TITLE 25.HEALTH SERVICES

Part 2. TEXAS DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION

Chapter 401. SYSTEM ADMINISTRATION

Subchapter D. CONTRACTS MANAGEMENT FOR COMMUNITY-BASED SERVICES

25 TAC §§401.341 - 401.355

The Texas Department of Mental Health and Mental Retardation (TDMHMR) adopts the repeals of §§401.341 - 401.355 of Chapter 401, Subchapter D, concerning contracts management for community-based services, without changes to the proposal as published in the December 22, 2000, issue of the Texas Register (25 TexReg 12591). New §§412.51 - 412.64 of new Chapter 412, Subchapter B, concerning the contracts management for local authorities, which replace the repealed sections, are contemporaneously adopted in this issue of the Texas Register .

The repeals allow for the adoption of new sections governing contracts management for local authorities.

No comment on the proposal was received.

These sections are repealed under the Texas Health and Safety Code, §532.015, which provides the Texas MHMR Board (board) with broad rulemaking authority, and §534.052(a), which requires the board to adopt rules that it considers necessary and appropriate to ensure the adequate provision of community services through a local authority; §534.017, which authorizes TDMHMR to allow local authorities to participate in TDMHMR's purchasing contracts or group purchasing program; and §534.061, which requires TDMHMR to develop mechanisms for periodically monitoring the services of a provider who contracts with a local authority to provide community services.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 2, 2001.

TRD-200101900

Andrew Hardin

Chairman, Texas MHMR Board

Texas Department of Mental Health and Mental Retardation

Effective date: April 22, 2001

Proposal publication date: December 22, 2000

For further information, please call: (512) 206-5216


Chapter 412. LOCAL AUTHORITY RESPONSIBILITIES

Subchapter B. CONTRACTS MANAGEMENT FOR LOCAL AUTHORITIES

25 TAC §§412.51 - 412.64

The Texas Department of Mental Health and Mental Retardation (TDMHMR) adopts new §§412.51 - 412.64 of new Chapter 412, Subchapter B, concerning contracts management for local authorities. Sections 412.52 - 412.57, 412.62, and 412.63 are adopted with changes to the proposed text as published in the December 22, 2000, issue of the Texas Register (25 TexReg 12592). Sections 412.51, 412.58 - 412.61, and 412.64 are adopted without changes. The repeals of §§401.341 - 401.355 of Chapter 401, Subchapter D, concerning contracts management for community-based services, which the new sections would replace, are contemporaneously adopted in this issue of the Texas Register .

The new subchapter governs the management of local authority contracts for all goods and services and requires any contract award and renewal to meet best value as determined by considering all relevant factors.

The new subchapter was proposed as governing the management of local authority contracts for goods and community services that were specifically identified in the performance contract. However, TDMHMR has expanded the subchapter's application to include local authority contracts for all goods and services . Proposed language in §412.54(k) indicated that local authorities must comply with Uniform Grant and Contracts Management Standards (UGMS) when contracting for goods and community services that were specifically identified in the performance contract. Broadening the scope of the subchapter's application does not impose additional requirements on a local authority because as a "subrecipient" or "subgrantee" under UGMS, local authorities currently must purchase all goods and services in accordance with UGMS.

Minor changes have been made throughout the subchapter for clarity, to correct grammatical errors, and to be consistent with the changes made to the subchapter's application. Definitions have been added for "best value" and "intellectual property." The definition for "community services" has been modified and incorporated into a new definition for "services." The new definition for "services" also defines "non-community services" as all services other than community services. The definitions of "contract," "contractor," "goods," "performance contract," and "solicitation" have been modified for clarity or to be consistent with other changes. Language relating to proper ownership of goods proposed in §412.54(f) has been deleted because proper ownership of goods specified in the performance contract should be established in the performance contract, and therefore, is governed by rules relating to contracts management for TDMHMR facilities and Central Office, which was proposed as 25 TAC Chapter 417, Subchapter B, in the December 29, 2000, issue of the Texas Register . Language was added to §412.56(a) to clarify that a local authority is not prohibited from amending a community services contract to add a new community service if the contract was procured though open enrollment.

Written comment on the proposal was received from the Betty Hardwick Center, Abilene; The Texas Council of Community MHMR Centers, Austin; the Parent Association for the Retarded of Texas (PART), Austin; and the parent of a state school resident, Garland.

Regarding contracting with former employees in §412.54(d), one commenter asked if the provision meant that a local authority employee who "participated" in negotiating a contract with a private provider in "fiscal year 1" could not resign, become employed by the private provider, and then negotiate and contract with the local authority on behalf of the private provider for the same type of contract in "fiscal year 2." The commenter also asked if the two contracts would be considered two different "particular matters." TDMHMR responds that since every contracting situation is unique, whether or not the scenario presented by the commenter is permitted would depend on the facts in each situation. TDMHMR must comply with a similar requirement and determines the legality of each situation on an individual basis. TDMHMR notes that the provision, which originates in state statute (Texas Health and Safety Code, §534.007), currently applies to a former officer or employee of a community MHMR center. TDMHMR is extending the requirement to local authorities by this rule.

Regarding proper ownership of goods in §412.54(f), one commenter expressed concern about how the provision would impact a local authority and asked if a good could be amortized if the local authority did not actually own it. Regarding (f)(2), the commenter asked how proper ownership is determined. The commenter also asked if the provision implied that TDMHMR would require a local authority to transfer its good or goods to another entity upon TDMHMR's designation of that entity as the new local authority. TDMHMR responds that there would be no need to amortize because the term of a performance contract is 12 months. A good purchased by the local authority pursuant to its performance contract would be paid in full within that 12 months, thereby eliminating the need to amortize, regardless of who owned the good. Regarding the determination of proper ownership, TDMHMR responds that the decision would be made on a case-by-case basis by considering the monetary value of the property and its future usefulness. TDMHMR notes that language relating to proper ownership of goods proposed in §412.54(f) has been deleted because proper ownership of goods specified in the performance contract should be established in the performance contract, and therefore, is governed by rules relating to contracts management for TDMHMR facilities and Central Office. Regarding transfer of a local authority good(s) to a newly designated local authority, TDMHMR responds that the decision would be made on a case-by-case basis during discussions with the government officials in the local service area who appoint the board of the outgoing local authority. The transfer of local authority functions and responsibilities from one entity to another would require a transition plan that, among other things, addressed the possible transfer of specific goods (tangible personal property and intellectual property related to the performance of authority functions) from the outgoing local authority to the incoming local authority.

Regarding relevant factors used in determining best value in §412.55(b)(5), a commenter requested that "maintenance agreement" be defined. TDMHMR responds that the term generally means an agreement to maintain property, such as routine cleaning and repair of office equipment or vehicles. TDMHMR declines to add a definition to the rule because it may limit the term's meaning as intended by statute (Texas Health and Safety Code, §533.016(c)(5)).

Regarding "the character, responsibility, integrity, reputation, and experience of the respondent" as a relevant factor used in determining best value in §412.55(b)(15), one commenter asked how such criteria are to be applied. TDMHMR responds that the local authority is responsible for determining which factors are relevant to the procurement and how the relevant factors are to be applied to each procurement. TDMHMR notes that local authorities, when determining lowest and best bid in accordance with the Texas Health and Safety Code, §534.055(f), are currently required to consider "the character, responsibility, integrity, reputation, and experience of the bidder."

Regarding contracting with a former employee who is employed by a state agency in §412.54(d)(2), two commenters asked why a former officer or employee of a state agency under (d)(2) is exempt. The commenters stated that a former officer or employee of a state agency should not be exempt and requested that (d)(2) be deleted and that (d)(1) be explained more fully. TDMHMR responds that the provision, and exemption, is in state statute (Texas Health and Safety Code, §534.007) as applicable to a former officer or employee of a community MHMR center and that TDMHMR is extending the requirement to local authorities by rule. The exception contained in (d)(1) seems to indicate that a former employee whose annual salary was below $42,216 would not be in a position to influence the contracting process in such as way as to create an unfair advantage for his/her current employer. TDMHMR notes that, since state agencies and other local authorities do not generally compete with private organizations for contracts with a local authority, it would be highly unlikely that the state agency or local authority who employs a former local authority employee would have an unfair advantage in obtaining a contract with the local authority.

Regarding obtaining best value in §412.55(a)(2), two commenters suggested that language be added requiring the local authority to acquire community services by a procurement method that provides the best value to the individual receiving the services and his/her legally authorized representative (LAR) in addition to the local authority. The commenters stated that best value must always include, as the top priority, the people who will be receiving the service and their LARs. The commenters also requested similar language be added to §412.55(b)(4) as it relates to meeting the needs of the individual and LAR. TDMHMR responds by adding a definition of "best value" which achieves, among other objectives, meeting the needs of the individuals served by the programs administered by the local authority.

Regarding unrestricted access to contractors' facilities, records, and data for monitoring purposes in §412.57(b)(18), two commenters suggested that language be added to include access to the individuals being served under the contract. The commenters stated that monitors needed "access to individuals to monitor more than just 'paperwork' concerning their individual programs and services." The commenters also stated that monitors should have access to individuals without reasonable notice . TDMHMR responds that the provision mirrors the language in the Texas Health and Safety Code, §534.061(c). The absence of language specific to access to individuals as a contract provision does not mean that TDMHMR or the local authority would not have access to individuals served by the contractor. Texas Health and Safety Code, §534.061(a)-(b), addresses the monitoring of community services provided by local authority contractors. The local authority could not comply with those statutory monitoring requirements or the monitoring requirements contained in §412.62 of this subchapter if it did not have access to individuals. TDMHMR notes that the contract provisions listed in §412.57 are not all inclusive. A local authority is responsible for including in its community services contracts provisions that enable the local authority to comply with all applicable federal and state laws and regulations, including this subchapter. Regarding access to individuals without reasonable notice , TDMHMR responds that such a provision could result in violations of individuals' privacy.

Regarding monitoring contracts in §412.62(a), two commenters recommended adding language to require monitoring for the protection of individuals' rights; protection from abuse, neglect, and exploitation; and meeting each individual's Plan of Care services. The commenters suggested adding the requirement to assess the risk of each contract and assign a monitoring level as required in TDMHMR proposed rules governing contracts management for TDMHMR facilities and Central Office. One of the commenters recommended that all consumer services and programs be monitored at a Level III. Additionally, the commenters requested that the reference in §412.62(a)(5) be changed to §412.57(b)(1)-(20). TDMHMR responds that the language in §412.62(a), which requires the local authority to monitor a contractor for compliance with the community services contract, addresses the commenters' concerns. As required in §412.57(16), each community services contract must specify the relevant TDMHMR rules with which the contractor must comply. And TDMHMR rules governing protection of individuals' rights and protection from abuse, neglect, and exploitation are relevant to every community service. Regarding community services contracts being assessed for risk and assigned Level III monitoring, TDMHMR responds that the purpose of assessing a contract's risk is to determine the appropriate level of monitoring and that such provisions were included in its proposed rules governing contracts management for TDMHMR facilities and Central Office (Chapter 417, Subchapter B) in order to comply with the 1999 Appropriations Act, Article II, Section 2, Rider 13, which states that no funds appropriated to a health and human service agency may be utilized for contracts for the purchase of program-related client services unless such contracts include clearly defined goals, outputs, and measurable outcomes which directly relate to program objectives, include clearly defined sanctions or penalties for non compliance with contract terms and conditions, and specify the accounting, reporting, and auditing requirements applicable to funds received under the contract. While local authorities may develop policies and procedures that address risk assessment and monitoring levels, TDMHMR declines to extend such prescriptive requirements to local authorities. Regarding the commenters' suggestion to change the reference in (a)(5) to §412.57(b)(1)-(20), TDMHMR declines to change the reference because it properly references the provision in §412.57(b)(13) for a community services contract to have clearly defined performance expectations. All of the other paragraphs in §412.57(b) do not pertain to performance expectations.

Regarding the definition of "goods" in §412.53(9), one commenter suggested deleting the phrase "specified in the performance contract." The commenter stated that, because §412.55(a)(1) requires goods to be acquired by any procurement method in the Uniform Grant and Contracts Management Standards (UGMS), restricting the definition of goods to the tangible personal property specified in the performance contract is misleading because UGMS applies to all goods a local authority purchases as a "subrecipient" or "subgrantee," and not just goods specified in the performance contract. TDMHMR responds that, although it intended to include the broad requirement that local authorities comply with UGMS when purchasing all goods (rather than just those goods specified in the performance contract) in its draft rules governing local authorities, TDMHMR has determined that broadening the scope of this subchapter to include all goods purchased by a local authority using TDMHMR funds and required local match funds accomplishes the same purpose. Therefore, TDMHMR has modified the definition of "goods" as suggested by the commenter.

Regarding the proper ownership of goods that are intellectual property in §412.54(f)(1), one commenter suggested adding the phrase "specified in the performance contract" so that the paragraph pertaining to the purchase of goods that are intellectual property is clear that only such goods are the exclusive property of TDMHMR. The commenter stated that without the added phrase the rule could be interpreted to mean that any intellectual property purchased by a local authority is the exclusive property of TDMHMR, which would clearly be a misinterpretation or misapplication of the proposed rules. TDMHMR responds by modifying the language as suggested by the commenter.

One commenter suggested adding a definition of "intellectual property." The commenter expressed willingness to assist department staff in developing a definition that was acceptable to both TDMHMR and the commenter if no such definition could be found in an authoritative source. TDMHMR responds by adding a definition of intellectual property.

The new rules are adopted under the Texas Health and Safety Code, §532.015, which provides the Texas MHMR Board (board) with broad rulemaking authority, and §534.052(a), which requires the board to adopt rules that it considers necessary and appropriate to ensure the adequate provision of community services through a local authority; §533.016, which authorizes the expenditure of public money to acquire goods and services by a procurement method that provides best value; §533.017, which authorizes TDMHMR to allow local authorities to participate in TDMHMR's purchasing contracts or group purchasing program; §534.061, which requires TDMHMR to develop mechanisms for periodically monitoring the services of a provider who contracts with a local authority to provide community services; and the 1999 Appropriations Act, Article II, Section 2, Rider 13, which states that no funds appropriated to a health and human service agency may be utilized for contracts for the purchase of program-related client services unless such contracts include clearly defined goals, outputs, and measurable outcomes which directly relate to program objectives.

§412.52.Application.

This subchapter applies to all contracts for goods and services awarded by a local authority.

§412.53.Definitions.

The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise:

(1)

Application--Documents prepared by a respondent in response to a request for applications.

(2)

Best value--The optimum combination of economy and quality that is the result of fair, efficient, and practical procurement decision-making and which achieves the following objectives:

(A)

promote fairness and competition for local authority contracts;

(B)

support the delivery of services and benefits that best meets the needs of clients of programs administered by the local authority;

(C)

promote timely, high quality, and responsive performance by contractors; and

(D)

encourage and reward the continuing participation of quality contractors.

(3)

Business entity--A sole proprietorship, partnership, firm, corporation, holding company, joint-stock company, receivership, trust, or any other entity recognized by law.

(4)

Consumer--A person in the priority population or otherwise designated in the performance contract as eligible for community services.

(5)

Contract--A written agreement, including a purchase order, between a local authority and a business entity that obligates the entity to provide goods or services in exchange for money or other valuable consideration.

(6)

Contract management--Initiating, procuring, awarding, monitoring, and enforcing a contract.

(7)

Contract term--The period of time during which a contract is in effect, identified by a starting and ending date.

(8)

Contractor--A business entity that has a contract for goods or services with a local authority.

(9)

Goods--Tangible personal property and intellectual property.

(10)

Intellectual property--Any intangible asset that consists of human knowledge and ideas (e.g., software).

(11)

Local authority--An entity designated by the TDMHMR commissioner in accordance with the Texas Health and Safety Code, §533.035(a).

(12)

Local service area--A geographic area composed of one or more Texas counties delimiting the population which may receive community services from a local authority.

(13)

Participated--To have taken action as an officer or employee through decision, approval, disapproval, recommendation, giving advice, investigation, or similar action.

(14)

Particular matter--A specific investigation, application, request for a ruling or determination, proceeding related to the development of policy, contract, claim, charge, accusation, arrest, or judicial or other proceeding.

(15)

Performance contract--The contract between TDMHMR and a local authority in which TDMHMR agrees to pay the local authority a specified sum and in which the local authority agrees to provide local match, for, at a minimum, ensuring and/or monitoring the provision of specified mental health and mental retardation services in a local service area.

(16)

Priority population--Those groups of persons with mental illness and mental retardation identified in TDMHMR's current strategic plan as being most in need of mental health and mental retardation services.

(17)

Proposal--Documents prepared by a respondent in response to a request for proposals.

(18)

Respondent--A business entity that submits an oral, written, or electronic response to a solicitation. The term is intended to include "applicant," "offeror," "proposer," and other similar terminology to describe a business entity that responds to a solicitation.

(19)

Response--An oral, written, or electronic "offer," "proposal," "quote," "application," or other applicable expression of interest to a solicitation.

(20)

Services--

(A)

Community services--Mental health and mental retardation services required to be available in each local service area pursuant to the Texas Health and Safety Code, §534.053(a), for which TDMHMR contracts through the performance contract as well as all other services specified in the performance contract.

(B)

Non-community services--All services other than community services.

(21)

Solicitation--A notification of the local authority's intent to purchase community services (e.g., request for proposals and request for applications).

(22)

TDMHMR--The Texas Department of Mental Health and Mental Retardation.

§412.54.Accountability.

(a)

All purchases of goods and services must be made pursuant to a contract.

(b)

Conflicts of interests and standards of conduct for local authority employees and officers.

(1)

Conflicts of interest. Local authority employees and officers may not have a conflict of interest in contracts management. An employee or officer has a conflict of interest when the employee, officer, a partner of the employee or officer, or a person related within the second degree of consanguinity or affinity to the employee or officer, has or intends to have:

(A)

employment with a respondent or contractor;

(B)

paid consultation with a respondent or contractor;

(C)

membership on a respondent's or contractor's board of directors;

(D)

ownership of 10% or more of the voting stock of shares of a respondent or contractor;

(E)

ownership of 10% or more or $5,000 or more of the fair market value of a respondent or contractor; or

(F)

income from a respondent or contractor in excess of 10% of the employee's, officer's, or related person's gross income for the previous year.

(2)

Standards of conduct. The local authority must develop and enforce standards of conduct governing its employees' and officers' who participate in contracts management, which prohibits such employees and officers from:

(A)

accepting or soliciting any gift, favor, service, or benefit from a business entity, respondent, or contractor that might reasonably tend to influence the employee or officer in the discharge of official duties relating to contract management, or that the employee or officer knows or should know is being offered with the intent to influence the employee's or officer's official duties; or

(B)

intentionally or knowingly soliciting, accepting, or agreeing to accept any benefit for having exercised official powers or for having performed official duties in favor of another business entity, respondent, or contractor.

(c)

Conflicts of interests and standards of conduct for a respondent and its officers and employees.

(1)

Conflict of interest. A respondent and its officers and employees responsible for development of a response or performance of a contract for which the respondent is submitting a response may not be related within the second degree of consanguinity or affinity to a local authority employee or officer participating in the contract management for the contract for which the respondent is submitting a response.

(2)

Standards of conduct.

(A)

A respondent and its officers and employees may not attempt to induce any business entity to submit or not to submit a response.

(B)

A respondent and its officers and employees must arrive at its response independently and without consultation, communication, or agreement for the purposes of restricting competition.

(C)

A respondent and its officers and employees may not have a relationship with any person, at the time of submitting the response or during the contract term, that may interfere with fair competition.

(D)

A respondent and its officers and employees may not participate in the development of specific criteria for award of the contract, nor participate in the selection of the response to be awarded the contract.

(d)

The local authority may not contract with a former officer or employee of the local authority if the contract relates to a particular matter (as defined) in which the former officer or employee participated (as defined) during the period of employment, either through personal involvement or because the case or proceeding was a matter within the officer's or employee's official responsibility, unless:

(1)

the former employee was compensated on the last day of service or employment below the amount prescribed by the General Appropriations Act for salary group 17, Schedule A, or salary group 9, Schedule B, of the position classification salary schedule; or

(2)

the former officer or employee is employed by a state agency or another local authority.

(e)

The local authority must ensure that its contractors comply with all contract provisions regardless of whether a contractor subcontracts some or all of the contract.

(f)

A local authority may make advance payments to a contractor provided the payments meet a public purpose, ensure adequate consideration, and sufficient controls are in place to ensure accomplishment of the public purpose. With the exception of contracts paid on a capitated basis, at the end of each contract term the contractor must return to the local authority any state or federal funds received from or through TDMHMR which have not been encumbered.

(g)

The local authority is prohibited from contracting with a business entity that is currently:

(1)

held in abeyance or barred from the award of a federal or state contract; or

(2)

is not in good standing for state tax, pursuant to the Texas Business Corporation Act, Texas Civil Statutes, Article 2.45.

(h)

The local authority must ensure each contractor is provided information relating to the local authority's policies and procedures that are relevant to the contractor.

(i)

The local authority shall ensure quality community services are provided to consumers, including during the transition from one contractor to another.

(j)

When purchasing goods and services, the local authority shall comply with the Uniform Grant and Contracts Management Standards (UGMS) promulgated by the Governor's Office of Budget and Planning (pursuant to the Texas Government Code, Chapter 783, and 1 TAC, Part 1, Chapter 5, Subchapter A, Division 4), except to the extent that any provision in §412.55(a)(2) of this title (relating to Contract Procurement) conflicts with UGMS, Part III (State Uniform Administrative Requirements for Grants and Cooperative Agreements), Subpart C (Post-Award Requirements; Changes Property, and Subawards), Section __.36(d) (Procurement), then §412.55(a)(2) of this title (relating to Contract Procurement) shall control. In UGMS:

(1)

the terms "recipient" and "grantee" apply to TDMHMR;

(2)

the terms "subrecipient" and "subgrantee" apply to the local authority; and

(3)

the terms "vendor" and "subcontractor" apply to a contractor (as defined in this subchapter), unless the contractor operates as a "subgrantee" as defined under UGMS, Part III (State Uniform Administrative Requirements for Grants and Cooperative Agreements), Subpart A (General), Section __.3 (Definitions).

§412.55.Procurement.

(a)

Procurement method. The local authority must develop and enforce procurement procedures that comply with this subchapter.

(1)

Goods and non-community services. The local authority must acquire goods and non-community services by any procurement method described in the Uniform Grant and Contracts Management Standards (UGMS), Section __.36(d), that provides the best value to the local authority.

(2)

Community services. The local authority must acquire community services by a procurement method described in this subchapter that provides the best value to the local authority. All community services must be procured competitively in accordance with §412.58 of this title (relating to Competitive Procurement of Community Services Contracts) unless the local authority determines that the community service(s):

(A)

can be procured non-competitively in accordance with §412.59 of this title (relating to Non-competitive Procurement of Community Services Contracts); or

(B)

should be procured through open enrollment in accordance with §412.60 of this title (relating to Open Enrollment).

(b)

Relevant factors. The local authority must consider all relevant factors in determining best value, which may include:

(1)

any installation cost;

(2)

the delivery terms;

(3)

the quality and reliability of the respondent's goods or services;

(4)

the extent to which the goods or services meet the local authority's needs;

(5)

indicators of probable respondent performance under the contract, such as past offeror performance, the respondent's financial resources and ability to perform, the respondent's experience and responsibility, and the respondent's ability to provide reliable maintenance agreements;

(6)

the impact on the ability of the local authority to comply with laws and rules relating to historically underutilized businesses or relating to the procurement of goods and services from persons with disabilities;

(7)

the total long term cost to the local authority of acquiring the respondent's goods or services;

(8)

the cost of any employee training associated with the acquisition;

(9)

the effect of an acquisition on the local authority's productivity;

(10)

the acquisition price;

(11)

whether the respondent can perform the contract or provide the service(s) within the contract term, without delay or interference;

(12)

the respondent's history of compliance with the laws relating to its business operations and the affected service(s) and whether it is currently in compliance;

(13)

whether the respondent's financial resources are sufficient to perform the contract and to provide the service(s);

(14)

whether necessary or desirable support and ancillary services are available to the respondent;

(15)

the character, responsibility, integrity, reputation, and experience of the respondent;

(16)

the quality of the facilities and equipment available to or proposed by the respondent;

(17)

the ability of the respondent to provide continuity of services;

(18)

the ability of the respondent to meet all applicable written policies, principles, and regulations; and

(19)

any other factor relevant to determining the best value for the local authority in the context of a particular acquisition.

(c)

Award. All contracts must be awarded based on best value, as determined by considering all relevant factors.

(d)

Renewal of community services contracts. The local authority may renew a community services contract only if the contract meets best value as determined by considering all relevant factors.

§412.56.Community Services Contracting Requirements.

(a)

The local authority is prohibited from amending a community services contract:

(1)

to increase the contract amount by more than 25%; or

(2)

to add a new community service unless the contract was procured through open enrollment.

(b)

Upon written request by an unsuccessful respondent, the local authority must provide information concerning why the respondent's response was not selected for award.

(c)

The local authority must develop written procedures that provide respondents an opportunity to protest a contract award.

(1)

The procedures must allow respondents to protest matters relating to:

(A)

alleged conflict of interests;

(B)

alleged failure of the local authority to comply with statute or rule; and

(C)

alleged failure of the local authority to comply with its procurement procedures.

(2)

The procedures must describe the local authority's process for reviewing and resolving protests.

(d)

The local authority must maintain for five years or until the end of any litigation concerning the contract the following contract management documentation:

(1)

justification for non-competitive procurement as permitted in §412.59(a) of this title (relating to Non-competitive Procurement of Community Services Contracts), if applicable;

(2)

the solicitation and any modifications or revisions made to the solicitation;

(3)

all responses to the solicitation and any modifications or revisions made to such responses;

(4)

the evaluations of all responses and evidence that the local authority considered all relevant factors;

(5)

written correspondence between the local authority and respondents prior to contract award;

(6)

optional or required credentials (certifications, licenses, accreditations), if any;

(7)

written protests, if any, and their disposition;

(8)

the executed contract;

(9)

written correspondence between the local authority and the contractor concerning the contractor's performance; and

(10)

copies of any audits performed or required by the local authority.

§412.57.Provisions for Community Services Contracts.

(a)

The local authority must ensure that all its community services contracts are consistent with the local authority's performance contract and with the model contracts designed by TDMHMR as required by the Texas Health and Safety Code, §534.055(c).

(b)

The local authority must include in all of its community services contracts that are funded by TDMHMR provisions stating:

(1)

the contract term;

(2)

the community service(s) to be purchased;

(3)

the identification of all parties;

(4)

the total allowable payment or, if the community service is procured through open enrollment or is on a capitated basis, the rate of payment;

(5)

the method of payment;

(6)

that the contractor must comply with all applicable federal and state laws, rules, and regulations, including:

(A)

Title VI of the Civil Rights Act of 1964;

(B)

Section 504 of the Rehabilitation Act of 1973;

(C)

the Americans with Disabilities Act of 1990 (ADA); and

(D)

the Age Discrimination in Employment Act of 1967;

(7)

that if, as a result of a change to a TDMHMR rule or state or federal law, the contractual obligations of the contractor are materially changed or a significant financial burden is placed on the contractor, then the parties may renegotiate in good faith to amend the contract;

(8)

that no consumer will be excluded from participation in, denied the benefits of, or unlawfully discriminated against, in any program or activity funded by the contract on the grounds of race, color, ethnicity, national origin, religion, sex, age, disability, or political affiliation in accordance with applicable laws;

(9)

that all documents pertinent to the contract, including consumer records, will be retained by the contractor for a period of five years;

(10)

that all consumer-identifying information will be maintained by the contractor as confidential in accordance with applicable law and Chapter 414, Subchapter A of this title (relating to Client-Identifying Information);

(11)

that the contractor, its licensed staff, and other appropriate staff (such as QMHP-CS) will be credentialed before services are delivered to consumers by such contractor and staff;

(12)

a dispute resolution process;

(13)

the clearly defined performance expectations which directly relate to the community service's objectives, including goals, outputs, and measurable outcomes, and that the contractor must provide services in accordance with such expectations;

(14)

that any allegation of abuse, neglect, or exploitation of a consumer under the contract will be reported in accordance with applicable law, TDMHMR rules, and Texas Department of Protective and Regulatory Services rules;

(15)

that AIDS/HIV workplace guidelines, similar to those adopted by TDMHMR and AIDS/HIV confidentiality guidelines and consistent with state and federal law, will be adopted and implemented by the contractor;

(16)

that the contractor will comply with the relevant TDMHMR rules, certifications, accreditations, and licenses, that are specified in the contract;

(17)

that services will be provided in accordance with consumers' treatment plans;

(18)

that pursuant to Texas Health and Safety Code, §534.061, TDMHMR, the local authority, and their designees, including independent financial auditors, shall have, with reasonable notice, unrestricted access to all facilities, records, data, and other information under the control of the contractor as necessary to enable the local authority to audit, monitor, and review all financial and programmatic activities and services associated with the contract;

(19)

any sanctions and remedies the local authority may take in response to the contractor's failure to comply with the contract provisions; and

(20)

that the contractor will immediately notify the local authority of any change, or potential change, in its status that could affect its inclusion in the provider network.

(c)

The local authority must include in all of its community services contracts for residential services that are funded by TDMHMR provisions stating:

(1)

that the contractor shall provide evidence of criminal history record information on the contractor's applicants, employees, and volunteers, pursuant to the Texas Health and Safety Code, §533.007 and Chapter 250; the Texas Government Code, §411.115; and Chapter 414, Subchapter K of this title (relating to Criminal History Clearances); and

(2)

that if an applicant, employee, or volunteer of the contractor has a criminal history relevant to his or her employment as described in Chapter 414, Subchapter K of this title (relating to Criminal History Clearances), then the contractor will take appropriate action with respect to the applicant, employee, or volunteer, including terminating or removing the employee or volunteer from direct contact with consumers served by the contractor.

(d)

Community services contracts that require the contractor to assume responsibility for the funds of a consumer must contain provisions requiring the contractor to have and abide by a written policy, which is subject to approval by the local authority, for protecting and accounting for such funds in accordance with generally accepted accounting principles.

§412.62.Monitoring and Enforcing Community Services Contracts.

(a)

Monitoring. The local authority must maintain a contracts management system that ensures each community services contractor performs in accordance with the provisions of the contract. The local authority shall monitor each community services contractor's compliance with the contract and evaluate the contractor's provision of services, including:

(1)

competency of the contractor to provide care;

(2)

consumers' access to services;

(3)

safety of the environment in which services are provided;

(4)

continuity of care;

(5)

compliance with the performance expectations (referenced in §412.57(b)(13) of this title (relating to Provisions for Community Services Contracts));

(6)

satisfaction of consumers and family members with services provided; and

(7)

utilization of resources.

(b)

Enforcing. The local authority shall enforce each community services contract. The local authority shall develop policies and procedures regarding contract enforcement that address the use of at least the following enforcement actions:

(1)

training;

(2)

technical assistance for contractors;

(3)

a plan of correction; and

(4)

sanctions, which may include:

(A)

withholding or recouping funds;

(B)

imposing financial penalties;

(C)

requiring service delivery at no additional cost to the local authority;

(D)

suspending participation in the provider network;

(E)

contract amendment; and

(F)

contract termination.

§412.63.References.

The following laws and rules are referenced in this subchapter:

(1)

Texas Health and Safety Code, Chapter 250, §533.007, §533.017, §533.035, §534.052. §534.055, §534.061, §534.065, and §534.066;

(2)

Tax Code, Chapter 171;

(3)

Texas Civil Statutes, Article 2.45;

(4)

Texas Government Code, Chapter 783, and §411.115;

(5)

Title VI of the Civil Rights Act of 1964;

(6)

Section 504 of the Rehabilitation Act of 1973;

(7)

the Americans with Disabilities Act of 1990 (ADA);

(8)

the Age Discrimination in Employment Act of 1967;

(9)

1 TAC, Part 1, Chapter 5, Subchapter A, Division 4;

(10)

Chapter 414, Subchapter A of this title (relating to Client-Identifying Information); and

(11)

Chapter 414, Subchapter K of this title (relating to Criminal History Clearances).

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on April 2, 2001.

TRD-200101899

Andrew Hardin

Chairman, Texas MHMR Board

Texas Department of Mental Health and Mental Retardation

Effective date: April 22, 2001

Proposal publication date: December 22, 2000

For further information, please call: (512) 206-5216