Agenda Package - 04-16-07 - Laserfiche WebLink

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044 • 2 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 im-nates 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 $50,000 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 $50,000 in any year, (defined as a 12 month contract period) then SHP will refer all approved billings for actual services to inmates to County, and County will pay directly to provider of services, or pay to SHP such amount as to cover the approved billings. If paid to SHP, then SHP will make payments 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. The intent of this Section 1.5 is to define SHP's maximum financial liability and limitation of costs for all prescription pharmaceuticals, x-ray procedures, and all medical and dental services rendered outside the Jail. 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.