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DocuSign Envef ope lD: 7 C237 4F6-A621 -48'12-B,36E-C9F03'1 FS4785 <br />The needs of county, city and tribaljails to develop or sustain an MOUD program are prioritized, <br />and this funding is designated for those efforts. This is not an exhaustive list. The monthly <br />progress report should detailwhat the funds are being spent on. Anything not on this list needs <br />written approval, (email HCA contract manager). <br />i. MOUD program staffing FTEs which may include: <br />1. Nursing <br />2. Medical assistants <br />3. Providers, prescribers <br />4. Correctionalstaff <br />5. Clerical or administrative staff for MOUD program reporting and administration6. Care navigators, reentry coordinators, peer support, substance use disorder <br />professionals. <br />ii. Medications for opioid use disorder (MOUD) FDA approved buprenorphine, (this can <br />include long-acting injectable buprenorphine), methadone and naltrexone. <br />iii. Naloxone for jail and staff. <br />iv. Technology which would support the MOUD program. <br />1. Tablets, phones, security, interneUwifi enhancements to allow for telehealth, etc. <br />v. MOUD staff supplies <br />1. Desk, chair, computer, phone, etc. <br />vi. Transportation for program participants upon release to first appointment, pick up <br />prescription, safe place, etc. <br />vii. Release kit items such as: <br />1. Naloxone <br />2. Gift cards <br />3. Clothing, shoes <br />4. Personal hygiene items5. Phones <br />b. Kittitas County Jailwill continue the MOUD program. The improvements made will allow for staff <br />to be more effective in improving the standard of care and implementation of the core components <br />of this contract. <br />4. Data Collection. <br />a. Participation requires performance monitoring activities, including timely and accurate data <br />reporting to the Health Care Authority, Division of Behavioral Health, and Recovery (HCA DBHR). <br />Further evaluation, including on- and off-site data collection may be conducted by HCn OAHn or <br />a third-party. <br />b. The contractor willsubmit a monthly report, template provided by HCA DBHR, by the 1oth day of <br />the month with the following participant information, (identified as having a current OUD), tor ine <br />previous month: <br />i. Fullname <br />a <br />HCA Gontract No. K5885-02 Page 5 of7