LINE ÈD CHAMP: 888-614-5400
LINE ÈD CHAMP: 888-614-5400

RFP CHAMP pou Western NY

Pwojè Aksè Sante Kominotè a Depandans ak Swen Sante Mantal (CHAMP):

Pwogram Ombudsman Sante Mantal Endepandan Eta Nouyòk la

Demann pou Pwopozisyon, Lwès NY

October 7, 2026

 

Entwodiksyon

 

Through this Request for Proposals (RFP), the Community Service Society of New York (CSS), seeks a non-profit community-based organization (CBO) that serves the Western New York area of the State to participate in New York’s independent health insurance ombudsman program for mental health and substance use disorder care. CSS operates the Community Health Access to Addiction and Mental Healthcare Project (CHAMP), on behalf of the New York State Behavioral Health Ombudsman Office. CHAMP educates and assists New Yorkers in overcoming health insurance barriers to substance use disorder and mental health treatment. Through this RFP, CSS anticipates awarding one contract to a local CBO to provide direct assistance with health insurance issues to individuals in its community as well as education and outreach about the availability of CHAMP services.

The grant award is approximately $80,000 for a 12-month period, but will be pro-rated during the 2026-2027 contract year, which is expected to run from January 1, 2027, to June 30, 2027, with an award of up to $40,000. In subsequent years, the grant award will be approximately $80,000 for a 12-month period running from July 1 to June 30 annually. CSS expects to announce the award on December 1, 2026, via the CHAMP website, www.champny.org. The contract is expected to begin on January 1, 2027, and end on June 30, 2027, with the expectation of renewal for a 12-month period subject to performance and New York State budget appropriations. Project grant and dates are contingent upon a State award to CSS and receipt of State funding.

 

Nan mwa mas 2018, Seksyon 33.27 nan Lwa sou Ijyèn Mantal Eta New York la te etabli pwogram ombudsman endepandan pou pwoblèm abi sibstans ak sante mantal, ke yo rekonèt kòm CHAMP. Biwo Sèvis ak Sipò pou Adiksyon (OASAS) sipèvize CHAMP, an konsiltasyon avèk Biwo Sante Mantal (OMH). OASAS gen kontra avèk CSS pou administre CHAMP epi bay sèvis bay konsomatè yo atravè yon liy asistans ak yon rezo òganizasyon ki pa pou pwofi. CSS opere CHAMP an patenarya avèk twa ajans espesyalis ki bay asistans teknik, fòmasyon, ak/oswa asistans bay konsomatè yo ak founisè swen sante yo. Rezo CHAMP la kounye a gen uit CBO ki bay asistans dirèk bay moun ki gen pwoblèm sante mantal ak pwoblèm abi sibstans, ansanm ak fanmi yo, founisè yo, ak defansè yo, pou ede yo simonte baryè asirans pou tretman. Anplis asistans sa a, CBO CHAMP yo bay edikasyon ak sansibilizasyon nan kominote yo sèvi yo.

 

CSS ap chèche finanse yon CBO ki sèvi divès popilasyon, tankou konsomatè ki soti nan kominote izole kiltirèlman, jewografikman ak lengwistikman; moun ki gen andikap mantal ak fizik; moun ki LGBTQ+; veteran; jèn ak jèn adilt; moun ansent ak paran; moun ki enplike oswa ki te enplike nan sistèm legal kriminèl la; ak lòt popilasyon vilnerab. Òganizasyon ki gen ekspètiz nan fè kontak ak bay enfòmasyon ak asistans sou swen sante yo ankouraje tou pou aplike.

 

 

Kritè Elijibilite

 

Aplikan yo dwe se pou òganizasyon ki pa pou pwofi, asosyasyon manm, oswa lòt òganizasyon ki gen misyon epi ki demontre eksperyans nan sèvi konsomatè swen sante ki gen bezwen sante mantal ak twoub abi sibstans nan Rejyon Lwès Eta New York la.

 

CSS pral pa fon:

  • òganizasyon oswa moun ki gen yon konfli enterè, tankou moun oswa konpayi ki vann asirans oswa pwodwi ki sanble ak asirans, tankou plan rabè; oubyen
  • dispozisyon sèvis swen sante dirèk, ki gen ladan vizit pou pasyan ekstèn ak vizit espesyalize ak yon founisè.

 

Kandida yo dwe kapab demontre viabilité finansyèl pou bay sèvis yo dapre enfòmasyon yo mande nan RFP sa a. Anplis de sa, nenpòt enfòmasyon yo konsidere kòm konfidansyèl oswa propriétaires dwe espesifye kòm sa pa kandida yo. Sepandan, si yo aksepte yon pwopozisyon, tout reklamasyon konfidansyalite yo sijè a kondisyon nenpòt akò prensipal ki ka siyen ak CSS epi ki apwouve pa OASAS ki gouvène Ombudsman an.

 

Dat Enpòtan yo

 

EVÈNMAN DAT
Piblikasyon RFP a October 7, 2026
Kesyon sou RFP sa a Dat limit pou yo poze kesyon yo October 14, 2026
Repons ki pibliye October 19, 2026
Dat limit aplikasyon an November 6, 2026
Anons Prim yo December 1, 2026
Dat kòmansman kontra a prevwa January 1, 2026
Oryantasyon pou Moun ki Resevwa Prim yo ak Fòmasyon Entansif De Jou nan Albany Me 2027 (dat egzak la poko detèmine)

 

Sèvis ki dwe bay anba kontra sa a:

Òganizasyon an ap bay sèvis sa yo nan yon fason aksesib, ki apwopriye pou kilti ak lengwistikman, tankou opsyon pou asistans pa telefòn, sou entènèt, imèl, lapòs ak an pèsòn:

 

  1. Ka asistans endividyèl: Konseye epi ede konsomatè yo endividyèlman sou asirans sante (pa egzanp, Medicaid, Essential Plan, Child Health Plus, Medicare, asirans patwone pa anplwayè oswa sendika oswa lòt asirans komèsyal) ak pwoblèm aksè a swen sante ki gen rapò ak pwoblèm abi sibstans ak swen sante mantal.

Men kèk egzanp ka, men yo pa limite a:

    • Ede konsomatè yo konprann kijan pou yo itilize epi jwenn aksè a benefis asirans sante yo.
    • Rezoud pwoblèm dèt ak bòdwo medikal.
    • Idantifye vyolasyon lwa eta ak federal sou egalite nan sante mantal ak twoub abi sibstans epi ede konsomatè ak founisè yo depoze apèl, plent ak demann enfòmasyon.
    • Ede jwenn otorizasyon alavans, aksè a espesyalis ak sèvis ki pa nan rezo a, ak pwogram asistans finansyè pou lopital ak medikaman sou preskripsyon lè sa nesesè.
    • Nivo asistans ak patisipasyon yon òganizasyon rezo nan yon ka ka varye selon sikonstans yo.
  2. Kontak ak Kominotè a ak Prezantasyon: Òganizasyon an ap oblije bay prezantasyon kominotè ki fèt pou edike konsomatè yo, gwoup familyal yo, defansè yo, founisè swen sante yo, ak lòt moun ki gen enterè sou CHAMP, kijan pou jwenn peman ak otorizasyon pou sèvis sante mantal ak twoub abi sibstans nan yon plan asirans sante, ak/oswa lwa egalite sante mantal ak twoub abi sibstans ak lòt lwa ki pwoteje dwa konsomatè yo pou jwenn aksè a sèvis sante sa yo. Kote pou prezantasyon sa yo ka gen ladan yo, men yo pa limite a: enstitisyon ki baze sou lafwa, sant oswa gwoup kominotè, sant sante, founisè swen sante kominotè, òganizasyon sèvis sosyal, lekòl, oswa sit òganizasyon an. Odyans lan ka gen ladan l odyans melanje konsomatè, gwoup familyal, defansè, ak/oswa founisè swen sante.
  3. Istwa Kliyan yoÒganizasyon an pral idantifye konsomatè ki te benefisye nan men Ombudsman an epi ki vle pataje istwa yo ak piblik la epi li pral soumèt istwa yo bay CSS dapre pwotokòl CSS yo. Yo ka anonimize enfòmasyon kliyan yo.
  4. Fonksyon santinèl: CSS espere ke òganizasyon an ap pare, dispoze, epi kapab kolabore ak lòt òganizasyon nan rezo a pou idantifye tandans ak pwoblèm ki afekte moun nan domèn swen sante ak asirans sante nan Eta New York lè yo leve.

Kondisyon Òganizasyon yo

Òganizasyon yo chwazi a ap resevwa yon sou-kontra ak yon Manyèl Règleman ak Pwosedi pou pwogram nan. Anjeneral, ajans lan ta dwe atann egzijans sa yo:

 

  1. Anplwaye ak Responsablite
    • Òganizasyon an ap dakò pou deziyen yon Kowòdonatè Pwogram ki pral responsab pou:
    • patisipe nan reyinyon pwogram yo;
    • sipèvize lòt anplwaye pwogram nan òganizasyon li an, tankou revize ka yo ak siveye prezantasyon yo;
    • kolekte epi rapòte done jan CSS endike a alè;
    • kolekte istwa kliyan yo pandan peryòd kontra a avèk kominike medya ki apwopriye yo;
    • rete ajou sou règleman sante yo anrapò ak sèvis yo bay yo; kowòdone avèk CSS pou kreye epi aplike plan aksyon korektif, si sa nesesè; epi
    • kolabore avèk CSS pou asire ke tout anplwaye pwogram nan òganizasyon yo a resevwa fòmasyon apwopriye epi yo konpetan pou bay sèvis yo.
  2. Rapò
    • Òganizasyon an ap dakò pou:
    • kolekte epi rapòte done, atravè baz done CSS ki baze sou nwaj la (Salesforce), sou aktivite ki fèt, konsomatè ak anplwayè ki resevwa sèvis, pwoblèm ki gen rapò ak sante ki adrese, ak sèvis ki bay dapre direktiv CSS ki nan sou-kontra a ak Manyèl Règleman ak Pwosedi yo. Òganizasyon yo dwe kounye a gen òdinatè ki gen aksè a entènèt, enprimant, telefòn ak imèl;
    • respekte pwosedi konfidansyalite ki apwopriye pou asistans konsomatè sante, ki gen ladan nenpòt pwosedi konfidansyalite ranfòse ki aplikab pou enfòmasyon sou twoub itilizasyon sibstans ak sante mantal;
    • kolabore ak siveyans CSS a, ki ka gen ladan vizit sou sit, obsèvasyon prezantasyon kominotè yo, ak revizyon sèvis endividyèl yo rapòte nan baz done a; epi
    • ankouraje patisipasyon konsomatè yo nan nenpòt evalyasyon pwogram, jan CSS jije nesesè, tankou sondaj satisfaksyon kliyan, evalyasyon patisipan prezantasyon yo, ak sondaj.
  3. Mezi Pèfòmans pou Sèvis yo
    • Òganizasyon an dwe konfòme li avèk sa ki annapre yo:
    • bay sèvis kalite siperyè;
    • asire ke done yo antre avèk presizyon epi ke yo reflete nèt sèvis yo bay yo;
    • asire kontinwite ak apwopriyete konpetans pèsonèl la ak òganizasyon an nan bay sèvis yo;
    • konfòmite alè avèk egzijans kontra yo;
    • antre done alè; epi
    • efikasite pri.
  4. Fòmasyon ak Edikasyon Kontinyèl
    • Òganizasyon an dwe konplè:
    • Fòmasyon sètifikasyon CHAMP a distans;
    • Fòmasyon entansif obligatwa de jou ki pral fèt nan Albany; epi
    • Resevwa fòmasyon regilye chak mwa nan men CSS ak òganizasyon Espesyalis yo.
  5. Fidbak ak Evalyasyon
    • Òganizasyon an ap dakò pou:
    • bay fidbak sou materyèl, prezantasyon ak lòt pwojè espesyal pou konsomatè yo, ti anplwayè yo, ak defansè yo pou avanse objektif pwogram yo sou demann CSS; epi
    • patisipe nan evalyasyon ak konsiderasyon pwogram nan ak konpozan li yo jan sa nesesè.

 

Gam Prim

Montan sibvansyon yo bay òganizasyon an depann de si CSS resevwa sibvansyon an epi li depann de dimansyon travay ak sèvis aplikan yo pwopoze a. CSS anticipates awarding a grant up to $40,000 for a 6-month period.

 

Sibvansyon yo gen de eleman:

  1. Liy debaz yo: This refers to the numbers of individual assistance cases and outreach/training events the organization is contractually obligated to achieve on an annual basis. Typical baselines for existing sub-contractors are 100-200 direct assistance cases and 10-30 outreach events annually. Applicants may pro-rate their proposed baselines for the 6-month 2026-2027 contract period.
  2. Livrezon: Sa gen ladan l patisipasyon nan reyinyon ak prezantasyon CSS, rapò alè, ak sèvis kalite siperyè.

 

Òganizasyon an dwe satisfè tou de egzijans yo pou resevwa peman konplè a. 

 

Soumèt Pwopozisyon

Tanpri mete sa ki annapre yo nan soumèt pwopozisyon ou an. Yo p ap konsidere pwopozisyon ki pa gen nenpòt eleman.

  1. Lis Verifikasyon Pwopozisyon an (Antache): Tanpri ranpli epi soumèt lis verifikasyon ki atache a pou asire aplikasyon w lan konplè.
  2. Fòm Kouvèti (Antache): Ranpli epi soumèt fòm kouvèti a, siyen epi date pa: (1) Direktè Egzekitif òganizasyon an; oubyen (2) Prezidan an oswa Lidè Konsèy Administrasyon òganizasyon an oswa konsèy gouvènans lan (epi moun ki patwone fiskal òganizasyon an, si sa aplikab). Mete Nimewo Idantifikasyon Patwon (EIN) òganizasyon an.
  3. Lèt Angajman ki soti nan Direktè Egzekitif òganizasyon an oswa Prezidan Konsèy Administrasyon an 
  1. Naratif Pwopozisyon an (pa dwe depase 6 paj): Tanpri mete enfòmasyon sa yo nan pwopozisyon ou an:
    1. Misyon: Di nou sou misyon òganizasyon w lan ak eksperyans li nan ede konsomatè, fanmi, ak/oswa founisè ki gen pwoblèm abi sibstans ak/oswa maladi mantal pou jere pwoblèm asirans sante yo ak/oswa swen sante.
    2. Divèsite ak Popilasyon ki Sèvi: Di nou ki kliyan w ap sèvi yo, tankou:
      1. sitiyasyon revni;
      2. lang prensipal(yo) pale;
      3. ras/etnisite;
      4. kote jewografik;
      5. popilasyon inik ki resevwa sèvis (pa egzanp, moun k ap refè, moun ki gen pwoblèm abi sibstans ak/oswa maladi mantal, popilasyon riral yo, veteran, ansyen prizonye, popilasyon LGBTQ+), epi;
      6. pwoteksyon sante, asirans, oswa swen (pa egzanp asirans komèsyal; asirans piblik tankou Medicaid, Medicare, Plan Esansyèl la oswa Child Health Plus, asistans finansyè lopital) yo itilize.
    3. Anplwaye ak Livrezon: We would like to know if your organization would be ready to begin provision of services at the contract start date of January 1, 2026. Please include information about the following:
      • Anplwaye Dekri pèsonèl ki pral dedye a sibvansyon an pou bay sèvis sa yo, ki gen ladan background, eksperyans, ak devwa aktyèl nenpòt pèsonèl ki deja nan pèsonèl la ki pral bay oswa sipèvize sèvis anba pwojè sa a.
      • Livrezon:
        1. Dekri kantite ka asistans endividyèl òganizasyon an ap jere chak ane.
        2. Bay kantite evènman sansibilizasyon/fòmasyon òganizasyon an ap ofri chak ane ak kantite moun ki ka patisipe nan evènman sa yo.
    4. Ekite nan Sante: Dekri nenpòt eksperyans òganizasyon an genyen nan diminye disparite nan sante ak pwomosyon ekite nan sante nan kominote w ap sèvi a.
    5. Defans: Are there any restrictions on the organization’s ability to advocate freely and vigorously on behalf of consumers? If so, please describe. Describe any experience the organization has in advocating systemic changes on behalf of the service population or constituency and any experience using clients’ stories to advocate for systemic changes.
    6. Outreach:
      • Tell us about your organization’s experience conducting outreach, marketing, and/or educational events.
      • Describe how the organization will market and do outreach to consumers and providers about consumers’ rights, CHAMP, and otherwise promote services. Describe the target audience for these events. Describe any media (including social media) experience your organization may have.
    7. Confidentiality: Describe the organization’s policy regarding confidentiality and protecting health-related information as required under the Health Insurance Portability and Accountability Act (HIPAA) and 42 CFR Part 2 regulations. Please provide copies of written policies, if any.
    8. Accessibility: Please provide information about where the organization will provide individual assistance and how assistance will be provided, including:
      • List all office locations and hours where in-person assistance services will be provided
      • Describe if the organization is accessible via phone, email, web application, and in-person
      • Describe your organization’s language access plan.
      • Are sites where services will be provided accessible to people with disabilities? What reasonable accommodations are made for people with disabilities so they may access services? Please provide copies of written policies, if any.
    9. Sustainability: Please tell us about your organization’s ability to participate in sustainability activities like educating community leaders about the need for CHAMP services in your community.
  2. Budget (1 page) & Budget Narrative (1 to 2 pages): the information requested in this section will be used to evaluate your proposal’s cost-effectiveness, as compared to proposals from other applicants. CSS reserves the right to negotiate these terms with the awardee.
    • Propose a grant amount for the project period up to $40,000.
    • Provide a line-item budget for an 6-month term, describing how the amount proposed will be used for this project. The budget should include:
      • Personnel expenses (consistent with staffing listed above);
      • Other than personnel expenses; and
      • Note: Organizations may be required to return any equipment purchased with grant funds to New York State at the end of the contract period.
      • In-kind or other organizational contributions.
    • Provide a detailed budget narrative. If you propose a significantly higher or lower cost as compared to the typical grant in relation to services proposed, explain the cost difference.
  1. Two Letters of Reference (not to exceed one page, single-spaced): Each applicant must provide two reference letters from people or organizations familiar with the organization and its work and its capacity to educate and serve health consumers with mental health and substance use treatment needs.
  2. Financial Statements & Legal Documents:
    1. Proof of not-for-profit status (if applicable): (i.e., 501(c) tax-exempt verification);
    2. A copy of the organization’s most recent audited financial statement with the management letter from the auditors;
    3. A copy of the organization’s most recent CHAR500;
    4. A copy of the organization’s most recent IRS Form 990;
    5. Anti-discrimination attestation;
    6. Conflict of Interest attestation.[1]

 

Conditions

CSS reserves rights to postpone or cancel this RFP; reject all proposals; request additional information; negotiate with applicants individually; modify the number of awardees and dollar amounts of grants; amend specifications; eliminate requirements; accept only those proposals that serve the best interests of the program; terminate subcontracts for poor performance or in the best interest of the program; and amend terms of subcontracts to serve best interests of the program. The organization selected will be asked to provide evidence of general liability insurance, workers compensation, disability, and errors and omissions insurance upon signing a subcontract with CSS.

 

Organization subcontracts awarded through this RFP are contingent on the award and availability of funds provided by New York State.  

 

Questions

Questions about this RFP should be emailed by 5:00 pm on October 14, 2026, to champRFP@cssny.org. The subject line should read: “CHAMP RFP Questions.” Responses to common questions will be posted on the CHAMP website, http://www.champny.org, by 5:00 pm on October 19th, 2026.

 

Instructions for Submission

CSS requests that all organizations submit their proposal electronically to CSS no later than 5:00 pm on November 6th, 2026. Emailed proposals should be sent to ChampRFP@cssny.org.

 

The proposal should be signed by the appropriate individuals (see Contents of the Proposal, Cover Form). Electronic signatures are allowed. Please use 12-point font, one-inch margins, and double spacing, unless otherwise indicated.

[1] As noted above, CSS cannot fund organizations that sell insurance or insurance-like products, including discount plans, and/or provide direct healthcare services. However, if an organization’s healthcare services are incidental to its primary activities and would not create a conflict of interest, it may be funded at CSS’s discretion. Any organization that fits this circumstance should complete the enclosed attestation.