MURIEL BOWSER
MAYOR
June 26, 2020
The Honorable Phil Mendelson
Chairman
Councilofthe 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 the Procurement Practices Reform Act (D.C. Official Code 2-351.01 et seq.),
enclosed for consideration and approval by the Councilofthe District ofColumbia is proposed
Modification No. M008 to Contract No. CW63013 with Liberty Healthcare Corporation
(Liberty) to exercise option year two in the not-to-exceed amountof $7,012,780.00. The period
ofperformance is from July 31, 2020 to July 30, 2021.
Under the proposed modification, Liberty shall continue to (1) provide intake services, (2) assess
applicant programmatic (non-financial) eligibility, (3) determine level of care, (4) recommend a
range of service hours, and (5) link home health provider services to beneficiaries. It is also the
goalofthis procurement to increase the validity, reliability and overall quality of the assessment
function, improve program integrity and reduce fraud, waste and abuse.
Lam available to discuss any questions you have regarding the proposed contract. In order to
facilitate a response to any questions you may have, please have your staff contact Mare Scott,
Chief Operating Officerof the Office of Contracting and Procurement, at (202) 724-8759.
look forward to the Councils favorable considerationofthis contract.
Sincerely,
Muriel Bwser
Enclosure
 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
(Options)
(A) Contract Number: CW63013
Proposed Contractor: Liberty Healthcare Corporation
Contract Amount (Option Period 2): Not-to-exceed (NTE) $7,012,780.00
Unit and Method of Compensation: Fixed unit prices and Firm Fixed Price components
Term of Contract: July 31, 2020 through July 30, 2021
Type of Contract: Indefinite Delivery/Indefinite Quantity (IDIQ)
(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: Not-to-Exceed (NTE) $7,541,177.00
(July 31, 2018 through July 30, 2019)
(Council Approval CA22-0645)
Option Period One (1) Amount: NTE $6,617,972.00
(July 31, 2019 through July 30, 2020)
(Council Approval CA23-0158)
Option Period Two (2) Amount: NTE $7,012,780.00
(July 31, 2020 through July 30, 2021)
(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):
1
 Verification statements were obtained on May 5, 2020 from the Citywide Clean Hands database
and they indicate that Liberty Healthcare Corporation is in compliance with 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:
In a memorandum dated March 11, 2020, the Department of Health Care Finance (DHCF) Agency
Fiscal Officer certified that funding in the amount of $7,012,780.00 is available for FY20 and
budgeted for FY21 to support the contract for Long Term Care Support Services.
2
 Government of the District of Columbia
Office of the Chief Financial Officer 1101 4th Street, SW
Office of Tax and Revenue Washington, DC 20024
Date of Notice: May 5, 2020 Notice Number: L0004115260
LIBERTY HEALTHCARE CORPORATION FEIN: **-***8586
401 E CITY AVE STE 820 Case ID: 469702
BALA CYNWYD PA 19004-1130
CERTIFICATE OF CLEAN HANDS
As reported in the Clean Hands system, the above referenced individual/entity has no outstanding
liability with the District of Columbia Office of Tax and Revenue or the Department of Employment
Services. As of the date above, the individual/entity has complied with DC Code 47-2862, therefore
this Certificate of Clean Hands is issued.
TITLE 47. TAXATION, LICENSING, PERMITS, ASSESSMENTS, AND FEES
CHAPTER 28 GENERAL LICENSE
SUBCHAPTER II. CLEAN HANDS BEFORE RECEIVING A LICENSE OR PERMIT
D.C. CODE 47-2862 (2006)
47-2862 PROHIBITION AGAINST ISSUANCE OF LICENSE OR PERMIT
Authorized By Marc Aronin
Chief, Collection Division
To validate this certificate, please visit MyTax.DC.gov. On the MyTax homepage, click Clean Hands
and then the Validate a Certificate of Clean Hands hyperlink.
1101 4th Street SW, Suite W270, Washington, DC 20024/Phone: (202) 724-5045/MyTax.DC.gov
 GOVERNMENT OF THE DISTRICT OF COLUMBIA
Department of Health Care Finance
Office of the Chief Financial Officer
MEMORANDUM
TO: George A. Schutter
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: 6/4/2020
SUBJECT: Certification of Funding for the Liberty Healthcare Corporation Contract
The Office of the Chief Financial Officer hereby certifies that the sum of $7,012,780.00 is included in the Districts
Local Budget and Financial Plan submitted to Congress by the Chairman of the Council to the Speaker of the House
of Representatives for Fiscal Year 2020 to fund the costs associated with the Department of Health Care Finances
(DHCF) contract for Liberty Healthcare. This certification supports the Liberty Healthcare Corporation Long Term
Care Support Services contract CW63013 during the period from July 31, 2020 through July 30, 2021. This allocation
is as follows:
Vendor: Liberty Healthcare Corporation Contract Number: CW63013
Fiscal Year 2020 Funding:
Agency Fund Program PCA Index Object Grant Amount
HT0 0100 200L L0000 LL000 0409 $628,368.41
HT0 8250 200L L0000 L00A0 0409 MMAD20/20 $514,120.00
FY20 Total $1,142,488.41
Fiscal Year 2021 Funding:
Agency Fund Program PCA Index Object Grant Amount
HT0 0100 200L L0000 LL000 0409 $3,228,660.37
HT0 8250 200L L0000 L00A0 0409 MMAD21/21 $2,641,631.22
FY21 Total $5,870,291.59
Upon approval by Congress of the Districts Local Budget and Financial Plan 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
AMENDMENT OF SOLICITATION / MODIFICATION OF CONTRACT CW63013 1 3
2. Amendment/Modification Number 3. Effective Date 4. Requisition/Purchase Request No. 5. Solicitation Caption
Long Term Care Support
M008 7/31/2020
Services
6. Issued by: Code 7. Administered by (If other than line 6)
Office of Contracting and Procurement Department of Health Care Finance
441 4th Street NW, Suite 700S 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.
9B. Dated (See Item 11)
Liberty Healthcare Corporation
401 East City Avenue, Suite 820 10A. Modification of Contract/Order No.
Bala Cynwyd, PA 19004
X CW63013
10B. Dated (See Item 13)
Code Facility March 15, 2016
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 ____0____ original copies to the issuing office.
14. Description of Amendment/Modification
Contract No. CW63013 is hereby as follows:
1. Pursuant to Section F.2 of the contract, the Contracting Officer, hereby exercises Option Period One (1),
extending the term of the contract for a period of twelve, (12) months commencing on July 31, 2020 through
July 30, 2021 in the Not-to- Exceed amount of $7,012,780.00
2. Attachment A: Price Schedule B.3.3 is hereby incorporated and made a part of this contract.
All other terms and conditions remains 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
Helena Barbour
15B. Name of Contractor 15C. Date Signed 16B. District of Columbia 16C. Date Signed
(Signature of person authorized to sign) (Signature of Contracting Officer)
 ATTACHMENT A
Long Term Care Support Services/
Liberty Healthcare Corporation
Modification M008
B.3.2 OPTION YEAR TWO (July 31, 2020 through July 30, 2021)
Contract Line Item Description Price Per Unit Quantity Minimum Quantity Maximum
Item No. (CLIN) Minimu Total Price Maximum Total Price
m (Unit price (Unit price
x minimum x Maximum
quantity) quantity)
2001C $63.60 per
Intake Services 600 $38,160 10,000 $636,000
Section C.5.8 referral
Assess Applicant
2002C
Programmatic (non- $298.27 per 600 $178,962 10,000 $2,982,700
Section C.5.9
financial) eligibility assessment
2003C $85.20 per
Referral to Providers 600 $51,120 8,000 $681,600
Section C.5.10 referral
2004C Review of Person- $60.09 per
600 $36,054 3,200 $192,288
Section C.5.12 Centered Service Plans assessment
Minimum Total NTE Maximum Total
Total Estimated Price for CLINs 2001C-2004C $304,296 $4,492,588
Contract Line
Item Description Quantity Total Price
Item No. (CLIN)
2005C
Establish and implement a Quality Improvement and Integrity Program 1 $525,964
Section C.5.13
2006C Establish and implement a Medicaid Beneficiary and Provider Customer
1 $936,716
Section C.5.14 Support Service
2007C Provide related administrative functions including the participation in
1 $1,057,512
Section C.5.15 administrative hearings
Total Price for CLINs 2005C 2007C $2,520,192
Option Period Two Grand Total NTE $7,012,780
Page 2 of 3
 LONG TERM CARE SUPPORT SERVICES
Liberty Healthcare Corporation CW63013
RECAP
Action Period of Performance Amount
Base Year POP: July 31, 2019 thru July 30, 2020 $7,541,177.00
Modification M001 Administrative Change - eInvoicing No Cost
Modification M001A Administrative Change CW Number No Cost
Modification M002 Administrative Change BAA HIPPA No Cost
Modification M003 Administrative Change Living Wage Adjustment No cost
Modification M004 Unilateral Change - Executed to exercise Option $6,617,972.00
Period One
Modification M005 Bilateral Change Funding Reallocation Between No Cost
CLINs
Modification M006 Administrative Change CA No Cost
Modification M007 Administrative Change - Living Wage Adjustment No Cost
Modification M008 Unilateral Change - Executed to exercise Option $7,012,780.00
Period Two
Total Contract Value: $21,171,929.00
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