RFP-2027-DBH-20-COLLE: Collegiate Recovery Programs

New Hampshire Department of Health and Human Services
Collegiate Recovery Programs
Appendix A - Scope of Services
The final Scope of Services is subject to modification based on the proposal
submitted by the selected Vendor
Scope of Services
1. Statement of Work
1.1. The Contractor must develop, implement, enhance, and/or expand broad-
based Collegiate Recovery Programming ("CRP" or "Programming") that
increases awareness of and access to recovery supports and services for
students with alcohol and drug use problems and/or who are sober-curious and
creates a supportive campus environment that fosters wellness, connection,
and long-term success.
1.2. The Contractor must ensure Programming:
1.2.1. Is a community-based model;
1.2.2. Supports students who have alcohol and drug use problems and/or
who are mindful about substance use habits and considering the
benefits of reducing or eliminating consumption;
1.2.3. Is student-centered, by designing and delivering recovery support
services that prioritize the needs, voices, and experiences of students
in recovery;
1.2.4. Is peer-led or co-led by students with lived experience of recovery from
substance use disorders (SUD) to provide peer-leadership to support,
guide, and advocate for others;
1.2.5. Includes near-peer support by students or young adults who are close
in age, experience, or status who can act as a support, offering
guidance and insight because they can relate to the experiences of
those they are helping;
1.2.6. Increases awareness of and access to recovery services on campus
and within the surrounding communities;
1.2.7. Focuses on empowering students to take an active role in shaping
their recovery journey and their campus experience;
1.2.8. Creates a supportive environment at every level, from personal
relationships to campus policies;
1.2.9. Recognizes students are influenced by multiple layers of their
environment, including:
1.2.9.1. Students' own coping skills and mental health;
1.2.9.2. Friends, family, and peers;
1.2.9.3. College/university policies and campus services;
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New Hampshire Department of Health and Human Services
Collegiate Recovery Programs
Appendix A - Scope of Services
1.2.9.4. Social norms and support networks within the campus
community and in the surrounding community; and
1.2.9.5. Societal influences including laws, stigma, and access to
treatment and recovery support services;
1.2.10. Facilitates development of internal and external resources that
student's possess to initiate and sustain their recovery from substance
use;
1.2.11. Meet students' needs as they transition into college, throughout their
academic journey, and as they prepare for life after graduation;
1.2.12. Promotes a balanced approach to recovery and reinforces healthy
lifestyle changes;
1.2.13. Encourages peer support, mentorship, and community-building
among students in recovery;
1.2.14. Reinforces the decision to engage in a lifestyle of recovery from
alcohol and drug use problems;
1.2.15. Builds community and reduces stigma around recovery and substance
use on campus;
1.2.16. Is integrated with campus wellness services; and
1.2.17. Ensures institutional policies actively support individuals recovering or
in recovery from substance use disorders and are trauma-informed;
and
1.2.18. Includes a minimum of three (3) or more of the following Programming
components:
1.2.18.1. Mutual support meetings, where students can meet in
group settings to share experiences, encouragement, and
strategies for wellness, recovery, mental heatlh, and
personal growth.
1.2.18.2. Recovery-friendly social activities in enviornments that
actively support individuals recovery or in recovery from
substance use disorders.
1.2.18.3. Social spaces for recovery and sober-curious students
who are considering the benefits of reducing or eliminating
consumption.
1.2.18.4. Recovery-supportive campus programming.
1.2.18.5. Recovery-inclusive social experiences.
1.2.18.6. Sober-curious and recovery student meetups.
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New Hampshire Department of Health and Human Services
Collegiate Recovery Programs
Appendix A - Scope of Services
1.2.18.7. Student programming that builds a supportive recovery
community.
1.2.18.8. Social experiences that celebrate recovery.
1.2.18.9. Recovery-aligned prevention and engagement initiatives.
1.2.18.10. Programming designed to strengthen recovery-oriented
student networks.
1.2.18.11. Substance-free recreational alternatives supporting long-
term recovery.
1.2.18.12. Other recovery oriented programming that is utilized by the
Higher Education Center for Alcohol and other Drug
Misuse Prevention and Recovery (HECAOD),
Assosciation of Recovery in Higher Education (AHRE),
SAFE Project, Substance Abuse and Mental Health
Services Administration (SAMHSA) Office of Recovery.
1.2.18.13. The provision of tertiary prevention resources that include
tools and materials, including Opioid Overdose Reversal
Medications, that assist students with the management
and mitigation of the impact of chronic diseases and
injuries from alcohol and other drug use, with the goal of
reducing injuries, complications, and improving quality of
life.
1.2.19. Is provided in accordance with:
1.2.19.1. State and federal laws and rules, including, but not limited
to the Health Insurance Portability and Accountability Act
(HIPAA), 45 CFR 160, 162, and 164, and 42 CFR Part 2,
as applicable; and
1.2.19.2. The terms and conditions approved by the Substance
Abuse and Mental Health Services Administration
(SAMHSA) for the Substance Use Prevention, Treatment,
and Recovery Services Block Grant (SUBG) and State
Opioid Response (SOR) Grant; and
1.2.19.3. SOR Grant Standards, identified in Section 1.19 as
applicable.
1.3. The Contractor must ensure CRP is implemented and/or enhanced in
accordance with the Department-approved Work Plan. The Contractor must
ensure modifications to the Work Plan are not implemented prior to Department
approval. The Work Plan must outline goals, activities, timelines, benchmarks,
and responsibilities and resources necessary to support students and sustain
the program.
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New Hampshire Department of Health and Human Services
Collegiate Recovery Programs
Appendix A - Scope of Services
1.4. The Contractor must fully implement the CRP on the Contractor's campus no
later than 60 calendar days following the contract effective date in accordance
with the Department-approved Collaboration and Expansion Plan.
.
1.5. The Contractor must collaborate with on-campus partners and community-
based organizations to support programming, expand resources, and
strengthen community connections:
1.5.1. On-campus partners may include student physical and behavioral
health services; student affairs; residence services; academic support
services; campus wellness and prevention programs; peer mentoring
groups; service clubs; and leadership development programs.
1.5.2. Community-based partners may include Recovery Community
Organizations; behavioral health treatment providers and
organizations; Doorways; Regional Public Health Network; and non-
profit organizations.
1.6. The Contractor must develop and implement, subject to Department approval,
a CRP Marketing and Engagement Plan to increase awareness and visibility of
Programming. The Contractor must ensure the Marketing and Engagement
Plan:
1.6.1. Uses language that promotes the many pathways of recovery and
educates about addiction, reducing stigma;
1.6.2. Fosters a campus culture that is inclusive, compassionate, and
supportive;
1.6.3. Builds community, helping students feel less isolated and more
connected;
1.6.4. Encourages engagement and motivates students to participate in
programming, take on leadership roles, and contribute to the growth of
the CRP community; and
1.6.5. Includes promotional strategies and materials for the CRP.
1.7. The Contractor must ensure all marketing and engagement materials
developed under this Agreement are reviewed and approved by the
Department prior to distribution.
1.8. The Contractor must measure program effectiveness, participant satisfaction,
and demonstrate CRP impact on academic success and well-being to support
continuous CRP improvement utilizing Department-approved tools and
methods. The Contractor must ensure modifications to tracking and
measurement tools and methods are approved by the Department prior to
implementation.
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New Hampshire Department of Health and Human Services
Collegiate Recovery Programs
Appendix A - Scope of Services
1.9. The Contractor must ensure continued operation and growth of the CRP over
time.
1.10. The Contractor must utilize the Department's closed loop referral system
whenever applicable to the services they provide for referrals between health
and/or human service providers within New Hampshire for referral
management and client care coordination. Utilization includes inputting
information and data as necessary into the Department's referral solution as
part of the NH Care Connections Network to facilitate referrals to participating
providers, signing required Network Participation Agreement(s), and obtaining
a participant specific consent for services.
1.11. The Contractor must utilize the Department's admission, discharge, transfer,
and shared care insights solution whenever applicable to the services they
provide for client care coordination and management between health providers
within New Hampshire. Utilization includes inputting information and data as
necessary into the Department's admission, discharge, transfer, and shared
care insights platform as part of the NH Care Connections Network to facilitate
referrals to participating providers and signing required Participation
Agreement(s) for the admission, discharge, transfer, and shared care insights
solution.
1.11.1. The Department's contracts with the closed loop referral and
admission, discharge, and transfer vendors incorporate the costs of
developing and maintaining the standards-based interface from which
the Contractor may choose to configure their systems to communicate
securely with the Department's NH Care Connections Network
solutions. The Contractor may choose to interface with the
Department's closed loop referral and/or the admission discharge
transfer solution utilizing a Smart on FHIR or HL-7 standard interface
process to connect individuals to health and social service
providers. The costs for the Contractor's system or team to
develop or utilize the standard Smart on FHIR or HL-7 based
interface are the sole responsibility of the Contractor.
1.12. The Contractor must comply with all applicable Department, State of NH,
SAMHSA, and other Federal terms, conditions, and requirements.
1.13. The Contractor must participate in meetings with the Department on a monthly
basis, or as otherwise requested by the Department.
1.14. The Contractor may be required to participate in on-site reviews conducted by
the Department on a quarterly basis, or as otherwise requested by the
Department.
1.15. The Contractor may be required to facilitate reviews of files conducted by the
Department on an annual basis, or as otherwise requested by the Department.
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New Hampshire Department of Health and Human Services
Collegiate Recovery Programs
Appendix A - Scope of Services
1.16. Data Collection and Reporting
1.16.1. The Contractor must ensure the following data, at a minimum, is
collected and submitted to the Department on a monthly basis:
1.16.1.1. Collegiate Recovery Programming activity, broken out by
type; date and location; number of participants; and
aggregate satisfaction data as applicable;
1.16.1.2. Marketing and engagment activities, broken out by type;
date and location; target audience; and number of
participants; and
1.16.1.3. Collaboration activities, identified in Section 1.5, broken
out by type, date and location, and target audience.
1.16.2. The Contractor must provide the Department with aggregate, non-
identifiable data that supports contract deliverables. The Contractor
must ensure client-level, non-identifiable data excludes information
allowing the individual to be identified or constructively identified.
Constructively identified means that by using the information provided
and what is reasonably and predictably available to a predictable
recipient of the information the individual could be identified. The
Contractor must provide non-identified data from which there is no
reasonable basis to believe that the data used alone or in combination
with other reasonably available information, could be used to identify
an individual who is a subject of the information. The Contractor must
ensure that any reporting method complies with the conditions of
Exhibit E, DHHS Information Security Requirements and Exhibit F,
Business Associate Agreement.
1.16.3. The Contractor must ensure compliance with HIPAA, 45 CFR 160,
162, and 164, and 42 CFR Part 2, and confidentiality, consent, notice,
and other legal requirements, as applicable to any data collected or
reported.
1.16.4. The Contractor may be required to provide other key data and metrics
to the Department in a format specified by the Department, including
but not limited to data required by the Substance Abuse and Mental
Health Services Administration.
1.17. Staffing
1.17.1. The Contractor must recruit and maintain sufficient staffing necessary
to perform and carry out all of the functions, requirements, roles, and
duties as required in this Agreement. The Contractor's personnel must:
1.17.1.1. Have lived experience with the SUD recovery process;
1.17.1.2. Include the following positions at a full-time equivalent
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New Hampshire Department of Health and Human Services
Collegiate Recovery Programs
Appendix A - Scope of Services
(FTE) allocation, or as agreed upon by the Department
and the Contractor, but not be limited to:
1.17.1.2.1. One (1) FTE Peer Recovery Support Staff to:
1.17.1.2.1.1. Provide 1:1 recovery support
meetings;
1.17.1.2.1.2. Facilitate in person and online
peer recovery support groups;
and
1.17.1.2.1.3. Conduct educational training.
1.17.1.2.2. One (1) part-time equivalent CRP Coordinator
to:
1.17.1.2.2.1. Manage grant requirements, data
collection and reporting;
1.17.1.2.2.2. Provide program administrative
support and supervision; and
1.17.1.2.2.3. Facilitate community
development, on campus and
within local communities.
1.17.1.2.3. One (1) .25 FTE marketing/peer engagement
staff to:
1.17.1.2.3.1. Develop marketing strategies
and materials; and
1.17.1.2.3.2. Conduct student engagement
activities.
1.18. State Opioid Response (SOR) Grant Standards
1.18.1. If applicable, the Contractor must ensure they, and any provider which
referrals are made to:
1.18.1.1. Only provide and/or prescribe medications for Opioid Use
Disorder (OUD), as clinically appropriate, that are
approved by the Food and Drug Administration;
1.18.1.2. Only provide medical withdrawal management services to
individuals supported by SOR grant funds if the withdrawal
management services are accompanied by the use of
injectable extended-release naltrexone, as clinically
appropriate;
1.18.1.3. Ensure staff trained in Presumptive Eligibility for Medicaid
are available to assist individuals with public or private
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New Hampshire Department of Health and Human Services
Collegiate Recovery Programs
Appendix A - Scope of Services
health insurance enrollment; and
1.18.1.4. Comply with 42 CFR Part 2 as applicable and related to
any referrals and provider services.
1.18.2. The Contractor must ensure individuals receiving services, rendered
from SOR funds, have a documented history or current diagnoses of
Opioid Use Disorder or Stimulant Use Disorders (OUD/StimUD) or are
at risk for such.
1.18.3. The Contractor must ensure that SOR grant funds are not used to
purchase, prescribe, or provide cannabis or for providing treatment
using cannabis. The Contractor must ensure:
1.18.3.1. Treatment in this context includes the treatment of
OUD/StimUD;
1.18.3.2. Grant funds are not provided to any individual or
organization that provides or permits cannabis use for the
purposes of treating substance use or mental health
disorders; and
1.18.3.3. This cannabis restriction applies to all subcontracts and
Memorandums of Understanding that receive SOR
funding.
1.18.4. The Contractor must utilize SOR funding, as needed, to ensure
Naloxone kits are available to individuals receiving services through
this Agreement.
1.18.5. If the Contractor intends to distribute test strips, the Contractor must
provide a test strip utilization plan to the Department for approval prior
to implementation. The Contractor must ensure the utilization plan
includes, but is not limited to:
1.18.5.1. Internal policies for the distribution of test strips;
1.18.5.2. Distribution methods and frequency; and
1.18.5.3. Other key data as requested by the Department.
1.18.6. The Contractor must provide services to eligible individuals who:
1.18.6.1. Receive MSUD services from other providers, including
the individual's primary care provider;
1.18.6.2. Have co-occurring substance use and mental health
disorders; or
1.18.6.3. Are on medications and are taking those medications as
prescribed regardless of the class of medication.
1.18.7. The Contractor must ensure individuals who refuse to consent to
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New Hampshire Department of Health and Human Services
Collegiate Recovery Programs
Appendix A - Scope of Services
information sharing with the Doorways do not receive services utilizing
SOR funding.
1.18.8. The Contractor must ensure individuals who rescind consent to
information sharing with the Doorways do not receive any additional
services utilizing SOR funding.
1.18.9. The Contractor must collaborate with the Department and other SOR
funded vendors, as requested and directed by the Department, to
improve SUPRT data collection.
1.19. Background Checks
1.19.1. Prior to permitting any individual to provide services under this
Agreement, the Contractor must ensure that said individual has
undergone:
1.19.1.1. A criminal background check, at the Contractor's expense,
and has no convictions for crimes that represent evidence
of behavior that could endanger individuals served under
this Agreement; and
1.19.1.2. A name search of the Department's Bureau of Adult and
Aging Services (BAAS) State Registry, pursuant to RSA
161-F:49, with results indicating no evidence of behavior
that could endanger individuals served under this
Agreement; and
1.19.1.3. A name search of the Department's Division for Children,
Youth and Families (DCYF) Central Registry pursuant to
RSA 169-C:35, with results indicating no evidence of
behavior that could endanger individuals served under this
Agreement.
1.20. Confidential Data
1.20.1. The Contractor must meet all information security and privacy
requirements as set by the Department and in accordance with the
Department's Information Security Requirements Exhibit as
referenced below.
1.20.2. The Contractor must ensure any individuals involved in delivering
services through this Agreement contract sign an attestation agreeing
to access, view, store, and discuss Confidential Data in accordance
with federal and state laws and regulations and the Department's
Information Security Requirements Exhibit. The Contractor must
ensure said individuals have a justifiable business need to access
confidential data. The Contractor must provide attestations upon
Department request.
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New Hampshire Department of Health and Human Services
Collegiate Recovery Programs
Appendix A - Scope of Services
1.21. Privacy Impact Assessment
1.21.1. Upon request, the Contractor must allow and assist the Department in
conducting a Privacy Impact Assessment (PIA) of its
system(s)/application(s)/web portal(s)/website(s) or Department
system(s)/application(s)/web portal(s)/website(s) hosted by the
Contractor, if Personally Identifiable Information (PII) is collected,
used, accessed, shared, or stored. To conduct the PIA the Contractor
must provide the Department access to applicable systems and
documentation sufficient to allow the Department to assess, at
minimum, the following:
1.21.1.1. How PII is gathered and stored;
1.21.1.2. Who will have access to PII;
1.21.1.3. How PII will be used in the system;
1.21.1.4. How individual consent will be achieved and revoked; and
1.21.1.5. Privacy practices.
1.21.2. The Department may conduct follow-up PIAs in the event there are
either significant process changes or new technologies impacting the
collection, processing or storage of PII.
1.22. Contract End-of-Life Transition Services
1.22.1. General Requirements
1.22.1.1. If applicable, upon early termination or expiration of the
Agreement the parties agree to cooperate in good faith to
effectuate a secure transition of the services ("Transition
Services") from the Contractor to the Department and, if
applicable, the new Contractor ("Recipient") engaged by
the Department to assume the services. Ninety (90) days
prior to the end-of the contract or unless otherwise
specified by the Department, the Contractor must begin
working with the Department and if applicable, the
Recipient to develop a Data Transition Plan (DTP). The
Department shall provide the DTP template to the
Contractor.
1.22.1.2. The Contractor must assist the Recipient, in connection
with the transition from the performance of Services by the
Contractor and its End Users to the performance of such
Services. This may include assistance with the secure
transfer of records (electronic and hard copy),transition of
historical data (electronic and hard copy), the transition of
any such Service from the hardware, software, network
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