AG 2007 01 22 - Laserfiche WebLink

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emergency medical care, emergency ambulance services when medically necessary, medical records management, administrative support services, and other services, all as more specifically described herein. 1.3 Specialty Services. In addition to providing the general services described above, SHP shall, at its own cost, provide to inmates at the Jail special medical services including, but not limited to, radiology services and laboratory services to the extent such are determined to be medically necessary by SHP. In the event non- emergency specialty care is required and cannot be rendered at the Jail, SHP shall make arrangements with the County for the transportation of the inmates in accordance with Section 1.9 of this Agreement. 1.4 Emergency Services. SHP shall provide, at its own cost, emergency medical care, as medically necessary, to inmates through arrangements to be made by SHP. 1.5 (a) Limitations On Costs -Hospital Cost Pool. SHP shall, at its own cost, arrange for inpatient medical services for any inmate who, in the opinion of the Medical Director (hereinafter meaning a licensed SHP physician), requires such care. SHP's liability for costs associated with hospital inpatient services for inmates will be __Lim.ited___by_a_pool-_establishedan_the_amount__af $7.0f00.0_in._the-_.aggregate_.fnr_all_inmate_s___.___ for each year of this contract. If the costs of all care as described in this paragraph 1.5(a)exceeds the amount of $70,000 in any year (defined as a 12 month contract period beginning July 1St of each year), then SHP will either: i) pay for the additional services and submit invoices supporting the payments to the County along with an SHP invoice for 100% of the cost in excess of $70,000; or ii) refer all invoices representing any excess costs above the limit to County for payment directly to the provider hospital. For purposes of this paragraph 1.5(a), the pool amount will be prorated for any contract period of less than 12 months. The intent of this Section 1.5(a) is to define SHP's annualized limit for all inpatient hospitalization costs. 1.5 (b) Limitations On Costs -Individual Catastrophic Limit. SHP shall, at its own cost arrange for all non-inpatient hospital care and all other medical, mental health, and dental care for inmates, delivered inside and outside the Jail. SHP's liability for costs of care for a single inmate shall be limited to $5,000 per. inmate per .period of incarceration (per commitment). If the cumulative identifiable cost, excluding hospital inpatient care identified in paragraph 1.5(a), of all care of any single inmate for a single period of commitment to the Jail should exceed $5,000 in any contract year (July 1St to June 30tt'), then SHP will continue to pay for the additional services and will submit invoices to the County along with an SHP invoice for 100% of the cost in excess of $5,000 per inmate, per commitment, per contract year. The intent of this Section 1.5(b) is to define SHP's annualized limit for any one inmate's identifiable non-inpatient costs for medical, mental health, and dental care.