KCJ Opioid Funding Request - Laserfiche WebLink

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option for sustained funding for the jait to continue this programming that is much needed and utitized The jait continues to took for other funding opportunities to offset this cost, incLuding being one of the first jaits to go Live with the 1 1 15 Waiver, but even with that in ptace the reimbursed rates and individuats who need MOUD that are not covered by this Medicaid initiative, there is a gap in the needed funds to ensure that we continue to offer the tevel. of service we have been and have been recognized for. The requested $655,829.49 (see attached spreadsheet) is smatl. in comparison to continue a successfut program compared to the average cost of a lawsuit because of a death in custody. Trends over the tast two years in Washington State have indicated that counties are paying no less than two mittion doltars to famities who have sued because their loved one died in a jait due to withdrawats from opioids. These same trends atso show an increase in Medicat Services for carceraI facitities and an even higher cost to the insurance to provide these services. Atthough this programming doesn't "gLrarantee" a facitity comptetety from having a death in custody, or even other major medical events, by someone who is incarcerated, it does offer additionat protections and processes to lower the chances of something fatatty happening. The jaiL has put into ptace other programs, devices and processes to increase safety and care of those incarcerated in our jait. The reason the jail, is asking for f unds onty through 2027 atthis time is because we are stitt determining what the reimbursement from 1 1 15 Medicaid wil,l, be since we have not compteted an entire year, as wett as hope that state and federat funding witt again become avaitabte to hetp offset these costs for rurat counties tike ours with sustained, successfuI programming with smalter budgets. Attached is a budget for the second hatf of 2026 and all of 2027 for MOUD services. These numbers are based on current contracts with the appropriate rise in wages/benefits in 2O27 per CompassDirect Heatthcare (our current medicat provider team). For 2026, the current funding/contract for the swing shift nurse ends at the end of the State fiscaI year on June 30th because it's currentty paid out of the HCA MOUD/MAUD in Jaits funding, so the budget line is broken out for six months. The other two tines on the budget are just an additionat quarter (4) of costs equal, to what we are currentty paying for CompassDirect's services from DOJ COSSUP funding. However, atl. costs incl,uded in 2027 are broken out and include additionaI costs that have been requested to continue the program with them. The fottowing paragraphs witt exptain each rott broken down on the spreadsheet to understand the position/fee and purpose in the jait requesting this. The MOUD Prescriber is the medicat staff that comes to the facitity, mul,tipte times a week, and comptetes the necessary assessment, treatment, and fotl,ow up for those who seek MOUD treatment in the jait. Atthough the nurses may triage individuats requesting this