Department of Public Safety and Correctional Services

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1 Department of Public Safety and Correctional Services Office of the Secretary 300 E. JOPPA ROAD SUITE 1000 TOWSON, MARYLAND (410) FAX (410) TOLL FREE (877) V/TTY (800) STATE OF MARYLAND LARRY HOGAN GOVERNOR BOYD K. RUTHERFORD LT. GOVERNOR STEPHEN T. MOYER SECRETARY Amendment # to Request for Proposals (RFP) Inmate Medical Care and Utilization Services Solicitation No. Q March 31, 2017 WILLIAM G. STEWART DEPUTY SECRETARY ADMINISTRATION J. MICHAEL ZEIGLER DEPUTY SECRETARY OPERATIONS This Amendment is being issued to change provisions of the RFP. All information contained in this Amendment is binding on all Offerors who respond to this RFP. The changes to the RFP are listed below. New language is underlined and marked in red bold (ex. new language) and language deleted has been marked with a bold strikeout (ex. language deleted). 1. Revise Key Information Summary Sheet, as follows: Closing Date and Time: April 13, 2017 at 3 p.m. Local Time April 26, 2017 at 3 p.m. Local Time 2. Revise Section1.2 (Definitions) as follows: 76. IMMS - Intake Initial Medical/ and Mental Health Screening form. 3. Revise Section (Equipment and Supplies) as follows: Equipment for the on-site storage of medications and/or biologicals received from the Pharmacy Contractor, barcode scanners used to read pharmacy deliveries, medication carts for the delivery of medications to the Inmate population, and emergency carts for responding to crises throughout the facilities shall be the responsibility of the Contractor. The Contractor shall not be responsible for providing medication carts used in any CMHC. DPSCS currently uses the Honeywell Voyager MS9450 USB Scanner in its facilities and DPSCS currently owns 250 such scanners which the Contractor may use and is responsible for maintaining and replacing as provided in Section At the beginning of the contract term, the Department will provide forty-nine (49) bar code scanners for use by the Contractor to receive medication deliveries. During the contract term, the Contractor shall be responsible for maintaining the bar code scanners and for replacing missing or damaged 03/31/2017 Page 1 of 5

2 scanners. Replacement scanners shall be Honeywell Voyager 1450G- 2D omnidirectional area-imaging scanners (1D, PDF417, and 2D ), including stand and USB cable. Periodically, the Pharmacy Contractor will inventory the scanners and Contractor will replace any missing or damaged scanners identified by the Pharmacy Contractor. If the Department adds locations for medication delivery, Contractor shall be responsible for providing, maintaining, and replacing the additional scanners which will be added to the inventory. 4. Revise Section (Ambulance/Transportation Services) as follows: The Contractor shall pay in-state transportation costs (including any charges by any municipal or governmental jurisdiction for ambulance or Medivac services but excluding transportation provided by Departmental personnel in Departmental vehicles) for Inmates up to a maximum of $400,000 $700, for each Contract Period with an escalation of 10% per year for each of the 2 nd through 5 th Contract Periods. Costs in excess of the Contract Period limit shall be the responsibility of the Department for the remainder of the respective Contract Period. The Contractor must itemize any transportation costs in excess of the above stated limit per Contract Period on any invoice to the Department. When submitting an invoice for excess transportation costs, the Contractor must include a detailed list of all transportation costs that total the Contract Period limit. Total transportation costs of $790, and $975, were incurred during FY15 and Revise Section (Sick Call) as follows: The Contractor is responsible for the immediate delivery of any Sick Call Slip that pertains to mental health or dental concerns to the DPSCS mental health staff, the Mental Health or Dental Contractors, as appropriate. If the RN or Clinician doing triage determines that the Sick Call Slip in these disciplines constitutes an emergency, the RN or Clinician shall address the emergency in accordance with established emergency protocol and shall immediately notify the appropriate specialist of the Contractor, the Mental Health Contractor, or the Dental Contractor of the nature of the emergency 6. Revise Section (Inpatient Hospitalization) as follows: For purposes of this Section, Contractor s cost shall not include any amounts reimbursed by Medicaid, Medicare or any third party. For any Episode for which the Contractor s cost exceeds $25,000 $35,000 after all reimbursements, the Department will pay 50% of the amount of Contractor s costs that exceed $25,000 $35,000 and the Contractor will pay the other 50%. For example, if a single Episode results in Contractor costs of $30,000 $40,000 after Medicaid and all other reimbursements, the Department will pay Contractor $2,500 (50% of the amount exceeding $25,000 $35,000). During fiscal year 2015, the total cost (including Medicaid and all other third party reimbursements) for Episodes that exceeded $25,000 was $8.59 million and the total cost for these Episodes after deducting the first $25,000 for each individual Episode was 03/31/2017 Page 2 of 5

3 $5.06 million. For fiscal year 2016 through May 31, 2016, the total cost (including Medicaid and all other third party reimbursements) for Episodes that exceeded $25,000 was $5.70 million and the total cost for these Episodes after deducting the first $25,000 for each individual Episode was $3.72 million. The State s fiscal year begins July 1 st and ends on June 30 th. 7. Revise Section (Inpatient Hospitalization) as follows: For purposes of this Section, Contractor s cost shall not include any amounts reimbursed by Medicaid, Medicare or any third party. For each Inmate who is approved for gender re-assignment surgery by the Department, the Department will pay 50% of the amount of Contractor s aggregate cost of the surgeries required to complete the Inmate s gender reassignment in excess of $25,000 $35,000 after all reimbursements up to a maximum State contribution of $100,000 per Inmate. For example, if the aggregate cost of all surgeries for an Inmate to complete gender re-assignment results in Contractor costs of $50,000 after Medicaid and all other reimbursements, the Department will pay Contractor $12,500 $7,500 (50% of the amount exceeding $25,000 $35,000). 8. Add Section (Inpatient Hospitalizations): Contractor shall not bill the Department for any in-patient hospitalization costs under this Section 3.32 until Contractor has applied for all applicable third party (including Medicaid and Medicare) reimbursements and such reimbursements have been received by the Contractor or paid to the medical care provider. 9. Add Section (Inpatient Hospitalizations): Contractor shall provide a monthly report of all inpatient hospitalizations that shall include the name of the Inmate, the hospital, dates of hospitalization, cost of hospitalization, availability of third party reimbursement (e.g., Medicaid, Medicare, private insurance, etc.), and amount of third party reimbursement. The reports shall be updated as reimbursements are received. 10. Revise Section (Third Party Reimbursement) as follows: The Contractor shall provide a Third Party Reimbursements Medical Assistant Coordinator who, as part of the pre-certification process, shall review all Inmates for possible eligibility for Medicaid Reimbursement prior to release and coordinate their applications with the Department s Social Work regional directors. This Third Party Reimbursements Medical Assistant Coordinator shall also verify if Inmates are covered by any type of private medical insurance. 11. Revise Section (Third Party Reimbursement) as follows: The Contractor shall deduct add the 10% incentive amount of for Medicaid and other 03/31/2017 Page 3 of 5

4 reimbursements received for the preceding six months from to the January and July invoices for the first and seventh months of each Contract Period. Any invoice submitted after Contract expiration or termination, including the final invoice payment may include the allowable 10% retention incentive amount for all Medicaid eligibility, private insurance and other third party reimbursements received for services during the term of the Contract but received after Contract expiration or termination. 12. Revise Section 3.80 (Invoicing) as follows: General (a) All invoices shall be signed by the Contractor and submitted to the Contract Manager. All invoices shall include the following information: Contractor name and address; Remittance address; Federal taxpayer identification number (or if sole proprietorship, the individual s social security number); Invoice period (i.e. time period during which services covered by invoice were performed); Invoice date; Invoice number; State assigned Contract number; State assigned (Blanket) Purchase Order number(s); and Amount due including specific descriptions of any amounts (e.g., transportation, incentive under 3.76, etc.) other than the monthly fixed rate payment. The Contractor shall deduct from add to the January and July invoices for the first and seventh months of each Contract Period the amount of Medicaid and other reimbursements received for the preceding six months reduced by the Contractor s incentive provided in Any invoice submitted after Contract expiration or termination, including the final invoice payment may include the Contractor s retention incentive amount for all Medicaid eligibility, private insurance and other third party reimbursements received for services rendered during the term of the Contract but received after Contract expiration or termination. Invoices submitted without the required information cannot be processed for payment until the Contractor provides the required information. (b) The Department reserves the right to reduce or withhold Contract payment in the event the Contractor does not provide the Department with all required deliverables within the time frame specified in the Contract or in the event that the Contractor otherwise materially breaches the terms and conditions of the Contract until such time as the Contractor brings itself into full compliance with the Contract. Also see the Living Wage provision of the Contract, if applicable, which allows for withholding 03/31/2017 Page 4 of 5

5 of payment under certain circumstances. Any action on the part of the Department, or dispute of action by the Contractor, shall be in accordance with the provisions of Md. Code Ann., State Finance and Procurement Article through and with COMAR Invoice Submission Schedule The Contractor shall submit monthly invoices for services performed during the previous month. The Contractor shall bill the Department for the Monthly Price (as determined by dividing the applicable Annual Price from the Financial Proposal Form by 12) for each respective Contract Period as quoted in its final financial proposal Post Contract Invoicing and Final Contract Invoice The Contractor shall remain responsible for the payment of any medical services rendered by entities other than the Contractor during the Contract term for which billing has not been received as of the final day of the Contract. It shall be the Contractor s responsibility to inform all Off-site vendors 90, 60 and 30 days prior to the end of the Contract of the need to submit any outstanding claims for reimbursement to the Contractor. Any reimbursement due from DPSCS as provided in Sections 3.19, , , and , and due Contractor shall be reflected on Contractor s final invoice. Any reimbursements amounts not reflected on Contractor s final invoice shall not be reimbursed Any invoice submitted after Contract expiration or termination, including the final invoice may include the allowable 10% incentive for all Medicaid eligibility, private insurance and other third party reimbursements for services rendered during the term of the under this Contract but received after Contract expiration or termination. 03/31/2017 Page 5 of 5