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Docusign Envelope lD: 700826AD-3CE3-815C-8194-013EF364M04 SCHEDULE A-5 Statement of Work 1. PURPOSE To support a comprehensive treatment program for incarcerated individuals with Opioid Use Disorder (OUD) and Alcohol Use Disorder (AUD), beginning with screening upon entry and ending with seamless transition to care in the community, with use of Medications for Opioid Use Disorder (MOUD) and Medications for Alcohol Use Disorder (MAUD) at its core. This Contract supports RCW 71.24.599: Opioid use disorder-Citv and countv iails-Fundinq. (wa.qov). Health Equity - This program also intends to address inequities in treatment and recovery services by providing medically necessary treatment to incarcerated individuals. Programs should understand cultural barriers and provide culturally appropriate services. Additionally, this program intends to identify stigma and educate to ensure ongoing collaboration and openness to change. 2. PERFORMANCE EXPECTATIONS ln addition to the performance expectations outlined in Contract Section 3.1, Performance Expecfafions, the following expectations are also required, as applicable: 2.1. Treatment Requirements for American Indian/Alaska Native (A!/AN) lndividuals For American lndian/Alaska Native (AliAN) individuals receiving Medications for Opioid Use Disorder (MOUD) and/or Medications for Alcohol Use Disorder (MAUD) services, Contractor, shall coordinate with the individual's lndian Health Care Provider (IHCP) to ensure the IHCP can participate in treatment and discharge planning, including continuity of care in the nearest IHCP clinically appropriate setting. 3. WORK EXPECTATIONS Contractor shall ensure funds are responsibly used towards the Opioid Use Disorder (OUD) and Alcohol Use Disorder (AUD) treatment programs in the jail and provide the community standard of care, including, at a minimum, the following core components: 3.1. General Requirements 3.1.1. Unless otherwise stated in this Statement of Work, Section 3, Work Expectations, Contractor shallfollow Guidelines for Manaqinq Substance Withdrawal in Jails. 3.1.2 All refusals of care required under this contract must be lnformed Refusals, one element of which is that the individual must have decision-making capacity' 3.1.2.1. lf an individual expresses a desire to refuse a treatment, appears well, and there is no urgency to the treatment, treatment may be delayed until an appropriately licensed professional determines they have decision-making capacity and obtains an lnformed Refusal, 3.1.2.2. lf an individual expresses a desire to refuse a treatment (i.e., someone who then needs to undergo an lnformed Refusal) and either appears unwell orthe treatment is urgent, Contractor will arrange for immediate evaluation of the individual's decision- making capacity (i.e,, on-site or at a community hospital), and, if they have such capacity, immediately execute an lnformed Refusal. HCA Contract No. K5885-05 Page3of13