MURIEL BOWSER
MAYOR
August 17, 2023
Honorable Phil Mendelson
Chairman
Council of the District of Columbia
John A. Wilson Building
1350 Pennsylvania Avenue, NW, Suite 504
Washington, DC 20004
Dear Chairman Mendelson:
Pursuant to section 451 of the District of Columbia Home Rule Act (D.C. Official Code § 1-
204.51) and section 202 of the Procurement Practices Reform Act of 2010 (D.C. Official Code §
2-352.02), enclosed for consideration and approval by the Council of the District of Columbia is
proposed Modification No. M0012 to exercise option period two of Contract No. CW97541 with
Health Services for Children with Special Needs, Inc. (HSCSN) in the not-to-exceed amount of
$195,378,755.50. The proposed modification is for the period of October 1, 2023, through
September 30, 2024.
Under the proposed modification, HSCSN shall continue to provide healthcare services to the
District’s Medicaid eligible population enrolled in the Child and Adolescent Supplemental
Security Income Program (CASSIP). The CASSIP consists of Medicaid-eligible children and
adolescents receiving Supplemental Security Income (SSI) or beneficiaries with SSI-related
disabilities.
My administration is available to discuss any questions you may have regarding the proposed
modification. In order to facilitate a response to any questions you may have, please have your
staff contact Marc Scott, Chief Operating Officer of the Office of Contracting and Procurement,
at (202) 724-8759.
I look forward to the Council’s favorable consideration of this proposed modification.
Sincerely,
Muriel Bowser
GOVERNMENT OF THE DISTRICT OF COLUMBIA
Office of Contracting and Procurement
Pursuant to section 202(c-3) of the Procurement Practices Reform Act of 2010, as amended, D.C.
Official Code § 2-352.02(c-3), the following contract summary is provided:
COUNCIL CONTRACT SUMMARY
(Options)
(A) Contract Number: CW97541
Proposed Contractor: Health Services for Children with Special Needs, Inc.
Contract Amount (Option Period Two): Not-to-exceed (NTE) $195,378,755.50
Unit and Method of Compensation: Fixed Capitated Rates
Term of Contract: October 1, 2023, to September 30, 2024
Type of Contract: Indefinite Delivery/Indefinite Quantity
(B) Identifying number of the underlying contract, including the identifiers assigned to the
underlying contract by the Council for the base period and any subsequent option periods:
Base Period Amount: NTE $91,161,873
(April 1, 2022 – September 30, 2022)
(Council Approval CA24-0437)
Option Period One Amount: NTE $189,566,281.08
(October 1, 2022 – September 30, 2023)
(Council Approval CA24-0653)
Option Period Two Amount: NTE $195,378,755.50
(October 1, 2023 – September 30, 2024)
Explanation of difference from base period (if applicable):
The amount for option period two differs from that of the base period based on actuarial rates set
by the District’s actuary. The rates are developed via a shared risk model for the applicable rate
cells. This is a process that estimates health care expenses based on the disease conditions
attributed to the Child and Adolescent Supplemental Security Income Program’s population. The
capitation rates are distributed following the applicable rate cells for each individual enrolled with
the Contractor and re-evaluated annually.
1
(C) A statement that Citywide Clean Hands database indicates that the proposed contractor is
current with its District taxes. If the Citywide Clean Hands Database indicates that the
proposed contractor is not current with its District taxes, either: (1) a certification that the
contractor has worked out and is current with a payment schedule approved by the District;
or (2) a certification that the contractor will be current with its District taxes after the
District recovers any outstanding debt as provided under D.C. Official Code § 2-353.01(b):
On July 5, 2023, the Citywide Clean Hands database certified that Health Services for Children
with Special Needs, Inc. is current with its District tax laws.
(D) A statement that the proposed contract is within the appropriated budget authority for the
agency for the fiscal year and is consistent with the financial plan and budget adopted in
accordance with D.C. Official Code §§ 47-392.01 and 47-392.02:
The Department of Health Care Finance Agency Fiscal Officer certified that funding in the amount
of $195,378,755.50 is available to support the contract.
2
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GOVERNMENT OF THE DISTRICT OF COLUMBIA
Department of Health Care Finance
Office of the Chief Financial Officer
MEMORANDUM
TO: Nancy Hapeman
Interim Chief Procurement Officer
Office of Contracting and Procurement
THRU: Delicia Moore
Associate Chief Financial Officer
Human Support Services Cluster
FROM: Darrin Shaffer
Agency Fiscal Officer
Department of Health Care Finance
DATE: 07/05/2023
SUBJECT: Certification of Funding for Child and Adolescent Supplemental Security Income Program (CASSIP)
Contract
The Office of the Chief Financial Officer hereby certifies that the sum of $195,378,755.50 is included in the District’s Local
Budget and Financial Plan for Fiscal Year 2024 to fund the costs associated with the Department of Health Care Finance’s
(DHCF) contract with Child and Adolescent Supplemental Security Income Program (CASSIP). This certification supports the
Health Services for Children with Special Needs, Inc. contract during the period from October 1, 2023 through September 30,
2024. This allocation is as follows:
Vendor: Health Services for Children with Special Needs, Inc. Contract Number: CW97541
Fiscal Year 2024 Funding: 10/01/2023 – 09/30/2024
DIFS DIFS Cost DIFS
Agency DIFS Program Amount
Fund Center Account
HT0 1010001 70202/70242 700105/700103 7141003 57,443,051.30
HT0 4025002 70202/70242 700105/700103 7141003 137,935,704.20
FY 2024 Contract Total $195,378,755.50
Upon approval of the District’s Local Budget and Financial Plan by the Council and the Mayor and completion of the thirty-day
Congressional layover, funds will be sufficient to pay for fees and costs associated with the contract. There is no fiscal impact
associated with the contract.
Should you have further questions, please contact me at 202-442-9079.
441 4th Street, NW, Suite 900 South, Washington, D.C. 20001 (202) 442-5988 FAX (202) 478-1373
1. Contract Number Page of Pages
AMENDMENT OF SOLICITATION / MODIFICATION OF CONTRACT
CW97541 1 2
2. Amendment/Modification Number 3. Effective Date 4. Requisition/Purchase 5. Solicitation Caption
Request No.
M0012 October 1, 2023 Child and Adolescent Supplemental
Security Income Program (CASSIP)
6. Issued by: Code 7. Administered by (If other than line 6)
Office of Contracting and Procurement Department of Health Care Finance
Health Services Cluster Health Care Delivery Management Administration
441 4th Street NW, Suite 300S 441 4th Street, NW, Suite 900S
Washington, DC 20001 Washington, DC 20001
8. Name and Address of Contractor (No. street, city, county, state and zip code) 9A. Amendment of Solicitation No.
Health Services for Children with Special Needs, Inc.
9B. Dated (See Item 11)
1101 Vermont Avenue, NW; Suite 1200
Washington, DC 20005 10A. Modification of Contractor/Order No.
POC: Anna Dunn, President CW97541
Office: (202) 441-5269 Email: adunn@hschealth.org X 10B. Dated (See Item 13)
April 1, 2022
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended. is not extended.
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By
completing Items 8 and 15, and returning one (1) copy of the amendment: (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or
(c) BY separate letter or fax which includes a reference to the solicitation and amendment number. FAILURE OF YOUR ACKNOWLEDGMENT TO BE
RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF
YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such may be made by letter or fax, provided each letter or
telegram makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
12. Accounting and Appropriation Data (If Required)
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTORS/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14
A. This change order is issued pursuant to (Specify Authority): 27 DCMR, Chapter 36, Contract Modifications
The changes set forth in Item 14 are made in the contract/order no. in item 10A.
B. The above numbered contract/order is modified to reflect the administrative changes (such as changes in paying office, appropriation
data etc.) set forth in item 14, pursuant to the authority of: 27 DCMR § 3601.3 (a)
C. This supplemental agreement is entered into pursuant to authority of: 27 DCMR § 3601.2
X D. Other: Exercise of Option, pursuant to the authority of: 27 DCMR § 3601.3 (c)
E. IMPORTANT: Contractor is not required is required to sign this document and return one (1) copy to the issuing office.
14. Description of Amendment/Modification (Organized by UCF Section headings, including solicitation/contract subject matter where feasible.)
Contract No. CW97541 is hereby modified as follows:
1) In accordance with Section F.2 titled “Option to Extend the Term of the Contract,” the District of Columbia
Government, Office of Contracting and Procurement, on behalf of the Department of Health Care Finance, hereby
exercises option period two to extend the term of the contract from October 1, 2023, through September 30, 2024,
in the not-to-exceed amount of $195,378,755.50.
2) Attachment A: Price Schedule for Option Period Two is incorporated and made a part of the contract.
3) Updated J.15, Mercer’s Actuarial Rate Setting Memo, prepared on July 20, 2023, is incorporated and made a part of
the contract.
ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED
Except as provided herein, all terms and conditions of the document is referenced in Item 9A or 10A remain unchanged and in full force and effect.
15A. Name and Title of Signer (Type or print) 16A. Name of Contracting Officer
Jarad Dorsey
15B. Name of Contractor 15C. Date 16B. District of Columbia 16C. Date Signed
Signed
(Signature of person authorized to sign) (Signature of Contracting Officer)
ATTACHMENT A – CW97541 – M0012 – CASSIP
B.3 PRICE SCHEDULE
B.3.4 Option Period Two
October 1, 2023, through September 30, 2024
CASSIP Monthly Total Monthly
Actuarily Sound
Estimated Estimate per Rate
Rate Cell Rates
Enrollees Cohort
Under 1 Year of Age 19 $11,068.42 $210,299.98
Children 1 Year of Age through 4 Years
397 $5,849.93 $2,322,422.21
of Age
Children 5 Years of Age through 12
1,619 $2,952.58 $4,780,227.02
Years of Age
Males 13 Years of Age through 18
788 $2,431.91 $1,916,345.08
Years of Age
Females 13 Years of Age through 18
454 $3,850.26 $1,748,018.04
Years of Age
Males 19 Years of Age and Older 676 $1,938.49 $1,310,419.24
Females 19 Years of Age and Older 509 $2,424.03 $1,233,831.27
CFSA – Foster Care Children – All
207 $6,625.70 $1,371,519.90
Ages
Under 1 Year of Age (Non
54 $3,740.33 $201,977.82
CASSIP/Well)
Children 1 Year of Age through 5 Years
202 $311.00 $62,822.00
of Age (Non CASSIP/Well)
Estimated Monthly Total $15,157,882.56
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