1.01Introduction and Program Description
The Department of Health, Division of Senior and Disabilities Services is requesting proposals from eligible applicants to provide Traumatic and Acquired Brain Injury (TABI) services for the State of Alaska in FY2025 through FY2027. Program Services are authorized under 7 AAC 78 Grant Programs. Additional governing statutes are AS 47.80.500 Statewide Traumatic and Acquired Brain Injury Program. State of Alaska statutes and regulations are accessible at the Department of Law Document Library or through the contact person identified on the cover page of this Request for Proposals (RFP).
**Applicants must create a separate application for each region they propose to serve and indicate the type of services applying to provide. In the Project Name field, specify which program each application is for, either Part A: Resource Facilitation and Peer Support or Part B: Supplemental Services.**
Part A: TABI Resource Facilitation and Peer Support (formerly Case Management)
TABI Resource Facilitation and Peer Support services are for Alaskans 18 years or older who experience a traumatic or acquired brain injury, to assist the individual in gaining access to needed medical, rehabilitative, social, educational, and other support services. The goal of the services is to support individuals living with the physical, cognitive, and behavioral challenges resulting from TABI so that they may live in the community as independently and productively as possible. Individuals with TABI present an array of needs, from housing, employment, financial, rehabilitation, transportation, medical and assistive technology, home modification, peer support, and intensive home and community support. Grantees will be responsible for conducting outreach with the purpose of educating the community about the availability of TABI resource facilitation and peer support services.
Alaska has extremely limited options for sub-acute treatment and rehabilitation services for people with TABI. Resource facilitation and peer support is a critical service for some individuals with mild to moderate TABI, as it may be the only service available to assist them in maintaining their independence.
TABI grantees will provide an assessment of the individual's current level of functioning and independence in the areas of finances, housing, employment, daily living, transportation, social/cognitive skills, and other areas. Incorporating person-centered planning and goal setting, the grantee will work with the individual and family to develop a care plan and course of action empowering the individual toward increased independence and rehabilitative efforts. Grantees will follow-up with individuals and provide oversight and monitoring as their plan is implemented, making sure individuals are aware of resources available to them in the community that may help them achieve their goal(s).
Part B: TABI Supplemental Services (formerly Mini-Grants)
The Division of Senior and Disabilities Services provides supplemental services (formerly mini grants) for eligible individuals with a traumatic or acquired brain injury to fund unmet medical, dental, vision or hearing needs, behavioral training services, assistive or adaptive technology, environmental modifications, and other items or services needed to increase self-sufficiency and integration in the community. The supplemental services are available statewide to individuals who have no other resources to purchase the service or equipment. Applicants may work with a TABI grantee, care coordinator, an Aging and Disability Resource Center (ADRC), Independent Living Center (ILC), or other resource navigator to facilitate the application process in coordination with the supplemental services provider. The grantee responsible for administering the supplemental services will be required to perform state-wide outreach with the purpose of educating communities about the available funds. Outreach may be performed through on-line marketing, web-based trainings on the application process, or in person presentations.
1.02Program Goals and Anticipated Outcomes
The proposed project must demonstrate a thorough understanding and support of the grant program goals and outcomes anticipated by the Department. Projects must meet or exceed anticipated minimum outcomes described in this RFP.
Part A: TABI Resource Facilitation and Peer Support (formerly Case Management)
Goal
- Individuals living with TABI will reintegrate into the community and live as independently as possible.
Outcomes
- Individuals with TABI will receive assistance in gaining access to needed medical care, housing, employment, rehabilitation, benefit programs, community connection, and other support services.
- Individuals receiving TABI resource facilitation and peer support service participants will report satisfaction with provided services.
- Individuals with TABI resource facilitation and peer support will report overall improved well-being.
Part B: TABI Supplemental Services (formerly Mini-Grants)
Goal
- To provide financial assistance to individuals with TABI for unmet qualifying needs.
Outcomes
- TABI supplemental services will be available statewide.
- Utilization of TABI supplemental services in rural and remote parts of the state will increase.
- Individuals will receive awards in a timely manner.
- Individuals receiving TABI supplemental services will report satisfaction with the application process.
1.03Program Services/Activities
Part A: TABI Resource Facilitation and Peer Support (formerly Case Management)
The proposal must include a description of the applicant's overall program and activities for resource facilitation and peer support that reflect the goals and outcomes of the project and identify the potential number of recipients the applicant plans to serve in the fiscal year. The proposed number of recipients served should be included in the Logic Model and will used to evaluate the effectiveness and efficiency of the project. The activities must match those summarized in the Logic Model.
Applicants will be required to submit a copy of their Policy and Procedures Manual for services upon grant award.
Additionally, the proposal must include a Timeline for all activities proposed. If proposing for multiple regions, applicants must outline a separate Timeline for each region proposed. Service delivery areas will not be duplicated; only one grantee will be awarded for each identified service regions.
The TABI Resource Facilitation and Peer Support grant program includes the following services and activities:
Assessment of an individual to determine the need for any medical, educational, social, or other services. The assessment activities include:
- Documenting the individual's history;
- Identifying the individual's needs and completing related documentation;
- Gathering information from other sources such as family members, medical providers, social workers, and educators (if necessary), to form a complete understanding of the individual.
Care plan development for individual with TABI that:
- Is based on information collected through the assessment;
- Specifies the goals and actions to address the medical, social, education, rehabilitation, employment, and other services needed by the individual;
- Includes active participation of the individual and/or natural supports.
Referral-related activities to help an eligible individual obtain needed services including activities that help link an individual with:
- Medical, social, education, and employment assistance providers;
- Other programs and services capable of providing needed service, including making referrals to providers for needed services and assisting the individual in scheduling appointments.
Monitoring and follow-up activities including:
- Contact, follow-up, and monitoring necessary to ensure the care plan is implemented and adequately addresses the individual's needs. These activities may be with the individual, natural supports, medical personnel, and/or other providers, and may be conducted as frequently as necessary. Monitoring must include at least one monthly contact with the individual and one face to face contact per quarter;
- Documentation through case notes of monthly contacts and progress toward goals and actions set in the care plan;
- Revision of care plan as necessary to reflect additional goals, or changes in the needs or status of the individual.
Outreach
- Conduct outreach and information activities in the service area with the purpose of educating the community, caregivers, health, and social service networks, senior and disabilities service providers, and behavioral health providers about the availability of TABI facilitation and peer support services;
- Serve as the resource link for information on other statewide and national resources.
Applicants agree to comply with the following additional program requirements and service standards.
By submitting an application, the applicant agrees to provide these services within the provisions of AS 47.80.010 and to comply with all of the following additional program service standards, as well as the service principles adopted by Senior and Disabilities Services found on the Senior and Disabilities website.
Case Notes are required for all service recipients. The case notes must follow standard Human Services Practices and be sufficient for liability protection and historical tracking.
Service Principles and Standards:
- The applicant agrees to comply with SDS Policies and Procedures and applicable state laws in relation to reporting critical incidents and emergency situations. For purposes of this paragraph, "emergency situations" include the disappearance, injury, or death of a service recipient.
- Individuals who are otherwise eligible for TABI facilitation and peer support services may not be excluded from those services because they experience a mental health condition or substance use disorder. Grantees are required to assist with access to regular Medicaid Mental Health Services and funding if the individual is eligible.
- Recipients of Home and Community Based (HCB) Waiver services are not eligible for services under this grant.
- Grantee staff delivering TABI services do not need to be certified care coordinators, but they must attend SDS care coordination training.
Part B: TABI Supplemental Services (formerly Mini-Grants)
The proposal must include a description of the applicant's overall program, resources, and activities for distributing supplemental services that support the goals, outputs, and outcomes of the project. The description must include how outreach will be performed and the process for soliciting and processing applications. The activities must match those summarized in the Logic Model, and the proposal must include a timeline for all activities proposed. Grantees will be required to submit a copy of their Policy and Procedures Manual for services upon grant award.
The grantee will be responsible for advertising, reviewing, awarding, and distribution the TABI supplemental services. The grantee must also maintain documentation of all requests, awards, and reasons for denials as well as payment receipts to all vendors/providers paid on behalf of beneficiaries.
The TABI supplemental services program must include the following services and activities:
- Outreach and Marketing: Notify individuals statewide of the availability of TABI supplemental services. Outline a plan for publicizing the schedule and availability of supplemental services, including outreach activities to service providers.
- Application process: Describe how the supplemental services application and instructions will be made accessible to potential applicants. The TABI supplemental services application and instructions must be easily accessible on the grantee’s website to be downloaded by interested parties.
- Evaluation: Outline a plan and timeline for supplemental services application evaluation process, determination, and notice of awards. Provide a plan for forming an evaluation committee to include a grantee staff member and an employee of Senior and Disabilities, at minimum.
- Fund Disbursement: Purchase of goods and services will be implemented in a timely manner. Describe the method for disbursing grant funds to the vendor/provider.
Changes to Approved Grant Project
As per 7AAC 78.260, any changes to service plans must be submitted in writing to the SDS TABI Program Manager for approval prior to implementation of the change. The TABI Program Manager must be notified immediately whenever it becomes known to the grantee that a key staff position will become vacant. The grantee must submit a copy of the new hire's resume for positions supported in whole or in part by the grant funds, matching funds or with grant income earned through this program.
1.04Program Evaluation Requirements and Reporting
Results Based Budgeting Framework
Results-based budgeting provides a framework in which allocated resources support, and are justified by, a set of outputs and expected results. Within this framework, actual performance and achieved outcomes are evaluated by objective performance measures.
Projects are required to align with program objectives expressing Department priorities and core services. Projects will use performance measures to evaluate progress toward meaningful outcomes, and to initiate data collection and reporting consistent with Department priorities.
The Department Priorities, Core Services, Objectives, and Performance Measures of Effectiveness and Efficiency for this program are:
Department Priorities
- Health & Wellness Across the Life Span
Department Core Services
- Provide Quality of Life in a Safe Living Environment for Alaskans
Department Objective
- Increase the Number of Alaskans with Disabilities Who Are Living Safely in the Least Restrictive Environment
Effectiveness Measure
- Number of Individuals Served
Efficiency Measure
- Cost per Individual Served
Part A: TABI Resource Facilitation and Peer Support (formerly Case Management)
In addition to the Effectiveness and Efficiency Performance Measures required by the Department, the TABI Resource Facilitation and Peer Support program will be responsible for reporting to the Division of Senior and Disabilities Services additional Performance Measures specific to the grant program.
The additional Effectiveness Performance Measures for TABI Resource Facilitation and Peer Support are:
- 80% or more of individuals report satisfaction with TABI Resource Facilitation and Peer Support services;
- 80% or more of individuals served report overall improved well-being.
Grant Reporting
Required reporting will include:
- Cumulative Fiscal Reports recording overall grant and match expenditures by budget line;
- Quarterly narrative progress report in the format prescribed by the grantor;
- Annual performance measure framework (includes data from annual consumer survey);
- Monthly data entry of new consumer characteristics and service deliver in the SDS online database;
- Annual consumer characteristics updates in the SDS online database.
Part B: TABI Supplemental Services (formerly Mini-Grants)
In addition to the Effectiveness and Efficiency Performance Measures required by the Department, the TABI Supplemental Services program will be responsible for reporting to Senior and Disabilities Services additional Performance Measures specific to the grant program.
The additional Effectiveness Performance Measures for this program are:
- 90% of supplemental services applicants be notified within 30 days of award or denial;
- 80% or more service recipients report satisfaction with application process.
Grant Reporting
Required reporting will include:
- Cumulative Fiscal Reports recording overall grant and match expenditures by budget line;
- Quarterly narrative progress report in the format prescribed by the grantor;
- Quarterly statistical report in the format prescribed by the grantor;
- Annual Performance Measure Framework;
- Monthly data entry of new consumer characteristics and service delivery in the SDS online database;
- Annual consumer characteristics updates in the SDS online database.
1.05Target Population and Service Area
Applicants must clearly describe the population targeted by the project, including the areas or communities that will be served. Proposals will be evaluated for compatibility with the program’s intended population identified in this solicitation.
Part A: TABI Resource Facilitation and Peer Support (formerly Case Management)
Target Population: The target population for the solicited services is individuals at least 18 years of age or older who have experienced a brain injury resulting in difficulty with cognition, appropriate behavior, the ability to secure or maintain employment or to live independently in the community, and who can benefit from resource facilitation and peer support services, e.g., have sufficient cognitive awareness, and do not have a history of violent behavior.
Part B: TABI Supplemental Services (formerly Mini-Grants)
Target Population: The target population for this program is individuals 18 years of age or older with a diagnosis of a traumatic or acquired brain injury (TABI). Supplemental services applications will also be accepted from individuals who do not have an "official" diagnosis of a TABI, but based upon accident history and presenting symptoms need supplemental services to receive an evaluation and diagnosis.
Service Areas and Communities: The service areas and communities requested for TABI Resource Facilitation and Peer Support and TABI Supplemental Services are Statewide, which is a requested physical presence in service areas of need: Anchorage, Mat-Su, Fairbanks, Northwest Arctic/Western remote Alaska, and Southeast Alaska.
1.06Program Funding
Part A: TABI Resource Facilitation and Peer Support (formerly Case Management)
Funds for TABI Resource Facilitation and Peer Support are anticipated to total $485,970 annually. The division will administer a maximum of four grant awards for TABI Resource Facilitation and Peer Support due to the limited funds. Due to a priority of need, one award will be granted to the rural northwest region of Alaska. Applicants may propose to serve multiple regions, but service delivery areas will not be duplicated; only one grantee will be awarded for each identified service region.
Part B: TABI Supplemental Services (formerly Mini-Grants)
The division will administer one grant award for TABI-Supplemental Services anticipated to total $150,000 annually. The grantee will serve Statewide.
Funding Methodology
Five awards will be issued. Funding determinations will be based on applicants' clear and concise description and compatibility with the priority for service of the target population. Applicants will clearly demonstrate the ability to provide proposed services in an efficient and effective manner. Services will not be duplicated.
Match Requirements
There is no match requirement for this program. However, the proposed budget will be reviewed for consistency with program intent and whether costs are reasonable. Additional match demonstrating a viable program will be regarded favorably.
Proposed Budget
The applicant must submit a budget proposal for the first fiscal year of the project. The proposed budget detail and narrative will support the program's results-based service delivery and staffing requirements stated in this RFP and describe any necessary allocation of resources among target populations and service areas.
The proposed budget will be fully compliant with the limitations described in this RFP, and those detailed in 7 AAC 78.160 (Costs). Equipment costs and subcontract costs must be allowed by the program and consistent with 7 AAC 78.280. Regulations are provided under the GEMS Documents tab.
Resources specific to budgeting are also available under the GEMS Documents tab. The Department's Grant Budget Preparation Guidelines provide information and guidance about budget lines, cost detail groupings, and narrative requirements. Grantee User Manual Part I provides detailed instructions for entering a budget proposal in the chapter "Responding to a Solicitation."
Other Agency Funding: Prior to submitting a proposal, applicants are required to list all other agency funding received and applied for. This task must be completed by an Agency Power User in the Other Funding section of the Agency Administration tab. This is part of the pre-award risk assessment required under Uniform Guidance 2 CFR 200.
Indirect Costs: If the proposed budget includes indirect costs, 7 AAC 78.160(p) requires a copy of the agency's current federally approved Indirect Cost Rate Agreement. The agreement is to be uploaded in the Agency Administration tab. Lapsed agreements can be used if uploaded with the negotiating federal agency's written approval to continue using the rate until a new agreement is negotiated. If an agency has never entered into a federally approved Indirect Cost Rate Agreement or no longer has a federally approved agreement in place, the recently updated Federal Uniform Guidance 2 CFR 200 now allows that agency to budget the 10% De Minimis.
Total administrative and indirect costs must not exceed $50,000.
Payment for Services/Grant Income: If applicable to the services proposed in response to this solicitation, awarded grantees must have a Medicaid Provider Number or apply to obtain one, and will make reasonable effort to bill all eligible services to Medicaid and any other available sources of payment before seeking grant support for delivery of the proposed services. Department funds are the payer of last resort.
In the applicant’s proposed budget, anticipated receipts and expenditures for all grant income must be evident in the detail and narrative. Fiscal reports for awarded income generating projects will include the receipts and expenditure of all grant income.