Agenda 8-g - Health Services Agreement Amendments for the Orange County Detention Center

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4 S 2 SHP shall be financially responsible for the costs of all physician and nurse staffing, over - the - counter medications, medical supplies, clinical lab procedures, office supplies, forms, folders, files, travel expenses, long- distance telephone calls, publications, administrative services and nursing time to train officers in the Jail on various medical matters. SHP's financial responsibility for the costs of all prescription pharmaceuticals, x -ray procedures and all medical, dental and mental health services rendered outside the Jail will be limited by an annual cost pool described in Section 1.5 of this Agreement. Costs for all prescription pharmaceuticals, x -ray procedures and all medical, dental and mental health services rendered outside the Jail in excess of the annual cost pool limit shall be the financial responsibility of the County. 1.3 Specialty Services. In addition to providing the general services described above, SHP by and through its licensed health care providers shall arrange and /or provide to inmates at the Jail specialty medical services including, but not limited to, radiology services and laboratory services to the extent such are determined to be medically necessary by SHP. In the event non - emergency specialty care is required and cannot be rendered at the Jail, SHP shall make arrangements with County for the transportation of the inmates in accordance with Section 1.9 of this Agreement. 1.4 Emergency Services. SHP shall arrange and /or provide emergency medical care, as medically necessary, to inmates through arrangements to be made by SHP. 1.5 Limitations On Costs - Cost Pool. SHP shall, at its own cost, arrange for medical services for any inmate who, in the opinion of the Medical Director (hereinafter meaning a licensed SHP physician), requires such care. SHP's maximum liability for costs associated with all medical, dental and mental health services for inmates rendered outside of the Jail, for all prescription pharmaceuticals and all x -ray procedures, will be limited by a pool established in the amount of $60,000.00 in the aggregate for all inmates in each twelve -month period of this Agreement. If the costs of all care as described in this Section 1.5 exceeds the amount of $60,000.00 in any year (defined as a twelve -month contract period), then SHP will either pay for the additional services and submit invoices supporting the payments to the County along with an SHP invoice for one hundred percent (100 %) of the excess cost, or in the alternative, will refer all additional qualifying invoices to County for payment directly to the provider of care. For all invoices payable to SHP as reimbursement for pool excess cost, such amounts shall be payable by County within thirty days of the SHP invoice date. For purposes of this Section 1.5, the pool amount will be prorated for any contract period of less or more than twelve months. For the first contract period of ten months effective September 1, 2009, through June 30, 2010, the cost pool limit will be $50,000.00.