Bill Summary – FastDemocracy

MURIEL BOWSER
    MAYOR
September 10, 2024
Honorable Phil Mendelson
Chairman
Councilof 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 202ofthe Procurement Practices Reform Act of 2010 (D.C. Official Code §
2-352.02), enclosed for consideration and approval by the Councilofthe District of Columbia is
proposed Modification No. M016 to Contract No. CW97541 with Health Services for Children
with Special Needs, Inc. (HSCSN) to exercise option year three in the not-to-exceed amount of
$201,790,201.69. The period of performance is from October 1, 2024, through September 30,
2025.
Under the proposed modification, HSCSN will 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
contract modification. In order to facilitate a response to any questions you may have, please have
yourstaffcontact Mare Scott, Chief Operating Officer, Office ofContracting and Procurement, at
(202) 724-8759.
Took forward to the Council’s favorable consideration of this contract modification.
Sincerely.
Mfriel Bawser
                      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. (HSCSN)
     Contract Amount (Option Period Three): Not-to-exceed (NTE) $201,790,201.69
     Unit and Method of Compensation: Fixed Capitated Rates
     Term of Contract: October 1, 2024, to September 30, 2025
     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)
     (Council Approval CA25-0349)
     Option Period Three Amount: NTE $201,790,201.69
     (October 1, 2024 – September 30, 2025)
     Explanation of difference from base period (if applicable):
     The amount for option period three 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
                                                    1
     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.
(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 23, 2024, the Citywide Clean Hands database certified that HSCSN 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 $201,790,201.69 is available to support the contract.
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                               GOVERNMENT OF THE DISTRICT OF COLUMBIA
                                     Department of Health Care Finance
                                                         wk
                                                         aa
 Office of the       Financial Officer                   zz
 MEMORANDUM
TO:                  ‘Nancy Hapeman
                     ‘Acting Chief Procurement Officer
                     Office ofContracting and Procurement
 THRU:               Delicia Moore         _.                    Digtalsgnedby Deca V.
                     Associate Chief FPD@iciatts MOOre Moore
                     ‘Human Support Services Cluster             Date: 2024.07.31 17:25:10 -0400'
 oe                  Darrin Shaffer
                     ‘Agency Fiscal Officer Darrin A Shaffer cae'icaristate
                                                                        a”
                     Department ofHealth Care Finance
DATE:                July 29, 2024
 SUBJECT;            Certification of Funding for Child and Adolescent Supplemental Security Income Program (CASSIP)
                     Contract
 ‘The Office of theChiefFinancial Officer hereby certifies that the sum of $201,790,201.69 is included in the District’s Local
 Budget and Financial Plan for Fiscal Year 2025 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, 2024 through September 30,
 2025, This allocation is as follows:
 Vendor: Health Services for Children with Special Needs, Inc.                                Contract Number: CW97541
      I Year 2025 Funding:      10/01/2024 —09/30/2025
  Aeeney| fund | Center| program | Accom | Amun
    HTO | 1010001 | 70202         700105                    7141003 | 60,069,799.51
    To | 4025002 [ 70202          700105                    7141003 | 141,720,402.18
                  FY 2025 Contract Total                             $201,790,201.69
Upon approval ofthe District’s Local Budget and Financial Plan by the Council and the Mayor and completionofthe 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 4 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.
                M016                                  October 1, 2024                                        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 three to extend the term of the contract from October 1, 2024, through September 30, 2025,
     in the not-to-exceed amount of $201,790,201.69.
  2) Attachment A: Price Schedule for Option Period Three is incorporated and made a part of the contract.
  3) Updated J.15, Mercer’s Actuarial Rate Setting Memo 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 – M016 – CASSIP
 B.3     PRICE SCHEDULE
 B.3.5 Option Period Three
       October 1, 2024, through September 30, 2025
                                                               Estimated      Actuarially   Total Estimated
  Contract                                                       Total        Sound          Monthly Price
Line Item No.                  Rate Cohort                      Monthly       Rates         per Rate Cohort
   (CLIN)                                                     Enrollees per
                                                              Rate Cohort
  0001                    CASSIP
  0001AA        Under 1 Year of Age                                       3   $13,484.67    $40,454.01
                Children 1 Year of Age through 4 Years of
  0001AB                                                                339   $6,151.61     $2,085,395.79
                Age
                Children 5 Years of Age through 12 Years of
  0001AC                                                              1,659   $3,044.86     $5,051,422.74
                Age
                Males 13 Years of Age through 18 Years of
  0001AD                                                              1,008   $2,538.77     $2,559,080.16
                Age
                Females 13 Years of Age through 18 Years of
  0001AD                                                                512   $3,731.05     $1,910,297.60
                Age
                Males 19 Years of Age through 20 Years of
  0001AF        Age                                                     723   $1,901.29     $1,374,632.67
                Females 19 Years of Age through 20 Years of
  0001AG                                                                490   $2,831.77     $1,387,567.30
                Age
  0001AH        CFSA – Foster Care Children – All Ages                  233   $5,781.37     $1,347,059.21
   0001AI       Under 1 Year of Age (Non CASSIP/Well)                    32   $3,637.57     $116,402.24
                Children 1 Year of Age through 5 Years of
   0001AJ       Age (Non CASSIP/Well)                                   105    $580.85      $60,989.25
Estimates Monthly Total                                                                     $15,933,300.97
Estimated Option Period Three B.3.5                                                         $201,790,201.69
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