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Office of Mental Health

Supported Housing For Nursing Home Residents With Serious Mental Illness
Questions and Answers

  1. The RFP states that: Department of Health (DOH) has issued an RFP (Appendix E) as part of a Stipulation and Order of Settlement (Appendix D) which seeks a contractor to conduct assessments of the nursing home residents referenced above in order to determine whether their needs can be met in an appropriate community setting. The Stipulation defines the population that both the DOH and OMH RFPs are designed to serve and refers to the individuals to be assessed as “Nursing Home Remedy Members.” This DOH-selected contractor (the “Assessment Contractor”) will assess the NH Remedy Members in order to: (1) determine whether the total needs of the individuals are such that they can be met in an appropriate community setting; and (2) identify for those individuals capable of and desiring to live in the community, the specific types of community housing and community services necessary to maintain them safely in the community. According to the Appendix E RFP the contractor does not have to completed assessments until June 4, 2014, or 24 months after the approval date of the contract by the Office of the State Comptroller, whichever is later. How then will there be referrals for the start date of this contract of 7/28/12?

    Appendix E (the RFP issued by the Department of Health for an assessment contractor) does in fact anticipate having this assessment contractor complete some assessments of NH Remedy Members prior to 7/28/12, the anticipated contract start date for this OMH Housing RFP. This will allow for a modest start up period for the assessment contractor, while also ensuring housing providers are ready to accept referrals from the nursing homes and/or other authorized referral entity in a timely way. As indicated in Appendix D (the Stipulation and Order of Settlement) "within 24 months of approval by the Office of the State Comptroller of the contract or contracts with the Assessment Contractor(s), defendants shall complete assessments for all NH Remedy Members." So while the order allows two years from the approval of the assessment contract for all of the NH Remedy Members to have assessments completed, the State anticipates that referrals to housing providers will begin at approximately the time the OMH Housing contracts are issued, thus having housing resources available as referrals are received.

  2. How long can non-Remedy Members occupy backfill units?

    Non-Remedy Members that occupy the Supported Housing units fall under the OMH supported housing guidelines available at http://www.omh.ny.gov/omhweb/adults/SupportedHousing/suportedhousingguidelines.html OMH Supported Housing does not have any length of stay requirements. Supported Housing is considered extended-stay housing. An individual’s length of stay is based upon individual need and will vary based upon an individual’s circumstances. In addition, as indicated in 5.2 contractors will be expected to give first priority to any NH Remedy Member for whom supported housing has been determined appropriate.

  3. When will the contractor be supplied a list of NH Remedy Members to be referred for supported housing?

    The awarded housing providers will not be supplied with a list of NH Remedy Members to be referred for supported housing. Rather, the assessment contractor will first identify the individuals who are NH Remedy Members whose needs can be met in an appropriate community setting and who are capable of and desiring to live in the community. In instances where OMH Housing is part of the recommended discharge plan, a referral may be made to a housing provider selected under this RFP, consistent with the NH Remedy Member's geographic area of preference as described in section 1.1.

  4. Will there be any wrap around funds for individuals who require additional medical assistance/support once admitted to community housing, or is the expectation that the housing provider will access available Medicaid-funded services as appropriate?

    There are no wrap around funds associated with this RFP. Contractors will be expected to access available OMH Community Services (most of which are covered by Medicaid or State funds) and DOH Medicaid Home and Community Based Services and Waiver Programs. The State is in the process of finalizing written materials on all of these services for use in educating remedy members about their options in the community and how to access them. A copy of these written materials will be shared with contractors when finalized.

  5. Will the Supported Housing provider be responsible for applying for MLTC Plan enrollment +/or home care services (i.e., VNS, Americare) for those individuals who are admitted to Supported Housing but need medical support of a nurse +/or other home care services?

    No, the nursing home discharge planner is expected to apply for required services to ensure a successful transition to the community.

  6. Can you describe the demographics of the population (gender, age groupings, and ethnicity/race). Can you also provide information on psychiatric diagnoses and co-morbid medical disorders? Are all individuals enrolled in Medicaid? How many are dually enrolled in Medicare?

    Given that the list of NH Remedy Members won’t be final until verified by the assessment contractor, complete information about the population is not available at this time. Information currently available suggests that approximately half of the group will be male and the other half will be female. Approximately two-thirds will be under age 70. Since the Stipulation and Order of Settlement (Appendix D) defines NH Remedy Members on p. 4, section J, as individuals “whose nursing home care is paid for by the New York State Medicaid Program,” it is expected that all individuals being referred under this RFP for OMH housing will continue to be enrolled in Medicaid. It is further anticipated that slightly over half will be dually eligible for Medicaid and Medicare. As indicated, the demographics of the individuals actually referred for housing under this RFP may vary considerably from these rough estimates.

  7. Does the recent decision by the U.S. Second Circuit Court of Appeals to throw out the court order stipulating that required NYS to find apartments and small group homes for thousands of mentally ill adults have any impact on the funding or objectives or any other aspect of this RFP?

    The recent decision by the U.S. Second Circuit Court of Appeals regarding the Adult Home Litigation does not have any impact on the funding or objectives of the Nursing Home RFP.

  8. Are there start-up funds?

    As indicated in Section 5.5.4 #2, "Start-up costs should be included in Year 1 as there is no separate allocation for this. Start-up costs should include the amount needed for the establishment of the units, including cost of staffing, broker fees, security deposits, furniture, moving expenses and other expenses."

  9. What is the maximum number of NH Remedy Members that can reside together?

    The Stipulation and Order of Settlement (Appendix D) does not specify a number; however, it does require that within 3 years of the approval by the Office of the State Comptroller of the contract with the Assessment Contractor, all NH Remedy Members who are capable of and willing to live in the community, as determined by the Assessment Contractor, will be provided with, or otherwise obtain, Community Housing and Community Services consistent with their needs and preferences. The Stipulation and Order of Settlement (Appendix D) defines Community Housing on p. 4, section M. Contractors must ensure that housing used for Remedy Members meets this definition.

  10. Must the rental housing be an apartment in a complex or is this housing to be in a private rented house?

    The RFP is for Supported Housing. Rental units must be consistent with the supported housing guidelines available at http://www.omh.ny.gov/omhweb/adults/SupportedHousing/suportedhousingguidelines.html. In cases where a NH Remedy Member is being served by another type of housing made available by backfilling a vacancy created when another non-remedy member moves to a Supported Housing unit, contractors should ensure they are referring the NH Remedy Member to a housing option that is in keeping with the definition of community housing outlined on p. 4 section M of Appendix D.

  11. In the instances where roommates are involved, how would you recommend the selection process proceed?

    Bidding agencies are expected to describe in their proposals their method/process for matching roommates while maintaining resident choice as a priority.

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