grant funding opportunity announcement
TRANSCRIPT
STATE OF WISCONSIN
DEPARTMENT OF HEALTH SERVICES
GRANT FUNDING OPPORTUNITY
ANNOUNCEMENT
GFO-SA20175OMTC
Opioid and Methamphetamine
Treatment Centers
PROPOSALS MUST BE RECEIVED BY 11/17/2017 4:00 PM CT
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LATE PROPOSALS WILL BE REJECTED
FAXED OR EMAILED PROPOSALS WILL NOT BE ACCEPTED
TABLE OF CONTENTS
TABLE OF CONTENTS ......................................................................................................................... 2
DEFINITIONS .......................................................................................................................................... 4
1 INTRODUCTION AND PURPOSE ............................................................................................... 7
1.1 PURPOSE AND SCOPE OF WORK .......................................................................................... 7
1.2 BACKGROUND/HISTORY ....................................................................................................... 8
1.3 CONTRACT TERM .................................................................................................................. 10
1.4 NUMBER OF CONTRACTS .................................................................................................... 10
1.5 COMMUNICATIONS .............................................................................................................. 11
1.6 REASONABLE ACCOMMODATIONS .................................................................................. 12
2 VENDOR QUALIFICATIONS ..................................................................................................... 12
2.1 ELIGIBLE APPLICANTS ........................................................................................................ 12
2.2 CERTIFICATION ..................................................................................................................... 12
2.3 CAPACITY FOR MEDICATION ASSISTED TREATMENT ................................................ 13
3 REQUIREMENTS .......................................................................................................................... 13
3.1 PROGRAM DESIGN AND METHODOLOGY (25 POINTS) ................................................. 14
3.2 GOALS, OBJECTIVES, AND PERFORMANCE EXPECTATIONS (20) .............................. 17
3.3 WORK PLAN (20 POINTS) ...................................................................................................... 18
3.4 ORGANIZATIONAL EXPERIENCE AND CAPACITY (15 POINTS) .................................. 18
3.5 REPORTING, PERFORMANCE MEASUREMENT, & QUALITY IMPROVEMENT (10
POINTS) .................................................................................................................................... 19
3.6 BUDGET (10 POINTS) ............................................................................................................. 20
4 CONTRACT TERMS AND CONDITIONS ................................................................................ 22
4.1 ORDER OF PRECEDENCE ..................................................................................................... 22
4.2 PAYMENT FOR SUBAWARD ................................................................................................ 22
4.3 REPORTING ............................................................................................................................. 23
4.4 FEDERAL AND STATE RULES AND REGULATIONS ....................................................... 23
4.5 GENERAL PROVISIONS ........................................................................................................ 24
4.6 ACCOUNTING REQUIREMENTS ......................................................................................... 24
4.7 CHANGES IN ACCOUNTING PERIOD ................................................................................. 25
4.8 AUDITS ..................................................................................................................................... 25
4.9 OTHER ASSURANCES ........................................................................................................... 28
4.10 RECORDS ................................................................................................................................. 29
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4.11 DISPUTE RESOLUTION ......................................................................................................... 29
4.12 FINAL REPORT DATE ............................................................................................................ 30
4.13 INDEMNITY ............................................................................................................................. 30
4.14 CONDITIONS OF THE PARTIES’ OBLIGATIONS ............................................................... 30
4.15 GOVERNING LAW .................................................................................................................. 30
4.16 SEVERABILITY ....................................................................................................................... 31
4.17 ASSIGNMENT .......................................................................................................................... 31
4.18 ANTI-LOBBYING ACT ........................................................................................................... 31
4.19 DEBARMENT OR SUSPENSION ........................................................................................... 31
4.20 DRUG FREE WORKPLACE .................................................................................................... 31
4.21 SPECIAL PROVISIONS ........................................................................................................... 32
4.22 MODIFICATIONS OF CONTRACT ........................................................................................ 32
4.23 STANDARD TERMS AND CONDITIONS ............................................................................. 32
4.24 USE OF SUBCONTRACTORS ................................................................................................ 32
4.25 BACKGROUND CHECKS ....................................................................................................... 32
4.26 WORK RULES .......................................................................................................................... 33
4.27 REPLACEMENT OF CONTRACTOR PERSONNEL ............................................................. 33
4.28 PRIVACY AND CONFIDENTIAL INFORMATION .............................................................. 33
4.29 RECOVERED MATERIALS .................................................................................................... 34
4.30 CIVIL RIGHTS COMPLIANCE ............................................................................................... 34
4.31 BUSINESS ASSOCIATE AGREEMENT ................................................................................ 34
4.32 AFFIRMATIVE ACTION ......................................................................................................... 34
4.33 CERTIFICATES OF INSURANCE .......................................................................................... 34
4.34 LOBBYING ACTIVITY CERTIFICATION ............................................................................ 35
4.35 CANCELLATION AND TERMINATION ............................................................................... 35
5 PROPOSAL PROCEDURE AND INSTRUCTIONS ................................................................. 37
5.1 CALENDAR OF EVENTS ........................................................................................................ 37
5.2 INTENT TO RESPOND ............................................................................................................ 37
5.3 VENDOR QUESTIONS AND CLARIFICATIONS ................................................................. 37
5.4 FAXED OR EMAILED PROPOSALS ...................................................................................... 38
5.5 SUBMITTING A PROPOSAL .................................................................................................. 38
5.6 FORMAT OF PROPOSAL RESPONSE ................................................................................... 39
5.7 RESPONSE ORGANIZATION AND CONTENT ................................................................... 39
5.8 MULTIPLE PROPOSALS ........................................................................................................ 39
5.9 INCURRING COSTS ................................................................................................................ 39
5.10 WITHDRAWAL OF PROPOSALS .......................................................................................... 40
6 SELECTION AND AWARD PROCESS...................................................................................... 40
6.1 PRELIMINARY REVIEW AND ACCEPTANCE OF PROPOSAL ........................................ 40
6.2 EVALUATION CRITERIA ...................................................................................................... 40
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6.3 METHOD OF AWARD ............................................................................................................. 40
6.4 RIGHT TO REJECT PROPOSALS ........................................................................................... 41
6.5 INTENT TO AWARD NOTIFICATION .................................................................................. 41
7 REQUIRED FORMS AND ADDITIONAL DOCUMENTATION ........................................... 41
DEFINITIONS
For the purposes of this Grant funding opportunity and resulting Contract(s), the following definitions of
terms shall apply, unless otherwise indicated.
Agency, Department, or DHS: The Wisconsin Department of Health Services
Contract or Agreement: The written agreement between the successful Vendor and the State covering the goods
and services to be performed pursuant to this GRANT SOLICITATION
Contract Administrator: The DHS employee responsible for the implementation, administration, and completion
of the Contract
Contract Manager: The DHS employee responsible for oversight of the implementation, administration, and
completion of the Contract
Day: A calendar day, unless specifically identified as a business day
Grantee:
Person or entity that has been awarded the Contract as a result of this Proposal, and who
is required to provide the agreed upon goods and/or services. The term Grantee is used
throughout this document in lieu of Contractor
Grant Solicitation: A Grant funding opportunity announcement
Grant Efficiency: Total dollars budgeted divided by total number of people served
Procuring Agency: The Wisconsin Department of Health Services
State: The State of Wisconsin
Subcontractor:
A third party contractually engaged by the awarded Grantee to assist in the provision of
goods or services enumerated in this solicitation and for which awarded Grantee has
contracted with the Department to provide or perform
Vendor: Person or firm submitting a response to a solicitation and a set of specifications. The term
Vendor is used throughout this document in lieu of Grantee or Proposer
ASAM: American Society of Addiction Medicine
ASAM Criteria:
Multi-dimensional assessment and continuum of care criteria from ASAM, for the
objective decision-making regarding patient admission, continuing care, and
transfer/discharge for individuals with addictive, substance-related, and co-occurring
conditions
DATA 2000 Waived
Physician:
The Drug Addiction Treatment Act of 2000 enables qualifying physicians to receive a
waiver allowing a qualifying physician to practice medication-assisted opioid addiction
therapy with Schedule III, IV, or IV narcotic medications.
Department / DHS: The Wisconsin Department of Health Services
Division / DCTS: The Division of Care and Treatment Services that administers mental health and
substance abuse policy in Wisconsin
DOA: The Wisconsin Department of Administration
HIPAA: The Health Insurance Portability and Accountability Act of 1996
HIPAA/HITECH:
The Health Information Technology for Economic and Clinical Health Act (HITECH
Act) legislation was created in 2009 to stimulate the adoption of electronic health records
(EHR) and supporting technology in the United States.
Individual/Family Psycho-
education:
Education offered to individuals and their families with a mental health or substance
abuse condition to help empower them and deal with their condition in an optimal way
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Interim Services or Interim
Substance Abuse Services:
The Code of Federal Regulations, Title 45: Part 96.121 (4) defines Interim Services or
Interim Substance Abuse Services as services that are provided until an individual is
admitted to a substance abuse treatment program. The purposes of the services are to
reduce the adverse health effects of such abuse, promote the health of the individual, and
reduce the risk of transmission of disease. At a minimum, interim services include
counseling and education about HIV and tuberculosis (TB), about the risks of needle-
sharing, the risks of transmission to sexual partners and infants, and about steps that can
be taken to ensure that HIV and TB transmission does not occur, as well as referral for
HIV or TB treatment services if necessary. For pregnant women, interim services also
include counseling on the effects of alcohol and drug use on the fetus, as well as referral
for prenatal care.
Methamphetamine Treatment
Center (MTC):
An organization that provides comprehensive behavioral health services to individuals
with an addiction to methamphetamine
MBE: Is defined as Minority Business Enterprise
NOMs: National Outcome Measures from SAMHSA for measuring program effectiveness
OBOT: Office-Based Opioid Treatment that provides medication assisted treatment that uses
sublingual buprenorphine with or without naloxone
Opioid Treatment Center
(OTC):
An organization that includes a physician who administers or dispenses a narcotic drug to
a narcotic addict for treatment or detoxification treatment with a comprehensive range of
medical and rehabilitation services that is approved by the State Opioid Treatment
Authority (SOTA) and the designated federal regulatory authority and registered with the
US Drug Enforcement Administration to use a narcotic drug for the treatment of narcotic
addiction
Plan-Do-Study-Act (PDSA): A means by which to assess continuous quality improvement throughout an agency
Peer Services: Recovery support provided in an empathic manner through shared lived experience
Program Participation System
(PPS):
State data reporting system
Recovery Oriented Systems
of Care (ROSC):
A coordinated network of community-based services and supports that is person-centered
and builds on the strengths and resiliencies of individuals, families, and communities to
achieve abstinence and improved health, wellness, and quality of life for those at risk of
alcohol and drug problems
Recovery Support Services: The process of giving and receiving non-professional, non-clinical assistance to achieve
long-term recovery from alcohol and or other drug-related problems
Region:
A Region is the service area of the proposed treatment services covering a specific area of
the state that encompasses the geographic area of at least two or more counties and the
Tribal Lands therein. The proposed treatment center cannot exclude people to be served
based on the individual’s specific county residence or on membership in a particular
Tribal Nation.
Service Facilitation: Any activity that ensures the consumer receives assessment services, service planning,
service delivery, and supportive activities in an appropriate and timely manner
STR: State Targeted Response to the Opioid Crisis. Federal funds allocated by SAMHSA for
the development of services to combat the opioid crisis
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State Opioid Treatment
Authority (SOTA):
Person designated within the Department’s Bureau of Prevention Treatment and
Recovery which is the state agency designated by the governor pursuant to 42 CFR 8.2 to
exercise the responsibility and authority within Wisconsin for governing the treatment of
narcotic addiction with a narcotic drug
Trauma:
Trauma refers to extreme stress that overwhelms a person's ability to cope. It can be a
single event, a series of events, or a chronic condition such as childhood neglect or
domestic violence.
Trauma-Informed Care (TIC):
Trauma-Informed care (TIC) is an approach to engaging people with histories of trauma
that recognizes the presence of trauma symptoms and acknowledges the role that trauma
has played in their lives.
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1 INTRODUCTION AND PURPOSE
1.1 PURPOSE AND SCOPE OF WORK
Purpose
The Wisconsin Department of Health Services (DHS) is seeking proposals for creating additional opioid
treatment and methamphetamine treatment centers, and intends to use the results of this process to award
at least three grant agreements.
This grant funding opportunity is to comply with the 2017 Wisconsin Act 27:
“To amend 51.422 (title), 51.422 (1) and 51.422 (2) of the statutes; relating to: creating
additional opioid and methamphetamine treatment centers and making an appropriation.
(1) PROGRAM CREATION. The department shall create 2 or 3 additional regional
comprehensive opioid and methamphetamine treatment centers to provide treatment for opioid
and opiate and methamphetamine addiction in underserved, high-need areas. The department
shall obtain and review proposals for opioid and methamphetamine treatment centers in
accordance with its grant solicitation procedures. A program under this section may not offer
methadone treatment.
(2) PROGRAM COMPONENTS. An Opioid Treatment Center (OTC) and Methamphetamine
Treatment Center (MTC) created under this section shall offer an assessment to individuals in
need of service to determine what type of treatment is needed.
The program shall transition individuals to a licensed residential program, if that level of
treatment is necessary.
The program shall provide counseling, medication-assisted treatment, including both
long-acting opioid antagonist and partial agonist medications that have been approved by
the federal food and drug administration, and abstinence-based treatment.
The program shall transition individuals who have completed treatment to county-based
or private post-treatment care.”
The purpose of this document is to provide interested parties with information to enable them to prepare
and submit an application to implement and operate from one to three Opioid and Methamphetamine
Treatment Centers. The Department of Health Services (DHS) intends to use the results of this
solicitation to award at least three grant agreements for OTC/MTC that meet federal and state
requirements.
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Scope
The Department of Health Services (DHS) represented by the Division of Care and Treatment Services
(DCTS) invites counties, tribal governments, and non-profit agencies to submit proposals for the
development and implementation of regional Opioid and Methamphetamine Treatment Center(s).
DCTS is seeking through this Grant Solicitation at least one comprehensive treatment center to be sited
within one of the 11 Western/Northwestern counties with the highest need and underserved areas for
methamphetamine treatment. Those counties are: Barron, Burnett, Douglas, Dunn, Eau Claire, La
Crosse, Pierce, Polk, Rusk, St. Croix, or Sawyer.
At least two Opioid Treatment Centers (funded by the federal State Targeted Response (STR) to the
Opioid Crisis grant) are being sought to serve the following highest need and underserved areas for
opioid treatment: Adams, Dodge, Juneau, Manitowoc, and Marquette. Second priority high need and
underserved target areas include: Kenosha, Racine, and Rock Counties.
The Department of Health Services vision of this Grant Solicitation Request is to:
Increase geographic access to addiction treatment and recovery support services in high need and
underserved areas in Wisconsin
Provide regional, evidence-based, trauma-informed, and effective stabilization, residential
detoxification services and treatment services for people with methamphetamine or opioid
addiction, including Medication-Assisted Treatment (MAT) for individuals with Opioid Use
Disorder (OUD)
Increase retention in services, improve quality of life and reduce relapse (re-occurrence of
symptoms)
Reduce the number of deaths associated with opioid and methamphetamine addiction in the
service area of the programs
Reach out to untreated opioid and methamphetamine addicted women and people who inject
drugs, and offer priority admission to pregnant women, and people who inject drugs, and
Reduce the number of infants affected by the misuse of opioids and methamphetamines.
1.2 BACKGROUND/HISTORY
Currently the United States accounts for 4.6% of the world’s population yet consumes 80% of the global
opioid supply. Vicodin is the most prescribed medication in the Unites States and accounts for 99% of
all globally produced hydrocodone (International Narcotics Control Board Report 2008, United Nations
Publications, 2009).
For many prescription opioid users, the shift to illegal and highly addictive heroin use is swift and of
growing concern. Heroin is a cheaper more readily available option when prescription supplies dwindle
or when the cost of medication is prohibitive. While 25-34 year-olds remain the largest group of opioid
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abusers, it is the 18-24 year-olds that are the fastest growing group of opioid users. Wisconsin sample
survey data from the National Survey on Drug Use and Health shows that 4.3% of Wisconsin adults
report using heroin or another opioid (for nonmedical purposes) in the past year. This represents 163,300
Wisconsin adults. Among young Wisconsin adults age 18-25, the rate of past year use of opioids is 11%
or 68,600 persons.
Between the years 2000-2012, Wisconsin saw a 333% increase in deaths involving prescription opioids.
In 2004, 36 Wisconsin counties reported no opioid-related deaths, while in 2012 only 17 Wisconsin
counties reported no opioid-related deaths. The prevalence of prescription drug abuse has resulted in a
rise in treatment admission for prescription drug dependence and addiction. Between the years 2008-
2011, the number of treatment admissions for opioids other than heroin grew 43.9%. In 2013, there were
6,600 patients receiving medication-assisted treatment at Opioid Treatment Programs in Wisconsin.
In January 2017, the Federal Bureau of Investigation (FBI) and Wisconsin Department of Justice (DOJ)
issued a joint study on the use of methamphetamine (meth) in Wisconsin. Based on arrests, case filings,
and crime lab submissions, meth use in the state increased 250% -300% between 2011 and 2015.
Western Wisconsin and rural areas of the state are seeing the most concentrated use of
methamphetamine. The report was a collaborative effort between the FBI, Wisconsin Statewide
Intelligence Center, and DOJ. Data was contributed by 96 organizations, including law enforcement,
district attorneys, social services, and private organizations.
In 2007, the economic cost of illicit drug use totaled more than $193 billion in the United States. The
direct and indirect costs attributable to illicit drug use are estimated in three principal areas: crime,
health and medical care, and productivity. Wisconsin’s share of this cost is estimated to be at least $2
billion based upon admissions to drug abuse treatment (The Economic Impact of Illicit Drug Use on
American Society, National Drug Intelligence Center, United States Department of Justice, Washington
D.C., 2011). A separate 2001 study estimated the economic cost of heroin abuse alone in the United
States at $21.9 billion or about $220 million for Wisconsin (Tami L. Mark, T.L., Woody, G.E., Juday,
T., & Kleber, H.D., The Economic Costs of Heroin Addiction in the United States. Drug and Alcohol
Dependence, 61: 195-206, 2001).
Opioid and methamphetamine disorders are complex health conditions that often require long-term
treatment and recovery supports. The primary purpose of the proposed OTC/MTCs is to reduce health
and social consequences and to improve the well-being and social functioning of people affected by
opioid and methamphetamine dependence. The main objectives of treating and rehabilitating persons
with opioid and methamphetamine use disorder are to:
Reduce dependence on illicit drugs
Reduce the morbidity and mortality caused by the use of illicit opioids and methamphetamines,
as well as the risks associated with their use, such as infectious diseases
Improve physical and psychological health
Reduce criminal behavior
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Facilitate reintegration into the workforce and education system, and
Improve social functioning.
As no single treatment is effective for all individuals with opioid or methamphetamine dependence,
diverse treatment options are needed, including psychosocial approaches and pharmacological treatment.
Services provided within the OTC/MTC’s should be client-centered to determine the best fit for each
individual. These options may include withdrawal management services, abstinence-based services, and
medication-assisted treatment along with behavioral health counseling. OTC/MTCs should also be
familiar with and work towards implementing Recovery Oriented Systems of Care (ROSC). More
information regarding ROSC can be found within the Substance Abuse and Mental Health Services
Administration website at: http://www.samhsa.gov/sites/default/files/rosc_resource_guide_book.pdf. In
addition, all attempts should be made to provide a warm handoff back to the client’s community for
service continuation.
In 2013 Wisconsin Act 195 enacted the creation of up to three Opioid Treatment Programs. This Grant
Solicitation Opportunity, authorized by 2017 Wisconsin Act 27, will expand on the number of existing
Opioid Treatment Programs, adding up to a minimum of three new OTC/MTCs in high need and
underserved areas of Wisconsin.
1.3 CONTRACT TERM
The grant shall be effective on the date indicated in the contract and shall run for one year from that date
with an option by mutual agreement of the Department and contractor, to renew for up to four additional
- one year funding cycles. Renewal of the contract for years two through five will be based upon the
Proposer’s satisfactory performance, audit findings, and the availability of funds. Funding levels for
successful Proposers in years two through five are not guaranteed to remain at the funding level for the
first year of the agreement. The expectation is that through the five years of funding the successful
Proposer will gradually enhance their ability to generate program revenue to maintain the level of
services throughout the potential five years of funding. Following the fifth year of funding, the
expectation is the project will have completed the development of the services and systems of billing
appropriate insurers to sustain the project. The successful applicant must demonstrate their plan for
sustainability beyond the funding period. Proposers are advised that should additional state or federal
funds become available, the Division may utilize the results of this grant funding opportunity for
additional awards.
1.4 NUMBER OF CONTRACTS
It is the intention of the Department to award multiple contracts for the services required in this
solicitation. However, the grantee(s) shall not have exclusive rights to provide all services covered under
the Contract during the term of the Contract(s) or any extension thereof.
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The total amount of funds available through this grant solicitation is $2,008,000 for each approved
contract year of which $1,008,000 is from STR and $1,000,000 is allocated from General Purpose
Revenue (GPR).
A maximum of $666,667 is available for a minimum of one applicant to provide regional comprehensive
addiction treatment services in the following high need and underserved methamphetamine areas:
Barron
Burnett
Douglas
Dunn
Eau Claire
La Crosse
Pierce
Polk
Rusk
St. Croix
Sawyer
A total of $1,341,333 is available for a minimum of two regional Opioid Treatment Centers funded by
the federal State Targeted Response to the Opioid Crisis grant to provide addiction treatment services in
the following high need and underserved areas:
Primary Priority High Need Regions
Adams
Dodge
Juneau
Manitowoc
Marquette
Secondary High Need Regions
Kenosha
Racine
Rock
The maximum award for any one regional addiction treatment center grantee is $666,667 through this
grant funding announcement opportunity.
1.5 COMMUNICATIONS
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All communication and/or questions on all matters regarding this Proposal must be made in writing and
refer to Grant Solicitation number GFO-SA20175OMTC and be directed to the DCTS Contract
Administrator:
David Nelson
608-266-8113
Any contact or communication with any employee or officer of the State of Wisconsin concerning this
Grant solicitation except the Contract Administrator is strictly prohibited from the date this grant
solicitation is released until the date the notice of intent to award is issued. Vendors who hold a current
Contract with DHS may continue to communicate with the appropriate Contract Administrator regarding
the performance of that current Contract.
1.6 REASONABLE ACCOMMODATIONS
The Department will provide reasonable accommodations, including the provision of informational
material in an alternative format for qualified individuals with disabilities upon request. If a Vendor
needs accommodations at the outset of this solicitation process, please contact the Contract
Administrator.
2 VENDOR QUALIFICATIONS
All Vendor qualifications in this section are mandatory. Failure to meet a qualification will disqualify
your Proposal. However, DHS reserves the right to waive any qualification if no Vendor is able to
satisfy that qualification.
Before the award of any Contract, the Department shall be satisfied that the Vendor has sufficient
qualified resources available for performing the work described in this Proposal. It is the Vendor’s
responsibility to acquaint the Department with these qualifications by submitting appropriate or
supporting documentation.
2.1 ELIGIBLE APPLICANTS
Applicant must be a governmental organization including county, tribal nation, municipality, or a non-
profit organization.
2.2 CERTIFICATION
Applicant must demonstrate in their application that they have the capacity to provide substance use
disorder assessments and level of care determinations either by an existing DHS-certified Chapter DHS
75.13 Outpatient Treatment Service or an established DHS-certified subcontracted Chapter DHS 75.13
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substance abuse outpatient treatment provider. This provision is required in order to maximize both the
federal and state grant funds available during this contract period and to expedite the provision of
services to people in need.
Chapter DHS 75 Community Substance Abuse Service Standards is available via this website:
http://docs.legis.wisconsin.gov/code/admin_code/dhs/030/75.pdf. Refer to this website for 75.13 and
75.07 requirements. The application to become a certified 75.13 Outpatient Treatment Service is form
F-00544 and can be found at this website: https://www.dhs.wisconsin.gov/regulations/aoda/outpatient-
treatment.htm
Other addiction treatment services that may be provided or contracted for must be provided through
DHS-certified providers. For services outside of the Outpatient Level of Care, the agency must develop
the capacity to provide or contract for those services based on the needs of enrolled clients. However,
the applicant does not have to provide the documentation for other service levels at the time of
application. For further information on other residential levels of care, the application to become a
certified 75.07 Medically-Monitored Stabilization and Residential Detoxification Service is form F-
00519 and can be found at this website: https://www.dhs.wisconsin.gov/regulations/aoda/residential-
detox-cont.htm
2.3 CAPACITY FOR MEDICATION ASSISTED TREATMENT
Applicant must demonstrate that they will have adequate capacity to provide Medication-Assisted
Treatment (MAT) for Opioid Use Disorder through appropriately licensed DATA Waived physician(s),
Nurse Practitioner, and/or Physician’s Assistant licensed to provide services in Wisconsin within four
months of grant award.
3 REQUIREMENTS
This section is the “what are you going to do” overview to address the vision of this program over the
next five years. In other words, how will we know you have fulfilled the vision of this grant, provided
funding is available?
Agencies submitting applications must propose to develop new regional community-based substance use
disorder and mental health services for individuals affected by opioids and methamphetamines. DHS is
seeking at least one applicant to provide a Comprehensive Methamphetamine and Opioid Treatment
Center (MTC/OTC) within high need and underserved methamphetamine addiction treatment areas. The
Comprehensive Treatment Center must offer both evidence-based methamphetamine and opioid
addiction treatment, including Medication-Assisted Treatment. These programs’ primary target
populations are individuals with either methamphetamine or opioid use disorder.
DHS is seeking at least two applicants in high need and underserved opioid treatment areas to provide
regional Opioid Treatment Center (OTC) services. These programs must also offer evidence-based
methamphetamine and opioid treatment, including Medication-Assisted Treatment. However, due to the
limitation of the federal funding for the first two years, the initial target population includes only those
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individuals with an opioid use disorder who may also have a co-occurring addiction to
methamphetamines.
Treatment services will include: outpatient services, including intensive outpatient, day treatment
services, medication-assisted treatment, medically-monitored residential treatment, withdrawal
management services, transitional residential treatment, recovery support services, and continuing care.
Recovery support services may include service facilitation services that provide coordinated assistance
in improved access for housing, transportation, child care, employment, recovery and peer support, and
other services to achieve and maintain positive participant/family outcomes, maintain sobriety, and
reduce barriers to successful engagement and participation in recovery.
Overview of Requirements for the Organization of the Applicant’s Proposal: Applicant proposals
must be delineated into six sections, each response will articulate how the organization will meet the
defined requirements listed below in each section. There are assigned points for scoring the proposal for
each section. The application will be reviewed and scored according to the quality of the response in
each of the following six sections:
1. Program Design and Methodology (25 points)
2. Goals, Objectives, and Performance Expectations (20 points)
3. Work Plan (20 points)
4. Organizational Experience and Capacity (15 points)
5. Reporting, Performance Measurement, and Quality Improvement (10) points
6. Budget (10 points)
3.1 PROGRAM DESIGN AND METHODOLOGY (25 POINTS)
Program Design and Methodology is the how, what, and where treatment services will be provided to
fulfill the vision of this project. Successful regional Opioid and Methamphetamine Treatment Centers
will be required to meet key requirements in their program design and delivery as follows:
Service Requirements:
The priority populations for services in the regional Comprehensive Methamphetamine and Opioid
Treatment Center(s) in the high need and underserved methamphetamine areas will be people with
opioid use disorder (OUD) and people with methamphetamine addiction. The priority population for
the regional Opioid Treatment Center in the high need and underserved methamphetamine areas will
be people with OUD who may have a co-occurring methamphetamine addiction.
First priority for all MTC and OTCs must be given to pregnant women and then second priority to
people who inject drugs. The Program must notify the Contract Administrator if they cannot provide
services to a pregnant woman within 48 hours and if they cannot provide services to a person who
injects drugs within 14 days.
All participating service provider organizations must meet the applicable local and state licensing,
accreditation, and DHS 75 certification requirements for the appropriate service.
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Service providers will be required to use the American Society of Addiction Medicine (ASAM)
Criteria to determine the most appropriate level of treatment and care.
The Program must provide service facilitation services for all clients admitted to the program, as
well as, but not limited to: comprehensive assessments, service planning, outpatient individual and
group addiction, and co-occurring mental health counseling services, intensive outpatient, day
treatment services, medication-assisted treatment, medically-monitored residential treatment as well
as abstinence-based treatment and support services, withdrawal management services, transitional
residential treatment, recovery support services, and continuing care. Recovery support services may
include services that provide coordinated assistance in improved access for housing, transportation,
child care, employment, recovery and peer support, and other services to achieve and maintain
positive participant/family outcomes, maintain sobriety, and reduce barriers to successful
engagement and participation in recovery.
The Program and any subcontracted providers of addiction treatment services must provide Interim
Substance Abuse Services to priority populations, including pregnant women and to individuals who
inject drugs, when they cannot provide services within a required time frame of 48 hours for
pregnant women and within 14 days for other individuals who inject drugs, after the individual
makes a request for admission to a substance use disorder treatment program. Per the Code of
Federal Regulations – Public Welfare, Title 45: Part 96.121 (4), Interim Services or Interim
Substance Abuse Services means services that are provided until an individual is admitted to a
substance abuse treatment program. The purposes of the services are to reduce the adverse health
effects of such abuse, promote the health of the individual, and reduce the risk of transmission of
disease. At a minimum, interim services include counseling and education about HIV and
tuberculosis (TB), about the risks of needle-sharing, the risks of transmission to sexual partners and
infants, and about steps that can be taken to ensure that HIV and TB transmission does not occur, as
well as referral for HIV or TB treatment services if necessary. For pregnant women, interim services
also include counseling on the effects of alcohol and drug use on the fetus, as well as referral for
prenatal care.
Service Providers shall utilize trauma-informed and Evidence-Based Practices from the list provided
at NREPP (http://nrepp.samhsa.gov/landing.aspx) that have the ability to measure fidelity to the
service being provided, i.e., Matrix Model, and/or utilize new and emerging practices based on
current research, peer-reviewed scientific and health-related publications, clinical practice
guidelines, and/or expert professional consensus.
Service Providers serving culturally-specific populations may include the of use Practice-Based
Evidence approaches (PBE), i.e., Smudging, Sweats. PBE’s are a range of treatment approaches and
supports that are derived from, and supportive of, the positive culture of the local society and
traditions. (http://www.ncuih.org/krc/D_bigfoot_EBP_PBE)
The Program shall address nicotine use, and its cessation, along with opioid and/or
methamphetamine recovery. Studies show those who give up nicotine while in treatment for other
substance use disorders have a higher success rate in maintaining recovery.
http://drugabuse.com/library/quitting-smoking-addiction-recovery/
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The Program must have the capacity to bill Medicaid and other private insurance for addiction
treatment and support services and must assure that the grant funds are used only after all other
sources of funding for those services are exhausted or determined to not be available at the time of
the enrollment in the Center’s services. The Program will assist individuals to gain access to
Medicaid and other insurance benefits as appropriate.
The Program is meant to be regionally based and cannot limit access to OTC/MTC services to only
the residents of a particular county or tribe. The Program may not exclude participants solely due to
their involvement with the criminal justice system and the Program may provide treatment transition
and assistance for people reentering communities from a criminal justice setting or from an inpatient
psychiatric facility. However, grant-funded services provided within prisons, jails, or inpatient
psychiatric facilities are not allowed.
The Program must offer to transition individuals who have completed treatment to county-based or
private post-treatment care.
The Program must begin offering intake and treatment services within four months of a completed
contract.
Specialized Medication-Assisted Treatment Service Requirements:
Medication-assisted treatment (when appropriate), must be available including both long-acting
opioid antagonist and partial agonist medications that have been approved by the federal Food and
Drug Administration (FDA). Buprenorphine/naloxone and naltrexone for extended-release injectable
suspension must be available as appropriate to the assessed need of the individual for medication-
assisted treatment for opioid use disorder. These are two out of the three FDA-approved medications
(methadone, naltrexone, or buprenorphine) for the treatment of opioid use disorders.
People assessed to need methadone treatment will be provided interim services and supports, as well
as assistance in finding and enrolling in an appropriate opioid treatment program offering
Methadone-based Medication-Assisted Treatment.
Service Providers must assure participants have access to naloxone as overdose prevention, or that a
prescription is issued to the name of a family member, friend, or other individual in a position to
assist an individual with an opioid use disorder when there is reason to believe the individual is at
risk of experiencing an opioid-related overdose.
Funds may not be expended through the grant or through a sub-award which would deny any eligible
individual access to the Program because of their appropriate use of or request for Office-Based
Opioid Treatment with FDA-approved medications for the treatment of substance use disorder. In all
cases, MAT must be permitted to be continued for as long as the prescriber or treatment provider and
client determine that the medication is clinically beneficial.
Provide a narrative description that outlines the proposed project and how the program will operate.
Include in your response the following:
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A. Describe the geographic service area and the type of proposed regional treatment service center.
How will the agency establish the service locations in the region to meet the needs of the
underserved populations in the high need and underserved geographic areas identified?
B. Identify the target populations to be served. Describe how the program will assure that it will meet
the requirements for access to treatment for the identified target population, including how it will
assure priority for treatment to pregnant women and people who inject drugs. Describe how the
program will assure that Interim Services will be provided for pregnant women and people who
inject drugs if services cannot be provided within the prescribed timeframes.
C. Describe how people will access services. Outline the process for intake, assessment, and service
provision. Include a description of how the agency will implement an evidence-based and trauma
informed approach to the assessment and determination of the appropriate level of care. Describe the
program’s capacity to meet the requirement that the ASAM Criteria be used to determine the
appropriate level of care and services to be provided.
D. Describe how the program will reduce barriers to engagement in treatment, as well as how persons
in recovery are involved in all levels of their strength-based treatment.
E. Describe the services to be provided and how those services will be provided, including medication-
assisted treatment. Describe the service capacity that will be available if the program is funded. Are
there any limitations that will be imposed on any of the services?
F. Describe the program’s plan for assuring access to services for the uninsured and underinsured. How
will the program work towards meeting the requirement that treatment services will be billed to
Medicaid and private insurance as appropriate? How will the program increase capacity to become a
sustainable program?
G. Describe the agency’s recruitment and training plan to assure services will be delivered within four
months of the completion of the contract.
H. Describe how the program will interface and collaborate with other agencies, systems, and providers
to achieve positive outcomes in the most efficient and effective manner possible. Include any
existing and planned formal relationships established with county or tribal programs, Medicaid
Health Maintenance Organizations, health care providers, the Department of Corrections, or other
key organizations in the region to be served.
3.2 GOALS, OBJECTIVES, AND PERFORMANCE EXPECTATIONS (20)
Identify at least one goal with related objective(s), related activities, timelines, measures of performance
and person(s) responsible for each objective. Keep your project lean and focused. Refer to DCTS
Performance Report for structure. Refer to Performance Measures/SMART Objectives guidance for
more guidance.
Provide at least one measureable objective (deliverable) in each of the following performance target or
measure categories:
A. Service Access - Refers to the target population of your service or activity and their ability to obtain
the services offered. Include the number of people you propose to serve each year of the grant.
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B. Effectiveness - Refers to the specific outcome, impact, benefit, or results (the “what”) that you will
achieve from your particular service or activity.
C. Participation Satisfaction - Refers to client or participant satisfaction with the service, event, activity,
training, or consultation using a four, five, or ten-point scale.
D. Grant Efficiency – Refers to the efficient use of grant funding. The Grant Efficiency measure will be
developed by dividing the total annual amount of the grant request by the annual number of people
to be served identified in 3.2.A above.
3.3 WORK PLAN (20 POINTS)
Provide a work plan for the first year of the project. A work plan is an organizational tool that identifies
the key tasks, activities, measures, timelines, and responsible parties for achievement of your goals and
objectives. Provide sufficient justification through your work plan for achieving the project objectives,
and for assuring adequate staff and resources are in place in a timely and consistent way to complete the
objectives. In this section detail “how” the program will be implemented. Refer to DCTS Annual
Application for the Work Plan Structure.
In order to evaluate your ability to fulfill the contract requirements, your work plan must relate directly
to the goals, must be consistent with the objectives, facilitate program accomplishments, be sequentially
reasonable, and can be accomplished in stated timeframes and proposed budget. Timeframes for tasks
and activities in the work plan must be appropriate to ensure that sufficient effort is planned. Describe,
in a logical progression, the activities for the various project phases (i.e., program development,
implementation, refinement, and program expansion), timelines, and persons responsible, for the first
year of this project. Examples of the major project tasks, activities, and milestones may include project
design and implementation, meetings with partner agencies, target population involvement, recruiting
staff, staff orientation, training, fidelity monitoring, establish client payment and billing process,
reporting, evaluation, and quality improvement activities.
3.4 ORGANIZATIONAL EXPERIENCE AND CAPACITY (15 POINTS)
Describe your agency’s experience providing addiction treatment and recovery support services. Include
in your response the agency’s experience in state and federal grant funding. Please provide a list of
current and proposed personnel and percentage of time allocated to this project. The project is required
to demonstrate the ability to have a qualified workforce in place to render appropriate services on a
continuous basis during the entire length of the contract, as well as having appropriate oversight
mechanisms in place to assure accountability. Your response should include a description of how you
will meet the criteria of A-F below.
At a minimum the Program is required to:
A. Have on staff Licensed Behavioral Health professional staff with a background in addictions, as well
as co-occurring mental health disorders. Staff will be familiar with Trauma-Informed Care and
Recovery-Oriented Systems of Care.
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B. Maintain an adequate number of personnel to provide treatment for the number of clients to be
served and to provide treatment as indicated in each individual’s plan of care, as well as adequate
supervision to maintain a safe, therapeutic environment.
C. Have available on staff of the treatment center at least one qualifying physician licensed to provide
services in the state of Wisconsin who has received the DATA 2000 Waiver for the provision of
medication-assisted opioid therapy. In addition, the applicant may also include services provided by
an appropriately credentialed Nurse Practitioner or Physician’s Assistant. Please refer to this website
for specific information on the necessary qualifications and certification process:
http://www.buprenorphine.samhsa.gov/data.html.
D. The proposer must establish a waitlist management system that can provide systematic reporting of
treatment demand to the Grant Administrator. The applicant must assure that any sub-contracted
program receiving funding from this grant also establish a capacity management and waitlist system
for those persons seeking treatment that cannot be served immediately that includes a unique patient
identifier for each person.
E. The proposer must consult the capacity management and waitlist system so that people are admitted
at the earliest possible time to a program providing such treatment within a reasonable geographic
area. For women who are pregnant, if the program cannot serve them within 48 hours, they must
notify the Contract Administrator for assistance in finding appropriate treatment, and provide
Interim Services. For people who inject drugs that cannot be placed in comprehensive treatment
within 14 days, the applicant shall ensure that the program provides such individuals Interim
Services and ensures that the Program develops a mechanism for maintaining contact with the
individual awaiting admission and ensures that the individual is admitted to treatment within 120
days. If a person cannot be located for admission into treatment or if a person refuses treatment, such
persons may be taken off the waiting list and need not be provided treatment within 120 days. If
such a person requests treatment later and space is not available, they are to be provided Interim
Services, placed on the waiting list, and admitted to a treatment program within 120 days from the
later request.
F. Applicant must assure that they will not limit access to priority populations based on the residence in
a particular county or member of a particular tribe or whether or not they have requested
Medication- Assisted Treatment.
3.5 REPORTING, PERFORMANCE MEASUREMENT, & QUALITY IMPROVEMENT
(10 POINTS)
In this section, you are asked to describe your approach to tracking and evaluating the achievement of
project objectives including your data collection procedures. You are expected to have a clear, efficient,
valid, and reliable method for collecting, storing, retrieving, analyzing, and reporting client level data.
You are expected to evaluate how project processes, methods, resources, and activities relate to
outcomes. Describe your client level data collection system and how you will routinely summarize, use
and communicate project evaluation data and information to DHS, the contract administrator, and key
stakeholders as appropriate. Identify the person(s) responsible for reporting data and evaluation
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activities. Proposers should identify who will be in charge of client level data submission, quality
improvement and assurance, and what role they would play in this process.
At a minimum the Program will be required to:
A. Report progress on grant goals and objectives on a regular basis (at mid-point in the contract period
and at the end of a contract period or more often as required by the federal funder) on DHS’
SharePoint Program Performance Report. These reports will include data required for the DHS
Annual Legislative Report on the status of the Opioid and Methamphetamine Treatment Center
services.
B. Report the following measures:
Number of people who receive OUD treatment and recovery services.
Number of providers implementing medication-assisted treatment.
Number of OUD prevention and treatment providers trained, to include nurse practitioners,
physician assistants, as well as physicians, nurses, counselors, social workers, and case
managers.
C. Accurately report individual client level data into the Program Participation System (PPS) data
system. The grantee and their program will be expected to report the National Outcome Measures
(NOMS) identified by the Division of Care and Treatment Services and the Substance Abuse and
Mental Health Services Administration (SAMHSA). Failure to report data will result in the
withholding of funds. All agencies receiving grant funds through this solicitation are required to
have in place the mechanisms to report timely, accurate, and HIPAA/HITECH-compliant, and
complete data. The agency must develop and implement an evaluation component to report on these
outcomes. Among these are the following:
Reduced Alcohol/Drug Use
Improved Employment/Education
Reduced Crime and Criminal Justice Involvement
Reduced Homelessness
Improved Social Supports for Recovery
Retention in or Completion of Treatment
D. Develop and utilize a formal continuous quality improvement process during the grant period that
uses the performance indicator data described in order to ensure that the program implements steps
for improving program or service quality. For added reference, please refer to the NIATx process
developed by the University of Wisconsin as an example of a formal continuous quality
improvement process: https://niatx.net/Home/Home.aspx and
https://niatx.net/Content/ContentPage.aspx?NID=69
3.6 BUDGET (10 POINTS)
All acceptable proposals must include a description of the capacity of the agency to be a responsible and
accountable organization in the management of federal and state funding, including a detailed budget
plan for the proposed OTC/MTC program. Provide a narrative that demonstrates the capacity of the
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organization to maintain financial and other appropriate records, reports, and documents in accordance
with generally accepted accounting procedures, applicable laws and best practices in order to
demonstrate accountability to stakeholders, funders, and the general public. Describe your
organization’s financial and client record keeping systems and how they demonstrate accountability and
integrity in fiscal and client data reports in order to appropriately track grant funding.
Submit an annual detailed budget for the proposed MTC/OTC program. Funds through this grant
solicitation are for direct services and must not supplant current funding of existing activities. DHS
recognizes that infrastructure changes may be needed to implement the proposed services. However, you
may use no more than ten percent of the total grant budget for infrastructure development. The
infrastructure development must directly support the direct service expansion of the grant project and be
clearly justified in the project budget justification. DCTS has developed a budget template to be used for
submitting the project budget. Use of this budget template is required. The proposer’s budget document
must be filled out and submitted in Excel. A “PDF” Adobe Acrobat copy of the budget document will
not be accepted. It is recommended that you review the instructions prior to completing the budget
template.
The Excel spreadsheet contains four tabs. Part 1 is a summary line item budget and Part 2 is a series of
detailed budget tables and explanatory text boxes that document how individual budget line items are
derived. These totals should match Part 1. Part 3 and Part 4 are to be completed if a detailed
subcontractor budget is necessary.
Justify the items included in the proposed budget in the spaces provided, including any in-kind and other
resources and funding support that will be used or received for the proposed project. Sufficient
justification is required in the designated areas of the second tab to enable reviewers to understand both
the level of planned expenditures and the need for the funds as they relate to the work plan.
All budget costs must comply with the DHS Allowable Cost Policy Manual. The Allowable Cost Policy
Manual can be found on the DHS website at:
http://www.dhs.wisconsin.gov/grants/Administration/AllowableCost/ACPM.htm
In addition, Federal grant funds may not be used to*:
Pay for any lease beyond the project period
Provide services to incarcerated populations (defined as those persons in jail, prison, detention
facilities, or in custody where they are not free to move about in the community), except to
provide for care coordination for services upon release
Pay for the purchase or construction of any building or structure to house any part of the
program. Applicants may request a reasonable amount, not to exceed ten percent of the budget,
for renovations and alterations of existing facilities if necessary and appropriate to the project
Pay for housing other than residential mental health or substance abuse treatment that is
appropriately certified
Provide residential or outpatient treatment services when the facility has not yet been acquired,
sited, approved, and met all requirements for human habitation and services provision
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Make direct payments to individuals to induce them to enter prevention or treatment services.
However, grant funds may be used for non-clinical support services (e.g., bus tokens, child care)
designed to improve access to and retention in prevention and treatment programs
Make direct payments to individuals to encourage attendance and/or attainment of prevention or
treatment goals, unless it is an explicit component of an evidence-based Motivational
Enhancement program appropriate for the individual. Meals are generally unallowable, although
reimbursement of reasonable travel costs is allowed. Grant funds may be used for light snacks,
not to exceed $3.00 per person.
*Other sources of funds may be used for unallowable costs (e.g. meals, sporting events,
entertainment).
4 CONTRACT TERMS AND CONDITIONS
This section includes information for the Applicant on the expected Grant Agreement terms and
conditions that will be implemented for the successful Proposers. The Department reserves the right to
negotiate these terms and conditions when it is in the best interest of the State to do so. Grant recipients
may not submit their own Contract document as a substitute for the State’s Terms and Conditions.
Grant Recipients must accept all terms and conditions or submit point-by-point exceptions along with
proposed alternative or additional language for each point in the contracting process. The State may or
may not consider any of the Grant Recipient’s suggested revisions. Any changes or amendments to any
of the terms and conditions will occur only if the change is in the best interest of the State.
If a Grant Agreement document is executed as a result of this procurement, additional terms and
conditions may be contained in that document and negotiated at that time.
4.1 ORDER OF PRECEDENCE
In the event of Grant award, the contents of this grant solicitation (including all attachments), grant
solicitation addenda and revisions, as well as the Proposal response from the successful Grant Recipient
as accepted by the Procuring Agency, and any additional terms agreed to in writing by the parties shall
be incorporated into the Agreement. Failure of the successful Grant Recipient to accept these elements
into the Agreement will result in the cancellation of the award.
4.2 PAYMENT FOR SUBAWARD
All payments will be made as electronic funds transfer (EFT), which include non-municipalities, non-
profits, and UW departments on the 1st of the month or the 1st banking day following the scheduled
payment date, whichever is later. CARS agency reports are available not less than five (5) days prior to
the scheduled payment date at the following website and should be reviewed and/or printed each month
for each agency type for account reconciliation: CARS Data Queries. DHS will assign a CARS agency
number.
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The Grantee shall report all allowable costs plus any required matching funds stipulated in the reporting
instructions for this Agreement, which are incorporated by reference in the Allowable Cost Policy
Manual.
The Grantee may be required to submit expenditures on the form required by the Department to the
following email: [email protected]. Payments to the Grantee will be made monthly based
on expenditures submitted by the Grantee on the form required by the Department. Expense reports
received timely (by the 15th
of the month) will be reviewed and processed by the 20th
of the following
month. Payments to the Grantee shall not exceed the total Agreement award.
If the DHS determines, after notice to the Grantee and opportunity to respond, that payments were made
that exceeded allowable costs, the Grantee shall refund the amount determined to be in excess within 30
days of notification by the DHS. The DHS may, at its sole discretion, make such refund by withholding
money from future payments due the Grantee, at any time during or after the Agreement period. The
DHS reserves the right to recover such excess funds by any other appropriate legal means.
There are no prepayments issued with this Agreement.
If the REQUESTING AGENCY determines, after notice to the SERVICING AGENCY and opportunity
to respond, that payments were made that exceeded allowable costs, the SERVICING AGENCY shall
refund the amount determined to be in excess within 30 days of invoicing or notification by the
REQUESTING AGENCY. The REQUESTING AGENCY may, at its sole discretion, make such refund
by withholding money from future payments due the SERVICING AGENCY in relation to the project
under this Agreement, at any time during or after the Agreement period. The REQUESTING AGENCY
reserves the right to recover such excess funds by any other appropriate legal means.
4.3 REPORTING
A. The Grantee shall comply with the DHS’ program reporting requirements as specified in the Grant
Opportunity Announcement and contract document.
B. The required reports shall be forwarded to the DHS’ Grant Administrator according to the schedule
established by the DHS.
4.4 FEDERAL AND STATE RULES AND REGULATIONS
A. The Grantee agrees to meet State and Federal laws, rules, regulations, and program policies
applicable to this Agreement, including the State Targeted Response to the Opioid Crisis Grant
requirements that can be found at:
https://www.samhsa.gov/grants/grant-announcements/ti-17-014
B. The Grantee will act solely in its independent capacity and not as an employee of the Department.
The Grantee shall not be deemed or construed to be an employee of the Department for any purpose.
C. The Grantee agrees to comply with Public Law 103-227, also known as the Pro-Children Act of
2001, which prohibits tobacco smoke in any portion of a facility owned, leased, or granted for or by
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an entity that receives Federal funds, either directly or through the State, for the purpose of providing
services to children under the age of 18.
4.5 GENERAL PROVISIONS
A. Any payments of monies to the Grantee by the DHS for goods and/or services provided under this
Agreement shall be deposited in a Federal Deposit Insurance Corporation (the “FDIC”) insured
bank. Any balance exceeding FDIC coverage must be collaterally secured.
B. The Grantee shall conduct all procurement transactions in a manner that provides maximum open
and free competition.
C. If a State public official (see Wis. Stat. § 19.42), a member of a State public official's immediate
family, or any organization in which a State public official or a member of the official's immediate
family owns or controls at least a 10 percent (10%) interest is a party to this Agreement; and if this
Agreement involves payment of more than $3,000 within a 12-month period, this Agreement is void
unless appropriate written disclosure is made, according to Wis. Stat. § 19.45(6), before signing the
Agreement. Written disclosure, if required, must be made to the State of Wisconsin Elections and
Ethics Commission at:
Elections and Ethics Commission
212 East Washington Ave., Third Floor
PO Box 7984
Madison, WI 53707-7984
Fax: (608) 267-0500
D. If the Grantee or its Sub-contractor is a corporation other than a Wisconsin corporation, it must
demonstrate, prior to providing services under this Agreement, that it possesses a Certificate of
Authority from the State of Wisconsin Department of Financial Institutions, and must have and
continuously maintain a registered agent, and otherwise conform to all requirements of Wis. Stat.
chs. 180 and 181 relating to foreign corporations.
E. The Grantee agrees that funds provided under this Agreement shall be used to supplement or expand
the Grant’s efforts, not to replace or allow for the release of available Grantee funds for alternative
uses.
4.6 ACCOUNTING REQUIREMENTS
A. The Grantee’s accounting system shall allow for accounting for individual grants, permit timely
preparation of expenditure reports required by DHS and support expenditure reports submitted to
DHS.
B. The Grantee shall reconcile costs reported to the DHS for reimbursement or as match to expenses
recorded in the Grantee’s accounting or simplified bookkeeping system on an ongoing and periodic
basis. The Grantee agrees to complete and document reconciliation at least quarterly and to provide a
copy to the DHS upon request. The Grantee shall retain the reconciliation documentation according
to approved records retention requirements.
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C. Expenditures of funds from this Agreement must meet the Department’s allowable cost definitions
as defined in the Department’s Allowable Cost Policy Manual
(https://www.dhs.wisconsin.gov/business/allow-cost-manual.htm).
4.7 CHANGES IN ACCOUNTING PERIOD
A. The Grantee shall notify the DHS of any change in its accounting period and provide proof of
Internal Revenue Service (IRS) approval for the change.
B. Proof of IRS approval shall be considered verification that the Grantee has a substantial business
reason for changing its accounting period.
C. A change in accounting period shall not relieve the Grantee of reporting or audit requirements of this
Agreement. An audit meeting the requirements of this Agreement shall be submitted within 90 days
after the first day of the start of the new accounting period for the short accounting period and within
180 days of the close of the new accounting period for the new period. For purposes of determining
audit requirements, expenses and revenues incurred during the short accounting period shall be
annualized.
4.8 AUDITS
A. Requirement to Have an Audit: Unless waived by the DHS, the Grantee shall submit an annual audit
to the DHS if the total amount of annual funding provided by the DHS (from any and all of its
Divisions or subunits taken collectively) through this and other Grants is $25,000 or more. In
determining the amount of annual funding provided by the DHS, the Sub-recipient shall consider
both: (a) funds provided through direct Grants with the DHS; and (b) funds from the DHS passed
through another agency which has one or more Grants with the Sub-recipient.
B. Audit Requirements: The audit shall be performed in accordance with generally accepted auditing
standards, Wisconsin Statute § 46.036, Government Auditing Standards as issued by the U.S.
Government Accountability Office, and other provisions specified in this contract. In addition, the
Sub-recipient/contractor is responsible for ensuring that the audit complies with other standards and
guidelines that may be applicable depending on the type of services provided and the amount of
pass-through dollars received. Please reference the following audit documents for complete audit
requirements:
2 Code of Federal Regulations (CFR), Part 200 - Uniform Administrative Requirements,
Cost Principles, and Audit Requirements for Federal Awards, Subpart F - Audits. The
guidance also includes an Annual Compliance Supplement that details specific federal
agency rules for accepting federal sub-awards.
The State Single Audit Guidelines (SSAG) expand on the requirements of 2 CFR Part 200
Subpart F by identifying additional conditions that require a state single audit. Section 1.3 of
the SSAG lists the required conditions.
The DHS Audit Guide is an appendix to the SSAG and contains additional DHS-specific
audit guidance for those entities meet the SSAG requirements. It also provides guidance for
those entities that are not required to have a Single Audit but need to comply with DHS Sub-
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recipient/contractor audit requirements. An audit report is due DHS if a Sub-
recipient/contractor receives more than $25,000 in pass-through money from DHS as
determined by Wisconsin Statute § 46.036.
C. Source of Funding: The DHS shall provide funding information to all Grantee /recipient/contractors
for audit purposes, including the name of the program, the federal agency where the program
originated, the CFDA number and the percentages of federal, state, and local funds constituting the
contract.
D. Reporting Package: The Grantee /contractor that is required to have a Single Audit based on 2 CFR
Part 200 Subpart F and the State Single Audit Guide is required to submit to the DHS a reporting
package which includes all of the following:
1. General-Purpose Financial Statements of the overall agency and a Schedule of Expenditures of
Federal and State Awards, including the independent auditor’s opinion on the statements and
schedule.
2. Schedule of Findings and Questioned Costs, Schedule of Prior Audit Findings, Corrective Action
Plan, and the Management Letter (if issued).
3. Report on Compliance and on Internal Control over Financial Reporting based on an audit
performed in accordance with Government Auditing Standards.
4. Report on Compliance for each Major Program and a Report on Internal Control over
Compliance.
5. Report on Compliance with Requirements Applicable to the Federal and State Program and on
Internal Control over Compliance in Accordance with the Program-Specific Audit Option.
6. * DHS Cost Reimbursement Award Schedule. This schedule is required by DHS if the Sub-
recipient/contractor is a non-profit, for-profit, a governmental unit other than a tribe, county,
Chapter 51 board or school district; if the Sub-recipient/contractor receives funding directly from
DHS; if payment is based on or limited to an actual allowable cost basis; and if the auditee
reported expenses or other activity resulting in payments totaling $100,000 or more for all of its
grant(s) or contract(s) with DHS.
7. *Reserve Schedule is only required if the Sub-recipient/contractor is a non-profit and paid on a
prospectively set rate.
8. *Allowable Profit Schedule is only required if the Sub-recipient/contractor is a for-profit entity.
9. *Additional Supplemental Schedule(s) required by Funding Agency may be required. Check
with the funding agency.
*NOTE: These schedules are only required for certain types of entities or specific financial
conditions.
E. For Grantee/contractors that do not meet the Federal audit requirements of 2 CFR Part 200 and
SSAG, the audit reporting package to DHS shall include all of the above items except items 4 and
5.
F. Audit Due Date: Audits that must comply with 2 CFR Part 200 and the State Single Audit
Guidelines are due to the granting agencies nine months from the end of the fiscal period or 30
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days from completion of the audit, whichever is sooner. For all other audits, the due date is six
months from the end of the fiscal period unless a different date is specified within the contract or
grant agreement.
G. Sending the Reporting Package: Audit reports shall be sent by the auditor via email to
[email protected] with “cc” to the Grantee/auditee. The audit reports shall be
electronically created pdf files that are text searchable, unlocked, and unencrypted. (Note: To
ensure that pdf files are unlocked and text-searchable, do not scan a physical copy of the audit
report and do not change the default security settings in your PDF creator.)
H. Access to Grantee Records: The auditee must provide the auditor with access to personnel,
accounts, books, records, supporting documentation, and other information as needed for the
auditor to perform the required audit. The auditee shall permit appropriate representatives of DHS
to have access to the auditee’s records and financial statements as necessary to review the auditee’s
compliance with federal and state requirements for the use of the funding. Having an independent
audit does not limit the authority of DHS to conduct or arrange for other audits or review of federal
or state programs. DHS shall use information from the audit to conduct their own reviews without
duplication of the independent auditor’s work.
I. Access to Auditor's Work Papers: The auditor shall make audit work papers available upon request
to the auditee, DHS or their designee as part of performing a quality review, resolving audit
findings, or carrying out oversight responsibilities. Access to working papers includes the right to
obtain copies of working papers.
J. Failure to comply with the Audit Requirements: DHS may impose sanctions when needed to
ensure that auditees have complied with the requirements to provide DHS with an audit that meets
the applicable standards and to administer state and federal programs in accordance with the
applicable requirements. Examples of situations when sanctions may be warranted include:
The auditee did not have an audit.
The auditee did not send the audit to DHS or another granting agency within the original or
extended audit deadline.
The auditor did not perform the audit in accordance with applicable standards, including the
standards described in the SSAG.
The audit reporting package is not complete; for example, the reporting package is missing the
corrective action plan or other required elements.
The auditee does not cooperate with DHS or another granting agency’s audit resolution efforts;
for example, the auditee does not take corrective action or does not repay disallowed costs to
the granting agency.
K. Sanctions: DHS will choose sanctions that suit the particular circumstances and also promote
compliance and/or corrective action. Possible sanctions may include:
Requiring modified monitoring and/or reporting provisions;
Delaying payments, withholding a percentage of payments, withholding or disallowing
overhead costs, or suspending the award until the auditee is in compliance;
Disallowing the cost of audits that do not meet these standards;
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Conducting an audit or arranging for an independent audit of the auditee and charging the
cost of completing the audit to the auditee;
Charging the auditee for all loss of federal or state aid or for penalties assessed to DHS
because the auditee did not comply with audit requirements;
Assessing financial sanctions or penalties;
Discontinuing contracting with the auditee; and/or
Taking other action that DHS determines is necessary to protect federal or state pass-
through funding.
L. Closeout Audits: A contract specific audit of an accounting period of less than 12 months is
required when a contract is terminated for cause, when the auditee ceases operations or changes its
accounting period (fiscal year). The purpose of the audit is to close-out the short accounting period.
The required close-out contract specific audit may be waived by DHS upon written request from
the Grantee/contractor, except when the contract is terminated for cause. The required close-out
audit may not be waived when a contract is terminated for cause.
The auditee shall ensure that its auditor contacts DHS prior to beginning the audit. DHS, or its
representative, shall have the opportunity to review the planned audit program, request additional
compliance or internal control testing and attend any conference between the auditee and the
auditor. Payment of increased audit costs, as a result of the additional testing requested by DHS, is
the responsibility of the auditee.
DHS may require a close-out audit that meets the audit requirements specified in 2 CFR Part 200
Subpart F. In addition, DHS may require that the auditor annualize revenues and expenditures for
the purposes of applying 2 CFR Part 200 Subpart F and determining major federal financial
assistance programs. This information shall be disclosed in a note within the schedule of federal
awards. All other provisions in 2 CFR Part 200 Subpart F- Audit Requirements apply to close-out
audits unless in conflict with the specific close-out audit requirements.
4.9 OTHER ASSURANCES
A. The Grantee shall notify the DHS in writing, within 30 days of the date payment was due, of any
past due liabilities to the Federal government, state government, or their agents for income tax
withholding, Federal Insurance Contributions Act (FICA) tax, worker’s compensation,
unemployment compensation, garnishments or other employee related liabilities, sales tax, income
tax of the Grantee, or other monies owed. The written notice shall include the amount owed, the
reason the monies are owed, the due date, the amount of any penalties or interest (known or
estimated), the unit of government to which the monies are owed, the expected payment date, and
other related information.
B. The Grantee shall notify the DHS in writing, within 30 days of the date payment was due, of any
past due payment in excess of $500 or when total past due liabilities to any one or more vendors
exceed $1,000 related to the operation of this Agreement for which the DHS has reimbursed or will
reimburse the Grantee. The written notice shall include the amount owed, the reason the monies are
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owed, the due date, the amount of any penalties or interest (known or estimated), the vendor to
which the monies are owed, the expected payment date, and other related information. If the liability
is in dispute, the written notice shall contain a discussion of facts related to the dispute and the
information on steps being taken by the Grantee to resolve the dispute.
C. The DHS may require written assurance at the time of entering into this Agreement that the
Grantee/subcontractor has in force, and will maintain for the course of this Agreement, employee
dishonesty bonding in a reasonable amount to be determined by the DHS up to $500,000.
4.10 RECORDS
A. The Grantee shall maintain written and electronic records as required by State and Federal law and
required by program policies.
B. The Grantee and its Sub-grantee(s) or Sub-contractor(s) shall comply with all State and Federal
confidentiality laws concerning the information in both the records it maintains and in any of the
DHS’ records that the Sub-recipient accesses to provide services under this Agreement.
C. The Grantee and its Sub-grantee(s) or Sub-contractor(s) will allow inspection of records and
programs, insofar as is permitted by State and Federal law, by representatives of the DHS, its
authorized agents, and Federal agencies, in order to confirm the Grantee’s compliance with the
specifications of this Agreement.
D. The Grantee agrees to retain and make available to the DHS all program and fiscal records for six (6)
years after the end of the Agreement period.
E. The use or disclosure by any party of any information concerning eligible individuals who receive
services from the Grantee for any purpose not connected with the administration of the Grantee’s or
DHS' responsibilities under this Agreement is prohibited except with the informed, written consent
of the eligible individual or the individual's legal guardian.
4.11 DISPUTE RESOLUTION
If any dispute arises between the DHS and Sub-recipient under this Agreement, including the DHS’
finding of noncompliance and imposition of remedial measures, the following process will be the
exclusive administrative review:
A. Informal Review: The DHS’ and Grant Administrators will attempt to resolve the dispute. If a
dispute is not resolved at this step, then a written statement to this effect must be signed and
dated by both Grant Administrators. The written statement must include all of the following:
A brief statement of the issue.
The steps that have been taken to resolve the dispute.
Any suggested resolution by either party.
B. Division Administrator’s Review: If the dispute cannot be resolved by the Grant Administrators,
the Grantee may request a review by the Administrator of the division in which the DHS’ Grant
Administrator is employed, or if the Grant Administrator is the Administrator of the division, by
the Deputy Secretary of the DHS. The Division Administrator (or Deputy Secretary) must
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receive a request under this step within 14 days after the date of the signed unresolved dispute
letter in Step A. The Division Administrator or Deputy Secretary will review the matter and issue
a written determination within 30 days after receiving the review request.
C. Secretary’s Review: If the dispute is unresolved at Step B, the Grantee may request a final review
by the Secretary of the DHS. The Office of the Secretary must receive a request under this step
within 14 days after the date of the written determination under Step B. The Secretary will issue
a final determination on the matter within 30 days after receiving the Step B review request.
4.12 FINAL REPORT DATE
The due date of the final fiscal report shall be 45 days after the Agreement period ending date. Expenses
incurred during the Agreement period but reported later than 45 days after the period ending date will
not be recognized, allowed, or reimbursed under the terms of this Agreement.
4.13 INDEMNITY
To the extent authorized under State and Federal laws, the DHS and the Grantee agree they shall be
responsible for any losses or expenses (including costs, damages, and attorney’s fees) attributable to the
acts or omissions of their employees, officers, or agents.
Both parties are agencies of the State of Wisconsin and defense and indemnification pertaining to work
under the grant agreement shall be in accordance with Wisconsin Statutes governing State agencies.
4.14 CONDITIONS OF THE PARTIES’ OBLIGATIONS
A. The Grant Agreement for the successful Grantee is contingent upon authority granted under the laws
of the State of Wisconsin and the United States of America, and any material amendment or repeal
of the same affecting relevant funding or authority of the DHS shall serve to revise or terminate the
Agreement, except as further agreed to by the parties.
B. The Agreement states that DHS and the Grantee understand and agree that no clause, term, or
condition of the Agreement shall be construed to supersede the lawful powers or duties of either
party.
C. The Agreement also has a provision that it is understood and agreed that the entire Agreement
between the parties is contained in the Agreement, except for those matters incorporated by
reference, and that the Agreement supersedes all oral agreements and negotiations between the
parties relating to the subject matter thereof.
4.15 GOVERNING LAW
The Agreement shall be governed by the laws of the State of Wisconsin. The venue for any actions
brought under the Agreement shall be the Circuit Court of Dane County, Wisconsin or the U.S. District
Court for the Western District of Wisconsin, as applicable.
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4.16 SEVERABILITY
The invalidity, illegality, or unenforceability of any provision of the Agreement or the occurrence of any
event rendering any portion or provision of the Agreement void shall in no way affect the validity or
enforceability of any other portion or provision of the Agreement. Any void provision shall be deemed
severed from the Agreement, and the balance of the Agreement shall be construed and enforced as if it
did not contain the particular portion or provision held to be void. The parties further agree to amend the
Agreement to replace any stricken provision with a valid provision that comes as close as possible to the
intent of the stricken provision. The provisions of the Article shall not prevent the entire Agreement
from being void should a provision, which is of the essence of the Agreement, be determined void.
4.17 ASSIGNMENT
Neither party shall assign any rights or duties under the Agreement without the prior written consent of
the other party.
4.18 ANTI-LOBBYING ACT
The Grantee must certify to DHS that it will not and has not used Federal appropriated funds to pay any
person or organization for influencing or attempting to influence an officer or employee of any agency, a
member of Congress, officer or employee of Congress, or an employee of a member of Congress in
connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352.
The Grantee shall also disclose any lobbying with non-Federal funds that takes place in connection with
obtaining any Federal award.
The Grantee shall use Standard Form LLL for Disclosure of Lobbying Activities available at:
https://www.gsa.gov/portal/forms/download/116430. A completed disclosure must be provided upon
Department request.
4.19 DEBARMENT OR SUSPENSION
The Grantee must certify that neither the Grantee organization nor any of its principals are debarred,
suspended, or proposed for debarment for Federal financial assistance (including, but not limited to,
General Services Administration’s list of parties excluded from Federal procurement and non-
procurement programs). The Grantee further must certify that potential Sub-grantees or Sub-contractors
and any of their principals are not debarred, suspended, or proposed for debarment.
4.20 DRUG FREE WORKPLACE
The Grantee, agents, employees, Sub-grantees or Sub-contractors under the Contract shall follow the
guidelines established by the Drug Free Workplace Act of 1988.
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4.21 SPECIAL PROVISIONS
The following special provisions will be included in the Agreement:
Federal STR funds are reserved for serving individuals with an opioid use disorder. State GPR funds can
be utilized to serve individuals with an opioid use disorder and/or a methamphetamine use disorder.
4.22 MODIFICATIONS OF CONTRACT
The resulting Contract must only be used to purchase services within the scope and intent of the original
Grant Funding Opportunity Announcement. Any modifications made to the resulting Contract must fall
within the scope of the Proposal. All modifications must be made in writing and signed by both parties.
4.23 STANDARD TERMS AND CONDITIONS
The State of Wisconsin Standard Terms and Conditions (DOA – 3054) and Supplemental Standard
Terms and Conditions for Procurements for Services (DOA – 3681) shall apply to this solicitation and
subsequent award, in addition to the Terms and Conditions specified in this solicitation.
4.24 USE OF SUBCONTRACTORS
Grantees must identify any potential Subcontractors in their Proposal. The resulting Contract will be
between DHS and the awarded Grantee. The Grantee will be responsible for its Subcontractors’
performance of the pertinent Contract obligations and ensure Subcontractors abide by all terms and
conditions of the Grant Solicitation and resulting Contract. All Subcontractors must be approved in
writing by the Department.
Any proposed substitution of an approved Subcontractor must be submitted in writing to DHS thirty
(30) days prior to implementation of the substitution, and include the substitute’s qualifications, the
reason for the change, and the intended effective date of the substitution. Failure to notify the
Department may result in cancellation of the Contract without notice and without penalty to the State.
4.25 BACKGROUND CHECKS
DHS reserves the right to conduct background checks on the organization, its officers and employees,
and Subcontractors, if applicable, in order to determine whether any conviction exists that is
substantially related to the service required, or if such conviction may otherwise adversely affect the
Grantee’s ability to perform under the resulting Contract. The State is the sole determinant of whether
the results of a background check(s) will negatively impact the Grantee’s ability to meet contractual
obligations and requirements.
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4.26 WORK RULES
All Grantees and their Subcontractors working on-site are subject to DHS work rules. A copy of these
rules may be obtained by written request to the Contract Administrator identified in this GRANT
SOLICITATION.
4.27 REPLACEMENT OF CONTRACTOR PERSONNEL
The Grantee shall assign work under this Contract to workers that are skilled in the tasks to which they
are assigned. DHS retains the right to require the reassignment or replacement of contractor personnel,
as the Department deems necessary. Reasons for this request may include, but are not limited to,
incompetence, carelessness, disruptive, or otherwise objectionable behavior.
The request for replacement is in no way a call for dismissal. It is just a request for the individual to be
reassigned out of the DHS program or facility.
4.28 PRIVACY AND CONFIDENTIAL INFORMATION
Grantee acknowledges that some of the data and documentation it may become privy to in the
performance of this Contract is of a confidential nature. Grantee shall make all reasonable efforts to
ensure that it or its employees and Subcontractors do not disseminate such confidential information.
Grantee or its employees and Subcontractors will not reuse, sell, make available, or make use in any
format the data researched or compiled for the Contract for any venture, profitable or not, outside of the
Grant Agreement.
Grantee agrees to observe complete confidentiality with respect to all aspects of any confidential
information, proprietary data and/or trade secrets and any parts thereof, whether such contents are the
State's or the manufacturer's, Vendor's, or distributor's whereby Grantee or any Grantee's personnel may
gain access while engaged by the State or while on State premises.
The restrictions herein shall survive the termination of the Contract for any reason and shall continue in
full force and effect and shall be binding upon the Grantee or its agents, employees, successors, assigns,
Subcontractors, or any party claiming an interest in the Contract on behalf of or under the rights of
Grantee following any termination. Grantee shall advise all of their agents, employees, successors,
assigns and Subcontractors which are engaged by the State of the restrictions, present and continuing,
set forth herein. Grantee shall defend and incur all costs, if any, for actions that arise as a result of
noncompliance by Grantee, its agents, employees, successors, assigns, and Subcontractors regarding the
restrictions herein.
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4.29 RECOVERED MATERIALS
Grantee and its Subcontractors must agree to comply with section 6002 of the Solid Waste Disposal Act,
as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include
procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR
part 247 that contain the highest percentage of recovered materials practicable, consistent with
maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or
the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid
waste management services in a manner that maximizes energy and resource recovery; and establishing
an affirmative procurement program for procurement of recovered materials identified in the EPA
guidelines.
4.30 CIVIL RIGHTS COMPLIANCE
In agreements for the provision of services to clients, the Grantee must comply with all applicable
Federal Civil Rights laws. The Grantee must agree to meet State and Federal Civil Rights Compliance
(CRC) laws, requirements, rules and regulations, as they pertain to the services covered by this
agreement. All Grantee must submit the appropriate CRC documentation within fifteen (15) working
days of the award date of the agreement or Contract in accordance with the procedures outlined on the
following website: http://dhs.wisconsin.gov/civilrights/CRC/requirements.htm.
4.31 BUSINESS ASSOCIATE AGREEMENT
In agreements for the provision of services, activities, or functions covered by the Health Insurance
Portability and Accountability act of 1996 (HIPAA) the Grantee must complete a Business Associate
Agreement (BAA) F-00759. This document must be fully executed before contract performance begins.
4.32 AFFIRMATIVE ACTION
As required by Wisconsin's Contract Compliance Law, Wis. Stat. § 16.765, every Grantee contracting
with the State of Wisconsin must agree to equal employment and affirmative action policies and
practices in its employment programs.
The awarded Grantee must submit an Affirmative Action Plan or Exemption request within fifteen (15)
working days of the date of the agreement or Contract in accordance with the procedures outlined on the
follow website: http://www.doa.state.wi.us/Divisions/Enterprise-Operations/State-Bureau-of-
Procurement/Vendor/Contract-Compliance
4.33 CERTIFICATES OF INSURANCE
The Grantee shall maintain insurance levels as required in Standard Terms and Conditions, referenced in
Section 4.23. The insurance policies must be issued by an insurance company licensed to do business in
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the State of Wisconsin, with a minimum AM Best rating of A- unless otherwise approved in writing by
the State’s Contract Administrator and the signature of an authorized agent.
The Grantee shall add: “The Wisconsin Department of Health Services, its officers, employees, and
agents” as an additional insured under the commercial general, automobile, and liability policies.
A certificate of insurance must be provided to the Department upon request.
4.34 LOBBYING ACTIVITY CERTIFICATION
The Grantee shall certify to the State that it will not and has not used Federally appropriated funds to
pay any person or organization for influencing or attempting to influence an officer or employee of any
agency, a member of Congress, officer or employee of Congress, or an employee of a member of
Congress in connection with obtaining any Federal contract, grant, or any other award covered by 31
U.S.C. 1352. Grantee shall also disclose any lobbying with non-Federal funds that takes place in
connection with obtaining any Federal award.
Grantee shall use Standard Form LLL for Disclosure of Lobbying Activities available at:
https://www.whitehouse.gov/sites/default/files/omb/grants/sflllin.pdf.
A completed disclosure must be provided upon Contract execution.
4.35 CANCELLATION AND TERMINATION
4.35.1 Termination for Convenience
Either party may terminate the Contract at any time, without cause, by providing a written notice.
The State must notify the Grantee at least thirty (30) calendar days prior to the desired date of
termination for convenience. The Grantee must notify the State at least one hundred and twenty
(120) calendar days prior to the desired date of termination for convenience. During this
notification period, the Grantee will continue providing services in accordance with the Contract
requirements.
In the event of termination for convenience, the Grantee shall be entitled to receive
compensation for any fees owed under the Contract. The Grantee shall also be compensated for
partially completed services. In this event, compensation for such partially completed services
shall be no more than the percentage of completion of the services requested, at the sole
discretion of the State, multiplied by the corresponding payment for completion of such services
as set forth in the Contract. Alternatively, at the sole discretion of the State, the Grantee may be
compensated for the actual service hours provided. The State shall be entitled to a refund for
goods or services paid for but not received or implemented, such refund to be paid within thirty
(30) days of written notice to the Grantee requesting the refund.
4.35.2 Termination for Cause
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The State may terminate the resulting Contract after providing the Grantee with thirty (30)
calendar days written notice of the Grantee’s right to cure a failure of the Grantee to perform
under the terms of this Contract.
The Grantee may terminate the Contract after providing the State one hundred and twenty (120)
calendar days written notice of the State’s right to cure a failure of the State to perform under the
terms of this Contract.
Upon the termination of this Contract for any reason, or upon Contract expiration, each party
shall be released from all obligations to the other party arising after the date of termination or
expiration, except for those that by their terms survive such termination or expiration.
Upon termination for cause, the Grantee shall be entitled to receive compensation for any
deliverable payments owed under the Contract only for deliverables that have been approved and
accepted by DHS.
4.35.3 Contract Cancellat ion
The State reserves the right to cancel the Contract in whole or in part without penalty if the
Grantee:
Fails to perform any material obligation required under the Contract
Files a petition in bankruptcy, becomes insolvent, or otherwise takes action to dissolve as a
legal entity
o Allows any final judgment not to be satisfied or a lien not to be disputed after a
legally-imposed, 30-day notice
o Makes an assignment for the benefit of creditors
Fails to follow the sales and use tax certification requirements of § 77.66 of the Wisconsin
Statutes
Incurs a delinquent Wisconsin tax liability
Fails to submit a non-discrimination or affirmative action plan as required here in
Fails to follow the non-discrimination or affirmative action requirements of subch. II,
Chapter 111 of the Wisconsin Statutes (Wisconsin’s Fair Employment Law)
Becomes a Federally debarred contractor
Is excluded from Federal procurement and non-procurement contracts
Fails to maintain and keep in force all required insurance, permits, and licenses as provided
in this Contract
Fails to maintain the confidentiality of the State’s information that is considered to be
Confidential Information, proprietary, or containing Personally Identifiable Information
Grantee performance threatens the health or safety of a State employee or State customer.
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5 PROPOSAL PROCEDURE AND INSTRUCTIONS
5.1 CALENDAR OF EVENTS
Listed below are dates and times of actions related to this solicitation. The events with specific dates
must be completed as indicated unless otherwise amended by the State. In the event that the State finds
it necessary to change any of the specific dates and times in the calendar of events listed below, it will
do so by issuing an amendment to this solicitation. There may or may not be a formal notification issued
for changes in the estimated dates and times.
Date Event
9/28/2017 Date of issue of the solicitation - Posted to VendorNet
10/13/2017 Intent to Respond
10/16/2017 Written Questions Due
10/20/2017
2:00 – 3:30 PM
Proposer’s Conference – 1 W. Wilson, Room 751, Madison WI
Conference Line 877-820-7831 Participant Passcode 450127
10/27/2017- Estimated Responses to Questions Posted on VendorNet - Estimated
11/17/2017 by 4:00 pm CST Proposals Due - late submissions will not be accepted
12/1/2017 - Estimated Notification of Intent to Award - Estimated
1/01/2018 - Estimated Contract Start Date - Estimated
5.2 INTENT TO RESPOND
The vendor should submit a letter via email to the Contract Administrator indicating their intent to
submit a response to this solicitation by 10/13/2017.
5.3 VENDOR QUESTIONS AND CLARIFICATIONS
Vendors are expected to raise any questions, exceptions, or additions they have concerning the Grant
Solicitation document by the Question Due Date specified in section 5.1. Questions must be submitted
to the Contract Administrator in writing using the Questions Template provided in Attachment C.
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If at any time prior to the due date, a Vendor discovers any significant ambiguity, error, conflict,
discrepancy, omission, or other deficiency in this Grant Solicitation, the Vendor must immediately
notify the Contract Administrator of the issue in writing and request modification or clarification of the
Grant Solicitation document.
In the event that it becomes necessary to provide additional clarifying data or information, or to revise
any part of this Grant Solicitation, supplements or revisions will be posted on VendorNet
(http://vendornet.state.wi.us) or Wisconsin Public Notice http://publicnotices.wi.gov/.
5.4 FAXED OR EMAILED PROPOSALS
Faxed or Emailed proposals will NOT be accepted.
5.5 SUBMITTING A PROPOSAL
Materials may be submitted via Common Carrier, US Postal Service, or hand delivered. Please use the
appropriate address below depending on your chosen submission method.
COMMON CARRIER ADDRESS:
Department of Health Services
Attn: David Nelson
1 West Wilson Street
Room 850
Madison, WI 53703
USPS ADDRESS:
Department of Health Services
Attn: David Nelson
1 West Wilson Street
PO Box 7850
Madison, WI 53707-7850
HAND DELIVERED PROPOSALS
Department of Health Services
Main Reception Desk, First Floor
Attn: David Nelson
1 West Wilson Street
Madison, WI 53703
Directions to the 1 W. Wilson St.
building
All proposals MUST be received and time-stamped no later than Submission Due Date and Time.
Proposals that are not time-stamped will be considered late and rejected. Receipt of a Proposal by
the State mail system does not constitute receipt of a Proposal by DHS.
All materials must be packaged, sealed, and clearly marked with the following information on the
outside of the package. Failure to put this information on the outside of the package may delay routing
to the correct room and Contract Administrator.
Vendor's name and address
GRANT SOLICITATION Title
GRANT SOLICITATION number
Proposal due date
Contract Administrator Name
For Hand Delivered Proposals, please note that DHS has building security and access to the Purchasing
Office is restricted. Allow ample time for security clearance if using this submission method.
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5.6 FORMAT OF PROPOSAL RESPONSE
Vendors must submit their materials in BOTH hard copy (paper) and electronic format.
5.6.1 Hard Copies of Proposal
Vendors must submit one original signed Technical Proposal and four copies. Only one
original is required for the materials listed in Section 7.
The Proposal should be well organized and each page marked by a page number, the name of the
responding Vendor, and the solicitation number (GFO-SA20175OMTC). The response should be
typed and submitted on 8.5 x 11 inch paper bound securely. Font size and style throughout the
Proposal must be 12-point font or greater with the exception of any applicable diagrams and
footnotes.
The State reserves the right to disqualify any proposals that do not follow the required
formatting.
5.6.2 Electronic Copies of Proposal
Vendors must submit one non-password protected CD or other form of electronic media,
containing the entire proposal response and must be labeled as follows:
Proposal Response
Procurement Title
Name of Vendor
Solicitations GFO-SA20175OMTC
5.7 RESPONSE ORGANIZATION AND CONTENT
Vendor’s response must contain all required documentation organized and labeled in the sections and
order described in Attachment B, the Vendor Checklist. Use tabs to separate sections as shown in
Attachment B.
5.8 MULTIPLE PROPOSALS
Multiple Proposals from a single Vendor will NOT be permitted.
5.9 INCURRING COSTS
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The State of Wisconsin is not liable for any cost incurred by Vendors in replying to this solicitation.
5.10 WITHDRAWAL OF PROPOSALS
Proposals shall be irrevocable until Contract award unless the Proposal is withdrawn. Vendors may
withdraw a response at any time up to the Proposal closing date and time. To accomplish this, the
written request must be signed by an authorized representative of the Vendor and submitted to the
Contract Administrator. If a previously submitted response is withdrawn before the deadline for
Proposal, the Vendor may submit another response at any time up to the Proposal closing date and time.
6 SELECTION AND AWARD PROCESS
6.1 PRELIMINARY REVIEW AND ACCEPTANCE OF PROPOSAL
The purpose of the preliminary evaluation is to determine if each proposal is sufficiently responsive to
the GRANT SOLICITATION to permit a complete evaluation. Proposals must comply with the
instructions to Vendors contained in this GRANT SOLICITATION. Failure to comply with the
instructions may cause the proposal to be rejected without further consideration. The state reserves the
right to waive any minor irregularities in the proposal.
6.2 EVALUATION CRITERIA
Proposals will be scored using the following criteria:
Solicitation Section Points
Program Design and Methodology 25
Goals, Objectives, and Performance Expectations 20
Work Plan 20
Organizational Experience and Capacity 15
Reporting, Performance Measurement and Quality Improvement 10
Budget 10
Total 100
6.3 METHOD OF AWARD
Opioid and Methamphetamine Treatment Centers
GFO-SA20175OMTC
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Proposals accepted through the preliminary review process will be evaluated by a committee and scored
against established evaluation criteria. Scores will be given in accordance with the points referenced in
Section 6.2. Award(s) will be made on the basis of a combination of the highest point score received by
a responsive, responsible Vendor in an identified high need and underserved geographic regional area
and, at the discretion of the Department of Health Services, the distribution of grant funding to achieve
the greatest geographic access to addiction treatment services in the state high need areas.
At least two regional Opioid Treatment Centers (funded by the federal State Targeted Response to the
Opioid Crisis grant) are sought to serve the following highest need and underserved opioid treatment
areas: Adams, Dodge, Juneau, Manitowoc, and Marquette. Second priority for funding will be for
programs serving: Kenosha, Racine, and/or Rock Counties.
At least one regional Comprehensive Treatment Center is sought to provide services in the following
high need and underserved geographic areas for methamphetamine addiction treatment: Barron, Burnett,
Douglas, Dunn, Eau Claire, La Crosse, Pierce, Polk, Rusk, St. Croix, and Sawyer counties.
6.4 RIGHT TO REJECT PROPOSALS
DHS reserves the right to reject any and all proposals and may negotiate the terms of the Contract,
including the award amount, authorized budget items, the proposed regional service area, and specific
programmatic goals with the selected proposer(s) prior to entering into an agreement. If Contract
negotiations cannot be concluded successfully with the highest scoring proposer in a geographic high
need and underserved area, the DHS may negotiate a contract with the next highest scoring proposer in
that high need and underserved area. No more than one proposal per agency will be funded.
6.5 INTENT TO AWARD NOTIFICATION
All Vendors who respond to this solicitation will be notified in writing of the Department’s decision
including if the Department’s intent is to award the Contract as a result of this GRANT
SOLICITATION.
7 REQUIRED FORMS AND ADDITIONAL DOCUMENTATION
The following section contains forms and additional documentation pertaining to this GRANT
SOLICITATION that must be submitted at the time of Proposal.