SH20-037 DOC 2021 EXTENSION - signed by Sheriff

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Section 3.8.4 Medical Care Utilization Review. The Contractor agrees to allow the Department and its agents to conduct concurrent and retrospective utilization audits and reviews of any and all medical services provided to Department offenders. The Contractor agrees that any and all of its medical service contracts will include authorization for the Department's concurrent and retrospective utilization audits and reviews of any and all medical services provided to Department offenders. Section 3.8.5 Medical Billing. Contractor costs incurred for a Department offender's medical care not included in the per diem may be reimbursed by the Department consistent with this Contract and Attachment C. The Contractor agrees to electronically send itemized monthly bills to the Department at: DOCHOMedicalRAB@DOCI.WA.GOV. The itemized reimbursement claims must contain the Department offender's name and DOC number and attached supporting documentation of the service provided that includes the date(s) of service, the name of the practitioner who ordered the service, details of the service/item(s) provided, the prescriptions(s) provided, the facility(s) that provided the service(s), and a copy of any health care claims paid to off-site providers. All reimbursements claims must also include documentation showing proof of payment by the Contractor. The Contractor agrees to submit itemized billing statements electronically to the Department for reimbursement and data collection purposes. If billings received do not contain the detailed information or supporting documents required, they will be returned to the Contractor and not processed. The Contractor agrees to submit itemized bills for medical services not later than six months after the date of service. If medical or pharmaceutical bills are received 365 days or more after the date of service, the Department may decline to reimburse the Contractor for those bills. ARTICLE III, SECTION 3.9 NOTIFICATION OF RELEASE DATE is hereby replaced in its entirety with the following: Section 3.9 Notification of Release Date. The Department agrees to calculate a Department offender's release date and to notify the Contractor, in writing, of the Department offender's release date. The Contractor will not release a Department offender unless the Department's sanction has been served, or when the Department's hold or detainer is no longer valid, whichever is earliest. The Contractor also agrees to notify the Department if a Department offender receives additional confinement or holds from a non -Department jurisdiction(s). The Department will not be financially responsible for any per diem or medical costs beyond the sanction time imposed by DOC. State of Washington K9561(6) Page 8 of 9 Department of Corrections 208362