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Agreement Number 85-10-0004 <br />Local Government shall utilize outside medical care providers that are covered by the USMS' NMCC <br />preferred provider Network to the maximum extent practicable. The Local Government can obtain <br />information about NMCC covered providers from the local USMS District Office. The Federal <br />Government will be billed directly by the medical care provider not the Local Government. To <br />ensure that Medicare rates are properly applied, medical claims for Federal prisoners must be on <br />Centers for Medicare and Medicaid Services (CMS) Forms so that they can be re-priced to Medicare <br />rates in accordance with the provisions of Title 18 U.S,C. Section 4006. The USMS will not <br />reimburse the detention facility for medical payments made on behalf of USMS prisoners in the <br />absence of a specific arrangement approved in writing by the USMS. <br />All outside medical care provided to Federal prisoners must be pre-approved by the Federal <br />Government except in a medical emergency. In the event of an emergency, the Local Government <br />shall proceed immediately with necessary medical treatment. The Local Government shall notify <br />the Federal Governmentimmediately regarding the nature of the Federal prisoner's illness orinjury <br />as well as the types of treatment provided. <br />The Facility shall have in place an adequate infectious disease control program which includes <br />testing of all Federal prisoners for Tuberculosis (TB) in accordance with National Commission on <br />CorreEtionat Health Care (NCCHC) Standards for Health Services in lails. TB testing shall occur <br />with 14 days of intake (unless current TB tests results are available), be promptly documented in <br />the Federai prisoner's medical record and the results forwarded to the local USMS District within <br />thirty (30) days of intake. Special requests for expedited TB testing and clearance (to include time <br />sensitive moves) shall be accomplished through advance coordination by the Federal Government <br />and Local Government. <br />The Local Government shall immediately notify the Federal Government to include the local district <br />office of any cases of suspected or active TB or any other highly communicable diseases such as <br />but not limited to Coronavirus Disease (COVID), severe acute respiratory syndrome (SARS), Avian <br />Flu, Methicillin-Resistant Staphylococcus Aureus (MRSA), Chicken Pox, etc., which might affect <br />scheduled transports or productions. <br />When a federal prisoner is being transferred or released from the Facility, they will be provided <br />with a minimum of seven (7) days of prescription medications and any medications already <br />dispensed to the prisoner. Medical records and Form USM-553, Prisoner in Transit Medical <br />Summary must travel with the Federal prisoner. If the records are maintained at a medical <br />contractor's facility, it is the Local Government's responsibility to obtain them before a federal <br />prisoner is transferred. <br />Federal prisoners may be charged a medical co-payment by the Local Government in accordance <br />with the provisions of Title 18 U.S.C. Section 4013(d). The Federal Government is not responsible <br />formedical co-payments and shall not be billed if the federal prisoneris indigent and cannot make <br />the co-payment. Indigent Federal prisoners shall not be denied medical evaluation and treatment <br />for failure to provide a co-payment. <br />(End of Provision) <br />Local Government (initial): <br />Federal Government (:nitial): <br />Page 7 of t8