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Deliverable Number
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Commodity/Service Type
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Major Deliverable
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Method of Payment
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Jail or prison or penitentiary services
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Comprehensive Healthcare Services: Compensation shall consist of two components: reimbursement of ac...
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Cost Reimbursement Plus Percentage of Cost
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| Major Deliverable: Comprehensive Healthcare Services: Compensation shall consist of two components: reimbursement of actual expenses; and a percentage of actual expenses to cover administrative expenses. The amount of reimbursement for these components shall not exceed $267,968,000 annually.
1. Reimbursement for actual expenses–The Contractor shall be reimbursed for actual expenses incurred, including but not limited to: Salaries, wages and benefits for all staff assigned to the Contract, including institutional staff, statewide/regional oversight staff and corporate oversight staff; Inpatient and outpatient hospital expenses; Physician’s fees; Therapeutic and diagnostic ancillary services; Medical and office supplies; Medical equipment; Computer equipment; Licenses and permits; Non-formulary and emergency medications and therapeutics; Background checks; and Premium and retention costs of insurance.
2. Administrative Fee–The Contractor shall be reimbursed an administrative fee to cover corporate support costs (including, but not limited to, oversight of recruiting, human resources, clinical operations/utilization management, payroll, and information technology) and profit. This administrative fee shall be calculated at 13.5% of actual expenses outlined in Section III.A.1.
Other costs that may be included in the Administrative Fee: Corporate office rents and facility cost; Corporate office supplies and maintenance; Corporate office telephone; and Corporate office equipment and cell phones.
Invoice Adjustments: In addition, adjustments to the monthly invoices shall include, but not be limited to, the following:
•A deduction for Department contract monitoring costs. This will be the Contractor’s portion of statewide FDC monitoring costs, based on the percentage of total FDC inmates served under this contract.
•A deduction for income received from the fee schedule for services at RMC Hospital, from Wexford Health Sources, and Private Correctional Facilities, pursuant to Section II.B.13. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 1. Failure to achieve compliance with the performance standards in a minimum of 80% of the applicable standards for each health services discipline (Medical, Mental Health, Dental, Pharmacy, and Administration).
2. Failure to Cure Monitoring Findings – The Contractor is required to cure all monitoring findings in accordance with timelines outlined in the approved corrective action plan (CAP). |
| Financial Consequences: 1. A reduction of the payment of the monthly invoice of $1000 per discipline per monitoring review will be assessed. This reduction will apply to each health services unit, including main units and annexes.
2. For each monitoring finding that is not cured in accordance with the timelines outlined in the CAP, a reduction of the payment of the monthly invoice in the amount of $250 per finding shall be assessed. |
| Source Documentation Page Reference: |
| Deliverable Number: |
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Jail or prison or penitentiary services
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Comprehensive Healthcare Services: Compensation shall consist of two components: reimbursement of ac...
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Cost Reimbursement Plus Percentage of Cost
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| Major Deliverable: Comprehensive Healthcare Services: Compensation shall consist of two components: reimbursement of actual expenses; and a percentage of actual expenses to cover administrative expenses. The amount of reimbursement for these components shall not exceed $267,968,000 annually. 1. Reimbursement for actual expenses–The Contractor shall be reimbursed for actual expenses incurred, including but not limited to: Salaries, wages and benefits for all staff assigned to the Contract, including institutional staff, statewide/regional oversight staff and corporate oversight staff; Inpatient and outpatient hospital expenses; Physician’s fees; Therapeutic and diagnostic ancillary services; Medical and office supplies; Medical equipment; Computer equipment; Licenses and permits; Non-formulary and emergency medications and therapeutics; Background checks; and Premium and retention costs of insurance. 2. Administrative Fee–The Contractor shall be reimbursed an administrative fee to cover corporate support costs (including, but not limited to, oversight of recruiting, human resources, clinical operations/utilization management, payroll, and information technology) and profit. This administrative fee shall be calculated at 13.5% of actual expenses outlined in Section III.A.1. Other costs that may be included in the Administrative Fee: Corporate office rents and facility cost; Corporate office supplies and maintenance; Corporate office telephone; and Corporate office equipment and cell phones. Invoice Adjustments: In addition, adjustments to the monthly invoices shall include, but not be limited to, the following: •A deduction for Department contract monitoring costs. This will be the Contractor’s portion of statewide FDC monitoring costs, based on the percentage of total FDC inmates served under this contract. •A deduction for income received from the fee schedule for services at RMC Hospital, from Wexford Health Sources, and Private Correctional Facilities, pursuant to Section II.B.13. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Access to Care
Outcome: Inmates have access to care in a timely manner with referral to an appropriate clinician as needed.
Measure: Documentation by DC4-698B, DC4-698A, and the Call Out Schedule (OBIS).
Standard: Achievement of outcome must meet one hundred percent (100%) of chart reviews. |
| Financial Consequences: 1. Should the Contractor fail to achieve compliance with the performance standards in a minimum of 80% of the applicable standards for each health services discipline (Medical, Mental Health, Dental, Pharmacy, and Administration), a reduction of the payment of the monthly invoice of $1000 per discipline per monitoring review will be assessed. This reduction will apply to each health services unit, including main units and annexes.
2. The Contractor is required to cure all monitoring findings in accordance with timelines outlined in the approved corrective action plan (CAP). For each monitoring finding that is not cured in accordance with the timelines outlined in the CAP, a reduction of the payment of the monthly invoice in the amount of $250 per finding shall be assessed. |
| Source Documentation Page Reference: Pages 2-97, 103 |
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Jail or prison or penitentiary services
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Comprehensive Healthcare Services: Compensation shall consist of two components: reimbursement of ac...
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Cost Reimbursement Plus Percentage of Cost
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| Major Deliverable: Comprehensive Healthcare Services: Compensation shall consist of two components: reimbursement of actual expenses; and a percentage of actual expenses to cover administrative expenses. The amount of reimbursement for these components shall not exceed $267,968,000 annually. 1. Reimbursement for actual expenses–The Contractor shall be reimbursed for actual expenses incurred, including but not limited to: Salaries, wages and benefits for all staff assigned to the Contract, including institutional staff, statewide/regional oversight staff and corporate oversight staff; Inpatient and outpatient hospital expenses; Physician’s fees; Therapeutic and diagnostic ancillary services; Medical and office supplies; Medical equipment; Computer equipment; Licenses and permits; Non-formulary and emergency medications and therapeutics; Background checks; and Premium and retention costs of insurance. 2. Administrative Fee–The Contractor shall be reimbursed an administrative fee to cover corporate support costs (including, but not limited to, oversight of recruiting, human resources, clinical operations/utilization management, payroll, and information technology) and profit. This administrative fee shall be calculated at 13.5% of actual expenses outlined in Section III.A.1. Other costs that may be included in the Administrative Fee: Corporate office rents and facility cost; Corporate office supplies and maintenance; Corporate office telephone; and Corporate office equipment and cell phones. Invoice Adjustments: In addition, adjustments to the monthly invoices shall include, but not be limited to, the following: •A deduction for Department contract monitoring costs. This will be the Contractor’s portion of statewide FDC monitoring costs, based on the percentage of total FDC inmates served under this contract. •A deduction for income received from the fee schedule for services at RMC Hospital, from Wexford Health Sources, and Private Correctional Facilities, pursuant to Section II.B.13. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Refusal of Health Care Services
Outcome: Inmates are provided a process for refusal of health care and the documentation thereof.
Measure: Refusal noted in OBIS; Documentation by DC4-711A
Standard: Achievement of outcome must meet ninety percent (90%) of record and OBIS reviews. |
| Financial Consequences: 1. Should the Contractor fail to achieve compliance with the performance standards in a minimum of 80% of the applicable standards for each health services discipline (Medical, Mental Health, Dental, Pharmacy, and Administration), a reduction of the payment of the monthly invoice of $1000 per discipline per monitoring review will be assessed. This reduction will apply to each health services unit, including main units and annexes.
2. The Contractor is required to cure all monitoring findings in accordance with timelines outlined in the approved corrective action plan (CAP). For each monitoring finding that is not cured in accordance with the timelines outlined in the CAP, a reduction of the payment of the monthly invoice in the amount of $250 per finding shall be assessed. |
| Source Documentation Page Reference: Pages 2-97, 103 |
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Jail or prison or penitentiary services
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AMENDMENT #3
Compensation under this Contract shall consist of two components: reimbursement of actu...
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Cost Reimbursement Plus Percentage of Cost
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| Major Deliverable: AMENDMENT #3
Compensation under this Contract shall consist of two components: reimbursement of actual expenses; and a percentage of actual expenses to cover administrative expenses. The amount of reimbursement for these components shall not exceed $316,910,000 per fiscal year. Expenses may be paid across fiscal years. If the transition of the facilities added in Amendment #2 does not occur by June 30, 2017, the compensation cap of $316,910,000 will be reduced by the per diem rates paid by the Department for the provision of inmate healthcare services.
Compensation Cap (payments to Contractor will not exceed):
• Services rendered in FY 16/17 (July 1, 2016 – June 30, 2017): $267,968,000
• Services rendered in FY 17/18 (July 1, 2017 – June 30, 2018): $316,910,000*
* this does not include changes required for the Wakulla Mental Health Continuum of Care. o Services rendered specifically for the Wakulla Mental Health Continuum of Care in FY 17/18: $4,000,000
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| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 1. Failure to achieve compliance with the performance standards in a minimum of 80% of the applicable standards for each health services discipline (Medical, Mental Health, Dental, Pharmacy, and Administration).
2. Failure to Cure Monitoring Findings – The Contractor is required to cure all monitoring findings in accordance with timelines outlined in the approved corrective action plan (CAP). |
| Financial Consequences: 1. A reduction of the payment of the monthly invoice of $1000 per discipline per monitoring review will be assessed. This reduction will apply to each health services unit, including main units and annexes.
2. For each monitoring finding that is not cured in accordance with the timelines outlined in the CAP, a reduction of the payment of the monthly invoice in the amount of $250 per finding shall be assessed. |
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Jail or prison or penitentiary services
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AMENDMENT #3
1. Reimbursement for actual expenses – The Contractor shall be reimbursed for actual ex...
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Cost Reimbursement Plus Percentage of Cost
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| Major Deliverable: AMENDMENT #3
1. Reimbursement for actual expenses – The Contractor shall be reimbursed for actual expenses incurred under this Contact, unless excluded in other sections of the Contract or prohibited by Florida Statute (F.S.), State Expenditure Guidelines, or other rules and policies of the state. Allowable reimbursements include, but are not limited to:
• Salaries, wages, and benefits for all staff assigned to this contract, (bonuses and cost of living or general increases require prior written approval from the Department) including institutional staff, statewide/regional oversight staff;
• Inpatient and outpatient hospital expenses;
• Physician’s fees;
• Therapeutic and diagnostic ancillary services;
• Health care supplies and office supplies;
• Medical equipment, with prior approval from the Department;
• Computer equipment, with prior approval from the Department;
• Medical equipment and computer repairs;
• Pharmacy Permits & Licenses;
• Employee health and dental coverage, for employees directly supporting the Contract;
• Premium costs of insurance, in accordance with Section VII., K.;
• Non-formulary and emergency medications and therapeutics;
• Background checks; and
• Regional office costs, when in direct support of this Contract, including, but not limited to rent and utilities. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 1. Failure to achieve compliance with the performance standards in a minimum of 80% of the applicable standards for each health services discipline (Medical, Mental Health, Dental, Pharmacy, and Administration).
2. Failure to Cure Monitoring Findings – The Contractor is required to cure all monitoring findings in accordance with timelines outlined in the approved corrective action plan (CAP). |
| Financial Consequences: 1. A reduction of the payment of the monthly invoice of $1000 per discipline per monitoring review will be assessed. This reduction will apply to each health services unit, including main units and annexes.
2. For each monitoring finding that is not cured in accordance with the timelines outlined in the CAP, a reduction of the payment of the monthly invoice in the amount of $250 per finding shall be assessed. |
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Jail or prison or penitentiary services
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AMENDMENT #3
2. Administrative Fee – The Contractor shall be reimbursed an administrative fee to cov...
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Cost Reimbursement Plus Percentage of Cost
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| Major Deliverable: AMENDMENT #3
2. Administrative Fee – The Contractor shall be reimbursed an administrative fee to cover corporate supports costs including, but not limited to, oversight of recruiting, human resources, clinical operations/utilization management, payroll, and information technology. This administrative fee shall be calculated at 13.5% of the actual expenses outlined in Section III., A., 1., which are not listed for exclusion below.
Other costs included in the Administrative Fee:
• Corporate office rents and facility cost;
• Corporate office supplies and maintenance;
• Corporate office telephone;
• Corporate office equipment and cell phones;
• Employee living/moving expenses;
• Employee travel;
• Contract monitoring costs; and
• Profit.
The following reimbursable expenses are not subject to the Administrative Fee:
• Medical equipment;
• Computer equipment;
• Pharmacy Permits & Licenses;
• Non-formulary and emergency medications and therapeutics;
• Background checks; and
• Premium costs of insurance. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 1. Failure to achieve compliance with the performance standards in a minimum of 80% of the applicable standards for each health services discipline (Medical, Mental Health, Dental, Pharmacy, and Administration).
2. Failure to Cure Monitoring Findings – The Contractor is required to cure all monitoring findings in accordance with timelines outlined in the approved corrective action plan (CAP). |
| Financial Consequences: 1. A reduction of the payment of the monthly invoice of $1000 per discipline per monitoring review will be assessed. This reduction will apply to each health services unit, including main units and annexes.
2. For each monitoring finding that is not cured in accordance with the timelines outlined in the CAP, a reduction of the payment of the monthly invoice in the amount of $250 per finding shall be assessed. |
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Jail or prison or penitentiary services
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AMENDMENT #3
3. Amendment #2 Transition Compensation - To accommodate the transition of responsibili...
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Cost Reimbursement Plus Percentage of Cost
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| Major Deliverable: AMENDMENT #3
3. Amendment #2 Transition Compensation - To accommodate the transition of responsibilities for the facilities added in Amendment #2 from Wexford Health Sources provided under Contract #C2758 to the Contractor, the Department will compensate the Contractor on a monthly basis, for the provision of comprehensive healthcare services as specified in Section II., at the Single Capitation Rate of $8.4874 Per-Inmate, Per Day (Unit Price) times the average monthly number of inmates (for each facility, based on the FDC Average Daily Population Report), times the number of days in the month services were provided by the Contractor. Payment for each new facility shall begin at 12:01 a.m. on the implementation date, contingent upon actual implementation of services. The Department requires a consolidated, single invoice, on a monthly billing cycle for services performed submitted by the 5th business day of the month for the prior month’s service. Upon full transition of services or June 30, 2017 (the latter of the two), compensation to the Contractor will be made in accordance with Section III., A (1) and (2) for all facilities under this Contract. This method of compensation and invoicing only applies to those facilities added in Amendment #2 and does not include payment for services rendered to facilities already being serviced by the Contractor. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 1. Failure to achieve compliance with the performance standards in a minimum of 80% of the applicable standards for each health services discipline (Medical, Mental Health, Dental, Pharmacy, and Administration).
2. Failure to Cure Monitoring Findings – The Contractor is required to cure all monitoring findings in accordance with timelines outlined in the approved corrective action plan (CAP). |
| Financial Consequences: 1. A reduction of the payment of the monthly invoice of $1000 per discipline per monitoring review will be assessed. This reduction will apply to each health services unit, including main units and annexes.
2. For each monitoring finding that is not cured in accordance with the timelines outlined in the CAP, a reduction of the payment of the monthly invoice in the amount of $250 per finding shall be assessed. |
| Source Documentation Page Reference: |
| Deliverable Number: |
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Jail or prison or penitentiary services
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AMENDMENT #3
Invoice Adjustments: In addition, adjustments to the monthly invoices shall include, b...
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Cost Reimbursement Plus Percentage of Cost
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| Major Deliverable: AMENDMENT #3
Invoice Adjustments: In addition, adjustments to the monthly invoices shall include, but not be limited to, the following:
• The Department received a $1,791,873.00 appropriation for FY 2016/2017 to cover the price increase in the per diem rate in healthcare services. Until the transition is complete for facilities added in Amendment #2, this amount will be paid in a monthly installment of $149,322.75, only for those services provided at the facilities added in Amendment #2. This amount will be pro-rated for partial months of service by the Contractor.
• A deduction for statewide FDC contract monitoring costs. To cover the monitoring cost for facilities added in Amendment #2, this deduction will be the Contractor’s portion of statewide FDC monitoring costs, based on the percentage of total FDC inmates served under this Contract within a given month.
• A deduction for reimbursements received from the fee schedule for services at Reception and Medical Center (RMC) Hospital, from Private Correctional Facilities, pursuant to Section II., B., 13. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 1. Failure to achieve compliance with the performance standards in a minimum of 80% of the applicable standards for each health services discipline (Medical, Mental Health, Dental, Pharmacy, and Administration).
2. Failure to Cure Monitoring Findings – The Contractor is required to cure all monitoring findings in accordance with timelines outlined in the approved corrective action plan (CAP). |
| Financial Consequences: 1. A reduction of the payment of the monthly invoice of $1000 per discipline per monitoring review will be assessed. This reduction will apply to each health services unit, including main units and annexes.
2. For each monitoring finding that is not cured in accordance with the timelines outlined in the CAP, a reduction of the payment of the monthly invoice in the amount of $250 per finding shall be assessed. |
| Source Documentation Page Reference: |
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Jail or prison or penitentiary services
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AMENDMENT #3
4. Amendment #3 Wakulla Residential Treatment Continuum of Care (RCC) – Reimbursement f...
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Cost Reimbursement Plus Percentage of Cost
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| Major Deliverable: AMENDMENT #3
4. Amendment #3 Wakulla Residential Treatment Continuum of Care (RCC) – Reimbursement for the positions associated with the RCC, in accordance with Section II., D., 17., a., including any applicable administrative fee, will be invoiced to the Department separately from reimbursement requests for services not associated with the RCC. The amount of reimbursement for the staffing of the RCC shall not exceed $4,000,000 for fiscal year 2017/2018. The amount of this cap may be changed through a contract amendment, not to exceed the total amount of actual salary expenses incurred for those positions authorized by the Department, including any applicable administrative fee. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 1. Failure to achieve compliance with the performance standards in a minimum of 80% of the applicable standards for each health services discipline (Medical, Mental Health, Dental, Pharmacy, and Administration).
2. Failure to Cure Monitoring Findings – The Contractor is required to cure all monitoring findings in accordance with timelines outlined in the approved corrective action plan (CAP). |
| Financial Consequences: 1. A reduction of the payment of the monthly invoice of $1000 per discipline per monitoring review will be assessed. This reduction will apply to each health services unit, including main units and annexes.
2. For each monitoring finding that is not cured in accordance with the timelines outlined in the CAP, a reduction of the payment of the monthly invoice in the amount of $250 per finding shall be assessed. |
| Source Documentation Page Reference: |
| Deliverable Number: |
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Jail or prison or penitentiary services
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AMENDMENT #4
Compensation under this Contract shall consist of two components: reimbursement of actu...
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Cost Reimbursement Plus Percentage of Cost
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| Major Deliverable: AMENDMENT #4
Compensation under this Contract shall consist of two components: reimbursement of actual expenses; and a percentage of actual expenses to cover administrative expenses. The amount of reimbursement for these components shall not exceed $321,028,989 per fiscal year. Expenses may be paid across fiscal years. If the transition of the facilities added in Amendment #2 does not occur by June 30, 2017, the compensation cap of $321,028,989 will be reduced by the per diem rates paid by the Department for the provision of inmate healthcare services.
Compensation Cap (payments to Contractor will not exceed):
• Services rendered in FY 16/17 (July 1, 2016 – June 30, 2017): $267,968,000
• Services rendered in FY 17/18 (July 1, 2017 – June 30, 2018): $321,028,989*
* This does not include changes required for the Wakulla Mental Health Continuum of Care.
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| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 1. Failure to achieve compliance with the performance standards in a minimum of 80% of the applicable standards for each health services discipline (Medical, Mental Health, Dental, Pharmacy, and Administration).
2. Failure to Cure Monitoring Findings – The Contractor is required to cure all monitoring findings in accordance with timelines outlined in the approved corrective action plan (CAP). |
| Financial Consequences: 1. A reduction of the payment of the monthly invoice of $1000 per discipline per monitoring review will be assessed. This reduction will apply to each health services unit, including main units and annexes.
2. For each monitoring finding that is not cured in accordance with the timelines outlined in the CAP, a reduction of the payment of the monthly invoice in the amount of $250 per finding shall be assessed. |
| Source Documentation Page Reference: |
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Jail or prison or penitentiary services
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AMENDMENT #4
5. Amendment #4 Treatment of Patients with Chronic Hepatitis C (cHCV) – Increases the a...
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Cost Reimbursement Plus Percentage of Cost
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| Major Deliverable: AMENDMENT #4
5. Amendment #4 Treatment of Patients with Chronic Hepatitis C (cHCV) – Increases the amount of reimbursement to allow for the costs associated with the treatment of Hepatitis C, to include additional staffing of 11 nurses and one (1) medical doctor for the oversight of treatment, clinically indicated expenses, and administrative costs associated with the increase in staffing. |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: 1. Failure to achieve compliance with the performance standards in a minimum of 80% of the applicable standards for each health services discipline (Medical, Mental Health, Dental, Pharmacy, and Administration).
2. Failure to Cure Monitoring Findings – The Contractor is required to cure all monitoring findings in accordance with timelines outlined in the approved corrective action plan (CAP). |
| Financial Consequences: 1. A reduction of the payment of the monthly invoice of $1000 per discipline per monitoring review will be assessed. This reduction will apply to each health services unit, including main units and annexes.
2. For each monitoring finding that is not cured in accordance with the timelines outlined in the CAP, a reduction of the payment of the monthly invoice in the amount of $250 per finding shall be assessed. |
| Source Documentation Page Reference: |
| Deliverable Number: |
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