Agenda Package - 04-02-07 - Laserfiche WebLink

Home Browse Search

8/4 1.3 Specialty Services In addition to providing the general services described above, SHP by and through its licensed health care providers shall, at its own cost, 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. Where 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 provide, at its own cost, 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 the combined costs associated with the medical services for inmates rendered outside of the Jail, plus prescription-type medications, and for x-rays will be limited by a pool established in the amount of $40,000 in the aggregate for all inmates in each year of • this contract. If the costs of all care as described in this paragraph 1.5 exceeds the amount of $40,000 in any year, (defined as a 12 month contract period) then SHP will pay for the additional services and submit invoices supporting the payments to County along with an SHP invoice for 50% of the cost in excess of $40,000. If the costs of all care as described in this paragraph 1.5 should exceed the amount of $60,000 in any year (defined as a 12 month contract period), then SHP 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 30 days of the SHP invoice date. For purposes of this paragraph 1.5, the pool amount will be prorated for any contract period of less than 12 months. 1.6 Injuries Incurred Prior to Incarceration: Pregnancy. SHP will not be financially responsible for the cost of any medical treatment or health care services provided to any inmate prior to the inmate's formal booking and commitment into the Jail. Furthermore, SHP is not financially responsible for the cost of services outside the jail for any medical treatment or health care services provided to medically stabilize any inmate presented at booking with a life threatening injury or illness or in immediate need of emergency medical care. • Once an inmate has been medically stabilized and committed to the Jail, SHP will, commencing at that point, then become financially responsible for the cost of all medical treatment for health care services regardless of the nature of the illness or injury or whether or not the illness or injury occurred prior or subsequent to the individual's incarceration at the Jail. An inmate shall be considered medically stabilized