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HCA Contract No. K5885-05 Page 3 of 13 <br />SCHEDULE A-5 <br />Statement of Work <br />1. PURPOSE <br />To support a comprehensive treatment program for incarcerated individuals with Opioid Use Disorder (OUD) <br />and Alcohol Use Disorder (AUD), beginning with screening upon entry and ending with seamless transition to <br />care in the community, with use of Medications for Opioid Use Disorder (MOUD) and Medications for Alcohol <br />Use Disorder (MAUD) at its core. <br />This Contract supports RCW 71.24.599: Opioid use disorder—City and county jails—Funding. (wa.gov). <br />Health Equity - This program also intends to address inequities in treatment and recovery services by <br />providing medically necessary treatment to incarcerated individuals. Programs should understand cultural <br />barriers and provide culturally appropriate services. Additionally, this program intends to identify stigma and <br />educate to ensure ongoing collaboration and openness to change. <br />2. PERFORMANCE EXPECTATIONS <br />In addition to the performance expectations outlined in Contract Section 3.1, Performance Expectations, the <br />following expectations are also required, as applicable: <br />2.1. Treatment Requirements for American Indian/Alaska Native (AI/AN) Individuals <br />For American Indian/Alaska Native (AI/AN) individuals receiving Medications for Opioid Use Disorder <br />(MOUD) and/or Medications for Alcohol Use Disorder (MAUD) services, Contractor, shall coordinate <br />with the individual’s Indian Health Care Provider (IHCP) to ensure the IHCP can participate in treatment <br />and discharge planning, including continuity of care in the nearest IHCP clinically appropriate setting. <br />3. WORK EXPECTATIONS <br />Contractor shall ensure funds are responsibly used towards the Opioid Use Disorder (OUD) and Alcohol Use <br />Disorder (AUD) treatment programs in the jail and provide the community standard of care, including, at a <br />minimum, the following core components: <br />3.1. General Requirements <br />3.1.1. Unless otherwise stated in this Statement of Work, Section 3, Work Expectations, Contractor <br />shall follow Guidelines for Managing Substance Withdrawal in Jails. <br />3.1.2. All refusals of care required under this contract must be Informed Refusals, one element of <br />which is that the individual must have decision-making capacity. <br />3.1.2.1. If an individual expresses a desire to refuse a treatment, appears well, and there is no <br />urgency to the treatment, treatment may be delayed until an appropriately licensed <br />professional determines they have decision-making capacity and obtains an Informed <br />Refusal. <br />3.1.2.2. If an individual expresses a desire to refuse a treatment (i.e., someone who then <br />needs to undergo an Informed Refusal) and either appears unwell or the treatment is <br />urgent, Contractor will arrange for immediate evaluation of the individual’s decision- <br />making capacity (i.e., on-site or at a community hospital), and, if they have such <br />capacity, immediately execute an Informed Refusal. <br />Docusign Envelope ID: 700826AD-3CE3-815C-8194-013EF364AA04