Res-2021-042 - Laserfiche WebLink

Home Browse Search

. From a Public health perspective, is necessary for the health and safety of a community of individuals and is medically appropriate, but may not be medically necessary for the individual (for example, treatment of head lice) Any medically necessary care provided shall NOT: r Be considered experimental or to be lacking in medically recognized professional documentation of efficacy, or . Be administered solely for the convenience of the offender or the health care provider Non Formularlz - medications in this category are not generally prescribed in DOC. They are not medically necessary usually for one of the following reasons: r Experimental medications or experimental use of medication . Medications for which altemative therapeutic modalities may already exist on the formulary list r Medications for which alternative therapeutic modalities may already exist on the over- the counter (OTC) store list r Medications with the sole purpose of treating conditions recognized in the Offender Health Plan (OHP) as not medically necessary r Brand-name medication when a generic product is available within the therapeutic class Offender Health Plan (OHP) - The Department's OHP describes medically necessary medical care, mental health and dental care services that are available to Department offenders, as well as the services that are limited or not available. The OHP is not a contract or a guarantee of payment for services provided to Department offenders. The Offender Health Plan (OHP) is available online at the following link: http://doc.wa. gov/corrections/servicesihealth.htm . Restricted Formulary - medications in this category are described as medically necessary but restricted to documented failure of a Formulary medication(s) or certain populations or disease states. Refer to the Medication Formulary status for specific criteria. Pre-Authorization The CountyiViolator Facility must obtain pre-authorization through the Department's Utilization Management Office for all health care beyond what is normally provided to County inmates. This includes notification of incarceration of offenders who are on specialtyihigh cost medications for long-term or chronic conditions such as Hepatitis C, HIV, MS or any other condition that requires the consistent administration of medications during their incarceration. In the case of an emergency when pre-authorization is not feasible, the County/Violator Facility must notify the Department's Utilization Management Office as soon as possible, but no later than four (4) hours after transporting the Deparhnent offender to an emergency room or other medical facility and before any hospital admission. The following in-formation must be included with notifications: r The date and time the offender left your facility for the medical event; . The name of the hospital or medical facility; r The medical issue/reason for trip; and State of Washington Department of Corrections Kessr(6) Attachment B-1 Page 2 of 5