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HomeMy WebLinkAboutAMENDMENT AND RENEWAL FOR THE INMATE MEDICAL CONTRACT FOR THE RICHMOND COUNTY SHERIFF'S OFFICE TO CORRECT CARE SOLUTIONS SECOND AMENDMENT TO THE HEALTH SERVICES AGREEMENT AT THE CITY OF AUGUSTA,GEORGIA (Effective June 1,2016) This Second Amendment (this "Amendment") to the Health Services Agreement for Augusta, Georgia, dated December 20, 2010 (the "Agreement") by and between Correct Care Solutions,LLC("CCS")and the City of Augusta,Georgia("Augusta")is to be effective as ofJune 1,2016. WHEREAS,the Parties agree to the addition of an EXCESS CAP amount in addition to the existing PER INMATE CAP;and WHEREAS, the Parties agree to provide certain DUI Blood Draw services in accordance with National Commission on Correctional Health Care ("NCCHC") standards; and WHEREAS, the Parties agree to an increased Base Compensation rate in order to ensure continuity of service. NOW, THEREFORE, in consideration of the foregoing, 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: 1. RECITALS. The Parties hereto incorporate the foregoing recitals as a material portion of this Amendment. 2. AMENDMENT TO ARTICLE I, SECTION 1.2. The Agreement shall be amended by appending to Section 1.2 the inclusion of telemedicine services for on-call provider coverage,to allow for remote after-hours provider access. 3. AMENDMENT TO ARTICLE I, SECTION 1.5. The Agreement shall be amended by deleting Section 1.5 in its entirety and inserting the following language in lieu thereof: 1.5 Hospitalization & Specialty Services. CCS will arrange for emergency transportation services, on and off-site specialty services, and for the admission of any Inmate, who in the opinion of CCS' Medical Director requires hospitalization and will bear the costs thereof; provided that CGS' liability for costs associated with hospitalizations, all off-site and on-site specialty services, inclusive of diagnostic procedures, and emergency transportation services is limited to $1,800 per inmate per Contract Year (the "PER INMATE CAP"), inclusive of all of the following services: • Inpatient Hospitalization • Outpatient Services • Laboratory Services • Radiology Services(including mobile x-ray services provided on-site) • Emergency Room Services Page 1 of 4 • Specialty Care • Prosthetic Devices • Physical Therapy Services • Ambulance Services • Medications for the treatment of Hepatitis C • Medications Factors VIII and IX for the treatment of bleeding disorders • On-Site Dialysis CCS shall develop a system of determining whether any inmates are eligible for medical coverage from any third party sources included but not limited to private health insurance. CCS shall direct off-site providers to bill directly to third party sources and any payment made to the medical provider by a third party payor for any medical expense shall not be counted toward the PER INMATE CAP. Augusta reserves the right to renegotiate the PER INMATE CAP and CCS agrees to negotiate such requested change in good faith.If the Parties cannot in good faith reach agreement on new compensation terms with an alternative cap. either Party may terminate this Agreement upon 90 days written notice to the other Party. Consistent with Section 1.9,CCS shall not be responsible for any costs or services under this Section 1.5 for any individual prior to the completion of the formal booking process. 1.5.1 Excess Cap. In the event that any cost under this Section 1.5 exceeds the PER INMATE CAP ("EXCESS COSTS") in a Contract Year, such EXCESS COSTS shall be subject to a total aggregate cap of$425,000 per Contract Year,prorated for any partial Contract Year,to be accrued at a rate of $35,416.67 monthly and prorated for any partial months during which services are provided (the "EXCESS CAP"). CCS' maximum liability for costs under this Section shall be limited to the EXCESS CAP and the PER INMATE CAP. In the event such costs do not exceed the accrued monthly EXCESS CAP amounts during a given Contract Year, any remaining amount under the EXCESS CAP shall be refunded to Augusta. Alternatively, upon mutual agreement,such remaining amount may be applied as a discount during the immediately following Contract Year. In the event that such costs exceed the EXCESS CAP, Augusta shall be responsible for reimbursing CCS for any and all such expenses in accordance with the reconciliation process as further set forth in Section 1.5.2 below. 1.5.2 Monthly Reconciliation. CCS shall provide Augusta with a monthly reconciliation that includes any amounts paid by CCS in excess of the financial limitations set forth in Section 1.15 of this Agreement. The compensation payable to CCS by Augusta for amounts in excess of the EXCESS CAP shall be in addition to Section 9.1's Base Compensation and shall be billed separately from such Base Compensation. Page 2 of 4 4. AMENDMENT TO ARTICLE I.The Agreement shall be amended by adding a new Section 1.10 to Article I: 1.10 Collection of Physical Evidence and DUI Blood Draws. CCS shall only collect physical evidence (e.g., blood, hair, semen, saliva, etc.) within guidelines established by the NCCHC. If CCS is required to collect physical evidence, Augusta shall be responsible for arranging any testing and bear the cost of collection and testing the collected evidence. After collecting evidence, CCS shall turn the specimen over to the Sheriff or a court-designated representative for completion of chain-of-custody evidence. If any CCS staff is required to provide court related testimony,Augusta shall compensate CCS at a rate of$38.75 per hour including compensation for travel time and related costs and expenses. In the event that any CCS staff is required to provide court related testimony, CCS staff's absence shall not be deemed a deficiency under the temis of this Agreement. 5. AMENDMENT TO ARTICLE VII. The Agreement shall be amended by deleting Section 8.1 in its entirety and inserting the following language in lieu thereof: 8.1 Contract Term, This Agreement will be effective as of 12:01 A.M. on January 1, 2011 for an initial term of five(5) years. This Agreement is renewable under like- terms for three (3) additional two year terms thereafter, unless either Party delivers written notice of non-renewal to the other Party at least 90 days prior to the expiration of the then existing term, in which event this Agreement will terminate upon the expiration of the then-existing term. Both parties agree hereto to enact the first two-year renewal, making the contract effective January 1,2017 to December 31,2018. 6. AMENDMENT TO ARTICLE IX, SECTION 9.1. The Agreement shall be amended by deleting Section 9.1 in its entirety and inserting the following language in lieu thereof: 9.1 Base Compensation. For the period beginning on June 1, 2016 and ending on December 31, 2016, the annual compensation payable by Augusta to CCS shall be $5,239,695.75,payable in equal monthly installments of$436,641.32. For the renewal period beginning on January 1, 2017 and ending on December 31, 2018, the annual compensation payable by Augusta to CCS shall be $5,387,124.80. The compensation payable during any subsequent renewal period shall be determined in accordance with Section 9.2. CCS shall invoice Augusta 15 days before the first day of the month for which services will be rendered, and Augusta agrees to pay CCS on or before the last day of the month for which services will be rendered. In the event this Agreement should terminate on a date other than the last day of a calendar month, compensation to CCS will be prorated accordingly for the shortened month. 7. EXHIBIT D. The Parties hereby acknowledge and agree that Exhibit D, attached hereto,is incorporated into the Agreement and that the performance indicators shall be applied in accordance therewith. Page 3 of 4 8. SEVERABILITY.If any terms or provisions of this Amendment or the application thereof to any person or circumstance shall to any extent be invalid or unenforceable,the remainder of this Amendment or the application of such term or provision to person or circumstances other than those as to which it is held invalid or unenforceable shall not be affected thereby and each term and provision of this Amendment shall be valid and enforceable to the fullest extent by law. 9, 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. REMAINDER OF PAGE INTENTIONALLY BLANK AGREED TO AND ACCEPTED AS STATED ABOVE: City of Augusta.Georgia I • 01 By: /1764•Pc-44:. °7-11A r „ Fr 5/ h Name: 1/11110, 1= 11111/ I rft 1fi Ail D Name: is Bove Title: /vi yU r\ Title: Presid nt Date: 111rAir M t ht. 61.7, ... f t 4#4 ;`; „vo F..611.0e, t ao"a: ..,oe *..74 / e e • • 1.. 40 4 44:i1Wt'4,;:/$2.jilit if * •It . o•f.t. - • , 040 dr 41, 11.Orr t`4 4141& ORGI4P.V# '401111830610);... Page 4 of 4 Exhibit C Comprehensive Staffing Plan Correct Care Solutions Augusta-Richmond County Charles B. Webster Capacity: 1,275 POSITION Mon Tue Wed Thu ®imi Sun Hrs/WK FTE DAY SHIFT Health Services Administrator 8 8 8 8 8 -_ 40.00 1.00 Director of Nursins 8 8 8 8 Q-- 40.00 1.00 Medical Director 8 4 8 __ 20.00 0.50 Mid-Level Provider 8 8 8 8 8 __ 40.00 1.00 Char.e RN 16 16 16 16 16 16 16 112.00 2.80 LPN 32 32 32 32 ®® 32 224.00 5.60 Certified Medical Assistant 16 16 16 16 16 8 8 96.00 2.40 Administrative Assistant 8 8 8 8 8 -_ 40.00 1.00 Medical Records Clerk 8 8 8 8 Rim_ 40.00 1.00 Ps chiatrist 8 8 _- 4 -_ 20.00 0.50 Mental Health Professional/MSW 16 16 16 16 16 -_ 80.00 2.00 Dentist 4 4 4 4 1!1-_ 20.00 0.50 Dental Assistant 4 4 4 4 rum_ 20.00 0.50 TOTAL HOURS/FTE-Dar 792.00 19.80 EVENING SHIFT LPN 40 40 40 40 40 40 40 280.0 7.00 TOTAL HOURS/FTE-Evenin• ' 280.0 7.00 NIGHT SHIFT LPN 24 24 24 24 mm 24 168.0 4.20 Certified Medical Assistant 8 8 8 8 8 8 8 56.0 1.40 TOTAL HOURS/FTE-Ni.ht 224.0 5.60 TOTAL HOURS/FTE .er week ; ; �', 1296.00 32.40 Correct Care Solutions Augusta-Richmond County Correctional Institution ("RCCI") Capacity: 215 POSITION Mon Tue Wed Thu ®ri Sun Hrs/WK FTE DAY SHIFT Cherie RN 8 8 8 8 8 -_ 40.00 1.0 TOTAL HOURS/FTE-Da - .: . 40.00 1.0 EVENING SHIFT LPN 8 8 8 8 8 © 2 44.0 1.1 TOTAL HOURS/FTE-Evenin• 44.0 1.1 TOTAL HOURS/FTE •er week ...... . .. 84.00 2.1 Contract Total 34.50 3