Request for Proposals: TelePrEP Access Consultants

Washington, D.C.

REQUEST FOR PROPOSALS (RFP): Consultants, TelePrEP Access

RFP Issue Date:                     July 27, 2020

RFP Closing Date:                 August 23, 2020

Performance Period:           September 14, 2020 – September 29, 2024

NASTAD is soliciting proposals from professionals with demonstrated expertise and experience in providing capacity building assistance (CBA) and technical assistance (TA) to health departments, clinical providers, and community-based organizations on topics related to TelePrEP.

Interested persons are encouraged to read this RFP in its entirety, including specifics on application submission. Proposals that do not adhere to the parameters here will not be considered. Issuance of this solicitation does not, in any way, obligate NASTAD to award a contract, nor will NASTAD pay for any costs incurred in the preparation and submission of a proposal.

NASTAD anticipates contracting with up to 6 consultants as a result of this RFP.

Background

NASTAD is a leading non-partisan non-profit association that represents public health officials who administer HIV and hepatitis programs in the U.S. 

Our singular mission is to end the intersecting epidemics of HIV, viral hepatitis, and related conditions. We do this work by strengthening governmental public health through advocacy, capacity building, and social justice. Each of NASTAD’s six programmatic teams—Health Care Access, Health Systems Integration, Policy & Legislative Affairs, Hepatitis, Health Equity & Prevention —interpret and influence policies, conduct trainings, offer technical assistance, and provide advocacy mobilization for U.S. health departments and ministries of health around the world to improve health outcomes for people living with HIV and hepatitis.

NASTAD represents public health officials in all 50 U.S. states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, seven local jurisdictions receiving direct funding from the Centers for Disease Control and Prevention (CDC), and the U.S. Pacific Island jurisdictions. The local jurisdictions are Baltimore, Chicago, Los Angeles County, Houston, New York City, Philadelphia, and San Francisco. The U.S. Pacific Island jurisdictions are American Samoa, Guam, the Marshall Islands, the Federated States of Micronesia, Northern Mariana Islands, and Palau.

TelePrEP Learning Collaborative

NASTAD will utilize a virtual learning collaborative to assist jurisdictions funded through CDC PS19-1906 Component B / CDC PS20-2010 Component A (heretofore referred to as “jurisdictions”) in implementing/expanding a telePrEP program. The learning collaborative will receive ongoing TA from peers and subject matter experts to increase the uptake of telePrEP programs.

The Consultant(s), TelePrEP Access will work collaboratively with NASTAD staff.

Scope of Work

NASTAD estimates 50 deliverables per year over the project period for this RFP. The number of hours can vary significantly from month to month and by deliverable. Broad deliverables are listed below.

  • Develop, facilitate, and evaluate trainings for the Learning Collaborative on TelePrEP topics (i.e., use of the 340B program for PrEP, cost analysis, budgeting and scalability of PrEP programs, establishing contract pharmacy relationships and inter-agency partnerships, financial forecasting and program sustainability, and overall telePrEP operations in local public health clinics and community-based organizations).
  • Collaborate with NASTAD staff on the development, research, and dissemination of materials related to telePrEP for the Learning Collaborative cohort participants.

The selected consultants will work with NASTAD on activities related to PrEP implementation in support of the learning collaborative for up to 10 hours per week at various points during the course of the initiative. Consultants selected through this process will be eligible to work with NASTAD through September 2024. For this RFP, there is no set number of deliverables to be delivered. Rather, individual deliverables or scopes of work will be developed by NASTAD at its discretion on an as‐needed basis. NASTAD will select a consultant(s) who can provide the best value in terms of price, quality, performance, and relevant experience.

Projected Timeline

July 2020  – September 2024

  • July 27, 2020  – Release of RFP
  • August 23, 2020 – Proposals due
  • Early September, 2020 – Notification
  • September 14, 2020 – Project kickoff
  • September 2020 – September 2024 – Project implementation

Proposal Application and Submission

Interested persons should submit an application package that includes the following:

  • Cover Letter – Expressing Interest, personal statement, expertise, experience, and hourly compensation requirements.
  • CV/Resume – Documenting relevant work history and related experience for at least the previous five years.
  • Writing Sample or Presentation- Demonstrating experience providing technical assistance (TA), including peer-to-peer TA.

All documents should be combined into one PDF and submitted to Nicole Elinoff via email at PrEP@NASTAD.org by August 23, 2020. The subject line should read: “TelePrEP Access Consultant RFP Application.”

Selection Criteria and Process

Candidates will be evaluated based on their subject-matter expertise on the following topics and demonstrated ability to develop and deliver technical assistance as part of the initiative. Each topic will be considered separately, and candidates are welcome to demonstrate expertise in more than one of these topic areas:

  • TelePrEP delivery models: Detailed information about the various telePrEP models currently being implemented in public health settings using a comparative approach. Each model should include options to deliver virtual clinical visits, offer lab test services, provide support services, including adherence counseling, coordinating with the patient’s primary care provider if needed, and describe other considerations relative to operating a virtual program. This information will help participants identify which implementation models may be transferable to their settings and identify what infrastructure may be needed for telePrEP program implementation.
  • Promotion and education: Marketing, promotion, and educational program strategies that are particularly well suited to telePrEP programs. 
  • At-home testing and lab contracts: Establishing lab contracts to enable at-home testing; coordinating payment and data sharing agreements.
  • Service quality improvement and program evaluation: TelePrEP-specific tools and considerations to evaluate the program’s operations, including federal and state reporting requirements.
  • Telemedicine regulations: State laws and regulations related to telemedicine, examining opportunities to establish cross-state programs, provider credentialing requirements, and reimbursement policies. This information will inform the regulatory framework through which programs can operate.
  • Minor and dependent consent and confidentiality: Considerations regarding HIV and STD service delivery. This information will determine whether programs are able to serve minors and dependents, when obtaining guardian consent is needed, and what payment sources can be used. The program will be able to tailor its implementation process and develop the appropriate tools for front-line staff to use.
  • Use of the 340B program for PrEP: PrEP-specific consideration related to 340B program participation. This information will inform next steps that the agency will need to take to ensure compliance with the 340B program when delivering PrEP services. Participants will be asked to complete a separate course on 340B compliance principles.
  • Cost analysis, budgeting and scalability: PrEP-specific budgeting strategies, including payor mix considerations for insured patients, and the financing mechanisms that may be available to the agency for each PrEP-related cost category. 
  • Contract pharmacy relationships and inter-agency partnerships: Guidance on pharmacy contracting and in-house requirements to operate in the context of 340B. Review of partnership agreements to deliver PrEP services as a network of community agencies.
  • Financial forecasting and program sustainability: Development of a sustainability strategy to effectively respond to changes in the price of medications and a changing PrEP coverage and policy landscape. This information will inform the program’s business plan and optimize the chosen implementation model.

NASTAD may invite a small number of applicants to participate in brief interviews to clarify expectations and to further discuss the candidates’ experience and subject-matter expertise.

Because of the high number of proposals expected, NASTAD will only contact applicants of interest.

Questions and Concerns

Inquiries about this RFP are encouraged. If you have questions about whether you should apply, or questions about this RFP, please email Nicole Elinoff at PrEP@NASTAD.org. Please expect a response within one business day.