIFICATIONS FOR APPLICANTS
A Physical Therapist must meet regulatory requirement for vendorization under Service Code 772, Physical Therapy. Title 17, §54342(a)(61) states:

“A regional center shall classify a vendor as a provider of physical therapy services if the vendor is:

(A) A physical therapist who is validly licensed by the Physical Therapy Examining Committee of the Medical Board of California and who, under medical supervision, treats individuals to relieve pain, develop or restore motor function, and maintain performance by using a variety of physical means”

In addition to Title 17 requirements, it is required that applicants have at minimum one year of pediatric experience.

A Speech-Language Pathologist must meet regulatory requirements for vendorization under Service Code 707, Speech Service Code 707, Speech Language Pathology. Title 17, §54342(a)(75) states:

“A regional center shall classify a vendor as a provider of speech pathology services if the vendor is:

(A) A speech pathologist who is validly licensed as a speech pathologist by the Speech Pathology and Audiology Examining Committee of the Medical Board of California and provides

1. Diagnostic screening and

2. Preventative and corrective therapy for persons with speech or language disorders.”

In addition to Title 17 requirements, it is required that applicants have at minimum one year of pediatric experience.

An Occupational Therapist must meet regulatory requirements for vendorization under Service Code 773, Occupational Therapy. Title 17, Section 54342 (a)(53) states:

“A regional center shall classify a vendor as a provider of occupational therapy if the vendor is:

(A) An occupational therapist validly licensed by the California Board of Occupational Therapy and who, based on the written prescription of a physician, dentist or podiatrist, provides occupational therapy evaluation, treatment planning, treatment, instruction and consultative services”.

In addition to Title 17 requirements, it is required that applicants have at minimum one year of pediatric experience.

Per regulations, (Title 17, Section 54326 (a)(1), “All vendors shall be prohibited from transferring vendorization of their service to another person or entity”) all individual therapists vendored are the only ones eligible to provide services under the 116 service code.

Rate of Reimbursement
Rates for services are as follows:

 Service  Rate
 Assessment (two hours)  $100 per hour
 Assessment (four hours-includes developmental)  $100 per hour
 Direct Services-face to face  $90.01 per hour
 Individual Bilingual Speech( assessment and direct)  $103.75 per hour
 Mileage (if over ten miles)  $.50 per mile


ADMISSION CRITERIA
Infants and toddlers from birth through two years of age for whom a need for early intervention services, as specified in the federal Individuals with Disabilities Education Improvement Act (20 U.S.C. Sec 1431 et seq.) and applicable regulations, is documented by means of assessment and evaluation as required in Sections 95016 and 95018 and who meet one of the following criteria:

1) Infants and toddlers from birth through 36 months of age with a developmental delay of 33% or more in one or more of the following five areas: cognitive development; physical and motor development, including vision and hearing; communication development; social and emotional development and adaptive development.

2) Infants and toddlers with established risk conditions, of known etiology or with established harmful developmental consequences.

3) Infants and toddlers who are at high risk of having substantial developmental disability due to a combination of biomedical risk factors.

North Los Angeles County Regional Center (NLACRC) appreciates your interest in responding to the Fiscal Year (FY) 2016-2017 Request for Proposals and open periods of resource development.

SUBMISSION OF PROPOSALS
All proposals must conform to the attached Proposal Writing Guidelines and Content Requirements. The applicant must submit the completed proposal as one electronic copy to resourcedevelopment@nlacrc.org. No fax copies will be accepted. The proposals must be complete, typewritten, collated, and page numbered. No proposals will be accepted after the deadline.

DEADLINE FOR SUBMISSION OF PROPOSALS
Ongoing until resource need declines.

RESERVATION OF RIGHTS:
NLACRC reserves the right to request or negotiate changes in a proposal, to accept all or part of a proposal, or to reject any or all proposals. NLACRC reserves the right to withdraw this Request for Proposal (RFP) and/or any item within the RFP at any time without notice. NLACRC reserves the right to disqualify any proposal which does not adhere to the RFP guidelines. This RFP is being offered at the discretion of NLACRC. There are no start-up funds associated with these RFP’s.

NLACRC PROPOSAL WRITING GUIDELINES
The applicant is required to submit an electronic copy in a word compatible document. An application will be disqualified from consideration for failure to follow instructions, complete documents, submit required documents or meet the submission deadline. All proposals submitted must adhere to the following requirements:

• Use Standard size format so proposal will print out on a standard 8 ½ x 11 paper

• Proposal must be typed using a standard font (12).

• Complete submission must not exceed a total of 30 pages, excluding cost statement and DS1891.

• Every page must be numbered consecutively.

• The “Proposal Title Page” must be the first page of the proposal.

• The proposal must include a Table of Contents that corresponds to Content Requirements.

• All sections of the Content Requirements must be addressed in the proposal.


CONTENT REQUIREMENTS

1. PROPOSAL TITLE PAGE
Provide the name, address and telephone number of the applicant. If the applicant is a corporation, list the principal members of the corporation and include verification of incorporation in California. Identify the author(s) of the proposal. List any parties who participated in writing all or part of the proposal.

2. TABLE OF CONTENTS

3. STATEMENT OF OBLIGATION

4. APPLICANT’S EXPERIENCE & BACKGROUND INFORMATION
a. Provide a 1-2 page summary of the applicant’s qualifications which details education, knowledge and experience providing services to persons with developmental disabilities, and which includes a brief description of applicant’s experience in developing and operating the type of project for which you are submitting a proposal.

b. Provide a copy of your resume with at least two (2) references with addresses and telephone numbers, and a statement permitting that references may be verified by NLACRC. Applicants should be aware that the selection committee will contact references or other sources to corroborate any information provided in the proposal.

5. EXECUTIVE SUMMARY
BRIEFLY address the following elements:

a. Philosophy and Statement of Purpose in regards to specific service/development/project you are applying for

b. The programs instructional strategies, techniques and intervention methods to be utilized.

c. Anticipated individual’s outcomes

d. Operations/Location
- Office location and hours
- Area/location of services and hours

e. Describe your orientation to continuous quality improvement, learning and self-evaluation as it relates to this service.

6. BUSINESS PLAN

7. NLACRC COST STATEMENT

8. DS1890 VENDOR APPLICATION FORM (COVER SHEET)

9. DS 1891 APPLICANT/VENDOR DISCLOSURE STATEMENT
Every applicant or vendor must complete and submit a current Applicant/Vendor Disclosure Statement, DS 1891 (disclosure statement) which discloses information about each service provider’s ownership as part of the complete application packet for vendorization or upon request of the vendoring regional center. Overall Authority: Code of Federal Regulations (CFR), Title 42, Part 455; California Code of Regulations, Title 17 Section 54311. Welfare and Institutions Code, Section 4648.12.

10. STATEMENT OF EQUITY AND DIVERSITY
a. Provide a statement outlining applicant’s plan to serve diverse populations, including, but not limited to, culturally and linguistically diverse populations.

b. Provide examples of applicant’s commitment to addressing the needs of those diverse populations.

c. Provide any additional information that the applicant deems relevant to issues of equity and diversity.

Last updated: 1/4/2017 11:11:38 AM