HomeMy WebLinkAboutSH19-016 KittitasJailContractSUBv3 (07-30-19)PROFESSIONAL SERVICES AGREEMENT
FOR
PROVISION OF SERVICES
This Agreement is made and entered into effect g 2.0/ between Kittitas County Sheriff's
Office and Community Health of Central Washingto (hereinafter referred to as CHCW)
WHEREAS, Kittitas County Sheriff's Office owns and operates the Kittitas County Corrections Center.
WHEREAS, CHCW, through its physicians and practitioners, is engaged in the practice of medicine, as
an independent contracting entity and offers services to the general public, including hospitals, clinics and
individual persons and is qualified to provide Substance Use Disorder Treatment (SUD) to patients within the
care of the Kittitas County Corrections Center.
In consideration of the mutual covenants, conditions and promises contained herein, Kittitas County
Sheriff's Office and CHCW hereby agree as follows:
Kittitas County Corrections Center and CHCW share a common goal of early entry into medicine assisted
treatment of opioid disorders and will work collaboratively to monitor the number of patients beginning
substance use disorder treatment.
1. Services to be Provided by CHCW.
1.1 CHCW will provide medical treatment for SUD to person(s) incarcerated in Kittitas County
Corrections Center as deemed appropriate by CHCW providers.
1.2 CHCW will triage inmates on the waiting list to get in as many patients as reasonable possible
knowing that we may not be able to serve all patients requesting services.
1.3 Upon visit, prescriptions will be sent to the pharmacy of Kittitas County Correction Center's choice.
1.4 Next appointment reminders will be given to jail personnel.
1.5 Medical services shall reflect the exercise of the standard of care of a reasonably prudent health care
provider in the same profession.
2. Non -Exclusive Services. CHCW shall provide SUD treatment to incarcerated patients in the care of the
Kittitas County Corrections Center on a non-exclusive basis.
3. Qualifications. All providers providing SUD under this Agreement shall maintain, on an unrestricted basis:
A. Licensure as a physician or other health care provider in the State of Washington;
B. Federal DEA number for physicians;
C. Certification by the American Board of Family Medicine;
CHCW and each Practitioner agree to notify Kittitas County Corrections Center promptly in writing of any
sanction, restriction, suspension, probation, termination or other change in any of the above qualifications.
4. Responsibilities of Kittitas County Corrections Center.
4.1 Transportation and supervision of incarcerated patients to and from the medical clinic located at 521
E. Mountain View Ave, Ellensburg, WA 98926.
4.2 Administration of medication as instructed by provider to patient.
5. Insurance. The terms of this section shall survive termination or expiration of this Agreement to cover claims
arising during the term of this agreement and any applicable limitation term. CHCW shall maintain
professional liability insurance for each physician or other provider providing services under the terms of this
Agreement with minimum liability of limits of one million dollars ($1,000,000) per occurrence and three
million dollars ($3,000,000) in the aggregate.
6. Billing. CHCW will make attempts to bill patient's insurance at time of service. CHCW will submit patient
responsible medical claims, at least monthly, to Kittitas County Corrections Center for professional services
rendered by CHCW staff for incarcerated inmates at the Jail. Billed charges shall be equal to L&I
(Washington State Department of Labor & Industries) fee schedule. Payment for the services is expected
within 45 days of receiving the claim(s) from CHOW. The Claim information will contain the inmates name,
services rendered, and rendering provider of services (Medical or Mental Health Provider). Kittitas County
Corrections Center will be required to provide CHCW a W-9 upon the agreement's effective data.
7. Term and Termination of Agreement.
7.1 This agreement will be in effect until either party chooses to terminate or request an amendment to
the terms.
7.2 Termination. Either party may terminate this Agreement at any time with our without cause and
without penalty or premium upon ninety (90) days prior written notice. This Agreement shall
terminate immediately (a) if necessary in Kittitas County Corrections Center's or CHCW's
reasonable judgment, to protect patient health or safety, or (b) in the event CHCW or its Practitioners
providing services on behalf of CHCW under the terms of this Agreement is excluded from
participating in the Medicare and/or Medicaid programs. In the event of termination of this
Agreement, Kittitas County Corrections Center and its Practitioners shall cooperate with and shall
not interfere in the transfer of responsibilities of CHCW and its Practitioners to a successor entity or
physician(s).
8. Miscellaneous.
8.1 Non -Discrimination. All decisions by CHCW that govern its employment practices, including the
selection of physicians or providers assigned to Kittitas County Corrections Center under the terms
of this Agreement, shall be made on the basis of qualifications, ability and performance, without
regard to an individual's race, color religion, national origin, sexual orientation, age, sex, marital
status, veteran status, or disability. All employment related decisions shall be made in accordance
with all applicable laws prohibiting discrimination in employment.
8.2 Binding Effect. All obligations and prohibitions imposed on CHCW or its Practitioners pursuant to
this Agreement are equally applicable to each and every physician or provider providing services
under this Agreement, and CHCW shall ensure that each such physician or provider agrees to be so
bound. The CHCW CEO is hereby designated to act as its representative and he is hereby
authorized to bind CHCW and its Practitioners with respect to all matters relating to the rights and
duties of CHCW and its Practitioners pursuant to the terms of this Agreement.
FOR: COMMUNITY HEALTH OF
CENTRA HINGTON
oil � �►
Angela Gonz ez Date
CEO CHCW
ADOPTED this day of
ATTEST:
FOR: KITTITAS COUNTY SHERIFF'S OFFICE
Sheriff Gene Dana Date
Kittitas County Sheriff
2019.
BOARD OF COUNTY COMMISSIONERS
KITTITAS COUNTY, WASHINGTON
Chair
Vice -Chair
Commissioner
APPR AS TO FORM:
J -Z
Douglas R. Mi
❑ Clerk of the Board- Julie Kjorsvik
❑ Deputy Clerk of the Board- Mandy Buchholz/
, Deputy Prosecuting Attorney