Contract Between Vermont and Prison Health Services Amendment4 2009
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Amendment #: '1 Contractor Vendor No: I~_2J~() Contract #: lQ962 bMncy-of H~l11aJl Services/Departmentof Corrections ':ontractor: Pris91l1!!:"lth Services. Inc J05j¥,s!park Drive, Suite 200, Brentwood, TN 37027 Contractor Address: Starting Date: 1/29.G.2[)] Ending Date: 1/3I/29.lQ Snmmary of contract or amendment: I year extension and new rates ~cncy/Department: ----------- -----: . _ 11,-_FINANCIA~INFOEMA.t1~N-=-== ". ____________---------~- Max"num Payable: - T $41,750,028 - - Pl:lOr Maxll11UIl1I$ ~<J];f2 - - -1J'':lOrj~o~,tract # (1J' Renew;l)~ [ ~-- __ Cu,:':.,,!,! Amendment: $14:9} 0.206 Cumul",tive amendments. I$ll.J.l!2,2Ql % Cumulativ-"_,<::hang~cLtII.3% . Maximum # Units:----j # Unit Chan~=r:::= _ __ Prior # Units # ~~ l'ate: I$ PrIor Rate: __.l$ _Souree of Funds - Busiuess Uuit(s): 03520 Other Fund: Federal Fund: % Fund Code: General Fund: l.lli! % Dcpt. lD: Dept. ID: Dept. lD: ;J489()()4079 1._ 0 [2;] Yes No I _ ==_ .~_ ~~~- Does this contractor meet all 3 parts of the "ABC" definition of independent contractor') (See Bulletin 3.5) Ifnot, please indicate why this work is being arranged through a contract. [2;] [2;] DYes Yes o No No Is agcncy liable for income tax withholding or FICA? Should contractor bc paid on the state payroll? The agency has taken reasonable steps to control the price of the contract and to allow qualified businesses to compete Ic)r the work authorized by this contract. The agency has done this through: 1(1 Standard bid or RFP 0 Simplillcd Bid 0 Solc Sourced 0 Qualification Based Selection _--:: P . _e_rsonal Service [J Construction 0 Architect/Engineer o Commodity o Privatization'" [J Other By signing below, I certi(y that no person able to control or influence award of this contract had a pecuniary intcrest in its award or performance, either personally or through a member of his or her household, family, or business. DYes [2;] No [2;] Yes [2;] Yes 0 0 Is there an "appearance" ofa conflict of interest so that a reasonable person may conclude that this contractor was selected for improper reasons: (If yes, explain) ~-----------~-- ==~=~YICPRigR 1fPRgVi\.!:§ REQ!JI\{JCRQKFEQ~!fSJ'!n,>_-··· ------Contract must be approved by the Attorney General under 3 VSA §311 (a)(1 0) I request the Attorney General review this contract as to form ~_ (initial) No, Already performed by in-house AAG or counsel:~ DYes [2;] No Contract must be approved by the CI0lCommissioner of OIl; for IT hardware, software or services and Telecommunications over $150,000 DYes [2;] No Contract must be approved by the CMO; for Marketing services over $15,000 [>] Yes 0 No Contract must be approved by the Secretary of Administration - - - - - - .-----vnt A C;; ENet/lfEI'ARt M E:NT'i-tEA !lic¢iiTI E[C:A'fli)N;~.l"pp\{!.)'\7AL· ~_ .---~ I have mad~ reasonable mql~~ry-a:\i;)[Fl(:-~Zcur~7:y~)ill;~~i)~~~-,njor~';~;l()l(-Zio~ ~- ioA I:; 9 l I 09 No No A'goney I Dep;~d 711c~,<;A' IJ AIe,,~ :ba\e--Approval by-~ (ie,;eral Date -~--_.~---=-~~~--= CIO (initial) Date ~- . . _ -- ---=- CMO (initial) -tFt!o! Date - - Date Appn;;';;;\b-y Agency Sectetaty(it'teq;;;ied) --------, -c--=-c=-=- ·~---=cc .--,~-- ;'Reviewed by DHR Comm. or DHR AAG 1/-¥-{fJ (L 4i(YV1 t& IDate -- -- f ft!nf-zL.~_--_ Secretary of Adminitt-;1tion ttachm~nCJ - Performance Initiatives: Replace the current Attachment J with the following: The parties agree that the terms nd conditions of Attaehment J, including the initiatives and their respective measures, will be negotiated and added to this 3greement as a Memo of Understanding (MOU). The maximum allowable bonus for Attachment J will be $80,000 for the third (3'd) year of the contract. The MOU will be executed by February 1,2009. Except as modified by this above amendment, and any and all previous amendments to this contract, all provisions of this contract # 10962 dated January 26, 2007 shall remain unchanged and in I~dl force and effect. rhe effective date ofthis amendment is January 31,2009. APPROVED AS TO FORM STATE OF VERMONT AGENCY OF HUMAN SERVICES DEPARTMENT OF CORRECTIONS CONTRACrrt; Signed: ; ,/ ", 1\1 VC~; ! on/~Ith Services, Inc -"''iI! f. , I (Please PRINT Signature) {~;P Address: 105 Westpark Drive Brentwood, TN 37027 Date: / /? u ) DC1 -2il"~--7/'---- 3 HANGE # 4 AMENDMENT It is agreed by and between the State of Vermont, Department of Corrections (hereafter called "State") and Prison Health Services, Inc of Brentwood, TN, (hereafter called "Contractor") that contract #] 0962 dated] /26/2007 between said State and Contractor is hereby amended as follows: To change Page], 3. Maximum Amolnl!, from $26,839,822 to $4] ,750,028. To change Page 1, 4. Contract Term, from end on J/3 ]/2009 to end on 1/3 J/20 1O. Attachment A, Section IV, Q, d: To replace paragraph 3: Failure to provide DOC inmates with medications based on the above time-standards may result in a penalty of up to $500 per occurrence. The amount of the assessed penalty will be determined as a result of discussion between the DOC Health Services Director and the PHS Medical Director and/or Regional Administrator. The decision would be based on the medication and issues involved in each situation. The Contractor shall self-report each instance of non-compliance. Attachment A, Section IV, Q, e: To change paragraph 3, last sentence to: Failure by the Contractor to cover a shift will result in a penalty of $600 for each uncovered shin or prorated portion thereof. Attachment A, Section n, G: HEALTH IMPROVEMENT AND DISEASE PREVENTION :1'0 replace existing paragraph 3 with: Contractor will provide inmate health education programs and act as a consultant for facility stalf in the development of health education/promotion groups or classes. STI/HIV risk reduction activities shall be provided by Contractor at f'lcilitics to be Jetermined and coordinated with other State agents and contractors at remaining facilities, as authorized by the DOC and the Vermont Department of Health. Attachment A, Section V, D. Medical Records: To add sentence to paragraph 7: Contractor will report monthly to the DOC Director of Health Services the number of boxes of health records by facility of discharged inmates pending archiving. Attachment B, 1) Base Compensation: To add the following for year 3. The State will pay the Contractor an annual base compensation (the "Base Compensation") in the amount of$] 4,] ]4,206 for the third year of the agreement which shall commence In February I, 2009 and continue through January 3],2010. The Base Compensation is comprised of the following: (i) the mnual actual costs (defIned in Attachment B) of providing health services which have been initially budgeted by the parties as F12,671 ,41 0 (the Budgeted Costs) and (ii) an annual management fee of $ 1,442,796 (the Management Fee). The Base compensation shall be paid in twelve (] 2) equal monthly installments of $], I76, 183 .83. Attachment B, 6) Compensation for Additional Services. To add 6a) In addition to the Base Compensation payahle to Contractor, :he State shall reimburse the Contractor separately for medications prescribed by the State's contractor of Mentaf Hcafth Services [ell incarcerated offenders. Contractor shall invoice separately for the medications described in this paragraph. Contractor shall mbmit an invoice On the fifteenth (] 5"') day of the month for goods provided in the previous month and the State shall reimburse ::ontractor within thirty (30) days of receipt of invoice. "-ttachment G "- Staffing Matrix: To replace Staffing Matrix. "-ttachment H - Stalling Coverage Standards: To replace Stafting Coverage Standards. ".ttachment ] ~ lndependence, Liability, Hold Harmless Clause: To add to last paragraph, replace fIrst sentence with: J'he )arties agree to cooperate with each other in the investigation and handling of any potential claim, pending claim md/or lawsuits filed by inmate(s), and/or other person(s) and/or entity or entities in connection with the Contractor's Jerformance of services under this contract. 2 Staffing Matrix ATTACHMENTG A. Correctional Facilities Summary .. Hours Per Week Per position . .. "., • \,oMII'eNUeN NORTHEAst " " , , ' Me"N ._-.~. f---~.- I .... I Registered Nurse I LPN ,, , , Nurses AIde I ! Dentist .. _---~--_ _-_ -Dental - -•.. Assistant ...Dental Hygienist.. .. 9 12 0 +-_. 0 20 8 .._ 96 40 224 0 80 ]8 0 ..• .~_ • j.--.. 0 - .•- f-- , ,I 112 1-·' I 168 ~l ..• .• 0 . ,~--. 24 I 0 18 0 192 30 7 ]2 30 40 224 --._. 18 I 9 16 II 0 I 56 56 + -+--~ I I .- _. j -. 18 . 0 0 .--1--- __ .. , Program Manager I, Vermont Reg Med . '·-1 i I 24 208 0 112 ,,~32 " 0 1616 56 168 , .384 0 3cj" 0 0 0 ... __ 30 _._+-.. o 0 0 0 0 0 0 ..0 30 40 40 0 0 i I--~~·- I I District Manager I Regional Administrator Regional Administrative Assistant -----.~---~--- 40 0 0 .•- 0 .. ._----_.0 __.•. 40 ~--" 0 .- -_. ~- 0-1' Ii 24 O_-t 0·' I t I I 1-_·" i .- 508 255 462 .. _... ~~323 4 . .- ---- 40 80 40 ------1 ] 40 1 80 40 40 40 40 40 I 446 I _O~_ L.3_5_+--_~ . +. ' I c-------oc:;c-- _.J 35 , j..- 40 l ~ ~I~~l ._.~+---_. I 96 '-'"1 01 ,, I 96 .. I 0 -1 .t--~---... 45 i 1 801014°1 I , 1-'·_._ _ _--0. 576 0 ~o +-.. . - I .• j - - - -- Contract Accounting Manager r----·---- •.• r··· .j--- c---.. 88 I 0 0 -----_... I LDlf~~~?r .+--- 0 104 16 0 .._--0. 0 26 --0 - 18 I PROG MANG/OOS 224 ! ,i .L 1 I I 0 I-Iealth Educator. i I II I a 0 0. _ . - I .+-- f---·O-···· . .. I Administrative Assistant Total Hours 16 .. 40 Medical SecretaI)7/ I 18 ._--.~ I 0 _ +-j-_.'. . 5 Physicians Physician Assistant / , Nurse Practitioner TOTALS JI HeA" • NUK' MWe'" ,, , 225 1030 . ~....L~D 285 3579 Caledonia, VT # 220 RN o o o o o LPN 8 8 8 8 8 PA/NP o 00 o o o Sub-Contracted Physician o 40 o o o o 5 5 o o o o TOTAL HOURS-Nioht TOTAL HOURS per week 45 'TBS= To be scheduled 5 Chittenden, VT # 221 Proaram Manaaer 8 8 8 8 40 8 Sub-contracted Physician 12 12 PNNP 20 20 Dentist 6 6 6 18 Dental Assistant 6 6 6 18 RN 8 8 8 8 8 40 LPN 16 16 16 16 16 16 16 112 LNA 8 8 8 8 8 0 0 40 0 0 0 RN I LPN 8 8 8 8 8 8 8 56 LPN 8 8 8 8 8 8 8 56 LNA 8 8 8 8 8 o o 40 o o LPN 8 8 8 8 8 8 8 56 o o 56 TOTAL HOUR-Nioht 508 TOTAL HOURS per week 'TBS= To be scheduled 6 Marble Valle v, VT # 223 Proqram Manaaer 6 6 6 30 6 6 Sub-contracted Phvsician 9 9 PA/NP 8 8 RN 8 8 8 8 8 LPN 8 8 8 8 8 40 8 8 56 0 0 0 I LPN 8 I 8 I I 8 8 I 8 I 8 I 8 I I 56 0 0 TOTAL HOURS-Night HOURS 56 er week 255 *TBS= To be scheduled 7 Northeast Regional, VT # 224 Proqram Manaqer 8 8 8 8 40 8 Sub-contracted Physician 7 7 PAiNP 12 12 RN 8 8 8 8 8 LPN 8 8 8 8 8 40 8 8 56 0 0 0 0 LPN 8 8 8 8 8 8 8 56 o o 56 TOTAL HOURS-Night TOTAL HOURS oer week 323 'TBS= To be scheduled 8 Northern State, VT #225 Proqram Manaqer 8 8 8 8 8 40 Sub-contracted Physician 18 18 PA/NP 16 16 Dentist 6 6 6 6 6 30 Dental Assistant 6 6 6 6 6 30 0 Administrative Assistant RN 8 8 8 8 8 8 8 56 LPN 16 8 16 8 16 8 8 80 LNA 24 24 0 RN I LPN 8 8 8 8 8 8 8 56 LPN 8 8 8 8 8 8 8 56 o o o LPN 56 o o TOTAL HOURS-Night 56 462 TOT/1L HOURS per week ·TBS= To be scheduled 9 Northwest State, VT #226 Prowam Manaqer 8 8 8 8 8 40 Sub-contracted Physician 18 18 PA 16 16 Dentist 6 6 6 18 Dental Assistant 6 6 6 18 RN 0 0 0 0 0 0 LPN 16 16 16 16 16 16 16 112 0 0 56 56 RN o LPN 56 LNA 56 o TOTAL HOURS-Niaht 112 TOTAL HOURS per week 446 'TBS= To be scheduled iO Southeast State, VT #227 Proaram Manaoer 8 8 24 8 Medical Director 9 9 PA/NP 0 0 RN 8 LPN 8 8 8 24 8 8 8 8 8 8 56 0 0 0 LNA 8 8 8 8 8 8 8 56 o 56 TOTAL HOURS·Niaht 225 TOTAL HOURS /Jer week *TBS= To be scheduled ] ] Southern State, VT #228 Proqram Manaqer 8 8 8 8 40 8 Sub-contracted Physician 26 26 Sub-contracted Dentist 30 30 8 16 6 6 30 16 16 16 80 8 8 8 8 40 8 8 8 8 8 8 8 56 24 24 24 24 24 24 24 168 Clinic Coordinator 8 8 8 8 8 LNA 8 8 8 8 8 PAiNP 8 Dental Assistant 6 6 6 Medical Records Clerk 16 16 8 RN/LPN - see note 1 LPN 0 40 8 8 56 LPN 168 LNA 56 RN/LPN - see note 1 LPN 56 LNA 56 168 TOTAL HOURS-Niaht 1030 TOTAL HOURS Der week 'TBS= To be scheduled NOTE: 1) Southern State shall have a RN manager on site 8 hours per day Monday through Friday. In addition, the day or evening shift will maintain one RN 8 hours per day Sunday through Saturday for infirmary coverage. For any shift.where a RN is listed, a RN shall be the preferred coverage but an LPN may be used by the Contractor without penalty if an RN is not available with the exception of the RN for infirmary coverage. 2) Southern State will continue to have RN on call coverage 24/7. 12 Vermont Regional Office #229 Medical Director 7 7 7 7 7 35 District Manaaer 16 16 16 16 16 80 Regional Administrator 8 8 8 8 8 40 Administrative Assistant 8 8 8 8 8 AO Contract Accountinq Manaqer 8 8 8 8 8 40 Health Educator I I I I I I I I 10 10 40 40 o o o o a TOTAL HOURS-Night TOTAL HOURS per week 285 'TBS= To be scheduled 3579 TOTAL VERMONT DOC ]3 Staffing Coverage Standards r··- .- Shift II I Caledonia Titk Hours/W eek ,I I I IDay PA 1-····- 0 .... RN Chittenden Title Hours/ Week PA/NP, _ _______1 .. RN 0 I,PN '. . - 20 ______ 1 40 Marble Valley Title Hours/ I Week PA/NP 8 RN 40 - .... 56 RN I I 40 I RN 156 ...- I RN 0 l- - --f --- LNi\-1- I ceN I m I RN I LPN 24 56 Southern State Title Hours/ Week +---·Rf,d-56---- -- RN "'I II I I , I 40 iiIII 168 56 I i 40 "I ··--56 CRN/LPN- I 0 56 rifirm I- I ------------+---_.. __... T ro"''' ------------+-------- ... - 56 40 56 ILPNI 112 I LPN! 56 !\fight_ -- , PA/N ..... +-". . ~,._-16 RN- _40_1~ I m r~-'1C""P"'U~ I ~ 2L -'- ATTACHMENT H - 16 I RN - "". Northeast Southeast Northwest State State Regional Title Hours/ Title Hours/ Title 1 Hours/ Week Week Week PAl 16 I PA/NP I 12 IPA/NPI 0 NP Northern State Title Hours/ Week PA/NPI . .- ,,0_ ._. lE"eE_ing_' 1 - "- .. +--+-- . _~N 1_",,6-+LPN_+- "-~+--Lf'~!56_4LPN1--"6-j~~i:T{~·+_LN~ 56 LPN LNA RN 168 56 o ~ I LNA The intent of Attachment H is to provide a summary of staffing minimums required to avoid possible penalty under Attachment A, Chapter 5, section Q" Contractor will be in compliance with this Attachment H (for all facilities except Southern in the infirmary) if only one (1) of two (2) scheduled individuals is present for the shift With the exception of Southern State, for those shifts listing an RN position, an RN shall be the preferred coverage, but an LPN may be used by tl,e Contractor without penalty if an RN is not available" See the Southern State matrix for notes on the required staffing for RN manager, tl,e RN for the infirmary and the use of LPN's to replace RN's" Should contractor be unable to fill all positions as scheduled in this Attachment H, a performance penalty may be incurred in accordance with the provisions of Attachment A, Chapter 5, Section Q" At Northwest State, if an infirmary bed is necessitated, Contractor must have coverage per DOC/NCCHC requirements" 14