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Docusign Envelope lD: 97E7029C-8CD5-4FBF-9DC4-1 837DD2691 89 2.2.11.1 lf they do not, they must be transpoded to a community hospital and may not return to the jail until they are clinically safe to return to the jails AND have regained decision-making capacity. 2.3. During lncarceration 2.3.1. Offer initiation of MOUD/MAUD to individuals with unidentified OUD/AUD and/or if treatment was not offered at intake. E.9., individuals with OUD but without physical dependence, individuals with AUD who underwent withdrawal, etc. 2.3.2. Educate individuals on treatment choices and the process for continuation of access to MOUD/MAUD during incarceration and upon release. 2.3.3. Administer methadone and buprenorphine daily or more frequently. 2.3.4. Contractor shall not use alternate-day or "balloon" dosing of buprenorphine. 2.3.5. Offer counseling to individuals for their OUD/AUD if they are expected to remain in jail for longer than one month. 2.3.6. Provide MOUD/MAUD regardless of the individual's willingness to participate in counseling. 2.4. Release Contractor must accomplish the following prior to each individual's release from jail: 2.4.1. Complete release planning and reentry coordination as soon as possible after admission to ensure an effective plan is in place prior to release or in the event of an unexpected release of an individual who needs continued treatment and services. 2.4.2. Provide at least two (2) doses of naloxone (e.9., Narcan@) and training on how to administer the medication to all individuals with OUD. 2.4.3. Schedule the first community appointment with a treatment facility for continuation of MOUD Or MAUD. 2.4.4. Provide in hand, upon release, and at no cost to the individual, sufficient doses of MOUD and/or MAUD to bridge, or sustain treatment for, the individual until the scheduled MOUD/MAUD follow-up appointment at the selected community treatment facility. This does not apply to individuals treated with injectable MOUD/MAUD. 2.4.4.1. lf an individual is at risk of being released directly from court, inform them prior to going to court that they may request to be transported back to the jail by staff to receive these medications prior to going home 2.4.4.2 ln situations where a follow-up appointment upon release cannot be made, e.9., after-hours bail-out, give the individual enough medication to last untilthe next available appointment at the community treatment facility. lf the appointment date is unknown, give the individual a 30-day supply at minimum. HCA Contract No. K5885-04 Page 7 of 13