MURIEL BOWSER MAYOR September 13, 2024 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. M0004 to Contract No. CW103051 with Guardiantrac, LLC dba GT Independence (“GTI”) to exercise option year two in the not-to-exceed amount of $6,895,790. The period of performance is from October 17, 2024, through October 16, 2025. Under the proposed modification, GTI will continue to provide services as a Vendor Fiscal/Employer Agent Financial Management Services Support Broker to provide financial management services, information and assistance services, and support broker services to Medicaid participants enrolled in the District of Columbia’s Medicaid Home- and Community- Based Services (HCBS) waiver program. 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 your staff contact Marc Scott, Chief Operating Officer, Office of Contracting and Procurement, at (202) 724-8759. I look forward to the Council’s favorable consideration of this contract modification. Sincerely, Muriel Bowser GOVERNMENT OF THE DISTRICT OF COLUMBIA Office of Contracting and Procurement Pursuant to section 202(c) of the Procurement Practices Reform Act of 2010, as amended, D.C. Official Code § 2-352.02(c), the following contract summary is provided: COUNCIL CONTRACT SUMMARY (Option) (A) Contract Number: CW103051 Proposed Contractor: Guardiantrac, LLC dba GT Independence (GTI) Contract Amount (Option Period Two): Not-to-Exceed (NTE) $6,895,790 Unit and Method of Compensation: Fixed Unit Price Term of Contract: October 17, 2024 through October 16, 2025 Type of Contract: Indefinite Delivery Indefinite Quantity (B) For a contract containing option periods, the contract amount for the base period and for each option period. If the contract amount for one or more of the option periods differs from the amount for the base period, provide an explanation of the reason for the difference: Base Year Amount: NTE $5,150,000 (October 17, 2022 through October 16, 2023) (Council Approval CA25-0016) Option Period One Amount: NTE $6,695,000 (October 17, 2023 through October 16, 2024) (Council Approval CA25-0387) Option Period Two Amount: NTE $6,895,790 Explanation of difference from base period (if applicable): The amount for option period two exceeds the price for the base period due to the maximum quantity of members increasing per month. Also, the amount for option period two exceeds the price for the base period due to inflationary factors related to the cost of operating a business and because of CPI inflation that measures the average change over time in the prices paid by urban consumers for a market basket of consumer goods and services. 1 Option Period Three Amount: NTE $7,102,690 Explanation of difference from base period (if applicable): The amount for option period three exceeds the price for the base period due to the maximum quantity of members increasing per month. Also, the amount for option period three exceeds the price for the base period due to inflationary factors related to the cost of operating a business and because of CPI inflation that measures the average change over time in the prices paid by urban consumers for a market basket of consumer goods and services. Option Period Four Amount: NTE $7,315,890 Explanation of difference from base period (if applicable): The amount for option period four exceeds the price for the base period due to the maximum quantity of members increasing per month. Also, the amount for option period four exceeds the price for the base period due to inflationary factors related to the cost of operating a business and because of CPI inflation that measures the average change over time in the prices paid by urban consumers for a market basket of consumer goods and services. (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 25, 2024, the Citywide Clean Hands database certified that GTI is current with its District taxes. (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 $6,895,790 is available to support the contract. 2 ;<87=84ÿ>ÿ458ÿ 47?4ÿ>ÿ@A=B C>>?8ÿ>ÿ458ÿ58>ÿ/? @ÿC>>?87 0010ÿ345ÿ6478849ÿ6 C>>?8ÿ>ÿDEÿFÿG8<8A8ÿ 549ÿÿ113 ÿÿ !"ÿ#$%ÿ#&#' ÿ ,-.(&&)#)**'+' ;HIG1I2DGI9ÿJJ /0123ÿ44544416 ÿ0ÿ9ÿKGCIH6ÿ6DG00D  8ÿ13ÿ0766819 6DHG;16ÿL1ÿÿ3M1M0 ÿ ÿ abcdefeagdbÿifÿajbgkÿlgkmn I ÿ78Y748Fÿÿ458ÿ@8ÿ_ FÿZ48=9ÿ458ÿB<8ÿ78>878?8FÿFÿ@A=B ÿC>>?8ÿ>ÿDEÿFÿG8<8A8ÿ7ÿ458ÿ8Y74=84ÿ>ÿ0=Y@Z=84 687ÿ458ÿF48ÿB<89ÿ458ÿF78 45 ÿ874>?48ÿ>ÿ@8ÿ_ Fÿÿ A8F[ D1DJ0ÿ36[ÿDIsID1C29ÿJ102612;9ÿt0GL1D69ÿI66066L02D69ÿI2ÿ/006 _ItD0Gÿrÿ;020GIJÿJ10260 6HK_ItD0Gÿ11[ÿJ0I2ÿ_I26ÿK0/CG0ÿG001^12;ÿIÿJ10260ÿCGÿt0GL1D [[ÿC0ÿqÿ365r8ÿu118v qÿ365r8ÿtGC_1K1D1C2ÿI;I126Dÿ166HI20ÿC/ÿJ10260ÿCGÿt0GL1D T P.VRÿN"ÿW!ORÿOXOU N.OPÿQP%ÿQ!!OÿORÿSO.,OÿTR,OU.O Dÿ<@F48ÿ45 ÿ?874>?489ÿY@8 8ÿ< 4ÿLZDE[[<[ÿCÿ458ÿLZDEÿÿ5=8Y89ÿ?@?\ÿ458 ]^ @F48ÿÿ874>?48ÿ>ÿ@8ÿ_ F`ÿ5ZY87@\ÿAF87ÿ458ÿ@8ÿ_ Fÿ8?4[ wwxwÿyz{ÿnz|}}zÿn~ÿn€z}ÿ~‚ƒxÿ~„{†‡zˆ†ÿmaÿ‚xx‚y‰Š{ˆ†}‹ÿŒ‚x‚ÿƒ‚yŽxy‰‘d„’“ma“‡ˆ” ÿ GOVERNMENT OF THE DISTRICT OF COLUMBIA Department of Health Care Finance Office of the Chief Financial Officer MEMORANDUM TO: Nancy Hapeman Acting Chief Procurement Officer Office of Contracting and Procurement THRU: Delicia V. Moore Associate Chief Financial Officer Human Support Services Cluster FROM: Darrin Shaffer Agency Fiscal Officer Department of Health Care Finance DATE: August 20, 2024 SUBJECT: Certification of Funding for the Participant Directed Services (PDS) Contract The Office of the Chief Financial Officer hereby certifies that the sum of $6,895,790.00 is included in the District’s Local Budget and Financial Plan for Fiscal Year 2025 to fund the costs associated with the Department of Health Care Finance’s (DHCF) Participant Directed Services (PDS) Contract. This certification supports the Guardiantrac, LLC contract cost from October 17, 2024 through October 16, 2025. This fund allocation is as follows: Vendor: Guardiantrac, LLC Contract Number: CW103051 Fiscal Year 2025 Funding: 10/17/2024 - 9/30/2025 Cost Project Split Fund Agency Program Account Project Award Amount Center Task (%/$) 1010001 HT0 100193 70272 7132001 Blank Blank Blank 55% 3,629,558.28 4025002 HT0 100193 70272 7132001 200881 25.06 2001984 45% 2,969,638.60 TOTAL 6,599,196.88 Fiscal Year 2026 Funding: 10/01/2025 - 11/16/2025 Cost Project Split Fund Agency Program Account Project Award Amount Center Task (%/$) 1010001 HT0 100193 70272 7132001 Blank Blank Blank 55% 163,126.22 4025002 HT0 100193 70272 7132001 200881 25.06 2001984 45% 133,466.90 TOTAL 296,593.12 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 any questions, please contact me at (202) 442-9079. 441 4th Street, N.W., Suite 960N, Washington, D.C. 20001 (202) 442-5988 FAX (202) 478-1373 1. Contract Number Page of Pages CW103051 1 2 AMENDMENT OF SOLICITATION / MODIFICATION OF CONTRACT 2. Amendment/Modification Number 3. Effective Date 4. Requisition/Purchase Request No. 5. Solicitation Caption Participant Directed M0004 October 17, 2024 Services 6. Issued by: Code 7. Administered by (If other than line 6) Office of Contracting and Procurement Department of Healthcare Finance 441 4th Street NW, Suite 330S 441 4th Street, N.W. Suite 900S Washington, DC 20001 Washington, DC 20001 Nicole Watts, Contract Administrator (CA) 8. Name and Address of Contractor (No. street, city, county, 9A. Amendment of Solicitation No. state and zip code) 9B. Dated (See Item 11) Holly Carmichael, CEO 10A. Modification of Contract/Order No. Guardiantrac, LLC. dba GT Independence 215 Broadus Street X CW103051 Sturgis, MI 49091 hcarmichael@gtindependence.com 10B. Dated (See Item 13) Code Facility 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 __________ copies 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 CONTRACT/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 X 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, Chapter 36, Section 3601.2. C. This supplemental agreement is entered into pursuant to authority of: D. Other (Specify type of modification and authority) E. IMPORTANT: Contractor is not is required to sign this document. 14. Description of Amendment/Modification (Organized by UCF Section headings, including solicitation/contract subject matter where feasible.) Contract No. CW103051 is hereby modified as follows: 1. Pursuant to Section F.2 of the contract, Option to Extend the Term of the Contract, the District hereby exercises option period two for the period of performance from October 17, 2024 through October 16, 2025 in the amount not-to-exceed $6,895,790. 2. Price Schedule, Section B.3.3 – See Attachment A 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 Signed 16B. District of Columbia 16C. Date Signed (Signature of person authorized to sign) (Signature of Contracting Officer) CW103051 – Participant Directed Services Attachment A B.3.3 Option Period Two Contract Line Item Description Price Per Quantity Minimum Quantity Maximum Item No. Unit Minimum Total Price Maximum Total Price (CLIN) 2001 Perform VF/EA $116.70 per 800 $93,360 x 2000 $233,400 x 12 = FMS services for month 12 = $2,800,800 Members $1,120,360 enrolled in the §1915 (c) HCBS Waiver. (Attachment J.10) and Section C 2002 Perform $122 per 800 $97,600 x 2000 $244,000 x 12 = Support Broker month 12 = $2,928,000 services for $1,171,200 Members enrolled in the §1915 (c) HCBS Waiver. (Attachment J.10) and Section C 2003 Enroll $212.18 per 100 $21,218 1000 $212,180 Participant Participant Representative Employer 2003. A Incentive 2 X 2003 1 $424.36 1000 $424,360 Payment- 90 day of Participant Representative Employer enrollment 2004 Enroll PDW into $106.09 per 100 $10,609 5000 $530,450 payroll system. PDW Attachment J.10 and Section C 2005 Produce SMW $0 per 100 $0 1000 $0 Guidebooks Guidebook Grand Total for B.3.3 Min $2,323,811.36 Max $6,895,790