Common use of Application Review Information Clause in Contracts

Application Review Information. 1. EVALUATION CRITERIA Section A: Statement of Need (15 points) 1. Document the need for an enhanced infrastructure to increase the capacity to implement, sustain, and improve effective medication-assisted treatment services that is consistent with the purpose of the program and intent of the FOA. 2. Describe the service gaps and other problems related to the need for infrastructure development. Identify the source of the data. Documentation of need may come from a variety of qualitative and quantitative sources. Examples of data sources for the quantitative data that could be used are local epidemiologic data, state data (e.g., from state needs assessments, SAMHSA’s National Survey on Drug Use and Health), and/or national data (e.g., from SAMHSA’s National Survey on Drug Use and Health or from National Center for Health Statistics/Centers for Disease Control and Prevention reports, and Census data). This list is not exhaustive; applicants may submit other valid data, as appropriate. Section B: Proposed Approach (35 points) 1. Describe the purpose of the proposed project, including a clear statement of its goals and objectives. These must relate to the performance measures you identify in Section D, Data Collection and Performance Measurement. Describe how achievement of goals will increase system capacity to support effective substance abuse and/or mental health services. 2. Describe the proposed project activities, how they meet your infrastructure needs, and how they relate to your goals and objectives. These should align with Section I-2, Expectations, of this FOA. 3. Provide a chart or graph depicting a realistic timeline for the entire three years of the project period showing dates, key activities, and responsible staff. These key activities should include the requirements outlined in Section 1-2: Expectations. [Note: The timeline should be part of the Project Narrative. It should not be placed in an attachment.] 4. Describe how key activities in your timeline will be implemented. 5. Describe how the proposed activities will adhere to the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (go to ▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇.▇▇▇). Select one element of each of the CLAS Standards: 1) Governance, Leadership, and Workforce; 2) Communication and Language Assistance; and 3) Engagement, Continuous Improvement, and Accountability, and specifically describe how these activities will address each element you selected. 6. Describe the Project Steering Committee including its membership, roles and functions, and frequency of meetings. 7. If you are submitting the application as a consortium, describe how members of the consortium will work together. If your application is not submitted as a consortium, indicate so in your response. 8. Identify any other organizations that will participate in the proposed project. Describe their roles and responsibilities and demonstrate their commitment to the project. Include letters of commitment from these organizations in Attachment 1 of your application. 9. Describe how you will actively promote and market your services to other national stakeholders providing MAT. 10. Discuss how the project plan will use culturally and linguistically appropriate approaches and methods, and address the following issues in technology transfer needs and opportunities: • Demographics – race, ethnicity, religion, gender, age, geography, and socioeconomic status; • Language and literacy; • Sexual identity – sexual orientation and gender identity; and • Disability. Section C: Staff, Management, and Relevant Experience (20 points) 1. Discuss the capability and experience of the applicant organization and other participating organizations with similar projects and populations, including experience in providing culturally appropriate/competent services and trainings. 2. Discuss the capability and experience of other partnering organizations with similar projects and populations, including experience in providing culturally appropriate/competent services. If you are not partnering with any other organizations, indicate so in your response. 3. Provide a complete list of staff positions for the project, including the Project Director and other key personnel, showing the role of each and their level of effort and qualifications. 4. Discuss how key staff have demonstrated experience and are qualified to develop the infrastructure for the population(s) to receive services and are familiar with their culture(s) and language(s). Section D: Data Collection and Performance Measurement (30 points) 1. Document your ability to collect and report on the required performance measures as specified in Section I-2.4 of this FOA. 2. Describe your specific plan for: • data collection, • management, • analysis, and • reporting of data for the population served by your program. The data collection plan must specify the staff person(s) responsible for tracking the measureable objectives that are identified in your response to question B1. 3. Describe your plan for conducting the local performance assessment as specified in Section I-2.5 of this FOA and document your ability to conduct the assessment. 4. Describe the quality improvement process that will be used to track whether your performance measures and objectives are being met, and how any necessary adjustments to the implementation of the project will be made.

Application Review Information. 1. EVALUATION CRITERIA Section A: Population(s) of focus and Statement of Need (15 10 points) 1. Identify the proposed catchment area and the proposed population(s) of focus to be served by the grant project. Provide a comprehensive demographic profile of your population(s) of focus in terms of race, ethnicity, federally recognized tribe, language, gender, age, socioeconomic characteristics, and sexual identity (sexual orientation, gender identity). 2. Discuss the relationship of your population(s) of focus to the overall population in your geographic catchment area and identify sub-population disparities, if any, relating to access/use/outcomes of your proposed services, citing relevant data. Demonstrate an understanding of these populations consistent with the purpose of the proposed project and intent of the RFA. 3. Document the need for an enhanced infrastructure to increase the capacity to implement, sustain, and improve effective medication-assisted treatment services for the population(s) of focus in the proposed catchment area that is consistent with the purpose of the program and intent of the FOA. 2RFA. Describe the nature of the problem, including infrastructure and service gaps gaps, and other problems related to document the extent of the need (i.e., current prevalence rates or incidence data) for infrastructure developmentthe population(s) of focus based on data. Identify the source of the data. Documentation of need may come from a variety of qualitative and quantitative sources. Examples of data sources for the quantitative data that could be used are local epidemiologic data, state data (e.g., from state needs assessments, SAMHSA’s National Survey on Drug Use and Health), and/or national data (e.g., from SAMHSA’s National Survey on Drug Use and Health or from National Center for Health Statistics/Centers for Disease Control and Prevention [CDC] reports, and Census data). This list is not exhaustive; applicants may submit other valid data, as appropriateappropriate for your program. Section B: Proposed Approach Evidence-Based Service/Practice (35 25 points) 1. Describe the purpose of the proposed project, including a clear statement of its goals and objectives. These must relate to the intent of the RFA and performance measures you identify in Section D, E: Data Collection and Performance Measurement. Describe how achievement of goals will increase system capacity to support effective substance abuse and/or mental health services. 2. Describe the evidence-based and trauma-informed practices and services proposed for outreach, screening and assessment, behavioral health treatment (specify types), and recovery support services that meet the required activities specified in the RFA and are appropriate for the population(s) of focus. If you are proposing activities in addition to those required, please specify and discuss. 3. Describe how the proposed practices and services will address the following issues in the population(s) of focus: demographics (race, ethnicity, religion, gender, age, geography, and socioeconomic status); language and literacy; sexual identity (sexual orientation, gender identity); and disability. [See Appendix I: Using Evidence-Based Practices (EBPs).] 4. Identify ways in which you will work with sub-awardees and state planning partners in implementing the practices and services, including training, certification, and monitoring. • Clearly describe how the provision of the evidence-based intervention by the sub-awardees will be monitored by the grantee. • Describe how you will identify and justify any modifications or adaptations you may need to make to practice(s) to meet the goals of your project and why you believe the changes will improve the outcomes. 5. If an EBP does not exist/apply for your population(s) of focus, fully describe the practice(s) you plan to implement, explain why it is appropriate for the population(s) of focus, and justify its use compared to an existing EBP. Describe how the proposed practice(s) will address the following issues in the population(s) of focus: demographics (race, ethnicity, religion, gender, age, geography, and socioeconomic status); language and literacy; sexual identity (sexual orientation, gender identity); and disability. 6. Explain how your choice of EBP(s) and practice(s) will help you address disparities in service access, use and outcomes for subpopulations. Section C: Proposed Implementation Approach (30 points) 1. Describe how the proposed project activitiesaligns with ▇▇▇▇▇▇’s Strategic Initiatives, how specifically Recovery Support. 2. Identify any organization(s) that will participate in the proposed project and the geographic areas/jurisdictions in which they meet will provide behavioral health services. Describe the need in these areas, as well as the experience and ability of these entities to deliver evidence-based practice(s). Describe their roles and responsibilities and demonstrate their commitment to the project. Include letters of commitment from these organizations in Attachment 1 of your infrastructure needs, and how they relate to your goals and objectives. These should align with Section I-2, Expectations, of this FOAapplication. 3. Provide a chart or graph depicting a realistic timeline time line for the entire three years of the project period showing dates, key activities, milestones, and responsible staff. These key activities should include the requirements outlined in Section 1-2I-2: Expectations. Be sure to show that the project can be implemented and service delivery can begin as soon as possible and no later than 4 months after grant award. [Note: The timeline time line should be part of the Project Narrative. It should not be placed in an attachment.] 4. Describe how key activities plans to establish or use an existing State Interagency Council on homelessness consistent with the requirements outlined in your timeline will be implementedSection I-2: Expectations (State Infrastructure Development). 5. Describe the types of activities you propose to include in a new statewide plan or enhance an existing statewide plan to ensure sustained partnerships across public health and housing systems that will result in short- and long-term strategies to support the population(s) of focus and meet the required activities in this RFA. Discuss ways in which you will work with sub-awardees and other providers to implement and monitor the activities in the statewide plan. 6. Describe the steps you will take to assist the state Medicaid eligibility agency in developing a streamlined application process for the population(s) of focus (if applicable). 7. Describe how you will provide technical assistance to service providers on the Medicaid streamlined application process (if applicable). 8. Describe how you will assist providers (e.g., substance use treatment providers, mental health providers, homeless services providers) seeking to become qualified Medicaid providers (if applicable). 9. Describe how you will ensure that sub-awardees engage and enroll eligible persons in Medicaid and other mainstream benefit programs. 10. Describe how you will monitor sub-awardee(s) in the areas of outreach, screening and assessment, client enrollment, behavioral health treatment, and recovery support services of the proposed project that meet the required activities specified in the RFA. 11. Describe how you will ensure that providers will screen, assess for, and document the presence of substance use disorders, SMIs, and co-occurring mental and substance use disorders, and use the information to develop appropriate treatment approaches for the population(s) of focus. 12. State the unduplicated number of individuals you propose to serve annually, including sub-populations (annually and over the entire project period) with grant funds, including the types and numbers of services to be provided and anticipated outcomes. Explain how you arrived at this number. You are required to include the numbers to be served by race, ethnicity, gender, and sexual orientation. Include: o Grant project enrollment by sub-awardee; o Individuals assisted with enrollment for third party networks and mainstream benefits; and o Provider organizations assisted with enrollment in third party networks. 13. Describe how you will ensure that service providers will identify, recruit and retain the population(s) of focus. Discuss how the proposed approach to identify, recruit and retain the population(s) of focus considers the language, beliefs, norms, values and socioeconomic factors of this/these population(s). 14. Describe how the required SOAR Specialist(s), Supported Employment Specialist(s), and if applicable, the Peer Recovery Support Specialist(s) will engage with enrolled clients, including the proposed services they will deliver. 15. Describe how the proposed activities will be implemented and how they will adhere to the National Standards for Culturally and Linguistically Appropriate Services (CLAS) CLAS in Health and Health Care (Care. For additional information go to ▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇.▇▇▇). 16. Select one element Provide a per-unit cost for this program. Justify that this per-unit cost is providing high quality services that are cost effective. Describe your plan for maintaining and/or improving the provision of each high quality services that are cost effective throughout the life of the CLAS Standardsgrant. [NOTE: One approach might be to provide a per-person or unit cost of the project to be implemented. You can calculate this figure by: 1) Governance, Leadership, taking the total cost of the project over the lifetime of the grant and Workforcesubtracting 20 percent for data and performance assessment; 2) Communication and Language Assistance; and 3dividing this number by the total unduplicated number of persons to be served. Another approach might be to calculate a per-person or unit cost based upon your organization’s history of providing a particular service(s). This might entail dividing the organization’s annual expenditures on a particular service(s) Engagement, Continuous Improvement, and Accountability, and specifically describe how these activities will address each element you selectedby the total number of persons/families who received that service during the year. Another approach might be to deliver a cost per outcome achieved. 6. Describe the Project Steering Committee including its membership, roles and functions, and frequency of meetings. 7. If you are submitting the application as a consortium, describe how members of the consortium will work together. If your application is not submitted as a consortium, indicate so in your response. 8. Identify any other organizations that will participate in the proposed project. Describe their roles and responsibilities and demonstrate their commitment to the project. Include letters of commitment from these organizations in Attachment 1 of your application. 9. Describe how you will actively promote and market your services to other national stakeholders providing MAT. 10. Discuss how the project plan will use culturally and linguistically appropriate approaches and methods, and address the following issues in technology transfer needs and opportunities: • Demographics – race, ethnicity, religion, gender, age, geography, and socioeconomic status; • Language and literacy; • Sexual identity – sexual orientation and gender identity; and • Disability.] Section CD: Staff, Management, Staff and Relevant Organizational Experience (20 15 points) 1. Discuss the capability and experience of the applicant organization and other participating organizations sub- awardee(s) with similar projects and populations, including experience . Demonstrate that the applicant organization and other participating organizations have linkages to the population(s) of focus and ties to grassroots/community-based organizations that are rooted in providing culturally appropriate/competent services the culture(s) and trainingslanguage(s) of the population(s) of focus. 2. Discuss the capability and experience of other partnering organizations with similar projects and populations, including experience in providing culturally appropriate/competent services. If you are not partnering with any other organizations, indicate so in your response. 3. Provide a complete list of staff positions for the project, including the Project Director Director, Evaluator, Peer Recovery Support Specialist(s), Supported Employment Specialist(s), SOAR Specialist(s), and other key personnel, showing the role of each and their level of effort and qualifications. 43. Discuss how key staff have demonstrated experience and are qualified to develop the infrastructure for serve the population(s) to receive services of focus and are familiar with their culture(s) and language(s). 4. Describe how your staff will ensure the input of consumers representing the population(s) of focus in assessing, planning, and implementing your project. Section DE: Data Collection and Performance Measurement (30 20 points) 1. Document your ability to collect and report on the required performance measures as specified in Section I-2.4 of this FOA. 2. Describe your specific plan for: • data collectionthe data-driven quality improvement process by which sub-population disparities in access/use/outcomes will be tracked, • management, • analysis, assessed and • reporting of data for the population served by your program. The data collection plan must specify the staff person(s) responsible for tracking the measureable objectives that are identified in your response to question B1reduced. 3. Describe your plan for conducting the local performance assessment as specified in Section I-2.5 I-2.3 of this FOA RFA and document your ability to conduct the assessment. 4. Describe the quality improvement process that will be used to track whether your performance measures and objectives are being met, and how any necessary adjustments to the implementation of the project will be made.

Application Review Information. 1. EVALUATION CRITERIA Section A: Population of Focus and Statement of Need (15 points) 1. Provide a comprehensive demographic profile of your population of focus in terms of race, ethnicity, federally recognized tribe, language, gender, age, socioeconomic characteristics and sexual identity (sexual orientation, gender identity). 2. Discuss the relationship of your population of focus to the overall population in your geographic catchment area and identify sub-population disparities, if any, relating to access/use/outcomes of your provided services, citing relevant data. Demonstrate an understanding of these populations consistent with the purpose of your program and intent of this RFA. 3. Document the need for an enhanced infrastructure to increase the capacity to implement, sustain, and improve effective medication-assisted treatment services that is consistent with for the purpose population of focus in the program and intent of the FOA. 2proposed catchment area. Describe Include the service gaps and other problems related to the need for infrastructure development. Identify the source of the data. Documentation of need may come from a variety of qualitative and quantitative sources. Examples of data sources for the quantitative data that could be used are local epidemiologic data, state data (e.g., from state needs assessments, SAMHSA▇▇▇▇▇▇’s National Survey on Drug Use and Health), and/or national data ([e.g., from SAMHSA’s National Survey on Drug Use and Health or from National Center for Health Statistics/Centers for Disease Control and Prevention (CDC) reports, and Census data)]. This list is not exhaustive; applicants may submit other valid data, as appropriateappropriate for your program. Section B: Proposed Approach (35 points) 1. Describe the purpose of the proposed project, including a clear statement of its goals and objectives. These must relate to the intent of the RFA and performance measures you identify in Section D, : Data Collection and Performance Measurement. 2. Describe how achievement of goals will increase system capacity to support effective substance abuse and/or mental health services. 2. Describe services for the proposed project activities, how they meet your infrastructure needs, and how they relate to your goals and objectives. These should align with Section I-2, Expectations, population of this FOAfocus. 3. Provide Describe your approach to implementing the required activities including: hiring a chart State Adolescent Treatment/Youth Coordinator, developing or graph depicting expanding an Interagency Council, developing a realistic timeline cross-Agency statewide financial map, designing a three-year statewide workforce plan, designing/implementing a workforce map and developing a comprehensive three-year strategic plan for the entire three years population of the project period showing dates, key activities, and responsible staff. These key activities should include the requirements outlined in Section 1-2: Expectations. [Note: The timeline should be part of the Project Narrative. It should not be placed in an attachmentfocus.] 4. Describe your plan to accomplish three of the activities listed in section I-2.2 of the RFA. Provide specific details on how key each of the selected activities in your timeline will be implementedaccomplished. 5. Describe the stakeholders and resources in the catchment area that can help implement the needed infrastructure development. 6. Describe how the proposed activities will be implemented and how they will adhere to the National Standards for Culturally and Linguistically Linguistic Appropriate Services (CLAS) in Health and Health Care (Care. For additional information go to to: ▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇.▇▇▇). Select one element of each of the CLAS Standards: 1) Governance, Leadership, and Workforce; 2) Communication and Language Assistance; and 3) Engagement, Continuous Improvement, and Accountability, and specifically describe how these activities will address each element you selected. 6. Describe the Project Steering Committee including its membership, roles and functions, and frequency of meetings. 7. If you are submitting Provide a chart or graph depicting a realistic time line for the application as a consortiumentire project period showing key activities, describe how members milestones, and responsible staff. These key activities should include the requirements outlined in Section I-2: Expectations. [Note: The time line should be part of the consortium will work togetherProject Narrative. If your application is It should not submitted as a consortium, indicate so be placed in your responsean attachment.] 8. Identify any other organizations that will participate in Describe how the proposed project. Describe their roles and responsibilities and demonstrate their commitment to the project. Include letters of commitment from these organizations in Attachment 1 of your application. 9. Describe how you project will actively promote and market your services to other national stakeholders providing MAT. 10. Discuss how the project plan will use culturally and linguistically appropriate approaches and methods, and address the following issues in technology transfer needs and opportunitiesyour catchment area: • o Demographics – race, ethnicity, religion, gender, age, geography, and socioeconomic status; • o Language and literacy; • o Sexual identity – sexual orientation and orientation, gender identity; and • o Disability. Section C: Staff, Management, Staff and Relevant Organizational Experience (20 points) 1. Discuss the capability and experience of the applicant organization and other participating organizations with similar projects and populations, including experience . Demonstrate that the applicant organization and other participating organizations have linkages to the population(s) of focus and ties to grassroots/community-based organizations that are rooted in providing culturally appropriate/competent services the culture(s) and trainingslanguage(s) of the population(s) of focus. 2. Discuss Describe the capability skills and experience of other partnering organizations with similar projects the State Adolescent Treatment/Youth Coordinator or provide a detailed plan on how a skilled and populations, including experience in providing culturally appropriate/competent services. If you are not partnering with any other organizations, indicate so in your responseexperienced Coordinator will be recruited. 3. Provide a complete list of staff positions for the project, including the Project Director and other key personnel, State Adolescent Treatment/Youth Coordinator showing the role of each and their level of effort and qualifications. 4. Discuss the role of senior grantee agency staff (i.e., Authorizing Representative) and their involvement in supervision and support of the SYT-P staff. 5. Discuss how key staff have demonstrated experience and are qualified to develop the infrastructure for serve the population(s) to receive services of focus and are familiar with their culture(s) and language(s). 6. Describe how your staff will ensure the input of youth and family members/primary caregivers in assessing, planning and implementing your project. Section D: Data Collection and Performance Measurement (30 points) 1. Document your ability to collect and report on the required performance measures as specified in Section I-2.4 I-2.3 of this FOARFA. Describe your plan for data collection, management, analysis and reporting. If applicable, specify and justify any additional measures or instruments you plan to use for your grant project. 2. Describe how data will be used to manage the project and assure that the goals and objectives at a systems level will be tracked and achieved. Goals and objectives of your specific plan for: • data collectioninfrastructure program should map onto any continuous quality improvement plan, • managementincluding consideration of behavioral health disparities. Describe how information related to process and outcomes will be routinely communicated to program staff, • analysisgoverning and advisory bodies, and • reporting of data for the population served by your program. The data collection plan must specify the staff person(s) responsible for tracking the measureable objectives that are identified in your response to question B1stakeholders. 3. Describe your plan for conducting the local performance assessment as specified in Section I-2.5 I-2.4 of this FOA RFA and document your ability to conduct the assessment. 4. Describe Discuss how the applicant organization has used qualitative and quantitative data for continuous quality improvement process that will be used to track whether your performance measures and objectives are being met, and how any necessary adjustments to the implementation of the project will be madeimprovement.