HomeMy WebLinkAbout20232584.tiffRESOLUTION
RE: APPROVE AMENDMENT #1 TO PROFESSIONAL SERVICE AGREEMENT FOR
INMATE MEDICAL SERVICES (EMERGENCY BID #B2300144), AND AUTHORIZE
CHAIR TO SIGN - WELLPATH, LLC
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Amendment #1 to Professional Service
Agreement for Inmate Medical Services (Emergency Bid #B2300144) between the County of
Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on
behalf of the Sheriffs Office, and Wellpath, LLC, commencing September 15, 2023, and ending
December 31, 2026, with further terms and conditions being as stated in said amendment, and
WHEREAS, after review, the Board deems it advisable to approve said amendment, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Amendment #1 to Professional Service Agreement for Inmate
Medical Services (Emergency Bid #B2300144) between the County of Weld, State of Colorado,
by and through the Board of County Commissioners of Weld County, on behalf of the
Sheriff's Office, and Wellpath, LLC, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 6th day of September, A.D., 2023.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dat/tm)
Weld County Clerk to the Board
BY:
AP
County orney
Date of signature: o9 /12/3
Mikeeman, Chair
Perr L. Buc�l,JPro-Tem
S tt K. James
Lori Saine
Cc: P.R., SO(≤s/MK)
oq 120/23
2023-2584
SO0044
Con+vad-rW7351
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: Amended Medical Contract
DEPARTMENT: Sheriff's Office
PERSON REQUESTING: Lieutenant Michael Knee
DATE: 08/24/2023
Brief description of the problem/issue:
This amendment clarifies language in the agreement that was not included in the original contract or needed
clarification. Wellpath Medical Services had minor issues with some of the verbiage in the original contract that
had been signed. A few areas of concern were discussed by both side (Sheriff's Office and Wellpath) and both
parties address those concerns and agreed upon the language in the amendments to the contract. Weld
County Attorneys were present for the discussion and took an active role in making the agreed upon changes.
Please note the contract amendment has been reviewed by Karin McDougal.
The changes that were made to the original contract are as follows:
Section 2.1 The vendor is responsible for medical equipment purchases of $500.00 or less. This
amount does not include office and or paper supplies. The County will bear the cost of any medical equipment
that costs more than $500.00. It should be noted that the County already pays and budgets for medical
equipment.
Section 2.2 The County will be responsible for any office furniture that exceeds $500.00. The County is
not responsible for any specific office furniture that must be specifically ordered for a Wellpath employee based
on a medical need or accommodation.
Section 14.1 The County will be responsible for any repairs/replacement costs of the Contractors
Damaged or Totaled Property. Replacement or repaired costs will only be incurred by the County if it is
determined that the County, officers, agents, employees, or the inmates/detainees were found to be negligent
which caused the property to be damaged and or totaled.
Termination; Breach; Cure.
This part of the contract was changed to 120 days for termination of contract. This gives the ability to properly
conduct the bid/RFP process in a timely manner. The original contract stated 90 days.
This section goes on to explain that any medications or supplies that were purchased by the County will remain
County property. The Contractor will also be allowed to remove all proprietary Policies and Procedures,
Manuals, Training Material, and Forms. The Contractor will also be allowed to remove al property owned by
the contractor from the facility.
Section 6 The Contractor will invoice the County by the first day of the month with payment being made within
30 days after the invoice date at 1/12th the annual price. The change in this section states "the only exception
to the aforementioned invoicing and payment regimen will be the first scheduled invoice and payment of the
parties; here, Contractor shall invoice County on start date of services) e.g., projected to be September 15th,
2023) and the County shall promptly pay Contractor within seven (7) calendar days thereafter. The monthly
invoice will include the itemized cost of HIV/AIDS related drugs, outside medical costs, and all MAT services
costs."
This section was also modified to explain the CPI increases and how they are calculated.
2023-2584
ctAto SO004(1
Section 19.1 Was added to clarify Federal Privacy Laws. It explains the Company, County, and their
employees, agents and subcontractors shall fully comply with and shall implement all necessary policies and/or
procedures in order to comply with federal privacy laws including but not limited to HIPPA, the Patient safety
and Quality Improvement Agreement.
33. Security of the Jail Facility and Wellpath. This amendment was added to identify the need for the Sheriff's
Office shall proved sufficient security to enable Wellpath, its Health Care Staff, employees, agents and/or
subcontractors to safely provide health care services as described in this Agreement. It further states that
Wellpath, its HealthCare Staff, employees, agents and/or subcontractors shall follow all security procedures of
the Sheriff while in the Jail or other premises un the Sheriff's direction or control. Wellpath can also refuse any
services under this agreement is such a person that the current safety services are insufficient. All immediate
issues are to be resolved with a discussion and decision between the Jail Captain and the HSA.
34. Injuries Prior to Incarceration, Fit for Confinement, and Escaped Inmates/Detainees. This section was
added to clarify that Wellpath will not be responsible for off -site medical care for injuries incurred by an
arrested person prior to incarceration at the jail or during an escape or attempted escape, including, but not
limited to, medical services provided to any arrested person prior to the person's booking and confinement in
the Jail.
The remaining provisions of the agreement not amended by the Amendment shall remain in full force and
effect.
What options exist for the Board?
The board may either approve or deny this amendment. An approval is a commitment to ensure all parties are
confident that proper services will be conducted for the length of this contract. A denial would start the process
of finding a new contractor to provide medical services within the Jail. Our current contract is due to end on
September 15th, 2023.
Consequences:
A denial would start the process of finding a new contractor to provide medical services within the Jail. Our
current contract is due to end on September 15th, 2023.
Impacts:
There are no impacts.
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years):
The overall cost to the original contract has not changed.
Recommendation:
It is recommended that the Board sign the amended contract so we can meet the transition date of
September 15th, 2023.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L. Buck, Pro -Tern
Mike Freeman, Chair
Scott K. James
Kevin D. Ross
Lori Saine
g;3
DocuSign Envelope ID: 79E58A5E-E353-4D44-9E00-14EB4E562961
FIRST AMENDMENT TO PROFESSIONAL SERVICES AGREEMENT FOR INMATE
MEDICAL SERVICES BETWEEN WELD COUNTY AND WELLPATH LLC
(Effective Date: September 15, 2023)
This First Amendment is made this 15th day of August, 2023 (this "Amendment"), to
the Professional Services Agreement for Inmate Medical Services, effective September 15, 2023
(the "Agreement"), is by and between Wellpath LLC ("Wellpath"), and Weld County Sheriff's
Office (the "County") (each, a "Party," and collectively, the "Parties").
RECITALS
WHEREAS, on August 2, 2023, the Board of County Commissioners Weld County, Colorado
("Board") met at 9:00AM;
WHEREAS, present at the roll call were Commissioner's Mike Freeman (Chair), Perry L. Buck
(Pro-Tem), Scott K. James, Kevin D. Ross, and Lori Saine;
WHEREAS, the Board's agenda reflected the following miscellaneous agenda item —
"Professional Services Agreement for Inmate Medical Services (Emergency Bid #B2300144) —
Wellpath, LLC";
WHEREAS, the Board approved the form of agreement presented pertaining to Emergency Bid
#B2300144 (e.g., the "Agreement");
WHEREAS, following the Board's approval, the Parties continued to negotiate on certain open
items that warranted further clarification within the Agreement;
WHEREAS, the Parties that drafted this First Amendment which captures the details of those
subsequent negotiations.
NOW THEREFORE, in consideration of the mutual covenants herein contained and other good
and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the
Parties agree as follows:
1. RECITALS. The Parties hereto incorporate the foregoing recitals as a material
portion of this Amendment.
2. EFFECTIVE DATE. This Amendment shall become effective on the 15th day of
September, 2023 (the "Effective Date").
3. Section 1 ("Introduction") shall be amended by adding the following exhibit to
Exhibits A and B:
Exhibit C: Attached hereto and incorporated herein consists of pricing, cost, and
CAP information inter alia.
aba3, 02,O
DocuSign Envelope ID: 79E58A5E-E353-4D44-9E00-14EB4E562961
4. The Agreement shall be further amended by adding the following two new sections:
2.1 MEDICAL EQUIPMENT OF $500 OR LESS. Contractor shall provide and bear the cost
of medical equipment (i.e., thermometers, scales, etc.) required to administer the terms of the
Agreement, which have a unit cost of $500 or less, but does not include office and paper supplies.
County shall bear the cost of medical equipment which has a unit cost of more than $500.
2.2 OFFICE FURNITURE OF $500 OR LESS. Contractor shall be responsible for the
provision and cost of any office equipment for the administrative operation of the medical unit
which has a cost of less than $500 per unit. County is required to bear the cost of office
equipment with a per unit cost of more than $500. Notwithstanding this requirement, Contractor
will still be responsible for the cost of any furniture that must be specifically ordered for a
Wellpath employee based on a medical need or accommodation.
5. The Agreement shall be further amended by adding the following new section:
14.1: County's Obligation to Repair/Replace Contractor's Damaged or Totaled Property. Upon
written demand, the County shall be responsible for the costs associated with the immediate
repair/replacement of any Contractor property or supplies damaged by the negligent or
intentional acts of County, its officers, agents, employees, or the inmates/detainees which are
required for the proper and timely administration and delivery of services under the Agreement.
Consequently, should such an act occur, County shall immediately coordinate the timely
repair/new purchase of the item in question to the reasonable satisfaction of Contractor.
Timeliness under this provision shall be determined by the totality of the circumstances
considering the item's integral nature to the delivery of care.
6. Section 4 shall be redrafted, in toto, to state:
4. Termination; Breach; Cure. Either Party may terminate this Agreement for its own
convenience upon one hundred and twenty (120) days written notice to the other Party.
Either Party may terminate this Agreement upon material breach of the other party, however the
breaching party shall have fifteen (15) days after receiving such written notice to cure such breach.
If either party fails to fulfill its obligations under this Agreement in a timely and proper manner,
or if either party violates any material covenant, agreement, or stipulation of the Agreement, or
fails to cure such breach within fifteen (15) days of "notice to cure", the party shall thereupon
have the right to terminate the Agreement by giving written notice to the other party of
termination which will occur no less than 30 calendar days after the date of "notice to terminate".
The notice shall specify the effective date of the termination, and the reasons therefore, unless
the party to whom notice is given cures the breach to the satisfaction of the party giving notice
prior to the effective date of termination.
Notwithstanding the above, the Provider shall not be relieved of liability to the County for damages
sustained by the County by virtue of any breach of Agreement by the Provider.
Upon termination, County shall take possession of all materials, equipment, tools and facilities
owned by County which Contractor is using, by whatever method it deems expedient; and,
Contractor shall deliver to County all drawings, drafts, or other documents it has completed or
partially completed under this Agreement, together with all other items, materials and documents
DocuSign Envelope ID: 79E58A5E-E353-4D44-9E00-14EB4E562961
which have been paid for by County, and these items, materials and documents shall be the
property of County. Copies of work product that is incomplete at the time of termination shall be
marked "DRAFT -INCOMPLETE." If this Agreement is terminated by County, Contractor shall
be compensated for, and such compensation shall be limited to, (1) the sum of the amounts
contained in invoices which it has submitted and which have been approved by the County; (2) the
reasonable value to County of the services which Contractor provided prior to the date of the
termination notice, but which had not yet been approved for payment; and (3) the cost of any work
which the County approves in writing which it determines is needed to accomplish an orderly
termination of the work. County shall be entitled to the use of all material generated pursuant to
this Agreement upon termination. Upon termination of this Agreement by County, Contractor shall
have no claim of any kind whatsoever against the County by reason of such termination or by
reason of any act incidental thereto, except for compensation for work satisfactorily performed
and/or materials described herein properly delivered.
Additionally, Contractor shall be allowed to remove from the Jail any stock medications or
supplies purchased by Contractor that have not been used at the time of termination. For the
sake of further clarity, if Contractor invoiced County for an item but County has not paid for said
item, the item shall remain Contractor property. Alternatively, if County has paid for an
invoiced item, said item shall be classified as County property. Contractor shall also be allowed
to remove Contractor's property from the Jail including its proprietary Policies and Procedures,
Manuals, Training Material, and Forms. Nothing herein shall be construed to require Contractor
to provide copies of policies, procedures, manuals, training materials and/or forms to County or
any successor provider, it being understood that such materials are proprietary to Contractor.
7. Section 6 shall be redrafted, in toto, to state:
6. Compensation and Monthly Invoicing/Payment. Upon Contractor's successful
completion of the Work, and County's acceptance of the same, County agrees to pay Contractor
$7,613,468.00 ("Total Annual Price"), and any amount in excess of CAPS outlined in attached
Exhibits.
Monthly Invoices: Contractor will invoice by the first day of the month services are to be
performed with Payment to be made within thirty (30) days after the invoice date. Contractor
will submit a monthly invoice to County for 1/12th of the total annual price. The only exception
to the aforementioned invoicing and payment regimen will be the first scheduled invoice and
payment of the Parties; here, Contractor shall invoice County on start date of services (e.g.,
projected to be September 15, 2023) and the County shall promptly pay Contractor within seven
(7) calendar days thereafter. The monthly invoice will include the itemized cost of HIV/AIDS
related drugs, outside medical costs, and all MAT services costs.
Following every consecutive twelve-month period (within the initial term or any extension
thereof), the Parties shall negotiate an increase in the Total Annual Price in accordance with CPI
of said Total Annual Price as defined in the paragraph below. The CPI increase shall be limited in
range from no less than four -point five percent (4.5%) to no greater than five percent (5%).
DocuSign Envelope ID: 79E58A5E-E353-4D44-9E00-14EB4E562961
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 for a defined month prior to the renewal date,
and the denominator of which is the Price Index for the same month for the year immediately
preceding the Agreement 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. County Average, Medical Care Services (1982-84-100),
published by the Bureau of Labor Statistics of the U.S. Department of Labor.
If, at any time during the term or after termination or expiration of this Agreement, County
reasonably determines that any payment made by County to Contractor was improper because the
service(s) for which payment was made did not substantially occur, as set forth in this Agreement,
then upon written notice of such reasonable determination and request for reimbursement from
County, Contractor shall forthwith return the fair market value of that portion of the payment(s) to
County which directly relate to the substantial non-performance, subject to the substantive and
procedural due process cure rights within Section 4.
Upon termination or expiration of this Agreement, unexpended funds advanced by County, if any,
shall forthwith be returned to County. County will not withhold any taxes from monies paid to the
Contractor hereunder and Contractor agrees to be solely responsible for the accurate reporting and
payment of any taxes related to payments made pursuant to the terms of this Agreement. Unless
expressly enumerated in the attached Exhibits, Contractor shall not be entitled to be paid for any
other expenses (e.g., mileage). Unless expressly permitted by this Agreement, County shall have
no obligations under this Agreement after, nor shall any payments be made to Contractor in respect
of any period after December 31 of any year, without an appropriation therefore by County in
accordance with a budget adopted by the Board of County Commissioners in compliance with
Article 25, Title 30 of the Colorado Revised Statutes, the Local Government Budget Law (C.R.S.
29-1-101 et. seq.) and the TABOR Amendment (Colorado Constitution, Article X, Sec. 20). The
foregoing shall in no way diminish the County's obligation and duty to pay Contractor for all
services rendered up through the date of termination regardless of the County's failure to
appropriate funds for previously contracted and agreed upon services; Contractor's desire is only
to be paid in quantum meruit.
8. The Agreement shall be further amended by adding the following new section:
19.1 Federal Privacy Laws. Company, the County, Jail, 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 federal privacy laws (including, but not
limited to HIPAA, the Patient Safety and Quality Improvement Act, 42 CFR Part 2, etc.,
hereinafter "FPL") as they apply to the services provided under this Agreement. Negligent or
willful violations of the FPL shall be indemnified pursuant to the indemnification provision, supra.
9. The Agreement shall be further amended by adding the following new section:
33. SECURITY OF THE JAIL FACILITY AND WELLPATH. Wellpath and the County
understand that adequate security services are necessary for the safety of the agents, employees,
and subcontractors of Wellpath, as well as for the security of the Jail Population and Sheriffs staff,
DocuSign Envelope ID 79E56A5E-E353-4D44-9E00-14EB4E562961
consistent with a correctional setting The Sheriff shall provide security sufficient to enable
Wellpath, its Health Care Staff, employees, agents and/or subcontractors to safely provide the
health care services described in this Agreement Wellpath, 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 Sheriffs direction or control However, any Wellpath 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 believes that the current safety services are
insufficient Wellpath shall not be liable for any loss or damages resulting from Wellpath's Health
Care Staff, employees, agents and/or subcontractors' failure to provide medical services due to
insufficient security services Immediate issues are to be resolved with a discussion and decision
between the Jail Captain and the HSA Non -Immediate security issues are to be addressed through
the cure process outlined in Section 4 of this agreement
10 The Agreement shall be further amended by adding the following new section
34 INJURIES PRIOR TO INCARCERATION, FIT FOR CONFINEMENT, AND ESCAPED
INMATES/DETAINEES Wellpath shall not be responsible for the cost of providing off -site
medical care for injuries incurred by an arrested person pnor 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, Wellpath
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 Wellpath 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 All bills related to medical
services provided to an individual who is not Fit for Confinement shall be the County's or
arresting agency's responsibility for payment Wellpath shall not charge an additional fee simply
to examine an individual to determine if he/she is suitably Fit for Confinement
11 The Agreement shall be further amended to note the Parties' selection of a ninety (90)
day notice of termination under Section 32's "MATERIAL CHANGES IN SCOPE
OR CIRCUMSTANCES, OR EMERGENCY CIRCUMSTANCES" section
12 REMAINING PROVISIONS The remaining provisions of the Agreement not
amended by this Amendment shall remain in full force and effect
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
DocuSign Envelope ID: 79E58A5E-E353-4D44-9E00-14EB4E562961
AGREED TO AND ACCEPTED AS STATED ABOVE:
WELLPATH LLC
BOARD OF COUNTY COMMISSIONERS o«uslgned by
WELD COUNTY, COLORADO By:[ii,StitA, SutYte-
Name: TusiinVacle
Title: President, Local Govt. Division
Mike Freeman, Chair SEP 0 6 2023
ATTES : •‘1
lerk to the Boar
By
Deputy Cl;) to t e Bois t
a2a043, , 9
DocuSign Envelope ID: 79E58A5E-E353-4O44-9E00-14EB4E562961
EXHIBIT C
. Contract Period and Pricing (Pgs. 11-12)
Pricing must clearly state an annual total price for the delivery of all medical, dental, and psychiatric
services inclusive of all related service delivery costs necessary to comply with the requirements and
specifications within this REP. Bidders will submit the annual, total price based upon an average inmate
census of 650 in the first year at the Weld County North Jail Complex and Booking Substation. However,
pricing shall also include specific, contingency pricing changes that will result from unforeseen material
changes to the estimated 650 average inmate census. All invoices shall be submitted after services have
been provided. Payment terms will be 30 days after the invoice date.
Wellpath understands and will comply with this section of the RFP with the exception of the invoicing
and payment terms which we would like to negotiate. Our invoicing and payment terms are presented
in Section 10.1 Monthly Invoices below.
• Initial Contract Period
The initial contract period shall commence on or before September 15, 2023, and, subject to the
satisfaction and concurrence of both parties, renew annually each year thereafter through December 31,
2026 (a 3 -year period). The first -year contract will be from commencement through December 31, 2024.
The initial contract period may be extended annually with the concurrence of both parties thereafter for
two additional one-year periods (up to 5 years total).
Wellpath understands the contract will initially run for three years, starting on or before September 15,
2023, and ending on December 31, 2026, and may be extended annually for up to two additional years if
both parties agree, resulting in a maximum contract duration of five years.
o Cost Proposal
The Wellpath Cost Proposal covers all required services necessary to provide the services described in
RFP B2300144 and maintain a standard based on the community standard of care. All program services
will meet or exceed the requirements and specifications detailed in the RFP and clarified by the answers
to questions provided in Communication No. 1 and Addendum #1 — Received June 29, 2023, and
included in Attachment A.
• Population Adjustments
All proposals must clearly indicate any increased costs associated with providing appropriate medical
screening/services at the Booking Substation should this operation increase to 24 hours a day seven days
a week.
Only pricing for the 2024 budget year to provide specified health care services to an average of 650
inmates and appropriate medical screening/service coverage for the Booking Substation should be
submitted in response to this RFP.
Wellpath's cost proposal includes 10 -hour coverage at the SW Booking Substation, Option A. We have
also provided Option B, If the county wishes to have 24/7 coverage. Wellpath is prepared to provide this
coverage for the additional cost as detailed below.
Option A: SW Booking Substation 10 hour/7 days a week coverage
Registered Nurse
1.75 FTE
DocuSign Envelope ID: 79E58A5E-E353-4D44-9E00-14EB4E562961
•
Annual Total
$307,997
Option B: SW Booking Substation 24 hour/7 days a week coverage
Registered Nurse
2.1 FTE
EMT
Annual Total
2.1 FTE
648,667
Per Diem Adjustments
Wellpath's proposal is based on an ADP of 650 (Adult Jail) detainees. In the event the Average Daily
Population (ADP) increases for three (3) consecutive months to the extent that a staffing level
adjustment is appropriate to maintain the required high level of care, Wellpath reserves the right to
negotiate a contract price increase to maintain the same high quality of care for the increased
population. In any month where the daily census is greater than 700, Wellpath will invoice Weld County
a $3.00 per inmate per diem for variable cost recovery. In a month where the daily census is lower than
600, Wellpath will credit Weld County a $3.00 per inmate per diem.
• Pricing for Subsequent Years
Pricing for future budget years will be limited to changes in the average daily jail census projections and
the Mountain Census Division index rate 12 -month change at the end of September of each current
budget year. The Mountain Census Division index increase shall not exceed 5%.
For subsequent annual renewals beyond the initial one-year contract period, Wellpath requests annual
price increases based on the 12 -month percent change for the Consumer Price Index (CPI) for medical
care services in Mountain Census Division, all urban consumers, not seasonally adjusted, as published by
the U.S. Bureau of Labor Statistics for the month of September, a maximum of 5% but no less than 4.5%.
• Off -Site Costs
"Outside medical cost" is defined as the net cost actually paid by the vendor less any discounts or other
considerations negotiated independently between an outside medical service provider and the vendor.
The jail medical provider is responsible to ensure the cost of outside medical services is paid in
accordance to Colorado Revised Statutes 517-26-104.5(1.3).
All proposals shall reflect outside medical cost at a maximum of $125,000 and a maximum of $150,000
for HIV/AIDS, cancer, and HEP C related drugs. Any unused funds will be reimbursed to the county at the
end of each contract year. Pharmaceutical costs will include all OTC (over-the-counter) and controlled
drugs including psychotropic and MAT services medications.
Wellpath will be responsible for costs associated with off -site medical and on -site specialty services,
limited to $125,000 per contract year. This limitation shall be applied to any off -site medical services,
including but not limited to hospital and specialist costs, specialty consultations, dialysis, one -day
surgeries, etc.
Any expenses incurred for medical and other healthcare services provided off -site over the cap amount
will be the responsibility of the County. Should the costs associated with off -site medical services not
reach $125,000, Wellpath will reimburse the County 100% of the difference between the actual cost
and the cap annually.
DocuSign Envelope ID: 79E58A5E-E353-4O44-9E00-14EB4E562961
• Pharmacy Cap
All proposals shall reflect outside medical cost at maximum of $150,000 for HIV/AIDS, cancer, and NEP C
related drugs. Any unused funds will be reimbursed to the county at the end of each contract year.
Pharmaceutical costs will include all OTC (over-the-counter) and controlled drugs including psychotropic
and MAT services medications.
Wellpath will be responsible for payment of all medications excluding the following high -cost drugs
which are included in the $150,000 cap on pharmacy services.
High -Cost Medications included in the Cap:
• HIV
• Hep C
• Cancer
• Biological
• Long Acting Injectable MAT
Any unused amount under the CAP will be returned to the County at the end of the fiscal year.
• CorEMR Cost
Pricing must clearly indicate all costs associated with the maintenance of CorEMR, any licensing,
upgrades, storage or other costs associated with this operating system.
All costs associated with the maintenance of CorEMR, to include any licensing, storage, or other costs
associated with this operating system, are included in our contract price as required by the RFP.
Information Technology Infrastructure
Wellpath will supply on -site office equipment such as computers, copiers, fax machines, calculators, and
any other computer -related hardware needed by medical staff. Our cost proposal assumes that Weld
County will continue to allow the use of your existing infrastructure. If Weld County prefers, Wellpath
can provide our infrastructure but will require further discussion to determine the terms and conditions
and associated costs.
• MAT Services
Pricing must clearly indicate all costs associated with MAT Services per Colorado Law HB 22-1326.
Wellpath's MAT pricing includes:
• SWB
• WC/EBL Insurance
• Oral Medications
• Labs
• Drug Screens
• Office Supplies
We have provided three tiers to reflect the number of patients treated to help project potential costs
due to growth. This pricing is reflective of treating a maximum of 75 patients. Additionally, Wellpath's
DocuSign Envelope ID: 79E58A5E-E353-4O44-9E00-14EB4E562961
pricing assumes any methadone cost incurred will be passed through to the county which includes both
daily medication fees as well as patient assessment fees charged by the methadone clinic.
Weld County MAT Program
Tier 1
Tier 2
Teir 3
Number of Patients
0-25
0-50
0-75
Number of FTE
1.35
1.6
2.2
Annual Total
$271,961
$334,555
$444,600
• Monthly Invoices
All invoices shall be submitted after services have been provided. Payment terms will be 30 days after the
invoice date.
The vendor will submit a monthly invoice to Weld County for 1/12th of the total annual price. The
monthly invoice will include the itemized cost of HIV/AIDS related drugs, outside medical costs and all
MAT services costs.
Wellpath would like to discuss the timing of the invoicing and payment terms. We are proposing to
invoice by the first day of the month services are performed with payment received net 30 days from
the date of invoice receipt.
DocuSign Envelope ID: 79E58A5E-E353-4D44-9E00-14EB4E562961
• Proposed Services and Cost
Pricing reflects the annual price for the delivery of all medical, dental, and psychiatric services inclusive
of all related service delivery costs necessary to comply with the requirements and specifications within
this RFP.
Staffing and Services Overview for Weld County
Professional Staffing (Hours • er Week
FTE
Total Full -Time Equivalent Employees (FTEs) -- all facilities and MAT services
Wellpath Healthcare Cloud Components
CorEMR Electronic Medical Record + 24/7 IT Support
Wellpath Partner Portal
Included
Professional On -site Services
On -Call 24/7
Emergency Transportation
Wellpath Healthcare Cloud Services
Policies and Procedures
Laboratory Services
X-ray Services
Disposable Medical Supplies
Medical Waste Di
sposal
Basic Medical Training - Jail Staff
Comprehensive Medical Malpractice Insurance
Corporate Management and Oversight
V
Quality Control Management
Professional Off -site Management
Care Management (Utilization)
Off -site Health Services
Pharmacy Management
Pharmaceuticals
High -cost Pharmaceuticals
CAP
CAP 1: Off -site Health Services Care
CAP 2: Pharmacy - High -Cost Medications
Total Cost Breakdown
Weld County North Jail Complex
SW Substation with 10 -hour coverage*
MAT Program Up to 75 patients **
Total Year One Contract Cost
34.25
Included
Included
Cap 1
Included
Cap 2
Annual
$125,000
$150,000
$6,860,871
$307,997
$444,600
$7,613,468
*SW Substation pricing, as shown, is for 10 hour/day coverage. Refer to the above section for pricing with 24/7 coverage.
**MAT pricing, as shown, assumes a patient population of 0-75. Refer to the above section for pricing below 75 patients.
DocuSign Envelope ID: 79E58A5E-E353-4O44-9E00-14EB4E562961
• Performance Bond
Weld County has waived the Performance Bond requirement.
• Transition and Start -Up Costs
Wellpath agrees to the contract start date of September 15, 2023. Wellpath will invoice on September
15th for services performed in the month payable to Wellpath net 7 days of receipt of invoice.
Changes in Scope of Work
Should there be any change in or modification of the local, national, or community standards of care or
scope of services, court rulings or interpretation, state or federal law or statute, or interpretation
thereof that results in a material increase in costs to Wellpath, coverage of costs related to such changes
are not included in this proposal and may need to be negotiated with the County.
ntract F
Entity Information
Entity Name *
WELLPATH LLC
Entity ID*
@00047461
O New Entity?
Contract Name* Contract ID
WELLPATH INMATE MEDICAL SERVICES CONTRACT 7351
2023 -
Contract Status
CTB REVIEW
Contract Lead
MKNEE
Contract Lead Email
mknee@weldgov.com;
skohlgraf@weldgov.com
Parent Contract ID
20232252
Requires Board Approval
YES
Department Project #
Contract Description
1ST AMENDMENT TO CONTRACT 2023-2252. CONTRACT STARTED SEPT2023 AN EXPIRES DEC2026 WITH
ABILITY TO EXTEND FOR 2 MORE YEARS. THIS AMENDMENT REVISES SEVERAL CONTRACT SECTIONS - SEE PA
SUMMARY
Contract Description 2
Contract Type"
AMENDMENT
Amount"
$0.00
Renewable
YES
Automatic Renewal
Grant
IGA
Department
SHERIFF
Department Email
CM-Sheriff@weldgov.com
Department Head Email
CM-Sheriff-
DeptHead@weldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
EY@WEL
DGOV.COM
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Requested BOCC Agenda Due Date
Date* 09/02/2023
09/06/2023
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be
included?
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts
are not in OnBase
Contract Dates
Effective Date
Termination Notice Period
Contact Information
Review Date
09/15/2026
Renewal Date"
12/31/2026
Committed Delivery Date Expiration Date
Contact Info
Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head Finance Approver Legal Counsel
DONNIE PATCH CHERYL PATTELLI KARIN MCDOUGAL
DH Approved Date Finance Approved Date Legal Counsel Approved Date
08/30/2023 08/30/2023 08/30/2023
Final Approval
BOCC Approved Tyler Ref #
AG 090623
BOCC Signed Date
BOCC Agenda Date
09/06/2023
Originator
SKOHLGRAF
Cheryl Hoffman
10 7.L97
ef
From:
Sent:
To:
Subject:
Thank you
Sonja Kohlgraf
Friday, September 15, 2023 7:18 AM
Cheryl Hoffman
RE: Fast Tracked Contract ID (7391)
Sonja Kohlgraf, MBA
Finance Manager
Weld County Sheriff's Office
Ph: 970-400-2872
Original Message
From: Cheryl Hoffman <choffman@weld.gov>
Sent: Friday, September 15, 2023 7:17 AM
To: Sonja Kohlgraf <skohlgraf@weld.gov>
Subject: FW: Fast Tracked Contract ID (7391)
Perfect! This is the confirmation we received on your fast tracked contract - Wellpath
Cheryl L. Hoffman
Deputy Clerk to the Board
1150 O Street/P.O. Box 758
Greeley, CO 80632
Tel: (970) 400.4227
choffman@weld.gov
Original Message
From: noreply@weldgov.com <noreply@weldgov.com>
Sent: Thursday, September 14, 2023 4:46 PM
To: CM-ClerktoBoard <CM-ClerktoBoard@co.weld.co.us>; Michael Knee <mknee@weld.gov>; Sonja Kohlgraf
<skohlgraf@weld.gov>; CM-Sheriff-DeptHead <CM-Sheriff-DeptHead@co.weld.co.us>
Subject: Fast Tracked Contract ID (7391)
Contract # 7391 has been Fast Tracked to CM -Contract Maintenance.
You will be notified in the future based on the Contract information below:
Entity Name: WELLPATH LLC
Contract Name: 2023 WELLPATH INMATE MEDICAL SERVICES CONTRACT - TERM 3YRS AUG 2026 Contract Amount:
$7,625,829.00 Contract ID: 7391 Contract Lead: MKNEE
Department: SHERIFF
Review Date: 5/1/2026
Renewable Contract: YES
Renew Date: 7/31/2026
Expiration Date:
Tyler Ref #:
Thank -you
of of - o2Jrtg4'
p t) - 02,25
5o 6e
Hello