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Medical – Dental Innovation Project: Integrating Oral Health and Chronic Disease

Contract for Services to Connecticut Nonprofit and For-Profit Health Centers
and Agencies to Improve Dental and Medical Outcomes for At-Risk Patients

Agency Type:

State

Funding Source:

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Connecticut Department of Public Health (DPH) - Community, Family Health and Prevention Section (CFHPS) - Office of Oral Health

LOI Date:

08/20/19

Deadline Date:

09/06/19 3:30 PM EST Receipt

Description:

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Contract for services to Connecticut nonprofit and for-profit health centers, with dental health professional shortage area designation, and state agencies to improve oral health and chronic disease outcomes for at-risk patients. Applicants must submit an LOI prior to applying. Funding is intended for creative medical-dental integration projects that address common risk factors for children who are at risk for tooth decay and childhood obesity, and adults at risk for oral disease and prediabetes. The grant has two components; all applicants are required to respond to Component 1, while Component 2 is optional.

The selected FQHCs will 1) collaborate inter-professionally with medical and dental teams to develop systems and workflows to identify, screen, refer, and track at risk patients to improve oral health and chronic disease outcomes, 2) increase medical and dental provider knowledge and skills to integrate oral health and chronic disease, and 3) develop a sustainability plan to ensure the continuation of the project.

The focus of Component 1 is to address the common risk factors associated with obesity and dental caries in children by developing a systematic approach to identifying at-risk children in dental HPSAs, to provide basic nutrition and oral health counseling as it relates to these risk factors, to initiate referrals to primary medical care and dietitians for follow-up when indicated, and to establish client tracking and bi-directional communications systems and payment sustainability. The three main goals are:

  1. Increase the knowledge and skills of dental professionals to address common modifiable risk factors associated with childhood obesity and tooth decay through nutrition screening, counseling, and referral.
  2. Establish site practice workflows, referral and tracking mechanisms, and bidirectional flow of relevant client information.
  3. Institute a payment policy and billing strategy to actively monitor and recommend changes in the payment environment.

The focus of Component 2 is to integrate prediabetes screening, counseling and referral into dental settings at designated dental HPSAs by identifying adults at risk for type 2 diabetes and initiating referrals to primary medical care for follow up, as well as a referral from dental care providers to a CDC recognized, LCP. Component 2 also aims to implement a multi-faceted, innovative approach to engage dental providers to integrate evidence-based, prediabetes screening, referral and education into daily dental practice. The four main goals are to:

  1. Integrate medical and dental operations to address patients at risk for prediabetes, type 2 diabetes, and oral disease.
  2. Engage medical and dental providers in participating in grand rounds and trainings on the connection between oral health and type 2 diabetes prevention and management, which includes motivational interviewing and usage of a prediabetes screening tool identify adults at high risk.
  3. Increase the number of bidirectional referrals between medical and dental providers for at risk adults.
  4. Establish workflows and tracking systems to screen, refer, confirm prediabetes through a blood glucose test, enroll those with prediabetes into a CDC-recognized LCP, and track the number of patients who are referred and enroll who complete the program. 

Proposals much outline an innovative medical-dental integration project that improves health outcomes associated with childhood obesity and type 2 diabetes in dental settings. For information about the elements that must be addressed, see: https://portal.ct.gov/-/media/Departments-and-Agencies/DPH/dph/rfp/PDF/CT-DPH-20200903-RFPMedical-Dental-Integration-ProjectFinal.pdf?la=en#page=24

GrantWatch ID#:

GrantWatch ID#: 186622

Number of Grants:

Five awards. Two of the five awardees will be selected to implement Component 2 in addition to Component 1.

Estimated Size of Grant:

The award of any contract pursuant to this RFP is dependent upon the availability of funding to the Department. The Department anticipates the following:

Component 1:
- Total Funding Available: $87,900
- Contract Cost: $27,900-$30,500 per FQHC per year

Component 2:
- Total Funding Available: $200,000
- Contract Cost: $50,000 per FQHC per year

Term of Contract:

Contract period: February 1, 2020 - August 31, 2020

Additional Eligibility Criteria:

Private provider organizations (defined as non-state entities that are either nonprofit or proprietary corporations or partnerships), and CT State agencies are eligible to submit proposals in response to this RFP.

To qualify for a contract award, an applicant must have the following minimum qualifications:
- At least one qualified staff dedicated (25% FTE minimum) to be the project lead, which includes serving as the single contact person with CT DPH; coordinating all aspects of project planning and implementation; and ensuring that all project deadlines are met and required data reported to DPH
- Electronic Medical Record (EMR) systems with population health functionality, systems and capability to modify Health Information Technology (HIT) systems and access to EMR expertise
- Capacity to assign staff with significant experience in or with access to the organization’s resources regarding health information technology, clinical care and community linkages related to prediabetes and type 2 diabetes based on project needs.
- Administration and organizational leadership support (e.g., evidence of CEO/senior management support for the project).

Individuals who are not a duly formed business entity are ineligible to participate in this procurement. Applicants with long-standing, significant outstanding unresolved issues on current and/or prior year contracts with the DPH may be removed from consideration for additional or future funding.

Pre-Application Information:

A Letter of Intent (LOI) is required by this RFP. The LOI must be submitted to the Official Contact by US mail, or e-mail by August 20, 2019.

Deadline for submission of proposals is September 6, 2019 at 3:30 p.m. EST. The Official Contact is the only authorized recipient of proposals submitted in response to this RFP. Proposals must be received by the Official Contact on or before the due date and time.

Timeline:
- RFP Released: July 18, 2019
- Letter of Intent Due: August 20, 2019
- Deadline for Questions: August 6, 2019
- Answers Released: August 13, 2019
- Proposals Due: September 6, 2019
- Applicant Selection: September 20, 2019
- Start of Contract Negotiations:October 1, 2019
- Start of Contract: February 1, 2020

Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

Submit LOIs by mail or email to:

Maryanne Goss, MA, Health Program Associate,
Community, Family Health and Prevention Section
CT Department of Public Health
410 Capitol Avenue, MS #11DNT
Hartford, CT 06134

E-Mail: Maryanne.goss@ct.gov

Full proposals must be mailed, couriered, or hand-delivered to Maryanne Goss.

Phone:(860) 509-7699

Funding or Pin Number:

RFP#2020-0903

URL for Full Text (RFP):

Geographic Focus:

USA: Connecticut