HomeMy WebLinkAbout20102579.tiff l^ CORRECTIONAL
W t,Htn, HEALTHCARE COMPANIES
www.correctioncare.com
6200 S.Syracuse Way#440, Greenwood Villaae, CO 80111
November 8, 2012
Attn: Sheriff John Cooke
Weld County North Jail Complex
2110 O Street
Greeley, CO 80631
Re: MUTUAL AGREEMENT TO TERMINATE
Dear Sheriff:
This correspondence shall serve as a mutual agreement to terminate the Agreement for Inmate Health Care
Services at Weld County, Colorado effective January 1,2011 through December 31, 2013,between Weld
County, Colorado and Correctional Healthcare Companies, Inc. Effective November 30, 2012 at 11:59
p.m.,the parties mutually agree that the above agreement will be terminated.
I agree to the above stated terms and I am a duly authorized representative acting in my capacity to
execute this Mutual Agreement to Terminate.
CORREC O AL HEALTHCARE COMPANIES,INC.
By:
Dougl D. G tz
Title: Chi Ex ive Officer
WELD COUNTY,COLORADO
By: -----
Sean P. Conway
Title: Chair, Board of County Commissioners
NOV 1 4 2012
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healthcare solutions to the criminal justice system nationwide.
THIRD AMENDMENT TO THE AGREEMENT FOR INMATE HEALTH CARE SERVICES AT
WELD COUNTY, COLORADO
(Effective January 1, 2012)
This is the Third Amendment to the Agreement for Inmate Health Care Services at Weld County, Colorado
effective January 1, 2011 through December 31, 2013 as amended twice on January 1, 2012 (hereinafter
"AGREEMENT") between Correctional Healthcare Companies, Inc., (hereinafter "CHC") and Weld County,
Colorado (hereinafter the"COUNTY").
NOW THEREFORE, IN CONSIDERATION of the foregoing facts, the mutual covenants and agreements
contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby
acknowledged. the Patties agree that effective January I, 2012 and for the duration of the AGREEMENT,
Paragraphs 2.0.11 and 2.0.13 of the AGREEMENT shall be deleted and amended to state as follows:
2.0.1 1 Up to 6 hours per week of Dentist services to he assigned by CHC.
2.0.13 Up to 3 hours per week or up to 6 hours every other week of Psychiatrist services to be assigned by
CHC.
Paragraph 8.1.3 shall be added to the AGREEMENT to state as follows:
8.1.3 ADJUSTMENT FOR STAFFING CHANGES. The monthly reconciliation shall include an
adjustment based on stalling hours provided in Paragraphs 2.0.8, 2.0.9, 2.0.11 and 2.0.13. For each
month reconciled, if actual staffing hours are less than those in Paragraphs 2.0.8, 2.0.9, 2.0.11 and
2.0.13, then CHC will issue a credit to the COUNTY for the difference between the hours contracted
and the hours provided at the current hourly rate.
Except for the provisions amended by this document, all other provisions of the AGREEMENT shall remain in full
force and effect and unchanged.
IN WITNESS WHEREOF, the parties have caused this Amendment to be executed in their names or their official
acts by their respective representatives, each of whom is duly authorized to execute the same.
AGREED TO AND ACCEPTED AS STATED ABOVE:
County of Weld, Colorado Correctional Healthcare Com panies Inc.
By: c C By:
Sean P.Conway Doug s D. G tz
Title: Chair, Board of County Commi ners Title: Chief Exe tive Officer
Date: APB 2 3 2012 Date: 11-//`75.
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Weld County Adu Facilities Colorado/CHC Amendment CQ, Pa
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By: 'j7/ 7/L--
ee 9 Barker
Ti e: County Attorney
Date: APR 2 3 2012
ATTEST: 5 •
By: 1L �� � /I? .a ' O 1/42
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Title: Deputy uerk to the Board `.
Date: APR 2 3 2017
Weld County Adult Facilities Colorado/CFIC Amendment Page 2 of 2
SECOND AMENDMENT TO THE AGREEMENT FOR INMATE HEALTH CARE SERVICES AT
WELD COUNTY, COLORADO
(Effective January 1, 2012)
This is the Second Amendment to the Agreement for Inmate Health Care Services at Weld County,
Colorado effective January 1, 2011 through December 31, 2013 as amended January 1, 2012 (hereinafter
"AGREEMENT") between Correctional Healthcare Companies, Inc., (hereinafter "CHC") and Weld County,
Colorado (hereinafter the "COUNTY").
NOW THEREFORE, IN CONSIDERATION of the foregoing facts, the mutual covenants and
agreements contained herein and other good and valuable consideration, the receipt and sufficiency of which are
hereby acknowledged, the Parties agree that effective January 1, 2012 and for the duration of the
AGREEMENT, Paragraph 8.0.1 of the AGREEMENT shall be deleted and amended to state as follows:
8.0.1 YEAR 2. Effective January, 2012, the base annual amount to be paid by the COUNTY to CHC in Year
2 shall be Two Million Six Hundred Thirty-One Thousand Three Hundred Thirty-Nine Dollars and
twelve cents ($2,631,339.12), which represents a 0% increase.
Except for the provisions amended by this document, all other provisions of the Agreement shall remain in full
force and effect and unchanged.
IN WITNESS WHEREOF, the parties have caused this Amendment to be executed in their names or their
official acts by their respective representatives, each of whom is duly authorized to execute the same.
AGREED TO AND ACCEPTED AS STATED ABOVE:
County of Weld, Colorado Correctional Healthcare Companies,
Inc.
By: , —� By:
Sean P.Conway t� Dou as D. oetz
Title: Chair, Board of County Commissioners Title: Chief E cut. e Officer
Date: J 1 201 Date: / 10 lV
2 AI
By:
Bru . Bar er
Tit e: County Attorney
Date: JAN 1 6 2012
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Weld County Adult Facilities Colorado/CHC Amendment '8 "a � S 0 Page 1 of 2
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ATTEST: � 1. 4:;
1661
By: /I / A
Title: Deputy Clerk to the Board �►
Date: JAN 1 6 2012
Weld County Adult Facilities Colorado/CHC Amendment Page 2 of 2
FIRST AMENDMENT TO THE AGREEMENT FOR INMATE HEALTH CARE SERVICES AT
WELD COUNTY, COLORADO
(Effective January 1, 2012)
This is the First Amendment to the Agreement for Inmate Health Care Services at Weld County,
Colorado effective January 1, 2011 through December 31, 2013 (hereinafter "AGREEMENT") between
Correctional Healthcare Management, Inc., (hereinafter "CHM") and Weld County, Colorado (hereinafter the
"COUNTY").
WHEREAS, CHM as part of its corporate re-branding will merge into Correctional Healthcare
Companies, Inc.; and
WHEREAS, Correctional Healthcare Companies, Inc., and CHM have common corporate ownership,
officers and directors; and
WHEREAS, the parties desire to change the name reflected in the AGREEMENT from Correctional
Healthcare Management, Inc., to Correctional Healthcare Companies, Inc., a Delaware Corporation.
NOW THEREFORE, IN CONSIDERATION of the foregoing facts, the mutual covenants and
agreements contained herein and other good and valuable consideration, the receipt and sufficiency of which are
hereby acknowledged, the Parties agree that effective January 1, 2012 and for the duration of the
AGREEMENT, the AGREEMENT shall be amended as follows:
All references to Correctional Healthcare Management, Inc., in the AGREEMENT are hereby deleted
and replaced with "Correctional Healthcare Companies, Inc., a Delaware Corporation" and all references in the
AGREEMENT to the abbreviation CHM are hereby deleted and replaced with"CHC".
Paragraph 2.0.1 of the AGREEMENT shall also be deleted and amended to state as follows:
2.0.1 A total of 200 hours per week of Registered Nurse services to be assigned by CHC.
Except for the provisions amended by this document, all other provisions of the Agreement shall remain in full
force and effect and unchanged.
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Weld County Adult Facilities Colorado/CHC Amendment Page I of 2
IN WITNESS WHEREOF, the parties have caused this Amendment to be executed in their names or their
official acts by their respective representatives, each of whom is duly authorized to execute the same.
AGREED TO AND ACCEPTED AS STATED ABOVE:
County of Weld, Colorado Correctional Healthcare Management,
Inc.
BY: -Limo-- ,7-` Oc./likLLE i
arbara Kirkmeyer / By:
Title: Chair, Board of County Commissioners Dougla . Goet
Title: Chie Execuf e Officer
Date: DEC 1 4 11 2
Date:
By:
B ef. Barker Correctional Healthcare Companies.
Title: Weld County Clerk to the Board Inc.
Date: DEC 1 4 2011
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ATTEST: is-
tle: Chief Execu ve Officer
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By: I/ i ' ►.I - p , ate:
Title: Deputy Clerk to the Board \;&..)11t a°lJ V
Date: DEC 14 2011
Weld County Adult Facilities Colorado/CHC Amendment Page 2 of 2
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AGREEMENT FOR INMATE HEALTH CARE SERVICES
AT WELD COUNTY,COLORADO
Effective January 1,2011 through December 31,2013
This Agreement for Inmate Health Services (hereinafter, the "AGREEMENT") entered into by
and between the County of Weld, a municipality in the State of Colorado, (hereinafter, the
"COUNTY") acting by and through its duly elected Board of COUNTY Commissioners,
(hereinafter the "BOARD") and Correctional Healthcare Management, Inc., (hereinafter,
"CHM") a Colorado corporation.
RECITALS
WHEREAS, the COUNTY and the duly elected Sheriff (hereinafter the "SHERIFF") are
charged by law with the responsibility for administering, managing, and supervising the health
care delivery system of the Weld County North Jail Complex located at 2110 O Street, Greeley,
Colorado, 80631 (hereinafter, "JAIL"); and
WHEREAS, the objective of the COUNTY is to provide for the delivery of quality health care
to the INMATES and DETAINEES of the JAIL (hereinafter, "JAIL POPULATION"), in
accordance with applicable law; and
WHEREAS, CHM is in the business of administering correctional health care services and
desires to administer such services on behalf of the COUNTY to the JAIL POPULATION under
the terms and conditions hereof.
NOW THEREFORE, in consideration of the covenants and promises hereinafter made, the
parties hereto agree as follows:
DEFINITIONS
CONTRACT YEAR — The initial, and any successive, twelve (12) month period beginning
with the effective date of the AGREEMENT.
COUNTY INMATES/DETAINEES —An INMATE/DETAINEE held under the jurisdiction of
the COUNTY or SHERIFF. COUNTY INMATES/DETAINEES may be housed in the
JAIL or in another jurisdiction's correctional facility. However, COUNTY
INMATES/DETAINEES housed in another jurisdiction are not covered by the provisions
of this AGREEMENT unless CHM administers health care services at the other
jurisdiction's facility and is specifically set forth below.
COVERED PERSONS — An INMATE/DETAINEE of the JAIL who is: (1) part of the JAIL's
MADP; and (2) FIT FOR CONFINEMENT; and (3) incarcerated in the JAIL.
DETAINEE — An adult or juvenile individual whose sentence has not yet been adjudicated and
is held as a pre-trial detainee or other individual held in lawful custody.
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EMERGENCY DENTAL SERVICES- Those services necessary for the relief of dental pain,
bleeding, infection or trauma. Such services include, but are not limited to, x-ray, extractions and
other medically necessary restoration.
FIT FOR CONFINEMENT — A determination made by a CHM authorized physician and/or
health-trained JAIL staff that an INMATE/DETAINEE is medically stable and has been
medically cleared for acceptance into the JAIL. Such determination shall only be made
after resolution of any injury or illness requiring immediate transportation and treatment
at a hospital or similar facility.
HEALTH CARE STAFF— Medical, mental health and support staff provided by CHM.
CHM CHIEF MEDICAL OFFICER — CHM's Chief physician who is vested with certain
decision making duties under this AGREEMENT.
INMATE — An adult or juvenile individual who is being incarcerated for the term of their
adjudicated sentence.
MONTHLY AVERAGE DAILY POPULATION (MADP) — The average number of
INMATES/DETAINEES housed in the JAIL on a daily basis for the period of one
month. The MADP shall include, OTHER COUNTY INMATES/DETAINEES. The
MADP shall be figured by summing the daily population for the JAIL and OTHER
COUNTY INMATES/DETAINEES (as determined by a count performed at the same
time each day) for each day of the month and dividing this sum by the total number of
days in the month. JAIL records shall be made available to CHM upon request to verify
the MADP. Persons on work release home confinement, housed outside of the JAIL, and
parolees and escapees shall not be considered part of the JAIL's MADP.
NCCHC—The National Commission on Correctional Health Care.
OTHER COUNTY INMATE/DETAINEE — An INMATE/DETAINEE under the jurisdiction
of another county, state or federal agency, who is being housed in the JAIL.
PHYSICIAN EXTENDER — An advanced level healthcare professional such as a Nurse
Practitioner, Physician Assistant, or Clinical Nurse Specialist.
SPECIALTY SERVICES — Medical services that require physicians to be licensed in a
specialty such as obstetrics, gynecology, or dermatology or other specialized field of
medicine, excluding services that are otherwise provided for in this AGREEMENT.
ARTICLE I
HEALTH CARE SERVICES
1.0 SCOPE OF SERVICES. CHM shall administer health care services and related
administrative services at the JAIL according to the terms and provisions of this
Weld County,Colorado Adult Facility/CHM Agreement Page 2 of 25
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AGREEMENT. CHM will provide utilization management, extend all provider
discounts to the COUNTY and pay these expenses on behalf of the COUNTY.
The costs of the various health care services shall be borne by CHM or the
COUNTY as set forth in this Article.
1.1 GENERAL HEALTH CARE SERVICES. CHM will arrange and bear the cost of
the following health care services:
1.1.1 RECEIVING SCREENING. A receiving screening of an
INMATE/DETAINEE shall be performed within eight (8) hours after the
INMATE/DETAINEE's booking into the JAIL or sooner as may be
indicated by the booking risk assessment. Upon the request of an officer,
the receiving screening shall be performed within ten (10) minutes, or as
soon as reasonably possible given the circumstances at the time of the
request, HEALTH ASSESSMENT. A health assessment of a COVERED
PERSON shall be performed as soon as possible, but no later than
fourteen (14) calendar days after the INMATE/DETAINEE's arrival at the
JAIL. The health assessment shall follow current NCCHC guidelines.
1.1.2 SCHEDULED SICK CALL. A qualified healthcare professional shall
conduct sick calls for COVERED PERSONS on a daily basis and in a
clinical setting. A physician will be available to see COVERED
PERSONS at least once per week.
1.2 AMBULANCE SERVICE. CHM shall arrange and bear the cost of emergency
ambulance services for COVERED PERSONS. Costs for such services shall be
included in the CAP AMOUNT listed in Section 1.19.
1.3 BODY CAVITY SEARCHES/COLLECTION OF PHYSICAL EVIDENCE.
CHM HEALTH CARE STAFF will not perform body cavity searches, nor collect
physical evidence (blood, hair, semen, saliva, etc.), except within guidelines
established by the NCCHC. If CHM HEALTH CARE STAFF collect physical
evidence, the COUNTY shall be responsible for arranging any testing and bear
the cost of collection and testing the collected evidence. After collecting
evidence, CHM HEALTH CARE STAFF shall turn the specimen over to the
SHERIFF or a court-designated representative for completion of chain-of-custody
evidence.
1.4 DENTAL - ORAL SCREENING AND EMERGENCY DENTAL SERVICES
ONLY. CHM shall arrange and bear the cost of oral screening (as defined by
NCCHC guidelines) of all COVERED PERSONS. CHM shall arrange and bear
the cost of EMERGENCY DENTAL SERVICES only if CHM's CHIEF
MEDICAL OFFICER or designee determines that such care is medically
necessary. In the event that the JAIL POPULATION requires any other dental
services, the COUNTY shall bear the cost. Costs for such off-site services shall be
included in the CAP AMOUNT listed in Section 1.19.
Weld County,Colorado Adult Facility/CHM Agreement Page 3 of 25
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1.4.1 Dental sick call will be provided with no more than a ten (10) day waiting
period to be seen.
1.5 ELECTIVE MEDICAL CARE - NOT COVERED. CHM shall not be
responsible for the provision or cost of any elective care. In the event a member
of the JAIL POPULATION requires elective care, the INMATE/DETAINEE or
COUNTY shall be responsible for all costs. Elective medical care shall be
defined as care which, if not provided, would not, in the sole opinion of CHM's
CHIEF MEDICAL OFFICER or designee, cause the INMATE/DETAINEE'S
health to deteriorate or cause harm to the INMATE/DETAINEE'S well being.
Decisions concerning elective medical care shall be consistent with the applicable
American Medical Association (AMA) Standards.
1.6 HOSPITALIZATION. CHM will arrange and bear the cost of hospitalization for
a COVERED PERSON who, in the opinion of the treating physician and/or
CHM's CHIEF MEDICAL OFFICER or designee, requires hospitalization. Costs
for such services shall be included in the CAP AMOUNT listed in Section 1.19.
1.7 LONG TERM CARE —NOT COVERED. CHM shall not be responsible for the
provision or cost of any long term care facility services. In the event that a
member of the JAIL POPULATION requires skilled care, custodial care or other
services of a long term care facility, the COUNTY shall bear the cost.
1.8 MEDICAL EQUIPMENT OVER $100. In the event that the Parties mutually
agree that medical equipment in excess of$100 per unit cost is required to assist
in providing health care services to COVERED PERSONS under this
AGREEMENT, the COUNTY shall bear the cost of such equipment.
1.9 MEDICAL SUPPLIES/EQUIPMENT OF $100 OR LESS. CHM shall provide
and bear the cost of medical supplies (i.e. alcohol prep pads, syringes, etc.) and
equipment (i.e. thermometers, scales, etc.) required to administer the terms of the
AGREEMENT, which have a unit cost of$100 or less, but does not include office
and paper supplies.
1.10 MEDICAL WASTE. CHM shall arrange and bear the cost of removing and
properly disposing of all infectious and hazardous waste material in accordance
with all applicable federal, state, and local laws.
1.11 MENTAL HEALTH CARE. CHM shall arrange and bear the cost of on-site
mental health services for COVERED PERSONS which shall include evaluations,
referrals, crisis management, suicide intervention, basic community linkage and
continuity of care. CHM shall not be responsible for the provision or cost of any
off-site or inpatient mental health services. The COUNTY shall be responsible
for the provision and cost of off-site or inpatient mental health services for the
JAIL POPULATION.
Weld County,Colorado Adult Facility/CHM Agreement Page 4 of 25
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1.12 OFFICE EQUIPMENT. CHM shall be responsible for providing office
equipment such as copiers, fax machines, calculators, computers, pagers, and
hand-held devices required for the administrative operations of the medical unit.
The COUNTY shall be responsible for providing phone service required for the
administrative operation of the medical unit, including long distance and language
line interpreting services when required.
1.13 OFFICE SUPPLIES. CHM shall be responsible for providing office supplies
such as books, medical record folders, and forms as required for the
administrative operations of the medical unit.
1.14 PATHOLOGY/RADIOLOGY SERVICES. CHM shall arrange and bear the cost
of all pathology and radiology services (also referred to as laboratory and x-ray
services) for COVERED PERSONS. CHM shall arrange on-site pathology and
radiology services to the extent reasonably possible. To the extent pathology and
radiology services are required and cannot be rendered on-site, CHM shall make
appropriate off-site arrangements for rendering such care. CHM will arrange and
coordinate with the SHERIFF's office for the transportation for such off-site
services. Costs for such off-site services shall be included in the CAP AMOUNT
listed in Section 1.19.
1.15 PHARMACY SERVICES. CHM shall provide a total pharmaceutical system for
the JAIL. This includes the prescribing, dispensing, administering, and storage of
medications in compliance with all state and federal law. CHMs shall also
provide necessary recordkeeping, monitoring of pharmacy usage, as well as a
Preferred Medication List. Except as provided below, CHM shall bear the cost of
all prescription and non-prescription over-the-counter medications prescribed by a
duly licensed CHM physician for a COVERED PERSON. .
1.15.1 GENERAL. Prescribing, dispensing, and administering of medication
shall comply with all State and Federal laws and regulations and all
medications shall be dispensed under the supervision of a duly authorized,
appropriately licensed or certified health care provider.
1.15.2 LIMITS. CHM's maximum liability for costs associated with the
provision of prescription medication related to the treatment of Acquired
Immune Deficiency Syndrome ("AIDS"), Human Immuno-deficiency
Virus ("HIV"), Hepatitis C, organ transplants and neuromuscular disease,
and Biological medications shall be Five Thousand Dollars ($5,000.00)
per CONTRACT YEAR in the aggregate, to be pro-rated for any partial
CONTRACT YEARS (the "AIDS, HIV, Hep C CAP AMOUNT"). .
Medications related to the treatment of AIDS, HIV, Hepatitis C, organ
transplants and neuromuscular disease, and Biological medications shall
be defined in accordance with the Physician's Desk Reference. When the
Weld County,Colorado Adult Facility/CHM Agreement Page 5 of 25
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AIDS, HIV, Hep C CAP AMOUNT in this paragraph is reached, CHM
will continue to provide utilization management, extend all provider
discounts to the COUNTY and pay these expenses on behalf of the
COUNTY, as long as the COUNTY remains current with payments due
under this AGREEMENT. Amounts paid by CHM which are over the
AIDS, HIV, Hep C CAP AMOUNT in this paragraph will be periodically
reconciled with the COUNTY pursuant to paragraph 8.1.
1.15.2.1 COUNTY REBATE. Should the costs associated with
prescription medication listed in Paragraph 1.15.2 above
not exceed the AIDS, HIV, Hep C CAP AMOUNT, CHM
shall reimburse the COUNTY at a rate of One Hundred
Percent (100%) of the difference between the actual cost to
CHM and the AIDS, HIV, Hep C CAP AMOUNT. This
rebate shall be net of any other reconciliation amounts due
to CHM under this AGREEMENT.
1.16 PREGNANT COVERED PERSONS. CHM shall arrange and bear the cost of
health care services for any pregnant COVERED PERSON in accordance with
NCCHC standards and this AGREEMENT, but CHM shall not arrange or bear
the cost of any health care services for infants.
1.17 SPECIALTY SERVICES. In the event it is determined that a COVERED
PERSON requires SPECIALTY SERVICES, CHM shall arrange and bear the
cost of such services. CHM's authorized physician will make such determination
and refer COVERED PERSONS for SPECIALTY SERVICES when, in the
physician's professional opinion, it is deemed medically necessary. CHM's
authorized personnel will make a recommendation and obtain approval from the
SHERIFF's office for SPECIALTY SERVICES prior to making arrangements for
such services. CHM shall arrange on-site SPECIALTY SERVICES to the extent
reasonably possible. To the extent SPECIALTY SERVICES are required and
cannot be rendered on-site, CHM shall make appropriate off-site arrangements for
rendering such care. In the event that SPECIALTY SERVICES are rendered off-
site but do not require hospitalization, CHM will arrange and bear the cost only if
the CHM CHIEF MEDICAL OFFICER or designee approves such SPECIALTY
SERVICES. Costs for such off-site services shall be included in the CAP
AMOUNT listed in Section 1.19.
1.18 VISION CARE —. In the event it is determined that a COVERED PERSON
requires vision correction to achieve minimal function, CHM shall arrange and
bear the cost of a vision examination and one (1) pair of ordinary glasses per
COVERED PERSON. CHM's authorized physician will make such
determination and refer COVERED PERSONS for the vision examination.
CHM's authorized personnel will make a recommendation and obtain approval
from the SHERIFF's office for the vision examination prior to making
arrangements for such services. CHM shall arrange on-site vision examinations
Weld County,Colorado Adult Facility/CHM Agreement Page 6 of 25
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to the extent reasonably possible. To the extent the vision examination is required
and cannot be rendered on-site, CHM shall make appropriate off-site
arrangements for rendering such care. Costs for such vision care, including the
examination and/or eyeglasses shall be included in the CAP AMOUNT listed in
Section 1.19.
1.19 FINANCIAL LIMITATIONS. CHM's maximum liability for costs associated
with the provision of off-site medical or other healthcare services which include,
but are not limited to, the services in paragraphs 1.2, 1.4, 1.6, 1.14, 1.17, and 1,18
shall be One Hundred Thousand Dollars ($100,000.00) in the aggregate per
CONTRACT YEAR, to be pro-rated for any partial contract years (the "CAP
AMOUNT"). Costs for any medical or other health services, as set forth above,
which are provided to INMATES/DETAINEES during the CONTRACT YEAR
which are in excess of the CAP AMOUNT shall be the responsibility of the
COUNTY. When the CAP AMOUNT for the CONTRACT YEAR is reached,
CHM will continue to provide utilization management, extend all provider
discounts to the COUNTY and pay these expenses on behalf of the COUNTY, as
long as the COUNTY remains current with payments due under this
AGREEMENT. Amounts paid by CHM which are over the CAP AMOUNT will
be periodically reconciled with the COUNTY pursuant to paragraph 8.1.
1.19.1 COUNTY REBATE. Should the costs associated with the provision of
healthcare services listed above not exceed the CAP AMOUNT, CHM
shall reimburse the COUNTY at a rate of One Hundred Percent (100%) of
the difference between the actual cost to CHM for these services and the
CAP AMOUNT. This rebate shall be net of any other reconciliation
amounts due to CHM under this AGREEMENT.
ARTICLE H
HEALTH CARE STAFF
2.0 STAFFING HOURS. CHM shall provide HEALTH CARE STAFF necessary to
render the health care services contemplated in Article I as set forth below:
2.0.1 A total of 168 hours per week of Registered Nurse services to be assigned
by CHM.
2.0.2 A total of 420 hours per week of Licensed Practical Nurse services to be
assigned by CHM.
2.0.3 A total of 40 hours per week of Director of Nursing services to be
assigned by CHM excluding CHM corporate holidays and Paid Time-Off
(PTO) for vacation or illness.
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2.0.4 A total of 40 hours per week of Health Services Administrator to be
assigned by CHM excluding CHM corporate holidays and Paid Time-Off
(PTO) for vacation or illness.
2.0.5 A total of 40 hours per week of Certificated Medical Assistant to be
assigned by CHM excluding CHM corporate holidays and Paid Time-Off
(PTO)for vacation or illness.
2.0.6 A total of 40 hours per week of Administrative Assistant to be assigned by
CHM excluding CHM corporate holidays and Paid Time-Off (PTO) for
vacation or illness.
2.0.7 A total of 40 hours per week of Medical Records Clerk to be assigned by
CHM excluding CHM corporate holidays and Paid Time-Off (PTO) for
vacation or illness.
2.0.8 A total of 16 hours per week of PHYSICIAN EXTENDER services to be
assigned by CHM.
2.0.9 A total of 12 hours per week of Physician services to be assigned by
CHM.
2.0.10 A total of 6 hours per week of Dental Assistant to be assigned by CHM.
2.0.11 A total of 6 hours per week of Dentist services to be assigned by CHM.
2.0.12 A total of 40 hours per week of Mental Health Licensed Practical Nurse
services to be assigned by CHM excluding CHM corporate holidays and
Paid Time-Off(PTO) for vacation or illness.
2.0.13 A total of 3 hours per week of Psychiatrist services to be assigned by
CHM.
2.0.14 Additional hours may be provided if mutually agreed upon by both parties
in writing, with at least 24 hours advanced notice;
2.0.15 CHM shall provide an on-call Physician and Health Services
Administrator available by telephone or pager, 24 hours per day and 7
days per week.
2.0.16 Said hours may be re-allocated and subject to change as determined by
mutual agreement of the SHERIFF and CHM, but shall in all respects be
consistent with the medical recommendations of CHM's licensed
physician.
Weld County,Colorado Adult Facility/CHM Agreement Page 8 of 25
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2.1 STAFFING LEVELS WAIVER. Based on actual staffing needs as affected by
medical emergencies, riots, increased or decreased INMATE/DETAINEE
population, and other unforeseen circumstances, certain increases or decreases in
staffing requirements may be waived as agreed to by the SHERIFF and CHM.
2.2 STAFFING CHANGES. CHM shall not change members of the HEALTH
CARE STAFF without prior notice to the SHERIFF.
2.3 STAFF SCREENING. The COUNTY and SHERIFF shall screen CHM's
proposed HEALTH CARE STAFF, employees, agents and/or subcontractors
providing services at the JAIL to ensure they do not constitute a security risk.
The SHERIFF shall have final approval of CHM's HEALTH CARE STAFF,
employees, agents and/or subcontractors in regards to security/background
clearance.
2.4 SATISFACTION WITH HEALTH CARE STAFF. In recognition of the
sensitive nature of correctional facility operations, if the SHERIFF becomes
dissatisfied with any member of the HEALTH CARE STAFF, the SHERIFF shall
provide CHM written notice of such dissatisfaction and the reasons therefore.
Following receipt of such notice, CHM shall use commercially reasonable efforts
to resolve the dissatisfaction. If the problem is not resolved to the satisfaction of
the SHERIFF within ten (10) business days following CHM's receipt of the
notice, CHM shall remove the individual from providing services at the JAIL
within a reasonable time frame considering the effects of such removal on CHM's
ability to deliver health care services and recruitment/hiring of an acceptable
replacement. The SHERIFF reserves the right to revoke the security clearance of
any HEALTH CARE STAFF at any time.
ARTICLE III
ADMINISTRATIVE SERVICES
3.0 HEALTH AND MENTAL HEALTH EDUCATION AND TRAINING. CHM
shall conduct an ongoing health and mental health education and training program
for the COUNTY Deputies and Jailers in accordance with the needs mutually
established by the COUNTY and CHM.
3.1 QUARTERLY REPORTS. As requested by the SHERIFF, CHM shall submit
daily, monthly, and/or quarterly health care reports concerning the overall
operation of the health care services program rendered pursuant to this
AGREEMENT and the general health of the JAIL POPULATION.
3.2 QUARTERLY MEETINGS. As requested by the SHERIFF, CHM shall meet
quarterly, or as soon thereafter as possible, with the SHERIFF, or designee,
concerning health care services within the JAIL and any proposed changes in
health-related procedures or other matters, which both parties deem necessary.
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3.3 MEDICAL RECORDS MANAGEMENT. CHM shall provide the following
medical records management services:
3.3.1 MEDICAL RECORDS. CHM HEALTH CARE STAFF shall maintain,
cause or require the maintenance of complete and accurate medical
records for COVERED PERSONS who have received health care
services. Medical records shall be kept separate from COVERED
PERSON'S confinement records. A complete copy of the individual
medical record shall be available to accompany each COVERED
PERSON who is transferred from the JAIL to another location for off-site
services or transferred to another institution. CHM will keep medical
records confidential and shall not release any information contained in any
medical record except as required by published JAIL policies, by a court
order or by applicable law. Upon termination of this AGREEMENT, all
medical records shall be delivered to and remain with the SHERIFF, as
property of the SHERIFF's office.
3.3.2 ELECTRONIC MEDICAL RECORDS. CHM shall provide and maintain
an electronic medical records software program for use at the JAIL. The
cost of the electronic medical records software program shall be borne by
CHM for the term of this AGREEMENT as defined in section 9.0. The
cost of EMR shall be negotiated upon renewal of this AGREEMENT.
3.3.3 COMPLIANCE WITH LAWS. Each medical record shall be maintained
in accordance with the Health Insurance Portability and Accountability
Act of 1996 ("HIPAA"), and any other applicable state or federal privacy
statute or regulation.
3.3.4 RECORDS AVAILABILITY. As needed to administer the terms of this
AGREEMENT, CHM shall make available to the SHERIFF or COUNTY,
unless otherwise specifically prohibited, at the SHERIFF's or COUNTY's
request, all records, documents and other papers relating to the direct
delivery of health care services to the JAIL POPULATION hereunder.
ARTICLE IV
PERSONS COVERED UNDER THIS AGREEMENT
4.0 GENERAL. Except as otherwise provided in this AGREEMENT, CHM shall
only be required to arrange for health care services under this AGREEMENT to
be provided to COVERED PERSONS.
4.1 JAIL EMPLOYEE TESTING AND VACCINATIONS. CHM shall provide or
administer vaccinations and testing to the JAIL employees as described below:
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4.1.1 HEPATITUS (B) INOCULATIONS. CHM shall administer Hepatitis (B)
Inoculations to JAIL employees. CHM shall not be responsible for the
cost of the vaccine.
4.1.2 INFLUENZA VACCINATIONS. CHM shall administer Influenza
vaccinations to JAIL employees. CHM shall not be responsible for the
cost of the vaccine.
4.1.3 TUBERCULOSIS TESTING. CHM shall conduct and bear the cost of
annual Tuberculosis skin tests to JAIL employees.
4.2 EMERGENCY MEDICAL CARE FOR JAIL EMPLOYEES AND VISITORS.
CHM shall arrange for on-site first response emergency medical care as required
for JAIL employees, contractors and visitors to the JAIL. The medical treatment
shall be limited to the extent reasonably necessary to stabilize and facilitate the
individual's referral to a medical facility or personal physician.
4.3 RELEASE FROM CUSTODY. The COUNTY acknowledges and agrees that
CHM is responsible for the payment of costs associated with services rendered to
COVERED PERSONS as set forth in this AGREEMENT only when such persons
remain in the custody of, or under the jurisdiction of, the JAIL. In no event shall
CHM be responsible for payment of any costs associated with any services
rendered to any individual when said individual is released from the custody of, or
no longer under the jurisdiction of, the JAIL including, but not limited to,
releasees, parolees and escapees.
ARTICLE V
PERSONS NOT COVERED OR PARTIALLY COVERED UNDER THIS AGREEMENT
5.1 COUNTY INMATES/DETAINEES HOUSED IN OTHER JURISDICTIONS
OR OUTSIDE THE JAIL. CHM shall not be responsible for arranging the
medical care or treatment for COUNTY INMATES/DETAINEES housed in other
counties or jurisdictions. The COUNTY or SHERIFF or other agency with legal
responsibility for the medical care of such persons shall be responsible for all
medical expenses associated with the care and treatment of COUNTY
INMATES/DETAINEES removed from the JAIL, including, but not limited to
the services listed in Article I of this AGREEMENT and any other health care
related expenses associated with said INMATES/DETAINEES, unless the
1NMATE/DETAINEE is housed in a facility where CHM provides
INMATE/DETAINEE health care services. CHM shall not be responsible for
arranging the medical care or treatment for COUNTY INMATES/DETAINEES
housed outside the JAIL (i.e. work release INMATES/DETAINEES or
INMATES/DETAINEES on home confinement).
5.2 INJURIES PRIOR TO INCARCERATION, FIT FOR CONFINEMENT AND
ESCAPED INMATES/DETAINEES. CHM shall not be responsible for the cost
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of providing off site medical care for injuries incurred by an arrested person prior
to incarceration at the JAIL or during an escape or escape attempt, including, but
not limited to, medical services provided to any arrested person prior to the
person's booking and confinement in the JAIL. In addition, CHM shall not be
responsible for the cost of any medical treatment or health care services necessary
to medically stabilize any arrested person presented at intake by an arresting
agency with a life threatening injury or illness or in immediate need of emergency
medical care. CHM shall provide such care as is medically necessary until the
arrested person can be transported to a medical care facility by the arresting
agency or their designee. The arresting authority or the COUNTY shall bear the
cost of, and be responsible for, all reasonable and necessary medical services or
health care services of the individual until such time as the arresting authority can
present a medically stable individual that is FIT FOR CONFINEMENT. To the
extent CHM is billed for medical services provided to an individual who is not
FIT FOR CONFINEMENT the COUNTY shall reimburse CHM for all such
costs. CHM shall not charge an additional fee simply to examine an individual to
determine if he is suitably FIT FOR CONFINEMENT.
ARTICLE VI
COST OF SERVICES NOT COVERED UNDER THIS AGREEMENT
6.0 SERVICES NOT LISTED. Both parties understand and agree that there will be
costs incurred for health care related services as outlined in Articles I, II and III
above. CHM shall not be responsible for any expenses not specifically covered
under Articles I, II and III of this AGREEMENT. In the event that any of the
health care services not covered by CHM under Articles I, II and III, or any
services that are not listed within this AGREEMENT, are required for a member
of the JAIL POPULATION as a result of the medical judgment of a physician or
CHM authorized personnel, CHM shall not be responsible for arranging such
services and the cost of such services shall be billed directly to the COUNTY.
6.1 SERVICES BEYOND THE SCOPE OF THIS AGREEMENT. Both parties
understand and agree that there are certain occurrences, both beyond the control
and within the control of the parties, that may result in health care expenses which
are outside the scope of the normal operation of a correctional facility and,
therefore, outside the contemplated scope of services under this AGREEMENT.
While both parties will act in good faith and endeavor to reduce the possibility of
such occurrences, in the unlikely event of an occurrence such as an Act of God,
riot, explosion, fire, food poisoning, epidemic illness outbreak or any other
catastrophic event, or an event caused by the action or inaction of the COUNTY
or SHERIFF or their employees, agents or contractors, which results in medical
care for the JAIL POPULATION, JAIL staff, visitors, or contractors, CHM shall
not be responsible for costs attributable to such catastrophic event and all such
costs shall be borne by the COUNTY. Notwithstanding the above, CHM shall be
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responsible for medical costs under this AGREEMENT associated with such an
event only if such an event was caused solely by CHM.
ARTICLE VII
COUNTY'S DUTIES AND OBLIGATIONS
7.0 COMPLIANCE WITH HIPAA/STATE HEALTH INFORMATION PRIVACY
LAWS. The COUNTY, JAIL, and SHERIFF and their employees, agents and
subcontractors shall comply with the Health Insurance Portability and
Accountability Act of 1996 (hereinafter "HIPAA") and any State health
information privacy laws, to the extent they are applicable. The COUNTY and
the SHERIFF shall implement policies and/or procedures in compliance with such
laws.
7.1 COMPREHENSIVE MEDICAL/MENTAL HEALTH CARE. CHM shall
identify to the SHERIFF those members of the JAIL POPULATION with medical
or mental health conditions which may be worsened as a result of being
incarcerated at the JAIL or which may require extensive care while incarcerated.
After review of the circumstances, and when security risks permit, the SHERIFF
shall make every effort to have such an INMATE/DETAINEE released,
transferred or otherwise removed from the correctional setting.
7.2 RECORD ACCESS. During the term of this AGREEMENT, and for a reasonable
time following the termination of this AGREEMENT, the SHERIFF shall provide
CHM, at CHM's request, the COUNTY, JAIL and/or SHERIFF'S records
(including medical records) relating to the provision of health care services to the
JAIL POPULATION, including records maintained by hospitals, and other
outside health care providers involved in the care or treatment of the JAIL
POPULATION (to the extent the COUNTY, JAIL or SHERIFF has control of, or
access to, such records). CHM may request such records in connection with the
investigation of, or defense of, any claim by a third party related to CHM's
conduct or to prosecute a claim against a third party. Any such information
provided by the SHERIFF to CHM that the SHERIFF considers confidential shall
be kept confidential by CHM and shall not, except as may be required by law, be
distributed to any third party without prior written approval by the SHERIFF.
7.3 USE OF INMATES/DETAINEES IN THE PROVISION OF HEALTH CARE
SERVICES. INMATES/DETAINEES of the JAIL shall not be employed or
otherwise engaged or utilized by either CHM or the SHERIFF in rendering any
health care services to the JAIL POPULATION, provided however, that
INMATES/DETAINEES may be used in positions not involving the rendering of
health care services directly to the JAIL POPULATION and not involving access
to JAIL POPULATION records in accordance with NCCHC standards.
7.4 SECURITY OF THE JAIL FACILITY AND CHM. CHM and the COUNTY
understand that adequate security services are necessary for the safety of the
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agents, employees, and subcontractors of CHM, as well as for the security of the
JAIL POPULATION and SHERIFF'S staff, consistent with a correctional setting.
The SHERIFF shall provide security sufficient to enable CHM, its HEALTH
CARE STAFF, employees, agents and/or subcontractors to safely provide the
health care services described in this AGREEMENT. CHM, its HEALTH CARE
STAFF, employees, agents and/or subcontractors shall follow all security
procedures of the SHERIFF while at the JAIL or other premises under the
SHERIFF's direction or control. However, any CHM HEALTH CARE STAFF,
employee, agent and/or subcontractor may, at any time, refuse to provide any
service required under this AGREEMENT if such person reasonably feels that the
current safety services are insufficient. CHM shall not be liable for any loss or
damages resulting from CHM's HEALTH CARE STAFF, employees, agents
and/or subcontractors failure to provide medical services due to insufficient
security services.
7.5 SHERIFF'S POLICIES AND PROCEDURES. CHM, its HEALTH CARE
STAFF, employees, agents and/or subcontractors shall operate within the
requirements of the COUNTY'S and/or SHERIFF'S posted security Policies and
Procedures, which impact the provision of medical services.
7.5.1 A complete set of said Policies and Procedures shall be maintained by the
COUNTY and made available for inspection by CHM at the JAIL.
7.5.2 Any Policy or Procedure that may impact the provision of health care
services to the JAIL POPULATION which has not been made available to
CHM shall not be enforceable against CHM unless otherwise agreed upon
by both parties.
7.5.3 Any modification of the posted Policies and Procedures shall be timely
provided to CHM. CHM, its HEALTH CARE STAFF, employees, agents
and/or subcontractors shall operate within the requirement of a modified
Policy or Procedure after such modification has been made available to
CHM.
7.5.4 If any of the COUNTY and/or SHERIFF's Policies and Procedures
specifically relate to the delivery of medical services, the COUNTY
and/or SHERIFF's representative and CHM shall review the COUNTY
and/or SHERIFF's Policies and Procedures and modify or remove those
provisions that conflict with CHM's Jail Health Care Policies and
Procedures.
7.6 DAMAGE TO EQUIPMENT. CHM shall not be liable for loss of or damage to
equipment and supplies of CHM, its agents, employees or subcontractors if such
loss or damage was caused by the sole negligence of the COUNTY and/or
SHERIFF's employees.
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7.7 SECURE TRANSPORTATION. The SHERIFF shall provide security as
necessary and appropriate in connection with the transportation of a member of
the JAIL POPULATION to and from off-site services including, but not limited
to, SPECIALTY SERVICES, hospitalization, pathology and radiology services as
requested by CHM. CHM shall coordinate with the SHERIFF's office for
transportation to and from the off-site services provider or hospital.
7.8 OFFICE EQUIPMENT AND SUPPLIES. The SHERIFF shall provide use of
COUNTY-owned office equipment, supplies and all necessary utilities (including
telephone and fax line service) in place at the JAIL health care facilities. At the
termination of this AGREEMENT, CHM shall return to the COUNTY possession
and control of all COUNTY-owned medical and office equipment. At such time,
the office equipment shall be in good working order, reasonable wear and tear
excepted.
7.9 NON-MEDICAL CARE OF JAIL POPULATION. It is understood that the
SHERIFF shall provide for all the non-medical personal needs and services of the
JAIL POPULATION as required by law. CHM shall not be responsible for
providing, or liable for failing to provide, non-medical services to the JAIL
POPULATION including, but not limited to, daily housekeeping services, dietary
services, building maintenance services, personal hygiene supplies and services
and linen supplies.
7.10 JAIL POPULATION INFORMATION. In order to assist CHM in providing the
best possible health care services to COVERED PERSONS, the SHERIFF shall
provide, as needed, information pertaining to the COVERED PERSON that CHM
and the SHERIFF mutually identify as reasonable and necessary for CHM to
adequately perform its obligations under this AGREEMENT.
ARTICLE VIII
COMPENSATION/ADJUSTMENTS
8.0 ANNUAL AMOUNT/MONTHLY PAYMENTS. The base annual amount to be
paid by the COUNTY to CHM under this AGREEMENT is Two Million Six
Hundred Thirty-One Thousand Three Hundred Thirty-Nine Dollars and twelve
cents ($2,631,339.12) for a period of twelve (12) months. Each monthly payment
shall be at Two Hundred Nineteen Thousand Two Hundred Seventy-Eight Dollars
and twenty-six cents ($219,278.26), pro-rated for any partial months and subject
to any reconciliations as set forth below. The first monthly amount is to be paid
to CHM on the 5th day of January, 2011 for services administered in the month of
January, 2011. Each monthly payment thereafter is to be paid by the COUNTY to
CHM before or on the 5th day of the month of the month of service.
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8.0.1 YEAR 2. Effective January, 2012, the base annual amount to be paid by
the COUNTY to CHM in Year 2 shall be increased in accordance with the
CPI as defined in paragraph 8.0.3 but shall not exceed 5.0%.
8.0.2 YEAR 3. Effective January, 2013, the base annual amount to be paid by
the COUNTY to CHM in Year 3 shall be increased in accordance with the
CPI as defined in paragraph 8.0.3 but shall not exceed 5.0%.
8.0.3 CPI INCREASES. A CPI increase shall be calculated by multiplying the
annual amount of the previous year by a fraction, the numerator of which
is the Price Index (as defined below) for the month of November
immediately preceding the AGREEMENT renewal date, and the
denominator of which is the Price Index for the month of November for
the year immediately preceding the renewal date. However, the annual
amount due for any year will not be less than the annual amount for the
prior year. The "Price Index" is defined as the Consumer Price Index—All
Urban Consumers, U.S. City Average, Medical Care Services (1982-
84=100), published by the Bureau of Labor Statistics of the U.S.
Department of Labor.
8.1 MONTHLY RECONCILIATION PROCESS. CHM will provide a monthly
reconciliation with the COUNTY for any amounts owed by either party pursuant
to the terms of this AGREEMENT, including, but not limited to:
8.1.1 ADJUSTMENT FOR MADP. The monthly reconciliation shall include a
per diem adjustment based on the MADP. If the JAIL's MADP is greater
than 700 COUNTY INMATES/ DETAINEES, the compensation payable
to CHM by the COUNTY shall be increased by the number of
INMATES/DETAINEES over 700 at the per diem rate of $1.57. If the
JAIL's MADP is less than 500 COUNTY INMATES/DETAINEES, then
CHM will issue a credit to the COUNTY for the number of
INMATES/DETAINEES under 500 at the per diem rate of$1.57.
8.1.2 ADJUSTMENT FOR COSTS IN EXCESS OF CAP AMOUNTS. The
monthly reconciliation shall include any amounts paid by CHM in excess
of the financial limits listed in this AGREEMENT. The compensation
payable to CHM by the COUNTY shall be increased by any costs paid by
CHM in excess of the financial limits listed in 1.15.2 and 1.19.
ARTICLE IX
TERM AND TERMINATION
9.0 TERM. The term of this AGREEMENT shall be three (3) years from January I,
2011 at 12:01 a.m. through December 31, 2013 at 11:59 p.m. This
AGREEMENT shall automatically renew for additional two one year periods on
January I of each subsequent year with mutually agreed upon increases, unless
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this AGREEMENT is terminated or notice of termination is given, as set forth in
this Article.
9.0.1 RENEWAL. Upon each subsequent renewal of this AGREEMENT
pursuant to paragraph 9.0, an increase in the annual compensation amount
shall be negotiated between the parties. Should the parties reach said
agreement after the renewal date, the agreed upon increase shall be
retroactive to the date of the renewal. CHM reserves the right to evaluate
and recommend staffing increases to be mutually agreed upon by both
parties.
9.1 TERMINATION FOR LACK OF APPROPRIATIONS. It is understood and
agreed that this AGREEMENT shall be subject to annual appropriations by the
BOARD of the COUNTY.
9.1.1 Recognizing that termination for lack of appropriations may entail
substantial costs for CHM, the COUNTY and the SHERIFF shall act in
good faith and make every effort to give CHM reasonable advance notice
of any potential problem with funding or appropriations.
9.1.2 If future funds are not appropriated for this AGREEMENT, and upon
exhaustion of existing funding, the COUNTY and SHERIFF may
terminate this AGREEMENT without penalty or liability, by providing a
minimum of thirty (30) days advance written notice to CHM.
9.2 TERMINATION DUE TO CHM'S OPERATIONS. The COUNTY reserves the
right to terminate this AGREEMENT immediately upon written notification to
CHM in the event that CHM discontinues or abandons operations, is adjudged
bankrupt or is reorganized under any bankruptcy law, or fails to keep in force any
required insurance policies. Both parties agree that termination under this
provision will be considered without cause.
9.3 TERMINATION FOR CAUSE. The AGREEMENT may be terminated for cause
under the following provisions:
9.3.1 TERMINATION BY CHM. Failure of the COUNTY and/or SHERIFF to
comply with any provision of this AGREEMENT shall be considered
grounds for termination of this AGREEMENT by CHM upon sixty (60)
days advance written notice to the COUNTY specifying the termination
effective date and identifying the "basis for termination." The COUNTY
shall pay for services rendered up to the date of termination of the
AGREEMENT. Upon receipt of the written notice, the COUNTY shall
have ten (10) days to provide a written response to CHM. If the
COUNTY provides a written response to CHM which provides an
adequate explanation for the "basis for termination" and the COUNTY
cures the "basis for termination" to the satisfaction of the CHM, the sixty
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(60) day notice shall become null and void and this AGREEMENT will
remain in full force and effect. Termination under this provision shall be
without penalty to CHM.
9.3.2 TERMINATION BY COUNTY. Failure of CHM to comply with any
provision of this AGREEMENT shall be considered grounds for
termination of this AGREEMENT by the SHERIFF or the COUNTY who
shall provide sixty (60) days advanced written notice specifying the
termination effective date and identifying the "basis for termination." The
COUNTY shall pay for services rendered up to the date of termination of
the AGREEMENT. Upon receipt of the written notice CHM shall have
ten (10) days to provide a written response to the COUNTY. If CHM
provides a written response to the COUNTY which provides an adequate
explanation for the "basis of termination," or cures the "basis for
termination" to the satisfaction of the SHERIFF, the sixty (60) day notice
shall become null and void and this contract will remain in full force and
effect. Termination under this provision shall be without penalty to the
SHERIFF or the COUNTY.
9.4 TERMINATION WITHOUT CAUSE. Notwithstanding anything to the contrary
contained in this AGREEMENT, the SHERIFF, the COUNTY or CHM may,
without prejudice to any other rights it may have, terminate this AGREEMENT
for their convenience and without cause by giving ninety (90) days advance
written notice to the other party.
9.5 COMPENSATION UPON TERMINATION. If any of the above termination
clauses are exercised by any of the parties to this AGREEMENT, the COUNTY
shall pay CHM for all services rendered by CHM up to the date of termination of
the AGREEMENT regardless of the COUNTY'S failure to appropriate funds.
9.6 PROPERTY DISPOSITION UPON TERMINATION. Upon termination of this
AGREEMENT, CHM shall be allowed to remove from the JAIL any stock
medications or supplies purchased by CHM that have not been used at the time of
termination. CHM shall also be allowed to remove its property from the JAIL
including its proprietary Policies and Procedures, Manuals, Training Material, and
Forms.
ARTICLE X
LIABILITY AND RISK MANAGEMENT
10.0 INSURANCE COVERAGE. CHM shall, at its sole cost and expense, procure
and maintain during the term of this AGREEMENT, the following coverage and
limits of insurance:
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10.0.1 MEDICAL MALPRACTICE/PROFESSIONAL LIABILITY. Medical
Malpractice/ Professional Liability insurance in an amount not less than
$1,000,000 per occurrence and $3,000,000 in the aggregate.
10.0.2 COMPREHENSIVE GENERAL LIABILITY. Comprehensive General
Liability insurance in an amount not less than $1,000,000 per occurrence
and $3,000,000 in the aggregate.
10.0.3 WORKER'S COMPENSATION. Worker's Compensation coverage as
required by applicable state law.
10.1 ENDORSEMENTS. The Comprehensive General Liability policy shall contain
additional endorsements naming the JAIL as an additional insured with respect to
liabilities arising out of the performance of services under this AGREEMENT.
10.2 PROOF OF INSURANCE. CHM shall provide the COUNTY proof of
professional liability or medical malpractice coverage for CHM's HEALTH
CARE STAFF, employees, agents and subcontractors, for the term services are
provided under this AGREEMENT. CHM shall promptly notify the SHERIFF, in
writing, of each change in coverage, reduction in policy amounts or cancellation
of insurance coverage. If CHM fails to provide proof of adequate insurance
within a reasonable time under the circumstances, then the COUNTY shall be
entitled to terminate this AGREEMENT without penalty to the COUNTY or the
SHERIFF pursuant to the terms of Article IX.
10.3 INDEMNIFICATION. CHM agrees to indemnify and hold harmless the
COUNTY, its officials, agents, and employees from and against any and all
claims, actions, lawsuits, damages, judgments or liabilities of any kind
whatsoever caused by, based upon or arising out of any act, conduct, misconduct
or omission of CHM, its agents, employees, or independent contractors in
connection with the performance or non-performance of its duties under this
AGREEMENT. The COUNTY agrees to indemnify and hold harmless CHM, its
officials, agents, and employees from and against any and all claims, actions,
lawsuits, damages, judgments or liabilities of any kind whatsoever caused by,
based upon or arising out of any act, conduct, misconduct or omission of
COUNTY, its agents, employees, or independent contractors. The COUNTY and
SHERIFF agree to promptly notify CHM in writing of any incident, claim or
lawsuit of which they become aware and shall fully cooperate in the defense of
such claim. The COUNTY and SHERIFF agree that CHM's indemnification and
defense obligations do not apply for any costs or expenses, including attorney's
fees or settlements, incurred or effected prior to written notice to CHM as set
forth above. Upon written notice of claim, CHM shall take all steps necessary to
promptly defend and protect the COUNTY and SHERIFF from an indemnified
claim, including retention of defense counsel, and CHM shall retain sole control
of the defense while the action is pending,to the extent allowed by law.
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10.4 HIPAA. CHM, the COUNTY, JAIL, and SHERIFF and their employees, agents
and subcontractors shall fully comply with, and shall implement all necessary
policies and/or procedures in order to comply with, the requirements of HIPAA as
it applies to the services provided under this AGREEMENT. The COUNTY,
JAIL and SHERIFF and their employees and agents shall indemnify and hold
harmless CHM from and against any claims of any kind made as a result of
alleged or actual violations of HIPAA by the COUNTY, the SHERIFF and their
employees, agents and subcontractors, unless such claims are proven to be caused
by the sole negligence or willful misconduct of CHM.
10.5 SURVIVABILITY. The obligations under this Article X shall survive the
termination of this AGREEMENT.
ARTICLE XI
MISCELLANEOUS
11.0 INDEPENDENT CONTRACTOR STATUS. It is mutually understood and
agreed, and it is the intent of the parties hereto that an independent contractor
relationship be and is hereby established under the terms and conditions of this
AGREEMENT. Nothing in this AGREEMENT shall be construed to create an
agency relationship, an employer/employee relationship, a joint venture
relationship, or any other relationship allowing the COUNTY or SHERIFF to
exercise control or direction over the manner or methods by which CHM, its
employees, agents or subcontractors perform hereunder, or CHM to exercise
control or direction over the manner or methods by which the COUNTY or the
SHERIFF, and their employees, agents or subcontractors perform hereunder,
other than as provided in this AGREEMENT.
11.1 SUBCONTRACTING. In order to discharge its obligations hereunder, CHM
may engage certain physicians as independent contractors rather than employees
("Contract Professionals"). CHM shall not engage any Contract Professional that
does not meet the applicable professional licensing requirements and CHM shall
exercise administrative supervision over such Contract Professionals as necessary
to insure the strict fulfillment of the obligations contained in this AGREEMENT.
As the relationship between CHM and these Contract Professionals will be that of
independent contractor, CHM will not be considered or deemed to be engaged in
the practice of medicine. Services provided by Contract Professionals under this
AGREEMENT shall be provided in a manner reasonably consistent with the
independent medical judgment the Contract Professional is required to exercise.
11.2 AGENCY. For purposes of asserting any statutory rights afforded to the
COUNTY or the JAIL to pay providers for medical services at certain reduced
rates, COUNTY and/or SHERIFF designate CHM as their agent to assert such
rights and privileges.
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11.3 EQUAL EMPLOYMENT OPPORTUNITY. CHM will not discriminate against
any employee or applicant for employment because of race, color, religion, sex,
ancestry, national origin, place of birth, marital status, sexual orientation, age or
handicap unrelated to a bona fide occupational qualification of the position or
because of status as a disabled veteran or Vietnam-Era veteran. CHM will
distribute copies of its commitment not to discriminate to all persons who
participate in recruitment, screening, referral and selection of job applicants, and
to prospective job applicants.
11.4 WAIVER OF BREACH. The waiver of either party of a breach or violation of
any provision of this AGREEMENT shall not operate as, or be construed to be, a
waiver of any subsequent breach of the same or other provision hereof.
11.5 OTHER CONTRACTS AND THIRD-PARTY BENEFICIARIES. The parties
acknowledge that CHM is neither bound by or aware of any other existing
contracts to which either the SHERIFF or the COUNTY are a party and which
relate to the providing of health care to INMATES/DETAINEES at the JAIL.
The parties agree that they have not entered into this AGREEMENT for the
benefit of any third person or persons, and it is their express intention that this
AGREEMENT is for their respective benefits only and not for the benefits of
others who might otherwise be deemed to constitute third-party beneficiaries
thereof.
11.6 FORCE MAJEURE. In case performance of any terms or provisions hereof shall
be delayed or prevented because of compliance with any law, decree or order of
any governmental agency or authority of local, State or Federal governments or
because of riots, war, terrorism, explosions, acts of civil or military authority, acts
of public enemy, public disturbances, lack of adequate security escorts, strikes,
lockouts, differences with workers, earthquakes, fires, floods, Acts of God or any
other reason whatsoever which is not reasonably within the control of the party
whose performance is interfered with and which, by the exercise of reasonable
diligence, said party is unable to prevent; the party so suffering may, at its option,
suspend, without liability, the performance of its obligations hereunder during the
period such cause continues.
11.7 ASSIGNMENT. No party to this AGREEMENT may assign or transfer this
AGREEMENT, or any part thereof, without the written consent of the other
parties.
11.8 NOTICES. Any notice of termination, requests, demands or other
communications under this AGREEMENT shall be in writing and shall be
deemed delivered: (a) when delivered in person to a representative the parties
listed below; (b) upon receipt when mailed by first-class certified mail, return
receipt requested, addressed to the party at the address below; or (c) upon
confirmation of receipt if sent by facsimile to the fax numbers of the parties listed
below:
Weld County,Colorado Adult Facility/CHM Agreement Page 21 of 25
I I-23-10
If for CHM: If for COUNTY:
Correctional Healthcare Management, Inc. Weld County North Jail Complex
General Counsel Sheriff
6200 South Syracuse Way, Suite 440 2110 O Street
Greenwood Village, CO 8011 I Greeley, CO 80631
If for CHM: If for COUNTY:
(309) 272-1643 (970)-304-6467
Such address or facsimile number may be changed from time to time by either
party by providing written notice as provided above.
11.9 GOVERNING LAW. This AGREEMENT shall be governed by and construed in
accordance with the laws of the State of Colorado without regard to the conflicts
of laws or rules of any jurisdiction.
11.10 COUNTERPARTS. This AGREEMENT may be executed in several
counterparts, each of which shall be considered an original and all of which shall
constitute but one and the same instrument.
11.11 TITLES OF PARAGRAPHS. Titles of paragraphs are inserted solely for
convenience of reference and shall not be deemed to limit, expand or otherwise
affect the provisions to which they relate.
11.12 SEVERABILITY. In the event that any one or more provisions of this
AGREEMENT shall, for any reason, be held to be invalid, illegal or
unenforceable in any respect, such invalidity, illegality or unenforceability shall
not affect any other provision of this AGREEMENT and this AGREEMENT shall
be construed and enforced as if such invalid, illegal or unenforceable provision
had never been contained herein.
11.13 ENTIRE AGREEMENT. This AGREEMENT constitutes the entire agreement of
the parties and is intended as a complete and exclusive statement of the promises,
representations, negotiations, discussions and agreements that have been made in
connection with the subject matter hereof. This AGREEMENT may be amended
at any time, but only with the written consent of all parties.
11.14 PROHIBITIONS ON PUBLIC CONTRACT FOR SERVICES. If CHM has any
employees or subcontractors, CHM shall comply with C.R.S. § 8-17.5-101, et
seq., regarding Illegal Aliens — Public Contracts for Services, and this
AGREEMENT. By execution of this AGREEMENT, CHM certifies that it does
not knowingly employ or contract with an illegal alien who will perform under
this AGREEMENT and that CHM will participate in the E-verify Program or
Weld County,Colorado Adult Facility/CHM Agreement Page 22 of 25
II-23-10
other Department of Labor and Employment program ("Department Program") in
order to confirm the eligibility of all employees who are newly hired for
employment to perform work under this AGREEMENT
10.14.ICHM shall not:
10.14.1.1 Knowingly employ or contract with an illegal alien to
perform work under this AGREEMENT for services; or
10.14.1.2 Enter into a contract with a subcontractor that fails to
certify to CHM that the subcontractor shall not
knowingly employ or contract with an illegal alien to
perform work under the public contract for services.
10.14.2 CHM has confirmed the employment eligibility of all employees who
are newly hired for employment to perform work under this
AGREEMENT through participation in the E-verify Program or
Department Program, as administered by the United States Department
of Homeland Security. Information on applying for the E-verify
program can be found at:
http://www.dhs.gov/xprevprot/programs/gc 1185221678150.shtm
10.14.3 CHM shall not use either the E-verify program or other Department
Program procedures to undertake pre-employment screening of job
applicants while the public contract for services is being performed
10.14.4 If CHM obtains actual knowledge that a subcontractor performing
work under the public contract for services knowingly employs or
contracts with an illegal alien, CHM shall be required to:
10.14.4.1 Notify the subcontractor and the COUNTY within three
days that CHM has actual knowledge that the subcontractor
is employing or contracting with an illegal alien; and
10.14.4.2 Terminate the subcontract with the subcontractor if within
three days of receiving the notice required pursuant to
subparagraph (i) of the paragraph (D) the subcontractor
does not stop employing or contracting with the illegal
alien; except that CHM shall not terminate the contract
with the subcontractor if during such three days the
subcontractor provides information to establish that the
subcontractor has not knowingly employed or contracted
with an illegal alien
10.14.5 CHM shall comply with any reasonable request by the Department of
Labor and Employment made in the course of an investigation that the
Weld County,Colorado Adult Facility/CHM Agreement Page 23 of 25
II-23-10
department is undertaking pursuant to its authority established in
C.R.S. § 8-17.5-102(5).
10.14.6 If CHM violates these prohibitions, the COUNTY may terminate the
contract for a breach of the contract. If the contract is so terminated
specifically for a breach of this provision of this AGREEMENT, CHM
shall be liable for actual and consequential damages to the COUNTY
as required by law.
10.14.7 If CHM violates these prohibitions, the COUNTY may terminate the
contract for a breach of the contract. If the contract is so terminated
specifically for a breach of this provision of this AGREEMENT, CHM
shall be liable for actual and consequential damages to the COUNTY
as required by law.
IN WITNESS WHEREOF, the parties have caused this AGREEMENT to be executed as their
official act by their respective representative, each of whom is duly authorized to execute the
same.
AGREED TO AND ACCEPTED AS STATED ABOVE:
County of Weld, Colorado Correctional Healthcare Management.
Inc.
r
B \ r By:
Douglas ademac er Douglas . e
Title: Chair, Board of County Commissioners Title: C ief Exe utive fficer
Date: DEC 2 9 2010 Date:
ATTEST
By:/ -
Bruce arker
Title: Weld County Clerk to the Board
Date: DEC 2 9 2010
Weld County,Colorado Adult Facility/CHM Agreement Page 24 of 25
11-23-10
aI5i1 - s 7,
ATTEST ,..O
•
4 2
By: Std._ ,
aj tut t O. ' 1/4)
Donna Bech er _,{
Title: Deputy Clerk to the Board. °tl�
R R
Date: DEC 2 9 2010 �\
Weld County,Colorado Adult Facility/CHM Agreement Page 25 of 25
11-23-10
Sheriff John B. Cooke
From the Desk of: Sterling Geesaman,Deputy Chief _""
Offender Supervision Bureau we/d
(970)356-4015 Extension 3933
Weld County Sheriffs Office received three (3)proposals for Contract Medical
Services. The proposals were received from NaphCare, Correct Care Solutions
(CCS) and Correctional Healthcare Management(CHM). Representatives from
all three companies attended the mandatory pre-bid conference and submitted
their proposals accordingly.
Three staff members from the Sheriff's Office evaluated the proposals based on
the following (5)criteria outlined in the RFP: Pricing, Staffing, Technical,
Qualifications and Functional Compatibility.
Below is a matrix indicating the company and their total score in each category:
Evaluation Maximum NaphCare CCS CHM
Category Pts. Possible
Pricing 75 63 70 56
Staffing 90 40 88 77
Technical 75 62 68 49
Qualifications 30 24 25 29
Functional 30 15 28 29
Compatibility
Total 300 204 279 240
NaphCare provided a lump sum proposal of$2,499,173.00.An option to
eliminate the requirement of the performance bond would reduce the proposal by
$ 36,000.00 for an adjusted lump sum proposal of$2,463,173.00.
NaphCare received the lowest evaluation score. Their proposal was evaluated
but did not meet the minimum physician service requirements for the medical
doctor. They had the fewest RN/LPN hours in their staffing matrix which was a
serious concern for Weld County.
CHM provided a lump sum proposal of$2,685,039.00.An option to eliminate the
requirement of the performance bond would reduce the proposal by$ 53,700.00
for an adjusted lump sum proposal of$2, 631,339.00. Even with price
adjustments CHM has the highest annual cost with the least total full time
employees. While meeting the RFP requirements, CHM had the fewest
physician services hours.
Weld County Sheriffs Office 1950"O"Street Greeley,CO 80631 Phone(970)356-4015 Fax(970)304-6467
57) eA.g/
/>/aid ., 21)/4 - a575
SheriffJohn B. Cooke -
er
From the Desk of: Sterling Geesaman,Deputy Chief -
Offender Supervision Bureau `w+•+7
(970)356-4015 Extension 3933
CCS provided a lump sum proposal of$2,649,996.00.An option to eliminate the
requirement of the performance bond would reduce the proposal by$20,000.00
for an adjusted lump sum proposal of$2, 629,996.00.
CCS received the highest evaluation score.Their proposal has the most
physician services in their staffing matrix, i.e. 6 days of physician services
coverage versus 5 days and also has the most combined RN/LPN nursing hours.
CCS also offers the following in their proposal:
• The lowest cost impact of significant ADP changes either+ or-.
• 50% staffing pool sharing of cost savings
• Facility staff training availability
• Relevant inmate education, i.e. anxiety and sleep
• EMR and EMAR business practice integration as well as 24 hour
electronic medication verification process
• Cost disclosure, management reporting and containment strategies, i.e.
utilization.
Based on the evaluation criteria The Sheriff's Office recommends the Contract
Medical Services be awarded to(CCS)Correct Care Solutions.
Weld County Sheriffs Office 1950"O'Street Greeley.CO 80631 Phone(970)356-4015 Fax(970)304-6467
AtCS
CORRECT CARE
SOLUTIONS
November 8, 2010
Sterling Geesaman
Deputy Bureau Chief
Offender Supervision Division
Weld County North jail Complex
1950"O"Street
Greeley, CO 80631
Deputy Chief Geesaman:
Thank you for the opportunity to provide additional information. We would be happy to clarify
and discuss any issues that are not clear.
Performance Bond
The selected bidder must maintain a Performance Bond in the amount of the annual
total cost of the contract. The Performance Bond for the first year shall be submitted to the
County within 30 days after notice of award. The Performance Bond may be in the form of a
certified check payable to the County, or may be in the form of a Surety Bond from a company
qualified to do business in the State of Colorado. The costs for the bonds must be included in
the proposed total bid amount.
1. If this was no longer required as part of the RFP,what cost savings if any would
be realized and passed on to Weld County?
The realized cost savings would be$20,000 •
Sincerely,
Rich Field
Director of Business Development
Correct Care Solutions
(309)648-8101 cell
rfield(diccsks.com
3343 Perimeter Hill Drive•Suite 300•Nashville,TN 37211•800-592-2974•F:615-324-5774•v.ww.correcicaresolutions.com
Marcia Walters 1e)}r�Q 'ilegUkeaA
From: Cristina Capoot.Consult[cristinaconsult@jailcare,com] (� ,��,.��
Sent: Monday,November 08,2010 12:04 PM J�/,�'yJP"
To: Marcia Walters
Cc: Sterling Geesaman
Subject: RE:Question
On page 7 of the REP a Performance bond is referenced:
Performance Bond
The selected bidder must maintain a Performance Bond in the amount of the annual total cost of the
contract. The Performance Bond for the first year shall be submitted to the County within 30 days after notice
of award. The Performance Bond may be in the form of a certified check payable to the County, or may be in
the form of a Surety Bond from a company qualified to do business in the State of Colorado. The costs for the
bonds must be included in the proposed total bid amount.
If this was no longer required as part of the RFP,what cost savings if any would be realized and passed
on to Weld County?
CHM will reduce the annual amount of the contract by$53,700. The new annual cost will be$2,631,339.12. A
representative from CHM will attend the BOCC meeting on November 101h at 9am. Thank you.
•
Cristina Capoot
Co-Founder of CHM
CHC I Correctional Healthcare Companies
6200 S. Syracuse Way#440
Greenwood Village, CO 80111
Toll Free: 866 246 5245
Phone: 720 622 8016
From:Marcia Walters Jmailto:mwalterseco.weld.co.usl
Sent: Monday, November 08,2010 11:54 AM
To: Rich Field; Cristina Capoot. Consult; ck.scott(@naphcare.com
Subject: FW: Question
Please answer the question down below by the end of the day if you can. This bid gets approved on
Wednesday 11/10/10,at the board meeting at 9:00 am,which you are all welcome to attend. The
commissioners asked this question of the sheriff's office. Thanks!
From: Sterling Geesaman
Sent: Monday, November 08, 2010 11:44 AM
To: Marcia Walters
Subject: Question
t1ij laph are
November 8,2010
Re: RFP#61000146,Contract Medical Services,Weld County Jail
Ms.Walters:
In response to your question regarding cost savings realized through removing the performance
bond from the proposal requirements,NaphCare would be willing to save the County$36,000
annually,totaling$180,000 over the course of a five-year contract. This would alter the price
defined in NaphCare's initial price proposal from$2,499,172.92 to$2,463,172.92.
If the County would like to discuss other exclusions to the RFP requirements,NaphCare welcomes
the opportunity to discuss,in further detail,the cost savings available to the County.
Sincerely,
NAPHCARE,INC.
B. Lee Harrison
President
950 11nd Street North, Suite 825, Birmingham, Alabama 35203.5301
(205)458-8595 • 1.800.834.2420 •Fax(205)458-8596
a
I1;0 WELD COUNTY PURCHASING
915 10TH St Room #334, Greeley CO 80631
E-Mail: mwaltersaco.weld.co.us
V I`P C
E-mail: rever(970) t56-4000,d.co.us
Phone: (970) 356-4000, Ext. 4223 or 4222
Fax: (970) 336-7226
COLORADO
DATE OF BID: October 22nd, 2010
REQUEST FOR: CONTRACT MEDICAL SERVICES
DEPARTMENT: SHERIFF'S OFFICE/JAIL
BID NO: #B1000146
PRESENT DATE: OCTOBER 27TH, 2010
APPROVAL DATE: NOVEMBER 10TH, 2010
VENDORS
CORRECTIONAL HEALTHCARE MGMT
6200 S SYRACUSE WAY SUITE #440
GREENWOOD VILLAGE CO 80111
NAPHCARE INC
950 22ND STREET NORTH, SUITE#825
BIRMINGHAM AL 35203
CORRECT CARE SOLUTIONS
3343 PERIMETER HILL DRIVE, SUITE#300
NASHVILLE TN 37211
*THE DEPARTMENT IS REVIEWING THE BIDS AT THIS TIME
2010-2579
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