SH22-011 - WA STATE HCA MOUD IN JAILS - AMENDMENT 5 FULLY EXECUTED

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HCA Contract No. K5885-05 Page 12 of 13 ☐ Offer counseling to individuals for their OUD/AUD if they are expected to remain in jail for longer than one (1) month. Provide MOUD/MAUD regardless of the individual’s willingness to participate in counseling. ☐ There may be reasons an individual will not continue MOUD/MAUD in the community, such as no available treatment provider in the community to which the individual is released. If the individual will not continue MOUD/MAUD in the community, the decision when or if to discontinue MOUD/MAUD prior to release must be based on a mutually agreed-upon decision between the individual and the prescriber and must consider factors, including but not limited to, the risks of opioid misuse or overdose during incarceration, and the individual's willingness to receive a four-week (4-week) dose of an extended-release injectable buprenorphine just prior to release which will provide a safe, tapered withdrawal. 3. RELEASE Contractor must accomplish the following prior to each individual’s release from jail: ☐ Complete release planning and reentry coordination as soon as possible after admission to ensure an effective plan is in place prior to release, including in the event of an unexpected release of an individual who needs continued treatment and services. ☐ Provide at least two (2) doses of an opioid reversal agent (e.g., naloxone or Narcan®) and training on how to administer the medication to all individuals with OUD. ☐ Schedule the first community appointment with a treatment facility for continuation of MOUD or MAUD. ☐ Provide in hand, upon release, and at no cost to the individual, a sufficient number of doses of MOUD and/or MAUD to bridge the individual until the scheduled MOUD/MAUD follow-up appointment at the selected community treatment facility. • If an individual is on a long-acting injectable medication, the Contractor will ensure the timing of the injectable medication ensures sustained treatment effect to bridge the individual to the scheduled MOUD/MAUD follow-up appointment at the selected community treatment facility. • If 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 jail by staff to receive these medications prior to going home. • In situations where a follow-up appointment upon release cannot be made, e.g., after-hours bail- out, give the individual enough medication to last until the next available appointment at the community treatment. If the appointment date is unknown or cannot be reliably estimated, give the individual a 30-day supply at minimum. • In situations where medications cannot be provided upon release, e.g., unscheduled release at a time when medical staff are not present in jail, Contractor must ensure the following: o The individual is informed that they may either return to the jail in the morning to receive bridge medications; or o If no medical staff are present the following day, call in a prescription for the same bridge medication to a local pharmacy, at no cost to the individual. ☐ Assist Medicaid-eligible individuals to sign up for Medicaid or assist individuals whose Medicaid coverage has been terminated to reestablish coverage. Docusign Envelope ID: 700826AD-3CE3-815C-8194-013EF364AA04