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KC DOC Interagency Agreement
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2016-03-15 10:00 AM - Commissioners' Agenda
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KC DOC Interagency Agreement
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Last modified
6/14/2018 8:42:28 AM
Creation date
6/13/2018 10:56:28 AM
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Meeting
Date
3/15/2016
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
j
Item
Request to Approve a Department of Corrections Interagency Contract K#9561(4) between Kittitas County and the Department of Corrections.
Order
10
Placement
Consent Agenda
Row ID
28372
Type
Agreement
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as used in this section, includes moving the Department offender into <br />the Contractor's medical unit within the Facility. <br />3.8.3.3 The Contractor also agrees to consult telephonically with the medical <br />staff at any facility receiving the Department offender and agrees to <br />transport, with the Department offender, any applicable medical <br />records, current care instructions, and all appropriately labeled <br />medications. The medical record shall at a minimum include the <br />Department offender's name, DOC number, date of birth, any known <br />allergies, current medication list, and description of current medical <br />problem(s), the Facility medical care previously provided, and the <br />Facility medical staff contact information. <br />3.8.3.4 The Department agrees to transport, with the Department offender, any <br />applicable medical records, current care instructions, and all <br />appropriately labeled medications. The medical record shall at a <br />minimum include the Department offender's name, DOC number, date <br />of birth, any known allergies, current medication list and description of <br />current medical problem(s), the Facility medical care previously <br />provided, and the Department's institutional medical staff contact <br />information. <br />Section 3.8.4 Medical Care Utilization Review. The Contractor agrees to allow the <br />Department and its agents to conduct concurrent and retrospective utilization audits and <br />reviews of any and all medical services provided to Department offenders. The Contractor <br />agrees that any and all of its medical service contracts will include authorization for the <br />Department's concurrent and retrospective utilization audits and reviews of any and all <br />medical services provided to Department offenders. <br />Section 3.8.5 Medical Billing. Contractor costs incurred for a Department offender's <br />medical care not included in the per deim will be reimbursed by the Department consistent <br />with this Contract and Attachment B. <br />The Contractor agrees to electronically send itemized monthly bills to the Department at: <br />DOCHQMedicalRAB@DOCl.WA.GOV. <br />The itemized reimbursement claims must contain the Department offender's name and <br />DOC number and attached supporting documentation of the service provided that <br />includes the date(s) of service, the name of the practitioner who ordered the service, details <br />of the service/item(s) provided, the prescriptions(s) provided, the facility(s) that provided <br />the service(s), and a copy of any health care claims paid to off-site providers. <br />The Contractor agrees to submit itemized billing statements electronically to the <br />Department for reimbursement and data collection purposes. If billings received do not <br />State of Washington <br />Department of Corrections <br />K9561 (4) Page 10 of 25 <br />158362
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