FDOC and Centurion Contract Agreement 2023

• June 29, 2023 • Locations: United States of America -> Florida • Topics: Centurion

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CONTRACT #C3076
CONTRACT BETWEEN
THE FLORIDA DEPARTMENT OF CORRECTIONS
AND
CENTURION OF FLORIDA, LLC
This Contract is between the Florida Department of Corrections (“Department”) and Centurion of Florida, LLC
(“Contractor”), which are the parties hereto.
WITNESSETH
WHEREAS, the Department is responsible for the operation of, and supervisory and protective care, custody, and
control of, all inmates, buildings, grounds, property, and matters connected with the correctional system in
accordance with Section 945.04, Florida Statutes (F.S.);
WHEREAS, per Section 945.6034 (1), F.S., the Department “is responsible for developing a comprehensive health
care delivery system and promulgating all department health care standards. Such health care standards shall
include, but are not limited to, rules relating to the management structure of the health care system and the provision
of health care services to inmates, health care policies, health care plans, quality management systems and
procedures, health service bulletins, and treatment protocols;”
WHEREAS, it is necessary that budget resources be allocated effectively, and the Department will work closely
with the Contractor to ensure care is provided to the inmate population in a manner that meets constitutional
requirements while finding operational efficiencies that optimize the use of available funding;
WHEREAS, this Contract is entered into pursuant to competitive solicitation FDC ITN-22-042, Comprehensive
Health Care Services, authorized under Section 287.057(1)(c), F.S.; and
WHEREAS, the Contractor is a qualified and willing participant to provide Comprehensive Health Care Services
to the Department’s inmates housed at the Department’s correctional institutions and their assigned satellite
facilities, including annexes, work camps, road prisons, and work release centers (hereinafter together referred to
as Contracted Services).
THEREFORE, in consideration of the mutual benefits to be derived hereby, the Department and the Contractor
agree as follows:
I. CONTRACT TERM, RENEWAL, AND REFERENCES
A. Contract Term
This Contract shall begin on July 1, 2023, or the date signed by both parties, whichever occurs later, and
shall end at midnight on June 30, 2028.
B. Contract Renewal
The Department has the option to renew this Contract, in whole or in part, for up to an additional five (5)
year period, or portions thereof, beyond the initial Contract term upon the terms and conditions contained
herein. Exercise of a renewal option is the Department’s exclusive option and shall be conditioned, at
minimum, upon the Contractor’s satisfactory performance of this Contract and subject to the availability of
funds. The Department, if it desires to exercise its renewal option, will provide written notice to the
Contractor no later than 180 Days prior to the Contract expiration date.

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CONTRACT #C3076
C. Contract References
This Contract makes both general and specific references to policies, rules, laws and other guidance. Where
specific references are made, they are made subject to any updates or amendments. In addition, references
to specific Department Policies are not made to the exclusion of other Department Policies which may also
apply.
II.

CONTRACT
A. Order of Precedence
Together with the following Attachments and Exhibits, this Contract sets forth the parties' entire
understanding and supersedes all prior agreements, whether written or oral, concerning such subject matter.
All Exhibits incorporated by reference to this Contract are incorporated in their entirety as part of this
Contract.
In case of conflict, the documents shall have priority in the order listed below:
1. This Contract and all Attachments;
2. Exhibit 1*, Second Revised BAFO dated 3-17-23, First Revised BAFO dated 3-9-23, and Contractor’s
BAFO dated 3-5-23;
3. Exhibit 2, FDC ITN-22-042, and all Addenda in reverse order of issuance; then
4. Exhibit 3, Contractor’s Original ITN Reply.
*Where there is conflict between the documents, the most recently submitted BAFO document that
addresses the subject matter of the conflict controls.
B. Definitions
The capitalized terms used in this Contract, unless the context otherwise clearly requires a different
construction and interpretation, have the following meanings:
1. Administrative Confinement: The temporary separation of an Inmate from Inmates in General
Population in order to provide for security and safety until such time as a more permanent Inmate
management decision process can be concluded, such as a referral to Disciplinary Confinement, Close
Management, Protective Management, or a transfer.
2. American Correctional Association (ACA): An international accreditation entity that establishes
standards for and conducts audits of correctional programs to assess their administration and
management, facilities, operations and services, Inmate programs, staff training, medical services,
sanitation, use of segregation and detention, incidents of violence, crowding, offender activity levels,
and provision of basic services which may impact the life, safety, and health of Inmates and staff.
3. Americans with Disabilities Act (ADA): Legislation which prohibits discrimination based on
disability, which can be found in the Americans with Disabilities Act and in the Code of Federal
Regulations (C.F.R.).
4. Bio-Psycho-Social Assessment (BPSA): An assessment including a summary of factors essential to
diagnosing mental health disorders and is the first step in the treatment planning process. The BPSA is
completed before the Individualized Service Plan.
5. Business Day: 8:00 a.m. to 5:00 p.m., Eastern Time (ET), excluding weekends and State holidays.
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CONTRACT #C3076
6. Certified Nursing Assistant (CNA): An individual who works under a Registered Nurse or Licensed
Practical Nurse, as described in Attachment A.
7. Close Management (CM): The Confinement of an Inmate apart from the General Population for
reasons of security, or to maintain the order and effective management of the Institution; the Inmate,
through his/her own behavior, has demonstrated an inability to live in General Population without
abusing the rights and privileges of others.
8. Cognitive Treatment Unit (CTU): An outpatient level of mental health care for Inmates who exhibit
an impairment of cognitive functioning due to dementia, traumatic brain injury, or other neurocognitive
disorder that substantially interferes with their ability to meet the ordinary demands of daily living.
9. Comprehensive Health Care Services: Providing the full range of medical, dental, and mental health
services, to include diagnosis, treatment, follow-up, rehabilitation, and ancillary duties regarding
delivery of care for Inmates at designated Institutions, RMC Hospital, outside hospitals, or other
specialty providers as clinically indicated.
10. Confinement: Administrative Confinement or Disciplinary Confinement.
11. Contract: The resulting agreement between the Contractor and the Department identified as C3076.
12. Contract Manager: The Department’s employee, or his/her designee, responsible for performance
oversight and operational management of the Contract.
13. Contract Monitor(s): The Department’s employee(s) designated to monitor Contract compliance and
to coordinate actions and communications between the Department and the Contractor as related to
Contract performance.
14. Contract Non-Compliance: Failure to meet or comply with any requirement or term of the Contract.
15. Correctional Institution or Institution (CI): Any Department operated prison or other correctional
facility, temporary or permanent, in which Inmates are housed under the custody of the Department to
include, main units, annexes, road prisons, work camps, forestry camps, community release centers, reentry centers, and any other satellite facilities.
16. Correctional Medical Authority (CMA): An independent oversight group established in Sections
945.601-945.6036, Florida Statute (F.S.), to assist with the delivery of health care services for Inmates
through an advisory role, and by assuring adequate standards of medical and mental health services are
maintained by the Department.
17. Corrections Mental Health Treatment Facility (CMHTF): Any extended treatment or
hospitalization-level unit that the Department’s Assistant Secretary for Health Services specifically
designates by Rule 33-404.201, Florida Administrative Code (F.A.C.) to provide psychiatric care,
which may include involuntary treatment and therapeutic interventions in accordance with Sections
945.40-945.49, F.S.
18. Corrective Action Plan (CAP): The Contractor’s written comprehensive plan to remedy deficiencies
in Contractor performance discovered during the Contract term.
19. Crisis Stabilization Unit (CSU): An inpatient mental health treatment unit that provides intensive
management, observation, and treatment intervention, while seeking rapid stabilization of acute
symptoms and conditions.
20. Day: Calendar Day, unless otherwise stated.
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CONTRACT #C3076
21. Death Row: A class of custody, also known as Maximum Custody (different from Maximum
Management), wherein the Inmate is under a sentence of death.
22. Deliverables: Those services, items, or materials provided, prepared, and delivered to the Department
in the course of Contract performance.
23. Dentist: A dental practitioner holding an active Florida Dental License under Chapter 466, F.S., or
Dental Temporary Certificate (DTC) from the Florida Department of Health’s Board of Dentistry, as
described in Attachment A, who is certified in cardiopulmonary resuscitation (CPR).
24. Department or FDC: The State of Florida Department of Corrections.
25. Department Policy(ies): Department Procedures, Health Services Bulletins (HSBs), Department
healthcare manuals, including the Nursing Manual, Infection Control Manual, and Bloodborne
Pathogens Exposure Control Plan.
26. Disabled Inmate: An Inmate who has a physical or intellectual disability that substantially limits one
(1) or more major life activities.
27. Disabled Inmate Committee: A multi-disciplinary team that works together for the development,
implementation, and monitoring of an individualized management and services plan for each Disabled
Inmate.
28. Disciplinary Confinement: A form of punishment in which Inmates found guilty of committing
violations of Department rules are confined for specified periods of time to individual cells based upon
authorized penalties for prohibited conduct.
29. Diversion Treatment Unit (DTU): An outpatient level of mental health care for Inmates who exhibit
an impairment(s) associated with the diagnosis of a serious mental illness that hinders their ability to
function in the General Population.
30. Electronic Medical Record (EMR): An enabling technology that allows health care providers and
administrators access to, and the ability to update Inmates’ health care records, providing operational
efficiencies for both inpatient and outpatient services.
31. End of Sentence (EOS): When an Inmate reaches the end of their court-mandated sentence of
incarceration and is released from a Department Institution, ending their eligibility for coverage for
Comprehensive Health Care Services covered under this Contract.
32. General Population: The population of Inmates who are not in a Special Housing status or inpatient
mental health or medical unit(s).
33. Health Care Equipment: Any piece of equipment with a unit cost exceeding $5,000 used to provide
health care services.
34. Health Care Records: A comprehensive medical file, either electronic or paper (including medical,
dental and mental health components), on every person committed to the custody and care of the
Department. Information included in the Inmate’s medical file is protected health information and shall
be used or disclosed in accordance with the Health Insurance Portability and Accountability Act Privacy
Rule of 1996, (HIPAA) and Florida law. Information included in the Inmate’s medical file regarding
substance abuse is confidential in accordance with 42 C.F.R. Part II, the Health Insurance Portability
and Accountability Act Privacy Rule of 1996 (HIPAA), and Florida law.
35. Health Care Supplies: All health care equipment and consumable items utilized in the provision of
comprehensive health care services with an individual unit cost under $5,000.
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CONTRACT #C3076
36. Health Classification Grade: A designation of overall functional capacity in various areas including
medical, mental health, work, transportation, work camp eligibility, and impairment status, provided to
each Inmate upon reception and revised as necessary throughout their incarceration.
37. Health Services Bulletin (HSB): The Department’s guidelines for the provision of Inmate health care,
created pursuant to Section 945.6034, F.S. Health Services Bulletins do not override rules or procedures
but provide additional guidance for health services staff and are considered Department Policies. HSBs
are published under the authority of the Director of Health Services.
38. HIPAA: The federal law known as the Health Insurance Portability and Accountability Act of 1996
(HIPAA, Title II), which established standards for the security and privacy of health data, and related
rules.
39. HITECH Act: The Health Information Technology for Economic and Clinical Health Act, enacted as
part of the American Recovery and Reinvestment Act of 2009 and related rules. HITECH generally
establishes new requirements for notification of protected health information breaches, makes business
associates directly liable for compliance with HIPAA security and privacy requirements, modifies
disclosure accounting rules and enhances the civil and criminal enforcement of HIPAA.
40. Impaired Inmate: Any Inmate who has a professionally determined limitation, in accordance with
HSB 15.03.13, in the performance of daily living activities, work, or participation in the programs and
services available to the general Inmate population.
41. Impaired Inmate Committee: The institutional staff members functioning as a multi-disciplinary
team working together for the development, implementation, and monitoring of an Individualized
Service Plan for each Impaired Inmate.
42. Individualized Service Plan (ISP): A written description of an Inmate’s current problems, goals, and
treatment.
43. Inmate(s): An individual who is incarcerated by the Department.
44. Inmate Assistant: An Inmate whose work assignment is to assist another Inmate with his/her activities
of daily living, and who has received the training required in the Department’s Nursing Manual in
relation to the performance of their assistance.
45. Isolation Management Room (IMR): A cell in an infirmary area or inpatient mental health care unit
that has been certified as being suitable for housing those with acute mental impairment or those who
are at risk for self-injury.
46. Licensed Nurse: A Registered Nurse (RN) or Licensed Practical Nurse (LPN), with an active license
in the State of Florida, as described in Attachment A.
47. Licensed Practical Nurse (LPN): A Licensed Practical Nurse, with an active license in the State of
Florida, as described in Attachment A.
48. Major Institution(s) or Parent Institution(s): A Correctional Institution designated to provide
oversight and limited classification services to smaller Satellite Facilities.
49. Maximum Management: A temporary status for an Inmate, who through a recent incident, or series
of incidents, has been identified as being an extreme security risk to the Department, and requires an
immediate level of control beyond that available in Confinement, Close Management, or Death Row.

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CONTRACT #C3076
50. Medical Provider: A Florida-licensed MD/DO, Autonomous Advanced Practice Registered Nurse
(AAPRN), Advanced Practice Registered Nurse (APRN), Physician’s Assistant (PA), Psychiatrist,
Psychiatric APRN as qualified in Attachment A.
51. Multi-Disciplinary Services Team (MDST): A group of individuals representing different
professions, disciplines, or service areas, which has the responsibility for ensuring access to necessary
assessment, treatment, continuity of care, and services to Inmates in accordance with their identified
mental health needs, and which collaboratively develops, implements, reviews, and revises an
Individualized Service Plan, as needed.
52. Observation Cell (OC): A Confinement cell that has been certified as meeting the housing and safety
criteria of an Isolation Management Room.
53. Offender Based Information System (OBIS): The Offender Based Information System that serves as
the Department’s official record-keeping system of Inmates.
54. Officer-in-Charge (OIC): The Department’s Correctional Officer Captain or Correctional Officer
Lieutenant responsible for the operations and activities of a shift.
55. Outside Hospital: A community-based hospital, not the Department’s Reception and Medical Center
Hospital.
56. Prison Rape Elimination Act (PREA): The Prison Rape Elimination Act of 2003 and related rules.
The Act provides for analysis of the incidence and effects of prison rape in federal, State, and local
institutions and for information, resources, recommendations, and funding to protect individuals from
prison rape.
57. Private Correctional Facilities: Facilities that house inmates under the Department’s custody and
control that are operated by private companies through contracts with the Florida Department of
Management Services (DMS). There are currently seven (7) Private Correctional Facilities in Florida.
58. Pro Re Nata (PRN): Latin for ‘when necessary or as needed,’ often used in healthcare regarding
medication administration, but in this Contract, also refers to temporary staffing.
59. Protective Management: Special management status for the protection of Inmates from other Inmates
in an environment as representative of that of Inmates in General Population as is safely possible.
60. Psychiatrist: A medical provider, as described in Attachment A, specializing in diagnosing and
treating mental illness; with an active license to serve as a Psychiatrist within Florida.
61. Psychiatric Provider: A Psychiatrist or Psych APRN, as described in Attachment A.
62. Psychologist: A mental health services provider, as described in Attachment A, with an active license
to provide psychological services within Florida.
63. Reception and Medical Center Hospital Policies & Procedures Manual: Department Managers
have developed policies & procedures and bylaws in accordance with Florida Statutes and Health
Service Bulletins (HSB)/Technical Instructions (TI), etc. specific to their area. Hospital policies &
procedures and bylaws issued shall contain only matters relating to the internal management of RMCH
and, as such will not be subject to the Administrative Procedure Act (Section 120.52(16)(a), F.S.).
Hospital Policies & Procedures and Bylaws in the Manual will supplement, not duplicate, HSB’s/TI’s,
and other federal and State laws. However, these Policies & Procedures may not be less restrictive than
Department Policies, and they must be approved through RMCH Administration and the Office of
Health Services.
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CONTRACT #C3076
64. Registered Nurse (RN): Nursing services provider, as described in Attachment A, with an active
license to practice nursing as an RN in Florida.
65. Residential Continuum of Care Unit (RCCU): Specialized residential mental health units that
provide augmented outpatient mental health treatment and habilitation services in a protective
environment for Inmates with serious psychological impairments associated with a historical inability
to successfully adjust to daily living in the incarceration environment.
66. Satellite Facilities: Smaller units that house inmates under the Department’s custody and control,
including Work Camps, Re-Entry Centers, Road Prisons, and Community Release Centers. Satellite
facilities do not have a Warden and are supervised by an assigned Major Institution, also referred to as
their Parent Institution.
67. Secure Treatment Unit (STU): An outpatient level of mental health care for Inmates who exhibit an
impairment(s) associated with a diagnosis of serious mental illness and a marked inability to conform
their behavior to institutional standards.
68. Self-Harm Observation Status (SHOS): A clinical status ordered by a qualified Medical Provider
that provides safe housing and close monitoring of Inmates determined to be suicidal or at risk for
serious self-injurious behavior.
69. Serial Serious Self-Injurious Behaviors: Two (2) or more serious self-injurious behavior incidents in
a three (3) month period.
70. Service Location(s): Any site(s) where Contracted Services are performed under the Contract.
71. Sexually Transmitted Disease (STD): Diseases or infections passed to one person from another
through sexual or intimate physical contact
72. SOAP: A format of medical documentation utilizing the headings, “Subjective, Objective, Assessment,
and Plan.”
73. SOAPE: A format of medical documentation utilizing the headings, “Subjective, Objective,
Assessment, Plan, and Education.”
74. Special Housing: Administrative Confinement, Disciplinary Confinement, Protective Management,
Maximum Management, Death Row, and Close Management.
75. Structured Out-of-Cell Treatment Services (SOCTS): Weekly scheduled individualized treatment
services, psychoeducational groups, and therapeutic activities to ameliorate disabling symptoms of a
diagnosed mental illness and improve behavioral functioning as identified in the Individualized Service
Plans.
76. Subcontract: An agreement entered into by the Contractor with any other person or organization to
perform any requirements or performance obligation for the Contractor under the terms of this Contract.
77. Transitional Care Unit (TCU): An inpatient mental health unit that provides intermediate care for
Inmates transitioning from a more intensive level of inpatient care back to an outpatient setting, as well
as long term care for Inmates with chronic and severe mental illness.
78. Use-of-Force: The chemical or physical force used on an Inmate to control a situation, as permitted by law
and rule and only to the degree reasonably necessary to bring the situation back into control.
79. Vital Signs: This includes taking and documenting the Inmate’s body temperature, (T), pulse rate (P),
respiration rate (R), blood pressure, oxygen level (via pulse oximeter), and for diabetics, blood glucose
levels (using Accu-Check).
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CONTRACT #C3076
80. Warden: The Department employee, or his/her designee, responsible for the management and
oversight of the Day-to-Day operations of a Correctional Institution.
81. Youthful Offender (YO): Any inmate who is sentenced by the court pursuant to Section 958.04, F.S.,
or is classified by the Department pursuant to Section 958.11, F.S.
III.

SCOPE OF SERVICE
A. General Service Description
The Contractor shall manage and operate a comprehensive inmate healthcare system by delivering
appropriate health care services that meet constitutional and community standards of care efficiently and
cost-effectively. Under this Contract, the Contractor shall assume total responsibility for any and all liability
of its provision of comprehensive health care services delivered to the Inmates under the Department's care
and supervision.
The Contractor shall aid the Department in achieving its strategic improvement goals for Inmate care,
including the following:
• Reducing Inmate mortality where early detection and appropriate, timely treatment could avoid
preventable mortality;
• Ensuring that Inmates in Special Housing have full access to and receive the same level of care as
Inmates in General Population;
• Improving the provision of assessment, development, and implementation of mental health treatment
at all levels and settings;
• Reducing Inmate grievances and litigation related to health care services;
• Continuing to improve waiting times for consultations, diagnostic testing, and treatment;
• Reducing the use of unsecured community hospital units and increasing the use of secured
community hospital units to alleviate the need for additional security staff resources and overtime;
• Ensuring Inmates are prepared for continued medical and mental health care and supportive services,
where appropriate, upon their release back into the community; and
• Maximizing technology and efficiencies to provide enhanced services at reduced costs, including the
establishment of new and expansion of existing academic partnerships.
B. Rules and Regulations
1. The Department is responsible for providing health care services per established standards of care. The
Contractor will be held accountable for providing care according to these standards. Section
945.6034(1), F.S., outlines the general requirements of these standards:
“The Assistant Secretary for Health Services is responsible for developing a comprehensive health care
delivery system and promulgating all Department health care standards. Such health care standards
shall include, but are not limited to, rules relating to the management structure of the health care system
and the provision of health care services to inmates, health care policies, health care plans, quality
management systems and procedures, health service bulletins, and treatment protocols.”
2. The Contractor shall provide all services in compliance with all applicable federal and State laws,
Florida Administrative Code (F.A.C.) Rules, Department Policies, and settlement agreements, consent
decrees and court orders relating to any past, present, or future litigation involving the delivery of health
care services in the Department. All such laws, rules, Department Policies, decrees, orders, and
agreements, current and/or as revised, are incorporated herein by reference and made a part of the
Contract. The Contractor and the Department shall work cooperatively to ensure service delivery is in
complete compliance.
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CONTRACT #C3076
3. The Contractor shall be responsible for all pre-existing health care conditions of those Inmates covered
under this Contract as of 12:00 a.m. on the first day of Contract implementation. The Contractor shall
be responsible for all health care costs incurred for services provided after 12:00 a.m., on the first day
of the Contract, without limitation as to the cause of an injury or illness requiring health care services.
4. The Contractor shall draft and implement a written comprehensive health care work plan with clear
objectives outlining how the Contractor will:
• Develop and implement policies and procedures;
• Comply with all state licensure requirements and standards regarding the delivery of
comprehensive health care services;
• Maintain full reporting and accountability to the Department; and
• Keep an open, collaborative relationship with the Department’s Senior Leadership, Office of
Health Services, Department staff, Regional Directors, Wardens, and institutional staff.
5. The Contractor shall ensure all its staff providing services under the Contract comply with prevailing
ethical and professional licensure standards and all laws, rules, procedures, regulations, and court orders
pertaining to Contracted Services.
6. The Contractor shall ensure that the Contractor’s staff adhere to all Department Policies regarding care,
transportation, security, custody, and control of Inmates.
7. The Contractor shall maintain the confidentiality of individual Inmates receiving services in accordance
with applicable local, State, and federal laws, rules, and regulations. The Department and Contractor
agree that all information and records obtained or created in the course of Contract performance shall
be subject to confidentiality and the disclosure provisions of applicable federal and State statutes and
regulations.
8. The Contractor shall pay for all costs associated with local, State, and federal licenses, permits, and
inspection fees required to provide services. All required permits and licenses shall be current,
maintained on site. Copies shall be submitted to the Contract Manager, upon request. The Contractor
shall pay any fees or fines assessed by a State licensing entity for non-compliance, and shall not be
reimbursed by the Department for those fees or fines.
9. The Contractor must also ensure that health care services are provided in accordance with the national
American Correctional Association (ACA) standards, and prevailing professional practice standards
and guidelines. The performance of the Contractor’s personnel must meet or exceed standards
established by ACA as they currently exist and/or as they may be amended.
10. From time to time, the Governor, State Surgeon General, or FDC Secretary may issue Executive Orders
or Directives that impact the Department’s health services operations. The Contractor must comply
with the terms and conditions of any Executive Orders or Directives issued.
11. The Contractor agrees to modify its service delivery as requested by the Department, including the
addition or expansion of services provided to meet changes required by law, standards, the
Department’s mission, regulations, or as a result of a legal settlement agreement or consent order with
a third party. Any changes in this Contract required to ensure continued compliance with State or federal
laws, statutes, regulations, legal settlement agreements, consent orders, or Department Policies, will be
made in accordance with Section VI., CONTRACT MODIFICATION.
12. Department Policy language will take precedence and control over the Contractor’s policies and
procedures in the event of any conflict.
C. Program Management

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CONTRACT #C3076
The Contractor shall provide administrative oversight to ensure all program management functions are
carried out in accordance with federal and State laws, Department Policies, and the requirements outlined
in the Contract. As an overview, the Contractor’s responsibilities include the following:
• Maintain the ability to, and provide, all Comprehensive Health Care Services to Inmates.
• Impact Analyses – Perform and deliver impact analyses, within a time frame specified by the
Department, on how potential rule or statute changes may impact the health services program, its
cost, and success.
• Analytics – Compile and maintain statistical information related to Inmate health care which the
Department can use to make changes and improvements to the delivery of health care services. No
data or statistical information shall be released externally without prior written approval from the
Department’s Office of Communications and Office of Health Services.
• Contract Compliance – Monitor Contract responsibilities, ensure compliance, and report metrics,
monthly, or as required.
• Comprehensive Health Care Services Oversight and Success – Provide oversight of each of the
following service functions, described in detail in the following Contract sections:
o Program Management
o Institutional Care
o Dental Care
o Mental Health Assessments, Services, and Outpatient Services
o Inpatient and Infirmary Services
o Re-Entry and Aftercare Planning
o Hospital Administration and Care
o Pharmaceutical Services
o Utilization Management and Specialty Care
o Quality Management
o Electronic Medical Records (EMR)
o Information Technology
Oversight includes, but is not limited to the following areas:
o Resource Planning and Management
o Risk and Issue Management
o Change Control
o Budget Control
o Quality Assurance
o Problem Resolution
The Department will look to the Contractor’s leadership to ensure a smooth and successful operation as
part of Program Management. At minimum, unless approved by the Contract Manager, the Contractor shall
have the following Program Management positions:
* Statewide Leadership positions requiring approval by the Department
Statewide Leadership Positions
Position Title
(or equivalent title)
Corporate Officer

Vice-President of Operations (VPO)*

Purpose
Overall Contract
program management
liaison
Contract oversight and
management

Page 10 of 146

Department
Liaison(s)
• Health Services
Director
• Deputy Director
Health Services
Administration
• Contract Manager

# of
Positions
1

CONTRACT #C3076
Position Title
(or equivalent title)
Statewide Medical Director (MD/DO)
*
Statewide Director of Nursing (DON)
(Registered Nurse) *
Statewide Dental Director (Dentist) *

Statewide Mental Health Director
(Psychologist) *
Statewide Psychiatric Advisor
(Psychiatrist)
Statewide Mental Health Re-entry
Coordinator
Statewide Mental Health Training
Coordinator
Statewide Pharmacy Program Director
(Florida Consultant Pharmacist
License) *

Statewide Medical Re-entry
Coordinator (located at RMC)
Statewide Female Health Services
Coordinator

Continuous Quality Improvement
(CQI) Coordinator

Purpose
Statewide responsibility
for clinical oversight of
medical services
Statewide responsibility
for all nursing services
Clinical oversight of all
dental care, both on and
off-site, dental
utilization management,
and the supervision of all
dental staff members
Oversee mental health
services statewide
Oversee all psychiatric
services statewide
Discharge planning for
Inmates with serious
mental health issues
Training management
and coordination for
mental health topics
Direct overall pharmacy
service including
management of all
pharmacy staff, all
pharmacy licenses,
coordinating pharmacy
services with other
health care providers
Discharge planning for
Inmates with challenging
health issues
Oversee female health
services and evolving
medical standards of
care addressing specific
needs for an incarcerated
population.
Responsible for quality
assurance, quality
management, utilization
management, and risk
management within each
discipline

Page 11 of 146

Department
Liaison(s)
• Chief Clinical
Advisor
• Chief of Medical
Services
• Chief of Nursing
Services
• Chief of Dental
Services

# of
Positions
1

1
1

• Chief of Mental
Health Services
• Chief of Mental
Health Services
• Central Office Mental
Health Re-Entry
Manager
• Assistant Chief of
Mental Health

• Chief of Pharmacy
Services

• Statewide Medical
Reentry Coordinator
(Office of
Institutions)
• Female Services
Administrator, Office
of Institutions

• Chief of Pharmacy
Services
• Chief of Dental
Services
• Chief of Mental
Health Services
• Chief of Medical
Services
• Chief of Nursing
Services

1
1
1

CONTRACT #C3076
Position Title
(or equivalent title)
Statewide EMR Director

Statewide EMR Project Manager
Statewide Recruitment Coordinator

Statewide Disabled/Impaired Inmate
Coordinator

Purpose
To support ongoing
EMR improvements,
maintenance, and
training
Oversee EMR helpdesk,
training, and education
Oversee statewide
recruiting efforts, and
plan for short-term
staffing solutions during
staff turnover, transition,
or extended staff leave
Oversee
Disabled/Impaired
Inmate services

Department
Liaison(s)
• Deputy Director
Health Services
Administration

# of
Positions
1

• Deputy Director
Health Services
Administration
• Deputy Director
Health Services
Administration
• Contract Manager

• Impaired Inmate
Services Coordinator
(OHS)

* Statewide Leadership positions requiring approval by the Department
Reception and Medical Center Hospital (RMCH) Leadership Positions
Position Title
Purpose
Department Liaison
(or equivalent title)
RMC Hospital Administrator
Manage all hospital
• Deputy Director Health
operations (the RMCH
Services Administration
Governing Body must
approve this candidate
before employment)
RMC Hospital Chief Medical Officer
Oversee clinical
• Chief Clinical Advisor
(Florida-licensed MD/DO with
services at RMC
• Chief of Medical
experience as a Hospitalist)
Hospital (RMCH)
Services
RMC Hospital Executive Nursing
Oversee nursing
• Assistant Chief of
Director (Registered Nurse)
services at RMCH and
Nursing Services
RMC(this position is
in addition to the DON
position at RMC as an
Institution)
RMC Hospital Director of Nursing
Oversee nursing
• Assistant Chief of
(Registered Nurse)
services for RMCH
Nursing Services
RMC Hospital Infection Control Nurse Oversee infection
• Statewide Infection
(Registered Nurse)
control within RMC
Control Coordinator
Hospital (this position
is in addition to the
Infection Control
Nurse position at
RMC as an Institution)

Page 12 of 146

# of
Positions
1

1
1

CONTRACT #C3076
Position Title
(or equivalent title)
RMC Hospital Pharmacy Consultant
(Florida Consultant Pharmacist
License), this position may be
contracted by Contractor to an
independent consultant

RMCH Health Information Specialist
RMCH Risk Manager (FloridaLicensed Risk Manager)

RMCH EMR Specialist

Regional Leadership Positions
Position Title
(or equivalent title)
Regional Directors of Operations

Purpose
Serve as the
Consultant Pharmacist
of Record for the
RMC institutional
pharmacy permit(s),
and will provide
clinical oversight of
the institutional
pharmacy services at
RMC
Manage all medical
records and record
requests at RMC
Oversee the
comprehensive risk
management program
for RMC Hospital
health care operations
Provide EMR support
training,
troubleshooting, and
acting as a liaison to
the EMR team

Department Liaison
• Chief of Pharmacy
Services

• Deputy Director Health
Services Administration

• Chief of Medical
Services

• Deputy Director Health
Services Administration

Purpose

Regional Medical Directors (RMD)
(MD/DO)

Responsible for the health
care operations and
administration in each
region
Responsible for the clinical
care in each region

Regional Mental Health Directors
(Psychologists)

Responsible for all mental
health care in each region

Regional Dental Directors (Dentists)

Regional Directors of Nursing
(Registered Nurses)
Regional Infection Control Nurses
(Registered Nurses)

Page 13 of 146

# of
Positions
1

Department
Liaison
• Regional Directors
of Institutions

# of
Positions
4

• Chief of Medical
Services
• Regional Directors
of Institutions
• Assistant Chief of
Mental Health
• Regional Directors
of Institutions
• Assistant Chief of
Dental Services

• Chief of Nursing
Services
• Statewide
Infection Control
Coordinator

CONTRACT #C3076
Position Title
(or equivalent title)
Regional QM Program Coordinators
Regional Recruitment Coordinators

Region 2 American Sign Language Staff
Interpreter, these positions may be
contracted by Contractor to independent
consultants

Regional EMR Specialists

Purpose
Responsible for the QM
program within each region
Oversee and support
regional recruiting efforts,
and plan for short-term
staffing solutions during
staff turnover, transition, or
extended staff leave
Responsible for
interpreting medical
evaluations and treatment
of Inmates who are deaf,
hard-of-hearing, or
otherwise non-verbal
Provide EMR support
training, troubleshooting,
and acting as a liaison to
the EMR team

Department
Liaison
• QM Program
Manager
• Regional Directors
of Institutions
• Institution
Wardens

# of
Positions
4

• Impaired Inmate
Services
Coordinator
• Regional Directors
of Institutions
• Institution
Wardens
• Deputy Director
Health Services
Administration

The Contractor shall add other regional positions as needed, approved by the Department, and within the
Contract Compensation Cap to ensure the appropriate oversight of health care operations within each
region.
** With Department approval, the Contractor may use an AAPRN, as qualified in Attachment A, as the
lead health care provider at smaller facilities that have less complex medical missions, only when a MD/DO
(excluding the State Medical Director) is assigned as CHO/SMD who may oversee more than one
Institution. An AAPRN may not provide health care services when those services are Statutorily designated
to be performed by an MD/DO.
Institutional Leadership Positions
Position Title
Purpose
(or equivalent title)
Health Services Administrator
Responsible for the
(HSA) (Administrator or
program management of
Registered Nurse)
health care operations
within their Institution,
including issue resolution

Page 14 of 146

Department
Liaison
• Warden

# of Positions
1 per Major Institution,
unless a Nurse
Manager is approved
by the Contract
Manager, and a Senior
HSA with a second
HSA position at the
satellite unit. RMC
shall have at least one
(1) Senior HSA and
one (1) HSA in
addition to the Hospital
Administrator to
provide administrative
oversight over nonhospital health care
operations at RMC

CONTRACT #C3076
Position Title
(or equivalent title)
Medical Records Supervisor

Chief Health Officer (CHO)/
Site Medical Director (SMD)
(MD, DO) **

Purpose
Responsible for, at a
minimum, the
management of all paper
medical records within
their institution and for
carrying out all
responsibilities in HSB
15.12.03, III. E. and F.
Responsible for the
clinical care at each
Institution and their
associated satellite sites

Psychological Services Director
(Psychologist)

Serve as the single point of
accountability for the
delivery of mental health
services

Director of Nursing (Registered
Nurse)

Responsible for all nursing
services in their assigned
Institution

Assistant Director of Nursing
(Registered Nurse)

Oversee institutional
inpatient mental health
nursing services in their
assigned Institution

Nurse Manager (Registered
Nurse)

Oversee institutional
inpatient mental health
nursing services in their
assigned Institution and
Department liaison

Page 15 of 146

Department
Liaison
• Warden

• Warden for
administrative
issues
• Chief of
Medical
Services for
clinical issues
• Warden for
administrative
issues
• Chief of
Mental
Health
Services for
clinical issues

# of Positions
1 per Major Institution
and 1 per Institutional
Annex

1-2 per Major
Institution depending
upon physical layout
(annex) of the facility
and its mission

1 per Major Institution
(to include those with 2
or more psychologists)
with either an:
• inpatient services
• Close Management
unit
• reception center
(excluding Sumter
CI)
• an S-3 population of
400+
• RCCU
1 per Major Institution,
• Warden for
administrative depending on physical
layout of the facility
issues
and its mission
• Chief of
Nursing
Services for
clinical issues
1 per Institution with
• Warden for
administrative an inpatient mental
health unit
issues
• Chief of
Nursing
Services for
clinical issues
1 per re-entry center
• Warden for
administrative
issues
• Chief of
Nursing
Services for
clinical issues

CONTRACT #C3076
Position Title
(or equivalent title)
Infection Control Nurse
(Registered Nurse)
Social Services Team (Lowell
CI & Florida Women’s
Reception Center)

Dentist (Florida-licensed or
Board of Dentistry-approved
with Dental Temporary
Certificate (DTC)

Oral Surgeon (Florida-licensed)

Department
Liaison
Oversee institutional
• Clinical
infection control in each
Contract
region
Monitor for
Public Health
Liaison to
• Warden for
family/friends/stakeholders
administrative
regarding care issues and
issues
other inquiries, tracking
• Statewide
system for inquiries,
Female
provide pre-release
Services
planning for medical
Administrator
and/or mental health
aftercare needs
Responsible for all dental
• Warden for
care and related issues
administrative
issues
• Chief of
Dental
Services for
clinical issues
Purpose

Responsible for all dental
care and related surgical
issues

# of Positions
1 per Institution (This
is a role, not a
dedicated position)
1 Social Services
Coordinator and
2 Social Services
Specialists

Based on population as
follows for Institutions
<600=0.5 – 1 FTE
600 – 1,200 = 1 FTE
1200 – 1500 = 1.5 FTE
1,500+ = 2 FTE
NWFRC, CFRC,
SFRC 3 FTE per
location
FWRC = 2 FTE
1 FTE or contracted
• Warden for
provider equivalent
administrative
issues
• Chief of
Dental
Services for
clinical issues

** With Department approval, the Contractor may use an AAPRN, as qualified in Attachment A, as the
lead health care provider at smaller facilities that have less complex medical missions, only when a
MD/DO (excluding the State Medical Director) is assigned as CHO/SMD who may oversee more than
one Institution. An AAPRN may not provide health care services when those services are Statutorily
designated to be performed by an MD/DO.
Program Management staff must be available by phone for assistance with health care service delivery and
Contract management issues, Monday through Friday, during regular business hours. After regular business
hours, the Contractor must have on-call telephone coverage for emergent or urgent purposes.
Program Management Requirements
1. The Contractor shall establish and maintain office space to house its leadership team in Florida. The
Contractor will be responsible for all costs associated with this facility, including rent, utilities,
equipment, supplies, computers, phone, and other electronics and communication devices, services, or
programs. As requested from time to time by the State, the Contractor’s statewide leadership team will
be available in Tallahassee, Florida unless otherwise approved by the Department. Regional leadership
would be located within the region(s), preferably near the Department’s regional offices.
2. The Contractor shall work with the Contract Manager to establish and maintain communication
protocols for the handling of routine, urgent, and emergent Contract issues.
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CONTRACT #C3076
3. The Contractor shall establish a secure online collaboration site (e.g., SharePoint) for sharing
documents and other program information between it and the Department.
4. The Contractor shall establish and maintain a system to ensure staff and subcontractors working under
the Contract are knowledgeable of and adhere to all applicable federal and State laws, Department
Policies, and forms covering the delivery of health care services, Institutional security operations, and
staff conduct in the institutional health services units. Staff and subcontractors shall be trained on, and
given routine access to, all Department Policies that pertain to their job responsibilities, including any
specific training requirements related to litigation.
5. The Contractor shall develop and implement a Department-approved Staffing Plan that identifies all
positions at the State, regional, and institutional levels and ensures compliance with the requirements
outlined in this Contract, including timely service delivery. The Contractor shall review its Staffing
Plan at least once per quarter and maintain the flexibility to respond to institutional mission changes
over the Contract term. If there are mission changes that impact health services functions and
responsibilities at service locations, the Department will advise the Contractor of such modifications in
writing. If these modifications require the Contractor to make changes that impact cost, the Department
and Contractor will work together on the changes and implement them through a formal Contract
amendment. The Department must approve any changes to the Staffing Plan prior to change
implementation.
6. At all times, the Contractor shall ensure appropriate staffing levels under the Contract in accordance
with its Department-approved Staffing Plan, which shall note the positions necessary to fulfill the
Department’s health care requirements. The Contractor shall ensure that it maintains staffing and
personnel levels sufficient to cover the hours required in its Final Staffing Plan, even if coverage is
secured by trained and qualified subcontracted providers. The Contractor shall ensure that staff
providing services have the requisite training, licenses, certifications, and knowledge to provide
services at the level of professional competency required for each position.
7. The Contractor shall develop and implement a Department-approved written comprehensive Health
Care Work Plan with clear objectives outlining how the Contractor will:
a. Carry out Department Policies;
b. Comply with all State licensure requirements and standards regarding the delivery of
comprehensive health care services;
c. Ensure seamless EMR operations, including a help desk (HD) and systems development team;
d. Maintain full reporting and accountability to the Department; and
e. Keep an open, collaborative relationship with the Department’s Senior Leadership, Office of Health
Services, Department staff, Regional Directors, Wardens, and institutional staff.
8. The Contractor shall ensure institutional health services staff (including Contractor staff and
subcontractors) adhere to all requirements, including the schedule for running reports necessary to meet
requirements outlined in federal and State laws, and Department Policies.
9. The Contractor shall ensure EMR and other FDC database training requirements (when necessary) are
delivered in accordance with Sections III., N., O, and P. of this Contract.
10. Committees and Meetings

Page 17 of 146

CONTRACT #C3076
The Contractor shall ensure appropriate staff attends all required Department meetings, including, but
not limited to institutional meetings, regional meetings, and statewide meetings planned by the
Department, as follows:
a. Institutional Meetings
i. Disabled Inmate Committee: Institutional staff multidisciplinary team working together for
the development, implementation, and monitoring of an Individualized Service Plan for each
Disabled Inmate.
ii. Institutional Health Services Leadership Meeting with Warden: Held weekly, or as
needed, to discuss issues related to health care services delivery.
iii. Institutional Quality Management (QM) Meeting: Held monthly to evaluate and help
improve the quality of health care services provided to Inmates at each Institution.
iv. Nursing Staff Meeting: Conducted by the DON monthly with all nursing staff to provide
education on at least one (1) nursing protocol and all updated HSBs and procedures.
b. Regional Meetings
The Department’s Regional Directors of Institutions and the Contractor’s regional leaders will
discuss issues that impact multiple Institutions within the region and escalate any issues or concerns
related to security.
c. Statewide Meetings
i. Semi-annual Reviews with the FDC Senior Management: The Contractor shall lead a semiannual review with the FDC Senior management on service operations, including key
statistics, challenges and successes, and policy improvement recommendations. The
Contractor shall develop and deliver the agenda to the Contract Manager at least five (5)
Business Days before the meeting.
ii. Weekly Contract Management: This weekly meeting is an opportunity for the Contractor
and the Contract Manager to review operational issues, discuss best practices, and resolve
problems.
iii. Pharmacy Services Committee: This committee comprises representatives from the FDC
and the Contractor’s medical, mental health, and dental disciplines. The Contractor shall have
at least two (2) representatives on the committee. The Department’s Health Services Director
appoints committee members who must be prescribing Medical or Psychiatric Providers for
their disciplines. This group meets at least four (4) times per year. The group is responsible
for, but not limited to, the following:
• Establishment and maintenance of a comprehensive drug formulary;
• Approval of policies and procedures relating to the selection, distribution, handling, use,
and administration of drugs;
• Evaluation of clinical data concerning new drugs or preparations requested for addition
to the formulary; and
• Assistance and consultation on matters related to the oversight and management of the
Department’s pharmacy budget.
iv. Statewide QM: Held at least twice yearly, the QM Program evaluates and makes
recommendations to improve the quality of health care services provided to Department
Inmates.
v. Statewide Operational: Held in conjunction with the Statewide QM meetings, the Statewide
Operational Meeting is used to discuss and resolve issues related to the overall operation of
the Inmate health care system.
vi. Statewide Recruitment and Retention: To ensure appropriate staffing, as needed, or
requested by the Department.
11. Collaboration with Regional and Institutional Leadership

Page 18 of 146

CONTRACT #C3076
a. The Department’s Regional Directors of Institutions are responsible for overseeing every
Institution within their assigned region. The Contractor’s regional leadership team shall maintain
regular and open communication with each respective Regional Director and hold a minimum of
one (1) in person meeting per quarter. These communications will involve discussion on issues
such as the following:
i. Interpretation of Department Policies pertaining to security;
ii. Monitoring results, with an emphasis on Institutions that are not meeting performance
standards and trends involving findings at multiple Institutions within the region;
iii. The Contractor’s proposed solutions to resolving problems involving health care trends;
iv. Plans for new or expanded programs (such as telehealth);
v. Best practices that could be replicated in other Institutions or other areas of the State; and
vi. General problem-solving.
b. The Department will provide security while the Contractor’s staff are present in State facilities to
the same extent security is provided throughout the Institution.
The Contractor shall be required to work collaboratively with Department staff in delivering health
care services at each Institution covered under the Contract. All Contractor staff working under the
Contract shall be required to follow all federal and State laws, and Department Policies.
The Warden at each Institution has full responsibility for the Institution's operation and all
associated satellite facilities. The Contractor will obtain and review the security requirements
specific to that Institution and establish a schedule of regular meetings with the Warden to include
the designated institutional health services leadership team. These meetings shall provide a forum
for the Contractor to:
i. Provide status reports to the Warden;
ii. Provide staffing schedules and address any vacancy concerns;
iii. Discuss preparations for upcoming surveys and monitoring visits;
iv. Track corrective action related to surveys; and
v. Engage in problem-solving.
The Contractor shall maintain an open and honest dialogue with the Warden and advise them of
any possible barriers to effective care delivery. The Contractor’s dialogue should include a daily,
or as requested by the Warden, communication of vacancies and recruitment efforts, and a
discussion of the Contractor’s plans to ensure service delivery. The Contractor shall also be
responsive to the Warden on any issues between the regularly scheduled meetings.
12. The Contractor shall:
a. Possess and maintain documents material to the Contract such as current copies of required State
and federal licenses, permits, registrations, and the insurance policy face-sheet showing sufficient
coverage;
b. Ensure all required compliance inspections, environmental permitting designs, and any experts
required by the Department to review specialized medical requirements are acquired or maintained
throughout the Contract term;
c. Ensure all required operating licenses, permits, registrations, and insurance are acquired and
maintained at each Institution; and
d. Post licenses and permits at each Institution, in accordance with statutory requirements and
Department Policy.
13. Equipment and Supplies
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CONTRACT #C3076
a. The Department will not provide any administrative functions or office support for the Contractor
(e.g., clerical or data entry assistance, office supplies, copiers, fax machines, and preparation of
documents).
b. Space and Fixtures: The Department will provide office space within each health services unit of
each Institution. The Institution shall provide and maintain presently available and utilized health
space, building fixtures, and other items for the Contractor’s use to ensure the Contract's efficient
operation. The Institution shall also provide or arrange for non-hazardous waste disposal services,
not including medical waste disposal, which is the Contractor's responsibility. The Department will
maintain and repair the office space assigned to the Contractor, if necessary, and provide building
utilities necessary for the Contract's performance as determined necessary by the Department. The
Contractor shall operate the space provided in an energy-efficient manner.
c. Furniture and Non-Health Care Equipment: The Department will allow the Contractor to utilize the
Department’s furniture and non-health care equipment currently in place in each health services
unit. The Contractor shall lease or purchase office equipment such as scanners, copiers, etc. The
Contractor shall be liable for their utilization of associated non-health care equipment, including
all telephone equipment, telephone lines, and service, including all long-distance service and
dedicated lines for EKGs or lab reports, copy machines, or fax equipment, and is responsible for
all costs, including the installation of any phone, fax, or dedicated lines requested by the Contractor.
The Contractor shall maintain any furniture and non-health care equipment identified on the
provided inventory, including repair and replacement (including installation) of Department-owned
equipment. Any equipment damaged or otherwise found to be beyond economical repair after the
Contract start date will be repaired or replaced by the Contractor and placed on the Contractor’s
inventory list. All inventoried furniture and non-health care equipment identified on the inventory
sheet shall remain the Department's property upon expiration or termination of the Contract. All
furniture and non-health care equipment purchased by the Contractor in support of the Contract
shall become the Department's property upon Contract expiration or termination.
d. Health Care Equipment: The Contractor may utilize the Department’s existing medical equipment,
including all ancillary equipment in medical and dental units. The Contractor shall maintain all
equipment and replace any equipment used by the Contractor that becomes non-functional during
the Contract term. All health care equipment, including Contractor replacements, shall remain the
Department's property upon Contract expiration or termination. Any health care equipment
damaged or otherwise found to be beyond economical repair after the Contract’s effective date will
be repaired or replaced by the Contractor and added to the Department’s inventory list. Within 30
Days of Contract execution, the Contractor shall advise the Department of any existing health care
equipment that it does not need.
e. Additional Equipment: If the Contractor identifies necessary health care equipment not already in
the Department’s inventory, the Contractor shall submit a request for approval to the Contract
Manager. If approved, the Contractor shall purchase, install, and maintain such equipment per the
Department’s functionality, sanitation, and security requirements. Any additional equipment
purchased by the Contractor for the Contract that the Department does not reimburse shall be
maintained by the Contractor and shall remain its property upon Contract expiration or termination.
Such equipment reimbursed by the Department shall become the Department’s property upon
Contract expiration or termination. Additional equipment purchased by the Department for use in
the medical or dental unit(s) shall be coordinated and maintained by the Contractor and replaced
should it become nonfunctional.

Page 20 of 146

CONTRACT #C3076
f.

IT Equipment: The Contractor shall have adequate computer hardware and software for staff to
perform care, enter information into the EMR system timely, provide required reports, and perform
essential functions required by the Contract. The Contractor must maintain all computer equipment
in compliance with the Department’s information technology standards.

g. Health Care Supplies: The Contractor shall provide all health care supplies required to render health
care services. The Contractor shall have at least a 30 Day-supply of health care supplies upon its
assumption of responsibility for service implementation at the Institutions.
h. Within 14 Days of expiration or termination of the Contract, the Contractor shall ensure a physical
inventory be conducted of all equipment, pharmaceuticals, and health care supplies. All equipment,
pharmaceuticals, and supplies reimbursed by the Department will become the Department’s
property.
i.

Forms: The Contractor shall utilize Department Forms (written and within the EMR), as specified,
to carry out the provisions of the Contract. The Department will provide an electronic copy of each
form in a format that the Contractor may duplicate for use. The Contractor shall request prior
approval from the Contract Manager to modify or develop additional forms.

The Contractor shall not be responsible for housekeeping services, building maintenance, bed
linens, routine Inmate transportation, and security. However, the Contractor shall be responsible
for maintaining the health services unit in compliance with Department Policy, including sanitation,
infection control, and specialty garments required by Department Policy. The Contractor is
responsible for health care specialty items used in the infirmary, including, but not limited to,
treated (flame-retardant) mattresses, medical/psychiatric restraint materials and devices, suicide
garments, and infirmary clothing.

14. The Contractor shall establish and maintain a provider network that provides cost-effective quality
health care and establishes a sufficient provider base to meet industry standards in all Regions,
including through use of telehealth, as approved by the Department. The network should be robust to
ensure sufficient coverage for all necessary health care services and specialties. The Contractor shall
execute subcontracts with community health providers, including hospitals, clinics, health care
providers, agency and locum tenens staffing services specialty care services, diagnostic testing,
laboratory services and other ancillary services to ensure provision of Comprehensive Health Care
Services.
15. The Contractor shall develop and maintain a Biomedical and Pharmaceutical Waste Plan (BMWP),
which addresses the definition, collection, storage, decontamination, and disposal of regulated waste.
The Contractor shall provide its BMWP to the Contract Manager within 30 Days of Contract execution
and shall submit any updates to the BMWP to the Contract Manager within 30 Days of the proposed
update. The Contractor shall provide biomedical waste handling training to staff and Inmates as
required.
16. To support this BMWP, the Contractor shall execute subcontracts for the disposal of regulated waste
and provide a list of any new or updated BMWP subcontracts to the Contract Manager within 30 Days
of such changes.
17. The Contractor shall develop and maintain an Emergency Medical Services (EMS) plan to ensure the
provision of all medically necessary Inmate transportation by ambulance or other life-support
conveyance, either by ground or air, for all Service Locations covered by the Contract. The Contractor
Page 21 of 146

CONTRACT #C3076
shall submit any updates to the existing plan to the Department within 30 Days of the proposed changes
to the Contract Manager.
Per Florida Statutes, county EMS are solely responsible for determining the need for air transport (ie.
Life Flight); however, the Contractor shall cover such services' costs.
18. The Contractor’s Institutional CHO/SMD shall work closely with the Warden to support the overall
Institution emergency plan's health services components.
The Contractor shall develop and implement Medical Emergency Care Plans for each Institution and
satellite facility covered by the Contract, in accordance with the requirements outlined in HSB 15.03.22,
Medical Emergency Care Plan and Guidelines.
19. The Contractor shall provide and maintain first aid kits in all specified locations in Institutions and
satellite facilities, including dental clinics, in accordance with Procedure 403.005, First Aid Kits.
20. The Contractor shall provide and maintain the following in all institutional dental clinics:
a. An Automatic External Defibrillator (AED), as required by Rule 64B5-17.015, F.A.C. (Office
Safety Requirements) and Chapter 466, F.S.;
b. A portable oxygen tank with tubing and mask(s);
c. An Emergency Kit, as outlined in HSB 15.04.13, Dental Services/Standard Operating Procedures;
Supplement A, Dental Office Emergency Treatment Protocols; and
d. Sufficient supply of Personal Protective Equipment (PPE) for all dental staff with Inmate contact.
21. The Contractor must ensure crash carts are in all nursing stations within the RMCH. A list of contents
must be displayed on the front of each drawer, and a list of medical supplies must be attached to the
top right front of each crash cart.
22. Emergencies
a. The Contractor shall ensure Licensed Nurses are available onsite at all Institutions to respond to
urgent and emergent outpatient needs, 24 hours a Day, seven (7) Days a week, in accordance with
Procedure 403.006 and HSB 15.03.22, unless an exception is approved by the Department.
b. The Contractor shall ensure a Medical Provider or Licensed Nurse responds to all medical
emergencies immediately after notification (a First Responder may fulfill this requirement), in
accordance with Department Policy. If determined necessary, the Contractor shall ensure the
Inmate’s transport via local ambulance services to the nearest community hospital offering 24-hour
emergency services.
c. The Contractor shall participate in the annual disaster drill and perform quarterly mock codes.
d. The Contractor shall provide health care staff qualified as described in Attachment A to respond
to Department staff, contractors, volunteers, and visitors for emergencies at Institutions and provide
Basic First Aid and Basic Life Support to stabilize them while awaiting emergency medical services
and transportation to the nearest community hospital offering 24-hour emergency services.
23. The Contractor shall ensure compliance with HIPAA administration, privacy and security requirements
and ensure compliance with all provisions outlined in the Business Associate Agreement for HIPAA
(Attachment B), and shall:
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CONTRACT #C3076
a. Ensure all staff (including subcontractors) are trained on Procedures 102.006, HIPAA Privacy
Policy, and 206.010, Information Technology Security Relating to HIPAA.
b. Ensure a Release of Information (ROI) (Form DC4-711B, Consent and Authorization for Use and
Disclosure Inspection and Release of Confidential Information) is obtained to release all Protected
Health Information (PHI), except under the conditions outlined in Procedure 102.006, HIPAA
Privacy Policy.
24. The Contractor shall develop, implement, and manage a system for tracking and responding timely to
all care inquiries or complaints made by Inmates and requesters. When the Department requests copies
of health care records, health care summaries, or any other Inmate clinical information on Inmates, the
Contractor shall provide the documentation to the Department’s Health Services Director, per the
following schedule:
a. Urgent Care Issues (examples: cancer, cardiac, or neurological) – requires a response within 24
hours; and
b. Routine Care Issues – requires a response within 72 hours.
In accordance with HIPAA and Section 945.10, F.S., the Contractor shall ensure a valid Release of
Information (ROI) before allowing the requester access to the Inmate’s PHI. If the Inmate refuses to
sign an ROI, the information shall not be provided to the requester. Requests for information by
authorized Department staff do not require an ROI since the Department is the medical and mental
health records custodian. Additionally, requests for PHI authorized in Florida Statutes, court-orders, or
in response to a valid HIPAA-compliant subpoena do not require an ROI.
25. The Contractor shall process all Inmate requests and informal and formal grievances following Chapter
33-103, F.A.C., Form DC6-236, Inmate Request, Form DC1-303, Request for Administrative Remedy
or Appeal, HSB 15.02.01, Medical and Mental Health Care Inquiries, Complaints, and Informal
Grievances, and HSB 15.04.05, Dental Care Requests, Complaints, and Informal Grievance.
26. The Contractor shall notify the Contract Manager via email of its receipt of any of the following related
to services provided under the Contract within 24 hours (or the next Business Day, if the deadline falls
on a weekend or holiday):
a. Notice of any audit or investigation;
b. Notice of intent by any State or federal regulatory or administrative body of imposing disciplinary
action; and
c. Any other legal actions or lawsuits filed against the Contractor.
27. The Contractor shall provide copies of the below reports or documents within seven (7) Business Days
of the Contractor’s receipt:
a. Audit reports for any reportable condition, complaints, or files;
b. Notices of investigation from any State or federal regulatory or administrative body;
c. Warning letters or inspection reports issued, including reports of “no findings,” by any State or
federal regulatory or administrative body;
d. All disciplinary actions imposed by any State or federal regulatory or Administrative body for the
Contractor or any of the Contractor’s employees; and
e. Notices of legal actions and copies of claims.
The Contractor shall cooperate with the Office of the Attorney General, State Attorney, or any outside
counsel designated by the Department on cases that involve Inmates who are under the Contractor’s
care through the Contract.

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28. The Contractor shall process public records requests, in accordance with Chapter 119 and Section
945.10, F.S., Confidential Information, Rule 33-102.101, F.A.C., Public Information and Inspection of
Records, Rule 33-401.701, F.A.C., Medical and Substance Abuse Clinical Files, Rule 33-601.901,
F.A.C., Confidential Records, and Procedure 102.008, Public Records Requests.
Specifically, the Contractor shall:
a. Allow the Department and the public access to any documents, papers, letters, or other materials
subject to the provisions of Florida Statutes, made or received by the Contractor in conjunction
with services provided under the Contract, which are not otherwise exempt from disclosure;
b. Train all Contractor employees and subcontractors on the provisions of Procedure 102.008;
c. Provide specialized training to all Health Information Specialists on their role as the record
custodian for health services records of active Inmates at their Institution or health services unit;
and
d. Develop and implement a tracking system for all public records requests received and processed.
Note: Florida has a very broad public records law. No requirement in Florida Law requires public
records requests to be submitted in writing.
29. The Contractor shall provide health care services to Inmates with impairments in accordance with HSB
15.03.25, Services for Inmates with Auditory, Mobility, or Vision Impairments and Disabilities,
Procedure 403.013, Inmate Impairment and Disabilities Services, HSB 15.03.25.01, Auditory Services,
HSB 15.03.25.02, Mobility Services, HSB 15.03.25.03, Vision Services, and all appendices.
The Contractor shall respond to all disabilities that qualify for consideration under the Americans with
Disabilities Act (ADA) in accordance with Rule 33-210.201, F.A.C., ADA Provisions for Inmates, and
Procedure 604.101, Americans with Disabilities Act Provisions for Inmates.
30. The Contractor shall ensure the RMCH nursing services are appropriately credentialed, organized,
staffed, and equipped to provide competent nursing care according to the level of acuity of patient care
provided, and in accordance with Florida hospital licensure requirements.
31. The Contractor shall determine the need for new Inmate Assistants. The Contractor shall provide
Inmate Assistants the required training, upon initial assignment and annually, in accordance with
Procedure 403.011, Inmate Assistants for Impaired Inmates. Inmates are not permitted to provide health
services to other Inmates.
32. The Contractor shall follow and enforce the Department’s Prison Rape Elimination Act (PREA)
policies which mandate reporting and treatment for abuse or neglect of all Inmates in secure Institutions.
PREA is federal law, Public law 108-79, and is designated as 34 U.S.C. 30301-30309. Following
PREA, the Department has a zero-tolerance standard against sexual assaults and rapes of incarcerated
persons of any age.
The Contractor shall:
a. Ensure compliance with Procedure 602.053, Prison Rape: Prevention, Detection, and Response,
and HSB 15.03.36, Post Sexual Battery Medical Action;
b. Complete all documentation, reporting, and referral requirements outlined in HSB 15.03.36,
Section III;
c. Train all health care staff on PREA requirements outlined in HSB 15.03.36, Section IV, Specialized
Training; and
d. Ensure compliance with the applicable PREA standards as required by 28 C.F.R. Part 115.
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33. The Contractor shall implement and oversee a health care Quality Management program in accordance
with HSB 15.09.01, Quality Management Program.
34. The Contractor shall ensure all newly employed Licensed Nurses and CNAs receive an orientation that
includes, but is not limited to:
a. A review of HSB 15.11.01, Health Services Personnel Orientation and associated Appendices A,
B, and C, completing Form DC4-654C, Nursing Personnel Orientation Process Checklist;
b. Completion of skills assessment, DC4-678, Emergency Procedures Skills Checklist;
c. Information on where to access and review Chapter 33, F.A.C., Department Policies, and associated
forms;
d. OBIS training, as applicable;
e. EMR training; and
f. Job-specific information and expectations.
New staff must also complete the FDC New Employee Orientation, and the training required in the
FDC Master Training Plan, totaling 40 training credits annually.
35. The Contractor’s nursing staff must demonstrate ongoing professional competency, including records
and documentation requirements, through competency assessments annually, quarterly, and as needed.
The Contractor’s Licensed Nurses shall complete a quarterly mock code response that includes:
a. A man-down drill simulating an emergency affecting one (1) individual who needs immediate
medical intervention in a life-threatening situation commonly experienced in a correctional setting.
Use Forms DC4-679, Med Code 99 Emergency Resuscitation Flowsheet and DC4-677, Med Code
99 Critique to document the team’s performance;
b. Completing Form DC4-678, Emergency Procedures Skills Checklist; and
c. Training on inventory and use of the Jump Bag, emergency equipment, and emergency
medications.
36. The Contractor must maintain nursing orientation, competency assessments, and emergency training
documentation on-site in the HSA or DON’s office.
37. The Contractor must provide their staff with unimpeded access to all current Department Policies, and
forms.
38. The Contractor’s Statewide Medical Director and the Statewide DON shall sign the acknowledgment
receipt in the Department’s Nursing Manual and the Statewide DON shall maintain the receipt.
39. The Contractor’s Statewide DON must review updates to laws, rules, Department Policies, and forms
within one (1) week of being provided by the Contract Manager.
40. The Contractor shall ensure that all its staff review all associated updates of federal and State laws,
Department Policies, and forms related to their work assignments.
41. The Contractor shall maintain an acknowledgment sheet with employee signatures to affirm that they
have read and understand the information noted in Program Management subsection 40.
42. The Contractor shall ensure that its nursing staff attend education programs to increase their knowledge
of infection control practices, including care of tuberculosis (TB) patients, hepatitis, outbreaks, wound
care, mental disorders, and mental health nursing interventions.
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43. The Contractor shall do the following:
a. Ensure Inmate PHI is maintained confidential, as required in the Contract;
b. Provide access to care by posting sick call sign up times and sick call hours in medical areas and
Inmate dormitories, in accordance with Procedure 403.006, Sick-Call Process and Emergencies;
c. Honor an Inmate’s expressed wishes to refuse medical and mental health care, in accordance with
Rule 33-401.105, F.A.C, Refusal of Health Care Services. Document all refusals on Form DC4711A, Refusal of Health Care Service, and document the refusal in the Inmate’s medical record, in
accordance with Rule 33-401.105(3), F.A.C.;
d. Honor an Inmate’s right to refuse medications, in accordance with Procedure 403.007, Medication
Administration and Refusals, and document medication refusals, in accordance with Procedure
403.007(4);
e. Educate and encourage Inmates to exercise their self-determination rights to establish written
instructions regarding incapacity planning, in accordance with HSB 15.02.15, Health Care
Advance Directives; and
f. Ensure the administration of psychotropic medications by a Medical or Psychiatric Provider
without an Inmate’s informed consent is restricted to emergencies in accordance with HSB
15.05.19, Psychotropic Medication Use Standards and Informed Consent, and Florida law.
44. Upon request and approval from the Department’s Chief of Mental Health Services, the Contractor
shall develop and provide mental health-related training to FDC staff to improve clinical and
operational efficacy. Training may cover any mental health-related topic required in Department
Policies and the Department’s Staff Development curriculum.
45. Health education services are an essential and required component of the total health care delivery
system. The Contractor shall ensure, as requested by the Department’s Regional Directors, Wardens,
or the Contract Manager, that specialized training is provided to security staff, institutional staff, and
Inmates on health care-related topics, such as the following:
a. First aid training;
b. Cardiopulmonary resuscitation (CPR) certification training;
c. AED Training for selected staff;
d. Sprains;
e. Casts;
f. Seizures;
g. Minor burns;
h. Dependency on drugs;
i. Health seminar;
j. Lifts and carries;
k. Suicide Prevention and Emergency Response Training; and
l. Universal Precautions.
This training does not replace any health care services offered by the Contractor but augments the
Contractor's services.
The Contractor’s nursing staff shall orient Inmates on access to care procedures immediately upon
arrival at reception and at new facilities, per Procedure 403.008, Inmate Health Services Orientation
and Education.
46. The Contractor shall ensure that all health services information and care (written and oral) is provided
in a language understood by the Inmate, including American Sign Language (ASL). ASL interpreters
shall be provided by the Contractor when needed. When selecting an interpreter, every reasonable effort
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should be made to use ASL interpreters who hold a certification from the National Registry of
Interpreters for the Deaf or the National Association of the Deaf.
When a literacy problem exists, a staff member with the necessary literacy skills shall assist the Inmate
in understanding the training. Physically or mentally challenged Inmates will receive health education
and health-related communication based on their individual needs. Inmates may not provide
interpretation services for fellow Inmates.
47. The Contractor shall actively participate in Department Contract and QM monitoring reviews,
Correctional Medical Authority (CMA) surveys, and American Correctional Association (ACA)
accreditations reviews.
The Contractor shall:
a. Maintain the health services area of each Institution in a state of readiness at all times;
b. Cooperate with monitors/surveyors on requests for information that are made before, during, and
after visits;
c. Develop Corrective Action Plans (CAP) to address all findings and recommendations, following
Department Policy and Contract monitoring requirements, CMA policy, and ACA policy, as
applicable;
d. Develop and manage a Microsoft SharePoint site (or similar) that the Department and the CMA
can access to upload corrective action documentation; and
e. Manage and track their progress on all CAPS to ensure actions are fully completed within the CAP's
timelines.
Following its initial surveys, CMA conducts CAP assessments to determine if corrective action is being
taken per the approved CAP. CMA findings shall be closed no later than the second on-site CAP
assessment visit.
48. The Contractor shall collaborate with the Federal Bureau of Prisons, county jails, private correctional
facilities, and other correctional jurisdictions on intakes, transfers, and discharges. The Contractor shall
provide health care services for Inmate Patients referred from the following programs to Institutions
covered by the Contract:
a. Interstate Compact Inmates - Assume all responsibility for the coordination, provision of care, and
reimbursement processing for Interstate Compact Inmates, under established Interstate Compact
Agreements. The Contractor shall coordinate all interstate compact medical requests through the
Department’s designee to ensure they are appropriately processed.
b. County Jail Work Programs - The Department sometimes houses Inmates in certain county jails
where they participate in work programs. Inmates in these programs receive health care at the
closest Institution. The Contractor is responsible for coordinating the transfer and medical care of
these Inmates.
c. Federal Inmates – The Contractor shall coordinate medically-related transfers to and from federal
prisons. The Department has a small number of federal Inmates in our custody, and there is no cost
exchanged with the Federal Bureau of Prisons.
d. Private Correctional Facilities – The Contractor shall provide and coordinate health care services
for all Inmates transferred from private facilities to the Department-operated Institutions. Inmates
from private correctional facilities may be scheduled for medical care at RMCH. The Contractor
will work with the private prison operators to coordinate reimbursement based on the Office of
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Health Services’ established rate schedule. The Contractor shall work cooperatively with private
facility staff on transfers to and from these facilities.
There are currently approximately 10,000 Inmates housed in seven (7) private correctional facilities.
The Department retains final decision-making authority regarding the transfer of Inmates between the
Department-operated Institutions and private correctional facilities. The number of Inmates housed at
Private Correctional Facilities and the number of Private Correctional Facilities are subject to change.
49. In accordance with HSB 15.05.21, Mental Health Re-Entry Aftercare Planning Services, when an
Inmate with a serious medical issue is released from an Institution, the Contractor must identify their
health care conditions during the pre-release stage and then identify community resources to meet the
Inmate’s individualized needs. Planning should include, at a minimum, continuing medication with a
14-Day supply (except for HIV medications, which shall be a 30-Day supply), provided upon release,
unless clinically contraindicated or earlier appointments with outside providers have been scheduled
for follow-up care.
In accordance with HSB 15.03.29, Prerelease Planning for Continuity of Health Care, the Contractor
shall:
a. Provide adequate staffing to coordinate discharge planning at each Institution. Discharge planning
includes making referrals to appropriate community health care providers and organizations and
participating in the institutional discharge planning process to promote continuity of care. As part
of discharge planning, the Contractor is responsible for referring releasing Inmates meeting the
criteria in Section 945.46, F.S., for commitment under Chapter 394, F.S.
b. Develop, implement, and coordinate a comprehensive discharge plan for Inmates with acute or
chronic illness who are difficult to place due to their offense and are within six (6) months of EOS.
c. Coordinate Inmate release issues with the Department’s Office of Health Services, Division of
Development: Improvement and Readiness, and Bureau of Admission and Release to help assist
Inmates as they prepare to transition back into the community.
d. Coordinate the health care portion of the Department’s re-entry initiative.
50. The Contractor shall provide staff and a system for timely review, verification, processing, and payment
of all claims and invoices for services provided under the Contract.
51. The Contractor may use telehealth services to augment direct health care services, with approval by the
Department. Any use of telehealth services must follow Section 456.47, F.S., HSB 15.06.12, and the
Department’s Information Technology and Security requirements for telehealth.
52. The Department has interagency agreements with the Florida Department of Health (DOH) and five
(5) county health departments (CHDs) to treat Inmates with HIV/AIDS and other Sexually Transmitted
Diseases. Under these agreements, approved by the Federal Centers for Disease Control and Health
Resources Services Administration, the Department pays the CHDs to provide medical services at
designated Institutions. The CHD Medical Provider prescribe the drugs, which the DOH State
Pharmacy dispenses. This model allows the Department to be eligible for Federal 340B drug pricing.
The CHD services cover the Department’s routine Immunity Clinic visits (see HSB 15.03.05, Chronic
Illness Monitoring and Clinic Establishment Guidelines and Attachment 6, Immunity Clinic).
53. Under Section 945.355, F.S. and Rule 33-401.105, F.A.C., Refusal of Health Care Services, the
Department is responsible for providing various transitional services to HIV positive Inmates who are
reaching EOS, including educational assistance, an Individualized Service Plan, HIV testing, and a 30Day supply of HIV medications at release unless clinically contraindicated (reference HSB 15.03.08,
Human Immunodeficiency Virus (HIV) Disease and Continuity of Care). As continuity of medications
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is critical to the care of HIV Patients, the medications should be ordered far enough in advance, so they
can be hand-delivered to the Inmate before they release from the Institution.
The pre-release planning services required under Florida Statutes are funded through a Pre-Release
Planning grant from the Department of Health (DOH). This program has been in effect since 1999 and
is 100% funded through federal Ryan White Title B funds. HIV Pre-Release Planners, who are
Department employees, work with Inmates and corrections staff in other Institutions to coordinate
referrals and linkages to medical care, case management, medication assistance, and other supportive
services. They coordinate with local Ryan White providers to ease the transition post-release back into
the community and ensure clients continue to seek necessary care and treatment. Also, the Department
has a separate Peer Educator grant from DOH. Under this program, a Department employee trains
Inmates to provide other Inmates with education on preventing the transmission of HIV and HCV to
others and on the importance of receiving follow-up care and treatment. This program is currently
serving Inmates at Central Florida Reception Center and Florida Women’s Reception Center.
The Department will provide the following support for the program:
a. Pre-release planners in each region to plan and coordinate resources and activities with each Inmate
before release.
b. A linkage coordinator in South Florida and Central Florida to follow up with Inmates post-release.
c. A Peer Educator at Central Florida Reception Center and Florida Women’s Reception Center
(which also provides services to Inmates at Lowell CI) to train Inmates to become HIV/HCV
Educators to their Inmate peers.
The Contractor shall also follow the requirements in HSB 15.03.05, Appendix 6, Immunity Clinic.
54. The Department has a Doctoral Psychology Internship program accredited by the American
Psychological Association (APA), which is a member of the Association of Psychology Postdoctoral
and Internship Centers (APPIC). The internship mission is to provide training that will produce
postdoctoral, entry-level Psychologists who have the requisite knowledge and skills for successful entry
into the practice of professional psychology in general clinical or correctional settings and eventually
become licensed Psychologists. The internship uses a Practitioner-Scholar Model where scientific
training is integrated into the practice training component. The internship consists of 2,000 hours per
year.
The Department also has a Psychology Post-Doctoral Residency program that is a member of the
Association of Psychology Postdoctoral and Internship Centers (APPIC) and has obtained accreditation
by the American Psychological Association. The Residency program’s mission is to prepare the
Psychology Residents for the advanced practice of professional psychology, emphasizing correctional
psychology.
The Contractor shall incorporate the Department’s Program Director of Internship and Residency
Training, the Assistant Director of Internship and Residency Training, four (4) Interns, four (4)
Residents and a staff assistant into the mental health service delivery system to satisfy the internship
and residency requirements as determined by the Program Director. The Program Director will assign
the interns’ and residents’ workload and duties to meet program requirements. The interns and residents
complete rotations at different facilities during the year. The Contractor will ensure that at least three
(3) different Florida-licensed Psychologists are consistently available to provide supervision to the
interns and residents, as determined by the Program Director. This Program is currently administered
from Zephyrhills CI.

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55. The Contractor shall develop or continue working relationships with academic institutions to provide
interns, residents, and students at FDC facilities and to encourage Florida students to consider careers
in correctional health care. The Contractor will ensure the interns' and residents' supervisory and
educational requirements are consistent with the accrediting organization requirements.
56. The Contractor shall assist the Department in processing transfers for Inmates with complex medical
needs. The Department must approve all Inmate transfers to the Department’s specialty care Institutions
that serve Inmates with complex medical needs such as step-down care, long-term care, and palliative
care. Currently, the Department has specialty dorms at Zephyrhills CI (A-Dorm and J-Dorm), Central
Florida Reception Center (South Unit Infirmary); South Florida Reception Center (F-Dorm), and
Lowell CI (Main unit, I-Dorm). Specialty care Institutions are subject to change. Transfers to these
facilities shall be made following HSB 15.09.04, Utilization Management Procedures, Section VII.
57. The Contractor shall provide health care services to Inmates at satellite facilities, in accordance with
HSB 15.07.02, Health Services for Inmates in Community Facilities. Health records for Inmates at
satellite facilities shall be maintained in accordance with HSB 15.12.03, Health Records, and HSB
15.07.02.
58. The Warden has full operational control of the Institution and designated satellite facilities. The
Contractor shall ensure its staff, including subcontractors, are required to follow all Department Policies
and security directives, including but not limited to requirements for entering and exiting Institutions,
counts, lockdowns, use of restraints, and incident reporting.
59. The Contractor shall coordinate outside referrals with the Department for security and transportation
arrangements. The Contractor’s staff shall not provide personal transportation services to Inmates. Offsite services (including specialty consults and hospital care) should occur close to the Institution, to the
extent possible.
60. When Department staff become aware of an Inmate experiencing an emergent or urgent health problem,
the Contractor’s health care personnel must immediately address the issue by permitting the Inmate to
be escorted to medical or the Infirmary for an evaluation or sending Contractor staff to the Inmate’s
location. The Contractor must plan, in advance, for the management of emergency services and must
maintain an “open” system capable of responding to emergency circumstances as they occur.
61. The Contractor shall certify Isolation Management Rooms (IMR) and Observation Cells (OCs) in
accordance with Procedure 404.002, Isolation Management Room and Observation Cells.
62. Contractor staff are required to report various incidents in accordance with Procedure 602.008, Incident
Reports-Institutions. The Contractor shall purchase and maintain approved suicide mattresses, blankets,
and garments needed for use in the IMRs and OCs.
63. The Contractor shall ensure its staff are familiar and comply with their responsibilities noted in the
specific Department Policies below. Procedure:
a. 607.001 Security Threat Management Program (STG) *Restricted*
b. 602.009 Emergency Preparedness *Restricted*
c. 602.010 Drug Testing of Inmates*Restricted*
d. 602.011 Escape/Recapture*Restricted*
e. 602.016 Entering/Exiting FDC Institutions *Restricted*
f. 602.018 Contraband and Searches of Inmates *Restricted*
g. 602.023 Personal Body Alarms*Restricted*
h. 602.024 External Inmate Transportation and Security *Restricted*
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i.
j.
k.
l.
m.
n.
o.
p.
q.

602.028 Special Management Spit Shield *Restricted*
602.037 Tools and Sensitive Item Control *Restricted*
602.039 Key Control and Locking Systems*Restricted*
602.049 Forced Hygiene Compliance *Restricted*
602.053 Prison Rape: Prevention, Detection, and Response *Restricted*
602.054 Escort Chair *Restricted*
602.056 Identification Cards *Restricted*
Rule 33-602, F.A.C., Security Operations *Restricted*
DC1-211, Non-Security Staff Instructions for Reporting Inappropriate Inmate Behavior
*Restricted*

64. The Contractor shall comply with Procedure 602.037, Tools & Sensitive Item Control for items
including, but not limited to, hypodermic needles, syringes, and medical tools.

65. Mental Health Clinical Review, Supervision, and Training
The Contractor shall ensure that all non-psychiatric mental health services provided are supervised by
the Contractor’s Psychologist who assumes clinical responsibility and professional accountability for
the services provided. In doing so, the Psychologist, or designee approved by the Department, reviews
and approves reports, intervention plans, and strategies. The review is documented by co-signing BioPsycho-Social Assessments (BPSAs), Individualized Service Plans (ISPs), treatment summaries, and
referrals for psychiatric services and clinical consultations. Regardless of an Inmate’s mental health
grade, only a Psychologist can approve testing protocols or conduct a psychological evaluation.
The Contractor shall ensure if a Behavioral Health Specialist (Mental Health Counselor) is a Registered
Mental Health Intern, supervision will be provided and documented in accordance with the
requirements of the Chapter 491, F.S. Supervision for provisional licensed Psychologists will be
provided and documented in accordance with the requirements of the Chapter 490, F.S.
One (1) hour of relevant in-service training shall be provided monthly by a Psychologist or RMHD to
institutional clinical staff.
66. The Contractor shall provide staff support for the RMCH Governing Body and ensure compliance with
all requirements outlined in the Governing Body By-Laws. The Department will coordinate
appointments to the Governing Body and provide orientation for new members.
67. Conduct and Safety Requirements
The Contractor shall ensure all staff adhere to the standards of conduct prescribed in Chapter 33-208,
F.A.C, and as prescribed in Department Policies, particularly rules of conduct, employee uniform,
employee grooming and clothing requirements (as applicable), security procedures, and any other
applicable rules, regulations, policies and procedures of the Department. The Contractor acknowledges
and accepts, for itself and any of its agents, that all or some of the services to be provided under the
Contract shall be provided in a correctional setting with direct and/or indirect contact with the Inmate
population and that there are inherent risks associated with the correctional environment. Staff conduct
requirements are as follows:
a. The Contractor’s staff shall not display favoritism to or preferential treatment of one Inmate or
group of Inmates over another.
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b. The Contractor’s staff shall not deal with any Inmate except in a relationship that supports services
under the Contract. Specifically, staff members must never accept for themselves or any member
of their family, any personal (tangible or intangible) gift, favor, or service from an Inmate, an
Inmate’s family, or close associate, no matter how trivial the gift or service may seem. The
Contractor shall report to the Contract Manager any violations or attempted violation of these
restrictions. In addition, no staff member shall give any gifts, favors, or services to Inmates, their
family, or close associates.
c. The Contractor’s staff shall not enter any business relationship with Inmates or their families
(example – selling, buying or trading personal property), or personally employ them in any
capacity.
d. The Contractor’s staff shall not have outside contact (other than incidental contact) with an Inmate
being served or their family or close associates, except for those activities that are to be rendered
under the Contract.
e. The Contractor’s staff shall not engage in any conduct which is criminal in nature or which would
bring discredit upon the Contractor or the State. In providing services pursuant to this ITN, the
Contractor shall ensure that its employees avoid both misconduct and the appearance of
misconduct.
f.

At no time shall the Contractor or Contractor’s staff, while delivering services under the Contract,
wear clothing that resembles or could reasonably be mistaken for an Inmate’s uniform or any
correctional officer’s uniform, or bears the logo or other identifying words or symbol of any law
enforcement or correctional department or agency.

g. Any violation or attempted violation of the restrictions referred to in this section regarding
employee conduct shall be reported by phone and in writing to the Contract Manager, including
proposed action to be taken by the Contractor. Any failure to report a violation or take appropriate
disciplinary action against the offending party or parties shall subject the Contractor to appropriate
action, up to and including termination of the Contract.
h. The Contractor shall report any incident described above or requiring investigation by the
Contractor, in writing, to the Warden and the Contract Manager within 24 hours of the Contractor’s
knowledge of the incident.
i.

Contractor shall participate, as needed, with FDC security audits to ensure compliance with tool
control and other security-related policies and procedures.

68. The Contractor shall maintain acknowledgement sheets with employee signatures to affirm that they
have read and understand Department Policies.
69. Medical Disaster Plan
The Contractor shall participate in the Department’s disaster plan for the delivery of health services in
the event of a disaster, such as an epidemic, riot, strike, fire, tornado, or other acts of God or social
unrest. The Contractor shall implement and emergency plan in accordance with HSB 15.03.06, Medical
Emergency Plans, and Procedure 602.009, Emergency Preparedness, and shall update its plan annually,
or as indicated.

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70. The Contractor shall ensure its staff performing services under the Contract at institutional sites are
vaccinated against Hepatitis B in accordance with the Department of Health’s guidelines prior to the
start of service delivery. The Contractor shall provide the Contract Manager with proof of vaccination
prior to the start of service delivery by the staff member. The Contractor shall bear all costs associated
with the vaccination of their staff or subcontractor staff.
Additionally, the Contractor is responsible for vaccinating the Department’s institutional staff. The
Department will supply the vaccine for Department staff.
71. To accomplish its operational mission, the Department must communicate with parties outside of its
internal email and information systems. These communications may include electronic protected health
information (ePHI) or other confidential information governed by HIPAA, HITECH, Section 945.10,
F.S., or Chapter 60GG-2, F.A.C. These and other regulations require that electronic transmission of
ePHI or confidential information be encrypted.
The Contractor must follow all State and federal laws, and Department Policies relating to storage,
access to, and confidentiality of health care records. The Contractor shall ensure secure storage to
ensure the safe and confidential maintenance of active and inactive Inmate health records and logs, in
accordance with HSB 15.12.03, Health Records. In addition, the Contractor shall ensure the transfer of
Inmate health records and medications required for continuity of care in accordance with Procedure
401.017, Health Records and Medication Transfer. Health records will be transported in accordance
with HSB 15.12.03.
72. The Contractor shall ensure that its personnel document in the Inmate’s health record all health care
contacts in the proper format in accordance with standard health practice, ACA standards, and any
relevant Department Policies.
73. The Contractor shall be responsible for the orderly maintenance and timely filing of all health
information.
74. The Department shall provide security and security procedures to protect the Contractor’s equipment
as well as FDC medical equipment. FDC security procedures shall provide direction for the reasonably
safe security management for transportation of pharmaceuticals, medical supplies and equipment. The
Contractor shall ensure that the Contractor’s staff adheres to all Department Policies regarding
transportation, security, custody, and control of Inmates.
75. The Department shall provide security escorts to and from clinic appointments whenever necessary as
determined by security regulations and procedures outlined in Department Policies.
76. Data Entry and Data Exchange
The Contractor shall ensure information is available for input or via interface into the Department’s
existing information systems including but not limited to OBIS. Data includes, but is not limited to
information or reports, billing information, and auditing data to ensure accuracy of medical records
plus any other Department system or component developed for Health Services or any Department
system or component deemed necessary for Health Service operations. When requested, the Contractor
shall provide the Department data that can be uploaded into the medical record system. The data will
meet all the parameters of the Department and will be provided at no cost to the Department. This data
shall conform to all Department, State, and federal rules, guidelines, procedures, and laws covering
data transfer.

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77. The Contractor shall provide a method to interface and submit data in a format required by the
Department for uploading to the OBIS or other system as determined by the Department. The
Contractor shall also provide a web-based method for reviewing the reports.
78. Legal Health Services Requirements
The Contractor shall provide its own legal services in support of those expended by the Department in
relation to health care litigation. The Contractor shall provide its own legal services to support the
requirements in the Contract or as related to the provision of services (i.e., guardianship).
79. The Contractor shall provide a Transition Plan detailing the activities and timeframes for transitioning
various aspects of service delivery to a new provider upon termination or expiration of the Contract.
Transition activities should occur over four (4) to six (6) months.
D. Institutional Care
Institutional care consists of many different facets of health care delivery within the secure correctional
environment. This includes services provided to Inmates during the reception process and at their permanent
Institution, including sick call, use-of-force examinations, physical assessments, and specialty care such as
palliative care, geriatric medicine, female care, health education, and infirmary services.
The Contractor’s staff is involved in all elements of care “behind-the-fence.” These services are critical to
the success of health care delivery. The fundamental right of Inmates to access health care begins with the
health care staff at their Institution. It is critical that the Contractor’s institutional teams ensure that quality
care is given to Inmates, with special attention given to follow-up of diagnostic tests and specialty
consultations.
The Contractor’s staff must understand how to interact with Inmates and often are required to provide
clinical care at an Inmate’s location, such as in Special Housing, rather than just in the designated health
services area. The Contractor shall take into account the staffing required to not only appropriately staff the
health services/infirmary area, but also to ensure that Inmates in annexes, work camps, and other areas,
which may not be located within walking distance of the main health services area, are afforded appropriate
care.
The Contractor shall provide all institutional care services in accordance with Department Policies. The
Policies include routine and specialized care for new commitments and the currently incarcerated.
Institutional Care Requirements
1. The Contractor shall provide all care in accordance with applicable federal and State laws, and
Department Policies.
In addition, the Contractor shall provide nursing care in accordance with National Nursing and Health
Care Standards including, but not limited to:
a. National Council of State Boards of Nursing;
b. The American Nurses Association Correctional Nursing Scope and Standards of Practice;
c. The American Nurses Association Nursing Scope and Standards of Practice;
d. The American Nurses Association Psychiatric Mental Health Nursing Scope and Standards of
Practice;
e. The American Nurses Association Nurses Code of Ethics; and
f. American Correctional Association.
2. The Contractor’s nursing services shall be organized, staffed, and equipped to provide competent
nursing care, according to the level of acuity of patient care provided at each Institution.
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3. The Contractor’s Registered Nurses shall provide coverage 24 hours per Day, seven (7) Days per week
at Institutions with 600 or more Inmates designated to house Inmates classified as medical grades M-3
or M-4.
4. The Contractor shall ensure its Licensed Nurses are available on-site at Major Institutions at all times
to provide services within the scope of their licenses and certifications under the direction of an RN, if
the Licensed Nurse is not an RN, unless approved in advance by Department.
5. The Contractor shall ensure where levels of inpatient care are provided (Infirmary, Palliative Care,
Intensive Medical Unit, etc.), a Registered Nurse(s) is available on-site to oversee inpatient nursing
care at all times.
6. The Contractor shall ensure certified nursing assistants (CNAs) are utilized, as appropriate, within the
scope of their practice.
7. The Contractor shall ensure each Institution’s Director of Nursing or RN Supervisor is available onsite during regular business hours and available after hours and on weekends and holidays, either inperson or by telephone or telehealth.
8. The Contractor shall ensure its Medical Providers provide clinical assistance to the nursing staff during
their daily activities including, but not limited to wound care, infirmary care, insulin line, and EKG.
9. Intake and Reception Process
In accordance with HSB 15.01.06, Health Care Reception Process for New Commitments, Inmates
entering the Florida Department of Corrections’ system prior to transfer to permanent facilities shall
receive proper medical health appraisal, dental and mental health screening, and evaluation. All
screenings and evaluations will be conducted in accordance with Procedure 401.014 Health Services
Intake and Reception Process and Procedure 403.008 Inmate Health Services Orientation and
Education.
10. Inmate Transfers
The Contractor shall provide services in accordance with Procedures 401.017, Health Records and
Medication Transfer and 401.016, Medical Transfers, HSB 15.14.02, Prescription Orders, and the
Department’s Nursing Manual.
The Contractor shall ensure a Licensed Nurse administers morning medications to transferring Inmates
on DOT before their departure. A Licensed Nurse shall place the Inmate’s prescription(s) in a plastic
bag and send with the officers managing the Inmate’s transfer.
The Licensed Nurse shall transfer:
a. A seven (7) Day supply of medication for scheduled transfers to another Institution, U.S.
Immigration and Customs Enforcement, Court, or a County Jail;
i. If a seven (7) Day supply of medication(s) is not available, the sending Institution will
forward the amount of medication the Inmate has on hand;
b. A 30-Day supply of medication for scheduled transfers to an FDC satellite facility; and
c. All KOP medications will remain with the Inmate in the quantity they have on-hand.
The Contractor shall ensure a Licensed Nurse notify the pharmacy if there are insufficient quantities
on hand to transfer the appropriate amount. A Licensed Nurse shall send new or refill prescriptions for
Inmates who have transferred to their new location within 24 hours of receiving medication and notify
the receiving facility that the Inmate’s medications have been forwarded.
11. Sick Call
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The Contractor shall provide services in accordance with Procedure 403.006, Sick-Call Process and
Emergencies, Procedure 403.003, Health Services for Inmates in Special Housing, and the Nursing
Manual.
12. Periodic Screening Encounter
The Contractor shall perform a Periodic Screening Encounter every five (5) years until the Inmate is
50 years of age and annually thereafter in accordance with HSB 15.03.04 Periodic Screenings.
13. Female Health Examinations
The Contractor shall perform female health examinations following HSB 15.03.04, Periodic Screening.
14. Pregnant Inmates
The Contractor shall provide services for pregnant Inmates in accordance with HSB 15.03.39, Health
Care for Pregnant Inmates.
Testing and counseling shall be provided in accordance with Rule 64D-3.042, F.A.C. An APRN trained
to perform Gynecological examinations may manage such exams in consultation with, and appropriate
referral to a Gynecologist when clinically indicated.
15. In accordance with Department Procedure 403.008, Inmate Health Services Orientation and Education,
the Contractor shall provide health education including Sexually Transmitted Diseases, Tuberculosis,
Blood Borne Pathogens, infectious diseases, personal hygiene, exercise, weight control and nutrition.
16. The Contractor shall provide health care to Inmates with impairments and disabilities, in accordance
with the ADA, Florida laws, and Department Policies, including but not limited to HSB 15.03.25,
Services for Inmates with Auditory, Mobility, or Vision Impairments and Disabilities.
17. Chronic Illness Clinics
The Contractor shall establish chronic illness clinics and enroll Inmates into such clinics according to
their diagnoses. The Contractor shall evaluate, monitor, and provide continuity of care to all Inmates
enrolled in those clinics listed below, in accordance with HSB 15.03.05, Chronic Illness Monitoring
and Clinic Establishment Guidelines, and all attachments pertaining to their diagnosed illness.
18. Specialty Care
In accordance with HSBs 15.04.01, Referral of Patients to Outside Dental Specialists and 15.09.01,
Quality Management Program, when an Inmate’s medical condition requires specialty care, the
Contractor’s Medical Provider will refer the Inmate to a specialty clinic.
19. Dialysis
The Contractor shall provide a board-certified nephrologist to supervise/oversee the operation of the
Dialysis Clinic at RMC, Florida State Prison (FSP), and Lowell CI or alternate locations approved by
the Department. The Nephrologist also monitors and provides care for Inmates who require dialysis.
20. Inmate Post Use of Force Assessment
The Contractor shall provide services to Inmates after a use-of-force incident, in accordance with Rule
33-602.210, F.A.C.
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21. Staff Care Post Use of Force
The Contractor’s Clinician or Licensed Nurse shall offer all Department or Contractor staff involved in
a use-of-force event a medical examination. If an examination is conducted, it should be documented
on Form DC4-701C, Emergency Room Record, including all injuries claimed by the staff member or
observed by the medical staff. Should the staff member decline a post-use-of-force medical
examination, the Contractor’s medical staff will have the employee sign Form DC4-711A, Refusal of
Health Care Services, indicating an examination was offered but declined and provide such records to
the Department for use and storage.
22. Post Sexual Battery Examination
The Contractor shall provide services following reported sexual battery in accordance with Procedure
602.053, Prison Rape: Prevention Detection, and Response and HSB 15.03.36, Post Sexual Battery
Medical Action.

23. Pre-Special Housing Health Evaluation
The Contractor shall provide evaluations before an Inmate is moved into Special Housing in accordance
with Rule 33-601.800, F.A.C., Close Management, HSB 15.05.08, Mental Health Services for Inmates
who are Assigned to Confinement, Protective Management, or Close Management Status and Procedure
403.003, Health Services for Inmates in Special Housing.
24. Special Housing
The Contractor shall ensure a Medical Provider visits Special Housing at least once a month to assess
overall conditions of the housing and ensure that Inmates in Special Housing have access to and receive
adequate health care. Inmates scheduled to see Medical Providers will be seen in the Exam Room in
each Special Housing unit, as defined in Procedure 403.003, Health Services for Inmates in Special
Housing, and related FDC forms.
The Contractor shall ensure medications for Inmates in Special Housing be reviewed by health care
staff during the Pre-Special Housing Health Evaluation to verify a current (valid) order on DC4-714B,
Clinician’s Order Sheet, for the medication.
a. Single-dose medications shall be delivered and administered by the Licensed Nurse to Special
Housing. Single-dose medications will be taken to the Special Housing unit(s) and administered by
licensed nursing staff. A “no-show” shall not occur in Special Housing.
b. KOP medications will be returned to the Inmate for self-administration unless determined
otherwise by health care staff. Inmates in Special Housing may be allowed to have KOP medication
in their cells and self-administer as prescribed. Special circumstances will be addressed
individually.
25. Infirmary Care
The Contractor shall provide infirmary services in accordance with HSB 15.03.26, Infirmary Services
and Nursing Manual.
26. Palliative Care
The Contractor shall provide palliative care in accordance with HSB 15.02.17, Palliative Care Program
Guidelines and the Department’s Nursing Manual. The Contractor’s Medical Provider shall work
closely with its nursing staff and mental health staff, along with the FDC’s chaplain, security staff, and
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classification staff, as a member of the Interdisciplinary Team to provide compassionate care for
Inmates with advanced stage terminal illnesses in the last phase of his/her life in accordance with HSB
15.02.17.
The primary goals are to provide comfort care to alleviate pain while continuing maintenance
medication regimens. A Licensed Nurse shall provide direct nursing services, provide case management
services, and give supportive care to palliative Inmates. A Licensed Nurse shall complete an assessment
of the Inmate at the beginning of each eight-hour shift and documented on Form DC4-701,
Chronological Record of Health Care.
27. Self-Harm Observation Status
The Contractor shall provide care in accordance with Procedures 404.001, Suicide and Self-Injury
Prevention and 404.002, Isolation Management Rooms and Observation Cells and HSB 15.05.18,
Outpatient Mental Health Services.

28. Psychiatric Restraint Use
The Contractor shall provide care in accordance with HSB 15.05.10, Psychiatric Restraint. For
Institutions with a mental health inpatient unit, these services shall be provided by the Contractor’s
mental health staff.
29. Therapeutic Diets
The Contractor shall prescribe any necessary therapeutic diets in accordance with Procedure 401.009,
Prescribed Therapeutic Diets.
30. Hunger Strikes
The Contractor shall provide care of hunger strikes in accordance with Procedure 403.009,
Management of Hunger Strikes. Nursing staff are to perform an initial assessment of the Inmate on
form DC4-683RR, Hunger Strike Protocol, within 30 minutes of being notified of the Inmate’s hunger
strike.
The Contractor’s Medical Provider will determine if placement in the infirmary is necessary based upon
the Inmate’s medical history and clinical findings. If clinically indicated, a Medical Provider shall admit
the Inmate to the infirmary as an acute admission.
31. EKG Services
The Contractor shall ensure EKG Services are available at the Major Institutions and annexes at all
times. EKG equipment shall be properly and safely maintained.
32. Laboratory Testing
The Contractor shall be responsible for all laboratory and phlebotomy services, supplies, and
equipment, in accordance with Department Policy. The Contractor shall provide or subcontract for
laboratory services that are not available on-site.
33. The Contractor shall perform all genetic testing, as outlined in HSB 15.02.18, Genetic Testing.
34. Radiology
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The Contractor shall provide radiology services for the detection, diagnosis, and treatment of injuries
and illnesses. All x-rays must be provided in a digital format. Referral for specialized diagnostic
imaging shall be available and completed as clinically necessary. The Contractor shall ensure radiology
services comply with all applicable State and federal law.
35. Discharge Planning
The Contractor shall provide discharge planning in accordance with HSB 15.03.29, Prerelease
Planning for Continuity of Health Care.
36. Tuberculosis Discharge Planning
The Contractor shall comply with HSB 15.03.18, Identification and Management of Latent
Tuberculosis Infection (LTBI) and Tuberculosis Disease, and notify the DOH as part of discharge
planning and to ensure continuity of care for Inmates currently receiving treatment for Tuberculosis
Disease or Infection.
37. HIV Pre-Release Planning
The Contractor shall provide care in accordance with HSB 15.03.08, Human Immunodeficiency Virus
(HIV) Disease and Continuity of Care.
38. Mandatory HIV End of Sentence (EOS) Testing
The Department is required by Section 945.355, F.S., to test all Inmates for HIV prior to the end of
their sentences. Accordingly, all Inmates shall be scheduled for an HIV test 180 Days prior to their date
of EOS. If the Inmate refuses the test, they will be advised of the possible benefits of having such testing
performed and the requirement by the Florida Statutes. The Contractor will ensure the Inmate signs a
DC4-711A, Refusal of Health Care Services within 60 Days of EOS if they still wish to refuse.
Inmates with a previous positive HIV test are exempt from this requirement. Inmates with a negative
HIV test within one (1) year from their EOS date are also exempt from this requirement.
If an Inmate’s HIV status is unknown to the Department, the Contractor staff shall perform an HIV test
on the Inmate no less than 60 Days prior to the Inmate’s release date.
The Contractor shall record the results of the HIV test in the Inmate’s medical record on Form DC4710, Communicable Diseases Record.
39. The Contractor shall take proper precautions and promptly transmit the appropriate reports to the DOH,
outside hospitals, and health care delivery facilities. The Contractor shall notify the Department’s
Office of Health Services when communicable diseases are diagnosed.
40. The Contractor shall implement an Infection Control Program, which includes concurrent surveillance
of Inmates and staff, preventive techniques, treatment, and reporting of infection in accordance with
local and State laws. The program shall be in compliance with CDC guidelines on universal precautions
and OSHA regulations.
41. The Contractor shall administer a Bloodborne Pathogen Control Program according to National
Guidelines and Department Policy. The Contractor must comply with all provisions of this plan.
42. Infection Control Nurse Orientation Training
The Contractor shall provide infection control orientation and training to each institutional Infection
Control Nurse (ICN) and, upon completion, provide the Office of Health Service with a written
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documentation of their training completion (certificate) and maintain the Certificate on file for each
ICN at the appropriate Institution.
43. The Contractor shall ensure as part of the Infection Control Program, the Contractor administers an
Immunization Program, according to the National Recommendations of Advisory Committee on
Immunization Practices (ACIP), a Tuberculosis Control Program according to CDC guidelines and YO
Institutions shall participate in the Federal Vaccines for Children Program (VFC). This program
provides all vaccines used in youth settings, including but not limited to HBV, at no cost to the
Department. The Contractor’s personnel shall register for this program.
44. Employee Health Program
The Contractor shall be responsible for an employee health program for each Institution, which includes
the Contractor’s completion of the following for FDC staff:
a. TB screening and testing;
b. Hepatitis B vaccination series or any other vaccinations provided by the Department;
c. Immediate review and initial treatment of exposure incidents; and
d. Completion of the appropriate records and forms (actual records are to be made available to the
Department’s Human Resource office upon verifiable request).
45. The Contractor shall treat all hernias as required in HSB 15.03.47, General Guidelines for Management
of Hernias; and shall respond promptly to inquiries received from the Department regarding the status
of individual Inmate patient cases.
46. The Contractor shall treat Inmates with Hepatitis C in accordance with HSB 15.03.09, Management of
Viral Hepatitis, Supplement 3, Management of Hepatitis C, and the Department’s provided treatment
plan; and shall respond promptly to inquiries received from the Department regarding the status of
individual Inmate patient cases.
47. Keep on Person (KOP) Medication Pick Up
The Contractor shall follow all Department Policies regarding KOP.
48. Intravenous (IV) Therapy
The Contractor shall ensure IV therapy be initiated, maintained and discontinued under the authority
of a licensed Medical Provider. IV therapy shall be provided by an RN or an IV-certified LPN under
the direction of an RN.
An LPN may provide IV therapy, if he/she is licensed in the State of Florida pursuant to the guidelines
in Chapter 64B9-12, F.A.C., Administration of Intravenous Therapy by LPNs, if he/she has completed
an approved IV training course, and has demonstrated competency.
49. Medication No-Shows
The Contractor shall comply with Procedure 403.007, Medication Administration and Refusals.
E. Dental Services
The Contractor is responsible for the delivery of comprehensive dental services to Inmates, meeting
constitutional requirements, federal and State laws, including Chapter 33-402, F.A.C., Dental Services, and
applicable Department Policies, both on-site at the Department’s Correctional Institutions and off-site at
hospitals, dental offices, and specialty care offices/centers. Services include routine, urgent, and emergency
dental care, available to all Inmates, with an emphasis on preventative dental practices. The Contractor shall
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provide dental care according to an Inmate’s treatment plan, as developed and determined appropriate by a
Dentist.
The Contractor must employ a full-time Florida licensed Director of Dental Services with an active
unrestricted Florida Dental License. The Director of Dental Services will oversee all clinical dental care
services, and must be able make all clinical dental decisions including utilization management, dental
equipment repair/purchasing, supplies, staffing, and laboratory issues.
Institutional dental care consists of many different facets, delivered within the secure environment of the
Department’s Correctional Institutions, both in the reception process and at permanent Institutions,
including dental sick call – urgent, emergent, and routine dental care, as described in HSB 15.04.13, Dental
Services/Standard Operating Procedures, Supplement H, General Information, Section O, Refusals. Dental
care services are available to Inmates based on four (4) levels of care required in HSB 15.04.13, Supplement
C, Clinical Dentistry.
Level I
This level of dental care shall be provided to Inmates during the reception process. It includes, but is not
limited to, intake examinations, necessary extractions as determined by the intake dental examination, Class
II extractions, and emergency dental treatment, including soft tissue pathology. This level of care also
includes the development of a provisional treatment plan using Form DC4-735, Dental Clinical
Examination Report.
Level II
This level of dental care shall be provided to Inmates with less than six (6) months of Department
incarceration time. It includes, but is not limited to, all Level I care, caries control (reversible pulpitis) with
temporary restorations, gross Cavitron debridement of symptomatic areas with an emphasis on oral hygiene
practices, and complete or partial denture repairs, provided the Inmate has sufficient Department
incarceration time remaining on his/her sentence to complete the repair. This level of care also includes
Inmates who are edentulous in one (1) or both arches and who have requested dentures. That Inmate is to
be placed on the appointment waiting list at his/her permanent facility and is not required to wait six (6)
months for Level III care. However, to receive dentures, the Inmate must have at least four (4) months of
continuous incarceration time remaining on his/her sentence. In case of medical referral, Inmates are to be
scheduled as soon as possible, but no later than three (3) weeks, for evaluation of dental care.
Level III
This level of dental care shall be provided to Inmates who have served six (6) months or more of continuous
Department incarceration time. It includes, but is not limited to:
• All Level I and Level II care;
• Complete dental examination(s) with full mouth radiographs, Periodontal Screening and Recording
(PSR) and development of an individualized dental treatment plan using DC4-764;
• Complete denture(s) provided the Inmate has least four (4) months of continuous Department
incarceration time remaining on their sentence;
• Prophylaxis with definitive debridement, periodontal examination, as indicated by the PSR, and oral
hygiene instructions with emphasis on preventative Dentistry;
• Restorative Care, after the Inmate has received a complete prophylaxis with definitive debridement,
including amalgams, resins, glass ionomers, temporary crowns, chair-side post and cores, single unit
crowns if the Inmate is not missing any other teeth in that quadrant and the tooth in question is in
occlusion (at the discretion of the treating Dentist);
• Removable prosthetics, including acrylic partial dentures (provided the Inmate has at least four (4)
months of continuous Department incarceration time remaining on his/her sentence), anterior
flippers, and relines and rebases (provided the Inmate has enough continuous Department
incarceration left on his/her remaining sentence to complete the procedure(s));

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•
•

•

Anterior endodontics (canine-canine), provided the tooth in question has adequate periodontal
support (early to moderate periodontitis), and has good prognosis of restorability and long-term
retention;
Posterior endodontics, which may be performed at either the local facility or by referral to an
endodontist, provided the tooth is crucial to arch integrity (no missing teeth in the quadrant or
necessary as a partial denture abutment), has adequate periodontal support (early to moderate
periodontitis), and has good prognosis of restorability and long-term retention; and
Basic non-surgical periodontal therapy, as necessary.

Level IV
This level of care represents advanced dental services to be provided to Inmates on an as-needed basis after
completion of Level III services and successful demonstration of a Plaque Index Score (PIS) of 90% or
better, for two (2) consecutive months. If an Inmate does not achieve the required PIS, he/she shall be
rescheduled in three (3) months for a follow-up PIS evaluation. If the required score is still not obtained,
advanced dental services will not be provided.
Dental care and follow-up of highly specialized procedures, such as orthodontics and implants, placed
before incarceration, shall be managed on an individual basis after consulting with the Department’s Chief
of Dental Services. The Contractor’s dental staff shall provide follow-up care for oral surgery and
pathology-related issues in accordance with the appropriate HSBs.
This level also includes all other advanced dental services exceeding Level III. This can include fixed
prosthetics (multiple units), periodontal surgery (including, but not limited to, grafts, specialized endodontic
care, orthodontics placed pre-incarceration, implants (most of which would be placed pre-incarceration),
and specialized oral surgery). The Contractor shall follow HSB 15.04.13, Supplement C, Section B, Levels
of Dental Care.
Institutional Dental Care Requirements:
1. The Contractor shall be responsible for all on-site and off-site dental care for Inmates, and all other
specialty dental care, as necessitated. Any necessary dental care that the Contractor cannot provide onsite must be made available by referral to an outside provider. The Contractor must ensure that an
Inmate receives the necessary services timely after the Inmate has been referred to an outside provider.
2. The Contractor shall provide dental care in accordance with Rule 33-402.101, F.A.C., Dental Services,
and the 15.04 series of HSBs, including the establishment of an Inmate’s level of care, and
determination whether an Inmate’s dental sick call request is emergent, urgent, or routine.
3. The Contractor shall answer directly to the Warden to coordinate and ensure the provision of all
institutional dental care. Questions or issues arising during daily activities that cannot be resolved at
the Institution will be referred to the Contract Manager.
4. The Contractor’s Dentists shall develop an individualized treatment plan for each Inmate in accordance
with his/her level of care. The Contractor shall not refuse to treat an Inmate seeking emergent, urgent,
or routine dental care.
5. The Contractor shall ensure emergency dental care is available on a 24-hour basis, using on-duty dental
staff during working hours, and referring to the appropriate medical staff during non-working hours. In
the event a Dentist is not available at a facility to treat a dental emergency, the emergency will be
referred to the Contractor’s institutional medical care staff, in accordance with the dental industry’s
accepted dental emergency protocols.
There shall be no waiting list for dental emergencies.
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The Contractor shall ensure its staffing levels are appropriate to respond to an emergency within 24
hours of occurrence.
The Contractor shall have back-up dental coverage when the Institution’s assigned Dentist is not
available. The Contractor’s list of back-up Dentists must include a location for emergent/life
threatening care.
The Contractor shall ensure its medical staff have a Dentist on-call list, in the event a Dentist should
need to be contacted when an emergent/urgent dental situation arises, and no Dentist is available at the
Institution. If required, the on-call Dentist must travel to another Institution if that Institution’s Dentist
is unavailable to cover a call.
6. The Contractor shall ensure dental clinics hold daily sick call for urgent care five (5) Days per week,
Monday through Friday, to provide dental access to those Inmate patients who cannot wait for a routine
appointment, but who do not yet meet the criteria for emergency care. Inmates signing up for dental
sick call must be evaluated, triaged, or treated within 72 hours. If an Inmate needs urgent dental care
and the necessary dental treatment cannot be completed that Day, the Inmate is to be treated palliatively
and treatment rescheduled as soon as possible, but no later than 10 Days.
Some Institutions may have a small population requiring less than one (1) full-time Dentist. In the event
the Institution does not have an assigned Dentist available for dental sick call, the Contractor must
ensure an alternate Dentist is assigned to complete dental sick call, a minimum of three (3) Days per
week.
7. The Contractor shall ensure the appointment waiting time between an initial request for routine dental
care and the dental treatment plan appointment not exceed six (6) months. This is defined as the time
between the Inmate’s initial request for routine, comprehensive, dental care, and the actual development
of the Dental Diagnosis and Treatment Plan (Form DC4-764), signed by a Dentist.
The Contractor shall ensure wait times between routine dental appointments does not exceed three (3)
months.
8. The Contractor shall complete immediate reviews of incidents involving possible exposure to
pathogens (post-exposure follow-up treatment and care is the responsibility of the Contractor).
9. The Department emphasizes preventative Dentistry that strives to restore and maintain the Inmate’s
dentition to an acceptable level of masticatory function within appropriate Department guidelines.
Preventative Dentistry shall be taught to all Inmate patients in two (2) ways:
a. The Contractor shall provide prevention training with oral hygiene instructions to each Inmate, as
part of his/her orientation to the Institution. This training is to include instructions in the proper
usage of essential oral hygiene aids (toothbrush, toothpaste, and floss). This training shall be
coordinated with the institutional orientation and may be accomplished either through a direct
presentation or any other method approved by the Department; and
b. The Contractor shall provide personal preventative training, including oral hygiene instructions, as
part of an Inmate’s current dental treatment plan. Oral hygiene instructions shall be reinforced
throughout the Dental Treatment Plan.
10. The Contractor shall ensure every Inmate receives an intake dental examination at a reception center
by a Dentist. The intake dental examination shall take place within seven (7) Days of arrival and must
include, at a minimum:
a. A visual clinical exam of the head, neck, and intraoral areas for any pathology or cancer;
b. Charting of any missing teeth, restorations present, fixed or removable prosthetics, gingival
conditions, and deposits;
c. An evaluation of masticating efficiency; and
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d. Any treatment indicated (provisional treatment plan).
Class II extractions identified at the initial intake dental examination during the reception process
should be scheduled as soon as possible, but no later than seven (7) Days from the date the need for an
extraction is identified during the intake examination.
11. The Contractor shall ensure each Inmate receives an orientation to dental services upon arrival at his/her
permanent Institution. The Contractor shall provide this orientation within seven (7) Days of arrival
and include how to access dental services and availability hours. Prior to treatment, a Dentist shall
review and Inmate’s prior dental treatment record for emergency/urgent dental needs and follow-up
care requirements. If an Inmate’s prior dental treatment record has not been received at the time of
orientation, or the Inmate has not had a dental examination in accordance with established Department
Policy, then a dental exam shall be completed within seven (7) Days, and a replacement dental record
established.
12. The Contractor shall ensure each Inmate receives a periodic dental examination in accordance with
HSB 15.04.03, Guidelines for Dental Periodic Oral Examinations. At a minimum, periodic dental
examinations must include a visual clinical exam of the head, neck, and intraoral areas for any
pathology or cancer.
13. When necessary, the Contractor’s Dentists shall perform dental examinations, assessments, and
treatment for Inmates in Confinement units.
14. Before commencing with a routine comprehensive dental treatment, the Contractor shall ensure a
diagnosis and treatment plan is developed for each Inmate using Form DC4-735, Dental Clinical
Examination Report, or Form DC4-764, Dental Diagnosis and Treatment Plan, as applicable. The
following information shall be used to formulate this plan: a complete clinical examination,
pathology/cancer examination, full mouth radiographs, periodontal screening and recording (PSR),
periodontal charting when indicated, a plaque evaluation, all appropriate charting to record findings,
and health history.
15. The Contractor shall ensure the topical application of fluoride be included in the dental treatment plan
as deemed necessary by the treating Dentist. The topical application of fluoride shall be included as
part of the dental treatment plan for all Inmates less than 18 years of age.
16. The Contractor shall provide comprehensive dental care, including:
• Reception/Intake Examinations;
• Reception Class II Dental Extractions;
• Diagnostics;
• Radiographs;
• Preventative care;
• Periodontics;
• Restorative;
• Endodontics;
• Removable Prosthetics-Partial and Complete Dentures, Partial and Compete Denture Repairs,
Rebases, Relines, and Palatal Obturators;
• Fixed prosthetics;
• Oral Surgery;
• Treatment of pre-existing implants;
• Treatment of pre-existing orthodontics; and
• Treatment of Temporomandibular Disorders.

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17. The Contractor shall be responsible to answer and respond to consults and referral requests from the
Contractor’s medical and mental health staff, within three (3) weeks of referral, unless needed more
urgently, as determined by a Medical Provider.
18. The Contractor’s dental staff shall be responsible for completing infirmary/hospital rounds for all
Inmate patients admitted for dental reasons or at the medical staff's request.
19. The Contractor shall coordinate and provide all specialty dental care services required by Inmates.
Specialty dental care services include, but are not limited to, trauma care, cancer care, oral medicine,
oral surgery, treatment of temporomandibular disorders, endodontics, periodontics, orthodontics,
obturators, fixed prosthetics (multiple units as approved by Contractor and Department dental
leadership), and the treatment of dental implants. Additionally, the Contractor must provide all
diagnostic testing, laboratory services, pathology, and radiology required to complete dental care for
Inmates.
20. The Contractor shall manage specialty dental care services using an electronic utilization management
process, to avoid unnecessary off-site travel while also ensuring necessary consultations and off-site
services are provided.
21. The Contractor shall forward all referral denials of dental service(s) to the Department’s Chief of Dental
Services within one (1) week of determination for review.
22. If a Dentist establishes an alternative treatment plan (ATP), the Contractor shall ensure the ATP is
forwarded to the Department’s Utilization Management liaison and Chief of Dental Services within
one (1) week of ATP creation.
23. The Contractor shall be responsible for the completion of all invasive dental treatment(s) necessary
prior to the initiation of radiotherapy. These must be completed within five (5) Business Days of the
referral.
24. The Contractor shall be responsible for placing and removing dental implants, when indicated.
25. The Contractor shall be responsible for providing palatal obturators.
26. The Contractor shall be responsible for treatment using hyperbaric oxygen and/or dives necessitated by
an Inmate’s previous head and neck radiation treatment.
27. The Contractor shall evaluate and treat (surgically or non-surgically) temporomandibular disorders and
diseases.
28. The Contractor shall be responsible for the treatment of intra-oral alveolar fractures.
29. The Contractor shall be responsible for all intra-oral, alveolar, and lip biopsies to evaluate oral
pathology. The Contractor shall follow general dental treatment standards, which call for a biopsy of
oral lesions or suspected lesions, if they’ve not healed within 10 Days of when they were first observed.
A biopsy shall be taken no later than 10 Days after the verification that a lesion has not healed.
30. If necessary, the Contractor shall refer Inmates to the Contractor’s medical staff for:
a. Medical clearance prior to dental treatment;
b. The evaluation of possible allergies to local anesthetics; and
c. Blood draws for samples requiring analysis prior to dental treatment.
31. The Contractor shall be responsible for all intra-oral soft tissue grafting and reconstruction of the
dentition, as needed, following surgical procedures, or other issues relating to oral trauma.
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32. At a minimum, the Contractor shall provide the following information to the Department by the 10th
Business Day of the month following the month service was rendered:
a. Monthly UM reports, by Institution, identifying the Inmate number, name, diagnosis, requested
service (referral, on-site service, off formulary medication, etc.), approval or alternative action, and
reason; and
b. Monthly report of alternative actions, by Institution with full copies of all associated review
materials. A written summary of the information discussed in the phone conversation shall be
included with the material describing the individual case.
33. The Contractor shall ensure urgent oral surgery referrals are treated within four (4) weeks.
34. The Contractor shall ensure routine oral surgery referrals are treated within three (3) months.
35. The Contractor shall ensure routine endodontic referrals are treated within three (3) months.
F. Mental Health Services
Mental health services consist of many different facets of mental health care delivery within the secure
correctional environment. This includes services provided to Inmates, during the reception process and at
their permanent Institution, including but not limited to observations, assessments, psychological
evaluations, and treatment interventions, delivered in a spectrum of care from minimal outpatient to
intensive inpatient settings.
The Contractor’s qualified mental health staff shall provide comprehensive mental health services,
delivered in a humane, respectful manner, ensuring all Inmates within Department-operated facilities have
proper access to care, in accordance with federal and State laws, including but not limited to Chapter 33404, F.A.C., and Department Policies. Mental health services include observations, assessments,
psychological evaluations, and treatment interventions, delivered in a spectrum of care from minimal
outpatient to intensive inpatient settings. Inpatient settings include infirmary mental health services,
Transitional Care Units (TCU), Crisis Stabilization Units (CSU), and Corrections Mental Health Treatment
Facilities (CMHTF). The Department has also implemented the Residential Continuum of Care Unit
(RCCU) and residential intensive outpatient programs. The Department’s Chief of Mental Health Services
serves as the Department's principal advisor on mental health matters and is responsible for overseeing the
mental health delivery system.
Inmate Orientation to Mental Health Service
The Contractor shall ensure all newly arriving Inmates, regardless of assigned S-grade and whether received
from a reception center or transferred from another Institution, shall be oriented specifically to mental health
services at the receiving Institution, in accordance with HSB 15.05.18, Outpatient Mental Health Services
and Procedures 403.008, Inmate Health Services Orientation and Education and 404.004, Mental Health
Inpatient Multidisciplinary Treatment and Services.
Mental Health Inmate Classification System
•

The Department’s mental health classification system ensures access to appropriate levels of care,
following Chapter 33-404, F.A.C., by utilizing a mental health profiling system that assigns an “S
grade” (mental health grade) to each Inmate based on the Inmate’s ability to function in various prison
settings. The S-grade is initially assigned at reception and is documented on DC4-706, Health
Services Profile, within the EMR.

•

HSB 15.03.13, Assignment of Health Classification Grades to Inmates, and HSB 15.05.18,
Outpatient Mental Health Services govern the Inmate classification system and associated care levels.
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•

Institutions within the Department support different populations or “missions.” Part of this
classification identifies the highest care level of mental health care services an Institution can provide.
Population management uses an Inmate’s assigned S-grade to determine, in part, which Institution
will house the Inmate to ensure the Inmate receives the appropriate level of care to match their clinical
needs. For example, an Institution classified as S-2 can house Inmates classified no higher than an S2 (which includes S-1). An Institution classified as an S-6 can house Inmates classified as up to S-6
(including S-1, S-2, S-3, S-4, or S-5). Inmates move among five (5) different mental health care levels
depending upon the seriousness of the Inmate’s mental symptoms and associated impairment at the
time.

Residential Continuum of Care Units (RCCUs)
•

In addition to the Mental Health Classification System, the RCCUs are specialized residential mental
health units that provide augmented outpatient mental health treatment and habilitation services in a
protective environment for Inmates with serious psychological impairment associated with a
historical inability to successfully adjust to daily living.

•

Procedure 404.005, Residential Continuum of Care Units, in conjunction with HSB 15.03.13,
Assignment of Health Classification Grades to Inmates, governs the assignment and use of residential
housing grades (R-grades) to denote the type of treatment needed. These are used in conjunction with
S-grades on a small sub-set of the population.

In addition to testing and evaluation during the reception process, mental health testing and assessments are
required in several other settings. Within the RCCU, testing is required in accordance with Procedure
404.005, Residential Continuum of Care Units, to assist in clarifying diagnostic and treatment plan issues.
Within the inpatient units, violence risk assessments (currently the HCR-20) are completed in accordance
with Rule 33-404, F.A.C.
Inmate Eligibility for and Access to Mental Health Services
The Contractor is responsible for providing access to necessary mental health services, which are those
services and activities provided primarily by mental health staff and secondarily by other health care staff.
Access to necessary mental health services must be available to all Inmates within the Department and
provided in a non-discriminatory way, following prevailing community and correctional care standards. All
Inmates are eligible to receive mental health screenings and evaluations as necessary.
The conditions for Inmate eligibility for ongoing mental health treatment and services are outlined in HSB
15.05.14, Mental Health Services. Inmates who display symptoms of a mental disorder that interferes with
their adjustment to incarceration, as determined by mental health staff and defined in the current Diagnostic
and Statistical Manual of Mental Disorders, are eligible to receive ongoing mental health treatment.
Outpatient Mental Health Services (OS)
Outpatient services are provided primarily by following HSB 15.05.18, Outpatient Mental Health Services;
HSB 15.05.08, Mental Health Services for Inmates Who are Assigned to Confinement, Protective
Management, or Close Management Status; HSB 15.05.19, Psychotropic Medication Use Standards and
Informed Consent, and Procedure 404.005, Residential Continuum of Care Units.
Mental Health Services Requirements
1. Risk Assessment
The Contractor shall ensure a violence risk assessment will be completed in accordance with Rule 33404.112, F.A.C., for all Inmates residing in an inpatient unit. Psychologists will be responsible for
completion of risk assessments utilizing a validated violence risk assessment instrument, currently the
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HCR-20, which includes a clinical interview and record review. Complete risk assessments must be
completed:
a. Within three (3) Business Days of admission to the CSU;
b. Within seven (7) Business Days of admission to TCU or CMHTF; and
c. Shall occur at least every 90 Days thereafter while in the inpatient system.
2. Referrals for Victims of Sexual Battery
The Contractor shall complete Form DC4-529, Staff Request Referral, to initiate a Mental Health
Referral to the Contractor’s staff for victims of sexual battery.
The Contractor’s mental health staff shall see the Inmate no later than the next Business Day.
3. Consent to Mental Health Evaluation and Treatment
Express and informed consent means consent voluntarily given, in writing, after provision of a
conscientious and sufficient explanation. The Contractor shall ensure all Inmates undergoing treatment
or evaluation, including Confinement assessments and new screenings, have a valid signed Form DC4663, Consent to Mental Health Evaluation or Treatment, in accordance with HSB 15.05.18, Outpatient
Mental Health Services. The Contractor shall advise Inmates of the limits of confidentiality before
receiving any mental health services.
Consent for pharmacotherapy is described in HSB 15.05.19, Psychotropic Medication Use Standards
and Informed Consent, and is routinely completed by psychiatry staff. The Psychiatric Provider shall
obtain fully informed consent for pharmacological intervention before initiating the intervention. Each
of the prescribed medications requires a separate informed consent form.
The Contractor shall ensure when admitted to an IMR, TCU, or CSU, a health care professional will
request that the Inmate give written informed consent to treatment using Form DC4-649, Consent to
Inpatient Mental Health Care. The Inmate may refuse to consent to treatment; however, the Inmate
cannot refuse placement.
4. Confidentiality
The limits of confidentiality are delineated using Form DC4-663, Consent to Mental Health Evaluation
or Treatment. The Contractor shall explain these limits to the Inmate and the Inmate must indicate
informed consent by signing Form DC4-663 before receiving non-emergency mental health services.
The limits of confidentiality are delineated using Form DC4-663.
Inmate disclosures made to a health care professional while receiving mental health services are
considered confidential and privileged, except for the following:
a. Threats to physically harm self or others;
b. Threats to escape or otherwise disrupt or breach the security of the Institution; or
c. Information regarding the physical or sexual abuse or neglect of an identifiable minor child, elderly,
or disabled person.
The confidentiality of mental health records, psychological testing protocols, and data is ensured
pursuant to federal and State law and professional guidelines. Therefore, health care providers must
safeguard health records from wrongful disclosure, alteration, falsification, unlawful access, or
destruction following Procedure 102.006, HIPAA Privacy Policy. All information obtained by a mental
health care provider retains its confidential status unless the Inmate specifically consents to its
disclosure by initialing the appropriate areas listed on Form DC4-711B, Consent and Authorization for
Use and Disclosure Inspection and Release of Confidential Information. An ROI is not required if the
release of the requested information is authorized in Florida Statutes, court-order, or in response to a
valid HIPAA-compliant subpoena. Requests for copies of mental health records are referred to the
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Contractor’s institutional Health Information Specialist. A signed Form DC4-711B shall accompany
any release of confidential health records.
5. Refusal of Mental Health Care
The Contractor shall ensure if an Inmate refuses treatment that is deemed necessary for their appropriate
care and safety, such treatment may be provided without consent only under the following
circumstances:
a. In an emergency situation in which there is immediate danger to the health and safety of the Inmate
or others. Emergency treatment may be provided at any Major Institution. Emergency Treatment
Orders (ETO) are issued, as indicated in HSB 15.05.19 and Florida law; and
b. When court-ordered commitment for on-going involuntary treatment at a CMHTF. The criteria for
court petition for involuntary treatment at a CMHTF is based on Sections 945.40-945.49, F.S.
6. Multi-Disciplinary Services Team (MDST)
The Contractor shall ensure all members of an MDST are available for the provision of services as
required by Department Policies. The MDST is a group of staff members representing different
professions, disciplines, and service areas that provide assessment, care, and treatment based on the
individual needs of the Inmate and develops, implements, reviews, and revises each Inmate’s
Individualized Service Plan (ISP) in accordance with HSB 15.05.11, Planning and Implementation of
Individualized Mental Health Services and HSB 15.05.13, Mental Health Staff on Disciplinary Teams.
7. Assessment and Treatment for Suicidal and Serious Self-injurious Behavior
The Contractor shall provide suicide and self-injury prevention and mental health crisis services in
accordance with Procedure 404.001, Suicide and Self-Injury Prevention and Procedure 404.004, Mental
Health Inpatient Multidisciplinary Treatment and Services.
Identification, intervention, treatment, and management of Inmates at risk of suicide or serious selfinjurious behavior shall follow Procedure 404.001, Procedure 404.002, Isolation Management Rooms
and Observation Cells, Procedure 404.004, and HSB 15.05.11, Planning and Implementation of
Individualized Mental Health Services.
8. Psychological Emergencies
The Contractor is responsible for the mental health evaluation and treatment of all psychological/mental
health emergencies in accordance with Procedures 404.001, Suicide and Self-Injury Prevention.
9. Routine Staff Referrals
The Contractor shall ensure, in accordance with HSB 15.05.18, Outpatient Mental Health Services,
mental health staff shall respond to routine staff referrals.
10. Inmate Requests and Informal Grievances
The Contractor shall ensure Inmate requests and informal grievances are handled in accordance with
HSB 15.02.01, Medical and Mental Health Care Inquiries, Complaints, and Informal Grievances.
11. Psychological Evaluations and Referrals
The Contractor’s mental health staff shall provide psychological evaluations in accordance with
Department Policy requirements and for Inmates referred by various program areas. The Contractor
shall ensure only Florida-licensed Psychologists conduct psychological evaluations pursuant to Chapter
490, F.S.
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12. Screening and Treatment for Sex Offenders
The Contractor shall provide screening and necessary treatment for Inmates currently serving a
sentence for a sex offense, in accordance with Rule 33-404.102(7), F.A.C. The purpose of the screening
is to identify those who suffer from a sexual disorder, as defined by the current Diagnostic and
Statistical Manual of Mental Disorders, and who are amenable and willing to participate in treatment.
The Contractor shall provide screening and treatment services for sex offenders in accordance with
HSB 15.05.03, Screening and Treatment for Sexual Disorder, and offer and provide aftercare assistance
in accordance with HSB 15.05.21, Mental Health Re-Entry Aftercare Planning Services.
13. Inmates with Diagnosis of Intellectual Disability
The Contractor shall ensure Inmates diagnosed with an intellectual disability who have minimal to mild
impairment in ability to function within the general Inmate population are assigned to Institutions
having Impaired Inmate services. These Inmates will be assessed, identified and treated according to
the Department’s related procedures and HSBs.
The Contractor’s mental health staff shall track all Inmates diagnosed with an intellectual disability to
ensure proper discharge planning occurs at least 180 Days before release in accordance with HSB
15.05.21, Mental Health Re-Entry Aftercare Planning Services.
14. Psychological Record Jacket (Form DC4-761)
The Contractor shall ensure the psychological record contains psychological test forms and protocols,
and raw test data and is kept separately from the EMR or health record. It must be in a secure location
in the mental health services area and the Contractor must protect the confidentiality of test items and
protocols.
15. Record Keeping
The Contractor shall ensure mental health staff shall record all significant observations pertinent to
Inmate care and treatment at the time services are rendered. Accurate and complete documentation is
required of all mental health staff and record entries shall reflect the ISP and contain sufficient detail
to follow the course of treatment. The Contractor shall ensure an Inmate’s mental health record,
especially services, events, and encounters occurring between visits, be reviewed each time they appear
for a mental health encounter.
16. Service Delivery Logs
The Contractor shall ensure each Institution’s mental health programs maintain a set of logs as detailed
in HSB 15.05.17, Intake Mental Health Screening at Reception Centers. Logs may be kept in written
or electronic format.
17. Problem List
The Contractor must comply with HSB 15.05.11, Planning and Implementation of Individualized
Mental Health Services, in identifying and documenting problems.
18. The Contractor’s mental health staff shall routinely attempt to obtain records of past evaluation and
treatment performed outside the Department. The Contractor shall ensure any attempts to obtain records
of past evaluation and treatment be documented as an incidental note. The case manager has the primary
responsibility for requesting past mental health records.

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19. The Contractor’s institutional mental health leadership will communicate frequently with the Warden,
or designee, keeping him/her informed of all significant events involving mental health care issues that
may affect the normal operation of the Institution (out of cell activities, self-injurious behavior,
emergencies, suicide) or teamwork issues (security assistance, medical escort, transportation). At
inpatient mental health units, the Psychological Services Director will attend regular meetings with the
Warden (weekly and quarterly) and with the Regional Mental Health Director (monthly).
20. Case Manager Assignment
The Contractor shall ensure all newly arriving S-2 through S-6 Inmates have a Case Manager assigned
and documented in the EMR in accordance with HSB 15.05.11, Planning and Implementation of
Individualized Mental Health Services.
21. Outpatient Mental Health Nursing Services
The Contractor shall be responsible for providing nursing services to support the required outpatient
psychiatric services at S-3 Institutions in accordance with HSB 15.05.18, Outpatient Mental Health
Services.

22. Outpatient Psychiatric Consultation for Inmates
The Contractor shall be responsible for providing outpatient psychiatric consultation services, in
accordance with HSB 15.05.19, Psychotropic Medication Use Standards and Informed Consent.
Telepsychiatry services will be governed by HSB 15.06.12, Telemedicine.
23. Cognitive-Behavioral Therapy/Counseling Services
The Contractor shall provide therapy and counseling services in accordance with HSB 15.05.18,
Outpatient Mental Health Services.
24. Confinement Mental Health Rounds and Evaluations
The Contractor shall provide mental health services for Inmates in restrictive housing in accordance
with HSB 15.05.08, Mental Health Services for Inmates who are Assigned to Confinement, Protective
Management or Close Management Status and Procedure 403.003, Health Services for Inmates in
Special Housing.
G. Inpatient and Infirmary Mental Health Care (IIC)
Infirmary Mental Health Care is provided at most Institutions, following the standards of care outlined in
Procedure 404.001, Suicide and Self-Injury Prevention and HSB 15.03.26, Infirmary Services. Inpatient
mental health care is provided at a limited number of Institutions, following the time frames and guidelines
in Procedure 404.004, Mental Health Inpatient Multidisciplinary Treatment and Services. Other pertinent
Department Policies for inpatient mental health care delivery include Procedure 404.003, Mental Health
Transfers, HSB 15.05.11, Planning and Implementation of Individualized Mental Health Services, HSB
15.05.19, Psychotropic Medication Use Standards and Informed Consent, Procedure 404.001, HSB
15.02.02, Health Care Clearance/Holds, HSB 15.05.21, Mental Health Re-Entry Aftercare Planning
Services, HSB 15.05.13, Mental Health Staff on Disciplinary Teams, HSB 15.05.20, Medical and Dental
Care for Mentally Disordered Inmates, and the Nursing Manual. Inpatient mental health services are
provided in Transitional Care Units (TCU), Crisis Stabilization Units (CSUs), and Corrections Mental
Health Treatment Facilities (CMHTF).
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1. Referral/Transfer to TCU/CSU/CMHTF
The Contractor shall ensure mental health transfers for inpatient care follow established Department
Policies and Sections 945.40-945.49, F.S. (The Correctional Mental Health Act), as applicable.
Transfer criteria and procedures are fully described in Procedure 404.003, Mental Health Transfers.
The Contractor shall ensure all transfers be coordinated with the Department’s Mental Health Transfer
Coordinator in the Office of Health Services.
Per Section 945.43(2)(a), F.S., an Inmate may be placed in a mental health treatment facility after notice
and hearing, upon the recommendation of the Warden of the Institution where the Inmate is confined.
The recommendation shall be entered on a petition and must be supported by the expert opinion of a
psychiatrist and the second opinion of a psychiatrist or psychological professional. One of the
Contractor’s experts whose opinion supported the petition for placement shall be present at the hearing
for information purposes.
2. Inpatient Treatment and Services
The Contractor shall ensure all Inmates admitted to an inpatient mental health unit are provided
recovery and discharge readiness planning and levels of care that comprise the inpatient mental health
delivery system in accordance with Procedure 404.004, Mental Health Inpatient Multidisciplinary
Treatment and Services and HSB 15.05.11, Planning and Implementation of Individualized Mental
Health Services.
3. Individual Therapy, Clinical Group Therapy, and Case Management
The Contractor shall ensure clinical encounters by the Mental Health Provider are targeted to address
the identified problems and treatment goals on the Inmate’s ISP. Inpatient case management services
and individual counseling shall be provided and documented in accordance with Procedure 404.004,
Mental Health Inpatient Multidisciplinary Treatment and Services.
4. Structured Out-of-Cell Treatment Services (SOCTS)
The Contractor shall ensure each level of inpatient mental health care offers a range of out-of-cell
structured therapeutic services (e.g., individual and clinical group therapy, psychoeducational groups,
medication education groups, therapeutic community, activity therapy, preparation for discharge to
outpatient or community) by the requisite staff, as specified in Procedure 404.004, Mental Health
Inpatient Multidisciplinary Treatment and Services.
The Contractor shall ensure a minimum of 10 hours of structured out-of-cell therapeutic service hours
are offered weekly for each Inmate in the CSU, TCU, and CMHTF.
5. Behavioral Management Progress System (BMPS)
The Contractor shall ensure inpatient mental health services incorporate a structured, behavioral level
system consisting of performance-based behavioral incentives and consequences, in accordance with
Procedure 404.004, Mental Health Inpatient Multidisciplinary Treatment and Services, and Form DC4664B, Behavioral Management Progress System.
6. Discipline of Inmates in Inpatient Units
The Contractor shall ensure the discipline of Mentally Disordered Inmates in CSU, TCU, and CMHTF
shall be affected, in accordance with Rule 33-404.108, F.A.C., Discipline and Confinement of Mentally
Disordered Inmates, and HSB 15.05.13, Mental Health Staff on Disciplinary Teams.
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7. The Department has a Statewide Ombudsman Program, guided by HSB 15.05.22, Mental Health
Ombudsman Program with eight (8) staff to include the Central Office Ombudsman. Additionally,
Institutions have an Assistant Warden of Mental Health: Suwannee CI, Lake CI, Dade CI, Santa Rosa
CI, RMC, and Wakulla CI. The Contractor shall work collaboratively with the Ombudsman Program
staff and Assistant Wardens, both those working in Central Office and on-site at designated Inpatient
Mental Health Units.
H. Mental Health Reentry and Aftercare Planning (RAP)
The Contractor shall provide continuity of care planning services to assist mentally ill Inmates with the
transition from incarceration to release. These aftercare services range from arranging outpatient services
with community providers, assistance with applying for SSI/SSDI benefits, and commitment to psychiatric
hospital care. As part of a Memorandum of Agreement, the Department and the Florida Department of
Children and Family Services (DCF) utilize a web-based referral system to obtain an intake appointment at
a community mental health center (CMHC) for Inmates under psychiatric care at the time of their release.
The Contractor shall provide continuity of care services in accordance with HSB 15.05.21, Mental Health
Re-Entry Aftercare Planning Services.
The Contractor shall coordinate Inmate release issues with the Department’s Office of Health Services,
Office of Programs and Re-entry, and the Bureau of Admission and Release, to help Inmates prepare to
transition back into the community. The Contractor shall be responsible at each Institution for coordinating
the mental health care portion of the Department’s re-entry initiative. The Contractor shall develop,
implement, and coordinate a comprehensive discharge plan for Inmates with acute or chronic mental illness
who are difficult to place, due to their offense, and are within six (6) months of EOS.
The Contractor shall ensure Inmates housed in inpatient units (S4-S6) be reviewed by the Institution’s
MDST at least 120 Days prior to EOS date to determine if criteria for an involuntary examination (BA52)
or an involuntary placement (BA32) is present pursuant to Chapter 394, Sections 463 and 467, 945.46, F.S.
If the MDST determines that the Inmate will require either action, then the Institution’s re-entry staff will
complete the referral process to DCF in accordance with HSB 15.05.21.
I.

Hospital Administration and Care at RMC Hospital (RMCH)
The Contractor shall provide the management and operation of a 120-bed licensed hospital at the Reception
and Medical Center (RMC) in Lake Butler, Florida. The mission of the RMCH is to:
• Provide primary and secondary health and hospital care with efficient use of resources in a secure
environment;
• Coordinate community hospitalization of Inmates requiring highly specialized, acute, chronic, and
tertiary care beyond the capabilities of institutional infirmaries;
• Provide chronic care services for Inmates requiring skilled nursing services or medical isolation in
an extended care setting;
• Provide ancillary services such as radiology, laboratory, chemotherapy, radiation therapy, physical
therapy, and specialty consultations for the Department’s Inmate population and Inmates under the
Interstate Compact Agreement;
• Coordinate with the outpatient clinic to provide follow-up services for Inmates discharged from the
RMCH; and
• Identify Inmates who require infirmary placement upon discharge from the acute care setting.
The Contractor’s administrative and management staff shall supervise, oversee, and direct health care and
hospital services at RMCH in accordance with federal and State laws, and Department Policies.

J. Hospital Care (HC)
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RMCH was built in 1968 and lacks many amenities of a modern medical facility. Nevertheless, it contains
eight (8) inpatient hospital bed wards to maintain appropriate staff to patient care ratios, and single bed
dorms for inpatient mental health care Inmates. There are also larger areas of space available for setting up
mechanical ventilators. The successful operation of RMCH is vital to the Department’s provision of
efficient and appropriate inpatient hospital care within the constraints of a secure correctional environment.
The Contractor must provide quality and timely health and hospital services to the Department’s Inmates
in compliance with Chapter 395, F.S. and Rule 59A, F.A.C. These services are necessary to protect life,
prevent significant illness or disability, or alleviate significant pain. Short-term and long-term nursing care
is provided, including care of Inmates with communicable diseases. RMCH does not provide ICU or stepdown unit care for Inmates requiring cardiac monitoring.
The Contractor must operate RMCH in accordance with all applicable federal and State laws and the
Reception and Medical Center Hospital Policies & Procedures Manual and Bylaws.
The Contractor shall ensure the majority of providers within the following specialties are available on-site
at RMCH or via telehealth, as approved by the Department; however, additional specialty services may be
required: Oral Surgery, Internal Medicine, Gastroenterology, Surgical Services, Orthopedic Services,
Physiotherapy, Otolaryngologic Services, Podiatry, Dermatology, Urology, Neurology, Internal Medicine,
Audiology, Neurosurgery, Oncology, Nephrology, Endocrinology, Infectious Disease, Ophthalmology,
Optometry, Respiratory Therapy, Cardiology, Physical Therapy, Radiology (including CT/MRI), Nuclear
Scans, and Orthotics.
The Department currently maintains a contract for radiotherapy services with CCCNF-Lake Butler,
LLC/E+ Cancer Care (contract C2573). The Contractor shall use the CCCNF-Lake Butler, LLC (under the
referenced contract), or a Department designated substitution, for all radiotherapy services provided under
the Contract. The Department shall pay CCCNF-Lake Butler, LLC directly. The Department shall provide
supporting services, outlined in contract C2573, to CCCNF-Lake Butler, LLC. These services will be paid
directly from the Department to CCCNF-Lake Butler LLC.
The Department also maintains an Ambulatory Surgical Center (ASC) on the grounds of RMC. The
Contractor shall provide and maintain a licensed Ambulatory Surgical Center (ASC) at RMCH in
compliance with Chapter 395, F.S. This requirement includes, but is not limited to providing all equipment,
instrumentation, supplies, and licenses required to operate each ASC successfully, in compliance with
Florida law. The Contractor shall provide all clinical and operational staff within each unit sufficient to
provide all types of surgeries, including but not limited to, general, orthopedic, colorectal, ENT, oral,
podiatric, and urological. The Contractor shall provide surgeons to perform appropriate and successful
surgical procedures.
K. Pharmaceutical Services
The Department operates four (4) pharmacies that dispense prescriptions to their assigned Institutions
throughout the State. The Department will continue to provide dispensing pharmaceutical services from
these pharmacies. Region I Pharmacy is located in Marianna, Florida; Region II Pharmacy is located at
Union CI in Raiford, Florida; Lowell CI Pharmacy is located in Ocala, Florida; and the RMC Pharmacy is
at RMC in Lake Butler, Florida. The Department’s pharmacy dispensing services, prescription records, the
cost of formulary Inmate prescriptions and formulary non-prescription medications dispensed from the
Department’s pharmacies or specialty pharmacies, contracted by the Department, shall be the responsibility
of the Department. The Department will be responsible for the cost of all formulary stock medications
maintained at the Institutions. All stock medications and stock supplies supplied by the Department shall
remain the Department’s property.
The Contractor shall be responsible for a medication management program following federal and State laws
and Department Policies, including but not limited to, HSBs 15.02.03, Medication-Assisted Treatment for
Substances Use Disorders, 15.04.15, Standardized Dental Medications, 15.14.01, Return of Certain UnitPage 54 of 146

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Dosed Medications, 15.14.02, Prescription Orders, 15.04.03 Drug Formulary Process, 15.04.04,
Pharmacy Operations, and 15.14.05, Inmate Prescription Refills/Legend Stock Medication, and HSB
15.05.19, Psychotropic Medication Use Standard.
The Contractor shall be responsible for the management and cost of all non-formulary medications not
provided by the Department’s pharmacies (except Direct Acting Antivirals [DAAs] and therapies used to
treat HIV), including ordering, purchasing, and delivery/pick-up for all pharmaceuticals unless otherwise
directed by the Department, up to an annual cost of $1,750,000.
L. Utilization Management Services
The goal of Utilization Management (UM) and Specialty Care is to promote quality specialty health care
services in a correctional setting’s unique constraints in the most efficient, timely, and cost-effective
manner. The Utilization Management (UM) program is an essential component of Quality Management
(QM) which effectively manages the utilization of specialty health care services including consultations,
durable medical equipment, surgical procedures, diagnostic imaging, emergency room visits, and outside
hospital admissions.
It is vital that the Department and Contractor work together to ensure that appropriate care is provided to
the Inmate population. Scheduled consultations or ordered diagnostics must be completed timely, but
subsequently reviewed by the referring Medical Provider to ensure that care is rendered.
The Contractor shall service all Institutions and employ Utilization Management in accordance with federal
and State laws, Section 945.6034(1), F.S., Procedure 102.006, HIPAA Privacy Policy, and Department
Policies, including but not limited to, HSBs 15.09.01, Quality Management Program, 15.09.04, Utilization
Management Procedures, and 15.09.04.01, Specialty Health Services at Reception and Medical Center or
Staging Facilities. Medical requests from the sites are submitted via the EMR. The sites and the medical
schedulers are notified of UM decisions through the EMR. Dental referrals for specialized care must be
routed for review and approval by a Florida licensed Dentist. The majority of medical and dental specialty
services are provided “behind-the-fence” through contracted specialists who see Inmates at RMC, CFRC,
and Lowell CI.
The Contractor shall contract with HCA Florida Healthcare’s Memorial Hospital in Jacksonville, FL to
utilize a secure medical/surgical wing of 14 beds, in addition to a nine-bed med-surg overflow unit for a
total of 23 secure beds and shall contract with North Shore Medical Center, Inc. in Miami, FL to provide a
secure medical/surgical unit that has sixteen (16) beds. Community hospital admissions are managed by
the inpatient UM nurses through concurrent daily reviews with the hospital case managers. The
appropriateness of the admission, intensity of services, length of stay, need for continued stay and discharge
planning are determined through evidenced-based criteria and input from their multi-disciplinary medical
team.
Utilization Management and Specialty Care Requirements
1. The Contractor shall ensure a full network of specialty service providers covering a comprehensive
scope of care is in place on or before the Contract effective date to ensure that there are no delays in
providing specialty care services.
2. In accordance with Procedures 401.005, Utilization Management Services for Inmates in Private
Correctional Facilities and 401.016, Medical Transfers, the Contractor shall ensure specialty care will
be available.
M. Quality Management Services
In accordance with federal and State laws, Section 945.6031, F.S., and Department Policies, including but
not limited to, HSBs 15.09.01, Quality Management Program, 15.09.05, Credentialing and Peer Review
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Program, 15.09.08, Risk Management Program, and 15.09.09, Mortality Review Program, the Contractor
shall be responsible for, and participate in, quality management and assurance activities at the institutional,
regional, and statewide levels.
N. Health Care Records
1. The Contractor shall be responsible for the maintenance and control of active inmate health care records
according to Rule 33-401.701, F.A.C., HSB 15.12.03 Health Records and HSB 15.04.13, Supplement
D.
2. All health care records are the Department's property and shall remain with the Department upon the
Contract’s expiration or termination. The Contractor will supply, upon request, to the Department’s
Office of Health Services all records relating to the care of the inmates who are in the Contractor’s
possession. A copy of the discharge summary of services provided off-grounds shall be incorporated
into the EMR.
3. All nonproprietary records kept by the Contractor regarding this Contract, or services provided under
this Contract, including records specifically mentioned in this Contract, shall be made available to the
Department for lawsuits, monitoring, Contract evaluation, and other statutory responsibilities of the
Department or other State agencies. These records shall be provided at the Contractor's cost when
requested by the Department during the term of the Contract, or after the expiration or termination of
the Contract for the period specified, beginning upon the Contract’s effective date. The Department
agrees that costs related to the production of records responsive to extraordinary requests will be
through a separate agreement of the parties.
4. The Contractor must follow all State and Federal laws, and Department Policies and Procedures relating
to storage, access to, and confidentiality of health care records. The Contractor shall provide secure
storage to ensure the safe and confidential maintenance of active and inactive inmate health records
and logs, in accordance with HSB 15.12.03, Health Records. In addition, the Contractor shall ensure
the transfer of inmate health records and medications required for continuity of care in accordance with
Procedure 401.017, Health Records and Medication Transfer. Health records will be transported in
accordance with HSB 15.12.03, Appendix J (Post-Release Health Record Retention and Destruction
Schedule).
5. The Contractor shall ensure that its personnel document in the Inmate’s health record all health care
contacts in the proper format in accordance with standard health practice, ACA standards, and any
relevant Department Policies and Procedures.
6. The Contractor shall be responsible for the orderly maintenance and timely filing of all health
information utilizing Contract and State employees, as staffing indicates.
7. The Contractor shall:
a. Ensure all inmates have an updated health record that complies with HSB 15.12.03;
b. Safeguard and secure health records and any other documents containing protected health
information, in accordance with Procedure 102.006, HIPAA Privacy Policy;
c. Employ at least one (1) Health Information Specialist at each major institution and each
institutional annex, and at least two (2) Health Information Specialists (one at the RMCH and one
for all Outpatient Units), to ensure compliance with the standards outlined in HSB 15.12.03,
Section III., F., and to serve as records custodian for all active inmates;
d. Employ a sufficient number of trained medical records clerks to ensure clinical information,
significant to an inmate’s health, is filed in each health record within 72 hours of receipt;
e. Process health record transfers following Procedure 401.017, Health Records and Medication
Transfer;
f. Perform health record vault audits, in accordance with the schedule outlined in HSB 15.12.03;
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g. Secure and transport records of inmates who have reached EOS, in accordance with HSB 15.12.03,
Section XII, Post-Release (EOS) and Deceased Inmates - Health Record Retention and Destruction
Schedule; and
h. Incorporate into the EMR any loose document, following Procedure 401.017 or HSB 15.12.03, as
applicable.
8. Health Record Retention Periods
a. Unless otherwise governed explicitly by Department regulations, all health records shall be kept
for seven (7) years or for the retention period required for records of the same type according to
Florida Statutes, whichever is longer. All retention periods start on the first day after expiration or
termination of the Contract.
b. If any litigation, claim, negotiation, audit, or other action involving the records referred to has been
started before the expiration of the applicable retention period, all records shall be retained until
completion of the action and resolution of all issues, which arise from it, or until the end of the
period specified for, whichever is later.
c. To avoid duplicate recordkeeping, the Department may make special arrangements with the
Contractor for the Department to retain any records, which are needed for joint use. The
Department may accept the transfer of records to its custody when it determines that the records
possess long-term retention value. When records are transferred to or maintained by the
Department, the retention requirements of this paragraph are not applicable to the Contractor for
those records.
d. The Department’s retention program complies with guidelines established by the Florida
Department of State, Division of Library and Information Services Records Management program.
The following medical record retention and destruction practices are followed:
i. Records of inmates presently on extended parole will be maintained until release from such
Department of Corrections responsibility. After seven (7) consecutive years of inactivity, the
Department shall authorize destruction/recycling procedures in accordance with law.
ii. Hard copies of health records will be securely stored at the Statewide Records Retention
Center in Raiford. All health records received at the record archives will be checked to ensure
that the color-coded year band is properly attached before filing.
O. Electronic Medical Record (EMR)
An Electronic Medical Record (EMR) is a digitized version of an Inmate’s health information that supports
consistent treatment pathways and provides templates in which to record patient demographics and
pertinent health information including but not restricted to patient history, active problems, medications,
allergies, immunizations, laboratory test results, radiology images, medical procedures, vital signs and
personal statistics such as height and weight. The Contractor shall maintain the EMR system, reducing the
Department’s dependence on paper and improving visibility into the Inmate’s health record.
The Department utilizes an Electronic Medical Record system in place at the time of execution of this
Contract, currently hosted in the Contractor’s data center. A change in the EMR system will require
Department approval.
All health care records are the property of the Department and shall remain with the Department upon
termination of the Contract. Upon request, the Contractor shall provide the Office of Health Services any
and all records relating to the care of the Inmates that are in the Contractor’s possession. A record of all
services provided off-grounds must be incorporated into each Inmate’s health care record.
Excluding the EMR, records the Contractor maintains on proprietary software must be converted to a
logical, widely-acceptable (universal) format and provided to the Department at no cost to the Department.
This requirement shall continue upon the expiration or termination of the Contract until the applicable
retention record schedule is met and records are properly destroyed. Records associated with this Contract
begin upon the date of award of the Contract to begin services.
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EMR Requirements
1.

The Contractor shall secure all modes of EMR data exchange in accordance with State and federal law.

2. The Contractor shall enforce the Department’s patient privacy rules as they apply to various parts of an
EMR through the implementation of security mechanisms.
3. The Contractor shall retain, ensure availability, and destroy health record information according to the
Department’s standards. This includes retaining all EMR data and clinical documents for the time
period designated by the Department’s requirements; retaining inbound documents as originally
received (unaltered); ensuring availability of information for the legally prescribed period and
providing the ability to permanently delete EMR data/records in a systematic way according to
Department Policies and upon the expiration of the legally prescribed retention period. The Contractor
shall maintain all appropriate licenses to effectuate use of the EMR by both the Contractor and
Department.
4. The Contractor shall proactively monitor all batch processes, interface connectivity, and file transfer
statuses. Issues that arise must be communicated to the Department according to a Support and
Communication Plan.
5. The Contractor shall identify relationships among providers treating a single Inmate and provide the
ability to manage Inmate lists assigned to a particular provider.
6. The Contractor shall ensure that data is protected per HIPAA Security Rule and industry standards, and
shall ensure that data is easily recoverable in the event of a technical issue. The Contractor is responsible
for the security, storage, and backup solutions for the EMR system.
7. The Contractor shall ensure that for staff present in the institutions, the EMR is only accessed from its
Department-approved desktop workstations, laptops, and tablet devices (including Android and iOS
operating systems). Staff working remotely, providing EMR support or otherwise may access the EMR
system from non-Department devices.
8. The Contractor shall ensure user training is provided as part of new employee orientation and annually
thereafter, using a train-the-trainer approach for all system users. Manuals and user guides will be made
available to all system users.
To support this requirement, the Contractor will develop a training plan and provide training that
ensures that all facilities staff including medical, dental, mental health, substance abuse, and
administrative staff are adequately trained to utilize the system for input of data and production of
reports. The proposed training plan should also address training for new staff after implementation of
the Contract, including other subcontractors and Department staff. The Contractor shall provide
additional Department-required training the Department determines as necessary.
9. The Contractor is responsible for ongoing system maintenance throughout the term of the Contract,
including any necessary patching, hardware/software updates (and certification, if needed), customer
service assistance, and support. This includes the EMR system and any equipment or hardware used to
access the system, such as desktops, laptops, and tablets.
10. The Contractor shall provide and maintain a Support and Communication Plan. This plan must include,
but not be limited to, a system overview, support procedures for system issues & maintenance,
communication matrix & escalation procedures, support roles matrix, equipment repair and warranties
(if any), data administration, interface administration, configuration and change management, business
continuity, disaster recovery procedures, and any appendix documentation. The Contractor and the
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Department will agree to the Support and Communication Plan within 15 Days of the Contract’s
effective date.
11. The Contractor must classify and respond to support calls by the underlying problem’s impact on the
Department’s ability to do business (e.g. critical, urgent or routine). The Contractor shall implement all
software updates and services packs and new releases and new versions, as requested by the
Department, at no additional charge.
12. The Contractor shall ensure support is available for the EMR system from at least 6:00 a.m. to 6:00
p.m. Eastern Time each Day and must ensure that there is adequate staffing for the volume of calls. The
Contractor shall also maintain a software support contract with GE Fusion for, at least, the same hours
indicated above.
13. The Contractor shall have a team available to accept, review, and implement change requests by the
Department. This team must have a process in place for the evaluation and implementation of necessary
system improvements within the EMR system. These evaluations must be completed in coordination
with the appropriate FDC professional discipline chief and analytics team member(s).
14. The Contractor shall establish and maintain a Service Level Agreement (SLA) with the EMR provider
to include the following: key performance indicators and metrics, service levels, rank and severity
levels, priority and response time expectations, exceptions, limitations, rules and responsibilities,
services availability, and escalations. The Contractor shall provide a copy to the Department’s Office
of Information Technology (OIT) for review and approval.
15. The Contractor shall ensure institutional health services staff (including Contractor staff and
subcontractors) adhere to all requirements, including the schedule for running reports, outlined in HSB
15.06.04, Electronic Medical Record. There must be sufficient data entry staff at each institution to
ensure clinical information is entered in the EMR appropriately.
16. OBIS training, technical assistance, and security access will be handled in a tiered approach. The
Contractor shall set up an IT support desk and designate “super users” to serve as the main OBIS/EMR
points of contact to Department staff. The Department will provide staff to coordinate security access
requests. The Contractor shall provide train-the-trainer sessions and technical assistance to the super
users. This training will be provided as needed and at least annually. The Contractor’s super users will
be responsible for providing training and technical assistance to regional and institutional health
services staff. The Contractor will be responsible for ensuring all Contractor staff who access
OBIS/EMR are trained on data display and reporting.
P. Information Technology
The Contractor shall comply with the Department’s Procedure 206.004, Internet Services, which covers
guidelines for internet usage, and Procedure 206.007, User Security for Information Systems, which covers
User ID requirements. The Department may immediately cancel access to this application if it is misused
by the Contractor’s staff or its agents.
IT Requirements
1.

The Contractor shall procure and provide any additional technology supplies, equipment, and network
connection(s) required to provide services under the Contract, including any additional inter-facility
network connections required for service provision. The Contractor’s technology supplies, equipment,
and network connection(s) include but are not limited to computers, software, printers, switches, and
mobile devices. The Contractor shall ensure all technology supplies, equipment, and network
connections, meet minimum specifications provided by the Department’s Office of Information
Technology (OIT).
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2. The Contractor shall ensure all networking equipment procured is approved by the Department prior to
its introduction to any Service Location. The Department will provide the Contractor networking
equipment specifications upon request.
3. The Contractor shall maintain equipment and software according to manufacturer-recommended
support levels, including but not limited to the operating system, security patches, and special software.
4. The Contractor shall not implement or change its network connection(s) without the prior written
approval from the Department’s OIT, as provided by the Contract Manager. The Contractor shall
provide written notification to the Contract Manager 24 hours prior to any modification to a system,
including any hardware, software, or cabling changes.
5. Should the Department permit Contractor to implement any wireless network, Contractor will follow
industry best practices and employing, at minimum, Active Wireless Intrusion Prevention (WIP)
capabilities and WPA- 2/3-Enterprise encryption with 802.1x EAP-TLS certificate-based
authentication.
6. The Department shall assume ownership of and retain any Contractor-provided technology supplies,
equipment, and network connections at the end of the Contract. The Contractor shall transfer all related
licensing to the Department at the end of the Contract. At the end of the Contract term, the Contractor
shall maintain and transfer all hardware, software, firmware, and middleware configurations in a
manner that ensures continuity of service and operations.
7. Any access to the Department’s network from an outside non-law enforcement entity must be done via
a Virtual Private Network (VPN). The Department will require a copy of the Contractor’s security
policies and a network diagram. After review by the Department’s network and information security
staff, the Chief Information Officer (CIO) will decide whether to grant access or not. Access will be
provided via a site-to-site VPN.
8. The Contractor shall not connect any Contractor-owned or managed equipment to the Department’s
internal network, logically or physically, in any way without the express written consent of the
Department’s Chief Information Officer and Information Security Manager.
9. Networking Services
The Department can provide the following network services:
a. Fiber optic cabling within the facility will be provided based on availability, a Contractor-initiated
site survey is recommended.
b. Wi-Fi – Aruba wireless access point and Intrusion prevention devices can be made available for
the Contractor’s use and management, approximately 245 APs.
c. Switching – Existing Aruba switching (2930F PoE+) will be available for the Contractor’s use and
management, approximately 300 switches.
d. VOIP
All Contractor-supplied networking equipment shall be:
e. Procured on the behalf or (in the name of) the Department to ensure manufacturer ownership and
maintenance agreements will remain intact outside of the Contract term;
f. Any new network infrastructure needs, including LAN wiring, building to building fiber, switching,
or Wi-Fi equipment will be the responsibility of the Contractor to procure and manage;
g. Any campus fiber installation initiatives shall be scaled to offer benefit to the Department.
Example: 12 strands minimum of fiber optic cable to be installed between buildings; and
h. Any equipment installations emitting Radio Frequencies RF such as indoor/outdoor Wi-Fi,
Cellular, Radar, Sonar, and HAM will adhere to a pre-approved RF plan or channel map agreement.

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WAN – Contractor shall procure data circuits that permit the transferability/ownership to another
vendor or entity; multi-circuit MPLS bundles will not be permitted.
10. The Contractor shall ensure authorized VPN connections must adhere to the FBI Criminal Justice
Information System (CJIS) Security Addendum (Attachment C) and HIPAA protections standards
(see Attachment B, Business Associate Agreement) where applicable and must otherwise support
industry best practice. The Contractor requesting or using these connections is financially responsible
for all required or related equipment and must adhere to all VPN service provider policies and
procedures and Department procedures. The VPN service provider will coordinate with the outside
entity in determining whether to use outside entity equipment to terminate that end of the VPN
connection or provide the necessary equipment.
11. The Contractor shall ensure when VPN access is requested, the person or entity requesting must also
present an accurate and complete description of their or its information network, including all
permanent and temporary remote connections made from and to the person’s or entity’s network
(required for CJIS compliance), for Department review. Any access or connection to the Department’s
network not approved by the Department’s OIT, Chief Information Officer, or designee is strictly
prohibited.
12. Contractor workstations accessing the Department’s information network via a VPN must operate a
fully Contractor-supported Windows-only operating system approved by the Department and protected
by all security measures/mitigations required by the CJIS Security Policy in effect.
13. Contractor workstations accessing the Department’s information network via a VPN must operate with
password-protected screen savers enabled and configured for no more than 15 minutes of inactivity.
14. The Contractor’s staff with VPN privileges must ensure the confidentiality of their credentials and that
unauthorized persons are not allowed access to the Department’s network by way of these same
privileges. At no time shall any authorized user provide their user ID or password to anyone, including
supervisors and family members. All users are responsible for their workstations' communications and
activities through the VPN connection to the Department.
15. The Contractor shall not attempt to fraudulently access, test, measure, or operate unapproved software
on the Department’s network, which is strictly prohibited. The use of any software capable of capturing
information network packets for display or any other use is prohibited without the Department’s Office
of Information Technology's expressed consent.
16. The Contractor shall ensure its staff maintain knowledge of and compliance with relevant and
applicable Department procedures.
17. Notice of planned events in the Contractor’s computing environment that may impact its secured
connection, in any way or at any severity level, to the Department must be submitted to the Department
at least one (1) week in advance of the event.
18. The Contractor shall ensure the Department receives notice, as soon as practicably possible, in
electronic and written form when an unexpected event of interest occurs in any way or at any level of
severity within or around the Contractor’s computing environment that may impact the Department’s
information security. Events including but not limited to malware (virus, Trojan, etc.) discovery,
network or system breaches, privileged account compromise, employee or workforce member
misconduct, etc., are examples of events of interest to the Department. Notification shall be made to
the Department’s Chief Information Officer, Information Security Manager, and the Contract Manager.
19. The Contractor shall be responsible for ensuring all equipment utilized to provide services under this
Contract meets the Department’s requirements, including but not limited to maintaining current
configurations, appropriate maintenance contracts, support contracts, upgrades, and replacements.
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20. The Contractor shall ensure all network traffic will be filtered to exclude inappropriate content (e.g.,
pornographic content), personally identifiable information, and any content the Department deems
confidential. The Contractor shall maintain compliance with all federal and State of Florida laws.
21. Contractor workstations shall not access any resource or download any software from the Department’s
information network without the Department's prior approval.
22. The Contractor will not grant local administrative privileges to its workforce members or
subcontractors.
23. The Contractor shall conform to applicable information security processes defined and referenced in
Department procedures, including, but not limited to, Procedure 206.010, Information Technology
Security relating to HIPAA.
24. Before connection and while connected to a VPN with the Department, the Contractor’s computing
environment (computing devices including workstations, servers, and networking devices) must be
operating the latest available software versions and applicable patches, and have the following
implemented with supporting policies or procedures available for review by the Department:
a. Active and effective network device, server and workstation operating system and layered software
patch or update processes; and
b. Department-approved up-to-date server and workstation anti-virus/malware software (all
components) installed with active and effective patches or update processes in place.
25. The Contractor shall not introduce any workload on the Department’s network, including video
conference, telemedicine, Software-as-a-Service (SaaS) systems, video streaming, and training
curriculum without the Department's prior written approval. Contractor staff with network access
privileges to the Department’s network shall not use non-Department and/or non-Centurion email
accounts (i.e., Hotmail, Yahoo, AOL), or other external information resources to conduct Department
business, except under the conditions as specifically approved by the Department ensuring a reduced
risk to Department data and that Department business is never confused with personal business.
26. When the Contractor uses VPN connections provided by Department-approved VPN providers, the
Department shall not be responsible for the installation of VPN software.
27. The Contractor shall protect (backing up) all data present on its computing and network equipment and
maintain compliance with all regulatory requirements. Contractor employees must adhere to all
Department Policies regarding data retention and destruction protocols. No data destruction shall occur
unless written authorization by the Department is granted.
28. Unless otherwise provided in this Contract, the Contractor shall not install, create, or use its own
network, including Local Area Network (LAN), Wide Area Network (WAN), Wireless Local Area
Network (WLAN), or cellular networks for any reason, unless approved in writing by the Department.
29. All computer workstations and network-connected devices for use at any local Correctional Institution
shall be provided by and maintained by the Contractor. This includes, but is not all-inclusive, hardware
such as personal computers and laptops (including software licenses), tablet PCs, thin clients, printers,
fax machines, scanners, and video conferencing (if approved). The Contractor may not install managed
or unmanaged switches onto the Department’s network without prior written approval from the
Department.
30. The Contractor’s staff shall not use mobile devices, whether work-issued or personal, behind a
Correctional Institution's secure perimeter or to access Department systems without the Department’s
written approval. The request must include a business justification submitted in writing along with a
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clear demonstration that the mobile devices fall within the Criminal Justice Information Systems (CJIS)
Security Policy and shall be centrally managed by a mobile device management (MDM) solution.
31. The Department reserves the right to implement email security for all types of devices, and the
Contractor shall comply with using these security requirements as dictated in the future.
32. The Contractor shall collaborate and consult with the Department’s OIT to achieve the electronic data
exchanges required between the Contractor managed EMR system and the Department’s other
applications. The Contractor shall develop its delivery mechanism for data and electronic reports in
consultation with the Department’s OIT. All electronic data exchanges established will be documented
with a data exchange agreement between the Department and Contractor, which includes
responsibilities and requirements for operational support.
All data exchanges between the Contractor and the Department shall:
a. Be protected by a LAN-2-LAN VPN compatible with the Department’s existing solution; or
b. Be presented to the Department via the open internet with the capability to permit access only from
the Department’s IPv4 address space.

33. Contractor Data Availability
The Contractor and their staff shall maintain the confidentiality, integrity, and availability in the
handling and transmission of any Department information, as represented in the following:
a. No disclosure or destruction of any Department data can occur without prior express consent from
the Department’s OIT or the Contract Manager;
b. The Contractor shall timely return all Department information in a format acceptable to the
Department when the contractual relationship effectively terminates, not to exceed 10 Business
Days;
c. The Contractor shall provide certification of its destruction of all of the Department’s data in its
possession in accordance with National Institute of Standards and Technology (NIST) Special
Publication 800-88 when the need for the Contractor’s custody of the data no longer exists;
d. The Contractor must maintain support for its services following an emergency that affects the
facilities and systems it maintains or those maintained by the Department. Following an emergency
that affects the Contractor’s facilities or production systems, the Contractor must provide access
and use of a backup system with the same functionality and data as its operational system within
24 hours. The Contractor must also guarantee the availability of data in its custody to the
Department within 24 hours following an emergency that may occur within the Contractor’s
facilities or systems. Following an emergency that affects the Department’s facilities or systems,
the Contractor must continue to provide access and use of its production systems once the
Department has recovered or re-located its service delivery operations; and
e. The introduction of wireless devices at facilities is subject to prior review and approval by the
Contract Manager, OIT, and the Office of Institutions. The Contractor is responsible for notifying
the Department before introducing wireless devices into facilities.
34. Information Security Requirements
a. The Contractor shall ensure all its staff or subcontractors providing services under the Contract are
trained in basic information security practices. If the Contractor has access to CJI, it shall ensure
all its staff or subcontractors with potential access to CJI attend CJIS Security Awareness training
in compliance with the FBI’s CJIS Security Policy, as provided by FDLE through the Department;
b. The Contractor shall secure all technology supplies, equipment, and network connections in a
manner where access by Inmates is prohibited or closely managed;
c. The Contractor shall notify the Department of any cyber security incident immediately, shall
provide the Department with regular status updates at intervals to be agreed upon by the Contractor
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d.
e.
f.

g.
h.

i.
j.
k.
l.
m.
n.

and Department, and shall provide a detailed after-action report upon resolution of the incident,
which shall include a root cause analysis;
The Contractor shall deploy a Department-approved network access control system (NAC);
The Contractor shall ensure any egress/ingress network connection to the facility is protected by a
Department-approved security appliance and configured to restrict access to non-mission necessary
destinations;
The Contractor shall maintain logs and monitor network communications in accordance with
National Institute of Standards and Technology (NIST) cyber security standards. The Contractor
shall provide the Department with documentation of such logs and communication monitoring
upon request;
The Contractor shall actively monitor its access logs and notify the Contract Manager of any
unauthorized access or attempts within 24-hours of occurrence;
If the Contractor’s logs are requested by the Department, the Contractor shall ensure its logging is
delivered to the Department in a digestible format as approved by the Department and
includes Authentication, Authorization, Accounting (AAA), syslog, and other logs that may be
deemed pertinent by the Department;
The Contractor shall ensure an appropriate backup method for hardware, software, custom
middleware, and any other component required for the successful operation of the system;
The Contractor shall actively patch security vulnerabilities identified by all hardware and software
vendors utilized, no less than 72 hours from its publication;
The Contractor shall update any other patching recommended by the Department or manufacturers;
The Contractor shall implement an approved anti-virus solution on all applicable endpoints;
In concert with the Department, the Contractor shall carefully assess the inventory of components
that compose their information systems to determine which security controls are applicable to the
various components; and
Auditing controls are typically applied to the components of an information system that provide
auditing capability, including servers, mainframe, firewalls, routers, switches.

35. Events
Events to be logged and audited include those required in the CJIS Security Policy, including but not
limited to the following:
a. Successful and unsuccessful system log-on attempts;
b. Successful and unsuccessful attempts to access, create, write, delete or change permission on a user
account, file, directory or other system resource;
c. Successful and unsuccessful attempts to change account passwords;
d. Successful and unsuccessful actions by privileged accounts; and
e. Successful and unsuccessful attempts for users to access, modify, or destroy the audit log file.
36. Content
The following content shall be included with every audited event:
a. Date and time of the event;
b. The component of the information system (e.g., software component, hardware component) where
the event occurred;
c. Type and description of event;
d. User/subject identity; and
e. Outcome (success or failure) of the event.
37. Response to Audit Processing Failures
The Contractor shall provide alerts to the Department’s CIO or designee in the event of an audit
processing failure. Audit processing failures include, for example: software/hardware errors, failures in
the audit capturing mechanisms, and audit storage capacity being reached or exceeded.
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38. Time Stamps
The Contractor shall provide timestamps for use in audit record generation. The time stamps shall
include the date and time values generated by the internal system clocks in the audit records. The agency
shall synchronize internal information system clocks on an annual basis.
39. Protection of Audit Information
The Contractor shall protect audit information and audit tools from modification, deletion, and
unauthorized access.
40. Audit Record Retention
The Contractor shall retain security audit records for at least two (2) years unless a longer period is
requested in writing by the Department.
41. Compliance Requirements
a. The Contractor shall meet or exceed all applicable federal and State laws and information security
policies, including but not limited to the Federal Bureau of Investigation’s (FBI’s) Criminal Justice
Information Services (CJIS) Security Policy and information security requirements in HIPAA and
Chapter 60GG-2, F.A.C, Florida Information Technology Resource Security Policies and
Standards, and all applicable Department information security policies.
b. To be compliant with the HIPAA and the HITECH Act, any service, software, or process to be
acquired by or used on behalf of the Department that handles or transmits electronic protected
health information (ePHI) must do so in full HIPAA compliance and with encryption provided as
a part of the service, software, or process. Also, the transmission and encryption scheme supplied
by the Contractor must be approved by the Department before acquisition. Confidential or personal
health information includes but is not limited to, all social security numbers, all health information
protected by HIPAA, and addresses of law enforcement officers, judges, and other protected
classes. Pursuant to Section 119.071(5)(a)5.g, F.S., social security numbers are confidential
information and therefore exempt from public record or disclosure.
c. Any service, software, or process used in service to the Department that includes a User ID and
password component must ensure said component includes capabilities for password expiration
and confidentiality, logging of all User ID activities, lockout on failed password entry, provisions
for different levels of access by its User IDs, and intended disablement of User IDs and can be
evidenced as such by the Contractor’s own security policies and Active Directory (AD) group
policy settings.
d. Any and all introductions or subsequent changes to information technology or related services
provided by the Contractor in the Department’s corrections environment must be communicated to
and approved by the Department and Office of Information Technology prior to their introduction.
As examples, the implementation of wireless (Bluetooth, cellular, etc.) technology or use of USBbased portable technology.
e. Subsequently, a separate Management Control Agreement (MCA) must be executed between the
Contractor and Department.
f.

The Contractor shall recognize the Department’s entitlement to all Department-provided
information, or any information related to the Department that is generated as a result of or in
participation with this service.

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g. The Contractor shall provide the timely and complete delivery of all Department information in an
appropriate and acceptable format before the contractual relationship effectively terminates.
h. The Department’s data and contracted services must be protected from environmental threats
(Contractor’s installation should have data center controls that include the timely, accurate,
complete, and secure backup (use of offsite storage) of all Department information, and other
controls that manage risks from fire, water/humidity, temperature, contamination (unwanted
foreign material, etc.), wind, unauthorized entry or access, theft, etc.).
i.

The Contractor shall guarantee the availability of Department data and its service during a disaster
regardless of which party is affected by the disaster.

Correctional Institutions' site plans and plan components (electrical, plumbing, etc.) are exempt
from public record and must be kept confidential.

k. If applicable, the Contractor shall supply all equipment necessary to provide services outlined in
this solicitation. Any Contractor equipment that requires a connection to the Department’s
information network must be reviewed and approved by the Contract Manager and the
Department’s CIO.
l.

If applicable, the Contractor shall host the Department’s information and services provided in a
data center protected by appropriate industry best practice security measures/mitigations, including
but not limited to the following:
i. Controlled access procedures for physical access to the data center;
ii. Controlled access procedures for electronic connections to the Contractor’s network;
iii. A process designed to control and monitor outside agencies and other Contractors’ access to
the Contractor’s information network;
iv. A firewalling device;
v. Server-based antivirus/malware software;
vi. Client-based antivirus/malware software;
vii. Use of unique User IDs with expiring passwords;
viii. A process that involves a collection of User ID activities and regular review of these activities
for unauthorized access or privileges;
ix. A process that ensures up-to-date software patches and up-to-date malware signature files
are applied to all information resources; and
x. Compliance with the most recently published version of the CJI Security Policy.

m. The Contractor shall maintain an Information Security Awareness program. This program will be
designed to keep users knowledgeable on information security best practices and current threats to
the Contractor’s resources.
n. The Contractor shall adhere to all the Department’s OIT policies detailed in the Department’s
Procedures 206.001- 206.010, giving specific attention to the following:
i. Procedure 206.002, Mobile Computing Equipment and Wireless Communication;
ii. Procedure 206.004, Internet Services;
iii. Procedure 206.006, Information Technology Resources;
iv. Procedure 206.007, User Security for Information Systems;
v. Procedure 206.008, E-mail; and
vi. Procedure 206.010, Information Technology Security relating to HIPAA.
o. The Contractor shall permit the Department’s OIT staff to audit its network and any related
datacenter housing the EMR solution. Additionally, The Contractor shall permit online and on-site
visits by Department’s authorized employees, officers, inspectors, and agents during an
administrative or criminal investigation. The process can begin with either declaration of a
Computer Security Incident Response Team (CSIRT) from the Department's CIO or Information
Security Officer or directly from the Department’s Inspector General.
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42. Telehealth Technology
a. If the Contractor chooses to provide a telehealth solution to augment the delivery of services, the
Contractor shall manage all costs associated with the implementation, maintenance, licensing, and
support of telehealth. The Department must approve all sites and services to be provided via
telehealth.
b. In accordance with HSB 15.06.12, Telemedicine, the Contractor shall implement and maintain any
necessary telemedicine communication systems, equipment and consultations provided by
telemedicine. The Contractor will also be responsible for all telemedicine service line/data
management for communications related to the provision of health care to Inmates or for any
network workload that requires the Department to increase its network bandwidth. The proposed
solution must be approved by the Department's Office of Information Technology (OIT); must be
readily available to and compatible with the equipment and software in use by Department staff.

Q. Contractor’s Staffing Requirements
1. Recruitment and Retention
The Contractor shall develop and implement a Recruitment and Retention Plan that identifies all
recruitment and retention activities statewide, including plans for short-term staffing solutions during
staff turnover, or extended staff leave. The initial Recruitment and Retention Plan will be submitted
within 30 Days of Contract execution and updated plans shall be provided at least once per quarter.
The Contractor shall establish Statewide and Regional Recruitment Coordinators. The Statewide
Recruitment Coordinator shall provide the Department a quarterly report of all recruitment and
retention activities it undertakes to ensure staffing of the Contract. The Contractor shall provide this
report in a manner approved by the Department. The Regional Recruitment Coordinators shall provide
real-time updates to the Regional Directors and Warden of each Parent Institution when a Service
Location experiences vacancies greater than 20% within a pay period, per discipline. In addition,
Regional Recruitment Coordinators shall provide monthly Vacancy and Recruitment Action Reports
to the Regional Director and leadership at each Parent Institution in a manner and form approved by
the Department.
2. Criminal Justice Information Security
All Contractor employees shall review the Department’s FBI CJI Security Addendum and sign a related
certification. Completed forms shall be made available to the Contract Manager, who will provide a
copy to the Department’s Chief Information Officer and Information Security Manager. The
Department’s Information Security Manager will provide the access information for the CJIS Security
Awareness Training within 10 Days of Contract execution. The Contractor shall ensure all its
employees complete CJIS Security Awareness Training, as provided by FDLE through the Department,
within six (6) months of hire and renewed annually. The Contractor shall make a certificate of
completion available to the Contract Manager for each employee. The Contract Manager shall make
the copies available to the Department’s Chief Information Officer and Information Security Manager
upon request.
3. Conduct and Safety Requirements
The Contractor shall ensure all Contractor’s staff adhere to the standards of conduct prescribed in
Chapter 33-208, F.A.C, and as prescribed in the Department’s personnel policy and procedure
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guidelines, particularly rules of conduct, employee uniform, and clothing requirements (as applicable),
security procedures, and any other applicable rules, regulations, policies, and procedures of the
Department.
The Contractor acknowledges and accepts, for itself and any of its agents, that all or some of the services
to be provided under this Contract shall be provided in a correctional setting, with direct and/or indirect
contact with the inmate population, and that there are inherent risks associated with the correctional
environment.
In addition, the Contractor shall ensure that all staff adhere to the following requirements:
a. The Contractor’s staff shall not display favoritism to, or preferential treatment of, one inmate or
group of inmates over another.
b. The Contractor’s staff shall not interact with any inmate, except as related to services provided
under this Contract. Specifically, staff members must never accept for themselves or any member
of their family, any personal (tangible or intangible) gift, favor, or service from an inmate, an
inmate’s family, or close associate, no matter how trivial the gift or service may seem. The
Contractor shall report to the Department’s Contract Manager any violations or attempted violation
of these restrictions. In addition, no staff member shall give any gifts, favors, or services to inmates,
their family, or close associates.
c. The Contractor’s staff shall not enter into any business relationship with inmates or their families
(example – selling, buying, or trading personal property), or personally employ them in any
capacity.
d. The Contractor’s staff shall not have outside contact (other than incidental contact) with an inmate
being served or their family or close associates, except for those activities that are to be rendered
under this Contract.
e. The Contractor’s staff shall not engage in any conduct which is criminal in nature or which would
bring discredit upon the Contractor or the State. In providing services pursuant to this Contract, the
Contractor shall ensure that its employees avoid both, misconduct and the appearance of
misconduct.
f.

At no time, shall the Contractor or Contractor’s staff, while delivering services under this Contract,
wear clothing that resembles or could reasonably be mistaken for an inmate’s uniform, or any
correctional officer’s uniform, or that bears the logo or other identifying words or symbol of any
law enforcement, or correctional department, or agency.

g. Any violation or attempted violation of the restrictions referred to in this section regarding
employee conduct shall be reported by phone and in writing to the Contract Manager, including
proposed action to be taken by the Contractor. Any failure to report a violation or take appropriate
disciplinary action against the offending party or parties shall subject the Contractor to appropriate
action, up to and including termination of this Contract.
h. The Contractor shall report any incident described above, or requiring investigation by the
Contractor, in writing, to the Institutional Warden and the Contract Manager, within 24 hours, of
the Contractor’s knowledge of the incident.
i.

The Contractor shall participate, as needed, in Department’s security audits, to ensure compliance
with tool control and other security-related policies and procedures.

4. Tuberculosis (TB) Screening/Testing

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The Contractor shall ensure Contractor’s institutional staff, including FDC staff, subcontractors and
other services providers, performing services under this Contract, are screened and/or tested for
tuberculosis prior to the start of service delivery, as appropriate, and screened/tested annually thereafter,
as required by Procedure 401.015, Employee Tuberculosis Screening and Control Program. The
Contractor shall provide each institution’s Warden, or designee, with proof of TB screening/testing,
prior to the start of service delivery, for all staff members, and annually thereafter. The Contractor shall
be responsible for obtaining, administering, and processing the TB screening/testing. Initial
testing/screening of staff, previous documented testing, proof of documented treatment, or proof of a
chest x-ray completed within the previous 2 years must be completed upon reporting for job assignment.
5. Vaccinations
The Contractor shall ensure Contractor staff performing services under this Contract at institutional
sites, including subcontractors, have initiated the vaccine against Hepatitis B and any other vaccinations
required by the Department, following the Department of Health’s guidelines, prior to the start or
continuation of service delivery. The Contractor shall provide the Department’s Contract Manager, or
designee, with proof of vaccinations.
Additionally, the Contractor is responsible for administering any vaccines identified by the Department
to its institutional staff. The Department will be financially responsible for vaccines for Department
staff.
6. Staff Levels and Qualifications
a. Contractor staff providing services under this Contract shall meet the minimum qualifications
outlined in Attachment A. Staff members that do not meet these requirements are not approved to
work under this Contract.
b. The Contractor shall liaise with and maintain a good working relationship with the judiciary,
criminal justice system, FDC staff, and the community, as required to support the Contract.
c. The Contractor shall not allow individuals possessing “temporary work visas” to fill positions under
this Contract.
d. All Contractor/subcontractor staff providing services under the Contract shall have the ability to
understand, speak, and write English to allow for effective communication between Contractor
staff, Department staff, and inmates.
7. Staff Background/Criminal Record Checks
a. The Contractors’ staff assigned to this Contract shall be subject, at the Department’s discretion and
expense, to a Florida Department of Law Enforcement (FDLE) Florida Crime Information
Center/National Crime Information Center (FCIC/NCIC) background/criminal records check. This
background check will be conducted by the Department and may occur or re-occur at any time
during the Contract period. The Department has full discretion to require the Contractor to
disqualify, prevent, or remove any staff from any work under the Contract. The use of criminal
history records and information derived from such records checks are restricted pursuant to Section
943.054, F.S. The Department shall not disclose any information regarding the records check
findings or criteria for disqualification or removal to the Contractor. The Department shall not
confirm to the Contractor the existence or nonexistence of any criminal history record information.
In order to carry out this records check, the Contractor shall provide, (prior to commencing services
upon institution property) OR (prior to contract execution) OR (upon request), the following data
for any individual contractor or subcontractor’s staff assigned to the Contract: Full Name, Race,
Gender, Date of Birth, Social Security Number, Driver’s License Number, and State of Issue.
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b. The Contractor shall also ensure that the Contract Manager is provided the information needed to
have the FCIC/NCIC Level I background check and a Level II background screening (which
includes fingerprinting to be submitted to the Federal Bureau of Investigation [FBI]) conducted.
prior to any new Contractor staff being assigned to provide services on institution property. Upon
prior approval by the Contract Manager, and an approved Level I background check, the Contractor
may hire, train or allow Contractor staff to begin work other than providing direct health care
services for a period no longer than 30 Days, during the time the Department is conducting a Level
II background screening. The Contractor shall not assign any individual to work on institution
property until he/she has passed the Level II FCIC/NCIC background screening, or with specific
approval by the Warden or Regional Director. If a staff member meets all other requirements, all
hours worked by Contractor staff during the 30 Day period, as verified by Contractor time records
submitted to the Department, shall be reimbursed by the Department, regardless of whether the
Contractor staff member ultimately passes the Level II background screening.
c. No person who has been barred from any Department institution or other facility shall provide
services under this Contract.
d. The Contractor shall not permit any individual to provide services under this Contract who is under
supervision or jurisdiction of any parole, probation, or correctional authority. Persons under any
such supervision may work for other elements of the Contractor’s agency that are independent of
the contracted services.
e. Note that a felony or first-degree misdemeanor conviction, a plea of guilty or nolo contendere to a
felony or first-degree misdemeanor crime, or adjudication of guilt withheld to a felony or firstdegree misdemeanor crime does not automatically bar the Contractor from hiring the proposed
employee. However, the Department reserves the right to prior approval in such cases. Generally,
two (2) years with no criminal history is preferred. The Contractor shall make full written report to
the Department’s Contract Manager within three (3) calendar days whenever an employee has a
criminal charge filed against them, or an arrest, or receives a Notice to Appear for violation of any
criminal law involving a misdemeanor, or felony, or ordinance (except minor violations for which
the fine or bond forfeiture is two hundred dollars ($200) or less) or when Contractor or Contractor’s
staff has knowledge of any violation of the laws, rules, directives or procedures of the Department.
f.

To the extent any past or future criminal offense or civil complaint arises that disqualifies or
suspends a staff member from performance of their duties, the Contractor must take immediate
action.

8. Utilization of E-Verify
As of January 1, 2021, every public employer, contractor, and subcontractor shall register with and use
the E-Verify system to verify the work authorization status of all newly hired employees. A public
employer, contractor, or subcontractor shall not enter into a contract unless each party to the contract
registers with and uses the E-Verify system in accordance with Section 448.095, F.S.
9. Orientation and Training
The Contractor shall ensure Contractor’s staff performing services under this Contract at institutional
sites meets the Department’s minimum qualifications for their specific position/job class. The
Contractor is required to maintain a detailed position description for all positions. All employees should
be provided a copy of their position descriptions upon being hired or upon request. Both the
Department’s and the Contractor’s responsibilities with respect to orientation and training are listed
below:
a. The Department will determine what type and duration of orientation and training is appropriate
for the Contractor’s staff. Job-specific orientation/training regarding policies, procedures, rules and
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processes pertaining to the administration of health care at each institution where the Contractor
delivers services shall be coordinated between the Contractor and designated Department staff.
b. The Department will not compensate the Contractor for any costs incurred as a result of
Contractor’s staff attending orientation and training, not required by the Department, including any
wages paid.
c. The Department will provide the Department’s New Employee Orientation before the Contractor’s
staff provides services on-site. The Contractor shall coordinate with designated Department staff
at each institution to administer and schedule the Contractor’s staff new employee orientation.
d. The Contractor shall, at the Contractor’s expense, track and document all orientation and training
as indicated above. Documentation shall be provided to the Department’s Contract Manager, upon
request.
e. The Department is not responsible for, nor will they reimburse for, any required professional or
non-professional education/training required for the Contractor’s staff to perform duties under this
Contract.
f. The Contractor shall be responsible for ensuring that all contractor staff complete 40 hours of
required annual training. The nature, extent and content of the training will be determined by the
Department’s Office of Staff Development and published in the Department’s Master Training
Plan.
g. The Contractor shall provide trainers/instructors for training relevant to the Department, including,
but not limited to the following: peer support, psychiatric restraint, and suicide prevention.
10. Interaction with Other Health Care Service Providers
The Contractor shall provide comprehensive health care services at all Department Institutions
statewide. The Contractor is also required to cooperate fully with the Department and other providers
to ensure Inmate patients receive appropriate and timely health care services and that there are no
barriers to continuity of care due to a lack of collaboration.
R. Transition and Implementation
The Contractor shall develop and submit to the Department for approval a detailed Transition and
Implementation Plan within 15 days after Contract execution that includes a list of all major transition
activities, with responsible parties and timelines. The Contractor must have the capacity to fully implement
services on July 1, 2023. The plan shall include provisions for the following: oversight of program
management and clinical functions; human resources; setting up a provider network and ancillary services;
utilization management; quality management; financial management; claims/invoice processing; reporting;
licenses and permits; equipment and supplies; information technology; and target transition dates for each
Institution and associated satellite facilities covered in the Contract.
In addition to the requirements provided in Section III., S., 1., and 8., the Contractor shall, the Contractor
shall:
• Provide regular reports to the Department, not less than weekly, on the status of filling positions and
the transition in general;
• Commence provision of health care services to the Department’s Inmates consistent with the
approved Transition and Implementation Plan; and
• Within 90 Days of the Contract execution date, or on a date agreed upon in writing between the
Contractor and the Department, assume full responsibility for comprehensive health care service
delivery.
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During the transition period, the Department will provide access to all records, files and documents
necessary for the provision of health care services, including but not limited to Inmate records, utilization
management records, and financial reports. The Contractor shall collaborate with the Department to
complete any necessary exchanges in the storage of data relating to the EMR. The Department’s payment
for each facility shall begin at 12:01 a.m. on the implementation date, contingent upon actual
implementation of services. There will be no compensation provided before the implementation date at
each facility. The Department reserves the right to revise the timeline for transition and implementation or
Final Transition and Implementation Plan, as it determines to be in the Department’s best interest or in the
best interest of the State.
At the end of the Contract term, the Contractor shall cooperate with the Department in transitioning to a
new Contractor, as applicable. As the Contract’s expiration date approaches, this may include a reduction
in the locations or services provided, so a new Contractor can transition into providing services. This
reduction may be per Service Location and will be implemented at the Department's discretion to best meet
its needs upon Contract expiration or termination. The Department shall have sole discretion in determining
the best manner to transition services to a new Contractor, as applicable.

S. Deliverables
The following services or service tasks are identified as deliverables for the purposes of this Contract:
1. Comprehensive Health Care Services, including management of medical records, for inmates at
Department-operated institutions consisting of all requirements listed and referenced under Section III;
2. Staffing and Recruitment and Retention Plan; and
3. Reports as required in Section III., S., General Reporting Requirements.
T. General Reporting Requirements
The following services or service tasks are identified as required reports for the purposes of this Contract:
1. PGM – Program Management
a. Final Transition and Implementation Plan
Within three (3) Days of Contract execution, the Contractor shall meet with the Department to
finalize the implementation plan to ensure an orderly and efficient transition from the current
Comprehensive Health Care Contract. Within 15 Days after Contract execution, the Contractor
shall submit its Final Transition and Implementation Plan for approval in accordance with Section
III., Q. Transition and Implementation.
b. Contractor Organization and Staffing and Recruitment/Retention Plan
Within five (5) Business Days of Contract execution, and annually thereafter on the 5th Business
Day each July, the Contractor shall provide an overview of its organization, specifically those staff
assigned to the services included in this Contract, including an organization chart, staffing plan,
and other relevant organizational information.
c. Staff Review Report
Quarterly by the 10th Business Day of the month following the end of the quarter, the Contractor
shall provide a list of personnel on staff, including staff who have been added and/or removed since
the prior report, including titles, start date, date of required trainings, credentials (as applicable),
and date of successful background screening. Also, the report should list vacant positions and the
length of each vacancy.
d. Medical Emergency Plan
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Within 30 Days of Contract’s effective date, the Contractor shall provide a plan for the immediate
response and care of Inmates with medical, dental, and mental health emergencies for each
Institution. The Contractor is responsible for emergency care during Plan development.
e. Staff New Employee Orientation Report
Within 14 Days of Contract effective date, and annually thereafter, the Contractor shall provide
documentation that training that will be provided to Contractor and subcontractor staff prior to their
engagement on the Contract.
f.

Subcontractor List
Within five (5) Business Days of the Contract’s effective date, the Contractor shall provide a list
of all subcontracts and letters of agreement for hospitals, Medical Provider services, specialty care
services and ancillary services to the Contract Manager.

g. Biomedical and Pharmaceutical Waste Plan
Within 30 Days of Contract’s effective date, the Contractor shall provide a plan addressing the
definition, collection, storage, decontamination, and disposal of regulated waste.
h. Emergency Medical Services (EMS) Plan
Within 30 Days prior to the transition date at each Institution, the Contractor shall develop and
maintain this plan to ensure the provision of all medically necessary Inmate transportation by
ambulance or other life-support conveyance, either by ground or air, for all Institutions covered by
this Contract. Any changes to the EMS Plan must be reported in writing to the Contract Manager.
i.

End-of-Contract Transition Plan
Within 90 Days of Contract’s effective date, the Contractor shall provide a transition plan that
documents the Contractor’s plans for transitioning to another Contractor upon the expiration of the
Contract.

Quarterly Cost Report
Quarterly by the 10th Business Day of the month following the end of the quarter, the Contractor
shall provide a quarterly report of its operating costs to include, at a minimum, employee salaries
and benefits, ancillary services, medication, and medical supplies used for each Institution. Costs
that are not able to be broken out by Institution may be provided in aggregate. These costs reports
should be submitted in a format approved by the Contract Manager. Any changes made to the
format of this report by the Department during the term of the Contract shall be incorporated by
the Contractor.

2. IC – Institutional Care
a. Quarterly Institutional Care Report
On or by the 10th Business Day of the month following the end of a quarter (for the prior quarter),
the Contractor shall provide the following:
i. Number of past due appointments for all chronic illness clinics, as of the last Day of the
previous month (listed by Institution);
ii. Number of Inmates referred to specialty clinics, as of the last Day of the previous quarter
(listed by Institution);
iii. Number of Inmates see in all specialty clinics, as of the last Day of the previous quarter (listed
by Institution); and
iv. Number of Inmates sent to the community for emergency care, as of the last Day of the
previous quarter (listed by Institution and reason for visit).
b. Monthly Dialysis Unit Infection Control Report
On or by the 10th Business Day of each month (for the prior month), the Contractor shall provide a
completed Form DC4-539E, in accordance with the Infection Control Manual.
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c. Monthly Health Care Associated Infections – Table I Report
On or by the 10th Business Day of each month (for the prior month), the Contractor shall provide a
completed Form DC4-539G, in accordance with the Infection Control Manual.
d. Monthly Infection Rates & Trends – Table II Report
On or by the 10th Business Day of each month (for the prior month), the Contractor shall provide a
completed Form DC4-539H, by each Institution, in accordance with the Infection Control Manual.
e. Immunizations Monthly Report – Table IV
On or by the 10th Business Day of each month (for the prior month), the Contractor shall provide a
completed Form DC4-539F, in accordance with the Infection Control Manual.
f.

Infectious Disease Outbreak Worksheet Report
Every Business Day by 3:00 p.m., E.T., until outbreak is resolved, the Contractor shall provide the
Infectious Disease Outbreak Worksheet Report (DC4-544C) daily from the Institution affected
until outbreak has resolved in accordance with Procedure 401.001, Movement Restrictions During
Communicable Disease Outbreaks.

g. Department of Health (DOH) Daily Infectious Disease Outbreak Report
Every Business Day by 3:00 p.m., E.T., until outbreak is resolved, the Contractor shall provide a
completed Form DC4-543 to the DOH, in accordance with the Infection Control Manual.
h. Summary of Infection Control Investigation – Table V Report
Within seven (7) Days of outbreak being resolved by the affected Institution, the Contractor shall
provide a completed Form DC4-539A, in accordance with the Infection Control Manual.
i.

Summary Tuberculosis EOS Health Information Report
Within three (3) Business Days of an applicable Inmate’s EOS, the Contractor shall complete and
provide a Form DC4-758, Tuberculosis EOS Health Information Summary for Inmates on, or who
have completed TB medications before EOS, by each Institution, in accordance with HSB 15.03.18,
Human Immunodeficiency Virus (HIV) Disease and Continuity of Care.

Bloodborne Pathogen Exposure Report
Within 24 hours of exposure, the Contractor shall report any bloodborne pathogen exposure using
Forms DC4-799, Inmate Bloodborne Pathogens Exposure Report, and DC4-798, Bloodborne
Pathogens Exposure-Screening Incident Report, as applicable, by each Institution, in accordance
with HSB 15.03.43 and the Bloodborne Pathogen Manual.

k. Inmate Tuberculosis (TB) Suspects and Tuberculosis (TB) Cases Reporting
Within 24 hours of discovery, the Contractor shall provide the required documentation for a TB
case or suspected TB case per Institution, in accordance with HSB 15.03.18, Identification and
Management of Latent Tuberculosis Infection (LTBI) and Tuberculosis Disease, and local and State
laws.
3. IDC – Institutional Dental Care
a. On-Call Dentist List
Each week for the following week, the Contractor shall provide a Dentist on-call list to each
institutional medical department in the event a Dentist should need to be contacted when an
emergent/urgent dental situation arises and no Dentist is available at the Institution. When needed,
the Contractor must ensure that an on-call Dentist can travel to another Institution if that
Institution’s Dentist is unavailable to cover the call.
b. Monthly Dental UM Report
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CONTRACT #C3076
On or by the 10th Business Day of each month (for the prior month), the Contractor shall provide
monthly UM reports, by Institution, identifying the Inmate number, name, diagnosis, requested
service (referral, on-site service, off formulary medication, etc.), approval or alternative action, and
reason.
c. Monthly Dental Alternative Action Report
On or by the 10th Business Day of each month (for the prior month), the Contractor shall provide a
monthly report of alternative actions, by Institution with full copies of all associated review
materials. A written summary of the information discussed in the phone conversation shall be
included with the material describing the individual case.
4. MHS – Mental Health Services
a. Mental Health Emergency Report
On or by the 10th Business Day of each month (for the prior month), the Contractor shall provide a
monthly report that includes mental health emergencies, incidents of self-harm behavior,
admissions/discharges from inpatient units, and admissions/discharges from infirmary care for
Inmates on SHOS.

b. Inmate Request/Staff Referral Log
On or by the 10th Business Day of each month (for the prior month), the Contractor shall provide a
monthly report (Form DC4-781H) that includes Inmate requests and staff referrals.
c. Self-Injury Summary Evaluation
Prior to discharge from SHOS or referral to a higher level of care, in accordance with Procedure
404.001, Suicide and Self-Injury Prevention, the Contractor shall provide a written mental health
summary evaluation in a format designated by the Department’s Chief of Mental Health Services
for all Inmates who engage in self-injurious behaviors that result in transportation to an outside
medical facility.
5. PS – Pharmacy Services
a. Consultant Pharmacist of Record
Within 30 Days of Contract effective date, the Contractor shall provide a list of each Institution’s
Consultant Pharmacist of Record and their phone number.
b. Policy and Procedure Manual for Pharmaceutical Operations
Within 30 Days of Contract effective date, and before offering services, the Contractor shall
provide a policy and procedure manual to all Institutions, the Contract Manager, and the Chief of
Pharmaceutical Services.
c. Monthly Consultant Pharmacist Inspection Report
On or by the 10th Business Day of each month (for the prior month), the Contractor shall provide a
copy of the Monthly Consultant Pharmacist Inspection Report for each facility which is licensed
by the State of Florida, Department of Health, and/or the Board of Pharmacy.
d. Annual Manual Review Log
Annually on January 15th, the Contractor shall provide a verification of annual review of the Policy
and Procedure Manual for Pharmaceutical Operations by each employee.
e. Pharmacy Permits
On or by the day of Transition, the Contractor shall provide a copy of their State of Florida Medical
Quality Assurance Board of Pharmacy Permit and United States DEA Controlled Substance Permit
(if applicable).
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CONTRACT #C3076
6. UM – Utilization Management
a. Daily UM Report
Each Business Day by 4:00 p.m., Eastern Time, the Contractor shall provide the following:
i. Report for Community Hospital Admissions - the report shall include the following elements:
Inmate Name, DC Number, Age, Institution, Admitting Hospital, Admitting Diagnosis,
significant labs and imaging results and Plan of treatment. Daily chronological updates to
include; date, vital signs, intensity of service, significant labs, pathology results, procedures
done and discharge planning. Cases to be removed from the report post discharge.
ii. Inpatient Admissions Report in Excel format – The report shall include the following
elements: Sending Institution, Inmate Name, DC Number, DOB, Age, Admitting Diagnosis,
Discharge Diagnosis, Hospital Name, Admission Reason Self Harm or Assault Y/N, Length
of Stay and Bed Type Days. The report shall have cumulative data to end on the last of the
month.
iii. Emergency Room Utilization in Excel format – The report shall include the following
elements: Event date & time, Sending Institution, Inmate Name, DC Number, DOB, Age,
Institution Diagnosis, Hospital Admission Status Y/N, Event Reason Self Harm or Assault
Y/N.
iv. Outpatient services in Excel format – The report shall include the following elements and
will be updated daily and in an ongoing calendar year format: Inmate name, DC Number,
Date of Birth, Age, Requesting Institution, Date of request, Date received in Utilization
Management, Date completed in Utilization Management, Appointment Date, Specialty
Type, Acuity of Referral, Status of Referral (approved/ATP), Diagnosis Description,
Procedure Description, Provider, and Authorization Number.
b. Quarterly UM Report
On or by the 10th Business Day of January, April, July and October reflecting information from the
previous calendar quarter, the Contractor shall provide the following:
i. Report identifying readmissions to a community hospital within 30 Days of hospital
discharge. The report will include the following elements: Inmate name, DC number, D.O.B.,
Age, Discharge Diagnosis Description, Hospital Name, Date of Discharge, Readmission
Diagnosis Description, Readmission Hospital Name, Length of Stay, and Readmission Date
of Discharge.
ii. Identification of outliers, Variance/Variability based on Diagnosis Related Groups to Length
of Stay.
iii. Identification of Patterns of Prescribing and Trends Analysis.
iv. Data Cost Analysis of services provided and comparative data for indicators measured with
the goal of cost containment.
v. Cost per Day – Inpatient Hospital, Inpatient at RMC, Infirmary Care.
vi. Cost per Surgical Case and/or Surgical Procedure.
vii. Cost by Diagnostic Codes, Provider, Facility, Region, and Inmate.
viii. Summary report of Unauthorized/Disapproved Claims with explanation.
7. QM – Quality Management
a. Regional Quarterly Reviews
On or by the 20th Day of the month following the end of the quarter, utilizing Form DC4-512C,
Corrective Action Plan (CAP), or an approved form, the Contractor shall prepare a quarterly
summary that reflects the findings and initiatives made for improvements, and submit the summary
to the Central Office QM Coordinator along with a copy of the Regional Quarterly Review meeting
minutes.
b. Institutional Semi-Annual Clinical Review Reports
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CONTRACT #C3076
On or by July 15th (for June’s review) and January 15th (for December’s review), utilizing Form
DC4-512A, Quality Management Instrument, or an approved form, the Contractor shall provide
reports from each discipline to perform a semi-annual (June and December) review of their area
within health services. When reviewing clinical areas, each discipline will randomly select 10 to
15 records per clinic that are eligible to meet an indicator. If there are categories/clinics that are not
held at a particular Institution, they would be marked as “not applicable.”
An Institution’s QM Coordinator shall submit to the Regional QM Coordinator the semi-annual
health services reports with all personal health identifiers removed from the report (DC4-512B or
approved form) and any corrective action plans by the 15th of July and January.
c. Semi-Annual Health Services Summary Report
On or by August 5th and February 5th, the Contractor shall ensure the Regional Coordinator submit
a semi-annual summary of the Regional Quarterly Reviews (see Section 7. a., above) and the
Institutional Semi-Annual Clinical Review Reports (see Section 7. b., above) with all personal
health identifiers removed from the report to the Central Office QM Coordinator.
d. Quality Management Review Report
18 months from the previous QM review, and every 18 months thereafter, the Contractor shall
conduct a review at each Institution by the Contractor’s Regional or QM Review Team, using the
quality management instrument (Form DC4-512A, Quality Management Instrument, or approved
form). The reviews should be scheduled around CMA and ACA audits, which should prevent an
Institution from going no longer than 24 months without an onsite review.
e. Schedule of QM Reviews
Annually, on or by August 20th, the Contractor shall provide a schedule of QM reviews for the
fiscal year (July 1- June 30).
f.

CAP Response to CMA Report
All CMA-conducted survey findings require a response in accordance with OHS directives. Within
20 Days of the CMA’s final report date, the Contractor shall submit a CAP (Form DC4-512C) for
all findings to the Deputy Director Health Services Administration.

g. Clinical Risk Management Occurrence Trending Report
On or by the 10th Business Day of every month, the Contractor shall submit Form DC4-690B,
Clinical Risk Management Occurrence Trending Report for Inmates Under the Direct Supervision
of the Institutional Health Services, updated for the prior month identifying if an Inmate
occurrence/injury occurred while the Inmate is under the care or control of health services
personnel. The Inmate must physically be in a health services area at the time of the
occurrence for this report to be completed. This includes, but is not limited to, treatment room,
infirmary, TCU, CSU, etc. All occurrences, at a minimum, will require a nursing evaluation (Level
1 Intervention). All suicide attempts, at a minimum, will require notification of a Medical Provider
(Level 3 Intervention).
h. Sentinel Event (SE) Reporting
Within three (3) Business Days of occurrence of any reportable SE (death or serious physical or
psychological injury to an Inmate or Inmates, not related to the natural course of the Inmate’s
illness), the Contractor shall complete and submit Form DC4-690A, Occurrence Report, in
accordance with HSB 15.09.08, Risk Management Program, for any SE that occurs under the direct
supervision of health services or health services personnel.
8. EMR – Electronic Medical Record
Support and Communication Plan
Within 15 Days of the Contract’s effective date, the Contractor shall submit this plan that includes,
but is not limited to, the following: System Overview, Support Procedures for System Issues &
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CONTRACT #C3076
Maintenance, Communication Matrix & Escalation Procedures, Support Roles Matrix, Equipment
Repair and Warranties (if any), Data Administration, Interface Administration, Configuration and
Change Management, Business Continuity, Disaster Recovery Procedures, and any appendix
documentation.
U. Performance Measures and Financial Consequences
1. Methodology
The Department has developed the following Performance Measures which shall be used to assess the
Contractor’s performance.
Listed below are the key Performance Measure Descriptions and Performance Measure Thresholds
deemed most crucial to the success of the overall desired service delivery and the Financial
Consequences that will be imposed if the Threshold is not met within the Measurement Duration.
Unless specifically stated otherwise, “per institution” is interpreted to mean each Major Institution and
their Satellite Facilities together considered one institution.
Any exception to the Performance Threshold findings must be requested, in writing, by the Contractor
and must be submitted to the Contract Manager within 15 Business Days after issuing the findings for
review by the appropriate Department discipline director. If denied, the Contractor may request, in
writing, a secondary review by the Department’s Health Services Director within 15 Business Days of
the initial exception request denial. The Contractor must not have contributed to any cause(s) of delay.
If the non-performance by the Contractor is due to the Department substantially changing the mission
at an institution by exceeding the capacity of specially designated medical and psychological grades by
an amount that would substantively impact the staffing matrix over the agreed-upon population, the
Department may modify the assessment of financial consequences appropriately for the performance
measures associated with that service area, for that quarter. For example, if the S-3 population at an
institution grows substantively over the agreed-upon population, financial consequences related to
outpatient S-3 care may be modified for that performance period (semi-annual).
2. Performance Measures
The expectation of services is to meet or exceed all contract requirements. The following performance
Measurement Thresholds are used strictly for determination of financial consequences.
Performance
Measure No.

Description

PM-001
(PGM)

All informal health
care grievances are
responded to within 15
Days of receipt of the
initial grievance in
accordance with 33103.005, F.A.C.

Measurement
Threshold

80%
compliance, per
Institution

Measurement
Duration

Financial Consequence

Semi-annually

For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$2,000 per Institution
60%-69.99%:
$4,000 per Institution
Less than 60%:
$6,000 per Institution

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CONTRACT #C3076
Performance
Measure No.

PM-002
(PGM)

Description

All findings from
CMA surveys are
cured by the second
CAP assessment.

100% Per
Occurrence

No Inmate deaths
occur that are directly
or indirectly attributed
to the Contractor’s
omission indifference
or inaction to an
Inmate's identified
needs.

All FDC
Mortality
Reviews
(conducted
upon an
Inmate’s death)
show no Inmate
deaths occur as
a result of the
Contractor’s
systemic pattern
of indifference
or inaction to
identified needs
of an Inmate
which directly
or indirectly
resulted in
death.
Retain
accreditation

PM-003
(PGM)

PM-004
(PGM)

Measurement
Threshold

Maintain compliance
with mandatory
medical health
standards and 90% of
non-mandatory Health
care standards to retain
ACA accreditation.

Measurement
Duration

Semi-annually

Measured at
time of
occurrence

Page 79 of 146

Financial Consequence
For performance below 100%,
consequences will be assessed
as follows:
Not cured by the 2nd survey:
$10,000 per Institution
Not cured by the 3rd survey:
$20,000 per Institution
Not cured by the 4th survey:
$20,000 per Institution
Not cured by the 5th survey:
$40,000 per Institution
For CMA audit findings not
cured by the 6th and subsequent
CAP assessments, the
consequence will increase by
25% in value for each
subsequent assessment not
cured.
$100,000 per occurrence

$100,000 occurrence, per
Institution that loses
accreditation related to failed
health standards, plus payment
of all costs and fees associated
with ACA re-accreditation

CONTRACT #C3076
Performance
Measure No.

PM-005
(PGM)

PM-006
(PGM)

PM-007
(PGM)

Measurement
Threshold
All positions are
filled within 90
Days of
vacancy (FTE
minimum of 35
hours per
week).

Measurement
Duration
Semi-Annually

All Tier 2 Positions
identified in
Attachment D,
Position Titles by
Tier, will be filled
within 90 Days of the
position becoming
vacant. The Contractor
may utilize full time
locum tenens and
PRNs to meet this
requirement.

All positions are
filled within 90
Days of
vacancy (FTE
minimum of 35
hours per
week).

Semi-Annually

All Tier 3 Positions
identified in
Attachment D,
Position Titles by
Tier, will be filled
within 90 Days of the
position becoming
vacant. The Contractor
may utilize full time
locum tenens and
PRNs to meet this
requirement.

All positions are
filled within 90
Days of
vacancy (FTE
minimum of 35
hours per
week).

Semi-Annually

Description
All Tier 1 Positions
identified in
Attachment D,
Position Titles by
Tier, will be filled
within 90 Days of the
position becoming
vacant. The Contractor
may utilize full time
locum tenens and
PRNs to meet this
requirement.

Page 80 of 146

Financial Consequence
If more than 10.0% of Tier 1
positions assigned, per the
approved staffing plan, to a
Major Institution and its related
Satellite Facilities are vacant,
the Contractor will be assessed
$500 per Day for each Day, or
portion thereof, each position
is vacant after 90 days.
Financial Consequences for
this measure will not be
assessed for the first six (6)
months of the Initial Contract
term.
If more than 10.0% of Tier 2
positions assigned, per the
approved staffing plan, to a
Major Institution and its related
Satellite Facilities are vacant,
the Contractor will be assessed
$300 per Day for each Day, or
portion thereof, each position
is vacant after 90 days.
Financial Consequences for
this measure will not be
assessed for the first six (6)
months of the Initial Contract
term.
If more than 10.0% of Tier 3
positions assigned, per the
approved staffing plan, to a
Major Institution and its related
Satellite Facilities are vacant,
the Contractor will be assessed
$100 per Day for each Day, or
portion thereof, each position
is vacant after 90 days.
Financial Consequences for
this measure will not be
assessed for the first six (6)
months of the Initial Contract
term.

CONTRACT #C3076
Performance
Measure No.

Description

PM-008
(PGM)

The Contractor shall
provide the
Department with its
initial Transition Plan
and meet with the
Department to review
the plan within 3 Days
of execution of the
Contract.

PM-009
(PGM)

PM-010
(PGM)

PM-011
(IC)

PM-012
(IC)

The Contractor shall
provide the
Department with its
Final Transition Plan
within 15 Days of
execution of the
Contract.
The Contractor shall
provide the
Department with a
Transition Plan that
details the
transitioning of service
delivery to a new
provider upon
termination or
expiration of the
Contract.
An RN will triage all
sick call requests
(emergent, urgent, or
routine) within 24
hours from when the
Inmate request form is
submitted.
Inmates with sick call
requests categorized as
“emergent” are seen
by a Licensed Nurse as
soon as possible,
within a time frame
not to exceed 60
minutes from the time
of triage.

Measurement
Threshold
Initial
Transition Plan
shall be
provided to the
Department and
Contractor
schedules and
holds a meeting
with
Department to
review Plan.
Final Transition
Plan shall be
provided to the
Department
within 15 Days
of Contract
execution.
Transition Plan
shall be
provided to the
Department
within 180 Days
before Contract
end date,
including for
Termination at
Will.

Measurement
Duration
Measured at
time of
occurrence

$5,000 per Day for each Day,
or portion of a Day the
Contractor is late

Measured at
time of
occurrence

$25,000 per Day for each Day,
or portion of a Day the
Contractor is late

Measured at
time of
occurrence

$5,000 per Day for each Day,
or portion of a Day the
Contractor is late

80%
compliance, per
Institution

Semi-annually

100%
compliance

Semi-annually

Page 81 of 146

Financial Consequence

CONTRACT #C3076
Performance
Measure No.

PM-013
(IC)

PM-014
(IC)

PM-015
(IC)

PM-016
(IC)

PM-017
(IC)

Measurement
Threshold
90%
compliance, per
Institution

Measurement
Duration
Semi-annually

All post-use-of-force
examinations are
conducted within 45
minutes of the
Contractor’s
notification of the
post-use-of-force
occurrence.

90%
compliance, per
Institution

Semi-annually

All Inmates admitted
to the Infirmary will
have an admission
assessment completed
within two (2) hours of
admission by a
Licensed Nurse in
accordance with HSB
15.03.26, Infirmary
Services.
Acute care admissions
to the infirmary
receive a nursing
assessment once every
eight (8) hours.

90%
compliance, per
Infirmary

Semi-annually

80%
compliance, per
Institution

Semi-annually

Chronic care
admissions to the
infirmary receive a
nursing assessment
once every seven (7)
Days using Form
DC4-684, Infirmary/
Hospital Daily
Nursing Evaluation.

80%
compliance, per
Institution

Semi-annually

Description
Inmates with sick call
requests categorized as
“urgent” are seen by a
Licensed Nurse within
24 hours from the time
of triage.

Page 82 of 146

Financial Consequence
For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000 per Institution
70%-79.99%:
$8,000 per Institution
Less than 70%:
$12,000 per Institution
For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$6,000 per Institution
70%-79.99%:
$12,000 per Institution
Less than 70%:
$18,000 per Institution
For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$6,000 per Infirmary
70%-79.99%:
$12,000 per Infirmary
Less than 70%:
$18,000 per Infirmary
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution

CONTRACT #C3076
Performance
Measure No.

PM-018
(IC)

PM-019
(IC)

PM-020
(IC)

PM-021
(IC)

PM-022
(IC)

Measurement
Threshold
80%
compliance, per
Institution

Measurement
Duration
Semi-annually

80%
compliance, per
Institution

Semi-annually

80%
compliance, per
Institution

Semi-annually

All Inmates shall have
an initial intake
screening completed
by a Licensed Nurse
during reception
within eight (8) hours
of arrival at the
receiving facility.

80%
compliance, per
Institution

Semi-annually

All emergent consults
are submitted to UM
within one (1)
Business Day, in
accordance with HSB
15.09.04.01, Specialty
Health Services and
Reception and Medical
Center or Staging
Facilities.

80%
compliance, per
Institution

Semi-annually

Description
All 23-hour
observation
admissions do not
exceed 23 hours
without a disposition
(dispositions include
discharge, admitted as
acute, or transferred to
a hospital).
A Medical Provider
conducts rounds no
less than once per
calendar day to assess
all acute illness
Inmates in the
infirmary. In-person
rounds are required on
Business Days, and
documented call-in
rounds on weekends
and State holidays.
All new commitment
Inmates receive a
medical health
appraisal, including a
physical examination
within 14 Days of
arrival at a reception
center.

Page 83 of 146

Financial Consequence
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$2,000 per Institution
60%-69.99%:
$4,000 per Institution
Less than 60%:
$6,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution

For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$2,000 per Institution
60%-69.99%:
$4,000 per Institution
Less than 60%:
$6,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%: $5,000 per
Institution
60%-69.99%: $10,000 per
Institution
Less than 60%: $20,000 per
Institution

CONTRACT #C3076
Performance
Measure No.
PM-023
(IC)

PM-024
(IC)

PM-025
(IC)

PM-026
(IC)

PM-027
(IC)

Description
All urgent consults are
submitted to UM
within two (2)
Business Days, in
accordance with HSB
15.09.04.01.
All emergent specialty
medical requests are
processed within one
(1) Business Day in
accordance with HSB
15.09.04, Utilization
Management
Procedures.
All urgent specialty
medical requests are
processed by the
Contractor’s UM Staff
within three (3)
Business Days in
accordance with HSB
15.09.04.
Emergency Treatment
Orders (ETO) shall be
prescribed via a
written order by a MD,
DO, or Psychiatrist, in
accordance with
Section 945.48, F.S.,
and HSB 15.05.19,
Psychotropic
Medication Use
Standards and
Informed Consent.
All Inmate patients
with chronic Hepatitis
C are prioritized for
treatment with Direct
Acting Antivirals
(DAAs) in accordance
with HSB 15.03.09,
Supplement 3, Section
I., Prioritization for
Treatment with DAAs.

Measurement
Threshold
80%
compliance,
statewide

Measurement
Duration
Semi-annually

80%
compliance,
statewide

Semi-annually

80%
compliance,
statewide

Semi-annually

For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%: $3,000
60%-69.99%: $6,000
Less than 60%: $12,000

100%
compliance

Measured at
time of
occurrence

$5,000 per occurrence

90%
compliance,
statewide

Semi-annually

For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000
70%-79.99%:
$8,000
Less than 70%:
$12,000

Page 84 of 146

Financial Consequence
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%: $3,000
60%-69.99%: $6,000
Less than 60%: $12,000
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%: $3,000
60%-69.99%: $6,000
Less than 60%: $12,000

CONTRACT #C3076
Performance
Measure No.

PM-028
(IC)

PM-029
(IC)

PM-030
(IC)

PM-031
(IC)

PM-032
(IC)

Description
All Inmates with
disabilities are seen by
the Institution’s
Disabled Inmate
Committee quarterly,
with their service
needs documented on
Form DC4-691,
Disabled Inmate
Management and
Service Plan,
(documented Inmate
refusals are excluded).
All Inmates with
impairments or
disabilities have the
appropriate Health
Classification Grade
entered in the EMR
based on the clinical
assessment.
Inmate Assistants
working with an
impaired and/or
Disabled Inmate are
trained in accordance
with Procedure
403.011, Inmate
Assistants for
Impaired Inmates.
Nursing staff shall
perform a monthly
skin check on all
Inmates assigned a
wheelchair, prosthetic,
or permanent brace in
accordance with HSB
15.03.25.02, Mobility
Services.
All Inmates with
hernias referred for a
surgical consultation
in accordance with
HSB 15.03.47, Section
V., A., but not
scheduled for surgery,
have a completed
DC4-711a form and a
documented reason for
refusal in the EMR.

Measurement
Threshold
90%
compliance, per
Institution that
houses Disabled
Inmates

Measurement
Duration
Semi-annually

90%
compliance, per
Institution that
houses Disabled
Inmates

Semi-annually

80%
compliance, per
Institution

Semi-annually

80%
compliance, per
Institution

Semi-annually

90%
compliance, per
Institution

Semi-annually

Page 85 of 146

Financial Consequence
For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000 per Institution
70%-79.99%:
$6,000 per Institution
Less than 70%:
$12,000 per Institution

For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000 per Institution
70%-79.99%:
$8,000 per Institution
Less than 70%:
$12,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$2,000 per Institution
60%-69.99%:
$4,000 per Institution
Less than 60%:
$6,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$2,000 per Institution
60%-69.99%:
$4,000 per Institution
Less than 60%:
$6,000 per Institution
For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000 per Institution
70%-79.99%:
$8,000 per Institution
Less than 70%:
$12,000 per Institution

CONTRACT #C3076
Performance
Measure No.

PM-033
(IC)

PM-034
(IC)

PM-035
(IC)

PM-036
(IC)

Description
All Inmates referred to
Special Housing will
receive a pre-Special
Housing placement
assessment in
accordance with
Procedure 403.003,
Health Services for
Inmates in Special
Housing.
All single-dosed
medications will be
administered in
accordance with
Procedure 403.007,
Medication
Administration and
Refusals.
At reception, Inmates
are assigned an Sgrade of three (3) or
above if they have
received antipsychotic
medication at any time
during the 30 Day
period preceding
arrival or have
received inpatient
mental health care
within the past six (6)
months in accordance
with HSB 15.05.17,
Intake Mental Health
Screening at Reception
Centers.
Each Inmate in a CSU
is evaluated with an
assessment form
completed every shift
by a Licensed Nurse.
An RN must complete
each Day shift in
accordance with the
FDC Nursing Manual.

Measurement
Threshold
90%
compliance, per
Institution

Measurement
Duration
Semi-annually

80%
compliance, per
Institution

Semi-annually

80%
compliance, per
Institution

Semi-annually

90%
compliance, per
Institution

Semi-annually

Page 86 of 146

Financial Consequence
For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$6,000 per Institution
70%-79.99%:
$12,000 per Institution
Less than 70%:
$18,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$2,000 per Institution
60%-69.99%:
$4,000 per Institution
Less than 60%:
$6,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution

For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000 per Institution
70%-79.99%:
$8,000 per Institution
Less than 70%:
$12,000 per Institution

CONTRACT #C3076
Performance
Measure No.

PM-037
(IC)

PM-038
(IDC)

PM-039
(IDC)

PM-040
(IDC)

PM-041
(IDC)

Measurement
Threshold
100%
compliance

Measurement
Duration
Per episode of
restraint

100%
compliance

Measured at
time of
occurrence

$1,000 per occurrence, plus
$500 per each 24-hour period
after the initial 24 hours has
lapsed

Inmates signing up for
dental sick call are
triaged within 72 hours
of receipt of the sick
call form.

90%
compliance, per
Institution

Semi-annually

Inmates needing urgent
dental care receive the
necessary treatment as
soon as possible, but
no longer than within
10 Days.

100%
compliance, per
Institution

Semi-annually

The waiting time
between an initial
Inmate request for
routine dental services
and the appointment
date is no more than
six (6) months.

80%
compliance, per
Institution

Semi-annually

For performance below 90%,
consequences will be assessed
as follows:
70%-79.99%:
$3,000 per Institution
60%-69.99%:
$6,000 per Institution
Less than 60%:
$9,000 per Institution
For performance below 100%,
consequences will be assessed
as follows:
90%-99.99%:
$3,000 per Institution
80%-89.99%:
$6,000 per Institution
Less than 80%:
$9,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$3,000 per Institution
60%-69.99%:
$6,000 per Institution
Less than 60%:
$9,000 per Institution
(Financial Consequences for
this measure will not be
assessed for the first six (6)
months of the Initial Contract
term)

Description
When an Inmate is in
psychiatric restraints,
they are evaluated
every 15 minutes by a
Licensed Nurse until
the episode of restraint
is terminated including
a post-restraint
evaluation, in
accordance with HSB
15.05.10, Psychiatric
Restraint.
Emergency dental
treatment is rendered
within 24 hours.

Page 87 of 146

Financial Consequence
$2,500 per episode of restraint

CONTRACT #C3076
Performance
Measure No.

Measurement
Threshold
80%
compliance, per
Institution

Measurement
Duration
Semi-annually

The waiting time
between preventative
dental appointments is
no more than three (3)
months.

80%
compliance, per
Institution

Semi-annually

Urgent oral surgery
referrals and initial
treatment must be
completed within four
(4) weeks.

90%
compliance,
statewide

Semi-annually

Description
The waiting time
between restorative
dental appointments is
no more than three (3)
months.

PM-042
(IDC)

PM-043
(IDC)

PM-044
(IDC)

Page 88 of 146

Financial Consequence
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$3,000 per Institution
60%-69.99%:
$6,000 per Institution
Less than 60%:
$9,000 per Institution
(Financial Consequences for
this measure will not be
assessed for the first six (6)
months of the Initial Contract
term)
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$5,000 per Institution
60%-69.99%:
$10,000 per Institution
Less than 60%:
$15,000 per Institution
(Financial Consequences for
this measure will not be
assessed for the first six (6)
months of the Initial Contract
term)
For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$5,000
70%-79.99%:
$10,000
Less than 70%:
$15,000
(Financial Consequences for
this measure will not be
assessed for the first six (6)
months of the Initial Contract
term)

CONTRACT #C3076
Performance
Measure No.

Measurement
Threshold
80%
compliance,
statewide

Measurement
Duration
Semi-annually

Routine endodontic
referrals and initial
treatment must be
completed within three
(3) months.

80%
compliance,
statewide

Semi-annually

Oral biopsies must be
taken within 10 Days
after verification that a
lesion has not healed.
Within 14 Days of
arrival at a reception
center, all Inmates
complete an intake
psychological
screening and initial
testing in accordance
with HSB 15.05.17,
Intake Mental Health
Screening at Reception
Centers.

100%
compliance

Measured at
time of
occurrence

80%
compliance, per
Institution

Semi-annually

Description
Routine oral surgery
referrals and initial
treatment must be
completed within three
(3) months.

PM-045
(IDC)

PM-046
(IDC)

PM-047
(IDC)

PM-048
(MH)

Page 89 of 146

Financial Consequence
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$5,000
60%-69.99%:
$10,000
Less than 60%:
$15,000
(Financial Consequences for
this measure will not be
assessed for the first six (6)
months of the Initial Contract
term)
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$5,000
60%-69.99%:
$10,000
Less than 60%:
$15,000
(Financial Consequences for
this measure will not be
assessed for the first six (6)
months of the Initial Contract
term)
$2,500 per occurrence, plus
$1,000 per Day for each
additional Day after 10 Days
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution

CONTRACT #C3076
Performance
Measure No.

PM-049
(MH)

PM-050
(MH)

PM-051
(MH)

Description
Inmates are classified
appropriately,
according to the
Department’s
established Mental
Health Inmate
Classification System,
to include S-grades, Rgrades, and mental
health impairment
grades of SY-Y and
SY-D.
A psychiatric
evaluation is
completed for all
Inmates meeting the
criteria for a
psychiatric evaluation
during the intake
assessment process, in
accordance with HSB
15.05.17.
Within the General
Population, Inmates
whose final IQ score is
<70 or whose adaptive
behavior checklist
rating is <35 are
maintained and
provided services as S2 or higher for no less
than 90 Days before a
change in classification
to the S-1.

Measurement
Threshold
80%
compliance, per
Institution

Measurement
Duration
Semi-annually

80%
compliance, per
Institution

Semi-annually

For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$6,000 per Institution
60%-69.99%:
$12,000 per Institution
Less than 60%:
$18,000 per Institution

80%
compliance, per
Institution

Semi-annually

Page 90 of 146

CONTRACT #C3076
Performance
Measure No.

PM-052
(MH)

PM-053
(MH)

PM-054
(MH)

PM-055
(MH)

Measurement
Threshold
80%
compliance, per
Institution

Measurement
Duration
Semi-annually

A Behavioral Health
Specialist is assigned
to any newly arriving
S-2 to S-6 Inmate
within three (3)
Business Days of
arrival.

80%
compliance, per
Institution

Semi-annually

Mental health staff
sees Inmates with a
mental health grade of
S-2 or S-3 within 14
Days of arrival at their
permanent Institution.

80%
compliance, per
Institution

Semi-annually

Inmates in outpatient
or reception settings
classified as S-2 or S-3
have an ISP developed
and approved by the
MDST within 30 Days
of a grade change and
reviewed every 180
Days thereafter.

90%
compliance, per
Institution

Semi-annually

Description
All SY-D Inmates,
with the exception of
those in inpatient
status, are seen by the
Institutional Disabled
Inmate Committee
quarterly, and their
service needs
documented on Form
DC4-691, Disabled
Inmate Management
and Service Plan.

Page 91 of 146

Financial Consequence
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution.
Financial Consequences for
this measure will not be
assessed for the first six (6)
months of the Initial Contract
term.
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution
For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$6,000 per Institution
70%-79.99%:
$12,000 per Institution
Less than 70%:
$18,000 per Institution

CONTRACT #C3076
Performance
Measure No.

PM-056
(MH)

PM-057
(MH)

PM-058
(MH)

PM-059
(MH)

PM-060
(MH)

Description
All Inmates on the
outpatient mental
health caseload receive
individual or group
counseling every 60
Days.

Inmate-declared
emergencies and
emergent staff referrals
are responded to as
soon as possible, but
no longer than 60
minutes after the
notification per
Procedure 404.001,
Suicide and Self-Injury
Prevention.
A psychiatric
evaluation is
completed for each
Inmate before
prescribing
psychotropic
medication, in
accordance with HSB
15.05.19, Psychotropic
Medication Use
Standards and
Informed Consent.
Each S-3 Inmate
placed in Special
Housing receives a
Confinement
evaluation within five
(5) Days of placement
and every 30 Days
thereafter.
Each S-1 or S-2 Inmate
placed in Special
Housing receives a
Confinement
evaluation within 30
Days of placement and
every 90 Days
thereafter.

Measurement
Threshold
80%
compliance, per
Institution

Measurement
Duration
Semi-annually

100%
compliance

Measured at
time of
occurrence

80%
compliance, per
Institution

Semi-annually

For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution

100%
compliance

Measured at
time of
occurrence

$1,000 per occurrence

100%
compliance

Measured at
time of
occurrence

$1,000 per occurrence

Page 92 of 146

CONTRACT #C3076
Performance
Measure No.

PM-061
(MH)

PM-062
(MH)

PM-063
(MH)

PM-064
(MH)

Description
Mental health staff
conduct weekly rounds
in each Confinement
unit, in accordance
with HSB 15.05.08,
Services for Inmates
who are Assigned to
Confinement,
Protective
Management or Close
Management Status.
For Inmates in Close
Management or
Maximum
Management settings,
a Behavioral Risk
Assessment (BRA) is
completed in
accordance with HSB
15.05.08.
All S-3 Inmates
receive a psychiatric
follow-up every 90
Days that includes the
effects of prescribed
medication on targeted
symptoms and
behaviors and any
medication side effects
documented.
A Psychologist or
Psychiatric Provider
makes rounds daily,
during regular business
hours, each Business
Day, to review the
general functioning of
all Inmates in an
inpatient unit(s) in
accordance with
Procedure 404.004,
Mental Health
Inpatient
Multidisciplinary
Treatment and
Services.

Measurement
Threshold
80%
compliance, per
Institution

Measurement
Duration
Semi-annually

80%
compliance, per
Institution

Semi-annually

80%
compliance, per
Institution

Semi-annually

90%
compliance, per
Institution

Semi-annually

Page 93 of 146

Financial Consequence
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution
For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000 per Institution
70%-79.99%:
$8,000 per Institution
Less than 70%:
$12,000 per Institution

CONTRACT #C3076
Performance
Measure No.

PM-065
(MH)

PM-066
(MH)

PM-067
(MH)

Description
Psychologists
complete a validated,
Department-approved
violence risk
assessment within
three (3) Business
Days of an Inmate’s
admission to the CSU,
and within seven (7)
Business Days of
admission to the TCU
or CMHTF, and every
90 Days thereafter.
A Psychologist, or in
the absence of a
Psychologist, a
Psychiatrist, provides
input via Form DC61008, Disciplinary
Team Mental Health
Consultation, as to
whether an Inmate’s
mental diagnosis
contributed to an
alleged disciplinary
offense and
disciplinary report for
all Inmates with
current diagnoses
associated with
psychotic features,
autism spectrum
disorder, dementia, or
intellectual disability.
A Psychologist, or in
the absence of a
Psychologist, a
psychiatrist, provides
input via Form DC61008 for all Inmates
who are issued a
disciplinary report
within an inpatient
unit.

Measurement
Threshold
100%
compliance

Measurement
Duration
Measured at
time of
occurrence

80%
compliance, per
Institution

Semi-annually

For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution

90%
compliance, per
Institution

Semi-annually

For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000 per Institution
70%-79.99%:
$8,000 per Institution
Less than 70%:
$12,000 per Institution

Page 94 of 146

Financial Consequence
$1,000 per occurrence, plus
$500 per each subsequent
deficient Day

CONTRACT #C3076
Performance
Measure No.

PM-068
(MH)

PM-069
(MH)

PM-070
(MH)

PM-071
(MH)

Description
Inmates with a current
diagnosis of
schizophrenia or other
disorders with
psychotic features
receive case
management services
every 30 Days.
Inmates admitted to
any mental health
inpatient unit are
offered a minimum of
10 hours per week of
SOCTS in accordance
with Procedure
404.004, Mental
Health Inpatient
Multidisciplinary
Treatment and
Services.
No more than five (5)
hours of therapeutic
activities are used to
fulfill the weekly
required SOCTS hours
if clinical requirements
are met in accordance
with Procedure
404.004, Mental
Health Inpatient
Multidisciplinary
Treatment and
Services.
Upon admission to a
mental health inpatient
unit, all Inmates
receive a psychiatric
evaluation within three
(3) Business Days.

Measurement
Threshold
80%
compliance, per
Institution

Measurement
Duration
Semi-annually

100%
compliance

Per week, per
Inmate

100%
compliance

Measured at
time of
occurrence

$20 per Inmate per week

90%
compliance, per
Institution

Semi-annually

For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000 per Institution
70%-79.99%:
$8,000 per Institution
Less than 70%:
$12,000 per Institution

Page 95 of 146

CONTRACT #C3076
Performance
Measure No.

PM-072
(MH)

PM-073
(MH)

PM-074
(MH)

PM-075
(MH)

PM-076
(MH)

Measurement
Threshold
90%
compliance, per
Institution

Measurement
Duration
Semi-annually

After an initial ISP for
Inmates housed in an
inpatient mental health
unit, ISPs are reviewed
every 14 Days in the
CSU, every 30 Days in
the CMHTF and every
60 Days in the TCU.

90%
compliance, per
Institution

Semi-annually

CM Inmates classified
as S-2 or S-3 have an
ISP developed and
approved by the
MDST within 14 Days
of CM placement and
14 Days of transfer
between CM units.

80%
compliance, per
Institution

Semi-annually

ISP reviews occur
within 30 Days of
updating, 120 Days
after the 30-Day
review, every 180
Days after the 120-Day
review, and after any
critical event.

80%
compliance, per
Institution

Semi-annually

Individual
psychotherapy is
provided weekly when
and ISP contains
problem #101 Abuse
to Self or #152
Suicidal Behavior as
specified in Procedure
404.004 (8)(d).

80%
compliance, per
Institution

Semi-annually

Description
Upon admission to a
mental health inpatient
unit, an initial ISP is
completed within
seven (7) Days.

Page 96 of 146

Financial Consequence
For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000 per Institution
70%-79.99%:
$8,000 per Institution
Less than 70%:
$12,000 per Institution
For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000 per Institution
70%-79.99%:
$8,000 per Institution
Less than 70%:
$12,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$6,000 per Institution
60%-69.99%:
$12,000 per Institution
Less than 60%:
$18,000 per Institution

CONTRACT #C3076
Performance
Measure No.

PM-077
(MH)

PM-078
(MH)

PM-079
(MH)

PM-080
(MH)

Description
Psychiatric follow-up
services are provided
at least every seven (7)
Days in CSU; every 30
Days in TCU and
every 14 Days in
CMHTF.

Inmates who return
from outside medical
treatment because of
self-injury are
immediately admitted
to IMR on SHOS.
Inmates placed on
SHOS receive
counseling by a
Behavioral Health
Specialist or
Psychologist each
Business Day.
A Psychologist or
licensed Behavioral
Health Specialist, as
permitted by
Department Policy,
conducts an evaluation
and completes an
outside hospital report
for all Inmates who
receive outside
medical treatment for
self-injurious behavior
prior to discharge from
SHOS.

Measurement
Threshold
90%
compliance, per
Institution

Measurement
Duration
Semi-annually

100%
compliance

Measured at
time of
occurrence

$5,000 per occurrence

80%
compliance, per
Institution

Semi-annually

80%
compliance, per
Institution

Semi-annually

For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$6,000 per Institution
60%-69.99%:
$12,000 per Institution
Less than 60%:
$18,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution

Page 97 of 146

Financial Consequence
For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000 per Institution
70%-79.99%:
$8,000 per Institution
Less than 70%:
$12,000 per Institution

CONTRACT #C3076
Performance
Measure No.

PM-081
(MH)

PM-082
(MH)

PM-083
(MH)

PM-084
(MH)

Description
Inmates discharged
from SHOS are
evaluated by a
Behavioral Health
Specialist or
Psychologist in
accordance with the
timeframes established
in Procedure 404.001,
Suicide and Self-Injury
Prevention.
If an Inmate in an
inpatient setting
refuses to attend a
scheduled clinical
encounter, the case
manager or a clinical
member of the MDST
will counsel the Inmate
and document efforts
made to encourage
attendance at future
clinical encounters
within 24 hours.
If an Inmate in an
inpatient unit refuses
to attend an MDST
meeting, the reason for
failing to attend and
the encouragement
given for attendance is
documented on the
Form DC4-642M,
MDST Meeting
Docket.
Prior to discharge from
an inpatient setting, the
MDST documents the
clinical justification for
transfer and
consideration of any
potential adjustment
issues related to the
setting once
transferred.

Measurement
Threshold
80%
compliance, per
Institution

Measurement
Duration
Semi-annually

90%
compliance, per
Institution

Semi-annually

For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000 per Institution
70%-79.99%:
$8,000 per Institution
Less than 70%:
$12,000 per Institution

90%
compliance, per
Institution

Semi-annually

For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000 per Institution
70%-79.99%:
$8,000 per Institution
Less than 70%:
$12,000 per Institution

90%
compliance, per
Institution

Semi-annually

For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$6,000 per Institution
70%-79.99%:
$12,000 per Institution
Less than 70%:
$18,000 per Institution

Page 98 of 146

Financial Consequence
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution

CONTRACT #C3076
Performance
Measure No.

PM-085
(MH)

PM-086
(MH)

PM-087
(MH)

Description
Mental health staff
evaluate all Inmates
with a classification of
S-2 or S-3 within one
(1) Business Day
following a use-offorce incident in
accordance with 33602.210 FAC
(chemical use of
force/EID).
A psychiatric
consultation is
completed for Inmates
at least once within the
first seven (7) Days of
admission to a TCU
and three (3) times
within the first seven
(7) Days of admission
to a CSU and CMHTF.
When an Inmate in an
inpatient unit engages
in (two (2) or more
serious self-injurious
incidents in a three (3)
month period the
Psychologist develops
a Self-Injury
Reduction Plan (SIRP)
in accordance with
Procedure 404.004,
Mental Health
Inpatient
Multidisciplinary
Treatment and
Services.

Measurement
Threshold
80%
compliance, per
Institution

Measurement
Duration
Semi-annually

90%
compliance, per
Institution

Semi-annually

For performance below 90%,
consequences will be assessed
as follows:
80%-89.99%:
$4,000 per Institution
70%-79.99%:
$8,000 per Institution
Less than 70%:
$12,000 per Institution

100%
compliance

Measured at
time of
occurrence

$2,000 per occurrence

Page 99 of 146

Financial Consequence
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$4,000 per Institution
60%-69.99%:
$8,000 per Institution
Less than 60%:
$12,000 per Institution

CONTRACT #C3076
Performance
Measure No.

PM-088
(MH)

PM-089
(MH)

PM-090
(MH)

Description
Self-Injury Reduction
Plans (SIRPs) are
updated every three (3)
months and there is
documentation in the
EMR that the Inmate is
receiving the
interventions specified
in the SIRP in
accordance with
Procedure 404.004,
Mental Health
Inpatient
Multidisciplinary
Treatment and
Services.
Inmates with active
SIRPs are not
discharged from an
inpatient setting.
Within the RCCU
setting, if an Inmate
refuses all SOCTS for
seven (7) consecutive
Days, the Psychologist
will conduct a wellbeing check
documented on Form
DC4-642S Well-Being
and Mental Status
Exam, in accordance
with Procedure
404.005, Residential
Continuum of Care
Units.

Measurement
Threshold
100%
compliance

Measurement
Duration
Measured at
time of
occurrence

100%
compliance

Measured at
time of
occurrence

$10,000 per occurrence

80%
compliance, per
Institution

Semi-annually

For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$6,000 per Institution
60%-69.99%:
$12,000 per Institution
Less than 60%:
$18,000 per Institution

Page 100 of 146

Financial Consequence
$5,000 per occurrence

CONTRACT #C3076
Performance
Measure No.

PM-091
(MH)

PM-092
(MH)

PM-093
(MH)

PM-094
(MH)

Description
If an Inmate refuses all
SOCTS for seven (7)
consecutive Days
within an inpatient
setting, a licensed BHS
or Psychologist
conducts a well-being
check, documenting
his/her findings on the
Form DC4-642S in
accordance with
Procedure 404.004,
Mental Health
Inpatient
Multidisciplinary
Treatment and
Services.
Inmates in an RCCU
are offered a minimum
of nine (9) hours of
SOCTS weekly in
accordance with
Procedure 404.005,
Residential Continuum
of Care Units.
A Psychologist
completes required
testing within the first
90 Days of an Inmate’s
arrival to an RCCU,
and reports his/her
findings in accordance
with Procedure
404.005, Residential
Continuum of Care
Units.
A petition for
involuntary treatment
is initiated within three
(3) Business Days of
admission for Inmates
admitted to a CMHTF.

Measurement
Threshold
90%
compliance, per
Institution

Measurement
Duration
Semi-annually

80%
compliance, per
Institution

Semi-annually

80%
compliance, per
Institution

Semi-annually

100%
compliance

Measured at
time of
occurrence

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CONTRACT #C3076
Performance
Measure No.

PM-095
(MH)

PM-096
(MH)

PM-097
(PS)

PM-098
(PS)

PM-099
(PS)

PM-100
(PS)

Description
A continuity of care
plan is initiated for all
mental health Inmates
180 Days prior to
release by updating the
Inmate’s ISP to
address problem #309
Discharge/Aftercare
Planning.
A case manager
completes the Form
DC4-657, Discharge
Summary for Inpatient
Mental Health Care,
between 45-30 Days of
release for Inmates in a
TCU level of care.
Maintain compliance
with mandatory
pharmacy standards to
retain a valid Florida
Department of Health
MQA Board of
Pharmacy Permit.
Maintain compliance
with mandatory
pharmacy standards to
retain a valid DEA
Controlled Substance
Permit.
Monthly Consultant
Pharmacist Inspection
Reports are completed
for each Pharmacy.
(PS-018)
The Contractor shall
provide copies of any
pharmacy audit or
investigative report
performed by any
State, Federal or other
regulatory entity, by
the 10th of the month
following the month in
which the Contractor
received the report.

Measurement
Threshold
80%
compliance, per
Institution

Measurement
Duration
Semi-annually

80%
compliance, per
Institution

Semi-annually

Retain Permit

Measured at
time of
occurrence

Retain Permit

Measured at
time of
occurrence

$100,000 if permit is lost and
$1,000 per Day until permit is
reinstated, plus payment of all
costs and fees associated with
reinstatement of the permit

100%
compliance, per
Institution

Monthly

100%
Compliance

Semi-annually

For performance below 100%,
consequences will be assessed
as follows:
$3,000 per Institution
$1,000 for failure to provide
the audit or investigative report
timely

Page 102 of 146

Financial Consequence
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$6,000 per Institution
60%-69.99%:
$12,000 per Institution
Less than 60%:
$18,000 per Institution
For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%:
$6,000 per Institution
60%-69.99%:
$12,000 per Institution
Less than 60%:
$18,000 per Institution
$100,000 if permit is lost and
$1,000 per Day until permit is
reinstated, plus payment of all
costs and fees associated with
reinstatement of the permit

CONTRACT #C3076
Performance
Measure No.

PM-101
(PS)

PM-102
(PS)

PM-103
(UM)

PM-104
(UM)

Description
(PS-019)
All appropriate
pharmaceutical
documentation shall be
made available for
review by the
Department’s Chief of
Pharmaceutical
Services, or their
designee
(PS-040)
Every pharmacypermitted Institution
has post-exposure
prophylaxis
medications onsite
Monthly UM reports
must be provided to
the Department, as
indicated in the
Contract.
Every hospital
admission and ER visit
shall be entered in a
UM database approved
by the Department
(Department approval
will not be
unreasonably
withheld) within 72
hours of admission
and/or visit.

PM-105
(QM)

RMCH maintains a
valid AHCA Hospital
Licensure.

PM-106
(QM)

Performance
deficiencies are
corrected, unless
beyond the
Contractor’s control.

Measurement
Threshold
100%
Compliance

Measurement
Duration
Measured at
time of
occurrence

100%
compliance

Semi-annually

$500 for failure to maintain
post-exposure prophylaxis
onsite

Reviewed
quarterly, due
monthly

$300 per Day past the due date
the report is delivered to the
Department

80%
compliance,
statewide

Semi-annually

For performance below 80%,
consequences will be assessed
as follows:
70%-79.99%: $3,000
60%-69.99%: $6,000
Less than 60%: $12,000

Ensure AHCA
Hospital
licensure is
maintained

Per AHCA
occurrence

$100,000 if licensure lost, plus
payment of any fees associated
with securing re-licensure

100%

Measured at
time of
occurrence of a
repeat
deficiency

$500 for each deficiency noted
by the Department that is not
corrected in accordance with
the Contractor’s Departmentapproved CAP prior to the next
monitoring event

By the 10th
Business Day of
the month for
the prior month

Page 103 of 146

Financial Consequence
$500 for each failure to provide
requested documentation

CONTRACT #C3076
Performance
Measure No.

PM-107
(EMR)

PM-108
(EMR)

PM-109
(ITS)

Description
The EMR System will
be up and available for
use 99.99% of the time
(excluding approved
maintenance windows)
based upon
Department-approved
measuring
methodology.
The EMR is
unavailable due to
unplanned outages.
(ITS-004) Contractor
shall obtain approval
from the Department’s
OIT before
implementing or
changing technology
used to provide
services.

PM-110
(ITS)

(ITS-007)
Contractor shall
provide the
Department with a
copy of Contractor’s
technology security
policies and a network
diagram.

PM-111
(ITS)

(ITS-008)
Contractor shall obtain
the express written
consent of the
Department’s OIT
before connecting any
Contractor-owned or
management
equipment to the
Department’s internal
network.

Measurement
Threshold

Measurement
Duration

Financial Consequence

99.99%
availability

Quarterly

$3,000 per percentage point, or
fraction thereof

100%

Measured at
time of
occurrence

$5,000 per occurrence

100%
Compliance

Measured at
time of
occurrence

$500 for each implementation
or change not approved by the
Department’s OIT

Policies and
diagram shall be
provided to the
Department
within 30 Days
of Contract
execution and
Jan. 15 and July
15, every year
thereafter.

Semi-annual

$500 per Day for each Day
late.

100%
Measured at
Compliance,
time of
working through
occurrence, as
the Change
OIT notifies HS
Management
process

Page 104 of 146

$500 for each connection
performed without the consent
of the Department’s OIT.

CONTRACT #C3076
Performance
Measure No.

PM-112
(ITS)

PM-113
(ITS)

Description

Measurement
Threshold

Measurement
Duration

(ITS-017)
Contractor shall notify
the Department before
100%
any planned events in
Measured at
Compliance,
the Contractor’s
time of
working through
computing
occurrence, as
the Change
environment that may
OIT notifies HS
Management
impact its secured
process
connection, in any way
or at any severity level
(ITS-018)
Contractor shall notify
the Department when
an unexpected event
occurs that may impact
the Department’s
information security.

Notice shall be
provided to the
Department’s
CSIRT
according to
Department
Procedure
206.009
(Exempt).

Measured at
time of
occurrence

Financial Consequence

$1,000 for each planned event
performed without one (1)
weeks’ notice

$1,000 for each unplanned
event

3. Assessment of Financial Consequences
a. By executing this Contract, the Contractor acknowledges and agrees that its performance under the
Contract shall meet the standards throughout this Contract. Currently, healthcare provided by the
Contractor is reviewed through the Quality Management process (established in Section III., L of
this Contract), reviews conducted by the Correctional Medical Authority, ACA accreditation
reviews related to health care services standards, internal Quality Management program, litigationrelated reviews by monitors or the plaintiff(s). Contract-specific performance metrics and
requirements will be reviewed twice annually by the Department’s Contract Monitoring team. This
team will conduct two (2) annual monitoring visits to each major institution.
b. Any assessment of financial consequences and subsequent payment thereof shall not affect the
Contractor’s obligation to provide services as required by this Contract.
c. The Contract Manager will provide written notice to the Contractor’s Representative of all financial
consequences assessed as a result of Performance Measure Reports or through the Department’s
Contract Monitoring process established in Section III., U., with an explanation of why the
consequences are being assessed.
d. To give appropriate opportunity for the Contractor to resolve identified issues and to ensure
performance meets the Department’s needs, consequences will begin escalating on the 2nd
consecutive finding. When a Performance Measure has a Performance Expectation that is not met
two (2) semi-annual monitorings in a row (consecutive findings), the financial consequence
assessed in the second consecutive deficient monitoring period would be doubled.
For example, if the performance related to PM-011 (IC) at Calhoun CI is 70% in semi-annual
monitoring one (1), financial consequences in the amount of $4,000 would be assessed for that
period. If performance for the same PM is 65% during the next semi-annual monitoring, then the
financial consequence assessed would be $16,000 for Calhoun CI (the $8,000 financial
consequence at 65% multiplied by 2).
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CONTRACT #C3076
e. For those corrective actions that would take longer to implement and would result in consecutive
findings, a waiver for the next review period may be requested in writing to the Contract Manager
at the time of submittal of the CAP. All requests for exceptions to contract monitoring findings and
financial consequences must be submitted to the Contract Manager, in writing, no later than 30
Days after receipt of the completed performance monitoring.
f.

The Contractor shall forward a cashier’s check or money order to the Contract Manager, payable
to the Department in the appropriate amount within 10 Days of receipt of a written notice of demand
for financial consequences due, or in the alternative, may issue a credit in the amount of the
financial consequences due on the next monthly invoice following the assessment of consequences.
Documentation of the amount of financial consequences assessed shall be included with the invoice
if issuing credit. If financial consequences are not paid or a credit memo is not issued within 60
Days of the Contractor’s receipt of the notice, future invoices will not be paid until payment of the
outstanding assessed financial consequences is received by the Department or credit is issued for
the outstanding financial consequences by the Contractor.

V. Monitoring and Evaluation Methodologies
The Contract Manager, or designated Department staff, will perform monitoring during the term of the
Contract to ensure Contract compliance. Monitoring shall include periodic review of compliance with
contract service delivery and review of all Contract requirements. The Department reserves the right for
any Department staff to make scheduled or unscheduled, announced or unannounced, monitoring visits at
any site where services are delivered pursuant to this Contract.
The Contract Manager or designee will provide an oral exit interview and a written monitoring report to
the Contractor within 30 Days of the monitoring visit.
When issues of Contract Non-Compliance are identified in the monitoring report, a written CAP will be
required of the Contractor. The CAP is to be submitted to the Contract Manager within 10 Days of receipt
of the monitoring report. If necessary, a follow-up monitoring visit will be scheduled by the Contract
Manager and will occur within 90 Days of the original monitoring visit, at which time full compliance with
the approved CAP must be met. Failure to correct deficiencies after 90 Days from the date-of-receipt of a
written monitoring report notating the deficiencies may result in the assessment of financial consequences,
per Section III. T., or determination of a breach of Contract and termination of services.
During the first (1st ) semi-annual monitoring, the Department will *formally sample records to measure
the Contractor’s performance during the timeframes indicated in the table below.

Beginning July 1, 2023
PM-002
PM-004
PM-005
PM-006
PM-007
PM-008
PM-009
PM-010
PM-026
PM-036

Beginning October 1, 2023
PM-001
PM-003
PM-011
PM-012
PM-013
PM-014
PM-015
PM-016
PM-017
PM-018
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CONTRACT #C3076
PM-037
PM-041
PM-042
PM-043
PM-044
PM-045
PM-046
PM-053
PM-057
PM-064
PM-065
PM-067
PM-069
PM-070
PM-071
PM-072
PM-073
PM-076
PM-077
PM-078
PM-079
PM-081
PM-082
PM-083
PM-084
PM-086
PM-087
PM-088
PM-089
PM-091
PM-094
PM-095
PM-096
PM-105

PM-019
PM-020
PM-021
PM-022
PM-023
PM-024
PM-025
PM-027
PM-028
PM-029
PM-030
PM-031
PM-032
PM-033
PM-034
PM-035
PM-038
PM-039
PM-040
PM-047
PM-048
PM-049
PM-050
PM-051
PM-052
PM-054
PM-055
PM-056
PM-058
PM-059
PM-060
PM-061
PM-062
PM-063
PM-066
PM-068
PM-074
PM-075
PM-080
PM-085
PM-090
PM-092
PM-093
PM-097
PM-098
PM-099
PM-100
PM-101
PM-102
PM-103
PM-104
PM-106
PM-107
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CONTRACT #C3076
PM-108
PM-109
PM-110
PM-111
PM-112
PM-113
*For the purposes of evaluating the monitoring tool, the Department may informally sample records
during the timeframes listed in the table. Informal sampling will not be used in any formal
Department reports regarding the Contractor’s performance under this Contract.
W. Service Locations and Service Times
1. Institution/Facility Locations: The facilities included under this Contract include all currently operating
institutions and satellite facilities as indicated in Attachment E, Service Locations.
2. Add/Delete Institutions/Facilities for Services: The Department reserves the right to add or delete
institutions/facilities receiving or requiring services under this Contract upon 60 Calendar Days’ written
notice, unless a lesser time is mutually agreed upon. Such additions or deletions will require a Contract
amendment.
3. Service Times: The Contractor shall ensure access to comprehensive health care services, as required
within Section III., SCOPE OF SERVICE, 24 hours per day, 7 Days a week, and 365 Days a year.
X. Security
1. At its expense and judgment, the Department will provide a sufficient number of Correctional Officers
to supervise those Inmates receiving services from the Contractor.
2. The Department will provide the Contractor with access to all applicable Department Policies. The
Department will inform the Contractor of any regulatory or operational changes impacting the delivery
of services to be provided under this Contract.
3. The Department will provide security for the Contractor’s staff while at the Department’s facilities.
The level of security provided shall be consistent with and per the same standards of security afforded
to Department personnel.
4. The Department will provide security, and security procedures, to protect the Contractor’s equipment
as well as the Department’s medical equipment. The Department’s security procedures shall provide
direction for the reasonably safe security management for transportation of pharmaceuticals, medical
supplies, and equipment. The Contractor shall ensure that the Contractor’s staff adheres to all
Department Policies regarding transportation, security, custody, and control of inmates.
5. The Department will provide adequate security coverage for all occupied infirmaries. The Department
will provide security posts for clinic areas, as necessary, and determined through the facilities security
staffing analysis and coordination with the Department’s Office of Health Services.
6. The Department will provide security escorts to and from clinic appointments, whenever necessary, as
outlined in Department Policies.
IV. COMPENSATION
A. Payment
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CONTRACT #C3076
The Department will compensate the Contractor for services as specified in Section III., SCOPE OF
SERVICE, as delineated below:
Compensation under this Contract shall consist of two ( 2 ) components: reimbursement of actual
expenses (Reimbursable Expenses); and 10% of Reimbursable Expenses to cover administrative expenses
(Administrative Fee). The combined amount of Compensation Cap for these two (2) components shall not
exceed $528,000,000 Compensation Cap (Cap) for Fiscal Year (FY) one (1), $549,257,702 Cap for FY two
(2), $572,574,932 Cap for FY three (3); and $584,800,000 Caps for FYs four (4) and five (5), subject to
annual legislative appropriation. Expenses may be paid across fiscal years but are applied to the
Compensation Cap for the applicable fiscal year in which the services were rendered or expenses were
incurred. Compensation to the Contractor during any FY for cumulative FYs cannot exceed the
Department’s appropriation for the FY of payment.
The Contractor shall submit the final invoice for each fiscal year of service no more than 425 Calendar Days
following the end of said fiscal year. For example, all invoices from the Contractor for FY 23-24 must be
submitted within 425 Calendar days of June 30, 2024. Invoices for FY 23-24 submitted after August 29,
2025 will not be reimbursed.
The Department reserves the right to access any programs under the Federal Health Care Reform Act,
federal, State or local grants, and partnership opportunities, or any State initiatives that results in savings on
health care costs.
The Department agrees to continue to work collaboratively with the Contractor to ensure that costs are
contained, to the extent possible, while continuing to provide appropriate healthcare services to the inmate
population. If changes in healthcare standards, based on new litigation changing community standards, or
force majeure events substantially impact the Contractor’s cost, the Department will work with the
Contractor on a plan and approach and implement through a formal Contract amendment.
1. Reimbursable Expenses – counted against the Compensation Cap
The Contractor shall be reimbursed for actual expenses incurred under this Contract, unless otherwise
excluded herein or prohibited by Florida Statute, State Expenditure Guidelines, or other rules and
policies of the State.
Reimbursable expenses include:
• Salaries, wages and benefits for all staff assigned to this Contract, (bonuses and cost of living or
general increases require prior written approval from the Department) including institutional staff
and statewide/regional oversight staff, and staff who have been temporarily approved to begin
working after a successful Level I clearance as describe in Section III;
• Salaries and applicable stipends for staff assigned to this Contract through Contractor’s travel
nurse program.
• Inpatient and outpatient hospital expenses;
• Emergency Transportation by ambulance, life-flight services, or other contracted transportation
services;
• Physician’s fees;
• Therapeutic and diagnostic ancillary services;
• Health care supplies and office supplies;
• Medical and Dental equipment, with prior approval from the Department;
• Computer equipment, with prior approval from the Department;
• Medical equipment and computer repairs;
• Equipment including laptops, tablets, and other electronic devices to access the EMR system;
• Cost of licensing, software, and services to support the maintenance of the EMR system;
• Pharmacy Permits and Licenses;
• Dental Radiology Permits and Licenses;
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CONTRACT #C3076
•
•
•

•
•
•
•

Employee health and dental coverage, for employees directly supporting the Contract;
Premium costs of insurance, in accordance with Section VIII., H.;
Non-formulary, emergency medications, and therapeutics purchased by the Contractor or the
Department on behalf of the Contractor up to $1,750,000.00 annually, which will count against
the Compensation Cap. This includes DAAs and therapies used to treat HIV purchased by the
Contractor only when the Department cannot purchase them during an emergency and only as
approved by the Department. The Contractor will not be reimbursed for any expenses incurred
by the Department. For expenses beyond $1,750,000.00 combined between the Department and
the Contractor, the Department will reimburse the Contractor or purchase non-formulary
medications directly.
Regional office costs, when in direct support of this Contract, including but not limited to rent
and utilities;
Costs associated with the lease of medical exam rooms and office space at Florida medical
facilities, with prior approval from the Department;
Background checks; and
Department-required or training required by this Contract, excluding required professional or
non-professional education/training required for staff to perform their duties.

2. Administrative Fee – counted against the Compensation Cap
The Contractor shall be compensated an administrative fee to cover corporate support costs including,
but not limited to, oversight of recruiting, human resources, clinical operations/utilization management,
payroll, and information technology. This Administrative Fee shall be calculated at 10.0% of the
Reimbursable Expenses outlined in Section IV., A., 1., excluding the following:
• Medical and Dental equipment;
• Computer equipment;
• Pharmacy Permits & Licenses;
• Dental Radiology Permits and Licenses;
• Non-formulary and emergency medications and therapeutics;
• Background checks; and
• Premium costs of insurance.
Other costs included in the Administrative Fee:
• Corporate office rents and facility cost;
• Corporate office supplies and maintenance;
• Corporate office telephone;
• Corporate office equipment and cell phones;
• Employee living/moving expenses;
• Employee travel other than applicable stipends for staff assigned to this Contract through
Contractor’s travel nurse program;
• Contract monitoring costs;
• Profit;
• Required professional or non-professional education/training required for staff to perform their
duties;
• Costs incurred as a result of Contractor’s staff attending orientation and training, not required by
the Department or required by this Contract, including any wages paid; and
• Litigation costs, expenses, and fees
3. Invoice Adjustments and Credit Memos – not counted or credited toward the Compensation Cap
Credit memos will be issued by the Contractor for adjustments to include, but not be limited to, the
following:
• Costs for statewide FDC contract monitoring staff salaries, fringe/benefits, and travel
expenditures, not to exceed $3,000,000 annually; and
• Financial Consequences assessed as a result of Contract Monitoring.
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CONTRACT #C3076
4. Reimbursements received from the fee schedule for services at Reception and Medical Center (RMC)
Hospital from Private Correctional Facilities – counted or credited against the Compensation Cap
Currently, the Department has an established fee schedule for services provided by RMCH/Institution
to inmates housed at private prisons managed by the DMS. The Contractor shall be entitled to
reimbursement for services provided to inmates housed at private prisons, operated by DMS, following
this fee schedule. The fee schedule will be reviewed at least annually, but not more than semi-annually,
by the Department and the Contractor. The Department shall approve all fees. Costs for non-Centurion
inmates (not included in the RMC fee schedule) while at the RMCH or an Outside Hospital will not be
billed to the FDC but will be submitted directly to the private contractor. If the Contractor is not paid
timely by the Private Correctional Facility operators, the Contractor will notify the Department who
will liaison with DMS to facilitate payment for the Contractor's services.
Payment shall be subject to the timely submission and acceptance of all deliverables outlined in Section
III.
B. MyFloridaMarketPlace
1. Transaction Fee Exemption
The State of Florida has instituted MyFloridaMarketPlace, a statewide eProcurement System
(“System”). Pursuant to Section 287.057(22), F.S., all payments shall be assessed a Transaction Fee,
which the Contractor shall pay to the State, unless otherwise exempt pursuant to Rule 60A-1.031,
F.A.C.
The Department has determined that payments to be made under this Contract are not subject to the
MyFloridaMarketPlace Transaction Fee pursuant to Rule 60A-1.031(3), F.A.C.
2. Vendor Substitute W-9
The Florida Department of Financial Services requires all vendors that do business with the state to
electronically submit a Substitute W-9 Form to https://flvendor.myfloridacfo.com. Forms can be found
at: https://flvendor.myfloridacfo.com/casappsp/cw9hsign.htm. Frequently asked questions/answers
related to this requirement can be found at: https://flvendor.myfloridacfo.com/W-9%20faqs.pdf. The
Florida Department of Financial Services is ready to assist vendors with additional questions. Vendors
may contact their Customer Service Desk at 850-413-5519 or FLW9@myfloridacfo.com.
3. MyFloridaMarketPlace Vendor Registration
All vendors are required to maintain an active registration with the State of Florida. Registration can
be completed online at http://vendor.myfloridamarketplace.com. For assistance, contact the
MyFloridaMarketPlace Customer Service Desk at vendorhelp@myfloridamarketplace.com or 1-866352-3776.
C. Submission of Invoice(s)
The Contractor agrees to request compensation on a periodic basis for services rendered through submission
to the Department of properly completed invoices covering all institutions/facilities serviced. The
Contractor shall submit separate invoices for staffing costs, medical claims cost and all other costs. The
invoice for staffing costs will be submitted bi-weekly based upon the payroll processing cycle. The invoices
for medical claims cost will be submitted bi-weekly and all other costs will be submitted monthly within
15 calendar days following the end of the month. The 10% Administrative Fee will be applied separately
to each invoice submitted for eligible costs. The Contractor shall submit invoices pertaining to this Contract
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to the Department’s Contract Manager. Invoices will be reviewed and approved by the Department’s
Contract Manager and then forwarded to the Bureau of Finance & Accounting for further processing of
payment. The Contractor’s invoice shall include the Contractor’s name, mailing address, and tax ID
number/FEIN as well as the Contract Number and date services were provided. Every invoice must be
accompanied by the appropriate supporting documentation as indicated in Section IV., D., Supporting
Documentation for Invoice.
D. Supporting Documentation for Invoice
Invoices must be submitted in detail sufficient for a proper pre-audit and post-audit thereof.
Invoices will only be approved after receipt of the following supporting documentation:
1. Payroll register documenting the employee-based cost, overtime, on call, and shift differential cost per
employee per institution along with proof of payment. Time sheets may be required upon request by
the Department.
2. Invoices for payroll benefits such as health insurance, dental insurance, workers’ compensation,
unemployment compensation along with proof of payment such as cancelled checks or EFT report.
3. System-generated disbursement registers and supporting documentation (such as CMS-1500 claim
forms and proof of payment) will be provided for all medical claims unless specifically directed
otherwise by the Department in writing.
4. System-generated disbursement registers will be provided for all other allowable expenditures.
Supporting invoices and proof of payment will be supplied upon the request of the Department.
E. Official Payee
The name and address of the official payee to whom payment shall be made is as follows:
Centurion of Florida, LLC
21521 Ridgetop Circle, Suite 150
Sterling, VA 20166
F. Travel Expenses
The Department shall not be responsible for the payment of any travel expense for the Contractor that
occurs as a result of this Contract.
G. Contractor’s Expenses
The Contractor shall pay for all licenses, permits, and inspection fees or similar charges required for this
Contract, and shall comply with all laws, ordinances, regulations, and any other requirements applicable to
the work to be performed under this Contract.
H. Annual Appropriation
The State of Florida’s and the Department’s performances and obligations to pay for services under this
Contract are contingent upon an annual appropriation by the Legislature. Under no circumstances will the
Contractor be reimbursed by the Department for an expense for which the Contractor has already been paid
by any other source.
I.

Tax Exemption
The Department agrees to pay for contracted services according to the conditions of this Contract. The State
of Florida does not pay federal excise taxes and sales tax on direct purchases of services.
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J. Timeframes for Payment and Interest Penalties
Contractors providing goods and services to the Department should be aware of the following time frames:
1. Upon receipt, the Department has five (5) Business Days to inspect and approve the goods and services
and associated invoice, unless this Contract specifies otherwise. The Department has 20 Calendar Days
to deliver a request for payment (voucher) to the Florida Department of Financial Services. The 20
Calendar Days are measured from the latter of the date the invoice is received or the goods or services
are received, inspected, and approved.
2. If a payment is not available within 40 Calendar Days, a separate interest penalty, as specified in
Section 215.422, F.S., will be due and payable, in addition to the invoice amount, to the Contractor.
However, in the case of Health Services Contracts, the interest penalty provision applies after a 35-Day
time period to Health Care Contractors, as defined by Rule. Interest penalties of less than $1.00 will
not be enforced unless the Contractor requests payment. Invoices, which have to be returned to a
Contractor because of Contractor preparation errors, may cause a delay of the payment. The invoice
payment requirements do not start until the Department receives a properly completed invoice.
K. Final Invoice
The Contractor shall submit the final invoice no more than 425 Calendar Days after acceptance of the final
deliverable by the Department or the end date of this Contract, whichever occurs last. If the Contractor fails
to do so, all right to payment is forfeited, and the Department will not honor any request submitted after
aforesaid time period. Any payment due under the terms of the Contract may be withheld until all applicable
deliverables and invoices have been accepted and approved by the Department. All invoices for inmate and
Contractor employee claims must be submitted no more than 425 Days after the expiration of this Contract.
L. Vendor Ombudsman
A Vendor Ombudsman has been established within the Florida Department of Financial Services. The duties
of this individual include acting as an advocate for vendors who may be experiencing problems in obtaining
timely payment(s) from a state agency. The Vendor Ombudsman may be contacted by calling the Florida
Department of Financial Services at (850) 413-5516.
M. Electronic Transfer of Funds
Contractors are encouraged to accept payments for work performed under this Contract by receiving Direct
Deposit. To enroll in the State of Florida’s Direct Deposit System the Contractor must complete a direct
deposit form by contacting the Florida Department of Financial Services, Bureau of Accounting Direct
Deposit Section at http://www.myfloridacfo.com/aadir/direct_deposit_web/index.htm or by phone at (850) 4135517.
N. Subcontracts
The Contractor is fully responsible for all work performed under this Contract. The Contractor may, upon
receiving written consent from the Contract Manager, enter into a written subcontract(s) for the
performance of certain functions under this Contract. No subcontract, which the Contractor enters into with
respect to performance of any of its functions under this Contract, shall in any way relieve the Contractor
of any responsibility for the performance of its duties. The Contractor shall make payments to
subcontractors.
No payment shall be made for services to the Contractor prior to the approval of the subcontract, in writing,
by the Department. Subcontracts include, but are not limited to hospitals, ambulance services, x-rays
services, lab services, specialty care providers, surgery centers, and any other type of consultant service.
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If a subcontractor is utilized by the Contractor, the Contractor shall pay the subcontractor within seven (7)
Business Days after receipt of full or partial payments from the Department, in accordance with Section
287.0585, F.S. The Department shall not be liable to any subcontractor for any expenses or liabilities
incurred under any subcontract. The Contractor shall be solely liable to the subcontractor for all expenses
and liabilities under this Contract. The Contractor’s failure to pay a subcontractor within seven (7) Business
Days will result in a penalty to be paid by the Contractor to the subcontractor in the amount of 0.5% of the
amount due per Day past the expiration of the period allowed herein for payment. Such penalty shall be in
addition to actual payments owed and shall not exceed 15% of the outstanding balance due.
V. CONTRACT MANAGEMENT
A. Contract Manager
The Contract Manager for this Contract will be:
Frank Dichio, Operations Manager
Bureau of Health Services Administration
Office of Health Services
Florida Department of Corrections
501 South Calhoun Street
Tallahassee, Florida 32399-2500
Telephone: (850) 717-3289
Fax: (850) 922-6015
Email: Frank.Dichio@fdc.myflorida.com
The Contract Manager, or designee, will perform the following functions:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Maintain a Contract Management file;
Serve as the liaison between the Department and the Contractor;
Enforce performance of the Contract terms and conditions;
Verify receipt of Deliverables from the Contractor;
Monitor and evaluate the Contractor’s performance to ensure services conform to the Contract
requirements;
Request all amendments, renewals, and terminations of this Contract, and implement management of
the Contract change;
Review, verify, and approve invoices from the Contractor;
Monitor the Contract budget to ensure funds are available through the Contract term;
Exercise applicable remedies, as appropriate, when the Contractor’s performance is deficient; and
Evaluate the Contractor’s performance upon completion of this Contract. This evaluation will be placed
in the Contract Management file and will be considered if this Contract is subsequently used as a
reference in future procurements.

B. Contract Administrator
The Contract Administrator for this Contract is:
Alyssa Dillon
Bureau of Procurement
Florida Department of Corrections
501 South Calhoun Street, Suite 328
Tallahassee, Florida 32399-2500
Telephone: (850) 717-9773
Fax: (850) 488-7189
The Contract Administrator will perform the following functions:
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1. Maintain the official Contract Administration file;
2. Write and maintain this Contract and all amendments; and
3. Maintain records of all formal contract correspondence between the Department and the Contractor as
provided by the Contract Manager for filing in the Contract Administration file.
C. Contractor’s Representative(s)
The name, title, address, and telephone number of the Contractor’s Representative(s) responsible for
administration and performance under this Contract is(are):
Keith Lueking, CEO
Centurion of Florida, LLC
21251 Ridgetop Circle, Suite 150
Sterling, VA 20166
Telephone: (703) 749-4600
Email: KLueking@TeamCenturion.com
D. Contractor Management Changes
Upon execution of this Contract, changes to Section V. CONTRACT MANAGEMENT, shall be
accomplished by written notification to the other party with a copy of the written notification maintained
in the official Contract file.
E. Communications
Contract communications will be in two (2) forms: routine and formal.
Routine:

All normal, written communications generated by either party relating to service delivery.
Routine communications must be acknowledged within two (2) Business Days and responded
to within 30 calendar days of receipt via email.

Formal:

Written communications related to significant issues such as Breach of Contract, failure to
provide satisfactory performance, assessment of financial consequences, change in service
locations, or Contract termination. Formal communications will be clearly marked as a "Formal
Communication" and must be acknowledged upon receipt and responded to within seven (7)
Calendar Days of receipt via email. A date and numbering system will be used to track these
communications.

The only Department personnel authorized to issue formal contract communications are the Department’s
Health Services Director, the Department’s Deputy Director Health Services Administration, the
Department’s Chief Clinical Advisor, the Department’s Director of Procurement, the Department’s
Contract Manager, the Department’s Contract Administrator. The Contractor's CEO and the Contractor’s
Representative are the only Contractor personnel authorized to issue Formal Contract Communications.
Other persons authorized to issue Formal Contract Communications must be agreed upon by both parties
and identified, in writing, within 10 Days of this Contract's execution. Notification of any subsequent
changes must be provided in writing before issuing any formal communication from the changed authorized
representative.
If there is an urgent administrative problem, the Department shall contact the Contractor, and the Contractor
shall verbally respond to the Contract Manager within two (2) hours. If a non-urgent administrative problem
occurs, the Department will contact the Contractor, and the Contractor shall verbally respond to the Contract
Manager within 48 hours. The Contractor, or Contractor's designee, shall respond to inquiries, complaints,
or grievances from or about inmates by providing all information or records that the Department deems
necessary within three (3) Business Days of receipt of the request.
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VI.

CONTRACT MODIFICATION
Unless otherwise stated herein, modifications to the provisions of this Contract, with the exception of Section
III., V., 2., Add/Delete Institutions/Facilities for Services; Section IV., C., Submission of Invoice(s); Section
IV., D., Supporting Documentation for Invoice; and Section V., CONTRACT MANAGEMENT, shall be
valid only through execution of a formal contract amendment. If cost increases occur as a result of any
modification of the Contract, in no event may such increases result in the total compensation paid under the
Contract exceeding the amount appropriated for this Contract.
A. No Oral Modifications
No negotiations, decisions, or actions shall be initiated or executed by the Contractor as a result of any
discussions with any Department employee. Only those communications that are in writing from the
Department’s staff identified in Section V., C. Contractor’s Representative shall be considered a duly
authorized expression on behalf of the Department. Only signed written communications from the
Contractor’s Representative will be recognized by the Department as duly authorized expressions on behalf
of the Contractor.
Unless otherwise stated herein, modifications to the provisions of this Contract shall be valid only through
the execution of a written Contract amendment, signed by both parties.
B. Scope Changes After Contract Execution
During the term of this Contract, the Department may unilaterally require, by Formal Communication,
changes altering, adding to, or deducting from the Contract specifications, provided that such changes are
within the general scope of this Contract.
The Department may make an equitable adjustment in the Contract prices if the change affects the cost or
time of performance. Equitable adjustments may be made due to, by way of example only, change in the
standard of care, treatment modalities, pharmacy costs, patient base, consent or court orders that materially
impact the cost of providing services to the Contractor. Such equitable adjustments require the execution
of a written Amendment.
The Department shall provide written notice to the Contractor 30 Days in advance of any Departmentrequired changes that affect the Contractor’s ability to provide the service as specified herein.
C. Other Requested Changes
In addition to changes pursuant to Section VI., B., state or federal laws, rules, and regulations or Department
Policies may change. Such changes may impact Contractor’s service delivery in terms of materially
increasing or decreasing the Contractor’s cost of providing services. There is no way to anticipate what
those changes will be nor is there any way to anticipate the costs associated with such changes.
Either party shall have 90 days from the date such change is implemented to request an increase or decrease
in compensation, or the applicant party will be considered to have waived this right. Full, written
justification with documentation sufficient for audit will be required to authorize an increase in
compensation. It is specifically agreed that any changes to payment will be effective the date the changed
Scope of Services, Section III, is approved, in writing, and implemented.
If the parties are unable to negotiate an agreed-upon increase or decrease in rate or reimbursement, the
Department and the Contractor shall mutually determine what the resultant change in compensation should
be, based upon the changes made to the Scope of Services, Section III.

VII.

TERMINATION
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A. Termination at Will
This Contract may be terminated by either party upon no less than 180 Days’ written notice, without cause,
unless a lesser time is mutually agreed upon by both parties. Notice shall be delivered by certified mail
(return receipt requested), by other method of delivery whereby an original signature is obtained, or inperson with proof of delivery.
B. Termination Because of Lack of Funds
In the event funds to finance this Contract become unavailable, the Department may terminate the Contract
upon no less than 24 hours’ notice in writing to the Contractor. Notice shall be delivered by certified mail
(return receipt requested), facsimile, by other method of delivery whereby an original signature is obtained,
or in-person with proof of delivery. The Department shall be the final authority as to the availability of
funds.

C. Termination for Cause
If a breach of this Contract occurs by the Contractor, which is left uncured after the expiration of 30 days’
written notice by the Department, the Department may, by written notice to the Contractor, terminate this
Contract upon 24 hours’ written notice. Notice shall be delivered by certified mail (return receipt requested),
by other method of delivery whereby an original signature is obtained, or in-person with proof of delivery.
If applicable, the Department may employ the default provisions in Chapter 60A-1, F.A.C. The provisions
herein do not limit the Department’s right to remedies at law or in equity.
D. Termination for Unauthorized Employment
Violation of the provisions of Section 274A of the Immigration and Nationality Act shall be grounds for
unilateral cancellation of this Contract.
E. Contract Termination Requirements
If at any time, this Contract is canceled, terminated, or otherwise expires, and a Contract is subsequently
executed with a different contractor or service delivery is resumed by the Department, the Contractor has
the affirmative obligation to assist in the smooth transition of services to the subsequent service provider.
This includes, but is not limited to, the timely provision of all Contract-related documents and information,
not otherwise protected from disclosure by law to the replacing party. If transitioning to a new contractor,
the Department may reduce locations or services provided as the Contract end date approaches. Any such
reduction shall be implemented at the discretion of the Department in its determination of the best manner
to transition services.
VIII. CONDITIONS
A. Records
1. Public Records Law
The Contractor agrees to (a) keep and maintain public records required by the Department in order to
perform the service; (b) upon request from the Department’s custodian of public records, provide the
Department with a copy of the requested records or allow the records to be inspected or copied within
a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided
by law; (c) ensure that public records that are exempt or confidential and exempt from public records
disclosure requirements are not disclosed except as authorized by law for the duration of the Contract
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term and following completion of this Contract if the Contractor does not transfer the records to the
Department; and (d) upon completion of this Contract, transfer, at no cost, to the Department all public
records in possession of the Contractor or keep and maintain public records required by the Department
to perform the service. If the Contractor transfers all public records to the Department upon completion
of this Contract, the Contractor shall destroy any duplicate public records that are exempt or
confidential and exempt from public records disclosure requirements. If the Contractor keeps and
maintains public records upon completion of this Contract, the Contractor shall meet all applicable
requirements for retaining public records. All records stored electronically must be provided to the
Department, upon request from the Department’s custodian of public records, in a format that is
compatible with the information technology systems of the Department. Pursuant to §287.058(1)(c),
F.S., the Department is allowed to unilaterally cancel this Contract for refusal by the Contractor to
allow public access to all documents, papers, letters, or other material made or received by the
Contractor in conjunction with this Contract, unless the records are exempt from §24(a) of Art. I of the
State Constitution or §119.07(1), F.S.

If the Contractor has questions regarding the application of Chapter 119,
Florida Statutes, to the Contractor’s duty to provide public records relating
to this Contract, contact the custodian of public records at:
Florida Department of Corrections
ATTN: Public Records Unit
501 South Calhoun Street
Tallahassee, Florida 32399-2500
Telephone: (850) 412-2664
Fax: (850) 922-4355
Website:
https://floridadoc.govqa.us/WEBAPP/_rs/(S(mxurvkhn004wtw1eymm15f4
x))/SupportHome.aspx
2. Audit Requirements
a. The Contractor agrees to maintain books, records, and documents (including electronic storage
media) in accordance with Generally Accepted Auditing Standards (GAAS).
b. The Contractor agrees to include all record-keeping requirements in all subcontracts and
assignments related to this Contract.
3. Record Retention
The Contractor agrees to retain all client records, financial records, supporting documents, statistical
records, and any other documents (including electronic storage media) pertaining to this Contract
following termination of the Contract for the timeframes required by the Florida Department of State,
General Records Schedule, GS1-SL, which can be found at the following link:
https://dos.myflorida.com/library-archives/records-management/general-records-schedules/.
The
Contractor shall maintain complete and accurate record-keeping and documentation as required by the
Department and the terms of this Contract. All invoices and documentation must be clear and legible
for audit purposes. Copies of all records and documents shall be made available for the Department
upon request, or no more than 48 hours upon request, if stored at a different site location than the
address listed on Section V., C., Contractor’s Representative, or the address listed in Section IV., E.,
Official Payee. Any records not available at the time of an audit will be deemed unavailable for audit
purposes. Violations will be noted and forwarded to the Department’s Inspector General for review.
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The Contractor must retain all documents for the appropriate timeframes listed in the GS1-SL record
schedule following termination of the Contract, or, if an audit has been initiated and audit findings have
not been resolved at the of the appropriate timeframes, the records shall be retained until resolution of
the audit findings. The Contractor shall cooperate with the Department to facilitate the duplication and
transfer of any said records or documents during the required retention period.
The Contractor shall advise the Department of the location of all records pertaining to this Contract and
shall notify the Department by certified mail within 10 Days if and when the records are moved to a
new location.

B. State Objectives
1. Diversity in Contracting
The State of Florida is committed to supporting its diverse business industry and population through
ensuring participation by minority-owned, women-owned, and service-disabled veteran-owned
business enterprises in the economic life of the State. The State of Florida Mentor Protégé Program
connects these business enterprises with private corporations for business development mentoring. We
strongly encourage firms doing business with the State of Florida to consider this initiative. For more
information on the Mentor Protégé Program, please contact the Office of Supplier Diversity at (850)
487-0915.
The State is dedicated to fostering the continued development and economic growth of small, minorityowned, women-owned, and service-disabled veteran-owned business enterprises. Participation by a
diverse group of Contractors doing business with the State is central to this effort. To this end, it is vital
that small, minority-owned, women-owned, and service-disabled veteran-owned business enterprises
participate in the State’s procurement process as both contractors and subcontractors in this Contract.
Small, minority-owned, women-owned, and service-disabled veteran-owned business enterprises are
strongly encouraged to contribute to this Contract.
The Contractor shall submit documentation addressing diversity and describing the efforts being made
to encourage the participation of small, minority-owned, women-owned, and service-disabled veteranowned business enterprises to the Contract Manager.
Information on Certified Minority Business Enterprises (CMBE) and Certified Service-Disabled
Veteran Business Enterprises (CSDVBE) is available from the Office of Supplier Diversity at
http://www.dms.myflorida.com/agency_administration/office_of_supplier_diversity_osd.
Diversity in Contracting documentation should identify any participation by diverse contractors and
suppliers as prime contractors, subcontractors, contractors, resellers, distributors, or such other
participation as the parties may agree. Diversity in Contracting documentation shall include the timely
reporting of spending with certified and other minority/service-disabled veteran business enterprises.
Such reports must be submitted at least monthly and include the period covered, the name, minority
code, and Federal Employer Identification Number of each minority or service-disabled veteran
Contractor utilized during the period, commodities and services provided by the minority or servicedisabled veteran business enterprise, and the amount paid to each minority or service-disabled veteran
Contractor on behalf of each purchasing agency ordering under the terms of this Contract.
2. Environmental Considerations
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The State supports and encourages initiatives to protect and preserve our environment. It is a
requirement of the Florida Department of Environmental Protection that a generator of hazardous waste
materials that exceeds a certain threshold must have a valid and current Hazardous Waste Generator
Identification Number. This identification number shall be submitted as part of the Contractor’s
explanation of its company’s hazardous waste plan and shall explain in detail its handling and disposal
of this waste.
It is expressly understood and agreed that any products or materials which are the subject of, or are
required to carry out, this Contract shall be procured in accordance with the provisions of Section
403.7065, F.S., relating to the procurement of materials with recycled content.
3. Prison Rehabilitative Industries and Diversified Enterprises (PRIDE)
The Contractor agrees that any purchases required under this Contract shall be made from PRIDE if of
comparable price and quality as the items or services sought. The Contractor shall be deemed as
substituted for the Department in dealing with PRIDE for the purposes of this Contract. This clause is
not applicable to subcontractors unless otherwise required by law. Available products, pricing, and
delivery schedules may be obtained at https://www.pride-enterprises.org.
4. Products Available from the Blind or Other Handicapped (RESPECT)
The Department supports and encourages the gainful employment of citizens with disabilities. The
Contractor agrees that purchases required under this Contract shall be made from a nonprofit agency
for the blind or for the severely handicapped qualified pursuant to Chapter 413, F.S., in the same
manner, and under the same procedures set forth in Sections 413.036(1) and (2), F.S. The Contractor
shall be deemed as substituted for the Department for the purposes of this Contract. Additional
information about the designated nonprofit agency and the products it offers is available at
http://www.respectofflorida.org.
C. Prison Rape Elimination Act (PREA)
The Contractor shall comply with the national standards to prevent, detect, and respond to prison rape under
the Prison Rape Elimination Act (PREA), Federal Rule 28 C.F.R. Part 115. The Contractor shall also
comply with all Department Policies that relate to PREA.
D. Sponsorship
If the Contractor sponsors a program financed partially by State funds, including any funds obtained
through this Contract, it shall, in publicizing, advertising, or describing the sponsorship of the program,
state: “Sponsored by Centurion of Florida, LLC and the Florida Department of Corrections.” If the
sponsorship reference is in written material, the words “Florida Department of Corrections” shall appear in
the same size letters or type as the name of the Contractor.
E. Non-Discrimination
No person, on the grounds of race, creed, color, national origin, age, gender, marital status, or disability,
shall be excluded from participation in, be denied the proceeds or benefits of, or be otherwise subjected to,
discrimination in the performance of this Contract.
F. Americans with Disabilities Act
The Contractor shall comply with the Americans with Disabilities Act. In the event of the Contractor’s
noncompliance with the nondiscrimination clauses, the Americans with Disabilities Act, or with any other
such rules, regulations, or orders, this Contract may be canceled, terminated, or suspended, in whole or in
part, and the Contractor may be declared ineligible for further Contracts.
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G. Indemnification for Contractors Acting as an Agency of the State
The Contractor shall be liable, and agrees to be liable for, and shall indemnify, defend, and hold the
Department, its employees, agents, officers, heirs, and assignees harmless from any and all claims, suits,
judgments, or damages including court costs and attorney’s fees arising out of intentional acts, negligence,
or omissions by the Contractor, or its employees or agents, in the course of the operations of this Contract,
including any claims or actions brought under Title 42 U.S.C. §1983, the Civil Rights Act.
H. Contractor’s Insurance for Contractors Acting as an Agent of the State
The Contractor agrees to provide adequate insurance coverage on a comprehensive basis and to hold such
insurance at all times during the existence of this Contract. This shall include, but is not limited to, worker’s
compensation, general liability coverage, and property damage coverage. The Department must be an
additional named insured on the Contractor’s insurance related to this Contract. The Contractor accepts full
responsibility for identifying and determining the type(s) and extent of insurance necessary to provide
reasonable financial protection for the Contractor and the Department under this Contract. Upon the
execution of this Contract, the Contractor shall furnish the Contract Manager written verification of such
insurance coverage. Such coverage may be provided by a self-insurance program established and operating
under the laws of the State of Florida. The Department reserves the right to require additional insurance
where appropriate.
If the Contractor is a State agency or subdivision as defined in Section 768.28, F.S., the Contractor shall
furnish the Department, upon request, written verification of liability protection in accordance with Section
768.28, F.S. Nothing herein shall be construed to extend any party’s liability beyond that provided in
Section 768.28, F.S.
I.

Independent Contractor Status
The Contractor is an independent contractor in the performance of its duties and responsibilities under this
Contract. The Department shall neither have nor exercise any control or direction over the methods by
which the Contractor shall perform its work and functions other than as provided herein. Nothing in this
Contract is intended to, nor shall be deemed to constitute, a partnership or a joint venture between the
parties.

J. Disputes
Any dispute concerning performance of this Contract shall be resolved informally by the Contract Manager.
Any dispute that cannot be resolved informally shall be reduced to writing and delivered to the
Department’s Health Services Director. The Department’s Health Services Director shall decide the
dispute, reduce the decision to writing, and deliver a copy to the Contractor, the Contract Manager, and the
Contract Administrator.
K. Copyrights, Right to Data, Patents, and Royalties
Where activities supported by this Contract produce original writing, sound recordings, pictorial
reproductions, drawings, or other graphic representation and works of any similar nature, the Department
has the right to use, duplicate and disclose such materials in whole or in part, in any manner, for any purpose
whatsoever and to have others acting on behalf of the Department to do so. If the materials that are so
developed are subject to copyright, trademark, or patent, legal title and every right, interest, claim or
demand of any kind in and to any patent, trademark or copyright, or application for the same, will vest in
the Florida Department of State for the exclusive use and benefit of the State. Pursuant to Section 286.021,
F.S., no person, firm, or corporation, including parties to this Contract, shall be entitled to use the copyright,
patent, or trademark without the prior written consent of the Florida Department of State.
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The Department shall have unlimited rights to use, disclose or duplicate, for any purpose whatsoever, all
information and data solely developed, derived, documented, or furnished by the Contractor under this
Contract. All non-proprietary and assignable computer programs and other documentation produced as part
of this Contract shall become the exclusive property of the Florida Department of State and may not be
copied or removed by any employee of the Contractor without express written permission of the
Department.
The Contractor, without exception, shall indemnify and save harmless the Department and its employees
from liability of any nature or kind, including cost and expenses for or on account of any copyrighted,
patented, or unpatented invention, process, or article manufactured or supplied by the Contractor. The
Contractor has no liability when such claim is solely and exclusively due to the combination, operation, or
use of any article supplied hereunder with equipment or data not supplied by the Contractor or is based
solely and exclusively upon the Department’s alteration of the article. The Department will provide prompt
written notification of a claim of copyright or patent infringement and will afford the Contractor full
opportunity to defend the action and control the defense of such claim.
Further, if such a claim is made or is pending, the Contractor may, at its option and expense, procure for
the Department the right to continue use of, replace, or modify the article to render it non-infringing. (If
none of the alternatives are reasonably available, the Department agrees to return the article to the
Contractor upon its request and receive reimbursement, fees, and costs, if any, as may be determined by a
court of competent jurisdiction.) If the Contractor uses any design, device, or materials covered by letter,
patent or copyright, it is mutually agreed and understood without exception that the Contract prices shall
include all royalties or costs arising from the use of such design, device, or materials in any way involved
in the work to be performed hereunder.
L. Assignment
The Contractor shall not assign its responsibilities or interests under this Contract to another party without
the Contract Manager’s prior written approval. The Department shall, at all times, be entitled to assign or
transfer its rights, duties, and obligations under this Contract to another governmental agency of the State
of Florida upon giving written notice to the Contractor.
M. Force Majeure
Neither party shall be liable for loss or damage suffered as a result of any delay or failure in performance
under this Contract or interruption of performance resulting directly or indirectly from acts of God, fire,
explosions, earthquakes, floods, water, wind, lightning, civil or military authority, acts of public enemy,
war, riots, civil disturbances, insurrections, pandemics, strikes, or labor disputes.
N. Severability
The invalidity or unenforceability of any particular provision of this Contract shall not affect the other
provisions hereof and this Contract shall be construed in all respects as if such invalid or unenforceable
provision was omitted, so long as the material purposes of this Contract can still be determined and
effectuated.
O. Use of Funds for Lobbying Prohibited
The Contractor agrees to comply with the provisions of Section 216.347, F.S., which prohibits the
expenditure of State funds for the purposes of lobbying the Legislature, the Judicial branch, or a State
agency.
P. Conflict of Interest

Page 122 of 146

CONTRACT #C3076
The Contractor shall not compensate in any manner, directly or indirectly, any officer, agent, or employee
of the Department for any act or service that he/she may do, or perform for, or on behalf of, any officer,
agent, or employee of the Contractor. No officer, agent, or employee of the Department shall have any
interest, directly or indirectly, in any contract or purchase made, or authorized to be made, by anyone for,
or on behalf of, the Department.
Q. Florida Department of State Licensing Requirements
All entities defined under Chapters 607, 617 or 620, F.S., seeking to do business with the Department, shall
be on file and in good standing with the Florida Department of State or provide certification of their
exemption thereof.
R. Scrutinized Companies Contractor Certification
The Contractor certifies they are not listed on the Scrutinized Companies that Boycott Israel List, created
pursuant to Section 215.4725, F.S., and they are not currently engaged in a boycott of Israel. If this Contract
exceeds $1,000,000.00 in total, not including renewal years, the Contractor certifies that they are not listed
on either 1) the Scrutinized Companies with Activities in Sudan List, or 2) the Scrutinized Companies with
Activities in the Iran Petroleum Energy Sector List created under Sections 215.473, F.S., and 215.4725,
F.S., and further certifies they are not engaged in business operations in Cuba or Syria, as stated in Section
287.135(2)(b)2, F.S. Pursuant to Section 287.135(5), F.S., the Contractor agrees the Department may
immediately terminate this Contract for cause if the Contractor is found to have submitted a false
certification or if the Contractor is placed on the Scrutinized Companies with Activities in Sudan List, the
Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, the Scrutinized Companies
that Boycott Israel List, or is engaged in a boycott of Israel, or has engaged in business operations in Cuba
or Syria during the term of this Contract. Any company that submits a bid or proposal for a Contract, or
intends to enter into, or renew a Contract with an agency or local governmental entity for commodities or
services, of any amount, must certify that the company is not participating in a boycott of Israel.
S. Governing Law and Venue
This Contract is executed and entered into in the State of Florida and shall be construed, performed, and
enforced in all respects in accordance with the laws, rules, and regulations of the State of Florida. Any
action hereon or in connection herewith shall be brought in Leon County, Florida.
T. No Third-Party Beneficiaries
Except as otherwise expressly provided herein, neither this Contract nor any amendment, addendum, or
exhibit attached hereto, nor term, provision, or clause contained therein, shall be construed as being for the
benefit of or providing a benefit to, any party not a signatory hereto.
U. Health Insurance Portability and Accountability Act
The Contractor shall comply with the Health Insurance Portability and Accountability Act of 1996
(HIPAA), and all applicable regulations promulgated thereunder. Agreement to comply with HIPAA is
evidenced by the Contractor’s execution of this Contract, which includes and incorporates Attachment B,
Business Associate Agreement, as part of this Contract.
V. Cooperative Purchasing
Pursuant to their own governing laws, and subject to the agreement of the Contractor, other entities may be
permitted to make purchases in accordance with the terms and conditions contained herein. The Department
shall not be a party to any transaction between the Contractor and any other purchaser.

Page 123 of 146

CONTRACT #C3076
Other State of Florida agencies wishing to make purchases from this agreement are required to follow the
provisions of Section 287.042(16), F.S. This statute requires the Florida Department of Management
Services to determine that the requestor’s use of this Contract is cost-effective and in the best interest of the
State.
W. Cooperation with Inspector General
In accordance with Section 20.055(5), F.S., the Contractor, and any subcontractor, understands and will
comply with its duty to cooperate with the Inspector General in any investigation, audit, inspection, review,
or hearing.
X. Cooperation with the Florida Senate and the Florida House of Representatives
In accordance with Section 287.058(7), F. S., the Contractor agrees to disclose any requested information,
relevant to the performance of this Contract, to members or staff of the Florida Senate or the Florida House
of Representatives, as required by the Florida Legislature. The Contractor is strictly prohibited from
enforcing any nondisclosure clauses conflictive with this requirement.
Y. Performance Guarantee
The Contractor shall furnish the Department with a Performance Guarantee in the amount of
$60,000,000.00, for a time frame equal to the term of the Contract.
The form of the guarantee shall be a bond, cashier’s check, or money order made payable to the Department.
The guarantee shall be furnished to the Contract Manager within 30 Days of Contract execution. No
payments shall be made to the Contractor until the guarantee is received and approved by the Department,
in writing. Upon renewal of this Contract, the Contractor shall provide proof that the performance guarantee
has been renewed for the term of the Contract renewal.
Based upon the Contractor’s satisfactory performance, which will be evaluated annually, after the initial
year of this Contract, the Department may, at the Department’s sole discretion, reduce the amount of the
guarantee for any single year of this Contract or for the remaining Contract period, including the renewal
term.

REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK

Page 124 of 146

CONTRACT #C3076
Waiver of breach of any provision of this Contract shall not be deemed to be a waiver of any other breach and
shall not be construed to be a modification of the terms of this Contract.
This Contract, any Attachments or Exhibits, contains all the terms and conditions agreed upon by the parties. In
the event of any conflict in language among these documents, the documents shall have priority in the order listed.
IN WITNESS THEREOF, the parties hereto have caused this Contract to be executed by their undersigned
officials as duly authorized.

CONTRACTOR:
CENTURION OF FLORIDA, LLC

SIGNED
BY:

M ~

NAME:

Keith Lueking

TITLE:

CEO

DATE:

6/28/2023

FEIN:

81-0687470

FLORIDA DEPARTMENT OF CORRECTIONS

SIGNED
BY:

NAME:
TITLE:

DATE:

Approved as to form and legality, subject to
execution.

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~~NED

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NAME:

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"'6<,(2'll23
TITLE:

Secretary

•

DATE:

Page 125 of 146

Deputy General Counsel

CONTRACTOR’S STAFF QUALIFICATIONS

CONTRACT #C3076
Attachment A

Advanced Practice Registered Nurse (APRN):
• Certification as an APRN, pursuant to Chapter 464, F.S.
• Possess and maintain current certification from the AHA in Basic Life Support.
• Must pass security background checks.
• Ability to communicate effectively and to document legibly in Patients’ medical record.
• Ability to establish and maintain effective working relationship with others.
• Ability to perform complete physical appraisals of Patients, and to recognize and manage any abnormal
findings as prescribed under medical protocol.
• Ability to order diagnostic tests and evaluate the results.
• Ability to perform uncomplicated surgical procedures.
• Ability to prescribe and administer medications within protocol established mutually with the supervising
Clinician and in conformance with the specialized certification.
• Meet all substance prescribing regulations allowed in Chapter 499, F.S.
Autonomous Advanced Practice Registered Nurse (AAPRN):
• Meet all qualifications for an APRN above.
• May work autonomously (Autonomous Advanced Practice Registered Nurse [AAPRN]) if registered under
Section 464.0123, F.S. and is not subject to supervision by a physician or a supervisory protocol within the
parameters of the practice requirements identified in Section 464.0123(3), F.S.
• An AAPRN may not provide health care services under this Contract when those services are Statutorily
designated to be performed by a MD/DO.
Behavioral Health Specialist:
• Clear, active, Florida License, a Provisional License or a Registered Intern in accordance with Chapter 491,
F.S.
• Compliance with supervisory agreements and supervision for individuals with a Provisional License or who
are a Registered Intern is required in accordance with Chapter 491, F.S.
Certified Nursing Assistant (CNA):
• Certified Nursing Assistant Training and High School Diploma or equivalent.
• One (1) year of experience providing direct medical Patient care services in public health, medical, hospital,
clinic, infirmary, nursing or convalescent home or correctional or forensic facility or Institution.
• Certified Nursing Assistant shall have and maintain a valid Florida Certification as a Certified Nursing
Assistant.
• Use of unlicensed assistive nursing personnel use is restricted to Certified Nursing Assistants ONLY.
• As outlined in Section 464.201(5), F.S., CNA practice means providing care and assisting persons with tasks
relating to the activities of daily living. Such tasks are those associated with personal care, maintaining
mobility, nutrition and hydration, toileting and elimination, assistive devices, safety and cleanliness, data
gathering, reporting abnormal signs and symptoms, postmortem care, patient socialization and reality
orientation, end-of-life care, cardiopulmonary resuscitation and emergency care, residents’ or patients’ rights.
Chief Nursing Officer; Vice President Nursing; Statewide Contract Nursing Director:
• A bachelor’s degree of science in nursing or health services administration or a related field. (Additional
qualifying experience performing a full range of duties as a nursing supervisor in a health care
organization/facility with 20 or more full-time subordinate nurses may be substituted for the required
education on a year for year basis.); and
• Five (5) years of professional clinical nursing experience in a medical setting, two of the years in a
correctional health care setting, and at least three (3) years of which must have been in an administrative or
supervisory capacity in a health care organization/facility with 20 or more full-time subordinate Licensed
Nurses.
Page 126 of 146

CONTRACT #C3076
Attachment A

Clinician Assistant (PA):
• Certification as a Physician’s Assistant, pursuant to Chapter 458, F.S. and in accordance with Rules 64B8.30.003 and 64B8-30.012, F.A.C.
• Possess and maintain current certification from the AHA in Basic Life Support.
• Must pass security background checks.
• Ability to communicate effectively and to document all findings legibly.
• Ability to establish and maintain effective working relationship with others.
• Ability to perform physical exams, counsel Patients, recognize, and manage any abnormal findings or illness,
recommend medical treatment following established protocol, and refer to other Clinicians as appropriate.
• Ability to order diagnostic tests and evaluate the results.
• Ability to perform uncomplicated surgical procedures.
• Ability to prescribe and administer medications within protocol established mutually with the supervising
Clinician.
Dental Assistant:
• Within 6 months they must obtain their Florida Radiology and Expanded Functions certificates.
• Preference is given if the applicant is already certified
Dental Hygienist:
• Hold a clear, active, unrestricted license as a dental hygienist under Chapter 466, F.S.
• Possess and maintain current certification from the American Heart Association in Basic Life Support or
higher.
• Demonstrate fluency in English with good verbal communication and documentation skills.
• Possess the ability to establish and maintain effective working relationship with others.
• Possess the ability to document all findings legibly, to make accurate recommendations, using professional
terminology, and make sound and logical decisions regarding treatment.
• Possess the ability to interpret laboratory test results.
• Possess the ability to read and interpret X-ray and other radio-imaging digital pictures.
• Possess the ability to perform complete dental appraisal of an Inmate, manage and treat the Patient
accordingly, and develop/order all follow up visits, as appropriate.
• Possess the ability to establish rapport with the Inmate to promote mutual trust, which will result in better
Patient compliance with treatment plan.
• Demonstrate willingness to collaborate with other health care members, physicians, colleagues, nursing staff,
and correctional staff, in order to meet the needs of the Inmate.
• Become familiar, and demonstrate familiarity with, the Department Policies and Florida law related to public
health and dental practice.
Dentist:
• Be licensed to practice Dentistry, pursuant to Chapter 466, F.S.
• Hold a clear, active license to practice Dentistry in the State of Florida.
• Possess and maintain current certification from the AHA in Basic Life Support or higher.
• Pass a security background check.
• Demonstrate fluency in English with good verbal communication and documentation skills.
• Possess the ability to establish and maintain effective working relationship with others.
• Possess the ability to document all findings legibly, to make accurate diagnosis, using professional
terminology, and make sound and logical decisions regarding treatment.
• Possess the ability to interpret laboratory test results.
• Possess the ability to read and interpret X-ray and other radio-imaging digital pictures.
• Possess the ability to perform complete dental appraisal of an Inmate, formulate a diagnosis, manage and treat
the Patient accordingly, and develop/order all follow up visits, as appropriate.
• Possess the ability to establish a doctor-Patient rapport to promote mutual trust, in order to achieve better
Patient compliance with treatment plan.
Page 127 of 146

•
•

CONTRACT #C3076
Attachment A
Demonstrate willingness to collaborate with other health care members, Physicians, colleagues, nursing staff,
and correctional staff, in order to meet the needs of the Inmate.
Become familiar, and demonstrate familiarity with, the Department Policies and Florida law relating to public
health and dental practice.

Human Services Counselor:
• Bachelor’s degree from an accredited college or university and two (2) years of professional experience in
developmental disabilities, special education, mental health, counseling, guidance, social work, health or
rehabilitative programs. A master’s degree from an accredited college or university can substitute for one
year of the required experience.
Institutional Director of Nursing:
• A bachelor’s degree from an accredited college or university with a major in nursing can substitute for one
(1) year of the required experience. A master’s degree from an accredited college or university in nursing can
substitute for two (2) years of the required experience; and
• Three (3) years of professional nursing experience with one year administrative or supervisory capacity in a
health care organization/facility with five (5) or more full-time subordinate Licensed Nurses may be
substituted for the required education on a year for year basis.
Licensed Practical Nurse (LPN):
• Vocational Nurse Certificate and IV Certification;
• One (1) year of experience in providing practical nursing services including phlebotomy experience; and
• Licensed Practical Nurse shall have and maintain valid Florida License as a practical nurse in accordance
with Chapter 464, F.S. or be eligible to practice nursing in accordance with Rule 64B9-3.003, F.A.C.
• As outlined in Section 464.003(18), practice includes the performance of selected acts, including the
administration of treatments and medications, in the care of the ill, injured, or infirm; the promotion of
wellness, maintenance of health, and prevention of illness of others under the direction of a registered nurse,
a licensed physician, a licensed osteopathic physician, a licensed podiatric physician, or a licensed dentist.
Mental Health Director:
• Clear, active, Florida Psychology License, in accordance with Chapter 490, F.S.
• At least five (5) years of professional experience as a Psychologist in a state or federal prison system.
Physician or Osteopathic Physician:
• Must be licensed as a MD, pursuant to Chapter 458, F.S., or DO, pursuant to Chapter 459, F.S.; must hold a
clear, active, unrestricted license to provide clinical care in the State of Florida.
• Possess and maintain current certification from the American Heart Association in Basic Life Support or
higher.
• Must pass a security background check.
• Demonstrate fluency in English with good verbal communication and documentation skills.
• Ability to establish and maintain effective working relationship with others.
• Ability to document all findings legibly, to make accurate diagnosis in medical professional terminology and
to make sound and logical decision in treatment plan.
• Ability to interpret laboratory test results, EKG. Ability to read and interpret x-ray and other radio-imaging
digital pictures.
• Ability to perform complete physical appraisal of Patient, making diagnosis and manage the Patient
accordingly;
• Ability to establish a strong doctor-Patient report to promote mutual trust, which will result in better Patient
compliance with treatment plan.
• Willingness to collaborate with other health care members, colleagues, nursing staff and correctional staff to
meet the needs of the Patients.
• Be familiar with Department Policies and State law related to public health and medical practice.
Page 128 of 146

CONTRACT #C3076
Attachment A

Psychiatric Advanced Practice Registered Nurse:
• Clear, active, unrestricted Florida License and certification as a “Psychiatric nurse,” (PsychAPRN), in
accordance with Section 394.455(36), F.S., Chapter 464, F.S., and Rule 64B9-4.002, F.A.C. A practitioner
currently licensed under Chapter 458, Chapter 459, or Chapter 466, F.S. shall maintain supervision for
directing the specific course of medical treatment.
• Under specific written protocols approved by the supervising Psychiatrist, Psychiatric APRNs may provide
outpatient psychiatric services.
Psychiatric Consultant:
• Clear, active, unrestricted Florida License, in accordance with Chapter 458 or459, F.S. with completion of a
psychiatry residency.
• At least five (5) years of professional experience as a Psychiatrist in a state or federal prison system.
Psychiatrist:
• Clear, active, unrestricted Florida License in accordance with Chapters 458 or 459, F.S., who has primarily
diagnosed and treated nervous and mental disorders for a period of not less than three (3) years inclusive of
psychiatric residency.
Psychological Services Director:
• Clear, active, Florida Psychology License in accordance with Chapter 490, F.S.
• At least two (2) years of professional experience as a Psychologist in a state or federal prison system.
Psychologist:
• Clear, active, Florida Psychology License or Provisional Psychology License in accordance with Chapter
490, F.S.
• Compliance with supervisory agreements and supervision for individuals with a Provisional Psychology
License is required in accordance with Chapter 490, F.S.
• Psychologists working at Youthful Offender facilities, must be Board Certified in Clinical Child &
Adolescent Psychology, or have completed a doctoral internship or post-doctoral residency in Child and
Adolescent Psychology or have a minimum of one (1) year of experience working with children and
adolescents at a CMHC, a Residential Unit, or a Hospital.
Regional Mental Health Director:
• Clear, active, Florida Psychology License, in accordance with Chapter 490, F.S.
• At least three (3) years of professional experience as a Psychologist in a state or federal prison system.
Regional Nursing Director:
• A bachelor’s degree of science in nursing or health services administration or a related field. (Additional
qualifying experience performing a full range of duties as a nursing supervisor in a health care
organization/facility with 20 or more full-time subordinate nurses may be substituted for the required
education on a year for year basis.); and
• Four (4) years of professional clinical nursing experience in a medical setting, one (1) year correctional health
care setting, and two (2) years of which must have been in an administrative or supervisory capacity in a
health care organization/facility with 20 or more full-time subordinate Licensed Nurses.
Registered Nurse:
• All Registered Nurse positions shall have and maintain a valid Florida Registered Professional Nurse License
in accordance with Chapter 464, F.S. or be eligible to practice nursing in accordance with Rule 64B9-3.003,
F.A.C.;
• Must possess a minimum of an associate’s degree in nursing; and
• One (1) year of professional nursing experience or a bachelor's degree from an accredited college or university
with a major in nursing.
Page 129 of 146

CONTRACT #C3076
Attachment A

Registered Nurse Supervisor:
• An associate’s degree in nursing and two (2) years of professional nursing experience;
• A bachelor’s degree from an accredited college or university with a major in nursing can substitute for one
(1) year of the required experience; or
• A master's degree from an accredited college or university with a major in nursing can substitute for the
required experience.
Registered Nurse Specialist (Oncology, Dialysis, etc.):
• A bachelor's degree from an accredited college or university with a major in nursing or a related field can
substitute for one (1) year of the required general professional nursing experience. A master's degree from an
accredited college or university in nursing, nursing education, public health, or a related field can substitute
for two (2) years of the required general professional nursing experience; and
• Three (3) years of professional nursing experience with one (1) year of experience in specialty field.
Nursing Positions:
• All nursing positions (RN, LPN, and CNA) shall have and maintain Basic Care Life Support Certification for
Health Professionals.

Page 130 of 146

BUSINESS ASSOCIATE AGREEMENT

CONTRACT #C3076
Attachment B

This Business Associate Agreement supplements and is made a part of this Agreement between the Florida Department
of Corrections ("Department") and Centurion of Florida, LLC ("Contractor"), (individually, a "Party" and collectively
referred to as "Parties").
Whereas, the Department creates or maintains, or has authorized the Contractor to receive, create, or maintain certain
Protected Health Information (“PHI,”) as that term is defined in 45 C.F.R. §164.501 and that is subject to protection
under the Health Insurance Portability and Accountability Act of 1996, as amended. (“HIPAA”);
Whereas, the Department is a “Covered Entity” as that term is defined in the HIPAA implementing regulations, 45 C.F.R.
Part 160 and Part 164, Subparts A, C, and E, the Standards for Privacy of Individually Identifiable Health Information
(“Privacy Rule”) and the Security Standards for the Protection of Electronic Protected Health Information (“Security
Rule”);
Whereas, the Contractor may have access to Protected Health Information in fulfilling its responsibilities under its
contract with the Department;
Whereas, the Contractor is considered to be a “Business Associate” of a Covered Entity as defined in the Privacy Rule;
Whereas, pursuant to the Privacy Rule, all Business Associates of Covered Entities must agree in writing to certain
mandatory provisions regarding the use and disclosure of PHI; and
Whereas, the purpose of this Agreement is to comply with the requirements of the Privacy Rule, including, but not limited
to, the Business Associate contract requirements of 45 C.F.R. §164.504(e).
Whereas, in regards to Electronic Protected Health Information as defined in 45 C.F.R. § 160.103, the purpose of this
Agreement is to comply with the requirements of the Security Rule, including, but not limited to, the Business Associate
contract requirements of 45 C.F.R. §164.314(a).
Now, therefore, in consideration of the mutual promises and covenants contained herein, the Parties agree as follows:
1.

Definitions
Unless otherwise provided in this Agreement, any and all capitalized terms have the same meanings as set forth
in the HIPAA Privacy Rule, HIPAA Security Rule or the HITECH Act. Contractor acknowledges and agrees
that all Protected Health Information that is created or received by the Department and disclosed or made
available in any form, including paper record, oral communication, audio recording, and electronic display by
the Department or its operating units to Contractor or is created or received by Contractor on the Department’s
behalf shall be subject to this Agreement.

Confidentiality Requirements
A.

Contractor agrees to use and disclose Protected Health Information that is disclosed to it by the
Department solely for meeting its obligations under its agreements with the Department, in accordance
with the terms of this agreement, the Department's established policies rules, procedures and
requirements, or as required by law, rule or regulation.

In addition to any other uses and/or disclosures permitted or authorized by this Agreement or required
by law, Contractor may use and disclose Protected Health Information as follows:
(1)

if necessary for the proper management and administration of the Contractor and to carry out the
legal responsibilities of the Contractor, provided that any such disclosure is required by law or that
Contractor obtains reasonable assurances from the person to whom the information is disclosed
that it will be held confidentially and used or further disclosed only as required by law or for the
purpose for which it was disclosed to the person, and the person notifies Contractor of any
instances of which it is aware in which the confidentiality of the information has been breached;

Page 131 of 146

(2)

(3)

CONTRACT #C3076
Attachment B
for data aggregation services, only if to be provided by Contractor for the health care operations
of the Department pursuant to any and all agreements between the Parties. For purposes of this
Agreement, data aggregation services means the combining of protected health information by
Contractor with the protected health information received by Contractor in its capacity as a
Contractor of another covered entity, to permit data analyses that relate to the health care
operations of the respective covered entities.
Contractor may use and disclose protected health information that Contractor obtains or creates
only if such disclosure is in compliance with every applicable requirement of Section
164.504(e) of the Privacy relating to Contractor contracts. The additional requirements of
Subtitle D of the HITECH Act that relate to privacy and that are made applicable to the
Department as a covered entity shall also be applicable to Contractor and are incorporated
herein by reference.

Contractor will implement appropriate safeguards to prevent use or disclosure of Protected Health
Information other than as permitted in this Agreement. Further, Contractor shall implement
administrative, physical, and technical safeguards that reasonably and appropriately protect the
confidentiality, integrity, and availability of Electronic Protected Health Information that it creates,
receives, maintains, or transmits on behalf of the Department. The Secretary of Health and Human
Services and the Department shall have the right to audit Contractor’s records and practices related to
use and disclosure of Protected Health Information to ensure the Department's compliance with the
terms of the HIPAA Privacy Rule and/or the HIPAA Security Rule.
Further, Sections 164.308 (administrative safeguards). 164.310 (physical safeguards), 164.312
(technical safeguards), and 164.316 (policies and procedures and documentation requirements) of the
Security Rule shall apply to the Contractor in the same manner that such sections apply to the
Department as a covered entity. The additional requirements of the HITECH Act that relate to security
and that are made applicable to covered entities shall be applicable to Contractor and are hereby
incorporated by reference into this BA Agreement.

Contractor shall report to Department any use or disclosure of Protected Health Information, which is not
in compliance with the terms of this Agreement as well as any Security incident of which it becomes aware.
Contractor agrees to notify the Department, and include a copy of any complaint related to use, disclosure,
or requests of Protected Health Information that the Contractor receives directly and use best efforts to assist
the Department in investigating and resolving such complaints. In addition, Contractor agrees to mitigate,
to the extent practicable, any harmful effect that is known to Contractor of a use or disclosure of Protected
Health Information by Contractor in violation of the requirements of this Agreement.
Such report shall notify the Department of:
1) any Use or Disclosure of protected health information (including Security Incidents) not
permitted by this Agreement or in writing by the Department;
2) any Security Incident;
3) any Breach, as defined by the HITECH Act; or
4) any other breach of a security system, or like system, as may be defined under applicable State
law (Collectively a “Breach”).
Contractor will without unreasonable delay, but no later than seventy-two (72) hours after discovery of
a Breach, send the above report to the Department.
Such report shall identify each individual whose protected health information has been, or is reasonably
believed to have been, accessed, acquired, or disclosed during any Breach pursuant to 42 U.S.C.A. §
17932(b). Such report will:

Page 132 of 146

CONTRACT #C3076
Attachment B
1) Identify the nature of the non-permitted or prohibited access, use, or disclosure, including the
nature of the Breach and the date of discovery of the Breach.
2) Identify the protected health information accessed, used or disclosed, and provide an exact
copy or replication of that protected health information.
3) Identify who or what caused the Breach and who accessed, used, or received the protected
health information.
4) Identify what has been or will be done to mitigate the effects of the Breach; and
5) Provide any other information, including further written reports, as the Department may
request.

In accordance with Section 164.504(e)(1)(ii) of the Privacy Rule, each party agrees that if it knows of
a pattern of activity or practice of the other party that constitutes a material breach of or violation of the
other party’s obligations under the BA Agreement, the non-breaching party will take reasonable steps
to cure the breach or end the violation, and if such steps are unsuccessful, terminate the contract or
arrangement if feasible. If termination is not feasible, the party will report the problem to the Secretary
of Health and Human Services (federal government).

Contractor will ensure that its agents, including a subcontractor, to whom it provides Protected Health
Information received from, or created by Contractor on behalf of the Department, agree to the same
restrictions and conditions that apply to Contractor, and apply reasonable and appropriate safeguards to
protect such information. Contractor agrees to designate an appropriate individual (by title or name) to
ensure the obligations of this agreement are met and to respond to issues and requests related to
Protected Health Information. In addition, Contractor agrees to take other reasonable steps to ensure
that its employees’ actions or omissions do not cause Contractor to breach the terms of this Agreement.

Contractor shall secure all protected health information by a technology standard that renders protected
health information unusable, unreadable, or indecipherable to unauthorized individuals and is developed
or endorsed by a standards developing organization that is accredited by the American National
Standards Institute and is consistent with guidance issued by the Secretary of Health and Human
Services specifying the technologies and methodologies that render protected health information
unusable, unreadable, or indecipherable to unauthorized individuals, including the use of standards
developed under Section 3002(b)(2)(B)(vi) of the Public Health Service Act, pursuant to the HITECH
Act, 42 U.S.C.A. § 300jj-11, unless the Department agrees in writing that this requirement is infeasible
with respect to particular data. These security and protection standards shall also apply to any of
Contractor’s agents and subcontractors.

Contractor agrees to make available Protected Health Information so that the Department may comply
with individual rights to access in accordance with Section 164.524 of the HIPAA Privacy Rule.
Contractor agrees to make Protected Health Information available for amendment and incorporate any
amendments to Protected Health Information in accordance with the requirements of Section 164.526
of the HIPAA Privacy Rule. In addition, Contractor agrees to record disclosures and such other
information necessary, and make such information available, for purposes of the Department providing
an accounting of disclosures, as required by Section 164.528 of the HIPAA Privacy Rule.

The Contractor agrees, when requesting Protected Health Information to fulfill its contractual
obligations or on the Department’s behalf, and when using and disclosing Protected Health Information
as permitted in this contract, that the Contractor will request, use, or disclose only the minimum
necessary in order to accomplish the intended purpose.

Obligations of Department
A.

The Department will make available to the Business Associate the notice of privacy practices
(applicable to offenders under supervision, not to inmates) that the Department produces in accordance
with 45 CFR 164.520, as well as any material changes to such notice.

Page 133 of 146

CONTRACT #C3076
Attachment B
The Department shall provide Business Associate with any changes in, or revocation of, permission by
an Individual to use or disclose Protected Health Information, if such changes affect Business
Associate’s permitted or required uses and disclosures.
The Department shall notify Business Associate of any restriction to the use or disclosure of Protected
Health Information that impacts the business associate’s use or disclosure and that the Department has
agreed to in accordance with 45 CFR 164.522 and the HITECH Act.

Termination
A.

Termination for Breach - The Department may terminate this Agreement if the Department determines
that Contractor has breached a material term of this Agreement. Alternatively, the Department may
choose to provide Contractor with notice of the existence of an alleged material breach and afford
Contractor an opportunity to cure the alleged material breach. In the event Contractor fails to cure the
breach to the satisfaction of the Department, the Department may immediately thereafter terminate this
Agreement.

Automatic Termination - This Agreement will automatically terminate upon the termination or
expiration of the original contract between the Department and the Contractor.

Effect of Termination
(1)

Termination of this agreement will result in termination of the associated contract between the
Department and the Contractor.

(2)

Upon termination of this Agreement or the contract, Contractor will return or destroy all PHI
received from the Department or created or received by Contractor on behalf of the Department
that Contractor still maintains and retain no copies of such PHI; provided that if such return or
destruction is not feasible, Contractor will extend the protections of this Agreement to the PHI
and limit further uses and disclosure to those purposes that make the return or destruction of
the information infeasible.

Amendment - Both parties agree to take such action as is necessary to amend this Agreement from time to time
as is necessary to comply with the requirements of the Privacy Rule, the HIPAA Security Rule, and the HITECH
Act.

Interpretation - Any ambiguity in this Agreement shall be resolved to permit the Department to comply with
the HIPAA Privacy Rule and/or the HIPAA Security Rule.

Indemnification – The Contractor shall be liable for and agrees to be liable for, and shall indemnify, defend,
and hold harmless the Department, its employees, agents, officers, and assigns from any and all claims, suits,
judgments, or damages including court costs and attorneys’ fees arising out or in connection with any nonpermitted or prohibited Use or Disclosure of PHI or other breach of this Agreement, whether intentional,
negligent or by omission, by Contractor, or any sub-contractor of Contractor, or agent, person or entity under
the control or direction of Contractor. This indemnification by Contractor includes any claims brought under
Title 42 USC §1983, the Civil Rights Act.

Miscellaneous - Parties to this Agreement do not intend to create any rights in any third parties. The obligations
of Contractor under this Section shall survive the expiration, termination, or cancellation of this Agreement, or
any and all other contracts between the parties, and shall continue to bind Contractor, its agents, employees,
contractors, successors, and assigns as set forth herein for any PHI that is not returned to the Department or
destroyed.

Page 134 of 146

FEDERAL BUREAU OF INVESTIGATION

CONTRACT #C3076
Attachment C

CRIMINAL JUSTICE INFORMATION SERVICES
SECURITY ADDENDUM
The goal of this document is to augment the CJIS Security Policy to ensure adequate security is
provided for criminal justice systems while (1) under the control or management ofa private entity or
(2) connectivity to FBI CJIS Systems has been provided to a private entity (contractor). Adequate
security is defined in Office of Management and Budget Circular A-130 as “security commensurate
with the risk and magnitude of harm resulting from the loss, misuse, or unauthorized access to or
modification of information.”
The intent of this Security Addendum is to require that the Contractor maintain a security program
consistent with federal and state laws, regulations, and standards (including the CJIS Security Policy
in effect when the contract is executed), as well as with policies and standards established by the
Criminal Justice Information Services (CJIS) Advisory Policy Board (APB).
This Security Addendum identifies the duties and responsibilities with respect to the installation and
maintenance of adequate internal controls within the contractual relationship sothat the security and
integrity of the FBI's information resources are not compromised. The security program shall include
consideration of personnel security, site security, system security, and data security, and technical
security.
The provisions of this Security Addendum apply to all personnel, systems, networks and support
facilities supporting and/or acting on behalf of the government agency.
1.00

Definitions

1.01

Contracting Government Agency (CGA) - the government agency, whether a CriminalJustice Agency or
a Noncriminal Justice Agency, which enters into an agreement with a privatecontractor subject to this
Security Addendum.

1.02

Contractor - a private business, organization or individual which has entered into an agreement for the
administration of criminal justice with a Criminal Justice Agency or a Noncriminal Justice Agency.

2.00

Responsibilities of the Contracting Government Agency.

2.01

The CGA will ensure that each Contractor employee receives a copy of the Security Addendum and the
CJIS Security Policy and executes an acknowledgment of such receipt andthe contents of the Security
Addendum. The signed acknowledgments shall remain in the possession of the CGA and available for
audit purposes. The acknowledgement may be signedby hand or via digital signature (see glossary for
definition of digital signature).

3.00

Responsibilities of the Contractor.

3.01

The Contractor will maintain a security program consistent with federal and state laws,regulations, and
standards (including the CJIS Security Policy in effect when the contract is executed and all subsequent
versions), as well as with policies and standards established by theCriminal Justice Information Services
(CJIS) Advisory Policy Board (APB).

4.00
4.01

Security Violations.

4.02

The CGA must report security violations to the CJIS Systems Officer (CSO) and theDirector, FBI,
along with indications of actions taken by the CGA and Contractor.
Security violations can justify termination of the appended agreement.

Page 135 of 146

4.03

Upon notification, the FBI reserves the right to:

CONTRACT #C3076
Attachment C

a. Investigate or decline to investigate any report of unauthorized use;
b. Suspend or terminate access and services, including telecommunications links. TheFBI will provide

the CSO with timely written notice of the suspension. Access andservices will be reinstated only
after satisfactory assurances have been provided to the FBI by the CGA and Contractor. Upon
termination, the Contractor's records containing CHRI must be deleted or returned to the CGA.

5.00

Audit

5.01

The FBI is authorized to perform a final audit of the Contractor's systems aftertermination of the Security
Addendum.

6.00

Scope and Authority

6.01

This Security Addendum does not confer, grant, or authorize any rights, privileges, or obligations on any
persons other than the Contractor, CGA, CJA (where applicable), CSA, andFBI.

6.02

The following documents are incorporated by reference and made part of this agreement: (1) the Security
Addendum; (2) the NCIC 2000 Operating Manual; (3) the CJIS Security Policy; and (4) Title 28, Code
of Federal Regulations, Part 20. The parties are also subject to applicable federal and state laws and
regulations.

6.03

The terms set forth in this document do not constitute the sole understanding by and between the parties
hereto; rather they augment the provisions of the CJIS Security Policy to provide a minimum basis for
the security of the system and contained information and it is understood that there may be terms and
conditions of the appended Agreement which impose more stringent requirements upon the Contractor.

6.04

This Security Addendum may only be modified by the FBI, and may not be modified by the parties to
the appended Agreement without the consent of the FBI.

6.05

All notices and correspondence shall be forwarded by First Class mail to:
Information Security Officer
Criminal Justice Information Services Division,
FBI 1000 Custer Hollow Road
Clarksburg, West Virginia 26306

REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK

Page 136 of 146

FEDERAL BUREAU OF INVESTIGATION

CONTRACT #C3076
Attachment C

CRIMINAL JUSTICE INFORMATION SERVICES
SECURITY ADDENDUM
CERTIFICATION

I hereby certify that I am familiar with the contents of (1) the Security Addendum, including its legal
authority and purpose; (2) the NCIC Operating Manual; (3) the CJIS Security Policy; and (4) Title 28, Code
of Federal Regulations, Part 20, and agree to be bound by their provisions.
I recognize that criminal history record information and related data, by its very nature,is sensitive and has
potential for great harm if misused. I acknowledge that access to criminal history record information and
related data is therefore limited to the purpose(s) for which a government agency has entered into the
contract incorporating this Security Addendum. I understand that misuse of the system by, among other
things: accessing it without authorization; accessing it by exceeding authorization; accessing it for an
improper purpose; using, disseminating or re-disseminating information received as a result of this
contract for a purpose other than that envisioned by the contract, may subject me to administrative and
criminal penalties. I understand that accessing the system for an appropriate purpose and then using,
disseminating or re-disseminating the information received for another purpose other than execution of
the contract also constitutes misuse. I further understand that the occurrenceof misuse does not depend
upon whether or not I receive additional compensation for such authorized activity. Such exposure for
misuse includes, but is not limited to, suspension or lossof employment and prosecution for state and
federal crimes.

Printed Name/Signature of Contractor Employee

Date

Printed Name/Signature of Contractor Representative

Date

Organization and Title of Contractor Representative

Page 137 of 146

POSITION TITLES BY TIER

CONTRACT #C3076
Attachment D

TIER ONE
Position Title
APRN (Clinician Assistant or PA)
Assistant Director of Dental Administration
Assistant Director of Nursing
Assistant Psychiatric Director
Assistant RMC Hospital Administrator
Associate Statewide Psychiatric Director
Asst. Director of Mental Health Services
Asst. Statewide Director of Mental Health Services
Chief Health Officer/Site Medical Director
Corporate Officer
Dental Manager, CDPN, PLLC
Dentist
Director of Dental Administration
Director of Nursing
General Surgeon
HCV Medical Director
Health Services Administrator
Mental Health Administrator - IP
Mental Health APRN/Physician Asst.
Mental Health APRN/Physician Asst. - IP
Mental Health CQI Monitor
Mental Health Director
Mental Health Director - IP
Mental Health Director of Nursing - IP
Mental Health RN Supervisor - IP
Nurse Manager
Oral Surgeon
Physical Therapist
Physician (Clinician)
Psychiatric Director - IP
Psychiatrist
Psychiatrist - IP
Psychological Services Director
Psychologist
Psychologist - IP
Region 2 American Sign Language Staff Interpreter
Regional Consult Coordinator
Regional CQI Program Coordinators
Regional Dental Director
Regional Director of Nursing
Page 138 of 146

Discipline
M/N
Reg-D
M/N
MH
RMC-A
Reg-MH
Reg-MH
Reg-MH
M/N
Reg-A
Reg-D
D
Reg-D
M/N
M/N
Reg-M/N
A
MH
MH
MH
Reg-A
MH
MH
MH-N
MH-N
M/N
D
M/N
M/N
MH
MH
MH
MH
MH
MH
Reg-A
Reg-A
Reg-A
Reg-D
Reg-M/N

Tier
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Regional Director of Operations
Regional EMR Specialist
Regional Infection Control Nurse
Regional Manager, Provider Recruitment
Regional Medical Director
Regional Mental Health CQI Coordinator
Regional Mental Health Director
Regional Mental Health Director of Nursing
Regional Office Manager
Regional Psychologists
Regional QM Program Coordinator
Regional Recruitment Coordinator
RMC Hospital Administrator
RMC Hospital Chief Medical Officer
RMC Hospital Director of Nursing
RMC Hospital DON - IP
RMC Hospital DON - Outpatient
RMC Hospital EMR Specialist
RMC Hospital Executive Nursing Director
RMC Hospital Health Information Specialist
RMC Hospital Infection Control Nurse
RMC Hospital Pharmacy Consultant
RMC Hospital Risk Manager
RMC Inpatient Medical Director
RMC Lab Manager
RMC Mental Health Director
RMC Nurse Manager W Unit
RMC Outpatient CHO
RMC Radiology Manager
RMC Respiratory Therapist Supervisor
RN Supervisor
Scheduler
Sr HR Business Partner
Statewide Aftercare Specialist
Statewide Dental Director
Statewide Director of CQI & EMR
Statewide Director of Mental Health Operations
Statewide Director of Nursing
Statewide Disabled/Impaired Inmate Coordinator
Statewide EMR Director
Statewide EMR Project Manager
Statewide Female Health Services Coordinator
Statewide Medical Director
Statewide Medical Records Lead
Page 139 of 146

CONTRACT #C3076
Attachment D
Reg-A
1
Reg-A
1
Reg-M/N
1
Reg-A
1
Reg-M/N
1
Reg-MH
1
Reg-MH
1
Reg-MH
1
Reg-A
1
Reg-MH
1
Reg-A
1
Reg-A
1
RMC-A
1
RMC-M/N
1
RMC-M/N
1
RMC-M/N
1
RMC-M/N
1
RMC-A
1
RMC-M/N
1
RMC-A
1
RMC-M/N
1
RMC-P
1
RMC-M/N
1
RMC-M/N
1
RMC-M/N
1
RMC-MH
1
RMC-M/N
1
RMC-M/N
1
RMC-M/N
1
RMC-M/N
1
M/N
1
A
1
Reg-A
1
Reg-MH
1
Reg-D
1
Reg-A
1
Reg-MH
1
Reg-M/N
1
Reg-M/N
1
Reg-A
1
Reg-A
1
Reg-M/N
1
Reg-M/N
1
Reg-A
1

Statewide Medical Re-Entry Coordinator (Located at RMC)
Statewide Mental Health Administrative Assistant
Statewide Mental Health CQI Director
Statewide Mental Health Director
Statewide Mental Health Director of Nursing
Statewide Mental Health Educator
Statewide Mental Health Educator & Director of Reentry
Statewide Mental Health Re-Entry Coordinator
Statewide Mental Health Training Coordinator
Statewide Mortality Coordinator
Statewide Pharmacy Program Director
Statewide Psychiatric Advisor
Statewide Psychiatrist
Statewide Psychologist
Statewide Recruitment Coordinator
Statewide Telehealth Coordinator
Statewide UM Medical Director
Vice President, Chief Compliance Officer
VP of Operations

CONTRACT #C3076
Attachment D
Reg-M/N
1
Reg-MH-A
1
Reg-MH-A
1
Reg-MH
1
Reg-MH-N
1
Reg-MH
1
Reg-MH
1
Reg-MH
1
Reg-MH
1
Reg-M/N
1
Reg-P
1
Reg-MH
1
Reg-MH
1
Reg-MH
1
Reg-A
1
Reg-A
1
Reg-M/N
1
Reg-A
1
Reg-A

Discipline
A
A
Reg-A
MH
MH
Reg-A
Reg-A
Reg-A
Reg-A
D
D
Reg-A
Reg-A
Reg-A
Reg-A
Reg-A
Reg-A
Reg-A
Reg-MH
Reg-A
Reg-A

Tier
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

TIER TWO
Position Title
Administrative Assistant
Assistant Health Services Administrator
Associate HR Business Partner
Behavioral Health Technician - IP
Behavioral Health Technician (Specialist)
Clerical Support
Continuous Quality Improvement (CQI) Coordinator
Data Analyst
Data Entry Specialists
Dental Assistant
Dental Hygienist
Director of Nursing and Clinical Recruitment
EMR Education Coordinator
EMR Lead Analyst
EMR Lead Innovation Specialist
EMR Systems Administrator
EMR Systems Support
EMR/OBIS/Medical Records
Floating MHP
HR Administrator
HR Business Partner
Page 140 of 146

HR Manager
Human Services Counselor
Infection Control - HepC
Infection Control Nurse
Infectious Disease Case Manager
Lead Infection Control - HepC
Lead Infectious Disease Case Manager
IT Manager
IT Support Lead
IT Support Specialists
IT Systems Administrator
Lead Physician Recruiter Florida
Leave Administrator
LPN
Medical Records Clerk
Medical Records Clerk-MH
Medical Records Supervisor
Medical Records Trainer
Mental Health Clerk
Mental Health Clerk - IP
Mental Health CNA - IP
Mental Health Educator
Mental Health LPN
Mental Health LPN - IP
Mental Health Nurse Educator
Mental Health Professional
Mental Health Professional - IP
Mental Health RN
Mental Health RN - IP
Nurse and Clinical Recruiter
OBIS Specialist
Physician Recruiter Florida
Psychiatric Consultant
Psychology Intern - IP
Psychology Resident
Reentry Specialist
Reentry Specialist - IP
Regional Administrative Assistant
Regional Administrative Coordinator
Regional Nurse Educator
Regional UM Lead
Registered Nurse
Registered Nurse Specialist
RMC Infirmary
Page 141 of 146

CONTRACT #C3076
Attachment D
Reg-A
2
MH
2
Reg-M/N
2
M/N
2
Reg-M/N
2
Reg-M/N
2
Reg-M/N
2
Reg-A
2
Reg-A
2
Reg-A
2
Reg-A
2
Reg-A
2
Reg-A
2
M/N
2
A
2
MH-A
2
A
2
Reg-A
2
MH-A
2
MH-A
2
MH-N
2
Reg-MH
2
MH-N
2
MH-N
2
Reg-MH
2
MH
2
MH
2
MH-N
2
MH-N
2
Reg-A
2
Reg-A
2
Reg-A
2
MH
2
MH
2
MH
2
MH
2
MH
2
Reg-A
2
Reg-A
2
Reg-M/N
2
Reg-M/N
2
M/N
2
M/N
2
RMC-M/N
2

CONTRACT #C3076
Attachment D
RMC-M/N
2
RMC-M/N
2
M/N
2
M/N
2
Reg-M/N
2
Reg-M/N
2
Reg-M/N
2

RMC Lab Technician
RMC Respiratory Therapist
RN-CQI-Medication Practice
RN-Infusion/Chemotherapy
UM Nurse - Float
UM Nurse Inpatient
UM Nurse Outpatient
UM Referral Specialist

Reg-M/N

TIER THREE
Position Title
CNA/PA/Med Tech
HCV Data Entry Specialist
Inventory Coordinator
Lead Inventory Coordinator
Phlebotomist
Re-Entry Svcs Case Mgr
RN Education
Secondary Screener
Secondary Screener (ADA)
Telehealth Coordinator
Transcriptionist

Discipline
M/N
Reg-M/N
M/N
M/N
M/N
M/N
M/N
M/N
M/N
M/N
M/N

Page 142 of 146

Tier
3
3
3
3
3
3
3
3
3
3
3

CONTRACT #C3076
Attachment E
SERVICE LOCATIONS (up to date as of 4-17-23; may need updating prior to execution)
Major Institutions
* Indicates an active Work Camp, Forestry Camp or Road Prison, reporting to the
Institution’s Warden, appearing on a subsequent list within the Attachment.
Region I
Apalachee Correctional Institution East
35 Apalachee Drive
Sneads, Florida 32460-4166

Apalachee Correctional Institution West
52 West Unit Drive
Sneads, Florida 32460-4165

* Calhoun Correctional Institution
19562 SE Institution Drive
Blountstown, Florida 32424-5156
Franklin Correctional Institution
1760 Highway 67 North
Carrabelle, Florida 32322
Gulf Correctional Institution
500 Ike Steele Road
Wewahitchka, Florida 32465-0010
* Jackson Correctional Institution
5563 10th Street
Malone, Florida 32445-3144
Liberty Correctional Institution
11064 N.W. Dempsey Barron Road
Bristol, Florida 32321-9711

* Century Correctional Institution
400 Tedder Road
Century, Florida 32535-3659
Gadsden Reentry Center
26380 Blue Star Highway
Havana, FL 32333
* Holmes Correctional Institution
3142 Thomas Drive
Bonifay, Florida 32425-0190
Jefferson Correctional Institution
1050 Big Joe Road
Monticello, Florida 32344-0430
Northwest Florida Reception Center
4455 Sam Mitchell Drive
Chipley, Florida 32428-3597

Northwest Florida Reception Center Annex
4455 Sam Mitchell Drive
Chipley, Florida 32428-3597

* Okaloosa Correctional Institution
3189 Little Silver Rd.
Crestview, Florida 32539-6708

Quincy Annex (reports to Liberty CI)
2225 Pat Thomas Parkway
Quincy, Florida 32351-8645
Santa Rosa Annex
5850 East Milton Rd.
Milton, Florida 32583-7914
Wakulla Annex
110 Melaleuca Drive
Crawfordville, Florida 32327-4963

Santa Rosa CI
5850 East Milton Rd.
Milton, Florida 32583-7914
* Wakulla Correctional Institution
110 Melaleuca Drive
Crawfordville, Florida 32327-4963
* Walton Correctional Institution
691 Institution Road
DeFuniak Springs, Florida 32433-1831
Region II

Baker Re-Entry Center
17128 U.S. Highway 90 West
Sanderson, Florida 32087-2359
Columbia Correctional Institution Annex
216 S.E. Corrections Way
Lake City, Florida 32025-2013
Cross City Correctional Institution East Unit
568 NE 255th Street
Cross City, Florida 32628
Hamilton Correctional Institution
10650 SW 46th Street
Jasper, Florida 32052-1360

* Columbia Correctional Institution
216 S.E. Corrections Way
Lake City, Florida 32025-2013
* Cross City Correctional Institution
568 NE 255th Street
Cross City, Florida 32628
* Florida State Prison
7819 N.W. 228th Street
Raiford, Florida 32026-1000
Hamilton Correctional Institution Annex
10650 S.W. 46th Street
Jasper, Florida 32052-1360

Page 143 of 146

CONTRACT #C3076
Attachment E
Lawtey Correctional Institution
7819 N.W. 228th Street
Raiford, Florida 32026-2000
Mayo Correctional Institution Annex
8784 US Highway 27 West
Mayo, Florida 32066-3458
Reception and Medical Center
P.O. Box 628
Hwy 231
Lake Butler, Florida 32054-0628
* Suwannee Correctional Institution
5964 U.S. Highway 90
Live Oak, Florida 32060

* Lancaster Correctional Institution
3449 S.W. State Road 26
Trenton, Florida 32693-5641
* Madison Correctional Institution
382 Southwest MCI Way
Madison, Florida 32340-4430
Putnam Correctional Institution
128 Yelvington Road
East Palatka, Florida 32131-2112

Reception and Medical Center West
8183 SW 152nd Loop
P.O. Box 628
Lake Butler, Florida 32054-0628
Suwannee Correctional Institution Annex
* Tomoka Correctional Institution
5964 U.S. Highway 90
3950 Tiger Bay Road
Live Oak, Florida 32060
Daytona Beach, Florida 32124-1098
Taylor Correctional Institution
* Union Correctional Institution
8501 Hampton Springs Road
7819 N.W. 228th Street
Perry, Florida 32348-8747
Raiford, Florida 32026-4000
Region III
* Avon Park Correctional Institution
Central Florida Reception Center
P.O. Box 1100
7000 H C Kelley Rd
County Road 64 East
Orlando, Florida 32831-2518
Avon Park, Florida 33826-1100
Central Florida Reception Center East
Central Florida Reception Center South
7000 H C Kelley Road
7000 H C Kelley Road
Orlando, Florida 32831-2518
Orlando, Florida 32831-2518
* DeSoto Annex
Florida Women’s Reception Center
13617 S.E. Highway 70
3700 NW 111th Place
Arcadia, Florida 34266-7800
Ocala, Florida 34482-1479
* Hardee Correctional Institution
Hernando Correctional Institution
6901 State Road 62
16415 Springhill Drive
Bowling Green, Florida 33834-9505
Brooksville, Florida 34604-8167
Lake Correctional Institution
* Lowell Correctional Institution
19225 U.S. Highway 27
11120 NW Gainesville Rd
Clermont, Florida 34715-9025
Ocala, Florida 34482-1479
*Lowell Correctional Institution Annex
* Marion Correctional Institution
11120 NW Gainesville Rd
3269 NW 105th Street
Ocala, Florida 34482-1479
Lowell, Florida 32663-0158
* Polk Correctional Institution
10800 Evans Road
Polk City, Florida 33868-6925

* Sumter Correctional Institution and BTU
9544 County Road 476B
Bushnell, Florida 33513-0667

Zephyrhills Correctional Institution
2739 Gall Boulevard
Zephyrhills, Florida 33541-9701
Charlotte Correctional Institution
33123 Oil Well Road
Punta Gorda, Florida 33955-9701

Region IV

Page 144 of 146

Dade Correctional Institution
19000 S. W. 377th Street
Florida City, Florida 33034-6409

Everglades Correctional Institution
1601 S.W. 187th Ave.
Miami, Florida 33194-3701
Homestead Correctional Institution
19000 S. W. 377th Street
Florida City, Florida 33034-6409
Okeechobee Correctional Institution
3420 N.E. 168th St.
Okeechobee, Florida 34972-4824
South Florida Reception Center
14000 NW 41st Street
Doral, Florida 33178-3003

CONTRACT #C3076
Attachment E
Everglades Re-Entry
1601 S.W. 187th Ave.
Miami, Florida 33194-3701
* Martin Correctional Institution
1150 S.W. Allapattah Road
Indiantown, Florida 34956-4397
Sago Palm Re-Entry Center
500 Bay Bottom Rd
Pahokee Florida 33476
South Florida Reception Center South Unit
13910 NW 41st Street
Doral, Florida 33178-3014

Work Camps, Forestry Camps, and Road Prisons
Region I

Calhoun Work Camp
19564 SE Inst. Drive
Blountstown, Florida 32424-5156
Holmes Work Camp
3182 Thomas Drive
Bonifay, Florida 32425-4238
Okaloosa Work Camp
3189 Little Silver Road
Crestview, Florida 32539-6708
Walton Work Camp
301 World War II Veterans Lane
DeFuniak Springs, Florida 32433-1838

Century Work Camp
400 Tedder Road
Century, Florida 32535-3659
Jackson Work Camp
5607 10th Street
Hwy 71 North
Malone, Florida 32445-9998
Wakulla Work Camp
110 Melaleuca Drive
Crawfordville, Florida 32327-4963

Region II
Cross City Work Camp
568 N.E. 255th Street
Cross City, Florida 32628

Columbia Work Camp
216 S.E. Corrections Way
Lake City, Florida 32025

Florida State Prison Work Camp
Post Office Box 800
Raiford, Florida 32083

Lancaster Work Camp
3449 SW SR 26
Trenton, Florida 32693-5641

Madison Work Camp
Post Office Box 692
382 SW MCI Way
Madison, Florida 32340-4430

Suwannee Work Camp
5964 U.S. Highway 90
Live Oak, Florida 32060

Tomoka Work Camp
3950 Tiger Bay Road
Daytona Beach, Florida 32124-1098

Union Work Camp
13600 N.E. 258 Court
Raiford, Florida 32026-3000
Region III

Avon Park Work Camp
Post Office Box 1100
County Road 64 East
Avon Park, Florida 33826-1100

DeSoto Work Camp
Highway 70 East
Arcadia, Florida, 34266

Page 145 of 146

CONTRACT #C3076
Attachment E
Largo Road Prison (Polk CI)
5201 Ulmerton Road
Clearwater, Florida 33760-4006

Hardee Work Camp
6899 State Road 62
Bowling Green, Florida 33834-9505
Lowell Work Camp
11120 NW Gainesville Road
Ocala, Florida 34482
Polk Work Camp
10800 Evans Road
Polk City, Florida 33868-6925
Region IV
Loxahatchee Road Prison (Martin CI)
230 Sunshine Road
West Palm Beach, Florida 33411-3616

Page 146 of 146

Marion Work Camp
Post Office Box 158
3269 NW 105th Street
Lowell, Florida 32663-0158
Sumter Work Camp
Post Office Box 1807
9544 County Road 476B
Bushnell, Florida 33513-0667
Martin Work Camp
1150 SW Allapattah Road
Indiantown, Florida 34956-4310

Contract No. C3076 - Exhibit 1

Centurion Second Revised BAFO 3-17-23

C3076 - Exhibit 1

Centurion Second Revised BAFO 3-17-23

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Contract No. C3076 - Exhibit 1

Centurion Second Revised BAFO 3-17-23

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Contract No. C3076 - Exhibit 1

Centurion First Revised BAFO 3-9-23

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Contract No. C3076 - Exhibit 1

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Centurion First Revised BAFO 3-9-23

Contract No. C3076 - Exhibit 1

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Centurion First Revised BAFO 3-9-23

Contract No. C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

“Best and Final Offer”
in response to Florida Department of Corrections
ITN No. 22-042
Submitted: March 5, 2023
Note: For ease of reference, Centurion includes the Table of Contents below for the
specific items contained in this submission.
Table of Contents

Page

Introduction

Centurion’s Company Updates Post ITN Submission

The Right Partner for FDC

Service Components of the Negotiation Process

Negotiation Topic: Staffing – Recruiting and Retention

Negotiation Topic: Mental Health Services

Negotiation Topic: Medical Care Services and Pharmacy Services

Negotiation Topic: Information Technology and Electronic Medical Record

Negotiation Topic: Dental Services

Negotiation Topic: Staffing Plans for FDC

Cost Breakdown Sheet Submission Methodology

Attachments (separately attached in e-mail submission)
Attachment A – Florida Dashboard and Report Samples

Attachment B – Centurion Network Implementation Timeline

Attachment C – Centurion Proposed Staffing Plans for FDC

Attachment D – Centurion Cost Breakdown Worksheet

Page 1

Contract No. C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Introduction
Centurion is pleased to submit the following information in response to the Florida
Department of Correction’s (FDC) request for a “Best and Final Offer” (BAFO) regarding our
response to ITN No. 22-042 for Comprehensive Health Care Services. While this
information is described as a “Best and Final Offer”, Centurion remains committed to
continuing to engage in negotiation sessions with the Department towards meeting the
Department’s objectives for a viable health services program within the budget constraints
yet to be established by the legislature in the coming weeks.
Over the last five months, Centurion met with FDC and conducted numerous ITN negotiation
sessions surrounding various service areas of our proposal in detail. We appreciate this
opportunity to ensure our proposal delivers all services requested by the Department, while
remaining conscious of the limited funding likely to be allocated to fund the program. We
appreciate the Department’s challenge of identifying the projected costs for the program in
order to pursue adequate funding. To that end, Centurion has been transparent in
presenting the multitude of cost assumptions to support the projections for the various
scenarios requested by the Department. We remain poised to continue providing as much
information as the Department may need in order to inform the legislature of the true present
and future funding needs to attract and maintain the clinical personnel needed to adequately
staff the program across all facilities.
Centurion values our long-standing, successful relationship serving the Florida Department
of Corrections, which dates back more than 20 years, and we are eager to continue
discussing the assumptions that drive our cost projections and address any questions the
evaluation committee may have. Ultimately, we view it as our role to assist the Department
in identifying the true costs for
meeting mandatory staffing and
~
service levels so the Department
~
may make an informed request of
From Day One, Centurion's commitment to
the legislature for funding over the
coming years.
stringent RFP bidding requirements has

---------

allowed our model to transform the Florida
Since assuming the FDC contracts,
we have met and exceeded the
correctional healthcare contract
FDC’s goals, changing a previously
fragmented healthcare system into
one that is unified, integrated,
public-health focused and patient-centered. We have worked hand-in-hand with our FDC
Page 2

Contract No. C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

colleagues to provide exemplary healthcare services and ensure the safety and security of
the facilities in which we work and meet the complex healthcare needs of the individuals we
serve. Together, we have identified and addressed facility and system-wide challenges,
used innovative solutions to enhance service delivery, successfully implemented the new
electronic health record system, battled the COVID-19 pandemic, and implemented costsaving solutions to help offset the soaring market increases in healthcare wages. The
programmatic improvements we made to date have removed the FDC from extensive
litigation and have created a healthcare environment that is accessible, focused on quality,
patient-centered, and dedicated to helping the FDC population achieve better health
outcomes.
Centurion has demonstrated our ability to transition and steadily operate the program, which
is no small feat given the vast scale and complex requirements of the program, including the
filling of more than 3,000 positions throughout the state in an environment of healthcare
staffing shortages and wage inflation not seen in decades, if ever. Centurion has
demonstrated our financial strength and stability, as well as management stability, to meet
the enormous financial requirements to ‘float’ millions of dollars in costs each day, even in
the current environment of rapidly rising interest rates. Just in the past month, we have
seen three correctional healthcare companies’ CEO’s exit their positions and a bankruptcy
filing by a long-standing company. Needless to say, these are extremely challenging times,
and Centurion stands out as a company of strength and stability, with the demonstrated
experience in being able to manage large, complex programs and solve major service
challenges over multi-year contract terms.
The cost-based funding structure of this contract ensures the Department has full visibility, in
real time, of the true costs of the program on a month-to-month basis, while preserving the
Department’s control over its resources. The budget ‘cap’ for healthcare services
established by the legislature and placed on the Department sets the financial ‘limit’ for the
program from which the Department and Centurion collaborate to ensure appropriate
services are provided while respecting the funding limits. Though it can be said “the
legislature does not determine acuity”, no state allows for an open-ended budget structure
for correctional healthcare services. With that in mind, it becomes incumbent upon the
correctional agency to ‘inform’ its legislature with the information necessary so that the
legislature can fulfill its obligations for funding public health and public safety, and doing so
in respect of the Constitution-derived minimum standards for inmate healthcare services.
The program is at somewhat of a crossroads given the extraordinary conditions in the
healthcare marketplace combined with other economic challenges. Hospitals across the
country have seen their wages increase 37% in just two years. This sudden wage increase
was driven partially by the COVID-19 pandemic and the infusion of billions of dollars from
Page 3

Contract No. C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

the federal government into community-level healthcare systems, resulting in soaring wages
for staff, in particular nurses. These extremely high wages attracted healthcare
professionals away from correctional systems that simply could not match the market rates
at the pace the market rates were, and still are, rising. As government entities, correctional
agencies are more accustomed to gradual wage increases at a pace of 3% or less year over
year. We have also seen the rates charged by temporary staffing agencies (i.e., nursing
agencies, locum tenens physician staffing agencies, etc.) double and even triple from rates
of just two years ago, greatly increasing the cost to fill positions by double-digit percentage
rates.
Centurion and the FDC have seen the impact of these market conditions on staffing patterns
in both the healthcare and security positions throughout the state, with higher than
traditional vacancy and turnover rates, and higher reliance on high-cost temporary staffing
agencies. These staffing instabilities weaken the program and cause backlogs of service
and lower compliance with the program’s objectives and performance standards.
Centurion has monitored the legislative process and observed the FDC’s pursuit of wage
increases for its security staff over the present and previous legislative sessions. The
healthcare program is in the same predicament and in dire need of wage increases to be
able to compete in the marketplace and retain the caliber of healthcare professionals
required to operate a successful program. Centurion is eager to provide as much
information to the Department as the Department may need to support its request for
increased funding for the healthcare program with particular emphasis on market conditions
for healthcare wages.
Wages for staff are not the only area of cost inflation. As the FDC knows, inmates routinely
are transported to healthcare providers in the community, all of which have experienced
similar wage increases and thus pass those new costs on to their various payers, including
the FDC via the Centurion contract. These offsite care costs amount to millions of dollars of
expense each year and the cost increases occur on almost an as-needed basis, beyond the
control of anyone, and are passed directly to FDC via the Centurion contract.
In years past under previous contractors, the FDC saw the provision of necessary offsite
services denied as a means to keep the healthcare program falsely below the budget cap
for the short term, but causing protracted litigation for the long term. Centurion does not
deny care that is absolutely and undeniably necessary in order to meet a budget cap, and
we have proven as much in the current contract.
When we inherited the contract from the previous vendors in 2016 and 2017, we
immediately found that necessary clinical services had been delayed across the system and
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Contract No. C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

many positions were vacant. We
were successful in hiring hundreds
Florida Today
of new personnel and attracting
previous personnel, who had left
Prior to Centurion
Today
their positions under the previous
vendors, to return to serving the
Full Cost
Lack of Cost
Transparency
Transparency
FDC through Centurion. We
arranged for the provision of much
needed, but delayed, surgical
Full Spectrum of
Poor Quality of Care
Care Provided
procedures for hundreds of
patients, and spent millions of
dollars of our own money in excess
Industry Leading
Staffing Constraints
Fill Rates
of the then in place budget caps to
accomplish these systemic
remedies. No other company
would, or could, go to those lengths to serve the FDC.

►
►
►

Centurion remains as committed today to the success of the program as we were in 2016,
and as we were in prior contracts dating back to our first contract serving the FDC in 1999.
When we first inherited the contact from the previous vendor, Centurion achieved the
following immediate solutions to assist the FDC in repairing the much-needed issues:


Hepatitis-C treatment: Over 9,000 patients have completed HCV treatment or are
currently undergoing HCV treatment.



Specialty Care Backlogs: Thousands of specialty consult backlogs at contract start
in 2016, resolved by Centurion utilization management team over an initial two-year
period.



Hernia Surgeries: The previous vendor had not been providing hernia surgeries,
which resulted in a costly lawsuit against the FDC. Immediately upon contract
startup, Centurion began coordinating hundreds of hernia surgeries in 2016 and
2017 allowing the State to settle the litigation, and Centurion has performed in
excess of 3,000 hernia surgeries.



Backlogs: Backlogs for offsite specialty care, including ER appointments, were at a
high level due to the previous vendor not allowing outside healthcare consultations
and services.



Computer Replacement: Replaced approximately 3,000 computers across all
facilities.

Page 5

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Over the last five months, Centurion participated in in-person negotiation sessions and
discussions with the FDC pertaining to the major service areas of the program, as outlined in
the following table, along with the stated required deliverables from each session:

Centurion and FDC Negotiation Sessions
Service Area Topic

Date of Negotiation
Meeting

Post Meeting Deliverables


Overview of ITN Response

September 20, 2022





Staffing – Recruitment and
Retention



October 4, 2022




Mental Health Services

November 1, 2022

Medical Care Services and
Pharmacy Services

November 22, 2022

Information Technology/Electronic
Medical Record

December 21, 2022

Centurion Slide Deck – September
20 Meeting
Centurion Attendee List – September
20 Meeting
Centurion Slide Deck – October 4
Meeting
Centurion Attendee List – October 4
Meeting
Staffing Communications Plan
Penalty Impact Scenarios Chart
Handout
Mental Health Services
Organizational Chart
Job Descriptions for RMCH
Executive Medical Director;
Statewide Female Health Services
Coordinator; Mental Health Director



Staffing Pattern Worksheet



Staffing Pattern Worksheet – Dental
Services




Staffing Pattern Worksheet (2)
Staffing Pattern Cost Scenarios

Dental Services
Staffing Plans for the FDC Program

January 5, 2023

Later in this Best and Final Offer response, we provide a summary of the discussion points,
innovations, and planned initiatives for each service category.

Page 6

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Centurion’s Company Updates Post ITN Submission
Centurion proudly submitted our proposal to the Florida Department of Corrections (FDC) in
response to ITN 22-042 Comprehensive Health Care Services on July 15, 2022. Since our
proposal submission, we have undergone some company changes.
The current incumbent and bidding entity for this procurement, Centurion of Florida, LLC
(Centurion) is a wholly owned subsidiary of Centurion Equity, Inc. As the FDC is familiar,
and as described in our ITN response, Centurion previously operated as a wholly owned
subsidiary within the Centene Corporation corporate structure. Therefore, in our ITN
response, we highlighted several components of our company and value-added services
through the connection to Centene. On January 10, 2023, Centurion Equity, Inc. was
acquired and is now owned by the Sullivan Brothers Family of Companies (SBFC). We
describe in more detail the change in ownership below. The services stemming from our
affiliation with Centene Corporation are still available to Centurion and our clients under a
long-term agreement between Centurion and Centene. As these long-term agreements
expire, we will either seek those value-added services elsewhere, develop them in-house, or
extend our current agreements. We will keep the FDC apprised of any changes. As
Centurion was already largely self-sufficient as a standalone correctional healthcare
company, fully resourced to deliver services and manage the day to day financial and
administrative functions, the change of ownership has had little impact on our operations. If
anything, the change has made us even more flexible and nimble as we are truly an
independent correctional healthcare company with no attachment to large private equity
firms, publicly traded companies, or other financial investor groups.
2023 Change in Ownership – Centurion’s continued natural evolution
Centurion’s roots date back to 1981 when the company was founded as “Mental Health
Management, Inc.”, a company focused on managing inpatient psychiatric units at medicalsurgical hospitals. As the company grew and developed and transitioned into new markets,
the leadership ensured the company’s ownership structure aligned with the strategic
initiatives of the company, always looking ahead at emerging trends.
The company transitioned from being privately held to publicly held, and back to privately
held in the 1990’s, adjusting to market conditions and entering new areas of service. In
1997, the company began serving correctional agencies and changed its name to “MHM
Services”. In 2010, the “Centurion” brand was launched when MHM decided to broaden its
capabilities to provide full-scale medical services to state correctional agencies. In doing so,
the company partnered with Centene Corporation to take advantage of the many managed

Page 7

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

care systems Centene had perfected in large Medicaid programs. The partnership was
successful and Centene ultimately acquired MHM and all of Centurion in 2018.
Over the 13 years of working with Centene, Centurion continued to grow and build its
resources and capabilities to be fully self-contained and able to sustain its operations, both
clinically and administratively. In January of 2023, the ownership of Centurion transitioned
from Centene Corporation to the Sullivan Brothers Family of Companies, a Texas-based
family of privately held companies providing a wide range of critical services and
infrastructure to governmental agencies.
As a fully mature, self-sufficient correctional healthcare enterprise, the transition positions
Centurion as a ‘free-standing’ service company, better able to be more responsive to the
rapidly changing challenges in correctional health. Centurion is NOT owned by a private
equity firm that seeks to only hold the company for a short term as a “financial play”, to then
flip the company to the next buyer in 3-5 years. Centurion is as it always has been, a
company dedicated to providing healthcare services to challenging populations in difficult
settings. As such, the operations of the company, its leadership, programs and services will
continue as they currently are, with the added flexibility to be more vocal in our advocacy for
correctional healthcare and more responsive to the urgent needs of our correctional agency
clients. Our partnership with Centene Corporation was highly valuable and we built our
systems and infrastructure to be able to provide comprehensive healthcare services using
modern managed care principles.
The strength of our foundation, the stability of our leadership team, and our new
ownership structure renews our sense of purpose to serve the needs of clients and
our patients, first and foremost, and from that our success is determined.

Centurion remains the best option for FDC
Within our ITN response, we included a list of future initiatives for the FDC program under
the next contract period. Since our July submission, we have already initiated
implementation on several of those initiatives. Initiatives that have begun progress or
already implemented are listed below.

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C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Initiatives Started from July 2022 ITN Proposed Future Initiatives
Proposed Service Description

Initiative Started or
Completed

With FDC approval, Centurion will expand telehealth capabilities to all FDC facilities
and offer an increased scope of services. Some of our proposed expanded
telehealth initiatives will include use of correctional tablets for in-cell programming,
patient education, and treatment; dental telehealth services to the extent this is
feasible and cost-effective; mental health and medical infirmary services; nursing
sick call and/or triage; and provider flex coverage, among other options.

Yes. Various telehealth
service expansions
including intake physical
exams, clinical and acute
care in Region I,
counseling services,
inpatient psychiatry,
increased usage of
diagnostic tools by adding
15 peripheral cases.

Initiative
Technology Initiatives

Telehealth
Expansion

EMR
Refinement

Point of Care
Ultrasound
(POCUS)

Centurion will continue to work with the FDC and Fusion to ensure that all proposed
devices and applications such as Kosmos (POCUS) and spirometers, can integrate
and report into the EMR. In addition, we will explore the feasibility of single sign on
option for the EMR system that would integrate with employee badges. We are also
optimizing reporting capabilities, forms, workflows, and linkages, with prior FDC
approval.
Expand utilization of this device to assist staff in finding patient veins, conducting
foreign body evaluations, and completing joint injections. It also assists with central
lines placements and sonogram guided paracentesis. Its current use at Lake CI and
RMCH has helped reduce the need for cardiac exams and reduced emergent
thoracentesis.

Yes. In our BAFO
response, we highlight the
voluminous improvements
and changes made to the
EMR since July.
Yes. Centurion added four
more ultrasound devices
for a total of nine devices.

Medical Initiatives

Dermascopy

Centurion will supply each facility with a dermascope, which is a handheld battery
powered magnification lens with both polarized and non-polarized light, and an
attachment that allows users to capture a magnified view of the skin lesion with a
cellphone camera. Studies have shown use of the dermascope with minimal formal
training and several months of experience can reduce unnecessary skin biopsies by
up to 66%. Additionally, the scabies mite has a definitive appearance under
dermascope lighting and magnification. This enables definitive diagnosis of an
active scabies infection without biopsy or skin scrapings, which are less sensitive for
diagnosis. This capability will also improve diagnosis of benign versus malignant
skin lesions and will become the primary tool for scabies outbreak investigation and
diagnosis.

Yes, every facility now has
a dermascope device.

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C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Initiatives Started from July 2022 ITN Proposed Future Initiatives
Initiative

Proposed Service Description

Telehealth Flex
Coverage

Centurion will utilize multi-site telehealth providers who will provide telehealth
coverage to designated facilities. Midlevel providers currently cover these facilities.
These multi-site MDs will have dedicated time weekly for APRN/PA medical record
chart reviews and education to improve /maintain the clinical skills of our mid-level
providers. This resource will provide a pool of providers who can augment any
facility with minimal notice to provide coverage for onsite provider absences or for
additional provider support in the event of a disease outbreak.

RMC Long Term
Vent Care Unit

Centurion looks forward to working with the FDC to create a unit for long-term
ventilator dependent patients, either by staffing a ward at RMCH or by contracting
with a local long-term vent management provider. This unit will offer consistent care
for patients while addressing associated staffing, bed, and security issues.

Initiative Started or
Completed
Yes. Included in
Centurion’s proposed
staffing plans for the new
contract, we’d have a
telehealth provider (MD or
midlevel) that will be 100%
telehealth dedicated as
needed by the region.
Additionally, we have
regional site directors that
will also provide full site
telehealth support.
Yes, we currently adjusted
our staffing plan to include
respiratory therapists to
provide 24/7 coverage for
ventilator patients.

Behavioral Health Initiatives

Expanding
Telehealth

Our overall expansion of telehealth services will include a focus on providing access
to mental health services for patients outside of the general population. This
includes patients receiving services in the infirmary and on inpatient units as well as
those in confinement. We propose to utilize tablets (described in more detail later)
that patients can utilize in the above-mentioned locations in cells, increasing access
to needed mental health services.

Yes. In our BAFO
response, we highlight the
voluminous improvements
and changes made to the
EMR surrounding mental
health services since our
July ITN submission.

Dental Initiatives
Equipment
Purchase

Centurion proposes to purchase intraoral cameras for oral surgery consults,
especially as they relate to dental pathology. This equipment will reduce or
eliminate the need for transfers to the RMC for this type of oral consultation.

Scan X Digital
New initiative since ITN response. This Scan X device provides digital x-rays.
X-Ray Machine
Nursing Initiatives
Urgent Care
Model

With prior FDC approval, Centurion will use APRN and PA roles to implement an
urgent care model for sick call at designated FDC facilities.

Staffing Initiatives
Employee
We will continue to evaluate and refine our employee referral program. We recently
Referral
changed the bonus for full-time licensed hires from $1,500 to $5,000.
Program

Yes, we currently utilize
these intraoral cameras for
oral surgery consults.
Yes, all facilities have a
Scan X machine.
Yes. To utilize this urgent
care model, we’ve placed
these positions in our
proposed staffing plans for
the new contract.
Yes. We continue to
increase bonuses for the
referral program.

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C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Service Components of the Negotiation Process
For the following service area topics, we provide responses and information regarding the
services and initiatives requested during our negotiation meetings with the FDC. This
information is to be taken in addition to the services, planned initiatives, and
accomplishments described in our original ITN response. As noted above, the various
service areas discussed in this negotiation process are the following:







Staffing – Recruitment and Retention
Mental Health Services
Medical Care Services
Dental Services
Information Technology/Electronic Medical Record
Staffing Plans for the FDC Program

Negotiation Topic: Staffing – Recruiting and Retention

Matching Florida Market Salaries to Improve Vacancy and Turnover Rates
In spite of all the modern technology, healthcare still boils down to people helping people.
Without sufficient staff, the FDC healthcare program, much like the security program, would
fail to meet its obligations for public health and safety. Virtually all of the compliance,
performance, innovation, and other initiatives critical to the health services program revolve
around the sufficiency of healthcare staffing patterns across the system. As described in the
introduction to this document, healthcare is at a critical juncture in terms of staffing
resources and financial resources to keep up with the soaring demand and diminishing
supply of clinical professionals in the general marketplace. These market conditions have a
profound impact on correctional systems that were already challenged to attract and retain
clinical professionals to work in the corrections environment. The current market conditions
has licensed healthcare professionals being bombarded with recruiting ads on a near daily
basis for higher and higher paying positions in community healthcare settings. Florida’s
soaring population will continue to increase demand for healthcare services and clinicians in
the community and pose an ongoing challenge for correctional agencies to maintain
sufficient staffing levels.
Today, the FDC healthcare program necessitates the filling of over 3,000 full-time equivalent
positions to provide services and perform the program’s administrative services throughout
the state, with the vast majority of the positions being assigned to provide clinical services
on site at FDC institutions.

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ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Centurion is acutely aware of these new market dynamics, as we’ve seen our workforce in
Florida, and other states, greatly impacted by the double-digit wage increases in the
community and booming industry for temporary staff, with soaring wages for temporary staff
causing nurses to flock to the temp agency and travel nurse market. These new market
conditions for clinical staff and compensation rates accounts for the majority of the
significant cost projection increases described in our various cost projections provided to the
FDC as part of this ITN process. It is important to note, the double-digit percentage cost
projection increases reflected in our various submissions do not accrue to Centurion’s
bottom line per se, but go directly to current staff or staff to be hired into presently vacant
positions. The cost-based funding structure of the program ensures the FDC only pays the
actual amounts paid to staff. Therefore, the projections reflect the various ‘near-perfect’
scenarios asked for by the FDC in the ITN process (i.e., 100% fill rates). True costs will be
based on actual filled positions and the actual pay rates for staff. It will likely take some time
for the program’s costs to ‘escalate’ to the new pay rates and funding levels that will
presumably come through the legislature’s approval of a FDC budget request that is
updated to reflect the undeniable and easily substantiated current market conditions for
healthcare wages. Centurion is eager to provide the FDC with as much information as
necessary to support the FDC’s budget request, including independent information from
third-party sources regarding market conditions for healthcare wages.
Centurion also recognizes that money isn’t everything for healthcare professionals. But, to
be successful in attracting a qualified workforce of healthcare professionals, Centurion
needs to be able to offer wages in line with market conditions and recognizing the unique
challenges healthcare professionals face when working in the FDC’s correctional
institutions. All healthcare positions, including medical, dental, behavioral health and
administrative positions have been impacted by the present market conditions.
The table below provides an overview of Centurion’s current pay rates compared to actual
current market conditions, along with projected rates necessary to be successful in meeting
the FDC’s high fill rate percentages (the FDC has requested cost projections for staffing fill
rates of 90% as well as fill rates at 100%).
It is important to note, the market rates reflected in the table below are for the broader
community healthcare marketplace, where most positions are in environments and locations
markedly more ‘attractive’ and ‘convenient’ to healthcare professionals than correctional
facilities, which pose challenges of remote locations, lack of air conditioning, isolation due to
no phone/internet access, etc., plus the more fundamental challenges of personal safety
and other issues associated with corrections. The unique challenges of corrections and the
FDC’s stated desires for staffing fill rates maintained at levels of 100% require that wage

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ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

rates be not only competitive with prevailing wages in the community, but in many instances
higher than market averages.
It is also important to note that the market wage scales in the table below are reflective
average wages paid to permanent employed staff and do not factor in the exorbitant rates
paid for hourly temporary staff sourced through temp agencies.
It is also important to note that the cost projections provided by Centurion to date do not just
factor the use of higher market-based wages for filling the presently vacant positions, but
also factor the increase in wages paid to the current staff, many of which have been
patiently anticipating another market-based adjustment to their pay scale. As the FDC did
with its own security personnel, Centurion seeks to offer market-based compensation
adjustments for incumbent staff who have been working tirelessly and diligently at historical
lower wage levels while seeing rates in the community soar well beyond their present pay
scales.

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ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Page 14

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Vacancy and Staffing Communications
During the negotiation process, the FDC spoke routinely of the need to improve lines of
communication between Centurion and leadership at the facilities regarding staffing levels,
vacancies, and other staffing related issues. We previously provided the FDC with our
Communications Plan in October to resolve several of the topics discussed. We’ve again
included that Communications Plan below, with a few updates since our October
correspondence.
Centurion’s Strategy and Plan for Enhancing Communications Regarding Staffing. The
FDC healthcare program requires over 3000 positions at FDC facilities across the state.
There are many stakeholders in the information flow regarding staffing, none more important
than the leadership at each FDC facility. Presently, Centurion closely manages the
information and data processes related to the staffing
patterns, staffing needs, and status on a facility-by-facility
basis. We securely track this information using a
combination of our human resources, payroll, and
recruiting software platforms, as well as our scheduling
logs, and centralize the information in a third-party platform called Tableau.
In the current contract, our health services administrators (HSAs) at each facility are the
primary contact regarding the healthcare program for the leadership of each facility. The
HSAs are instructed to communicate directly with the Warden and Assistant Wardens
regarding vacancies and new hires. This reporting typically occurs at Warden’s weekly
meetings. Weekly Candidate Activity Reports are also available and provided to facility
leaders at their request. These reports detail staffing issues and status, and include the
number and type of vacancies, names of candidates in the recruiting pipeline, the status of
these candidates, as well as other highlights related to the staffing status at the facility.
Centurion has greatly enhanced our focus on the “candidate experience” over the past
couple of years, necessitated by the tremendous impact the COVID-19 pandemic has had
on the marketplace for healthcare professionals, with many professionals receiving endless
job offers and being subject to very aggressive recruiting in the open marketplace in the face
of significant shortages and dramatic wage fluctuations in the community. Our candidate
tracking system is designed to more rapidly and efficiently move candidates through the
process of recruiting, credentialing, prior work history verification, and other pre-hire checks,
to ensure they remain not only “interested” in the position working in FDC facilities, but
increasingly attracted to the position and the field of correctional health through the process.
The current market realities are such that our candidates are often also juggling several
other job opportunities, and the need to maintain constant contact and dialogue with

Page 15

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

candidates to avoid them ‘falling through the cracks’ and off to other job locations has never
been higher. Fortunately, the depth of our recruiting resources and number of recruiters in
Florida and across the nation allows us to maintain the necessary high level of
communication. Our system follows the candidate from the time they make initial contact
with the company and initial application all the way until the official employment offer is
made and accepted, and to the point of “handoff” to the local team at the candidate’s
ultimate work location.
One of the enhancements to the “candidate experience” and new-hire onboarding process is
introducing candidates to the warden and other security leaders on their first day. We are
also paying more attention to ensuring new hires are exposed to and increasingly
understand the realities of the position they are applying for throughout the process, as we
have found this practice helps to minimize candidates being negatively surprised in their first
days on the job.
Looking Ahead – Enhanced Communication Plan. Tableau is a
~
visual analytics and business intelligence platform that assists
~
Centurion in consolidating our operational data into useful
information for decision making and reporting, and helps us ensure
Tableau Portal
compliance across our many contracts and deliverables, while
supporting our efforts for leading an efficient enterprise. The Tableau system is managed
on our Centurion Central portal site, allowing access to multiple users at any time, from any
place. We implemented Tableau in the Florida program in 2018 and provided the FDC
central office access to the Tableau system. The other select operational and clinical
access points to Tableau also extend to the operations and providers at the state level.

centurion~

Centurion proposes to enhance the current level and methods for communicating staffing
information to leadership at each facility, including the following approaches, which expand
the use of Tableau and our other current data systems:


Meaningful Dashboards – Develop custom dashboards for each facility, showing
staffing levels, vacancies, length of vacancies, high priority vacancies, retention
rates, recruiting activities, new hires, terminations, turnover, and other metrics that
will ensure facility leaders are informed of the staffing related issues specific to their
facility.



Real-Time Access – In addition to the current level of report submission to the
leadership at each facility, our systems will allow for the provision of reports in real
time, and on demand. We also have the capability to provide leaders at the facility
level access the data and reports at their convenience. If desired, we can

Page 16

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

collaborate with the Department on the design of the most feasible access methods
at the facility level as well as custom report designs.


Customization – Not every facility is the same, each have different security
missions as well as healthcare program missions. As such, our staffing volume and
needs can vary greatly among facilities. This reality necessitates us customizing
reporting to each facility.



Quarterly “Town Halls” – Hosting quarterly “town hall” type dialogue sessions with
Regional Directors, Wardens, other site leadership, and Centurion leadership,
including Centurion’s Florida recruiting and human resources teams to discuss
recruiting strategies specific to regions, sites, job categories, etc.

We recognize that turnover and new personnel create work and security risks for facility
leadership, and staying informed about staffing levels and new hires is important to leaders
for their planning, and for the safe operation of the facility. We are encouraged by the
recent positive trends in the marketplace and the results of our efforts that are greatly
increasing the number of applicants as well as lowering turnover rates. Going forward, the
encouraging trends, our staff retention programs, and expanded use of our data
management and reporting tools will make for better informed leadership at each facility
increasing efforts to minimize turnover.

Page 17

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Example Centurion Florida Tableau Staffing Dashboard

Centurion’s Vacancy Priority Strategy. Coupled with our proposed utilization of Tableau,
Centurion advertises all positions immediately upon learning of a pending or possible
vacancy. This practice is in addition to the ongoing, steady ‘drumbeat’ of recruiting for all of
the critical job categories (i.e., nursing, medical, dental, behavioral health) that is always
occurring to ensure and maintain a steady stream of applicants. Positions that are direct
healthcare providers are given the highest priority and treated with an extra sense of
urgency.
As requested by the FDC, the graphs on the following pages showcase our abilities to
account for, record, and report staffing rates, vacancies, high priority vacancies, length of
vacancy, new hire vs. retention rates, etc. for the overall FDC program. We are also able to
generate this information on a facility-by-facility basis, including in shortened, “dashboard”
format.

Page 18

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Example Tableau Staffing Dashboard: Lawtey CI

Page 19

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Example Tableau Staffing Dashboard: Wakulla CI

Page 20

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Example Tableau Staffing Dashboard: Talent and Personnel Report

.
.
Meeting of the Mmds Talent Report: January 2023, FLDOC

~
centurion

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Retcintlon•: Current (Previous)

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Annual Rete,ntlon• eelow
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Vear':

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Contract Vacancy Rates w/ All Hired: Last 12 Months
30,216

Quarter:
Month:

28.0% (28.7% ,. -0.7%)
28.0% (28.3'1!, ,. -0.3%)

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Annual Retention•: Bottom S Facilities Weighted by FTEs
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Corporate Level Information Technology Support for Regional Information
Technology Team
As the FDC is aware, our full-time Centurion Informational Technology (IT) Helpdesk works
out of our Florida regional office in Tallahassee. During this current contract, we upgraded
our IT Helpdesk to provide 24/7/365 access to live technicians for IT, telehealth, and EMR
support. Adding 24/7 IT support reduces the operational costs of staff downtime and
quicker resolution of user issues. Our regional and corporate IT teams will continue to
support the Florida program.
Our regional technology team, helpdesk team, and EMR team has
access to Centurion’s corporate level IT team. Centurion takes
pride in our ability to work with client agencies to implement,
operate, and optimize EHR systems and technology solutions.
Over the last several years, Centurion’s internal infrastructure
supporting EMR and IT projects has grown substantially. We have
a robust internal IT department, led by Shant Tossounian, SVP,
Chief Information Officer. Our corporate level information

Shant Tossounian
SVP, Chief Information
Officer

Page 21

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

technology support team provides support for our Florida regional information technology
team.
Our corporate IT department, comprised of over 80 full-time employees, has a 24/7 help
desk, a health information technology team, an infrastructure team that manages our IT
security and our data center, analytics and informatics team, electronic health records team,
and a dedicated application development team that focuses on reporting and custom
applications. Centurion’s IT team manages computers, printers, network infrastructure,
security, internet connections, enhanced medical home systems, and other technologies
throughout our programs, including our FDC program.
Centurion’s corporate IT team will provide ongoing technical and EHR support for healthcare
and DOC staff, as requested. Within our IT department, we have a new health information
technology team that includes the following functions:





Analytics & Informatics, led by Robert Douin (Senior Manager)
Applications & Data, led by Sean Kelly (Interim Manager)
Electronic Health Records, led by Chris Bourque (Senior Director)
Telehealth, led by Norm Knippen (Director)

Centurion takes pride in our ability to work with client agencies to implement, operate, and
optimize EMR systems. Over the last several years, Centurion’s internal infrastructure
supporting EMR projects has grown substantially.
Under the health information technology team, Centurion has a
dedicated corporate team exclusively focused on electronic health
records. Having a separate EMR support team is unique in the
correctional healthcare industry. Christopher Bourque, LPN,
CCHP, Senior Director, Health Information Technology, leads
our full-time EHR team that includes the following staff:


Sharon Butler, MSN, RN, CCHP – Manager, EHR



Karen Giangrande, LPN – Manager, EHR Change
Management and Clinical Liaison



April Lee, LPN – Manager, EHR



Shawn Runey – EHR Specialist



Yuliet Lara, RN – Manager, EHR

Christopher Bourque, LPN, CCHP
Senior Director, Health Information
Technology

Page 22

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Continuing Recruitment Retention Efforts and Initiatives
To minimize staff turnover, we augment our innovative recruiting approach with a staffing
model that promotes retention by providing our employees with competitive benefits, an
empowering work environment, and top-notch resources for professional development. By
investing in our staff at every phase of the employee lifecycle, we develop and maintain a
stable workforce of healthcare professionals who work together towards a more
effective and efficient system.
We are fully invested in delivering an engaging employment experience throughout
employees’ tenure with Centurion, taking great pride in the collaboration between our
talented team of recruiting and human resources professionals. In creating smooth
transitions for new employees moving from the recruiting process to the onboarding
process, we ensure all staff are set up to feel Connected, Captivated, Committed, and
Contributing from Day One.
In fact, once a candidate is successfully recruited to Centurion and transitions into the
onboarding phase of the employee lifecycle, our committed work does not stop. Rather, we
stay in close touch with new hires as they acclimate to their positions, complete role-specific
training, and become firmly grounded in the business. It is critical that, as a listening and
learning organization that values feedback loops, we remain in lock step with our staff. In
doing so, we are able to operate proactively and address employee needs with both speed
and accuracy.
In no uncertain terms, our people are our priority. We are fully invested in delivering an
engaging employment experience throughout employees’ TeamCenturion tenure. To zero
in on the first six months of employment, our four-part Employee Experience Survey Series,
powered by UKG’s Employee Voice, automatically engages all new Centurion employees—
including full time, part time, and PRN—to participate in ongoing touchpoints.
To further support out recruitment and retention efforts, since our July ITN submission,
we’ve added a new retention initiative: Employee Voice program, described below.
Employee Voice. On August 1, 2022, Centurion launched a brand-new employee
engagement, satisfaction, and retention initiative focused on new team members: The
Employee Experience Survey Series (EESS). Designed by Centurion for our employees
and built within the Employee Voice survey platform of UKG, the EESS is comprised of four
individual, user-friendly, and intuitive survey touchpoints—each of which asks different
questions of our new employees depending on their length of service.

Page 23

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Ten, 30, 90, and 180 days after hire, all new Centurion employees receive personalized
survey invitation links in their TeamCenturion email inboxes. Meanwhile, our HR Business
Partners partnered with program and site leadership encourage new employees’ survey
completion in regular conversation and other written materials.
Carefully designed by a multidisciplinary work group to serve this purpose and ensure all
perspectives are represented, our Employee Experience Survey Series is a direct way for
Centurion to: 1) Listen to and learn from our employees, 2) Identify the most impactful
actions to take and improve their experience, and 3) Hold us accountable to positively
affecting employee retention, satisfaction, and engagement. Additional outcomes and
priorities include:


Creating more frequent touchpoints with new employees in their first six months



Coordinating a 60-day check-in between new employees and their People Leaders



Improving reporting capabilities to better deliver measurable data to gauge
sentiments influencing employee retention, engagement, assimilation into the
organization, and job readiness



Providing People Leaders detailed insight to take appropriate action in a timely
manner



Transitioning to an automated survey invitation and collection process

As we continue to onboard new employees and regularly engage with them, we are able to
strengthen our employee experience and positively impact employee retention and
satisfaction.
All in all, our approach to employee retention and satisfaction is founded on being a listening
and learning organization where feedback is not only heard but acted on. With the
Employee Voice series, the designated human resources business partner for the program
follows up with employees who provided feedback and checked the box that they would be
okay with being contacted directly. This allows the HRBP and the employee to discuss the
issue at hand and keep that employee updated on steps that management has taken to
rectify the issue.
Since rolling out the Employee Voice series, the Florida program has the highest EESS
employee participation rates in the company. For Florida leadership to have access to
this information provides them the opportunity to put a process in place for resolution of
issues brought forward and to incorporate change for their teams, thus promoting employee
happiness by their voices being heard.

Page 24

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

The table below showcases Florida specific information, using rounded numbers, regarding
the Employee Voice program and the responses. Each of these “retention” figures are
calculated with the “With Terminated” numbers for the holistic picture. For all four surveys,
Florida outpaces the overall company in terms of “retention” in these terms. For both the
company and Centurion, the “retention” figure increases with each survey (from 10-Day to
180-Day).

EESS Data for the Company and Florida as of March 3, 2023
Centurion Florida Program
Active Employees
Only
# of Trained Leaders
# of 10-Day Invitations
# of 10-Day Responses
10-Day Participation Rate
10-Day Participation Rate
Retention
# of 30-Day Invitations
# of 30-Day Responses
30-Day Participation Rate
30-Day Participation Rate
Retention
# of 90-Day Invitations
# of 90-Day Responses
90-Day Participation Rate
Retention
# of 180-Day Invitations
# of 180-Day Responses
180-Day Participation Rate
180-Day Participation Rate
Retention
Total # of Invitations
Total # of Responses
Average Participation Rate

With Employees
Since Terminated

17
10-Day Surveys
473
557
270
306
59%
55%
Of the 557 invited, 459 are still with us. 82%
retained.
30-Day Surveys
435
523
226
251
52%
48%
Of the 523 invited, 437 are still with us. 84%
retained.
90-Day Surveys
406
465
207
227
51%
49%
Of the 465 invited, 403 are still with us. 87%
retained.
180-Day Surveys
359
400
158
166
44%
42%
Of the 400 invited, 355 are still with us. 89%
retained.
1,673
1,945
861
950
51%
49%

Page 25

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

Regional Recruiting Liaisons. Additionally, to further support out recruitment and retention
efforts, in our proposed staffing plans, we include four regional recruiting liaisons to connect
operators to the recruiters to ensure a warm and welcome handoff from an applicant to an
employee. As detailed in our ITN response, we have 11 dedicated recruiters to the
Florida program. These four recruiting liaisons will be in addition to this recruitment staff
and further increase employee engagement and activity, leading to better retention rates
from the very beginning of their employment.
Increasing Training, Supervision, and New Employee Orientation
New Employee Orientation (NEO). We provide all our healthcare staff with an FDC-specific
comprehensive employee orientation. Our comprehensive and competency-based New
Employee Orientation (NEO) Program includes several training modules, some of which are
for all employees, others discipline or role specific. Orientation for new Centurion staff
includes EMR training, the completion of formal classroom orientation and training as well as
on-the-job training. As part of the Centurion New Employee Orientation Program, we
introduce new staff to the goals and methodology used in ongoing quality improvement
efforts.
Our NEO for all new staff includes employee specific topics, such as Centurion code of
conduct, HR policies and procedures, employee benefits information, confidentiality and
protecting personal information, along with sexual harassment/workplace policy. We include
learning management system courses, such as PREA overview, suicide prevention, HIPAA
confidentially, hazardous communication, access to healthcare, boundaries, UM and review,
infection prevention and control, along with others. Our FDC-contract specific NEO is
offered via zoom for 1.5 hours with the following topics covered: Who We Are; Getting
Connected; Getting Paid; Performance & Feedback; Learning & Development; Policies &
Procedures; Leave of Absence; Healthy Work Environment; Paid Time Off; Benefits, etc.
Additionally, we provide an EMR initial orientation using LMS modules to provide guided
instruction and a comprehensive overview of the EMR systems basic functions. These
modules support the transition of the new employee into their daily duties navigating the
EMR. The EMR Specialist team also provides a 4-hour new employee EMR training in
person. The curriculum provides an overview and orientation to the EMR focused on
accessing and navigating the EMR efficiently. Staff gain a basic understanding of the
processes and procedures necessary to navigate and document clinical care in the
outpatient and inpatient settings. Packets provided further assist them in discipline specific
instruction as well.

Page 26

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

In addition to our general Centurion new employee orientation, we provide discipline-specific
orientation and training for the following Centurion staff providing services:




Nursing Staff
Medical Providers
Psychiatric Providers




Dentists
Administrative and Clinical Leadership
including DONs

Since assuming the contract, we have developed and instituted new nurse, provider, DON
and HSA orientation, including all associated reviews and documentation. In addition to
discipline and position-specific initial and ongoing training, we support staff in expanding
their skills and enhancing their service delivery capabilities. Below we provide further details
about some of the discipline-specific or position-specific orientations we have developed or
are in the process of developing.
New Nursing Orientation (NNO). Our Centurion of Florida nurses complete New Nursing
Orientation (NNO). We developed NNO physical health nurse training during our current
contract with the FDC and are in the process of finalizing NNO mental health nurse training.
In addition to nurses, we also require every new provider to attend nurse orientation specific
to the area they work in, physical health or mental health.
Our nursing and medical staff receive 16 hours of contract specific education from our nurse
educators during the on-boarding process. This training occurs in four-hour increments,
over a four-day period and covers required documentation, forms, policies and procedures,
order review, MARS, medication and pharmacy related information and other topics specific
to their roles and responsibilities.
NNO provides a detailed oversight of all aspects of nursing care and documentation for FDC
nursing services from reception through EOS. The program was developed and
implemented prior to COVID and the EMR. During COVID, our nurse educators were able
to pivot and adjust the training to be provided through ZOOM, a model that has proved
effective and efficient. In addition, the training materials were updated to reflect the changes
in documentation required by the EMR. New nurses gain a knowledge in selection and
completion of the appropriate FDC nursing forms and administration of nursing services
within the physical health spectrum of care. The course covers nursing encounters
including nurse reception, sick call, emergencies, chronic clinics, TB clinics, acute and
chronic infirmary admissions, immunizations, and medication issues (DOT and KOP).
New nurses also receive additional EMR training through two- to three-hour Zoom video
instruction by the EMR training team, which builds off of the initial EMR trainings focused on
the navigation to focus more on the clinical and documentation components of the EMR.

Page 27

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

This allows time for new staff to get acclimated to the system. Training duration depends on
questions asked by nurses during presentations. The curriculum is discipline-specific and
focuses on review, documentation, and routing of nursing specific topics such as Sick Call,
Med passes, and Transfer Summaries. Upon completion, nursing staff have a complete
understanding of the processes and procedures necessary to provide clinical care in the
outpatient and inpatient settings.
New Nurse Onsite Orientation involves new nursing staff assigned a preceptor to complete
on-site orientations and complete all required tasks on DC4-654C, Nursing Personnel
Orientation Process Checklist. This meets the requirements of the FDC mandated onsite
orientation outlined in the 2022 FDC Nursing Manual.
Additionally, the DC4-654A, RN Trainee Skills Checklist or the DC4-654B LPN Trainee Skills
Checklist are required for RNs and LPN respectively. Nursing staff are considered a trainee
or orientee, based on prior nursing experience. New staff will remain in the trainee or
orientee status until all tasks are completed. The orientation can take up to one year
depending on the prior experience.
Training for Temporary Agency Staff. Under our current FDC contract, we ensure agency
staff, specifically nurses, receive the orientation and training needed to perform the
responsibilities of their assigned job, including use of the EMR and relevant policies and
procedures. We focus on utilizing a designated pool of agency nurses who have been
trained, who we have hired into the system, when needed to temporarily fill vacancies.
When we have to utilize a new agency nurse we currently assign preceptors to ensure the
agency nurse receives orientation to their job role and duties. We are also in the process of
developing an abbreviated NNO from our current program to provide a more standardized
format for new agency nurse orientation.
Training for Provider Staff (physicians, nurse practitioners). We are in the process of
developing an enhanced orientation and training for provider staff. We have a
comprehensive orientation for providers that covers major service areas. New providers
attend specific orientation with instruction and guidance on various clinical and
administrative FDC, Centurion, and/or correctional medicine topics such as completion of
conditional medical releases, participation in the mortality review process, handling difficult
and confrontational patients, understanding potential manipulative techniques, peer review,
collaborative integrative healthcare including between disciplines, etc. New provider EMR
training focuses on provider-specific clinical/documentation requirements and allows
providers to gain a more complete understanding of the processes and procedures
necessary to provide clinical care in the outpatient and inpatient settings.

Page 28

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

New provider onsite orientation is provided by an assigned preceptor to meet FDC
mandated onsite orientation requirements including completion of all tasks required on DC4654D, Clinician Personnel Orientation Process Checklist. Additionally, providers must
demonstrate proficiency for all tasks included on the New Centurion Provider Orientation
Checklist.
Training for Temporary (Locums) Provider Staff. We are in the process of developing an
orientation and training specifically for temporary provider staff (physicians, nurse
practitioners). Centurion has not had to utilize temporary providers until recently due to the
changes in market conditions. Some of the areas covered in our comprehensive provider
orientation described above, like the EMR training and assigned preceptor, are relevant for
locum providers also. Others, such as information related to conditional medical release, is
not needed for the locum providers to fulfill the expectations of their job role and
responsibilities while temporarily filling a vacancy. Thus, our temporary provider training
includes EMR training as part of their onboarding along with other topics.
Our temporary provider training, currently in development, requires approximately eight
hours to complete and includes new employee EMR orientation by the EMR training team
as well as completion of assigned videos from the Florida EMR Video Library. Videos
include the following:


Adding a medication



Changing Medical Grade from CIC Form



Clinical List Changes



Consultation Request Process



Disposition of Abnormal MH Labs – Part 1



Disposition of Abnormal MH Labs – Part 2



HCV Tx Recs and ordering DAAs



How to schedule a follow-up CIC appt and associated labs



How to update a Health Service Profile



Initiating a provider note for a sick call referral



Ordering Labs



Ordering the next periodic screening and labs from within the intake PE (for RC
providers only)



Ordering the next periodic screening and labs from within the current periodic
screening
Page 29

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
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

Prescribing EOS medications



Radiology custom List Changes



Refilling medications from within a clinical note



Additional videos covering diet passes, ordering non-formulary medication, ordering
non-formulary labs, regional medical director approval for imaging not requiring a PA
completion

Supervision of Mid-Level Staff. Our nurse practitioners (APRNs) are independently licensed
in Florida to practice without supervision. However, Centurion ensures all APRN’s have a
supervising physician and receive supervision. Our Site Medical Directors oversee all
clinical care at their assigned facility. Our regional medical directors provide additional
oversight and supervision of clinical activities. Our psychiatric nurse practitioners are
certified and may practice without direct on-site supervision, but are not considered to be
solely within the definition of primary care and therefore must maintain a collaborative
agreement with Statewide Psychiatric Director and/or designee. Psychiatric nurse
practitioners must complete 1,000 hours of supervision from a supervising psychiatrist. Our
Statewide and Associate Statewide Psychiatric Directors oversee this process.
RN Supervisors. The utilization of RN Supervisors has been in place at a select number of
facilities. Centurion has added additional RN Supervisors to our proposed staffing plan.
The RN Supervisor role is critical for the development of future RN leaders. In addition,
these roles will aid in reducing the burnout of our most valued and overworked DON’s. The
RN Supervisors will be an additional level of leadership for our nurses, which will be
reflected as follows:


Staff Training and Monitoring



Audit compliance/ Cap training



Monitors daily processes to ensure operations are efficient and up to standard



Coordinate with physicians for continuity of care for patients



Direct supervision and support of floor staff



Back up for DON, when not on site and assist with managing staff



Assist in evaluating and improving processes for efficiency, and time management



Assist in coordinating schedule of nursing staff, manages day to day staffing, and
balances as necessary



Assist in evaluating staff skill set and ability while leading by example to assist in
improving staff skillset, and assessment ability
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

Assist with emergencies and other duties



Assist in creating a professional work place by direct oversight and supervision



Working within the team will provide direct and indirect nursing care to patients



Coordinates care with security and assists in bridging communication between
medical and security

Negotiation Topic: Mental Health Services

Incorporating Staff Well Checks
In consideration of the challenges that staff, including mental health staff, face working in a
correctional environment, especially amidst ongoing staff shortages nationwide, our
Centurion leadership staff have prioritized making personal contact with staff at any
available opportunity, including personal visits by our VPO to night shift staff, for example.
Thus, in addition to formal meetings and regularly scheduled contacts, our regional and
statewide staff who go into facilities take the time to interact with and talk to site staff during
these visits. We also follow-up with staff by phone and offer webinars about avoiding staff
burnout and maintaining wellness from our corporate training department and human
resources. We take the time to really talk to staff, to check in, to inquire as to what they like
about their job and about working for Centurion, and to discover what is keeping them in
their positions in order to maintain and build on retention activities. We remind staff to take
care of themselves, to avoid compassion fatigue and burnout, especially when working
extended hours to ensure patient needs are met.
Improved Communication and Training on Problem Solving at Site Level
We have educated staff on communication and escalation procedures to problem-solve at
the site level in order to avoid unnecessary escalation of issues to Central Office OHS that
can be resolved at a lower level. Staff have improved on their communication of issues or
concerns to the site team and, as indicated or necessary, to the FDC Centurion regional or
statewide team with positive outcomes. Following education which we provided to them, the
staff understand the steps that can occur on a site and regional level and that we want and
are available to help and support them. We provide ongoing reminders of this in meetings
and through informal and formal contacts.
Disability Rights Florida (DRF) Preparation and Compliance
In current practice, the site CQI monitor assists the company compliance department
functions, including but not limited to; monitoring and auditing activities. Additional, duties
include assisting legal, clinical operations and all departments with a variety of risk

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Best and Final Offer

management activities to promote improved day-to-day operations of the program through
performance improvement initiatives:


Proactive daily monitoring of assigned performance measures.



Identifies issues of concern, systematic problems, and opportunities for improvement
of performance measures.



Directly responsible for assisting site leadership and clinical personnel with
performance improvement initiatives.



Establish and maintain positive relationships with client partners, contract monitors,
and attorneys

Centurion began further cultivating a team of site CQI monitors at the beginning of
December 2022, specifically assigned to DRF mental health. Continued development of the
monitoring team included setting expectations, establishing best practices, standardizing
audits and processes. The implementation of a Lead Site CQI monitor position to provide
training to new hires, develop training, including audit workflows for the team, assist with
reviewing audits, and troubleshooting noncompliant DRF screens. Centurion has seen a
significant improvement of the overall compliance of the DRF settlement agreement over the
last three months with the progression of the site CQI monitoring Team. The increase of the
overall compliance scores from the FDC’s Behavioral Risk Management Team (BRMT)
audits of the DRF measures; provides an example of the impact of daily proactive
monitoring completed by the site CQI monitors.

Compliance Scores from the BRMT Audits of the DRF Measures

Facility

Measure

Screen

BRMT
Score

October
2022

November
2022

January
2023

February
2023

Lake

Overall Score

67%

63%

86%

85%

FWRC

Overall Score

65%

69%

92%

Wakulla RCC

Overall Score

50%

58%

54%

62%

Implementation and Utilization of Centurion’s Mental Health Floating Team
Our mental health floater program has and will continue to provide coverage for mental
health shortages at sites. As indicated in our ITN proposal, these floating teams or strike
teams have allowed us to deliver timely and needed access to care for incarcerated
individuals as an innovative staffing solution while we work to address recruitment
challenges. Our creation of a mental health floater program or mental health floating team

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Best and Final Offer

provides coverage for shortages of psychiatric clinicians, psychologists, and mental health
professionals. These mobile staff, as part of our mental health floating team, go in and
provide needed services at sites with vacant positions, especially ones with critical
shortages.
We hire PRN staff as part of our team to help us catch up on the mental health backlog until
we can hire permanent staff. We are planning to hire more floaters and use telehealth more
as we continue to think outside the box on how to help sites with backlogs.
Supervision Capabilities for Mental Health Staff Licensure
As the Department is aware, prior to the “privatization” of the mental health services
program, mental health staff were not required to hold active licenses. Therefore, we have
worked to develop a robust program to provide supervision towards licensure for mental
health staff in multiple disciplines and counseling areas. We make sure to have sufficient
coverage in each mental health discipline to provide supervision towards licensure for staff.
The staff member benefits by being able to remain in their current positions while working
towards licensure and FDC and Centurion benefit by expanding on the available candidate
pool, while simultaneously developing the next fully licensed staff members.
Academic Affiliations and Practicum Hours for Social Worker Staff
Because we have mental health staff licensed and qualified to provide supervision under
multiple mental health disciplines, we work within existing or establish new academic
affiliations for staff pursuing a higher degree (i.e. bachelors to masters) or specialty in
mental health in order to provide them practicum hours needed to fulfill their educational
goals. For example, we coordinated with FSU School of Social Work to establish a
practicum experience and hours for staff working towards a master’s in social work degree.
This benefits us by retaining the employed staff in their current positions who do not have to
go elsewhere to fulfill their educational practicum hours, and provides future potential for
these experienced staff to then move into higher level positions once they achieve the
educational qualifications and related credentials. We intend to expand on the success of
this initiative to broaden these types of academic affiliations to capture other mental health
disciplines as well (e.g., masters level professional counseling).

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Comprehensive Health Care Services

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Best and Final Offer

Negotiation Topic: Medical Care Services

Preventative Screening Measures through Commercial Videos and Electronic Packets
We look forward to exploring with the Department dissemination of electronic information
packets to incarcerated individuals that can be sent to tablets through the Department’s
contracted vendor for inmate electronic communication. This electronic communication
would involve healthcare information such as preventative or periodic healthcare
screenings. We propose partnering with the FDC to distribute electronic information packets
to incarcerated individuals to educate them on the recommended healthcare screenings per
USPSTF along with the benefits of accepting the testing or screening. Additionally, we
would like to include vaccine recommendations and benefits of being immunized.
We have seen the success with FDC’s implementation of remote access of education
resources through Department issued tablets provided to incarcerated individuals. We look
forward to further collaboration and expansion of this type of innovation to improve timely
access to healthcare resources and services.
As indicated in our ITN proposal, during 2021-2022, Centurion updated all existing
proprietary patient education materials for medical, dental, mental health and substance use
services in preparation for their conversion into an electronic format. Moving forward into
the new contract, we are poised to explore with the FDC options to maximize electronic
tablet use by FDC incarcerated individuals to include our patient education healthcare
information.
Centurion has explored working relationships with major vendors and suppliers of tabletbased technologies. Tablet technology in correctional settings is emerging rapidly, and we
anticipate new opportunities will arise over the next contract term to increase access to
healthcare services and information using this technology.
Acute Care APRNs for Sick Call Requests
In our proposed staffing plan, we have included additional APRN positions to implement an
urgent care model of care by assigning ARNPs to the sick call process at FDC facilities
instead of an RN. This urgent care model provides access for a patient that is more direct to
a mid-level provider for conditions determined appropriate through triage. This model
proves to be efficient by eliminating the need for a nursing evaluation prior to the APRN
assessment, and increases staff and patient satisfaction while decreasing demands on
security staff by eliminating the need for multiple encounters. We conducted CQI studies to
determine impact on patient grievances and total clinical encounters.

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Comprehensive Health Care Services

Section
Best and Final Offer

Scanning Patient Identification Cards to Capture Pickup of Keep-On-Person
Medications
We propose continuing the exploration with the Department for the capability Fusion has to
provide a barcode that can be placed on incarcerated individual’s identification cards to
enable scanning features linked to the patient’s electronic medical record. This would allow
healthcare staff, during patient contacts including pill line, to confirm the identity of the
individual and bring up the individual’s electronic medical record with picture immediately
upon scanning of the individual’s identification card. We recognize that this requires the
FDC to change inmate badges and to use the Fusion-specific barcode for each patient’s
identification badge. We look forward to further conversation about this feature and
collaborating with the Department towards maximizing the use of technology including the
EMR to improve the provision of healthcare services to FDC incarcerated individuals.
Director of Nursing Workload – Remote Triage, Telenursing
To further alleviate the workload of the DON position, as a future initiative, we propose
continued exploration and testing of increasing remote triage of sick call requests and telenursing as ways to potentially address nursing shortages. Our goal would not be tofind
wholesale replacement of on-site nurses with remote nurses, but to identify the feasibility of
offering at least some level of remote nursing service to improve our ability to recruit nurses
and improve the attractiveness of the job for nurses, without compromising the level of care.
In fact, we see several advantages, including increased access to nursing services, the
ability to instantly backfill an absence for triage services on occasion (versus failing to triage
due to an absence).
For example, current onsite triage of sick call requests must be done by a registered nurse.
With the current shortage of registered nurses in Florida, this workload gets put back on the
DON if the site does not have a registered nurse available to do sick call triage. An
alternative option is to use remote triage or telenursing in which a neighboring facility with a
registered nurse on site completes the sick call request triage. However, because sick call
requests forms are currently paper forms, they would have to be uploaded into the electronic
medical record for the registered nurse conducting remote triage or telenursing to complete
the triage, then uploaded again once the registered nurse had completed the triage for the
facility-based nursing staff to complete the sick call. A possible solution to reduce the
cumbersomeness of this workflow, would be if FDC incarcerated individuals could complete
sick calls electronically through a kiosk or tablet. We understand this initiative would require
EMR changes, kiosk and/or tablet capabilities, and changes to FDC policy.
Since our writing of our ITN proposal, we have continued to make improvements to ensure
individuals admitted to the FDC have access to vaccines, such as COVID vaccination at
reception and intake. We are also in the process of making an EMR modification to make it

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Comprehensive Health Care Services

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Best and Final Offer

easier to identify patients that need various vaccines, to acquire the vaccines, and to place
the vaccine order. We anticipate this modification improvement to be completed next week
(as of the writing of this BAFO). We also wish to pursue a future initiative with the
Department and their tablet provider to have patient education regarding vaccines
distributed via tablets.
Wound Care Program Expansion
Centurion will revise our wound care process by focusing on utilizing our own internal wound
care specialist for consultation and treatment of wounds.
We have hired a wound specialist, located at RMCH, who will be responsible for wound
management across all FDC facilities. The specialist, trained and experienced in managing
simple and complex medical wounds, will provide facility healthcare staff with consultation
services including:









Determining the extent and type of wound and treatment required
Managing hemostasis
Cleaning the wound and infection control
Analgesic use
Skin closure approaches
Dressing the wound
Medication prescription, as needed
Follow-up services

The wound care specialist will work with the facility healthcare team to stabilize and treat the
wound while minimizing infection and promoting healing. The physician will utilize
Centurion’s Clinical Guidelines as well as evidence-based standards of wound care to do
so.
The specialist and healthcare staff will document the consultation and services provided in
the patient’s EMR, eliminating the current trans fixation occurring with MyWoundDoctor. The
patient’s wound care plan, included in the EMR, will follow the patient in case of a transfer to
another FDC facility. It will also be available in the discharge documentation provided to the
patient at time of release.
The wound care specialist will have access to and prescribe FDC formulary and stock
medications, which will result in process and cost efficiencies, such as a decrease in followup frequency and supply requirements, for the Department.

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Best and Final Offer

We will continue to subcontract with MyWoundDoctor as a back-up to the wound care
specialist.
Negotiation Topic: Dental Services

Class II Extractions at Reception Center
Centurion acknowledges the current backlog of Class II extractions at reception. To
address this issue, we launched two initiatives: adding additional staffing at the reception
centers and utilizing strike teams, as described below.
Staffing Increases. Centurion has included additional dental staff at the reception centers in
our proposed staffing for the upcoming contract. This will enable dentists and dental staff
located at the reception centers to complete the Class II extractions, when we are fully
staffed. As with all areas of healthcare staffing, dentists are in very short supply, especially
in Florida.
Utilization of Strike Teams. Centurion will continue to utilize dental strike teams to decrease
the backlog. As we did to resolve the backlog caused by COVID-19, we will assemble strike
teams, composed of Centurion dental staff from various facilities available for weeks at a
time, to spend additional time to address dental issues at the reception centers. Following
COVID-19, our strike teams helped reduce the backlog from 12,529 patients to 2,895
patients within a three-month period.
Our dental strike teams not only to provide direct services to patients, but also to educate
and train the onsite teams on ways to remain in compliance with wait times. At institutions
repeatedly backlogged with noncompliance, especially those fully staffed, our dental director
conducts a root cause analysis to determine reason(s) for noncompliance, such as not
seeing enough patients or service delivery processes needing improvement, etc.
In 2022, we used our strike teams at two facilities. Our strike team, composed of three to
five members, visited Hardee in July and September. In July, they treated 144 patients,
including 104 restorative procedures, 21 oral surgeries, 14 past due Dental services other
treatments, and five past due sick calls. The majority of the services provided to the 256
patients they treated in September were restorative in nature. At Avon Park in December,
our strike team composed of two dentists, treated 163 patients including 137 restorative and
26 oral surgery procedure patients.
Our strike team has been providing services at Central Florida Reception Center and after
the week ending March 3, 2023, we will have no backlogs at CFRC. Our strike team is

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Best and Final Offer

scheduled to provide services at RMCH the following week, with the goal of significantly
decreasing or eliminating the backlog at that facility.
Expansion of Walk-Up Sick Call Model
Centurion proposes to expand the dental walk-up sick model to all FDC facilities with open
population incarcerated individuals. We currently provide this service at 32 facilities, where
we have successfully developed a program to address the dental needs of incarcerated
individuals through a walk-up clinic process.
As we do currently, we will schedule specific times and dates when the dental clinic will be
available. We will construct the schedule in collaboration with facility security to minimize
any security and other issues. Incarcerated individuals can request a dental sick call visit at
the clinic and obtain services from the attending dental provider. In the facilities where we
have implemented this program, we have achieved a significant decrease in the number of
dental requests without any security, scheduling, or access issues.
The table that follows provides information on the facilities with open population where we
currently provide the walk-up sick model and facilities into which we propose to expand the
model.

Expanding the Dental Walk-Up Sick Model
Current Facilities with Dental Walk-Up
Sick Model

















Calhoun
Century
Franklin
Gulf
Jefferson
Liberty
NWFRC – A1
NWFRC - M
Okaloosa
Santa Rosa – AX
Wakulla – M
Walton
Columbia – M
Hamilton – A1
Lawtey
Mayo – A1


















Putnam
Suwannee – Ax
Suwannee – M
CFRC- E
CFRC – M
Hernando
Lake
Polk
Tomoka Main
Charlotte
Dade
Everglades
Martin
Okeechobee
SFRC – M
SFRC - South

Facilities Proposed for Expansion of the
Dental Walk-Up Sick Model














Apalachee E
Apalachee W
Holmes
Santa Rosa - M
Taylor
Wakulla
Columbia A1
Cross City
FSP – W
Hamilton – M
Lancaster
Madison
RMC – M














RMC – W
Union
FWRC
Hernando
Lowell – A1
Lowell – M
Marion
Zephyrhills
Avon Park Main
DeSoto – A1
Hardee
Homestead

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Best and Final Offer

Academic Affiliations for Dental Service and Recruitment of Dental Assistants
Academic Affiliations for Dental Backlogs. Centurion has achieved significant decreases in
the dental backlogs caused by the COVID-19 pandemic at FDC facilities, when services
were suspended or delayed. To continue this trajectory, we are using dental academic
affiliations to not only recruit future dentists, but also to contribute to timely quality dental
care. Starting in January 2023, we began working with the Nova Southeast University oral
surgery department to decrease some of the existing backlogs. We work with oral surgery
residents to allow them to complete extraction procedures at FDC facilities and at an offsite
location for more complicated surgical cases. In addition, we provide fourth year dental
students with the opportunity to provide dental care to FDC incarcerated individuals.
Academic Affiliations for Outreach and Recruitment of Dental Assistants.
Dental recruitment and outreach is an integral part of our recruiting
efforts in Florida. As described in our ITN response, Centurion
successfully uses academic affiliations to promote correctional
healthcare and recruit potential correctional healthcare providers.
Centurion’s talent attraction team, under the oversight of Angela
Fitzjarrell, BS, CSSR, Talent Attraction Manager, manages our
Angela Fitzjarrell, BS,
academic affiliation program. Ms. Fitzjarrell and her team work with
CSSR
academic centers across Florida to introduce students to correctional
Talent Attraction
health and, with FDC’s approval, offer them the opportunity to
Manager
experience a correctional healthcare environment. Over the past
several years, we have had outreach partner relationships that include affiliation
agreements, classroom presentations, career fairs, alumni outreach, and “lunch and learn”
functions with 129 nursing schools/programs focusing on recruitment of nurses and nurse
practitioners. Similarly, we have had partnerships with an additional 18 schools/programs
conducting similar activities to recruit bachelors and masters level mental health clinical
staff.
For our dental program, we currently participate in academic affiliations with Nova
Southeastern University in South Florida for fourth year students who can complete an
externship at South Florida Reception Center. In addition to conducting oral surgeries at the
RMC, we are in the process of establishing a relationship with Nova’s oral residency
program to perform extractions and oral surgeries at the local hospital. These affiliations will
provide us with a direct avenue of candidates for the dental assistant and dental hygienist
position post-graduation. We are also actively pursuing new dental academic affiliations in
Florida. The following are some of the schools we have identified and the programs to
which we are outreaching in 2023:

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Best and Final Offer

Dental Hygiene and Dental Assistant Academic Affiliations
Region
Region 1

Region 2






Region 3




Region 4


Dental Hygiene Programs
Dental Assistant Programs
Gulf Coast State College - Panama area
Tallahassee Community College - Tallahassee area
 Santa Fe State College - Gainesville
Santa Fe State College area
Gainesville area
 Concorde Career Institute –
Jacksonville area
State College of Florida Manatee-  Ultimate Medical Academy –
Sarasota - West coast
Clearwater area
Pasco-Hernando State College  Eastern Florida State College –
Tampa Area
Cocoa area
Florida Southwestern State
College - Charlotte area
 Indian River College – Fort Pierce
Miami Dade College - Miami area

Negotiation Topic: Information Technology/Electronic Medical Record

EMR Updates and Improvements Since ITN Submission
Centurion is pleased that our partnership with the FDC has resulted in the design and
implementation of an EMR that meets state, facility, and patient needs. As the FDC is
aware, we recently completed implementation of the Fusion EMR system across all regions
of the FDC. Our EMR team took the lead project management role in implementing the
EMR system and worked collaboratively with the FDC. We created 374 electronic forms for
use in the system, as well as additional workflows that stem from these forms. Our team
has established a host of reporting capabilities and query options. FDC’s system-wide EMR
is already resulting in cost avoidances associated with more timely and remote access to
patient records, remote chart reviews for supervisory and auditing staff, remote provider sign
offs on laboratory reports, remote non-formulary review and approval process, improved
accuracy and readability of health information, record transfers across facilities, utilization
management services, and improved continuity of patient care across disciplines and
clinicians. Our quality management team will continue to assess and design reporting
functions for efficient healthcare operations. We will continue to work with the FDC to
enhance EMR reporting capabilities, and will maintain patient health records in compliance
with contract requirements.
Demonstrated in the tables on the following pages, since our July ITN proposal submission,
the following EMR advancements and new reporting/forms capabilities have been
implemented:

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Comprehensive Health Care Services

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Best and Final Offer

Centurion EMR Advancements Since ITN Submission - July 2022
Broad Categories
Multiple revisions to forms/workflows to accommodate data collection needs
Created multiple landing pages
Multiple updates made to the banner to display needed information
Updates made to ISP to ensure documentation requirements
Enhanced multiple orders to allow for automated appointments
EMR training team built and implemented new employee orientation training process general and specific to discipline
Built and published a specific EMR information page within the Centurion Central site. Going forward this will also be published to the 7
private sites and is already available to the FDC users.
Specific Optimizations
Created centralized flowsheet that contains all info from communicable disease form
Weekly summary tracks the number or MH sessions offered versus number attended.
Developed process to track formal grievances
Reformatted health grades document for ease of use
Improved flow of documentation on individualized mental health service plan
Enhanced respiratory care sheet to capture more detailed patient information
Enhanced pre-release physical to allow for more complete description of patient needs
Enabled auto scheduling of TB clinics based on staff documentation
Enhanced nursing narrative documentation to improve description of patient condition
Optimized the sequence of documentation for pre-special housing health evaluation
Improved usability of Clinic folders
Added mental health residential grade to flowsheet for improved tracking
Enhanced description of results for hemoccult testing
Streamlined MDST (multi-disciplinary safety team) documentation to include only current clinics
Automated psychiatric appointments for patients on psychotropic medications
Enhanced form to assist with medical record request upon inmate release
Created hard stop on referral form to ensure all data addressed
Improved visibility of all orders created in an encounter to include the date

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Comprehensive Health Care Services

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Best and Final Offer

Centurion EMR Advancements Since ITN Submission - July 2022
Consolidated infirmary forms on the EMR flowsheet with enhanced naming conventions
Improved mental health notes by pre-populating DR and group attendance information
Psychotherapy notes for patients prone to self-injury augmented to add recent admissions and/or self-injury plans
Added quick links to the MSE (mental status exam) to streamline the documentation process
Optimized the ADA individual service plan to pre-populate demographic information
Streamlined prior approvals
Added key mental health dates to demographics banner
Upgraded UM order menus to include all specialists
Improved visibility of infirmary information to enhance infirmary workflow
Instituted
Converted the psychiatric visit flowsheet (770E) from paper to the EMR
Enhanced Mental Health ISP to prompt for required documentation
Pop up prompts were added to multiple pages to ensure complete documentation
Streamlined and reworked entire nursing reception process in conjunction with Chief of Nursing FDC
Automated labs for physical exams
A list box has been added to the DC4-711A refusal form. When the user checks ‘Medical’ it will show a list box with the options ‘Breast
Exam’ and ‘PAP exam’. If either of these is checked off it will automatically place an order for that exam for the next year
A new popup has been created on the provider CIC form. If the patient has a medical grade of 3 or more a popup will appear if the next
clinic was scheduled for more than 90 days. It will display instructions per the HSB regarding when these follow up CIC’s should be
scheduled
The provider CIC form will now have a display field which will show all of the immunizations that patient has received. When the user
checks the box that says ‘Review Immunization Record’ it will open a visibility field that will show those immunizations as well as a button
that will open the complete immunization record if needed.
A button has been added next to question #15 on the DC4-760A Receiving Transfer Summary. It will appear if a referral is required and
will open the DC4-529 Staff Request/Referral form
The DC4-773 Education Sheet will open automatically while completing the DC4-760A Receiving Transfer Summary if ‘Permanent
Facility’ is selected
The Staff Request/Referral DC4-529 button has been added to the Nurse Protocol landing page.

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ITN No. 22-042
Comprehensive Health Care Services

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Best and Final Offer

Centurion EMR Advancements Since ITN Submission - July 2022
Documents completed in the Bedboard will now say Bedboard in the document summary instead of INF. This will make it easy to
identify which documents were completed in the actual EMR (such as the infirmary admission documentation) and which ones were
automatically created by the bedboard.
A new button has been added to the Infirmary landing page called ‘Weekend Infirmary Rounds’. This will open a regular DC4-714A
Infirmary Progress note, but the summary will identify it as a weekend infirmary rounds note
The DC4-781Q and DC4-534 have been combined into one form. The button is labeled ‘Healthcare Information Request Record’ on the
Admin landing page
Medication Renewal button was added to the DC4-642A Psychiatric Follow Up form.
MH Consent question added to the MH Case Manager landing page. Check box added to indicate consent was refused/revoked.
The field ‘Last SHOS/MHOS Admission’ on the DC4-642S IP Wellbeing and Mental Status Exam has been changed to a date field

Reports Created in the EMR Since ITN Submission - July 2022
Report Name

Created Date

Modified Date

CASE MANAGER REPORT - MHS 55

12/2/2021

12/14/2022

CHRONIC ILLNESS CLINIC - GHS 17

12/2/2021

1/24/2023

CHRONIC ILLNESS SUMMARY - GHS 16

12/2/2021

12/12/2022

COGNITIVE IMPAIRMENT REPORT - MHS 65

10/12/2022

12/12/2022

CONFINEMENT STATUS - MHS 51

12/2/2021

12/12/2022

COPAY CATEGORY - HSS 48

1/17/2022

12/12/2022

COVID-19 STATE TOTALS

2/17/2022

12/12/2022

COVID-19 VACCINATION REPORT

12/2/2021

12/12/2022

DENTAL DAILY OPERATIONS LOG - DSS 49 (DRAFT)

4/27/2022

2/28/2023

DENTAL DISCREPANCY REPORT - DSS50 (Draft)

1/24/2023

2/28/2023

DENTAL PATIENT TREATMENT LOG - DSS 29 (DRAFT)

12/13/2022

2/28/2023

DENTAL PROCEDURES - DSS 30

12/2/2021

2/28/2023

DENTAL WAITING LIST - DSS 05

12/2/2021

2/28/2023

DOCUMENT MONITORING REPORT

1/23/2023

2/1/2023

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Reports Created in the EMR Since ITN Submission - July 2022
Report Name

Created Date

Modified Date

EMERGENCY NURSING LOG - DC4 781M

10/5/2022

2/16/2023

EOS HIV TEST REPORT - HSS 87 (DRAFT)

12/2/2021

2/16/2023

GRIEVANCE AND INQUIRY LOG - DC4 797C

9/21/2022

10/3/2022

GROUP THERAPY SESSION - MHS 19

12/2/2021

10/7/2022

HEALTH SERVICES DAILY OPERATIONS LOG - GHS 49

3/23/2022

12/29/2022

HEALTH STATUS AND DISCREPANCY REPORT (DRAFT)

3/2/2023

HIV POSITIVE POPULATION REPORT

7/28/2022

11/18/2022

HIV TEST SUMMARY REPORT (DRAFT)

7/29/2022

10/7/2022

INFIRMARY INPATIENT OUTPATIENT LOG (DRAFT)

1/12/2023

2/16/2023

INITIAL PHYSICAL TRACKING REPORT - GHS 25
INITIAL PHYSICAL TRACKING REPORT FEMALES RECEPTION CENTER GHS25 (DRAFT)

10/12/2022

2/9/2023

2/23/2023

3/2/2023

INPATIENT CENSUS REPORT - MHS 66

12/2/2021

10/7/2022

INSTITUTIONAL CONSULT LOG - DC4 797F

1/26/2022

1/18/2023

LABORATORY LOG - GHS 70 (Without PPD)

12/2/2021

3/1/2023

MEDICAL PATIENTS BY ICD10 CODE - GHS 21

12/2/2021

1/24/2023

MEDICAL STATUS STATISTICS REPORT (DRAFT)

3/2/2023

Medication with Associated Diagnoses

5/24/2022

9/16/2022

MENTAL HEALTH ICD-10 DIAGNOSES - MHS 15

12/2/2021

1/26/2023

MH ACTIVITY LOG

3/30/2022

3/1/2023

MH EMERGENCY SELF HARM SHOS MHOS PLACEMENT LOG (DRAFT)

3/31/2022

2/9/2023

MH INTAKE DISCREPANCY REPORT

10/5/2022

1/18/2023

MH RESIDENTIAL GRADE REPORT - MHS 16

12/2/2021

2/7/2023

MORTALITY REPORT - HSS 99

11/3/2022

MSWTI GRADE REPORT - HSS 53

1/21/2022

11/4/2022

MSWTI TOTALS AND STATS - HSS 54

12/2/2021

9/26/2022

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Reports Created in the EMR Since ITN Submission - July 2022
Report Name

Created Date

Modified Date

OPTOMETRY LOG - DC4 797G (DRAFT)

11/3/2022

1/4/2023

PATIENT DEMOGRAPHICS

12/2/2021

1/26/2023

PATIENTS RAISED TO S GRADE 2 - 6 - HC0 61 COMBINED

12/2/2021

12/20/2022

POST PLANNING RELEASES - HSS 51

12/2/2021

11/14/2022

PPD LABORATORY LOG - GHS 70

12/2/2021

2/22/2023

PREA REPORT - MHS 23

12/2/2021

10/7/2022

PROVIDER PRODUCTIVITY REPORT - HSS 29 (DRAFT)

12/2/2021

1/13/2023

PSYCHIATRIC REPORT - MHS 56

12/2/2021

10/17/2022

RE-ENTRY LOG REPORT - MHS 42

12/2/2021

10/7/2022

SEX OFFENDER WAITING LIST- MHS 53

12/2/2021

1/23/2023

SICK CALL TRIAGE LOG

12/2/2021

3/2/2023

SICK CALL TRIAGE LOG (PRESENTATION)

12/19/2022

SRI REPORT - MHS 23

12/2/2021

1/9/2023

STAMI REPORT

8/4/2022

1/3/2023

STRUCTURED THERAPEUTIC OUT OF CELL HOURS REPORT

12/16/2022

TB CLINIC EOS - GHS 74

12/16/2021

10/17/2022

TELEPHONE COMPLAINT_ REQUEST FOR PHI LOG - DC4 781Q

11/1/2022

TUBERCULOSIS TEST SUMMARY - GHS 72

7/20/2022

10/17/2022

VACCINE ADMINISTRATON LOG

9/29/2022

1/10/2023

X-RAY LOG - GHS-80 (DRAFT)

2/23/2023

2/24/2023

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Comprehensive Health Care Services

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Best and Final Offer

The successful install, training, and launch of the new EMR was a major undertaking. Now
that the system is up and running, Centurion is in the best position to collaborate with the
FDC over the next contract term to ensure the EMR is being optimally utilized to better
manage the quality and efficiency of services. Changing contractors at this time would, in
effect, rewind the EMR progress back 12-18 months, requiring a repeat of the conversion
process and pause on moving the EMR to the next phase of operation while a new
contractor “learns the ropes” of the FDC system and deals with countless initiatives
necessary to affect a contract transition.
Uptime Reporting Strategies
As described in our ITN response, we are not proposing any significant modification to the
content or intent of PM-EMR-01 regarding EMR system uptime availability for use of
99.99%. However, we do recommend adding other exclusion language such as when the
EMR system is not available due to a significant natural disaster or other catastrophic event
outside of Centurion’s or Fusion’s control leading to a network crash (e.g., hurricanes).
Our current process encompasses SmartSheet documentation that is distributed to show
the uptime of the EMR system. However, as the FDC is aware, this documentation is
currently limited to the uptime of the server rather than the EMR application ‘beyond the
server’. Centurion is currently working with Fusion on a monitoring tool that will provide an
accurate depiction of the uptime of the system itself and submit the report at a frequency
that FDC approves.
Improve Service Level Agreements with Fusion EMR System
Centurion and Fusion have established a successful working relationship during the
implementation and maintenance of the EMR system. As we continue to work with Fusion
as a partner in the EMR system and gain more experience with the environment and
product, we will continuously enhance our service level agreements to formally advance the
EMR capabilities to best suit the FDC.
Centurion is in preliminary discussions with Fusion on providing a full-time EMR engineer via
Fusion to work as our point person on the Florida program’s EMR system. This engineer
would be dedicated to the workflow and needs of the FDC healthcare system and hold
Fusion accountable for EMR requests, advancements, updates and more.
As the termination of our initial contract with Fusion is less than a year away, Centurion will
ensure that additional service level agreements are established to ensure Fusion is
advancing the EMR system in the direction requested.

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Best and Final Offer

New and Innovative EMR Initiatives
Centurion’s EMR team is continuously working alongside Fusion and the FDC to advance
the EMR system capabilities to alleviate problem areas, provide increased functionality to
users, and therefore increase productivity by providing the information staff need on a daily
basis.
As described in our ITN response, Centurion developed a Change Management Committee,
known as HEAT, which stands for Healthcare EMR Approval Taskforce, that meets twice
per month to design, develop, discuss and pursue implementation of EMR improvements to
increase EMR efficiencies. The EMR Improvement Committee works toward decreasing the
number of FDC medical paper forms annually. The end state is the transition of FDC
healthcare from the current forms-based model to a virtual EMR based model focusing on
capturing and organizing data into living documents which facilitate preventive care tracking
and chronic disease monitoring, leading to overall improvements in patient care and
resource management.
The Change Management Committee utilizes a current smartsheet status dashboard that
demonstrates the current status of all EMR work in real time. Various examples are below:

Change Request Status

Change Request Disc iplines

300

238
200

100

223
200

149

100

Ii -- -■
66

NUR

MED

DEN

ALL

ADA[N

Discipline

Nursing Change Requests

Medical Change Requests

•

Approved

•

Other

•

Other

•

Pending HEAT

•

Pending HEAT

PMding hlrd Party

Pending Third Party

•

Completed· Lise

•

Complete- Load to SPRINT

Approve(l

•

C<impleted· Live
C<implelB· Load to SPRJNT

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Best and Final Offer

In the new contract, the following new initiatives surrounding EMR that Centurion have been
added to our implementation list since our July ITN submission:


Increase Streamlined Documentation in EMR – By establishing a designated
documentation workflow process much like the reception and intake process, this will
allow staff to review the same assessment form, adhere to the appropriate process
steps after assessment review, and most importantly, provide the specific protocols
to every staff member on completing the next steps based on the specific
assessment determinations and needs for care. For example, this workflow would
instruct the nurse on the proper nursing protocol to use post assessment review and
take the guess work on various determinations such as if a sick call was urgent or
emergent. Providing clear a clear documentation process and applicable protocols
in the EMR system allows a more streamlined process for all staff with full
documentation along the way.



Implement Daily Verification of Active Directory and EMR Accounts – To ensure
an accurate list of employees with access to the EMR system and those that still
need implemented into the system, as early as next week, Centurion will implement
a daily verification automated audit that compares our current active accounts in the
EMR system compared to our active employee directory list.



Advancing Back Log Reporting – With the rollout of Fusion, Centurion has
tirelessly worked on building each report in the system one by one, converting from
paper and out of OBIS from scratch. In the new contract, alongside the Tableau
reporting team, we’re compiling a backlog reporting capability to allow us to easily
pull backlog reports on demand. This will allow our already established weekly
meetings with the FDC surrounding reporting to include a status on all backlogs
during this meeting, or as requested.



Centurion Change Advisory Board – In March of 2023, Centurion is kicking off our
new Change Advisory Board (CAB). The CAB was established to formally certify,
coordinate and communicate all changes performed to the Information Technology
(IT) Production environment of Centurion--both scheduled and unscheduled. This is
carried out via forums held twice weekly composed of cross functional leaders and
representatives from each aspect of the IT department, such as infrastructure,
systems administration, network engineering, IT operations, and electronic medical
record. Under this board, EMR system needs, advancements, changes, etc. will be
represented, discussed, and formally documented.



Additional Interface Capabilities – By contract start, Centurion anticipates having
additional interface capabilities that will reach Centurion, the FDC, and the Florida
Department of Health. The planned new interfaces are EKG CompuMed and

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Best and Final Offer

Aftercare Interface. The Aftercare Interface will be ready for testing this month,
March 2023.
Analytics and Informatics Utilizing EMR and Healthcare Data
Centurion is currently collaborating with the FDC to establish and/or enhance all required
EMR-related reports. Our IT Department has been working alongside our analytics and
informatics group, under Centurion’s corporate health information technology team, to
establish an interface with Tableau, a visual data analytics platform, to establish enhanced
data analytic capabilities and expanded EMR dashboard reporting features.
During negotiations, Centurion and FDC spoke specifically regarding improvements to
staffing dashboards, backlog dashboards for wardens, and additional automated report
capability. Centurion’s analytics and informatics team has addressed this request and
completed several new dashboards to address these FDC requests and allow live tracking
data. Included in Attachment A – Florida Dashboard and Report Samples, we show the
various dashboards, along with sample reports. We will designate our health service
administrators to provide the wardens these reports on a scheduled basis.
Resolving Unplanned Downtime Efficiencies for the Future
As FDC is aware, the State of Florida is susceptible to natural disasters, such as hurricanes.
When a hurricane occurs, it can knock out power and network capabilities for days at a time.
In current practice, when the EMR system is down for an extended period of time, staff
document on paper to later be entered into the EMR records. Our EMR team, led by Linda
Dorman, RN, BSN, CCHP, Statewide Director CQI/EMR, is responsible and leads all efforts
for the EMR system in Florida. Ms. Dorman and her team are continuously working
alongside Fusion and the Department to streamline the EMR service provisions while
enhancing our ability to use data to inform care. With this, the EMR team is currently
working towards a better process with the Fusion system to enable us to enter information
when offline. Continued analysis and exploration of various connectivity options, keeping in
mind the challenges posed by the prison environment, will generate new solutions that will
improve issues of downtime progressively over time with each instance. This is a
complicated problem, but Centurion has a long track record of “always finding a solution”
and applying outside-the-box decision strategies to resolve challenges. We remain
committed to treating any EMR concerns with a sense of urgency and a multidisciplinary
approach to finding and implementing sustainable solutions, ensuring end-users and other
stakeholders are involved in the solution process.

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Best and Final Offer

Implementation of New Centurion Network
In the current program, FDC runs the network that Centurion and Centurion healthcare staff
utilize in the Florida program. In the new contract, Centurion proposes the full management
and operation of our own established network. At this time, we have already initiated an
internal kickoff of this project to allow us to formally start the new network on July 1st should
the FDC approve. We anticipate this project will be a six-month start to getting all orders
processed and circuits installed, followed by a 12-month deployment schedule for all sites,
making it an 18-month overall plan. We include a formal implementation timeline as
Attachment B – Centurion Network Implementation Timeline.
There are many benefits to utilizing a Centurion-owned network and separating the medical
network from the FDC network:


Centurion will run all internet connections for healthcare at all facilities



Operation of our own firewall and security systems to further protect program
information, preventing and protecting FDC and Centurion from spreading any
viruses or from any security breaches between each other



Relieving the FDC network of our traffic, thus increasing the speed and storage
capacity of FDC network



Allows Centurion expanded ability to implement new and upcoming technologies



Enlarging network speed and bandwidth for both parties. This allows more
innovative and creative delivery service capabilities of healthcare services

Negotiation Topic: Staffing Plans for Florida Program

Centurion’s Proposed Staffing Plans and Methodologies
Our proposed staffing plans are included as Attachment C – Centurion Proposed Staffing
Plans for FDC. These proposed plans are revised significantly and are based on the
discussions and feedback from the FDC’s subject matter experts during the multiple ITN
negotiation sessions. Although Centurion’s proposed plan for the purposes of creating cost
projections for the Department’s budgeting process has not met the FDC’s stated preferred
staffing ratios exactly as requested, we have used a methodical approach to establish what
we believe is a responsible number of FTEs that will be sufficient to meet the many
demands of providing healthcare within the FDC. Our purpose here is to NOT be resistant
to the FDC’s stated desires regarding staffing ratios, but to be conscious of the already
substantial projected cost increases relative to the current budget cap, while attempting to
be realistic in terms of what the legislature will ultimately authorize for the program. We
believe it necessary to therefore provide the Department some sense of a highly
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Best and Final Offer

conservative and judicious approach to increases in compensation, increases in FTEs, and
ultimately increases in costs.
We believe it prudent to first establish agreeable pay scales in line with the current market
conditions discussed above in order to reverse the negative staffing trends experienced over
the past 18 months, assess the impact of those adjustments on the current program’s
budget, and then determine if additional positions can even be afforded. By jumping to a
cost projection scenario that assumes a significant increase in FTEs, on top of already
significant vacancies, plus the factoring of significant wage increases to catch up with
market rates, the risk is there’s no scenario on the table within the ‘appetite’ of the legislative
budgeting process.
The staffing plan was not only developed based on our experience from the past seven
years, but also from the extensive knowledge held by many of our leadership who have a
combined hundreds of years of experience operating within the Department. In addition, we
must consider current market conditions and availability of people to fill the positions within a
prison who are also being highly recruited by all facets of healthcare. We are all competing
for the same limited pool of applicants and many other employers have more attractive
offerings, including at home telehealth positions, flex scheduling, large sign-on and retention
bonuses, and many other perks to wages already higher than what are able to be offered by
Centurion under the current contract’s budget limitations. We have used all of these
considerations in addition to feedback provided during the sessions in the development of
the staffing plan. We have made a number of significant changes to allow us to be more
competitive and pivot to meet the new demands of providing healthcare. The attached
matrix has 146 more positions than what are currently available today, which is a big
step towards the FDC’s objectives for better ratios of staff to patients.
Based on the ITN negotiation sessions conversations, a review of nursing positions was
completed and the number of RN’s and LPN’s was increased from our original submission.
We have ensured a minimum of 4.2 RN’s are available at every facility with an infirmary.
We have also reviewed the original plan to ensure a sufficient number of appropriate
credentialed staff are available for the various levels of care (increased RN’s in RMC
hospital).
Following are a number of the changes in the proposed matrix:


Pharmacy C.N.A. at all 340B facilities: These staff will ensure 340B medications
are ordered, received, delivered so no disruption of medication.



Consult Specialists: Dedicated positions designed to attend to all consults for a
small group of facilities to ensure the efficient processing of this most critical level of

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Best and Final Offer

care coordination. This model has already been adopted and shown to have
significant improvement in the submission of consults and prior approval requests.


Site EMR Monitors: Based on the success recently seen by incorporating EMR
monitors into the DRF Inpatient mental health process, these duties will be
incorporated at all facilities to ensure proactive oversite of documentation standards.
This will be a function of medical records staff.



Telehealth Float Pool: Positions have been assigned in mental health and physical
health who will be dedicated telehealth providers to ensure rapid deployment to
cover planned or unplanned vacancies.



Telehealth Coordinators: Positions designed to help coordinate scheduling of
telehealth position but who will also be trained in the process of facilitating telehealth
appointments when clinically appropriate.



Social Service Positions: Three positions added to facilitate the coordination of
difficult reentry services and family coordination and responsiveness at the female
facilities in Ocala FL



Regional Recruiters: In addition to the 11 recruiters assigned to FL, these positions
will report directly to the VPO and act as a liaison between recruiters and operators
to ensure a smoot transition from candidate to employee.



ADA Coordinators: Each ADA facility with a significant number of ADA patients will
have a coordinator assigned to oversee the processes involved with ensuring
appropriate care is provided to the patient meeting the criteria.



Statewide ADA Coordinator: This position will indirectly oversee all ADA
coordinators and act as a liaison to the FDC Impaired Inmate Coordinator.



Statewide Medical Reentry: This employee will ensure that difficult reentry cases
are addressed proactively in conjunction with the FDC Reentry Coordinator.



Urgent Care APRN: These positions have increased given the positive results
received from the pilot use of these positions. The position is primarily used to triage
and see all sick call referrals. Given the advanced credentials, the patient now only
has to be seen one time, instead of the current three times before referral to a
provider. This has and will reduce the numbers of sick calls referrals, reduce the
numbers of patients accessing the medical clinical on any given day and possibly
decrease the work load for security.



RN Supervisors: We believe this is likely one of the most important additions to the
new proposed staffing plan. RN Supervisors have been added as a mechanism to
not only identify nurses for lines of succession, but also as a relief factor for DON’s.

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Best and Final Offer

RN Supervisors have been added to inpatient MH units as well as sites with multi
units and/or complex missions.


Mental Health Clinical Directors: As a means to allow advancement opportunities
to Master’s level licensed professionals, Centurion is recommending the replacement
of some Psychologists positions with these Clinical Directors. The model is more in
line with community models, will allow advancement opportunities for these valuable
employees and reduces the reliance on Psychologists, a position in very short supply
due to telehealth opportunities.

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Section
Best and Final Offer

“Best and Final Offer” Cost Breakdown Sheet Submission
Methodology
Included as Attachment D – Centurion Cost Breakdown Worksheet, Centurion is
pleased to submit a cost projection proposal worksheet representing our best efforts to
provide the FDC full and transparent insight into the projected costs for meeting the staffing
and other operational requirements of the ITN. We do so with the need for a cost-effective
program in mind that meets all ITN requirements as well as incorporating the discussions
that took place with FDC during the negotiation sessions. While this phase of the process is
described as the “Best and Final Offer”, Centurion remains committed to continue working
with the Department for as long as necessary to continue to fine tune the parameters of the
required staffing patterns and other elements of the program towards a viable model within
the State’s budget limits. This version of our cost projection is based on the following
parameters:


Reduction in Administrative fee from 10.5% to 10.0%



Five-Year cost projection using conservative, but realistic annual inflation factors



Centurion-recommended staffing matrix, increased over current staffing levels to
incorporate elements from the discussions that took place with the FDC during
negotiation sessions



100% fully-staffed hypothetical model



A proposed new model for staffing and performance penalties that caps total
penalties at 1% of the annual contract amount

It is important to note that wage rates used in the development of this cost projection
are significantly higher than wages in the current program, reflecting the new realities
of double-digit wage inflation that has occurred for healthcare professionals. The
present market conditions for healthcare professionals must be taken into account in order
to accurately project the true costs for the program going forward. Therefore, the salary
ranges assumed in these cost assumptions are based on our experience in Florida as well
as an in-depth analysis of local market data to ensure continued success in recruiting and
retention.
Another driving factor behind the comparatively higher costs for the program going forward
versus the current budget cap is the Department’s request that the cost projection be based
upon an assumption of 100% fill rates for all positions and at all times. This “perfect”
staffing model requires us to factor all of the incremental spend required to actually achieve
and maintain 100% staffing levels. To do so, necessitates an exponentially higher use of
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Best and Final Offer

temporary agency personnel, backfilling with part-time PRN positions, overtime, as well as
other recruiting incentives. If the Department is NOT intending for the vendor to pursue and
maintain 100% full staffing at all times (a feat which actually requires the contractor to plan
on staffing greater than 100% due to the sudden unavoidable absences that inevitably will
occur), then Centurion can adjust the cost projections accordingly to remove the additional
funds associated with sustaining a “perfect”, 100% staffing level at all times.
Current Contract Comparison
As the incumbent contractor, we feel it is beneficial to present a rollforward from the current
contract Cap amount to our Year 1 Cost Projection based on the requirements of the ITN
and to achieve and sustain the 100% staffing levels as requested by the Department. The
table below highlights the primary cost factors that necessitate an increase in the current
contract cap amount. Line item details are provided on the attached Cost breakdown
template.

Rollforward Current Cost to Projected
Assuming 100% Staffing Levels
Projected Amount
Current Contract Cap Amount

$421,000,000

Market-Based Wage Increases for
Current Staff

38,404,000

Increased FTE and Mix Changes

14,662,400

Increased Staffing Fill Rate to 100%

62,575,740

Outside Medical and Pharmacy Cost
Inflation

7,740,000

Information Technology Updates

5,755,000

Increased Operational Expenses

2,219,460

Year 1 Projection

$552,356,600

Year 2 Projection

$579,004,000

Year 3 Projection

$608,835,000

Year 4 Projection

$640,308,600

Year 5 Projection

$673,524,000

Again, the largest cost increase driver in the table above is the $62 million associated with
maintaining a 100% fill rate for all positions at all times. This level of fill rate is not simply
achieved by multiplying the FTEs by market-based compensation rates, but requires the
addition of millions of dollars in additional staffing costs to ensure a ready stable of staff on
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standby, including staff paid to be on standby, to be ready to step in and fill positions on a
moment’s notice. In other words, to actually achieve and guarantee 100% staffing levels at
all times, the contractor will need to aim for staffing at levels above 100% to ensure 100% is
achieved, even when there are sudden and unforeseeable absences. Centurion believes
these projected costs could be reduced by allowing for a reasonable level of absences
stemming from sick leave, tardiness, routine turnover, and other “life circumstances” that
occur over such a large pool of employees. Doing so would remove millions of dollars from
the cost projections outlined above and incorporated in the cost projection worksheets.
Performance and Staffing Penalties
Centurion will enter into a contract with the intention of meeting all performance
measurement standards to the fullest extent possible. However, given the number of FTEs
and the number of facilities, even a high level of diligence in these areas will not prevent the
occurrence of staffing vacancies or other situations that would result in falling short of the
thresholds and expectations as described in the Departments standards. In the spirit of
transparency and candor, Centurion has expressed concerns about these penalties during
negotiation sessions and would like to reiterate our thoughts on this again:
In a cost-based contractor reimbursement model, the contractor is highly incentivized to
maintain high fill rates (minimum vacancies) to maximize its administrative fee and profit.
Given that the contractor is only “paid” for actual expenditures, failing to maintain high fill
rates punishes the contractor financially due to the resultant lower revenue and thus lower
admin fee. The lower admin fee reduces the contractor’s profit margin because the
contractor’s regional and corporate overhead costs, most of which are fixed costs (meaning
they do not decline when staffing levels are lower due to vacant positions) make up a larger
percentage of the total costs, translating into a larger percentage “bite” into the admin fee.
Given the contractor’s only generator of operating margin is the admin fee, the Inclusion of
un-capped staffing penalties results in significant risk to the commercial viability of the
contract, which is not tenable based on the nominal, small profit margins generated from this
contract. When the overall budget for the program is capped, as it is now, causing staff
compensation rates to lag well below market rates, removing substantial additional funding
from the contractor through staffing penalties creates a double-edged sword financial effect
that could result in the contract spiraling out of commercial viability.
Centurion understands the Department’s desire to implement a penalty protocol related to
staff vacancies to incentivize the contractor to maintain high fill rates. Centurion proposes
the Department limit the penalties to not exceed 1% of the total annual contract cap
amount. Given the contractor, at best, earns a low single-digit profit percentage, the 1% of
total contract cap amount limit on penalties is significant to the contractor, and meets the
“pain vs. incentive” objectives of such a penalty provision.
Page 56

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

The figures in Centurion’s best and final offer proposal assumes an annual cap on the
amount of penalties assessed of 1% annual contract cap. In addition, we propose the
Department consider allowing those penalty dollars to be reinvested in the program to be
used for wage incentives, equipment, or other efficiency programs, subject to FDC approval,
rather than simply being removed from the program altogether. In other words, the
penalties punish the contractor, but not at the expense of the program itself.
Admin Fee versus Profit Margin
In an additional show of good faith negotiations by Centurion, we are lowering our Admin
Fee from the originally bid rate of 10.5% to 10%. As the Department is aware, the admin
fee paid to Centurion does not represent pure profit margin as there are significant
corporate, regional, and even direct costs that are incurred out of the admin fee to support a
contract of this size and are funded from the admin fee directly or indirectly as a contribution
to corporate overhead. The most notable of these costs are shown below. Net of these
costs, the resultant profit margin from the contract results in a nominal profit projection in the
range of 2% to 3%.


Non-reimbursable program costs, including employee travel and training, cell phone
stipends, car allowances, living and moving expenses.



Litigation costs and legal settlements.



Pass-through costs billed without an admin fee, such as insurance premiums,
computer equipment, and non-formulary medications.



Penalties for staffing vacancies and performance measures.



Corporate overhead support including payroll, human resources, information
technology, legal, finance, accounting, office services, clinical operations, contract
monitoring, communications, public relations, and executive leadership and
governance.



Corporate income taxes



Profit margin

Summary
Our approach to pricing is to fully account for the full spectrum of anticipated direct and
indirect costs necessary to meet the stated requirements of the ITN and to fulfill the
commitments we make in our proposal. Centurion is open, flexible, and transparent in
our dialogue regarding the assumptions behind our cost projections. We caution the
evaluation committee to be highly suspect of any cost projections submitted that appear
overly attractive and well below Centurion’s projections.

Page 57

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

ITN No. 22-042
Comprehensive Health Care Services

Section
Best and Final Offer

We again highlight the significant additional cost to actually achieve 100% staffing levels,
and maintain a “perfect” staffing level at all times as requested by the Department for the
purposes of developing these BAFO cost projections. Other vendors may not have included
those costs, instead betting on the Department to “relax” that expectation after contract
award. Given the cost-based reimbursement structure of the contract, other companies may
feel attracted to the notion of under-projecting costs in order to win the contract under the
false assumptions they will be able to submit higher actual costs for reimbursement without
question and without limitation. Under that scenario, a contractor that under-projected their
costs and is held to a contract cap based on those projections, will likely return to the
practice of diverting contractual dollars disproportionately to staffing while withholding
adequate care from specialists and denying access to needed care, as was the case with
hernia surgeries and other care under the previous contractors.
Centurion remains committed to assisting the Department develop its appropriate forecasts
and budget requests by providing the Department with as much detailed information as the
Department may need regarding the historical costs of the program as well as the future
cost projections. We recognize the future projections have been greatly impacted by
double-digit inflation in key areas of the healthcare marketplace that impact the program,
namely the soaring wages of healthcare professionals and the higher costs charged by
hospitals and specialists in the community who are also dealing with the impact of inflation
in their businesses.
Centurion looks forward to continuing our successful partnership with the FDC and we are
hopeful the evaluation committee sees the merits of our technical proposal and cost
projections.

Page 58

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Facility Matrix Index Dashboard
■ 2020

Faci lity Matrix Index {FM I)

Metric Performance

Florida DOC Comprehensive
Faci lities Worked Over Matrix

■ 2021
■ 2022
■ 2023

Florida DOC Comprehensive
Facil ities Worked Over Matrix

Centur ion Goal < 48
Faci lit ies Wor ked Over Mat r ix
7 on 17 Feb 2023

4 .00 71 vs .2 w eeks ago (3)

4 .00 71 vs. 1 year ago (3)

-,,jn

Top 15 Faci lit ies by Current FM I *

FT Es Worked Over Matrix

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Gr ay Li ne: Facility Matrix Index • (2/17/ 2023)

(2/ 17/ 2023)
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FM I Change

100%

.:,.

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69 .0

83.8 71

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60.4

69.571

57 .2

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Suwannee C_ I_ 230

47.4

14.7 71

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11.971

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46.8

59.2 71

Un ion C_ I_ 213

45 .6

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44 .1

44.1 71

Martin Corr ect iona l
Inst

42 .8

20.1 71

Waku lla C_ I_ 118

36.8

25.0 71

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28 .1

28.171

Sama Rosa C_ I_ 119

28 .0

21.7 71

Cross City C_ 1_ 211

24.1

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Program Mat r ix FTEs. Lower ind ex ind icates better fac ility per formance.

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Talent and Personnel Report Dashboard
•

•

Mfi\U

<ont,,"l<t

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Meeting of the Minds Talent Report: January 2023, FLDOC

centurion

Rotontlon•: Curront (Previous)

Year:

97 .0% (71.5% " 25.6%)

Facility Count:
Annual Retention• B@low

7394
Quarter:
Month:

97.0%(9L8% " S.2%)

zon

lO<t°"'

-----

------------------------------------------,
,
,

.. ..

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:i,

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,.,..

95.~

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98 (1.158

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98 (268

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98 (70 " 40.0%)

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Year:

117 (853

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A,or2:2

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s
5

s
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:::::::=::,,
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last Updated. Z/13/2023 l 4S.J6 PJ.1

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Fiscal Health Report Dashboard
M,mu

Meeting of the Minds Fiscal Health Report: January 2023, FL DOC

r.11

Agoncy cosu: currant (Prov1ou1)

Year:
$1,884,803 ( ,. ·82.096)

Quarter:
$1,884,803 ($~.4!:i0,951

..
-

Agency IV/ Change vs. Baseline $356,073 (Agency OT Inset) Wffkly A119 Shown

-G:;.4%)

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Agency Overtime: Current (Previous)

can,
,,
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S166..ll6

"II

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$31,27'

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l su.640

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Ph)'sAutAdvRNPr4<CNS. I S7,8?3

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Seo22

0<t22

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Oec22

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J•n23

Worked FTE Efficiency: Matrix FTEs{dotted) LOC, PT, FT,

Matrix: Current (Previous)

Year:

Jan 2023: Top 10 Positions by Weekly Agency
Cost {Agency overtime Inset)

Jan 2023: Top 10 Facilities by weekly
Overtime Cost

Change from Previous Month: Agency, Overtime

Quaner.

t ·ion
cen ur

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Overtime Costs: Current ( Previous)

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~
~

Co11trdct

, ,

3,156.6 ( " 0.0%)

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3,156.6 (3,156.6 " 0.0%)

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3,156.6 (3,156.6 " 0.0%)

0<t22

-22

Jan23

S10,8SS

Columbi.a C_1_201

S9,9g

Florid• St•tePr1'°"-2:0S

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Wakul~ (_1_118

MwlxFT&
....................................................................

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$8,006

RJ,t_(_ Moln Un!L20SI

57,747

Sa,,te Rosa C...IJ19

S7.676

UnlOII (_l__2.13

$1,440

last Updated Z/13/2023 1 :115·3(, PM

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Consult Dashboard Report

Consults Overview

Datefteinoe

u ,7.'J/2021 tc2f27~23
lestlJ ,et~

Top 10 Consults open by Treatment Location
209-~ M (

centurion

2.31,0S43PM

Total Consults

Total Consults Completed

Total Consults Open

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2,310

2,938

·t.'lUt~ UNIT - - - - - - - -

113-VNJON C.I -

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Top 10 Consults open by Spec,ahty Provider

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600

800

1000 1.200 J.400 1600

200

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600

800

1000 1200 1"40 1600

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

EMR Bed Tracker
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EMR lnfirm.\ry &ct Tr-acker

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C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

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C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Abnormal Laboratory Report

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..,.,

N.t1,i;>l&;~.>00f'~ffll.!O)'Co&golb~

•

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Monthly Health Services Report (SAMPLE Information not accurate)
FY 22-23

Population Stats

Jul

Aug

Sep

Oct

Nov

Dec

Jan

Feb

Mar

Apr

May

June

YTD

Average Daily Population
Intake Screenings
Number Pregnant (Last Day)
Births
Miscarriages/Fetal Demise
Deaths

71,982
7,007
17
2
0
19

14 Day Health Assessments
Annual Health Assessments

1,971
1,411

Sick Call Visits
HCP Encounters
Telemedicine Encounters
In-house X-Rays

6,839
8,000
800
824

2,534
2,233
1,389
10,747

Asthma/COPD/Pulmonary
Diabetes/Endocrine
HIV/AIDs
Hypertension/Cardio
OB/GYN/Pregnant
Seizure/Neurology

500
871
276
2,412
171
231

MRSA Suspect Cases
Confirmed MRSA Cases
PPDs Given to Inmates
PPDs Given Other
Suspect Active TB
Confirmed Active TB
Identified Chicken Pox Cases

100
82
6,801
1,196
0
0
0

1
1
157

0
0
442
1,014
798
342
1,136
1136

0
0
442
1,014
798
342
1,136
1,136

11,540
54,080

1
1

TBD

ER Visits
Hospital Admissions
Total Hospital Days
Other Off-Site Referrals

298
100
300
2,952

Total Grievances
Unfounded Grievances

2,375
2,218

Physicals

On-Site Care

Dental Care

Exams
Fillings
Extractions
Dental Clinic Visits

Chronic Care Patients

Infectious Diseases

Identified Gonorrhea Cases
Identified Chlamydia Cases
Identified Syphilis Cases

Vaccines Administered

Influenza to Inmates
Influenza Other
Hepatitis B to Inmates
Hepatitis B Other
Tetanus
Pneumovax
Hepatitis A
COVID

Mental Health

Psych HCP Encounters
Psych MHP Encounters
Attempted Suicides
Completed Suicides (confirmed)

Pharmacy

Non-Formulary Medications

Off-Site

Grievances
Dialysis Tx

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Dat
aRange
12/
9/
2022t
o12/
23/
2022

Cent
ur
i
onOfMN
St
aﬃngRepor
twi
t
hBudget
,Ac
t
ual
,Var
i
anc
e
Eﬀec
t
i
veasof
:12/
31/
2022
Mat
r
i
xFTEs

Wor
kedFTEs

Var
i
anc
e(
Mat
r
i
xvs.
Wor
ked)

Pai
dFTEs

Var
i
anc
e(
Mat
r
i
xvs.Pai
d)

AA,Cl
er
katFac
i
l
i
t
y

4.
0

3.
6

0.
4

4.
4

0.
4

AA,Cl
er
katFac
i
l
i
t
yMH

2.
0

0.
9

1.
1

0.
9

Ac
t
i
vi
t
yTec
hni
/
Ther
api
st

1.
0

0.
4

0.
6

0.
8

0.
2

CaseManager

0.
0

Dent
alAssi
st
ant

4.
0

1.
3

2.
7

1.
9

2.
1

Dent
alHygi
eni
st

1.
0

0.
9

0.
1

1.
0

0.
0

Dent
i
st

2.
0

0.
9

1.
1

1.
5

0.
5

Di
r
ec
t
orofNur
si
ng

0.
0

Di
r
ec
t
orofNur
si
ng-Med

2.
0

1.
4

0.
7

1.
6

0.
5

Heal
t
hSer
vi
c
esAdmi
n

1.
0

0.
7

0.
3

1.
0

0.
0

Li
c
ensedPr
ac
tNur
seMed

15.
6

9.
1

6.
5

10.
1

5.
5

Li
c
ensedPr
ac
tNur
seMH

0.
0

0.
8

1.
0

MDPhysi
c
alHeal
t
h

0.
0

Medi
c
alDi
r
ec
t
or

1.
0

0.
0

1.
0

0.
0

1.
0

Medi
c
alRec
or
ds

3.
0

1.
6

1.
4

2.
0

1.
0

Medi
c
alRec
or
dsI
I

1.
0

0.
8

0.
2

1.
0

0.
0

Ment
alHeal
t
hPr
of
essi
ona

8.
0

5.
4

2.
6

7.
2

0.
8

Nur
si
ngAssi
st
ant

3.
0

3.
4

0.
4

4.
1

1.
1

PhysAsst
,
AdvRNPr
ac
,
CNSpe

2.
0

2.
1

0.
1

3.
0

1.
0

PhysAsst
,
AdvRNPr
ac
,
CNSpMH

1.
0

0.
5

Physi
c
alTher
api
st

0.
0

Psyc
hi
at
r
i
st

0.
0

Psyc
hol
ogi
st

1.
0

0.
9

0.
1

0.
9

0.
1

Regi
st
er
edNur
seMed

10.
4

7.
7

2.
7

8.
9

1.
5

Regi
st
er
edNur
seMH

1.
0

0.
0

1.
0

0.
0

1.
0

Tot
al

64.
0

42.
3

21.
7

51.
9

12.
1

AA,Cl
er
katFac
i
l
i
t
y

2.
0

0.
8

1.
2

1.
0

AA,Cl
er
katFac
i
l
i
t
yMH

1.
0

0.
0

1.
1

0.
1

Dent
alAssi
st
ant

2.
0

1.
5

0.
5

1.
9

0.
1

Dent
alHygi
eni
st

0.
0

Dent
i
st

1.
0

0.
7

0.
3

0.
7

0.
3

Di
r
ec
t
orofNur
si
ng

0.
0

Di
r
ec
t
orofNur
si
ng-Med

1.
0

0.
0

1.
0

0.
0

1.
0

Heal
t
hSer
vi
c
esAdmi
n

1.
0

0.
9

0.
1

1.
1

0.
1

Li
c
ensedPr
ac
tNur
seMed

8.
0

7.
3

0.
7

8.
5

0.
5

Medi
c
alDi
r
ec
t
or

1.
0

0.
5

1.
0

0.
0

Medi
c
alRec
or
ds

1.
0

0.
0

1.
0

0.
0

1.
0

Medi
c
alRec
or
dsI
I

1.
0

0.
8

0.
2

1.
0

0.
0

Ment
alHeal
t
hPr
of
essi
ona

1.
0

0.
5

1.
0

0.
0

Nur
si
ngAssi
st
ant

1.
0

1.
9

0.
9

2.
3

1.
3

PhysAsst
,
AdvRNPr
ac
,
CNSpe

0.
0

0.
7

Psyc
hol
ogi
st

0.
0

Regi
st
er
edNur
seMed

5.
2

4.
4

0.
8

5.
4

0.
2

Tot
al

26.
2

21.
1

5.
1

25.
8

0.
4

AA,Cl
er
katFac
i
l
i
t
y

1.
0

0.
0

1.
0

0.
0

1.
0

AA,Cl
er
katFac
i
l
i
t
yMH

0.
6

0.
0

0.
6

0.
0

0.
6

Dent
alAssi
st
ant

3.
0

0.
0

3.
0

0.
0

3.
0

Dent
alHygi
eni
st

1.
0

0.
0

1.
0

0.
0

1.
0

Dent
i
st

1.
6

0.
0

1.
6

0.
0

1.
6

Di
r
ec
t
orofNur
si
ng

0.
0

Di
r
ec
t
orofNur
si
ng-Med

1.
0

0.
0

1.
0

0.
0

1.
0

Heal
t
hSer
vi
c
esAdmi
n

1.
0

0.
0

1.
0

0.
0

1.
0

Li
c
ensedPr
ac
tNur
seMed

7.
0

0.
0

7.
0

0.
0

7.
0

MDPhysi
c
alHeal
t
h

0.
0

Medi
c
alDi
r
ec
t
or

0.
6

0.
0

0.
6

0.
0

0.
6

Medi
c
alRec
or
ds

2.
0

0.
0

2.
0

0.
0

2.
0

Ment
alHeal
t
hPr
of
essi
ona

1.
0

0.
0

1.
0

0.
0

1.
0

Nur
seManager

0.
0

Nur
si
ngAssi
st
ant

1.
0

0.
0

1.
0

0.
0

1.
0

PhysAsst
,
AdvRNPr
ac
,
CNSpe

0.
6

0.
0

0.
6

0.
0

0.
6

Psyc
hol
ogi
st

0.
0

Regi
st
er
edNur
seMed

5.
2

0.
0

5.
2

0.
0

5.
2

Tot
al

26.
6

0.
0

26.
6

0.
0

26.
6

AA,Cl
er
katFac
i
l
i
t
y

1.
0

0.
7

0.
3

1.
0

0.
0

AA,Cl
er
katFac
i
l
i
t
yMH

0.
4

0.
0

0.
4

0.
0

0.
4

Li
c
ensedPr
ac
tNur
seMed

2.
8

1.
3

1.
5

1.
3

Ment
alHeal
t
hPr
of
essi
ona

1.
0

0.
6

0.
4

0.
9

0.
1

Nur
seManager

1.
0

0.
8

0.
2

1.
0

0.
0

PhysAsst
,
AdvRNPr
ac
,
CNSpe

0.
4

0.
3

0.
1

0.
3

0.
1

Psyc
hol
ogi
st

0.
0

Regi
st
er
edNur
seMed

2.
8

3.
2

0.
4

4.
5

1.
7

Tot
al

9.
4

6.
9

2.
5

9.
2

0.
2

AA,Cl
er
katFac
i
l
i
t
y

2.
0

0.
8

1.
2

1.
0

AA,Cl
er
katFac
i
l
i
t
yMH

1.
0

0.
8

0.
2

1.
0

0.
0

Dent
alAssi
st
ant

2.
0

1.
3

0.
7

1.
9

0.
1

Dent
alHygi
eni
st

1.
0

0.
7

0.
3

0.
9

0.
1

Dent
i
st

1.
0

0.
8

0.
2

1.
0

0.
0

Di
r
ec
t
orofNur
si
ng

0.
0

Di
r
ec
t
orofNur
si
ng-Med

1.
0

0.
8

0.
2

1.
0

0.
0

Heal
t
hSer
vi
c
esAdmi
n

1.
0

0.
8

0.
2

1.
0

0.
0

Li
c
ensedPr
ac
tNur
seMed

7.
2

4.
5

2.
7

5.
6

1.
6

MDPhysi
c
alHeal
t
h

0.
0

Medi
c
alDi
r
ec
t
or

0.
2

0.
0

0.
2

0.
0

0.
2

Medi
c
alRec
or
ds

2.
0

1.
6

0.
4

2.
0

0.
0

Ment
alHeal
t
hPr
of
essi
ona

1.
0

0.
8

0.
2

0.
8

0.
2

Nur
si
ngAssi
st
ant

1.
0

0.
7

0.
3

0.
9

0.
1

PhysAsst
,
AdvRNPr
ac
,
CNSpe

1.
0

0.
8

0.
2

1.
0

0.
0

Physi
c
alTher
api
st

0.
0

Psyc
hol
ogi
st

0.
0

Regi
st
er
edNur
seMed

5.
2

4.
9

0.
3

5.
6

0.
4

Tot
al

26.
6

19.
1

7.
5

23.
7

2.
9

AA,Cl
er
katFac
i
l
i
t
y

2.
0

1.
6

0.
4

2.
0

0.
0

AA,Cl
er
katFac
i
l
i
t
yMH

1.
0

0.
9

0.
1

1.
0

0.
0

Dent
alAssi
st
ant

2.
0

0.
8

1.
2

1.
0

Dent
alHygi
eni
st

0.
5

0.
8

0.
3

1.
0

0.
5

Dent
i
st

1.
0

0.
4

0.
6

0.
7

0.
3

Di
r
ec
t
orofNur
si
ng

0.
0

Di
r
ec
t
orofNur
si
ng-Med

1.
0

0.
9

0.
1

1.
0

0.
0

Heal
t
hSer
vi
c
esAdmi
n

1.
0

0.
8

0.
2

1.
1

0.
1

Li
c
ensedPr
ac
tNur
seMed

7.
2

5.
3

1.
9

6.
5

0.
7

MDPhysi
c
alHeal
t
h

0.
0

Medi
c
alDi
r
ec
t
or

0.
2

0.
1

Medi
c
alRec
or
ds

2.
0

1.
7

0.
3

2.
0

0.
0

Medi
c
alTec
hni
c
i
an

0.
0

Ment
alHeal
t
hPr
of
essi
ona

1.
0

0.
8

0.
3

1.
0

0.
0

Nur
si
ngAssi
st
ant

1.
0

2.
5

1.
5

2.
6

1.
6

Phar
mac
yTec
hni
c
i
an

0.
0

PhysAsst
,
AdvRNPr
ac
,
CNSpe

1.
0

0.
0

1.
1

0.
1

Physi
c
alTher
api
st

0.
0

Psyc
hol
ogi
st

0.
0

Regi
st
er
edNur
seMed

5.
2

5.
3

0.
1

5.
9

0.
7

Tot
al

26.
1

22.
8

3.
3

27.
0

0.
9

AA,Cl
er
katFac
i
l
i
t
y

7.
0

4.
1

2.
9

5.
2

1.
8

AA,Cl
er
katFac
i
l
i
t
yMH

3.
0

0.
0

3.
0

0.
0

3.
0

Ac
t
i
vi
t
yTec
hni
/
Ther
api
st

2.
0

1.
7

0.
4

2.
0

0.
0

CaseManager

0.
0

Dent
alAssi
st
ant

5.
0

4.
0

1.
0

5.
1

0.
1

Dent
alHygi
eni
st

1.
0

0.
2

0.
8

0.
2

0.
8

Dent
i
st

3.
0

2.
3

0.
7

3.
1

0.
1

Di
r
ec
t
orofNur
si
ng

0.
0

Di
r
ec
t
orofNur
si
ng-Med

2.
0

1.
1

0.
9

1.
3

0.
7

Heal
t
hSer
vi
c
esAdmi
n

2.
0

1.
4

0.
6

2.
0

0.
0

Labor
at
or
yTec
hni
c
i
an

0.
0

Li
c
ensedPr
ac
tNur
seMed

25.
4

12.
3

13.
1

13.
5

11.
9

MDPhysi
c
alHeal
t
h

2.
0

1.
3

0.
7

2.
1

0.
1

Medi
c
alDi
r
ec
t
or

1.
0

0.
9

0.
1

1.
1

0.
1

Medi
c
alRec
or
ds

7.
0

1.
6

5.
4

2.
1

5.
0

Medi
c
alRec
or
dsI
I

2.
0

0.
7

1.
3

1.
0

Medi
c
alTec
hni
c
i
an

0.
0

Ment
alHeal
t
hDi
r
ec
t
or

1.
0

0.
6

0.
4

1.
0

0.
0

Ment
alHeal
t
hPr
of
essi
ona

12.
0

9.
2

2.
8

12.
1

0.
1

Nur
seManager

2.
8

0.
0

2.
8

0.
0

2.
8

Nur
si
ngAssi
st
ant

9.
4

3.
7

5.
7

4.
9

4.
5

PhysAsst
,
AdvRNPr
ac
,
CNSpe

7.
0

4.
3

2.
7

5.
7

1.
3

PhysAsst
,
AdvRNPr
ac
,
CNSpMH

1.
5

1.
2

0.
3

2.
0

0.
5

Psyc
hi
at
r
i
st

2.
0

1.
7

0.
3

1.
9

0.
1

Psyc
hol
ogi
st

1.
0

0.
8

0.
2

1.
0

0.
0

Regi
st
er
edNur
seMed

17.
0

13.
1

3.
9

14.
7

2.
3

Regi
st
er
edNur
seMH

1.
0

0.
9

0.
1

1.
1

0.
1

117.
1

67.
0

50.
1

82.
9

34.
2

AA,Cl
er
katFac
i
l
i
t
y

3.
0

1.
4

1.
6

2.
0

1.
0

AA,Cl
er
katFac
i
l
i
t
yMH

3.
0

1.
9

1.
1

2.
3

0.
7

Ac
t
i
vi
t
yTec
hni
/
Ther
api
st

1.
0

0.
7

0.
3

1.
0

0.
0

Dent
alAssi
st
ant

2.
0

1.
7

0.
3

2.
0

0.
0

Dent
alHygi
eni
st

1.
0

0.
9

0.
2

1.
0

0.
0

Dent
i
st

1.
0

0.
7

0.
3

0.
9

0.
1

Di
r
ec
t
orofNur
si
ng

0.
0

Di
r
ec
t
orofNur
si
ng-Med

1.
0

0.
8

0.
2

1.
0

0.
0

Heal
t
hSer
vi
c
esAdmi
n

1.
0

0.
9

0.
1

1.
0

0.
0

Li
c
ensedPr
ac
tNur
seMed

20.
9

14.
8

6.
1

17.
3

3.
6

Li
c
ensedPr
ac
tNur
seMH

0.
0

MDPhysi
c
alHeal
t
h

0.
0

Medi
c
alDi
r
ec
t
or

1.
0

0.
8

0.
2

1.
0

0.
0

Medi
c
alRec
or
ds

3.
0

2.
9

0.
1

4.
0

1.
0

Medi
c
alRec
or
dsI
I

1.
0

0.
9

0.
1

1.
0

0.
0

Ment
alHeal
t
hDi
r
ec
t
or

1.
0

0.
0

1.
0

0.
0

1.
0

Ment
alHeal
t
hPr
of
essi
ona

16.
0

9.
0

7.
0

10.
8

5.
2

Nur
si
ngAssi
st
ant

3.
0

2.
4

0.
6

3.
0

0.
0

Nur
si
ngAssi
st
ant-MH

0.
0

PhysAsst
,
AdvRNPr
ac
,
CNSpe

1.
0

0.
8

0.
2

1.
0

0.
0

PhysAsst
,
AdvRNPr
ac
,
CNSpMH

0.
6

0.
0

0.
8

0.
2

Psyc
hi
at
r
i
st

1.
0

0.
8

0.
2

1.
0

0.
0

Psyc
hol
ogi
st

1.
0

0.
4

0.
6

0.
4

0.
6

Regi
st
er
edNur
seMed

7.
0

16.
4

9.
4

19.
4

12.
4

Regi
st
er
edNur
seMH

1.
0

0.
0

1.
0

0.
0

1.
0

Tot
al

70.
5

58.
7

11.
8

70.
8

0.
3

AA,Cl
er
katFac
i
l
i
t
y

4.
0

0.
8

3.
2

1.
0

3.
0

AA,Cl
er
katFac
i
l
i
t
yMH

2.
0

1.
1

0.
9

1.
3

0.
7

Ac
t
i
vi
t
yTec
hni
/
Ther
api
st

1.
0

0.
8

0.
2

1.
0

0.
0

Dent
alAssi
st
ant

4.
0

2.
6

1.
4

3.
3

0.
7

Dent
alHygi
eni
st

1.
0

0.
8

0.
3

1.
1

0.
1

Dent
i
st

2.
0

1.
6

0.
4

1.
9

0.
1

Di
r
ec
t
orofNur
si
ng

0.
0

Di
r
ec
t
orofNur
si
ng-Med

2.
0

0.
7

1.
3

1.
0

Heal
t
hSer
vi
c
esAdmi
n

2.
0

1.
7

0.
3

2.
0

0.
0

Li
c
ensedPr
ac
tNur
seMed

22.
0

15.
4

6.
6

17.
6

4.
4

Li
c
ensedPr
ac
tNur
seMH

0.
0

MDPhysi
c
alHeal
t
h

0.
0

Medi
c
alDi
r
ec
t
or

1.
0

0.
0

1.
0

0.
0

1.
0

Medi
c
alRec
or
ds

3.
0

0.
0

3.
8

0.
8

Medi
c
alRec
or
dsI
I

1.
0

0.
0

1.
0

0.
0

1.
0

Medi
c
alTec
hni
c
i
an

0.
0

Ment
alHeal
t
hDi
r
ec
t
or

1.
0

0.
8

0.
2

1.
0

0.
0

Ment
alHeal
t
hPr
of
essi
ona

10.
0

7.
6

2.
4

9.
0

1.
0

Nur
si
ngAssi
st
ant

4.
0

2.
8

1.
2

3.
8

0.
2

PhysAsst
,
AdvRNPr
ac
,
CNSpe

2.
0

3.
5

1.
5

4.
2

2.
2

PhysAsst
,
AdvRNPr
ac
,
CNSpMH

1.
0

0.
8

0.
2

1.
0

0.
0

Psyc
hi
at
r
i
st

1.
0

0.
8

0.
2

1.
0

0.
0

Psyc
hol
ogi
st

1.
0

0.
2

0.
8

0.
2

0.
8

Regi
st
er
edNur
seMed

12.
4

10.
5

1.
9

12.
1

0.
3

Regi
st
er
edNur
seMH

2.
0

1.
9

0.
1

2.
3

0.
3

Tot
al

79.
4

57.
5

21.
9

68.
6

10.
8

Cor
pFi
nanc
eSt
aﬀ

0.
0

3.
4

4.
0

Cor
pHRSt
aﬀAdmi
n

0.
0

Cor
pHRSt
aﬀBeneﬁt
s

0.
0

Cor
pI
TSt
aﬀ

0.
0

Tot
al

0.
0

3.
4

4.
0

Cor
pL
egalSt
aﬀ

0.
0

Tot
al

0.
0

Cor
pCl
i
nOpsSt
aﬀ

0.
0

Cor
pCompl
i
anc
eSt
aﬀ

0.
0

0.
7

Cor
pEl
ecHeal
t
hRec
or
ds

13.
0

1.
3

11.
8

1.
3

11.
8

Cor
pFi
nanc
eSt
aﬀ

0.
0

0.
8

1.
0

Cor
pRec
r
ui
t
i
ngSt
aﬀ

0.
0

8.
7

10.
3

Tot
al

13.
0

11.
5

1.
5

13.
3

0.
3

AA,Cl
er
katFac
i
l
i
t
y

1.
0

0.
7

0.
3

1.
0

0.
0

AA,Cl
er
katFac
i
l
i
t
yMH

1.
0

0.
8

0.
2

1.
0

0.
0

Dent
alAssi
st
ant

2.
0

1.
0

1.
8

0.
2

Dent
alHygi
eni
st

1.
0

0.
8

0.
3

1.
0

0.
0

Dent
i
st

1.
0

0.
9

0.
2

1.
0

0.
0

Di
r
ec
t
orofNur
si
ng

0.
0

Di
r
ec
t
orofNur
si
ng-Med

1.
0

0.
7

0.
3

1.
1

0.
1

Heal
t
hSer
vi
c
esAdmi
n

1.
0

0.
8

0.
2

1.
0

0.
0

Li
c
ensedPr
ac
tNur
seMed

7.
3

7.
0

0.
3

7.
1

0.
2

Li
c
ensedPr
ac
tNur
seMH

0.
0

MDPhysi
c
alHeal
t
h

0.
0

Medi
c
alDi
r
ec
t
or

0.
4

0.
0

0.
4

0.
0

0.
4

Medi
c
alRec
or
ds

2.
0

1.
7

0.
4

2.
0

0.
0

Ment
alHeal
t
hPr
of
essi
ona

1.
0

0.
2

0.
8

0.
2

0.
8

Nur
si
ngAssi
st
ant

1.
0

0.
9

0.
1

1.
2

0.
2

PhysAsst
,
AdvRNPr
ac
,
CNSpe

1.
0

0.
8

0.
2

1.
0

0.
0

Psyc
hol
ogi
st

0.
0

Regi
st
er
edNur
seMed

5.
2

3.
0

2.
2

3.
6

1.
6

Tot
al

25.
9

19.
2

6.
7

22.
9

3.
0

AA,Cl
er
katFac
i
l
i
t
y

3.
0

1.
6

1.
4

2.
0

1.
0

AA,Cl
er
katFac
i
l
i
t
yMH

7.
0

3.
6

3.
4

5.
1

1.
9

Ac
t
i
vi
t
yTec
hni
/
Ther
api
st

9.
0

5.
5

3.
5

6.
9

2.
1

CaseManager

0.
0

Dent
alAssi
st
ant

2.
0

1.
6

0.
4

2.
0

0.
0

Dent
alHygi
eni
st

0.
5

0.
6

0.
1

1.
0

0.
5

Dent
i
st

1.
5

0.
8

0.
7

1.
0

0.
5

Di
r
ec
t
orofNur
si
ng

1.
0

0.
8

0.
2

1.
0

0.
0

Di
r
ec
t
orofNur
si
ng-Med

1.
0

0.
9

0.
1

1.
1

0.
1

Heal
t
hSer
vi
c
esAdmi
n

1.
0

1.
1

0.
1

1.
2

0.
2

Li
c
ensedPr
ac
tNur
seMed

12.
0

4.
2

7.
8

4.
8

7.
2

Li
c
ensedPr
ac
tNur
seMH

11.
2

6.
8

4.
4

8.
4

2.
8

MDPhysi
c
alHeal
t
h

0.
0

0.
1

Medi
c
alDi
r
ec
t
or

1.
0

1.
2

0.
2

1.
3

0.
3

Medi
c
alRec
or
ds

2.
0

2.
9

0.
9

3.
5

1.
5

Medi
c
alRec
or
dsI
I

1.
0

0.
8

0.
2

1.
1

0.
1

Ment
alHeal
t
hDi
r
ec
t
or

1.
0

0.
6

0.
4

1.
0

0.
0

Ment
alHeal
t
hPr
of
essi
ona

17.
0

8.
9

8.
1

11.
1

5.
9

Nur
si
ngAssi
st
ant

2.
0

3.
5

1.
5

4.
0

2.
0

Nur
si
ngAssi
st
ant-MH

6.
0

5.
1

0.
9

6.
6

0.
6

PhysAsst
,
AdvRNPr
ac
,
CNSpe

5.
0

5.
1

0.
1

6.
5

1.
5

PhysAsst
,
AdvRNPr
ac
,
CNSpMH

3.
0

0.
0

4.
0

1.
0

Psyc
hi
at
r
i
st

2.
0

0.
4

1.
6

0.
4

1.
6

Psyc
hol
ogi
st

5.
0

3.
1

1.
9

3.
8

1.
2

Regi
st
er
edNur
seMed

8.
4

15.
8

7.
4

16.
5

8.
1

Regi
st
er
edNur
seMH

14.
0

14.
7

0.
7

18.
4

4.
4

116.
6

92.
7

23.
9

112.
9

3.
7

AA,Cl
er
katFac
i
l
i
t
y

3.
0

1.
2

1.
8

1.
2

AA,Cl
er
katFac
i
l
i
t
yMH

1.
0

0.
8

0.
2

1.
0

0.
0

Dent
alAssi
st
ant

2.
0

1.
5

0.
5

2.
0

0.
0

Dent
alHygi
eni
st

0.
6

0.
0

0.
6

0.
0

0.
6

Dent
i
st

1.
0

0.
7

0.
3

1.
0

0.
0

Di
r
ec
t
orofNur
si
ng-Med

1.
0

0.
8

0.
2

1.
0

0.
0

Heal
t
hSer
vi
c
esAdmi
n

1.
0

0.
0

1.
1

0.
1

Li
c
ensedPr
ac
tNur
seMed

8.
0

7.
5

0.
5

8.
5

0.
5

Medi
c
alDi
r
ec
t
or

0.
5

0.
4

0.
2

0.
6

0.
1

Medi
c
alRec
or
ds

2.
0

1.
3

0.
7

1.
9

0.
1

Medi
c
alRec
or
dsI
I

1.
0

0.
9

0.
1

1.
0

0.
0

Ment
alHeal
t
hPr
of
essi
ona

2.
0

1.
5

0.
5

2.
0

0.
0

Nur
si
ngAssi
st
ant

2.
0

2.
1

0.
1

2.
5

0.
5

PhysAsst
,
AdvRNPr
ac
,
CNSpe

2.
4

0.
8

1.
6

1.
2

Psyc
hol
ogi
st

0.
0

Regi
st
er
edNur
seMed

5.
2

4.
0

1.
2

4.
6

0.
6

Tot
al

32.
7

24.
4

8.
3

30.
0

2.
7

AA,Cl
er
katFac
i
l
i
t
y

3.
0

1.
5

2.
1

0.
9

AA,Cl
er
katFac
i
l
i
t
yMH

1.
6

0.
0

1.
6

0.
0

1.
6

Ac
t
i
vi
t
yTec
hni
/
Ther
api
st

1.
0

0.
1

0.
9

0.
1

0.
9

CaseManager

0.
0

Dent
alAssi
st
ant

3.
0

1.
2

1.
9

2.
0

1.
0

Dent
alHygi
eni
st

1.
0

0.
6

0.
4

0.
8

0.
2

Dent
i
st

2.
0

0.
9

1.
1

1.
0

Di
r
ec
t
orofNur
si
ng-Med

1.
0

1.
3

0.
3

1.
4

0.
4

Heal
t
hSer
vi
c
esAdmi
n

1.
0

0.
8

0.
2

1.
0

0.
0

Li
c
ensedPr
ac
tNur
seMed

14.
4

5.
7

8.
7

7.
3

7.
1

MDPhysi
c
alHeal
t
h

0.
0

Medi
c
alDi
r
ec
t
or

1.
0

0.
7

0.
3

1.
0

0.
0

Medi
c
alRec
or
ds

2.
0

3.
1

1.
1

4.
0

2.
0

Medi
c
alRec
or
dsI
I

1.
0

0.
0

1.
0

0.
0

1.
0

Ment
alHeal
t
hDi
r
ec
t
or

1.
0

0.
0

1.
0

0.
0

1.
0

Ment
alHeal
t
hPr
of
essi
ona

5.
0

3.
8

1.
2

4.
9

0.
1

Nur
seManager

1.
0

0.
1

0.
9

0.
2

0.
9

Nur
si
ngAssi
st
ant

2.
0

2.
4

0.
4

2.
8

0.
8

PhysAsst
,
AdvRNPr
ac
,
CNSpe

2.
0

2.
3

0.
3

3.
3

1.
3

PhysAsst
,
AdvRNPr
ac
,
CNSpMH

1.
0

0.
8

0.
2

1.
1

0.
1

Psyc
hi
at
r
i
st

0.
0

Psyc
hol
ogi
st

0.
0

0.
6

Regi
st
er
edNur
seMed

9.
0

12.
7

3.
7

14.
1

5.
1

Regi
st
er
edNur
seMH

1.
0

0.
8

0.
3

1.
0

0.
0

Tot
al

54.
0

39.
2

14.
8

48.
3

5.
7

Qual
i
t
yAssur
anc
e

0.
0

3.
9

5.
0

Tot
al

0.
0

3.
9

5.
0

Ac
t
i
vi
t
yTec
hni
/
Ther
api
st

0.
0

0.
7

1.
0

Assi
st
antPr
ogr
am Mgr

1.
0

0.
9

0.
2

1.
0

0.
0

CaseManager

4.
0

4.
6

0.
6

6.
0

2.
0

Cor
pHRSt
aﬀ

0.
0

Cor
pHRSt
aﬀAdmi
nFL

3.
0

0.
0

3.
0

0.
0

3.
0

Cor
pHRSt
aﬀEmpRel
nsFL

4.
0

0.
0

4.
0

0.
0

4.
0

Cor
pI
TSt
aﬀ

0.
0

Di
r
ec
t
orofNur
si
ng

0.
0

FN-ROSt
aﬀ

1.
0

2.
5

1.
5

2.
8

1.
8

HR-ROSt
aﬀ

0.
0

6.
6

8.
2

I
T-ROSt
aﬀ

10.
0

4.
1

5.
9

6.
3

3.
7

Medi
c
alDi
r
ec
t
or

0.
0

1.
1

Medi
c
alDi
r
ec
t
orMH

2.
0

1.
6

0.
4

2.
0

0.
0

Ment
alHeal
t
hPr
of
essi
ona

4.
0

1.
7

2.
3

2.
0

Phar
mac
y

1.
0

0.
9

0.
2

1.
0

0.
0

PhysAsst
,
AdvRNPr
,
CNSMHTH

0.
0

0.
7

1.
0

PhysAsst
,
AdvRNPr
ac
,
CNSpe

0.
0

PhysAsst
,
AdvRNPr
ac
,
CNSpMH

0.
0

0.
6

1.
2

Physi
c
alTher
api
st

1.
0

0.
0

1.
0

0.
0

1.
0

Pr
ogr
am Dent
alDi
r
ec
t
or

1.
0

0.
9

0.
2

1.
0

0.
0

Pr
ogr
am Di
rofNur
si
ng

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ac
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_102

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_503

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_279

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_105

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ur
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_106

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FLWomenRec
pnCt
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_368

FLWor
kFr
om HomeR4

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Centurion FL Network Migration Project
Task Name

Notes

Duration

Start

Finish

Predecess
ors

Assigned To

% Complete

Project Management/Documentation

110d

03/06/23

06/23/23

Submit IT Project Intake Request

03/06/23

03/10/23

ID Centurion IT Project Manager

03/13/23

03/17/23

ID Facility Address/Locations

Link

03/13/23

03/17/23

99%

ID Project Document Folder

Link

03/13/23

03/17/23

90%

Setup Regular Project Meetings

05/01/23

05/05/23

ID Work Streams

12d

05/01/23

05/12/23

ID Key DOC Stakeholders

Link

12d

05/01/23

05/12/23

10%

Document High-Level Technology Plan

Communicate to Stakeholders

12d

05/22/23

06/02/23

19d

06/05/23

06/23/23

242d

05/01/23

12/28/23

12d

05/01/23

05/12/23

10
11

Complete any SOWs needed
Circuit Acquisition
Link

15%
Ken Garthe

Verify Accuracy of all Facilities

Order Circuits for all facilities

12d

07/03/23

07/14/23

Establish Circuit Install Tracking Documentation & Communication

12d

07/03/23

07/14/23

Complete Circuit Installs

150d

08/01/23

12/28/23

548d

07/03/23

12/31/24

150d

08/01/23

12/28/23

Network Hardware Install
Current GDC Hardware List

Centurion IT Site Survey

Order Firewalls

30d

07/03/23

08/01/23

Confirm Network/Security Design and Project Plan w FDC

50d

07/03/23

08/21/23

Secure FDC Sign-off on Project Plan

08/14/23

08/18/23

Configure Firewalls

120d

09/01/23

12/29/23

Install Firewalls & Complete Centurion Network Reconfiguration

366d

01/01/24

12/31/24

347d

01/02/24

12/13/24

@ each facilities

Go-Live Cutover Timelines

Deploy Apalachee West CI

101

01/02/24

01/05/24

Deploy Apalachee East CI

102

01/02/24

01/05/24

Deploy Jefferson CI

103

01/08/24

01/12/24

Deploy Jackson CI

104

01/15/24

01/19/24

Deploy Calhoun CI

105

01/15/24

01/19/24

Deploy Century CI

106

01/22/24

01/26/24

Deploy Holmes CI

107

01/29/24

02/02/24

Deploy Walton CI

108

02/05/24

02/09/24

Deploy Gulf CI

109

02/05/24

02/09/24

Deploy NW Florida Rec Center Main

110

02/12/24

02/16/24

Deploy Franklin CI

113

02/19/24

02/23/24

Deploy Okaloosa CI

115

02/26/24

03/01/24

Deploy Wakulla CI

118

02/26/24

03/01/24

Deploy Santa Rosa CI

119

03/04/24

03/08/24

Deploy Liberty CI

120

03/11/24

03/15/24

Deploy Wakulla Annex

122

03/18/24

03/22/24

Deploy NW Florida Rec Center Annex

125

03/18/24

03/22/24

Deploy Santa Rosa Annex

135

03/25/24

03/29/24

Deploy Quincy Annex

139

04/01/24

04/05/24

Deploy Gadsden Re-Entry

144

04/08/24

04/12/24

Deploy Gulf CI Annex

150

04/08/24

04/12/24

Deploy Taylor CI

218

04/15/24

04/19/24

Deploy Taylor Annex (closing 10/30)

224

04/22/24

04/26/24

Page 1 of 2

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23
Task Name

Notes

Duration

Start

Finish

04/29/24

05/03/24

04/29/24

05/03/24

Deploy Columbia CI

201

Deploy FSP CI

205

Deploy FSP West

206

Deploy RMC West

208

Deploy RMC Main & Hospital

209

Deploy New River CI

210

Deploy Cross City CI

211

Deploy Union CI

213

Deploy Putnam CI

214

Deploy Hamilton CI

215

Deploy Madison CI

216

Deploy Mayo CI & Annex

223

Deploy Suwannee CI

230

Deploy Hamilton Annex

250

Deploy Columbia Annex

251

Deploy Lawtey CI

255

Deploy Baker Re-Entry

275

Deploy Baker CI

279

Deploy Lancaster CI

281

Deploy Tomoka CI

282

Deploy Marion CI

304

Deploy Sumter CI

307

Deploy Lake CI

312

Deploy Lowell CI

314

Deploy Central FL Reception Ctr Main

320

Deploy Central FL Reception Ctr East

321

Deploy Central FL Reception Ctr South

323

Deploy Hernando CI

336

Deploy Lowell Annex

367

Deploy FL Women's Reception Ctr

368

Deploy Hardee CI

501

Deploy Avon Park

503

Deploy Desoto CI & Annex

564

Deploy Zephyrhills CI

573

Deploy Polk CI

580

Deploy Everglades CI

401

Deploy S. FL Reception Ctr. -Main

402

Deploy S. FL Reception Ctr. -South

403

Deploy Okeechobee

404

Deploy Homestead CI

419

Deploy Martin CI

430

Deploy Dade CI

463

Deploy Charlotte CI

510

Deploy Everglades Re-Entry Center

Post Go-Live

r
t
+-

t
+t
+t
+-

05/06/24

05/13/24
05/20/24

05/10/24
05/24/24
05/24/24

06/03/24
06/10/24

% Complete

05/17/24

05/20/24
05/28/24

Predecess
Assigned To
ors

05/31/24
06/07/24

06/14/24

06/10/24

06/14/24

06/17/24

06/21/24

06/24/24

06/28/24

07/01/24

07/03/24

r
t

07/08/24
07/15/24

t
+-

07/15/24

07/19/24
r

07/22/24
07/29/24
08/05/24

07/12/24
07/19/24
07/26/24

08/02/24
08/09/24

r
t

08/12/24
08/12/24

+t
+-

08/19/24
08/26/24
09/03/24

09/16/24

08/30/24
08/30/24

09/09/24
09/16/24

08/16/24
08/23/24

08/26/24

08/16/24

09/06/24
09/13/24

09/20/24
09/20/24

09/23/24

09/27/24

09/23/24

09/27/24

09/30/24

10/04/24

r
t

10/07/24
10/14/24

10/21/24
t
+t
+-

10/14/24

10/28/24
11/04/24
11/04/24
11/11/24

10/11/24
10/18/24

10/18/24
10/25/24
11/01/24
11/08/24
11/08/24
11/15/24

r
t

11/11/24

11/15/24

11/18/24

11/22/24

11/25/24

11/27/24

12/02/24

12/06/24

12/09/24

12/13/24

Page 2 of 2

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Staffing Proposals
* On the Staffing Worksheet, use the DROPDOWN list that appears when you click any cell under Posi
Position titles not listed on the dropdown list may be entered by selecting "Other-Not Listed" with the
Provide the number of Staffing Proposed (column I) by entering the number of FTE.
Telehealth only positions should be noted as such under column J.
You will need to insert the appropriate number of lines needed for each facility to reflect positions be
* Complete Staffing for each site on the Staffing Worksheet
* Include all locations on the Staffing Worksheet (Main Unit, Annex, satellite staffing, RMCH, IP, etc.)
* Enter staffing proposals for Inpatient, RMC Hospital, and Wakulla RCCU under separate worksheets p
NOTE: Facility Demographics are provided on the named Worksheet
WORK CAMP AND WORK RELEASE STAFFING NEEDS
Work Camp:
• Not staffed full-time
• Sick call conducted a minimum of 3 days per week.
• MD appointments conducted onsite at least one day per week.
• No single-dosed medication except INH twice weekly delivered on days sick call is conduct
• Sick call triage box available with arrangements made to see inmate if complaint is triaged
• KOPs delivered on site days of sick call.
• Labs drawn on site minimum of one day per week.
• Responsible for maintenance of first aid kits and AED at work camp location.
• Inventory and maintain OTC meds for sick call/exam room.
Work Release (FDC run):
Community Work Assigned (CWA, formerly permanent party inmates):
• Health care Contractor is responsible for all routinely scheduled healthcare and sick call. T
• Sick call can be performed at site when requested. KOP delivered to site or mailed directly
• MD appointments can be conducted at the parent facility by coordinating transfers throug
Community Work Release (CWR) and Private CRCs
• Inmate is responsible for health care. After all efforts to seek care in the community has be
to the point the inmate is no longer able to maintain employment, health care services will be
• Health Care Contractor is not responsible for inmate while at private ran facilities unless th
• Health Care Contractor is will not go to private facilities to conduct health care sick call or
If above condition is met, the inmate will be transferred to the parent facility for evaluation by
• Transfer arrangements are made by the private facility in coordination with the parent fac

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

delivered by the Parent Facility and the Inmate will be re-evaluated for community release eligibility.

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

FACILITY TYPE

LOCATION OF CARE

Position Title (List each position class separately)

MAJOR C.I. (DC)

135-SANTA ROSA ANNEX

MAJOR C.I. (DC)

135-SANTA ROSA ANNEX

MAJOR C.I. (DC)

135-SANTA ROSA ANNEX

MAJOR C.I. (DC)

135-SANTA ROSA ANNEX

MAJOR C.I. (DC)

135-SANTA ROSA ANNEX

MAJOR C.I. (DC)

135-SANTA ROSA ANNEX

MAJOR C.I. (DC)

135-SANTA ROSA ANNEX

MAJOR C.I. (DC)

135-SANTA ROSA ANNEX

MAJOR C.I. (DC)

135-SANTA ROSA ANNEX

MAJOR C.I. (DC)

135-SANTA ROSA ANNEX

MAJOR C.I. (DC)

135-SANTA ROSA ANNEX

MAJOR C.I. (DC)

135-SANTA ROSA ANNEX

MAJOR C.I. (DC)

135-SANTA ROSA ANNEX

MAJOR C.I. (DC)

135-SANTA ROSA ANNEX

MAJOR C.I. (DC)

230-SUWANNEE C.I

MAJOR C.I. (DC)

230-SUWANNEE C.I

MAJOR C.I. (DC)

230-SUWANNEE C.I

MAJOR C.I. (DC)

230-SUWANNEE C.I

MAJOR C.I. (DC)

230-SUWANNEE C.I

MAJOR C.I. (DC)

230-SUWANNEE C.I

MAJOR C.I. (DC)

230-SUWANNEE C.I

MAJOR C.I. (DC)

230-SUWANNEE C.I

MAJOR C.I. (DC)

230-SUWANNEE C.I

MAJOR C.I. (DC)

230-SUWANNEE C.I

MAJOR C.I. (DC)

230-SUWANNEE C.I

MAJOR C.I. (DC)

230-SUWANNEE C.I

MAJOR C.I. (DC)

230-SUWANNEE C.I

MAJOR C.I. (DC)

368-FL.WOMENS RECPN.CTR

MAJOR C.I. (DC)

368-FL.WOMENS RECPN.CTR

MAJOR C.I. (DC)

368-FL.WOMENS RECPN.CTR

MAJOR C.I. (DC)

368-FL.WOMENS RECPN.CTR

MAJOR C.I. (DC)

368-FL.WOMENS RECPN.CTR

MAJOR C.I. (DC)

368-FL.WOMENS RECPN.CTR

MAJOR C.I. (DC)

368-FL.WOMENS RECPN.CTR

MAJOR C.I. (DC)

368-FL.WOMENS RECPN.CTR

MAJOR C.I. (DC)

368-FL.WOMENS RECPN.CTR

MAJOR C.I. (DC)

368-FL.WOMENS RECPN.CTR

MAJOR C.I. (DC)

368-FL.WOMENS RECPN.CTR

MAJOR C.I. (DC)

368-FL.WOMENS RECPN.CTR

MAJOR C.I. (DC)

368-FL.WOMENS RECPN.CTR

MAJOR C.I. (DC)

312-LAKE C.I.

MAJOR C.I. (DC)

312-LAKE C.I.

MAJOR C.I. (DC)

312-LAKE C.I.

MAJOR C.I. (DC)

312-LAKE C.I.

MAJOR C.I. (DC)

312-LAKE C.I.

MAJOR C.I. (DC)

312-LAKE C.I.

MAJOR C.I. (DC)

312-LAKE C.I.

MAJOR C.I. (DC)

312-LAKE C.I.

MAJOR C.I. (DC)

312-LAKE C.I.

MAJOR C.I. (DC)

312-LAKE C.I.

MAJOR C.I. (DC)

312-LAKE C.I.

MAJOR C.I. (DC)

312-LAKE C.I.

MAJOR C.I. (DC)

312-LAKE C.I.

MAJOR C.I. (DC)

312-LAKE C.I.

MAJOR C.I. (DC)

573-ZEPHYRHILLS C.I.

MAJOR C.I. (DC)

573-ZEPHYRHILLS C.I.

MAJOR C.I. (DC)

573-ZEPHYRHILLS C.I.

MAJOR C.I. (DC)

573-ZEPHYRHILLS C.I.

MAJOR C.I. (DC)

573-ZEPHYRHILLS C.I.

MAJOR C.I. (DC)

573-ZEPHYRHILLS C.I.

MAJOR C.I. (DC)

573-ZEPHYRHILLS C.I.

MAJOR C.I. (DC)

573-ZEPHYRHILLS C.I.

MAJOR C.I. (DC)

573-ZEPHYRHILLS C.I.

MAJOR C.I. (DC)

573-ZEPHYRHILLS C.I.

MAJOR C.I. (DC)

573-ZEPHYRHILLS C.I.

MAJOR C.I. (DC)

573-ZEPHYRHILLS C.I.

MAJOR C.I. (DC)

573-ZEPHYRHILLS C.I.

MAJOR C.I. (DC)

573-ZEPHYRHILLS C.I.

MAJOR C.I. (DC)

463-DADE C.I.

MAJOR C.I. (DC)

463-DADE C.I.

MAJOR C.I. (DC)

463-DADE C.I.

MAJOR C.I. (DC)

463-DADE C.I.

MAJOR C.I. (DC)

463-DADE C.I.

MAJOR C.I. (DC)

463-DADE C.I.

MAJOR C.I. (DC)

463-DADE C.I.

MAJOR C.I. (DC)

463-DADE C.I.

MAJOR C.I. (DC)

463-DADE C.I.

MAJOR C.I. (DC)

463-DADE C.I.

MAJOR C.I. (DC)

463-DADE C.I.

MAJOR C.I. (DC)

463-DADE C.I.

MAJOR C.I. (DC)

463-DADE C.I.

MAJOR C.I. (DC)

463-DADE C.I.

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT

Activity Tech
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Mental Health Professional
Other Not Listed (provide title in Col. J)
Psychiatrist
Psychologist
Reentry Specialist
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Activity Tech
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Mental Health Professional
Other Not Listed (provide title in Col. J)
Psychiatrist
Psychologist
Reentry Specialist
Other Not Listed (provide title in Col. J)
Behavioral Health Technician (Specialist)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Mental Health Professional
Other Not Listed (provide title in Col. J)
Psychiatrist
Psychologist
Reentry Specialist
Other Not Listed (provide title in Col. J)
Behavioral Health Technician (Specialist)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Mental Health Professional
Other Not Listed (provide title in Col. J)
Psychiatrist
Psychologist
Reentry Specialist
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Mental Health Professional
Other Not Listed (provide title in Col. J)
Psychiatrist
Psychologist
Psychology Resident
Reentry Specialist
Other Not Listed (provide title in Col. J)
Behavioral Health Activity Tech
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Mental Health Professional
Other Not Listed (provide title in Col. J)
Psychiatrist
Psychologist
Reentry Specialist
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Activity Tech
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Mental Health Director
Mental Health Professional
Psychologist
Reentry Specialist
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)

Discipline Category

Staffing Proposed

10.00
10.40
4.00
1.00
2.00
13.80
1.00
17.00
2.00
2.00
5.00
1.00
12.80
1.00
7.00
9.40
4.00
1.00
1.00
9.80
1.00
9.00
1.00
1.00
3.00
1.00
9.40
3.00
3.80
3.00
1.00
1.00
4.20
1.00
5.00
0.40
1.00
2.00
0.50
5.60
7.00
11.20
4.00
1.00
1.00
12.20
1.00
14.00
2.00
2.00
4.00
1.00
15.40
2.80
4.00
3.00
3.80
2.00
1.00
11.20
1.00
6.00
0.50
1.00
2.00
4.00
0.50
7.60
10.00
9.20
5.00
1.00
2.00
11.20
1.00
13.00
2.00
1.00
3.00
1.00
16.80
1.40
2.00
1.50
1.00
1.00
2.00
1.00
0.50
0.50
4.20
389.60

Description of Job Duties or Title if not from Position Class List

Certified Nursing Assistant-MH
Clerk-MH
Director of Nursing-MH
EMR Monitor
LPN-MH
Mental Health Director
PA/NP-MH

Registered Nurse-MH
Registered Nurse-Supervisor
Certified Nursing Assistant-MH
Clerk-MH
Director of Nursing-MH
EMR Monitor
LPN-MH
Mental Health Director
PA/NP-MH

Registered Nurse-MH
Certified Nursing Assistant-MH
Clerk-MH
Director of Nursing-MH
EMR Monitor
LPN-MH
Mental Health Director
PA/NP-MH

Registered Nurse-MH
Certified Nursing Assistant-MH
Clerk-MH
Director of Nursing-MH
EMR Monitor
LPN-MH
Mental Health Director
PA/NP-Physical Health

Registered Nurse-MH
Registered Nurse-Supervisor-MH

Certified Nursing Assistant-MH
Clerk-MH
Director of Nursing-MH
LPN-MH
Mental Health Director
PA/NP-MH

Registered Nurse-MH
Certified Nursing Assistant-MH
Clerk-MH
Director of Nursing-MH
EMR Monitor
LPN-MH
Mental Health Director
PA/NP-MH

Registered Nurse-MH
Registered Nurse-Supervisor
Clerk-MH
Director of Nursing-MH

PA/NP-MH
Registered Nurse-MH

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

FACILITY TYPE

LOCATION OF CARE

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Activity Tech

Position Title (List each position class separately)

Discipline Category

Staffing Proposed

1.00

Description of Job Duties or Title if not from Position Class List

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Administrative Assistant

1.00

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Assistant Director of Nursing

M/N

1.00

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Certified Nursing Assistant

M/N

10.40

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Clerk

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Dental Assistant

8.00

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Dental Hygienist

0.50

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Dentist

3.00

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Director of Nursing

M/N

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

1.00 E.M.R. Specialist

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

1.00 Health Services Admin

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Infection Control Nurse

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL LPN

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Medical Records Clerk

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Medical Records Supervisor

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Oral Surgeon

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

2.50 PA/NP-MH

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

3.40 PA/NP-Physical Health

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

1.00 PA/NP-Urgent Care

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

6.60 Physician MD/DO - Physical Health

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

2.00 Physician MD/DO-Telehealth

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Psychiatrist

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Psychologist

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Reentry Specialist

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Registered Nurse

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

3.00 Registered Nurse-Infusion/Chemotherapy

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

1.00 Registered Nurse-MH

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

1.00 Registered Nurse-Supervisor

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Scheduler

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Secondary Screener

M/N

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

MAJOR C.I. (DC)

209-R.M.C.- MAIN UNIT HOSPITAL Other Not Listed (provide title in Col. J)

7.00
0

2.50 Clerk-MH

1.00

M/N

1.00
0

M/N

18.40 Licensed Pract Nurse Med
11.20

1.00 Medical Director
5.00
1.00

0
D

7.00 Mental Health Professional- MA/MS
1.00

1.00
2.00
0

1.00 Radiology Scheduler
0.50

0
M/N

2.00 Regional Consult Specialist
14.60

7.00
1.00
1.00 ADA Coordinator
1.00 Statewide Medical Reentry Coordinator
134.60

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

FACILITY TYPE

LOCATION OF CARE

Position Title (List each position class
separately)

Discipline Category

Staffing Proposed

Description of Job Duties or Title if not from Position Class List

122-WAKULLA ANNEX RCCU

Activity Tech

122-WAKULLA ANNEX RCCU

Certified Nursing Assistant

1.00

122-WAKULLA ANNEX RCCU

Other Not Listed (provide title in Col. J)

4.20 Certified Nursing Assistant-MH

122-WAKULLA ANNEX RCCU

Other Not Listed (provide title in Col. J)

122-WAKULLA ANNEX RCCU

Other Not Listed (provide title in Col. J)

122-WAKULLA ANNEX RCCU

Medical Records Clerk

122-WAKULLA ANNEX RCCU

Mental Health Professional

122-WAKULLA ANNEX RCCU

Other Not Listed (provide title in Col. J)

3.00 PA/NP-MH

122-WAKULLA ANNEX RCCU

Other Not Listed (provide title in Col. J)

2.00 PA/NP-Physical Health

122-WAKULLA ANNEX RCCU

Psychologist

5.00

122-WAKULLA ANNEX RCCU

Reentry Specialist

1.00

122-WAKULLA ANNEX RCCU

Other Not Listed (provide title in Col. J)

9.80 Registered Nurse-MH

Activity Tech

5.00

Other Not Listed (provide title in Col. J)

2.80 Certified Nursing Assistant-MH

Other Not Listed (provide title in Col. J)

4.00 Clerk-MH

Other Not Listed (provide title in Col. J)

1.00 Director of Nursing-MH

Other Not Listed (provide title in Col. J)

1.00 EMR Monitor

Other Not Listed (provide title in Col. J)

8.40 LPN-MH

Other Not Listed (provide title in Col. J)

1.00 Mental Health Administrator

Other Not Listed (provide title in Col. J)

1.00 Mental Health Director

Mental Health Professional

8.00

Other Not Listed (provide title in Col. J)

1.00 PA/NP-MH

Psychiatric Director

1.00

Psychologist

2.50

Reentry Specialist

1.00

Other Not Listed (provide title in Col. J)

4.20 Registered Nurse Supervisor-MH

122-WAKULLA ANNEX
RCCU
122-WAKULLA ANNEX
RCCU
122-WAKULLA ANNEX
RCCU
122-WAKULLA ANNEX
RCCU
122-WAKULLA ANNEX
RCCU
122-WAKULLA ANNEX
RCCU
122-WAKULLA ANNEX
RCCU
122-WAKULLA ANNEX
RCCU
122-WAKULLA ANNEX
RCCU
122-WAKULLA ANNEX
RCCU
122-WAKULLA ANNEX
RCCU
122-WAKULLA ANNEX
RCCU
122-WAKULLA ANNEX
RCCU
122-WAKULLA ANNEX
RCCU
122-WAKULLA ANNEX
RCCU

Other Not Listed (provide title in Col. J)

11.00

2.00 Clerk-MH
12.60 LPN-MH
1.00
15.00

9.40 Registered Nurse-MH
118.90

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Row Labels
101-APALACHEE WEST UNIT
101-APALACHEE WEST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
103-JEFFERSON C.I.
103-JEFFERSON C.I.
168-TALLAHASSEE C.R.C
187-SHISA HOUSE WEST
104-JACKSON C.I.
104-JACKSON C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.
106-CENTURY C.I.
106-CENTURY C.I.
164-PENSACOLA C.R.C.
107-HOLMES C.I.
107-HOLMES C.I.
108-WALTON C.I.
108-WALTON C.I.
109-GULF C.I.
109-GULF C.I.
110-NWFRC MAIN UNIT.
110-NWFRC MAIN UNIT.
125-NWFRC ANNEX.
153-MTC-PANAMA CITY CRC
113-FRANKLIN C.I.
113-FRANKLIN C.I.
115-OKALOOSA C.I.
115-OKALOOSA C.I.
161-OKALOOSA WORK CAMP
118-WAKULLA C.I.

Sum of
9/2022 ADP
561
561
1064
1064
1220
1098
92
30
956
956
1415
1415
1498
1430
68
1265
1265
1347
1347
1748
1748
1493
706
718
69
958
958
1211
943
268
2478

Operatories

Final
Dentist

Final
Final
Dental Assistant Dental Hygienist

0.5

1.5

4
4

1
2

2
3

0.5
0.5

0.6

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Row Labels
118-WAKULLA C.I.
122-WAKULLA ANNEX
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
135-SANTA ROSA ANNEX
120-LIBERTY C.I.
120-LIBERTY C.I.
139-QUINCY ANNEX
144-GADSDEN RE-ENTRY CTR
201-COLUMBIA C.I.
201-COLUMBIA C.I.
252-BRIDGES OF LAKE CITY
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
209-R.M.C.- MAIN UNIT
208-R.M.C.- WEST UNIT
209-R.M.C.- MAIN UNIT
211-CROSS CITY C.I.
211-CROSS CITY C.I.
269-CROSS CITY EAST UNIT
213-UNION C.I.
213-UNION C.I.
268-UNION WORK CAMP
214-PUTNAM C.I.
214-PUTNAM C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
216-MADISON C.I.
216-MADISON C.I.
289-MADISON WORK CAMP
218-TAYLOR C.I.

Sum of
Operatories
9/2022 ADP
1604
4
874
4
2130
1082
4
1048
4
2305
4
1564
288
453
1604
4
1476
128
1337
2
1337
2197
702
4
1495 6 & 2 oral surgery
1447
4
1017
430
1782
4
1359
423
477
2
477
342
4
342
1224
4
1189
35
1467
4

Final
Dentist

Final
Final
Dental Assistant Dental Hygienist

2
1

4
2

0.5
0.5

1
1
2

2
2
3

0.5
0.5
1

0.5

1
3
1.5

2
8
3

0.5
0.5
1

0.5

0.6

1.5

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Row Labels
218-TAYLOR C.I.
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
230-SUWANNEE C.I
230-SUWANNEE C.I
231-SUWANNEE C.I. ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
256-TTH OF DINSMORE
267-BRIDGES OF JACKSONVI
275-BAKER RE-ENTRY CENTR
299-JACKSONVILLE BRIDGE
255-LAWTEY C.I.
255-LAWTEY C.I.
281-LANCASTER C.I.
271-BRIDGES OF SANTA FE
280-LANCASTER W.C.
281-LANCASTER C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
284-TOMOKA WORK CAMP
285-REALITY HOUSE
290-TOMOKA CRC
304-MARION C.I.
304-MARION C.I.
355-REENTRY CTR OF OCALA
364-MARION WORK CAMP
307-SUMTER C.I.
307-SUMTER C.I.

Sum of
9/2022 ADP
1467
794
794
1941
859
1082
1191
1191
2162
1456
93
84
483
46
782
782
908
78
286
544
1296
1128
39
77
52
1766
1387
114
265
1707
1431

Operatories

Final
Dentist

Final
Final
Dental Assistant Dental Hygienist

4
4
4

1
1
1

2
2
2

0.5
0.5
0.5

0.5

1.5

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Row Labels
308-SUMTER B.T.U.
365-SUMTER WORK CAMP
312-LAKE C.I.
312-LAKE C.I.
314-LOWELL C.I.
314-LOWELL C.I.
316-LOWELL WORK CAMP
367-LOWELL ANNEX
320-CFRC-MAIN
320-CFRC-MAIN
321-CFRC-EAST
323-CFRC-SOUTH
347-BRIDGES OF COCOA
351-BRIDGES OF ORLANDO
352-ORLANDO BRIDGE
353-TTH OF KISSIMMEE
361-ORLANDO C.R.C.
374-KISSIMMEE C.R.C.
336-HERNANDO C.I.
336-HERNANDO C.I.
345-SUNCOAST C.R.C.(FEM)
368-FL.WOMENS RECPN.CTR
368-FL.WOMENS RECPN.CTR
401-EVERGLADES C.I.
401-EVERGLADES C.I.
441-EVERGLADES RE-ENTRY
402-S.F.R.C.
402-S.F.R.C.
403-S.F.R.C SOUTH UNIT
427-MTC-MIAMI NORTH CRC
446-HOLLYWOOD C.R.C.

Sum of
9/2022 ADP

8
268
568
568
2153
814
238
1101
3495
1665
1253
95
59
124
87
89
6
117
620
444
176
1260
1260
2266
1845
421
1895
1239
385
89
86

Operatories

Final
Dentist

Final
Final
Dental Assistant Dental Hygienist

0.5

4
4

2
2

3
3

0.5
0.5

0.5

2.5

6
4

3
1

5
1

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Row Labels
470-TURNING POINT C.R.C
473-OPA LOCKA C.R.C.
404-OKEECHOBEE C.I.
404-OKEECHOBEE C.I.
464-SAGO PALM RE-ENTRY C
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
430-MARTIN C.I.
414-TFF-Ft. PIERCE CRC
420-MARTIN WORK CAMP
430-MARTIN C.I.
431-Loxahatchee Road Prison - reopened 9/26/22
452-Atlantic CRC - reopened 9/30/22
469-West Palm Beach CRC - reopened 9/30/22
463-DADE C.I.
463-DADE C.I.
501-HARDEE C.I.
412-BRADENTON BRIDGE
501-HARDEE C.I.
563-HARDEE WORK CAMP
503-AVON PARK C.I.
503-AVON PARK C.I.
504-AVON PARK WORK CAMP
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
564-DESOTO ANNEX
560-DESOTO WORK CAMP
564-DESOTO ANNEX
573-ZEPHYRHILLS C.I.
382-TTH OF TARPON SPRING
573-ZEPHYRHILLS C.I.

Sum of
9/2022 ADP
89
7
2130
1761
369
313
313
2121
65
262
1507
92
45
150
1219
1219
1768
61
1432
275
1560
1065
495
1113
1113
1812
266
1546
714
74
640

Operatories

Final
Dentist

Final
Final
Dental Assistant Dental Hygienist

0.25

0.75

0.5

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Row Labels
580-POLK C.I.
381-TTH OF BARTOW
552-LARGO R.P.
562-POLK WORK CAMP
580-POLK C.I.
583-ST. PETE C.R.C.
Grand Total

Sum of
9/2022 ADP
1892
58
68
282
1355
129
72972

Operatories

Final
Dentist

Final
Final
Dental Assistant Dental Hygienist

0.5

147

35.2

C3076 - Exhibit 1

Attachment C – Centurion Proposed Staffing Plans for FDC

Centurion BAFO Submission 3-5-23

LOCATION OF CARE
101-APALACHEE WEST UNIT
101-APALACHEE WEST UNIT
101-APALACHEE WEST UNIT
101-APALACHEE WEST UNIT
101-APALACHEE WEST UNIT
101-APALACHEE WEST UNIT
101-APALACHEE WEST UNIT
101-APALACHEE WEST UNIT
101-APALACHEE WEST UNIT
101-APALACHEE WEST UNIT
101-APALACHEE WEST UNIT
101-APALACHEE WEST UNIT
101-APALACHEE WEST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
102-APALACHEE EAST UNIT
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
103-JEFFERSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
104-JACKSON C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.
105-CALHOUN C.I.

107-HOLMES C.I.
107-HOLMES C.I.
107-HOLMES C.I.
107-HOLMES C.I.

Position Title (List each Position Class separately)

Administrative Assistant
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Clerk
Dental Assistant

Discipline
Category

A
M/N
A
D
D
D
M/N
M/N
A
MH

M/N
A
M/N
D
D
D
M/N
A
M/N
A
A
MH

MH
M/N
M/N
A
M/N
D
D
D
M/N
A
M/N
A
MH

MH
M/N
M/N
A
M/N
A
D
D
D
M/N
A
M/N
A
MH

M/N
M/N
A
M/N
D
D
D
M/N
A
M/N
A
MH

M/N
M/N
A
M/N
A
D

Inpatient
(Y/N)

0
0

0
0
0
0
0
0
0

0
0
0
0
0
0

0
0
0

Staffing Proposed Description of Job Duties or Title if not from Position Class List

1.00
1.50
1.00
2.00
0.50
1.00
1.00
4.20
1.00
1.00
1.00
1.00
5.20
1.00
3.50
2.00
0.50
1.00
1.00
1.00
10.80
2.00
1.00
6.00
1.00
1.00
1.00
1.50
1.00
1.00
1.00
1.00
5.20
1.00
1.00
3.00
2.00
0.50
1.00
1.00
1.00
5.20
1.00
3.00
0.60
0.80
0.80
1.00
1.00
1.00
1.00
5.20
1.00
1.00
4.00
1.00
2.00
0.50
1.00
1.00
1.00
7.20
1.00
3.00
0.50
0.60
1.00
1.00
1.00
1.00
5.20
1.00
1.00
2.40
3.00
1.00
1.50
1.00
1.00
5.20
2.00
1.00
0.20
1.00
1.00
5.20
1.00
1.00
2.40
3.00
1.00
1.50
1.00
1.00
6.20
2.00
1.00
0.40
1.00
1.00
5.20
1.00
1.00
2.00
1.00
3.00

Clerk-MH
PA/NP-Physical Health

Clerk-MH
Medical Director
Mental Health Clinical Director
PA/NP-MH
PA/NP-Physical Health
PA/NP-Urgent Care
Registered Nurse-MH

PA/NP-Physical Health
Medical Director
PA/NP-MH
Clerk-MH
Mental Health Director
Registered Nurse-MH

PA/NP-MH
Physician MD/DO-Telehealth
Clerk-MH
Mental Health Director
PA/NP-Physical Health
Registered Nurse-MH

Physician MD/DO-Telehealth
Clerk-MH
PA/NP-Physical Health

T:\Contract Administration\Contractual Services\CONTRACTS\Current Contracts\C3076 Comprehensive Health Care Services\Exhibit 1\BAFO\Attachment C – Centurion Proposed Staffing Plans for FDC

C3076 - Exhibit 1

Attachment C – Centurion Proposed Staffing Plans for FDC

Centurion BAFO Submission 3-5-23
D
D
M/N
A
M/N
A
MH

109-GULF C.I.

Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator

110-NWFRC MAIN UNIT.

Administrative Assistant

1.00

110-NWFRC MAIN UNIT.

Certified Nursing Assistant

M/N

3.00

110-NWFRC MAIN UNIT.

Clerk

2.00

110-NWFRC MAIN UNIT.

Dental Assistant

2.00

110-NWFRC MAIN UNIT.

Dental Hygienist

0.50

110-NWFRC MAIN UNIT.

Dentist

1.00

110-NWFRC MAIN UNIT.

Director of Nursing

M/N

1.00

110-NWFRC MAIN UNIT.

Health Services Administrator

1.00

110-NWFRC MAIN UNIT.

LPN

M/N

9.40

110-NWFRC MAIN UNIT.

Medical Records Clerk

2.00

110-NWFRC MAIN UNIT.

Medical Records Supervisor

1.00

110-NWFRC MAIN UNIT.

Mental Health Professional

5.00

110-NWFRC MAIN UNIT.

Other Not Listed (provide title in Col. J)

0.50 PA/NP-Urgent Care

110-NWFRC MAIN UNIT.

Other Not Listed (provide title in Col. J)

1.00 Clerk-MH

110-NWFRC MAIN UNIT.

Other Not Listed (provide title in Col. J)

1.00 PA/NP-MH

110-NWFRC MAIN UNIT.

Other Not Listed (provide title in Col. J)

1.00 PA/NP-Physical Health

110-NWFRC MAIN UNIT.

Other Not Listed (provide title in Col. J)

1.00 Physician MD/DO - Physical Health

110-NWFRC MAIN UNIT.

Other Not Listed (provide title in Col. J)

1.00 Registered Nurse-MH

110-NWFRC MAIN UNIT.

Other Not Listed (provide title in Col. J)

1.00 Registered Nurse-Supervisor

110-NWFRC MAIN UNIT.

Psychologist

1.00

110-NWFRC MAIN UNIT.

Reentry Specialist

1.00

110-NWFRC MAIN UNIT.

Registered Nurse

M/N

6.20

110-NWFRC MAIN UNIT.

Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing

M/N
A
M/N
D
D
D
M/N
A
M/N
A
MH

1.00
1.00
2.00
2.00
1.00
1.00
1.00
1.00
5.20
2.00
1.00
0.40 Physician MD/DO-Telehealth
1.00 Clerk-MH
1.00 PA/NP-Physical Health
5.20
1.00
1.00
3.00
2.00
0.60
1.00
1.00

107-HOLMES C.I.
107-HOLMES C.I.
107-HOLMES C.I.
107-HOLMES C.I.
107-HOLMES C.I.
107-HOLMES C.I.
107-HOLMES C.I.
107-HOLMES C.I.
107-HOLMES C.I.
107-HOLMES C.I.
107-HOLMES C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
108-WALTON C.I.
109-GULF C.I.
109-GULF C.I.
109-GULF C.I.
109-GULF C.I.
109-GULF C.I.
109-GULF C.I.
109-GULF C.I.
109-GULF C.I.
109-GULF C.I.
109-GULF C.I.
109-GULF C.I.
109-GULF C.I.
109-GULF C.I.
109-GULF C.I.
109-GULF C.I.

113-FRANKLIN C.I.
113-FRANKLIN C.I.
113-FRANKLIN C.I.
113-FRANKLIN C.I.
113-FRANKLIN C.I.
113-FRANKLIN C.I.
113-FRANKLIN C.I.
113-FRANKLIN C.I.
113-FRANKLIN C.I.
113-FRANKLIN C.I.
113-FRANKLIN C.I.
113-FRANKLIN C.I.
113-FRANKLIN C.I.
113-FRANKLIN C.I.
113-FRANKLIN C.I.
115-OKALOOSA C.I.
115-OKALOOSA C.I.
115-OKALOOSA C.I.
115-OKALOOSA C.I.
115-OKALOOSA C.I.
115-OKALOOSA C.I.

M/N
A
M/N
D
D
D
M/N
A
M/N
A
MH

MH
M/N
M/N
A
M/N
D
D
D
M/N
A
M/N
A
A
MH

M/N
M/N

M/N
M/N
A
M/N
D
D
D
M/N

0
0
0

0
0
0
0
0
0
0

0
0
0

1.00
1.50
1.00
1.00
6.20
1.00
1.00
0.20
1.00
1.00
5.20
1.00
2.00
2.00
1.00
1.00
1.00
1.00
12.60
2.00
6.00
0.20
1.00
1.00
1.00
1.00
1.00
2.00
1.00
5.20
1.00
1.00
3.40
3.00
1.00
2.00
1.00
1.00
5.20
2.00
1.00
1.00
0.20
1.00
1.00
5.20
1.00

Physician MD/DO-Telehealth
Clerk-MH
PA/NP-Physical Health

Physician MD/DO-Telehealth
Mental Health Clinical Director
PA/NP-MH
PA/NP-Physical Health
Registered Nurse-MH
Registered Nurse-Supervisor
Clerk-MH

Physician MD/DO-Telehealth
Clerk-MH
PA/NP-Physical Health

T:\Contract Administration\Contractual Services\CONTRACTS\Current Contracts\C3076 Comprehensive Health Care Services\Exhibit 1\BAFO\Attachment C – Centurion Proposed Staffing Plans for FDC

C3076 - Exhibit 1

Attachment C – Centurion Proposed Staffing Plans for FDC

Centurion BAFO Submission 3-5-23
A
M/N
A
MH

122-WAKULLA ANNEX

Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
LPN
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychologist
Reentry Specialist
Registered Nurse

125-NWFRC ANNEX.

Activity Tech

1.00

125-NWFRC ANNEX.

Administrative Assistant

1.00

125-NWFRC ANNEX.

Assistant Health Services Administrator

1.00

125-NWFRC ANNEX.

Certified Nursing Assistant

M/N

4.00

125-NWFRC ANNEX.

Clerk

1.00

125-NWFRC ANNEX.

Dental Assistant

3.00

125-NWFRC ANNEX.

Dental Hygienist

0.50

125-NWFRC ANNEX.

Dentist

2.00

125-NWFRC ANNEX.

Director of Nursing

M/N

1.00

125-NWFRC ANNEX.

LPN

M/N

12.80

125-NWFRC ANNEX.

Medical Records Clerk

1.00

125-NWFRC ANNEX.

Mental Health Professional

6.00

125-NWFRC ANNEX.

Other Not Listed (provide title in Col. J)

0.50 PA/NP-Urgent Care

125-NWFRC ANNEX.

Other Not Listed (provide title in Col. J)

1.00 Medical Director

125-NWFRC ANNEX.

Other Not Listed (provide title in Col. J)

1.00 Mental Health Director

125-NWFRC ANNEX.

Other Not Listed (provide title in Col. J)

1.00 PA/NP-MH

125-NWFRC ANNEX.

Other Not Listed (provide title in Col. J)

1.00 Registered Nurse-MH

115-OKALOOSA C.I.
115-OKALOOSA C.I.
115-OKALOOSA C.I.
115-OKALOOSA C.I.
115-OKALOOSA C.I.
115-OKALOOSA C.I.
115-OKALOOSA C.I.
115-OKALOOSA C.I.
115-OKALOOSA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
118-WAKULLA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
119-SANTA ROSA C.I.
120-LIBERTY C.I.
120-LIBERTY C.I.
120-LIBERTY C.I.
120-LIBERTY C.I.
120-LIBERTY C.I.
120-LIBERTY C.I.
120-LIBERTY C.I.
120-LIBERTY C.I.
120-LIBERTY C.I.
120-LIBERTY C.I.
120-LIBERTY C.I.
120-LIBERTY C.I.
120-LIBERTY C.I.
120-LIBERTY C.I.
120-LIBERTY C.I.
122-WAKULLA ANNEX
122-WAKULLA ANNEX
122-WAKULLA ANNEX
122-WAKULLA ANNEX
122-WAKULLA ANNEX
122-WAKULLA ANNEX
122-WAKULLA ANNEX
122-WAKULLA ANNEX
122-WAKULLA ANNEX
122-WAKULLA ANNEX
122-WAKULLA ANNEX
122-WAKULLA ANNEX
122-WAKULLA ANNEX
122-WAKULLA ANNEX
122-WAKULLA ANNEX

M/N
M/N
A
M/N
D
D
D
M/N
A
M/N
A
A
MH

M/N
M/N
A
M/N
A
D
D
D
M/N
A
M/N
A
A
MH

MH
M/N
M/N
A
M/N
D
D
D
M/N
A
M/N
A
MH

M/N
M/N
A
M/N
D
D
D
M/N
M/N
MH

MH
MH
M/N

0
0
0

0
0
0
0

0
0
0
0
0
0
0

0
0
0

0
0
0
0
0

1.00
6.20
1.00
1.00
0.20
1.00
1.00
5.20
1.00
1.00
3.00
4.00
0.50
2.00
1.00
1.00
9.40
4.00
1.00
1.00
0.50
1.00
1.00
1.00
6.20
1.00
1.00
3.40
2.00
2.00
0.50
1.00
1.00
1.00
18.80
4.00
1.00
9.00
1.00
1.00
1.00
1.00
1.00
1.00
3.80
0.50
5.60
1.00
1.00
2.00
3.00
1.00
2.00
1.00
1.00
5.20
1.00
0.90
0.60
1.00
1.00
5.20
1.00
1.00
2.00
2.00
0.50
1.00
1.00
6.60
6.00
0.50
1.00
1.00
1.00
1.00
2.00
1.00
5.20

Physician MD/DO-Telehealth
Clerk-MH
PA/NP-Physical Health

PA/NP-Urgent Care
Clerk-MH
Medical Director
PA/NP-Physical Health

Clerk-MH
Medical Director
PA/NP-MH
PA/NP-Urgent Care
Registered Nurse-MH
Registered Nurse-Supervisor
PA/NP-Physical Health

Physician MD/DO-Telehealth
Clerk-MH
PA/NP-Physical Health

PA/NP-Urgent Care
Clerk-MH
PA/NP-MH
PA/NP-Physical Health
Registered Nurse-MH

T:\Contract Administration\Contractual Services\CONTRACTS\Current Contracts\C3076 Comprehensive Health Care Services\Exhibit 1\BAFO\Attachment C – Centurion Proposed Staffing Plans for FDC

C3076 - Exhibit 1

Attachment C – Centurion Proposed Staffing Plans for FDC

Centurion BAFO Submission 3-5-23

125-NWFRC ANNEX.

Other Not Listed (provide title in Col. J)

125-NWFRC ANNEX.

Other Not Listed (provide title in Col. J)

125-NWFRC ANNEX.

Psychiatrist

1.00

125-NWFRC ANNEX.

Registered Nurse

M/N

7.20

125-NWFRC ANNEX.

M/N
A
A
M/N
D
D
D
M/N
M/N
MH

120-LIBERTY C.I.

Secondary Screener
Administrative Assistant
Assistant Health Services Administrator
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
LPN
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychologist
Reentry Specialist
Registered Nurse
Mental Health Professional
Other Not Listed (provide title in Col. J)
Registered Nurse

2.00
1.00
1.00
2.00
2.00
0.50
1.00
1.00
5.20
2.00
1.00
1.00
1.00
1.80
1.00
0.50
4.20
0.10
0.20
1.00

144-GADSDEN RE-ENTRY CTR

Administrative Assistant

1.00

144-GADSDEN RE-ENTRY CTR

LPN

M/N

1.80

144-GADSDEN RE-ENTRY CTR

Mental Health Professional

1.00

144-GADSDEN RE-ENTRY CTR

Nurse Manager

M/N

1.00

144-GADSDEN RE-ENTRY CTR

Other Not Listed (provide title in Col. J)

144-GADSDEN RE-ENTRY CTR

Other Not Listed (provide title in Col. J)

144-GADSDEN RE-ENTRY CTR

Psychiatrist

0.10

144-GADSDEN RE-ENTRY CTR

Registered Nurse
Administrative Assistant
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychologist
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist

M/N
A
M/N
A
D
D
D
M/N
A
M/N
A
A
MH

1.40
1.00
3.00
1.00
3.00
0.50
2.00
1.00
1.00
8.00
1.00
1.00
5.00
0.40
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.40
0.50
5.20
1.00
1.00
2.00
2.00
1.00
1.00
1.00
1.00
15.40
2.00
1.00
15.00
1.00
1.00
1.00
2.00
2.00
2.00
2.00
1.00
8.00
1.00
1.00
2.00
3.00
1.00
1.50
1.00
1.00
7.00
1.00
1.00
0.80
1.00
1.00
5.20
1.00
1.00
5.40
2.00
3.00
1.00

135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
135-SANTA ROSA ANNEX
120-LIBERTY C.I.
120-LIBERTY C.I.

201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
201-COLUMBIA C.I.
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
205-FLORIDA STATE PRISON
211-CROSS CITY C.I.
211-CROSS CITY C.I.
211-CROSS CITY C.I.
211-CROSS CITY C.I.
211-CROSS CITY C.I.
211-CROSS CITY C.I.
211-CROSS CITY C.I.
211-CROSS CITY C.I.
211-CROSS CITY C.I.
211-CROSS CITY C.I.
211-CROSS CITY C.I.
211-CROSS CITY C.I.
211-CROSS CITY C.I.
211-CROSS CITY C.I.
211-CROSS CITY C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.

0
0

MH
MH
M/N
MH
M/N

MH
M/N
M/N
A
M/N
D
D
D
M/N
A
M/N
A
A
MH

MH
MH
M/N
M/N
A
M/N
D
D
D
M/N
A
M/N
A
MH

M/N
M/N
A
M/N
A
D
D

0
0
0
0

2.00 Clerk-MH
2.00 PA/NP-Physical Health

Clerk-MH
PA/NP-Urgent Care
Physician MD/DO - Physical Health
PA/NP-Physical Health

PA/NP-Physical Health

0.20 Physician MD/DO-Telehealth

0.40 PA/NP-Physical Health

0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0

0
0
0

Medical Director
Clerk-MH
Mental Health Director
PA/NP-MH
PA/NP-Physical Health
PA/NP-Urgent Care
Physician MD/DO - Physical Health
Registered Nurse-MH
Registered Nurse-Supervisor

Medical Director
Mental Health Director
Registered Nurse-MH
Clerk-MH
PA/NP-MH
PA/NP-Physical Health

Physician MD/DO-Telehealth
Clerk-MH
PA/NP-Physical Health

T:\Contract Administration\Contractual Services\CONTRACTS\Current Contracts\C3076 Comprehensive Health Care Services\Exhibit 1\BAFO\Attachment C – Centurion Proposed Staffing Plans for FDC

C3076 - Exhibit 1

Attachment C – Centurion Proposed Staffing Plans for FDC

Centurion BAFO Submission 3-5-23

213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
213-UNION C.I.
214-PUTNAM C.I.
214-PUTNAM C.I.
214-PUTNAM C.I.
214-PUTNAM C.I.
214-PUTNAM C.I.
214-PUTNAM C.I.
214-PUTNAM C.I.
214-PUTNAM C.I.
214-PUTNAM C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
215-HAMILTON C.I.
216-MADISON C.I.
216-MADISON C.I.
216-MADISON C.I.
216-MADISON C.I.
216-MADISON C.I.
216-MADISON C.I.
216-MADISON C.I.
216-MADISON C.I.
216-MADISON C.I.
216-MADISON C.I.
216-MADISON C.I.
216-MADISON C.I.
216-MADISON C.I.
216-MADISON C.I.
216-MADISON C.I.
216-MADISON C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
218-TAYLOR C.I.
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
223-MAYO C.I. ANNEX
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I

Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychologist
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Dental Assistant
Dentist
LPN
Medical Records Clerk
Mental Health Professional
Nurse Manager
Other Not Listed (provide title in Col. J)
Registered Nurse
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)

D
M/N
A
M/N
A
A
MH

MH
MH
M/N
M/N
A
D
D
M/N
A
MH
M/N
M/N
A
M/N
D
D
D
M/N
M/N
A
MH

MH
M/N
M/N
A
M/N
A
D
D
D
M/N
A
M/N
A
MH

M/N
M/N
A
M/N
A
D
D
D
M/N
A
M/N
A
A
MH

M/N
M/N
A
M/N
A
D
D
D
M/N
A
M/N
A
MH

M/N
M/N
A
M/N
A
D
D
D
M/N
A
M/N
A
A
MH

0
0
0
0
0
0
0

0
0
0
0

0
0
0

0
0
0
0

0
0
0

2.00
1.00
1.00
18.00
2.00
1.00
8.00
1.00
1.00
1.00
1.00
1.00
2.00
2.00
1.00
1.00
8.40
1.00
1.00
1.00
0.50
2.80
0.40
0.40
1.00
0.40
2.80
1.00
1.00
2.00
0.50
1.00
1.00
6.20
1.00
1.00
0.50
0.50
1.00
1.00
0.50
4.20
1.00
1.00
2.00
1.00
2.00
0.60
1.00
1.00
1.00
7.60
1.00
1.00
0.50
1.00
1.00
5.20
1.00
1.00
2.00
1.00
3.00
1.00
1.50
1.00
1.00
7.20
1.00
1.00
1.00
0.60
1.00
1.00
1.00
5.20
1.00
1.00
1.00
1.00
2.00
1.00
1.00
1.00
1.00
9.00
1.00
1.00
0.50
1.00
1.00
5.20
1.00
1.00
2.00
1.00
2.00
0.50
1.00
1.00
1.00
13.60
2.00
1.00
7.00
1.00
1.00
1.00

Medical Director
Mental Health Director
PA/NP-MH
Registered Nurse-MH
Registered Nurse-Supervisor
Clerk-MH
PA/NP-Physical Health

Medical Director

PA/NP-MH
PA/NP-Physical Health
Clerk-MH
PA/NP-Urgent Care

Medical Director
Clerk-MH
PA/NP-Physical Health

Medical Director
Clerk-MH
PA/NP-Physical Health
PA/NP-Urgent Care

Medical Director
Clerk-MH
PA/NP-Physical Health

Clerk-MH
Medical Director
PA/NP-Physical Health

T:\Contract Administration\Contractual Services\CONTRACTS\Current Contracts\C3076 Comprehensive Health Care Services\Exhibit 1\BAFO\Attachment C – Centurion Proposed Staffing Plans for FDC

C3076 - Exhibit 1

Attachment C – Centurion Proposed Staffing Plans for FDC

Centurion BAFO Submission 3-5-23

255-LAWTEY C.I.

Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychologist
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Assistant Health Services Administrator
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychologist
Registered Nurse
Administrative Assistant
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Reentry Specialist
Registered Nurse
Administrative Assistant
Assistant Health Services Administrator
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychologist
Reentry Specialist
Registered Nurse
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator

275-BAKER RE-ENTRY CENTR

Administrative Assistant

1.00

275-BAKER RE-ENTRY CENTR

LPN

M/N

2.80

275-BAKER RE-ENTRY CENTR

Mental Health Professional

0.60

275-BAKER RE-ENTRY CENTR

Nurse Manager

M/N

275-BAKER RE-ENTRY CENTR

Other Not Listed (provide title in Col. J)

0.20 Medical Director

275-BAKER RE-ENTRY CENTR

Other Not Listed (provide title in Col. J)

0.40 Clerk-MH

275-BAKER RE-ENTRY CENTR

Other Not Listed (provide title in Col. J)

0.40 PA/NP-Physical Health

275-BAKER RE-ENTRY CENTR

Registered Nurse
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dentist
LPN
Medical Records Clerk
Mental Health Professional
Nurse Manager
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)

0
0
0
0
0
0

2.80
1.00
2.00
2.00
1.00
7.00
1.00
2.00
1.00
0.20
0.40
0.40
0.40
1.00
1.00

230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
230-SUWANNEE C.I
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
231-SUWANNEE C.I. ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
250-HAMILTON ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
251-COLUMBIA ANNEX
255-LAWTEY C.I.
255-LAWTEY C.I.
255-LAWTEY C.I.
255-LAWTEY C.I.
255-LAWTEY C.I.
255-LAWTEY C.I.
255-LAWTEY C.I.
255-LAWTEY C.I.
255-LAWTEY C.I.
255-LAWTEY C.I.
255-LAWTEY C.I.
255-LAWTEY C.I.

281-LANCASTER C.I.
281-LANCASTER C.I.
281-LANCASTER C.I.
281-LANCASTER C.I.
281-LANCASTER C.I.
281-LANCASTER C.I.
281-LANCASTER C.I.
281-LANCASTER C.I.
281-LANCASTER C.I.
281-LANCASTER C.I.
281-LANCASTER C.I.
281-LANCASTER C.I.
281-LANCASTER C.I.
281-LANCASTER C.I.

MH
MH
M/N
M/N
A
A
M/N
A
D
D
D
M/N
M/N
A
MH

MH
M/N
A
M/N
A
D
D
D
M/N
A
M/N
A
A
MH

MH
M/N
A
A
M/N
D
D
D
M/N
M/N
A
MH

MH
MH
M/N
A
M/N
D
D
M/N
A
M/N
A
MH

M/N
M/N

M/N
A
M/N
D
D
M/N
A
MH
M/N

0
0
0
0

0
0
0
0
0

0
0
0
0
0
0
0
0

0
0
0
0
0
0

0
0

1.00
1.00
1.00
2.00
1.00
1.00
7.00
1.00
1.00
1.00
3.00
1.00
2.00
0.50
1.00
1.00
9.40
2.00
4.00
1.00
1.00
1.00
1.00
1.00
1.00
5.60
1.00
2.00
1.00
2.00
0.50
1.00
1.00
1.00
10.80
2.00
1.00
6.00
0.50
1.00
1.00
1.00
1.00
1.00
1.00
1.00
0.50
5.20
1.00
1.00
2.00
3.00
0.50
2.00
1.00
9.40
1.00
5.00
0.40
1.00
1.00
1.00
1.00
1.00
1.00
0.50
5.20
1.00
1.00
2.00
1.00
1.00
1.00
7.00
1.00
0.60
0.20
1.00
4.20
1.00

PA/NP-Urgent Care
Registered Nurse-MH
Registered Nurse-Supervisor
PA/NP-MH

Clerk-MH
PA/NP-Physical Health
Physician MD/DO - Physical Health
Registered Nurse-MH
ADA Coordinator

PA/NP-Physical Health
Clerk-MH
Medical Director
Mental Health Clinical Director
PA/NP-MH
PA/NP-Urgent Care
Registered Nurse-MH
Registered Nurse-Supervisor

Medical Director
Clerk-MH
PA/NP-MH
PA/NP-Physical Health
PA/NP-Urgent Care
Registered Nurse-MH

Physician MD/DO-Telehealth
PA/NP-Physical Health

1.00

Physician MD/DO-Telehealth
Mental Health Clinical Director
PA/NP-MH
Registered Nurse-MH
Clerk-MH
PA/NP-Physical Health

T:\Contract Administration\Contractual Services\CONTRACTS\Current Contracts\C3076 Comprehensive Health Care Services\Exhibit 1\BAFO\Attachment C – Centurion Proposed Staffing Plans for FDC

C3076 - Exhibit 1

Attachment C – Centurion Proposed Staffing Plans for FDC

Centurion BAFO Submission 3-5-23

281-LANCASTER C.I.
281-LANCASTER C.I.
281-LANCASTER C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
282-TOMOKA C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
304-MARION C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
307-SUMTER C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
312-LAKE C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
314-LOWELL C.I.
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX

Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Dental Assistant
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychologist
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Assistant Health Services Administrator
Certified Nursing Assistant
Other Not Listed (provide title in Col. J)
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
LPN
Other Not Listed (provide title in Col. J)
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychologist
Reentry Specialist
Registered Nurse
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Scheduler
Telehealth Coordinator
Administrative Assistant
Clerk
Other Not Listed (provide title in Col. J)
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator

M/N
M/N
A
M/N
A
D
D
D
M/N
A
M/N
A
MH

MH
M/N
M/N
MH
M/N
A
D
D
D
M/N
A
M/N
A
MH

M/N
M/N
MH
M/N
D
D
M/N
A
M/N
A
MH

MH
M/N
M/N
A
A
M/N
D
D
D
M/N
M/N
A
A
MH

MH
MH
M/N

A
M/N
A
A
D
D
D
M/N
A

0
0
0
0
0
0
0

0
0
0
0
0
0

0
0
0
0

0
0
0
0
0

0
0

1.00
4.20
1.00
1.00
3.00
1.00
3.00
1.00
1.50
1.00
1.00
6.60
1.00
3.00
0.60
1.00
1.00
1.00
1.00
1.00
1.00
1.00
5.20
1.00
1.00
3.00
1.00
3.00
1.00
2.00
1.00
1.00
7.00
1.00
3.00
0.60
1.00
1.00
1.00
1.00
2.00
1.00
5.20
1.00
1.00
1.00
1.00
3.00
1.00
1.50
1.00
1.00
7.60
2.00
1.00
0.80
1.00
1.00
1.00
5.20
1.00
1.00
4.00
2.00
1.00
1.00
1.00
7.00
2.00
3.00
1.00
1.00
1.00
1.00
1.00
1.00
5.20
1.00
1.00
1.00
12.00
1.00
2.00
0.50
1.00
1.00
12.20
0.50
6.00
1.00
5.00
1.00
2.00
1.00
0.50
7.00
1.00
1.40
1.00
1.00
1.00
3.00
2.00
2.00
0.50
1.00
1.00
1.00

Registered Nurse-Supervisor

Medical Director
Clerk-MH
Mental Health Clinical Director
PA/NP-MH
PA/NP-Physical Health
PA/NP-Urgent Care
Registered Nurse-MH

PA/NP-MH
Clerk-MH
Medical Director
Mental Health Clinical Director
Registered Nurse-MH
PA/NP-Physical Health

Medical Director
Clerk-MH
PA/NP-Physical Health
PA/NP-Urgent Care

Clerk-MH
Medical Director
PA/NP-MH
Physician MD/DO - Physical Health
Registered Nurse-MH

Clerk-MH

Medical Director

PA/NP-MH
PA/NP-Physical Health

Registered Nurse-MH
Registered Nurse-Supervisor

Clerk-MH

T:\Contract Administration\Contractual Services\CONTRACTS\Current Contracts\C3076 Comprehensive Health Care Services\Exhibit 1\BAFO\Attachment C – Centurion Proposed Staffing Plans for FDC

C3076 - Exhibit 1

Attachment C – Centurion Proposed Staffing Plans for FDC

Centurion BAFO Submission 3-5-23
M/N

336-HERNANDO C.I.

LPN
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychiatrist
Psychologist
Reentry Specialist
Registered Nurse
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Activity Tech
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychiatrist
Psychologist
Reentry Specialist
Registered Nurse
Secondary Screener
Telehealth Coordinator
Administrative Assistant
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Certified Nursing Assistant
Director of Nursing
LPN
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Administrative Assistant
Certified Nursing Assistant
Dental Assistant
Dentist
LPN
Medical Records Clerk
Mental Health Professional
Nurse Manager
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator

368-FL.WOMENS RECPN.CTR

Assistant Health Services Administrator

1.00

368-FL.WOMENS RECPN.CTR

Behavioral Health Technician (Specialist)

2.00

368-FL.WOMENS RECPN.CTR

Certified Nursing Assistant

M/N

4.00

368-FL.WOMENS RECPN.CTR

Clerk

3.00

368-FL.WOMENS RECPN.CTR

Dental Assistant

4.00

368-FL.WOMENS RECPN.CTR

Dental Hygienist

0.50

368-FL.WOMENS RECPN.CTR

Dentist

3.00

368-FL.WOMENS RECPN.CTR

Director of Nursing

M/N

1.00

368-FL.WOMENS RECPN.CTR

Health Services Administrator

1.00

368-FL.WOMENS RECPN.CTR

LPN

M/N

368-FL.WOMENS RECPN.CTR

Medical Records Clerk

3.00

368-FL.WOMENS RECPN.CTR

Medical Records Supervisor

1.00

368-FL.WOMENS RECPN.CTR

Mental Health Professional

368-FL.WOMENS RECPN.CTR

Other Not Listed (provide title in Col. J)

1.00 Medical Director

368-FL.WOMENS RECPN.CTR

Other Not Listed (provide title in Col. J)

1.00 Physician MD/DO - Physical Health

368-FL.WOMENS RECPN.CTR

Other Not Listed (provide title in Col. J)

1.00 Registered Nurse-MH

368-FL.WOMENS RECPN.CTR

Other Not Listed (provide title in Col. J)

1.00 Registered Nurse-Supervisor

368-FL.WOMENS RECPN.CTR

Other Not Listed (provide title in Col. J)

2.00 Clerk-MH

367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX
367-LOWELL ANNEX

320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
320-CFRC-MAIN
321-CFRC-EAST
321-CFRC-EAST
321-CFRC-EAST
321-CFRC-EAST
321-CFRC-EAST
321-CFRC-EAST
321-CFRC-EAST
321-CFRC-EAST
321-CFRC-EAST
321-CFRC-EAST
321-CFRC-EAST
321-CFRC-EAST
321-CFRC-EAST
321-CFRC-EAST
321-CFRC-EAST
323-CFRC-SOUTH
323-CFRC-SOUTH
323-CFRC-SOUTH
323-CFRC-SOUTH
323-CFRC-SOUTH
323-CFRC-SOUTH
323-CFRC-SOUTH
336-HERNANDO C.I.
336-HERNANDO C.I.
336-HERNANDO C.I.
336-HERNANDO C.I.
336-HERNANDO C.I.
336-HERNANDO C.I.
336-HERNANDO C.I.
336-HERNANDO C.I.
336-HERNANDO C.I.
336-HERNANDO C.I.
336-HERNANDO C.I.
336-HERNANDO C.I.
336-HERNANDO C.I.
336-HERNANDO C.I.

MH
MH
MH
M/N

MH
MH
M/N
A
D
D
D
M/N
A
M/N
A
A
MH

MH
MH
MH
M/N
M/N
M/N
A
MH
M/N
D
D
D
M/N
M/N
A
MH

M/N
M/N
M/N
M/N
MH

M/N
A
M/N
D
D
M/N
A
MH
M/N

M/N
M/N

0
0
0
0
0

0
0

0
0
0
0
0
0
0
0

0
0
0
0

0
0

0
0
0
0
0

18.20
0.50
1.00
10.00
2.00
1.00
2.00
1.00
2.00
0.50
7.60
1.00
1.40
1.00
1.00
5.80
1.00
3.00
0.50
2.00
1.00
1.00
17.40
3.00
1.00
11.50
1.00
1.00
1.00
1.00
1.00
2.00
2.00
5.00
1.00
1.00
1.00
8.40
3.00
1.00
1.00
1.00
1.00
3.00
0.50
2.00
0.50
4.20
1.00
2.00
0.50
1.00
1.00
1.00
4.20
4.20
0.50
4.20
0.50
0.50
1.00
4.20
1.00
1.00
1.00
0.50
5.20
1.00
2.00
1.00
0.40
0.40
0.40
1.00
1.00
4.20
1.00

Medical Director
Mental Health Director
PA/NP-MH
PA/NP-Physical Health
Physician MD/DO - Physical Health

Registered Nurse-MH
Registered Nurse-Supervisor

Medical Director
Mental Health Director
Physician MD/DO - Physical Health
Registered Nurse-MH
Registered Nurse-Supervisor
Clerk-MH
PA/NP-MH
PA/NP-Physical Health

Registered Nurse-Supervisor
Clerk-MH
PA/NP-Physical Health
Registered Nurse-MH

Registered Nurse-Supervisor
PA/NP-Physical Health

Mental Health Clinical Director
PA/NP-MH
Registered Nurse-MH
Clerk-MH
PA/NP-Physical Health

15.00

10.00

T:\Contract Administration\Contractual Services\CONTRACTS\Current Contracts\C3076 Comprehensive Health Care Services\Exhibit 1\BAFO\Attachment C – Centurion Proposed Staffing Plans for FDC

C3076 - Exhibit 1

Attachment C – Centurion Proposed Staffing Plans for FDC

Centurion BAFO Submission 3-5-23

368-FL.WOMENS RECPN.CTR

Other Not Listed (provide title in Col. J)

368-FL.WOMENS RECPN.CTR

Other Not Listed (provide title in Col. J)

368-FL.WOMENS RECPN.CTR

Psychologist

2.00

368-FL.WOMENS RECPN.CTR

Reentry Specialist

0.50

368-FL.WOMENS RECPN.CTR

Registered Nurse

M/N

6.00

368-FL.WOMENS RECPN.CTR

Secondary Screener

M/N

1.00

368-FL.WOMENS RECPN.CTR

M/N
MH
M/N
A
D
D
D
M/N
A
M/N
A
MH

403-S.F.R.C SOUTH UNIT

Telehealth Coordinator
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Activity Tech
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychiatrist
Psychologist
Reentry Specialist
Registered Nurse
Secondary Screener
Telehealth Coordinator
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dentist
LPN
Medical Records Clerk
Mental Health Professional
Nurse Manager
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse

1.00
1.00
2.00
1.00
3.00
1.00
2.50
1.00
1.00
10.40
2.00
4.00
0.80
0.90
1.00
1.00
1.00
1.00
1.60
1.00
6.60
1.00
1.00
1.00
12.40
3.00
5.00
3.00
1.00
1.00
29.60
2.00
1.00
8.00
1.00
1.00
1.00
1.00
1.00
2.00
2.00
2.00
3.00
1.00
1.00
1.00
14.60
1.00
1.00
1.00
1.00
1.00
1.00
1.00
4.20
1.00
1.00
1.00
1.00
1.00
4.20

404-OKEECHOBEE C.I.

Behavioral Health Technician (Specialist)

1.00

404-OKEECHOBEE C.I.

Certified Nursing Assistant

M/N

3.00

404-OKEECHOBEE C.I.

Clerk

1.00

404-OKEECHOBEE C.I.

Dental Assistant

3.00

404-OKEECHOBEE C.I.

Dental Hygienist

1.00

404-OKEECHOBEE C.I.

Dentist

2.00

404-OKEECHOBEE C.I.

Director of Nursing

M/N

1.00

404-OKEECHOBEE C.I.

Health Services Administrator

1.00

404-OKEECHOBEE C.I.

LPN

M/N

6.60

404-OKEECHOBEE C.I.

Medical Records Clerk

2.00

404-OKEECHOBEE C.I.

Mental Health Professional

404-OKEECHOBEE C.I.

Other Not Listed (provide title in Col. J)

0.80 Medical Director

404-OKEECHOBEE C.I.

Other Not Listed (provide title in Col. J)

1.00 Clerk-MH

404-OKEECHOBEE C.I.

Other Not Listed (provide title in Col. J)

1.00 Registered Nurse-Supervisor

404-OKEECHOBEE C.I.

Other Not Listed (provide title in Col. J)

2.00 PA/NP-Physical Health

404-OKEECHOBEE C.I.

Registered Nurse

M/N

5.20

404-OKEECHOBEE C.I.

Telehealth Coordinator
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist

M/N
MH
M/N
A
D
D
D

1.00
1.00
1.00
1.00
2.00
0.25
1.00

401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
401-EVERGLADES C.I.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
402-S.F.R.C.
403-S.F.R.C SOUTH UNIT
403-S.F.R.C SOUTH UNIT
403-S.F.R.C SOUTH UNIT
403-S.F.R.C SOUTH UNIT
403-S.F.R.C SOUTH UNIT
403-S.F.R.C SOUTH UNIT
403-S.F.R.C SOUTH UNIT
403-S.F.R.C SOUTH UNIT
403-S.F.R.C SOUTH UNIT
403-S.F.R.C SOUTH UNIT
403-S.F.R.C SOUTH UNIT

419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.

0
0

MH
M/N
M/N
MH
MH
M/N
A
D
D
M/N
A
M/N
A
A
MH

MH
MH
MH
M/N
M/N
M/N
MH
M/N
A
D
D
M/N
A
MH
M/N

M/N

0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0

0
0

2.60 PA/NP-MH
3.00 PA/NP-Physical Health

Medical Director
PA/NP-MH
Clerk-MH
Mental Health Clinical Director
Registered Nurse-MH
Registered Nurse-Supervisor
PA/NP-Physical Health

Medical Director
Mental Health Director
PA/NP-Urgent Care
Registered Nurse-MH
PA/NP-MH
Clerk-MH
Physician MD/DO - Physical Health
Registered Nurse-Supervisor
PA/NP-Physical Health

PA/NP-Physical Health
Registered Nurse-MH

2.00

T:\Contract Administration\Contractual Services\CONTRACTS\Current Contracts\C3076 Comprehensive Health Care Services\Exhibit 1\BAFO\Attachment C – Centurion Proposed Staffing Plans for FDC

C3076 - Exhibit 1

Attachment C – Centurion Proposed Staffing Plans for FDC

Centurion BAFO Submission 3-5-23
M/N
A
M/N
A
MH

430-MARTIN C.I.

Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Reentry Specialist
Registered Nurse
Telehealth Coordinator

441-EVERGLADES RE-ENTRY

Behavioral Health Technician (Specialist)

1.00

441-EVERGLADES RE-ENTRY

LPN

M/N

1.80

441-EVERGLADES RE-ENTRY

Mental Health Professional

0.60

441-EVERGLADES RE-ENTRY

Nurse Manager

M/N

441-EVERGLADES RE-ENTRY

Other Not Listed (provide title in Col. J)

0.10 PA/NP-MH

441-EVERGLADES RE-ENTRY

Other Not Listed (provide title in Col. J)

0.20 Medical Director

441-EVERGLADES RE-ENTRY

Other Not Listed (provide title in Col. J)

0.40 Clerk-MH

441-EVERGLADES RE-ENTRY

Other Not Listed (provide title in Col. J)

0.40 PA/NP-Physical Health

441-EVERGLADES RE-ENTRY

Registered Nurse
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychologist
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Behavioral Health Technician (Specialist)
LPN
Mental Health Professional
Nurse Manager
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychologist
Registered Nurse
Telehealth Coordinator
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist

419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
419-HOMESTEAD C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.
430-MARTIN C.I.

463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
463-DADE C.I.
404-OKEECHOBEE C.I.
404-OKEECHOBEE C.I.
404-OKEECHOBEE C.I.
404-OKEECHOBEE C.I.
404-OKEECHOBEE C.I.
404-OKEECHOBEE C.I.
404-OKEECHOBEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
501-HARDEE C.I.
503-AVON PARK C.I.
503-AVON PARK C.I.
503-AVON PARK C.I.
503-AVON PARK C.I.
503-AVON PARK C.I.

MH
M/N
M/N
MH
M/N
A
D
D
D
M/N
A
M/N
A
A
MH

MH
M/N
M/N

M/N
MH
M/N
A
D
D
D
M/N
A
M/N
A
A
MH

MH
MH
M/N
M/N
MH
M/N
MH
M/N

M/N
MH
M/N
A
D
D
D
M/N
A
M/N
A
MH

MH
M/N
M/N
MH
M/N
A
D
D

0
0
0
0
0
0

0
0
0
0
0
0
0
0
0

1.00
1.00
7.00
1.00
3.00
0.20
0.80
1.00
1.00
1.00
1.00
1.00
5.20
1.00
1.00
3.00
1.00
3.00
1.00
2.00
1.00
1.00
12.20
2.00
1.00
5.00
0.60
0.80
0.80
1.00
1.00
1.00
1.00
1.00
1.00
1.00
6.60
1.00

Physician MD/DO-Telehealth
PA/NP-MH
Clerk-MH
Mental Health Clinical Director
PA/NP-Physical Health
Registered Nurse-MH

PA/NP-Physical Health
Medical Director
Physician MD/DO - Physical Health
Clerk-MH
Mental Health Clinical Director
PA/NP-MH
PA/NP-Urgent Care
Registered Nurse-MH
Registered Nurse-Supervisor

1.00

0
0
0
0
0
0
0

0
0

0
0
0
0
0

1.40
1.00
2.00
1.00
2.00
0.75
1.00
1.00
1.00
13.20
2.00
1.00
6.00
1.00
1.00
1.00
1.00
1.00
3.00
1.00
2.00
1.00
7.00
1.00
1.00
1.80
0.20
1.00
0.20
0.40
1.40
1.00
2.00
1.00
3.00
1.00
2.00
1.00
1.00
10.80
2.00
5.00
0.50
1.00
1.00
1.00
2.00
1.00
5.60
1.00
1.00
2.00
1.00
2.00
0.50

Clerk-MH
Medical Director
PA/NP-MH
PA/NP-Urgent Care
Registered Nurse-MH
PA/NP-Physical Health
ADA Coordinator

Physician MD/DO-Telehealth
PA/NP-Physical Health

Medical Director
PA/NP-Physical Health
PA/NP-Urgent Care
Registered Nurse-Supervisor
Clerk-MH

T:\Contract Administration\Contractual Services\CONTRACTS\Current Contracts\C3076 Comprehensive Health Care Services\Exhibit 1\BAFO\Attachment C – Centurion Proposed Staffing Plans for FDC

C3076 - Exhibit 1

Attachment C – Centurion Proposed Staffing Plans for FDC

Centurion BAFO Submission 3-5-23

503-AVON PARK C.I.
503-AVON PARK C.I.
503-AVON PARK C.I.
503-AVON PARK C.I.
503-AVON PARK C.I.
503-AVON PARK C.I.
503-AVON PARK C.I.
503-AVON PARK C.I.
503-AVON PARK C.I.
503-AVON PARK C.I.
503-AVON PARK C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
510-CHARLOTTE C.I.
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
564-DESOTO ANNEX
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
573-ZEPHYRHILLS C.I.
580-POLK C.I.
580-POLK C.I.
580-POLK C.I.
580-POLK C.I.
580-POLK C.I.
580-POLK C.I.
580-POLK C.I.
580-POLK C.I.
580-POLK C.I.
580-POLK C.I.
580-POLK C.I.
580-POLK C.I.
580-POLK C.I.
580-POLK C.I.
580-POLK C.I.
580-POLK C.I.
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT

Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Medical Records Supervisor
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychiatrist
Psychologist
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Psychologist
Psychology Resident
Reentry Specialist
Registered Nurse
Telehealth Coordinator
Behavioral Health Technician (Specialist)
Certified Nursing Assistant
Clerk
Dental Assistant
Dental Hygienist
Dentist
Director of Nursing
Health Services Administrator
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Telehealth Coordinator
Administrative Assistant
Assistant RMC Hospital Administrator
Certified Nursing Assistant
Clerk
Clinical Risk Manager
Director of Nursing
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Infection Control Nurse
Inventory Coordinator
Other Not Listed (provide title in Col. J)
Lead Inventory Coordinator
Other Not Listed (provide title in Col. J)
LPN
Medical Records Clerk
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)

D
M/N
A
M/N
A
MH

M/N
M/N
MH
M/N
A
D
D
D
M/N
A
M/N
A
A
MH

MH
MH
MH
M/N
M/N
MH
M/N
A
D
D
D
M/N
A
M/N
A
MH

M/N
M/N
MH
M/N
A
D
D
M/N
A
M/N
A
MH

MH
MH
MH
M/N
M/N
MH
M/N
A
D
D
D
M/N
A
M/N
A
MH

M/N
M/N
A
RMC-A
M/N
A
M/N
M/N

M/N
M/N
M/N
M/N
A

0
0
0

0
0
0
0
0
0
0
0

0
0
0
0

0
0
0
0
0

0
0
0

0
0
0
0

0
0

1.00
1.00
1.00
8.00
1.00
1.00
0.50
1.00
1.00
5.20
1.00
1.00
3.00
1.00
2.00
0.50
1.00
1.00
1.00
16.80
2.00
1.00
16.00
1.00
1.00
1.00
1.00
1.00
1.00
1.60
3.00
1.00
1.00
1.00
5.60
1.00
1.00
2.00
1.00
3.00
1.00
2.00
1.00
1.00
7.00
2.00
2.00
0.50
1.00
1.00
1.00
5.20
1.00
1.00
7.20
1.00
2.00
1.00
1.00
1.00
8.00
2.00
2.00
1.00
0.50
1.00
1.60
2.00
1.00
4.00
0.50
8.60
1.00
1.00
4.00
1.00
2.00
0.50
1.00
1.00
1.00
7.00
1.00
1.50
0.50
1.00
1.00
5.20
1.00
3.00
1.00
34.60
3.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
2.00
1.00
1.00
6.60
11.50
2.00
1.00
3.40

PA/NP-Physical Health
Clerk-MH
Medical Director

Medical Director
Mental Health Director
PA/NP-Physical Health
PA/NP-Urgent Care
Registered Nurse-MH
Registered Nurse-Supervisor
PA/NP-MH
Clerk-MH

Medical Director
Clerk-MH
PA/NP-Physical Health
PA/NP-Urgent Care

Medical Director
PA/NP-MH
Registered Nurse-MH
PA/NP-Physical Health
Clerk-MH

PA/NP-Physical Health
Clerk-MH
Medical Director

Assistant RMC Hospital Administrator

Executive Medical Director
Executive Nursing Director
Health Information Specialist/Medical Records Supervisor
Hospital Administrator

Laboratory Technician
Licensed Pract Nurse Med

Nephrologist***
PA/NP-Physical Health

T:\Contract Administration\Contractual Services\CONTRACTS\Current Contracts\C3076 Comprehensive Health Care Services\Exhibit 1\BAFO\Attachment C – Centurion Proposed Staffing Plans for FDC

C3076 - Exhibit 1

Attachment C – Centurion Proposed Staffing Plans for FDC

Centurion BAFO Submission 3-5-23

209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
209-R.M.C.- MAIN UNIT
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE
REGIONAL OFFICE

Other Not Listed (provide title in Col. J)
Phlebotomist
Other Not Listed (provide title in Col. J)
RMC Radiology Manager
Other Not Listed (provide title in Col. J)
Re-Entry Svcs Case Mgr
Registered Nurse
RN Education
RN Supervisor
RMC Respiratory Therapist
RMC Respiratory Therapist Supervisor
Administrative Assistant
Certified Nursing Assistant
Other Not Listed (provide title in Col. J)
Dental Assistant
Dental Hygienist
Dentist
Other Not Listed (provide title in Col. J)
LPN
Medical Records Clerk
Mental Health Professional
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Registered Nurse
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Clerk
Corporate Officer*
Data Analyst
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Regional Administrative Coordinator
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Regional Dental Director
Other Not Listed (provide title in Col. J)
Regional Director of Operations
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Regional Infection Control Nurse
Other Not Listed (provide title in Col. J)
Regional Medical Director
Regional Mental Health Director
Other Not Listed (provide title in Col. J)
Regional Nurse Educator
Other Not Listed (provide title in Col. J)
Regional Recruitment Coordinator
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Statewide Dental Director
Other Not Listed (provide title in Col. J)
Statewide Director of Nursing
Statewide Disabled/Impaired Inmate Coordinator
Other Not Listed (provide title in Col. J)
Statewide EMR Director
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Statewide EMR Project Manager
Statewide Female Health Services Coordinator
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Statewide Medical Director
Statewide Mental Health Director
Other Not Listed (provide title in Col. J)
Statewide Mental Health Training Coordinator
Other Not Listed (provide title in Col. J)
Statewide Pharmacy Program Director
Statewide Psychiatric Advisor
Statewide Recruitment Coordinator
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)
Other Not Listed (provide title in Col. J)

M/N
RMC-M/N
M/N
M/N
M/N
M/N
RMC-M/N
RMC-M/N
A
M/N
D
D
D
M/N
A
MH

M/N

A
Reg-A
Reg-A

Reg-A

Reg-D
Reg-A

Reg-M/N
Reg-M/N
Reg-MH
Reg-M/N
Reg-A

Reg-D
Reg-M/N
Reg-M/N
Reg-A

Reg-A
Reg-M/N

Reg-M/N
Reg-MH
Reg-MH
Reg-P
Reg-MH
Reg-A

0
0
0

0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0

0
0
0
0
0
0

0
0

0
0
0

1.00
4.00
3.80
1.00
3.00
3.00
27.20
1.00
4.20
8.40
1.00
1.00
1.00
1.00
2.00
0.50
1.00
3.40
3.80
3.00
1.00
0.40
1.00
5.70
1.00
1.00
1.00
1.00
1.00
5.00
1.00
1.00
8.00
4.00
4.00
3.20
1.00
3.00
12.00
1.00
2.00
4.00
6.00
7.00
3.00
7.00
4.00
5.00
4.00
4.00
2.00
4.00
7.00
3.00
3.00
3.00
4.00
4.00
4.00
5.00
5.00
6.00
1.00
2.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.50
1.00

Pharmacy Consultant*
Physician MD/DO - Physical Health
Radiology Manager**
Radiology Technician**

Clerk-MH

Licensed Pract Nurse Med

Mental Health Professional- MA/MS
PA/NP-MH
PA/NP-Physical Health
RN Nurse Manager
Administrative Assistant - Mental Health
American Sign Language Staff Interpreter**
Assistant Statewide Dental Administrator
Asst. Statewide Dir. of MH Services

IT/EHR Help Desk
Mental Health Professional-Float Pool
Physician -- Float Pool
Physician -- On Call
Regional Associate HR Business Partner
Regional Consult Specialist
Regional Dental Administrative Coordinator
Regional Desktop Support
Regional DON
Regional EMR Application Administrator
Regional EMR Education Coordinator
Regional Hepatitis C Case Manager
Regional HR Administrator
Regional HR Business Partner
Regional IT Supervisor

Regional MH QM Coordinator
Regional QM Coordinator
Regional Telehealth Coordinator
Regional Utilization Management Nurse Inpatient
Regional Utilization Management Nurse Outpatient
Regional Utilization Management Referral Specialist
RN-Float Pool
Social Services Coordinator - Marion County - Female Sites
Social Services Specialists
Statewide Assistant Psychiatric Advisor
Statewide CQI Coordinator (Program Director)
Statewide Credential Coordinator
Statewide Dental Administrator
Statewide Director of MH Operations

Statewide EMR Business Analyst
Statewide EMR Education Coordinator
Statewide EMR IT/OBIS Specialist

Statewide Hepatitis C Case Manager Lead
Statewide Hepatitis C Data Entry Specialist
Statewide HR Director
Statewide Infirmary Bed Manager
Statewide IT Support Lead
Statewide IT Systems Administrator

Statewide Mental Health Reentry Coordinator
Statewide Mortality Review Coordinator

Statewide Utilization Management Lead
Statewide Utilization Management Medical Director
Statewide VP of Operations

2,583.00

T:\Contract Administration\Contractual Services\CONTRACTS\Current Contracts\C3076 Comprehensive Health Care Services\Exhibit 1\BAFO\Attachment C – Centurion Proposed Staffing Plans for FDC

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

Staffing
Staffing-IP
Staffing-RMCH
Staffing-WAKRCCU
Total

Client Format Centurion Format Variance
2,583.00
2,583.00
389.60
389.60
134.60
134.60
118.90
118.90
3,226.10
3,226.10
-

C3076 - Exhibit 1
Centurion BAFO Submission 3-5-23

CONFIDENTIAL

· -· -· - ·-·-·-·-·I-•-•-•-•- · -· -· - -

-·
·· -·
-·

- - - - - - -

ADDENDUM #006

Solicitation Number:

FDC ITN-22-042

Solicitation Title:

Comprehensive Health Care Services

Bids due by:

July 15, 2022 at 2:00 p.m., Eastern Time

Addendum Number:

006

Addendum Date:

March 27, 2023

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

Addendum #006

ITB-22-042

REVISED
TIMELINE
FDC ITN-22-042
EVENT

DUE DATE

Release of ITN

April 1, 2022

Mandatory
Pre-Reply
Conferences and Site
Visits

April 19 – May 4,
2022

Last Day for written
inquiries to be
received by the
Department

May 13, 2022, Prior
to 5:00 p.m., Eastern
Time

Anticipated Posting
of written responses
to written inquiries

June 20, 2022

Sealed Replies
Due and Opened

July 15, 2022, at 2:00
p.m., Eastern Time

Evaluation Team
Meeting

August 08, 2022, at
2:00 p.m., Eastern
Time

Anticipated
Negotiations

September 2022 –
November 2022

LOCATION
Vendor Bid System (VBS):
http://www.myflorida.com/apps/vbs
See Section 4.4 for information regarding the
mandatory site visits.
NOTE: A Vendor’s Reply will be deemed nonresponsive if the Vendor fails to attend all of the site
visits.
Submit questions to:
Florida Department of Corrections
Bureau of Procurement
Email: purchasing@fdc.myflorida.com
Subject Line Should Read: ITN-22-042
Vendor Bid System (VBS):
http://www.myflorida.com/apps/vbs
Replies should be addressed to:
Attn: Eunice Arnold, Procurement Officer
Florida Department of Corrections
Bureau of Procurement
501 South Calhoun Street
Tallahassee, Florida 32399
Meeting Location:
Florida Department of Corrections
Bureau of Procurement
501 South Calhoun Street
Tallahassee, Florida 32399
Florida Department of Corrections
Bureau of Procurement
501 South Calhoun Street
Tallahassee, Florida 32399

Negotiation Team
Meeting

March 23, 2023, at
5:00 p.m., Eastern
Time

Meeting Location
Florida Department of Corrections
Bureau of Procurement
501 South Calhoun Street
Tallahassee, Florida 32399

Anticipated Posting of
Intent to Award

March 2023
March 30, 2023

Vendor Bid System (VBS):
http://www.myflorida.com/apps/vbs

Addendum #006

ITB-22-042

ADDENDUM #005
Solicitation Number:

FDC ITN-22-042

Solicitation Title:

Comprehensive Health Care Services

Bids due by:

July 15, 2022 at 2:00 p.m., Eastern Time

Addendum Number:

005

Addendum Date:

March 16, 2023

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

Addendum #005

ITB-22-042

REVISED
TIMELINE
FDC ITN-22-042
EVENT

DUE DATE

Release of ITN

April 1, 2022

Mandatory
Pre-Reply
Conferences and Site
Visits

April 19 – May 4,
2022

Last Day for written
inquiries to be
received by the
Department

May 13, 2022, Prior
to 5:00 p.m., Eastern
Time

Anticipated Posting
of written responses
to written inquiries

June 20, 2022

Sealed Replies
Due and Opened

July 15, 2022, at 2:00
p.m., Eastern Time

Evaluation Team
Meeting

August 08, 2022, at
2:00 p.m., Eastern
Time

Anticipated
Negotiations

Negotiation Team
Meeting

Anticipated Posting of
Intent to Award

Addendum #005

September 2022 –
November 2022

March 23, 2023, at
5:00 p.m., Eastern
Time

Meeting Location
Florida Department of Corrections
Bureau of Procurement
501 South Calhoun Street
Tallahassee, Florida 32399

March 2023

Vendor Bid System (VBS):
http://www.myflorida.com/apps/vbs

ITB-22-042

ADDENDUM #004

Solicitation Number:

FDC ITN-22-042

Solicitation Title:

Comprehensive Health Care Services

Bids due by:

July 15, 2022 at 2:00 p.m., Eastern Time

Addendum Number:

002

Addendum Date:

July 25, 2022

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

Addendum #004

ITB-22-042

REVISED
TIMELINE
FDC ITN-22-042
EVENT

DUE DATE

Release of ITN

April 1, 2022

Mandatory
Pre-Reply
Conferences and Site
Visits

April 19 - May 4,
2022

Last Day for written
inquiries to be
received by the
Department

May 13, 2022, Prior
to 5:00 p.m., Eastern
Time

Anticipated Posting
of written responses
to written inquiries

June 20, 2022

LOCATION
Vendor Bid System (VBS):
htt12://www.mvflorida.com/a1;ms/vbs
See Section 4.4 for information regarding the
mandatory site visits.
NOTE: A Vendor's ReQly will be deemed nonres 12onsive if the Vendor fails to attend all of the site
visits.
Submit questions to:
Florida Department of Corrections
Bureau of Procurement
Email: 12urchasing(@fdc.mvflorida.com
Subject Line Should Read: ITN-22-042

Vendor Bid System (VBS):
httQ://www.mvflorida.com/aQQS/vbs

Sealed Replies
Due and Opened

July 15, 2022, at 2:00
p.m., Eastern Time

ReQlies should be addressed to:
Attn: Eunice Arnold, Procurement Officer
Florida Department of Corrections
Bureau of Procurement
501 South Calhoun Street
Tallahassee, Florida 32399

Evaluation Team
Meeting

August 4a 08, 2022,
at 2:00 p.m., Eastern
Time

Meeting Location:
Florida Department of Corrections
Bureau of Procurement
501 South Calhoun Street
Tallahassee, Florida 32399

Anticipated
Negotiations

Anticipated Posting of
Intent to Award

Addendum #004

September 2022November 2022

March 2023

Florida Department of Corrections
Bureau of Procurement
501 South Calhoun Street
Tallahassee, Florida 32399
Vendor Bid System (VBS):
httQ://www.mvflorida.com/aQQS/vbs

ITB-22-042

ADDENDUM #003

Solicitation Number:

FDC ITN-22-042

Solicitation Title:

Comprehensive Health Care Services

Bids due by:

July 15, 2022, at 2:00 p.m., Eastern Time

Addendum Number:

003

Addendum Date:

June 20, 2022

TAB D

Service Area Detailed Solution (limit 150 225 pages)
Section 3 defines the requirements and service level expectations for the services.
In TAB D, for each requirement, Performance Measure, and report required in Section
3 3.6 of this ITN, the Vendor shall describe the following:
a. Acknowledge acceptance of each requirement or note any proposed modification
or innovative solutions that may differ from the requirement but meet the
Department’s needs;
b. Acknowledge acceptance of each Performance Measure (PM);
c. Indicate its ability to exceed the required PMs, if applicable, and provide additional
PMs the Vendor identifies as important that are not specified;
d. Identify proposed modifications to the identified PMs and the impact of the
modification (e.g. greater quality control, cost savings);
e. Describe a plan for providing service and meeting all requirements. The Vendor
shall include methodologies that will be applied, automation tools planned for use,
resource usage plan/approach, and processes that will be put in place;

Addendum #003

FDC ITB-22-042

Identify, describe, and detail the Vendor’s services and staff that will be used to
ensure successful service delivery;
g. Describe ways to reduce or minimize any costs or Department resources
associated with the services. This may include modifying the requirements and/or
PMs while still meeting the needs of the service, or recommending a different
approach for the service; and
h. Describe any Value-Added Services it will provide the Department, in addition to
those listed in the ITN, at no additional cost.
f.

Change No. 2:
A revision to Section 4.11, Reply Evaluation and Negotiation Process, A., Evaluation Phase
Methodology, Table 1 and B., Final Reply Evaluation Score, 1st paragraph.
Table 1
Evaluator
Score

Technical Evaluation Section
References
Prior Work Experience
Description of Solution
Program Management
Institutional Medical Care
Institutional Dental Care
Mental Health Services
Hospital Administration and Care and
Utilization Management
Quality Management
Pharmaceutical Services
Total Evaluation Points

Addendum #003

Total Available Points

1-5
1-5
1-5
1-5
1-5
1-5
1-5
1-5

50
50
50
75
100
100
100
75

1-5
1-5

75
75
750

FDC ITB-22-042

Technical Evaluation Section

Evaluator Score

Total Available
Points

TAB A Cover Letter with Contact Information, Executive
Summary, Pass/Fail Certification andI
Performance Bond/Irrevocable Letter of CreditI
TAB B Experience and Ability to Provide ServicesI
TAB C Description of SolutionI
TAB D Service Area Detailed SolutionI
TAB E Implementation PlanI
TAB F Additional Ideas for Improvement or cost
~reduction, and other supplemental materials
Total Evaluation PointsI

1-5
LJ

25
LJ

I1-5I
I1-5I
I1-5I
I1-5I

I75I
100
I I
I600I
I100I
100
LJ

1-5
LJ

I1000I

B. Final Reply Evaluation Score
A Vendor’s Final Reply Evaluation Score is the sum of the Vendor’s Technical Reply Evaluation
Score (0 – 750 1000 points) and its Cost Reply Score (0 – 250 points).

- 1111

Change No. 3:
A revision to Section 4.9, Contents of Reply Submittals, first paragraph and TAB A Title.
Replies shall be organized in TABs as directed below. Vendors shall complete each TAB entirely
to be considered responsive. Material Deviations cannot be waived and shall be the basis for
rejection of a Reply. A Minor Irregularity will not result in a rejection of a Reply. Each TAB includes
a page limit for all TAB content. TAB content beyond the page limit will not be evaluated.
The Reply shall be organized as follows:
TAB A

Cover Letter with Contact Information, Executive Summary, Pass/Fail
Certification and Performance Bond/Irrevocable Letter of Credit Letter (Limit 15
25 pages)

■

Change No. 4:
A revision to Section 4.9, Contents of Reply Submittals, TAB B, Experience and Ability to
Provide Services, b. Prior Work Experience, 3) Subcontractor Information.

3) Subcontractor Information
If the Vendor will use subcontractors to provide any of the Sservices, the Vendor shall provide
detailed information for all subcontractors it plans on contracting with to provide any of the
Sservices under the prospective Contract. This information shall be provided using Attachment
IX, Subcontracting Form. The Vendor shall complete Attachment IX, Subcontracting form. This
information shall, at a minimum, include the following: name, contact information, the service(s)
Addendum #003

FDC ITB-22-042

subcontractor will be providing under the prospective Contract, the number of years
subcontractor has provided services, projects of similar size and scope to the Sservices sought
via this ITN the subcontractor has provided, and all instances of contractual default or
debarment (as a prime or subcontractor) the subcontractor has had in the past five (5) years.
Additionally, the Vendor shall include the name of any subcontractor it intends to hire for this
project and any fees that the subcontractor is expected to charge at the time of the Reply.

Change No. 5:
A revision to Section 5.5, Subcontracts, 1st paragraph.
The Vendor may, only with prior written consent of the Department, enter into written subcontracts
for the delivery or performance of services as indicated in this ITN. Anticipated subcontract
agreements known at the time of bid Reply submission, and the amount of the subcontract must
be identified in the bid TAB B of the Vendor Reply. If a subcontract has been identified at the time
of submission, a copy of the proposed subcontract must be submitted to the Department. No
subcontract, which the Vendor enters into with respect to performance of any of its functions under
the Contract, shall in any way relieve the Vendor of any responsibility for the performance of its
duties. All subcontractors, regardless of function, providing services on Department property, shall
comply with the Department’s security requirements, as defined by the Department, including
background checks, and all other Contract requirements. All payments to subcontractors shall be
made by the Vendor.

Change No. 6:
A revision to Section 3.6.1.2, Program Management Minimum Requirements.
Statewide Leadership Positions
Position Title
(or equivalent title)
Statewide Oral Surgeon

Purpose
Responsible for all
dental care and related
surgical issues

# of
Positions
1

Department Liaison
• Chief of Dental
Services

Institutional Leadership Positions
Position Title
(or equivalent title)
Oral Surgeon

Purpose
Responsible for all
dental care and related
surgical issues

Department Liaison
• Warden for
administrative issues
• Chief of Dental
Services for clinical
issues

# of
Positions
1 per
Institution

Change No. 7:
A revision to Section 3.6.4.2 How Services are Provided Today, Mental Health Services
Requirements (MHS).
Addendum #003

FDC ITB-22-042

Mental Health Service Requirements (MHS)
No.
MHS-052

Requirement
Treatment for Gender Dysphoria
The Vendor shall ensure identification and treatment of Inmates diagnosed with
Gender Dysphoria is governed by Procedure 403.012, Identification and Management
of Inmates Diagnosed with Gender Dysphoria. After initial pre-screening, formal
assessment, and review by the OHS Gender Dysphoria Review team, the Inmate will
receive initial treatment to include, but not be limited to, clinical group therapy once
weekly, psychoeducational group interventions twice weekly, and individual
psychotherapy at least every 30 Days. After an initial three (3) month period, treatment
schedules can be modified by the MDST to include individual psychotherapy at least
every 30 Days and clinical group therapy either weekly, bi-weekly, or monthly, as
clinically indicated. While receiving any treatment for Gender Dysphoria Inmates must
remain at a mental health designation of S-2 or higher.

■

Change No. 8:
A revision to Section 2.7, Resources.
The Department is providing links to resources Vendors may find helpful in the development of
their Replies. In order to gain a comprehensive understanding of the current services, Vendors
are strongly encouraged to review the information contained in these links.
Many exhibits contain multiple files. In addition, some exhibits contain information on health care
services or Correctional Institutions that may not be covered by this ITN. The Vendor may
disregard
any
information
that
does
not
pertain
to
this
ITN.
•

Comprehensive Health Care Service contracts:
https://facts.fldfs.com/Search/ContractDetail.aspx?AgencyId=700000&ContractId=C2930
https://facts.fldfs.com/Search/ContractDetail.aspx?AgencyId=700000&ContractId=C2995

•

Current Department Policies, Procedures, and Health Services Bulletins (except those
identified as “Restricted”):
http://fdc.myflorida.com/health/procedures.html

•

The Department has provided a Resource Library to provide Vendors with access to
information, reports, and additional documents useful in creating a Reply.
The Link: http://www.dc.state.fl.us/health/faq.html

FDC ITB-22-042

the cost of shipping. Once the signed agreement is received by the Procurement Officer, the
Department will provide the restricted procedures on a CD to the Vendor, via overnight mail.
Vendors having trouble accessing any documents should contact the Procurement Officer.
Note: Exhibits are provided for informational purposes only. All possible efforts have been
made to ensure the information contained in the resource documents is accurate, complete, and
current
Change No. 9:
A revision to Section 4.10, Reply Evaluation Criteria, A. Technical Reply Evaluation Score (0750 Points) title.

- 1111

A. TECHNICAL REPLY EVALUATION SCORE (0 – 750 1000 POINTS)

Addendum #003

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

Is the DOC planning to hold a main Bidder’s
conference for the solicitation as a whole? If so, can
you please provide me with the date, time, location,
and RSVP/registration instructions?

All pre-Reply conferences will occur at the mandatory site visits. There
will be no pre-reply conferences or site visits at Central Office.

Are you saying that the DOC is not going to have a
main Bidder’s Conference at the DOC headquarters?

Please see the Answer to Question No. 1 of this Addendum.

In Tab D, the ITN instructs proposals to describe
subsections a-h surrounding ITN requirements,
performance measures, and reports in Section 3 of the
ITN. Please clarify the following:

Addendum #003

a. The ITN document, including the entirety of Section 3, designates
specifications that will be reflected in the Contract; however, the
instructions in TAB D subsections a-h, refer to the specifications the
Department denotes as “Requirements,” which are those in Section
3.6. Please see Change No. 1 of this Addendum.

a. Is this requested for the entirety of Section 3
(Subsections 3.1-3.9) or only the specific
applicable healthcare service areas under
Subsection 3.6 (Subsections 3.6.1 - 3.6.10)?
b. If only subsections 3.6.1 – 3.6.10, can the
Department please confirm proposals do not
need to include these same detailed a-h
responses for Sections 3.1 - 3.5, 3.7 - 3.9, and
3.6.11?

b. Section 3.6.11 is titled “Other Requirements” and is included in
Section 3.6 and applies to the instructions of TAB D.
c. The Department’s evaluation methodology is laid out in Section 4.11
of the ITN. Table 1 details the total available points for each
component of a Vendor’s Reply. Please see Change No. 2 of this
Addendum.

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Comprehensive Health Care Services

Question
Number

Question
c.

Answer

Can the Department please clarify the scoring
of subsection 3.6.9, 3.6.10, and 3.6.11 and
what, if any, possible points are associated
with those subsections?
The Department will evaluate the Vendor’s Implementation Plan when it
evaluates TAB E of the Vendor’s Reply. Please see Change No. 2 of this
Addendum.

We understand that we have up to 30 pages to
provide our Implementation Plan. Can the
Department please clarify the scoring of Tab E
Implementation Plan narrative and what, if any,
possible points are associated with that section?

We understand that we have up to 35 pages to provide
our response to Tab F, Additional Ideas/ValueAdds/Cost Reductions. Can the Department please
clarify the scoring of Tab F and what, if any, possible
points are associated with that section?

The Department will evaluate the Vendor’s response to TAB F in
accordance with Table 1 of Section 4.11. Please see Change No. 2 of
this Addendum.

The ITN timeline notes that the anticipated posting of
written responses to vendor questions is June 13th. Will
the Department consider allowing more time between
posting of written answers and the ITN reply due date
to vendors to incorporate FDC’s answers into their
proposal submissions?

Please see Addendum #002 timeline revision.

The volume of information requested may be
challenging to thoroughly respond in 150 pages.
Would the Department kindly consider increasing the
page limit and/or allow separate attachments to

TAB D of a Vendor’s Reply was previously limited to 150 pages, not the
entirety of a Vendor’s Reply. Each Tab of a Vendor’s Reply has its own
page limit. Please see Change No. 1 of this Addendum, which increases
the page limit for TAB D.

Addendum #003

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FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

support the narrative response with the separate
attachments excluded from the 150 page limit?

All of a Vendor’s Reply contents (attachments, forms, etc.) will be
counted in the page limit(s) denoted for each TAB.

1. Is it permissible to include separate attachments to
support a narrative response that are informational
documents as samples? Examples are company
policies and procedures, sample forms, audit tools,
programming, etc.
2. If so, are these excluded from the page limit
allotment in that corresponding tab?

Please see the Answer to Question No. 7 of this Addendum.

Section 4.9, Contents of Reply Submittals, Tab A; page
207
9.

Please see Change No. 1 and Change No. 3 and the Answer to
Question No. 7 of this Addendum.

This section requires ITN forms and documents (i.e.
reply bond, performance bond, D&B score, etc.) Please
confirm these requirements are excluded from the 15page limit of Tab A.

Section 4.9, Contents of Reply Submittals, Tab B; page
208
10.

This section requires references, subcontractor letters
of intent, job descriptions, and proposed staffing plans.
Please confirm these requirements are excluded from
the 50-page limit for Tab B.

Addendum #003

Please see the Answer to Question No. 7 of this Addendum.

FDC ITB-22-042

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Question
Number

Question

Answer

Section 5.5., Subcontracts; page 224

11.

This section of the ITN requires bidders to include,
“Anticipated subcontract agreements known at the time
of bid submission, and the amount of the subcontract
must be identified in the bid.”

The amount of any known subcontracts should be reported in TAB B of
a Vendor’s Reply. Please see Change to No. 4 and Change to No. 5 of
this Addendum.

For the estimated amount of subcontractor agreement,
should this be included on Attachment IX,
Subcontracting Form, or within vendor’s price
proposal?

Section 4.9, Contents of Reply Submittals, Tab B,
Subsection b.1 Narrative/Record of Past Experience
12.

13.

This section requires a listing of similar contacts and
certain information for each. Some companies have
decades of experience. Can this information be
submitted as a separate Attachment that is excluded
from the page limit allotment?

What if any changes have there been in major facility
missions and populations in the past 5 years?

Addendum #003

Please see the Answer to Question No. 7 and Change No. 3 of this
Addendum.

Jefferson CI, Madison CI, Everglades CI, Marion CI, Sumter CI, Tomoka
CI were designated as Incentivized Prisons.
Hamilton CI Main Unit and SFRC South Unit were designated to accept
Short Sentence inmates.
Charlotte CI and Hardee CI were designated as Close Management
Facilities.
Wakulla-Annex was designated as a Residential Continuum of Care
Unit.
FWRC was designated as a Residential Continuum of Care Unit.

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Question
Number

Question

Answer
Jackson CI was designated as an Administrative Management Unit.
Sumter CI was designated to accept S-3 inmates.
Walton CI was designated to accept S-3 inmates

14.

What are the current mental health grade census and
capacity at each of the major institutions that evaluate
and treat patients with mental illness?

The Department added the requested information to the Resource
Library as a document/report titled with the corresponding Question
Number. The link to the Resource Library is provided in Section 2.7,
Resources of this ITN.
Please see Change No. 8 of this Addendum.

15.

16.

17.

Please provide the census and capacity of individuals
that are classified as S2-S6 at each facility.

Will the Florida DOC expect the successful vendor to
tailor their company policies to meet Florida DOC
policies or will the DOC expect the vendor to use only
Florida DOC policies and forms?
PGM-081 on page 52 states that the vendor shall
ensure that its staff are vaccinated against Hepatitis B
prior to the start of service delivery. This vaccination is
administered in a 3-dose series that spans 6 months. If
the potential staff for hire have not already been fully
vaccinated, will the DOC accept the administration of
the first dose only prior to service delivery? Does this
apply to all vendor staff including clerical and medical
records staff?

Addendum #003

Please see the Answer to Question No. 14 of this Addendum.

The successful Vendor will be expected to follow all FDC policies,
procedures, and forms.

Documentation of previous vaccinations will be accepted.
Documentation that vaccine series has started, along with a schedule of
pending vaccine dates will be accepted, as well as documentation for
the contraindication of vaccine if not advised.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

18.

How long do FCIC/NCIC background checks take?

19.

PM-PGM-005 on page 58 – how are the minimum
number of service hours required established? Is this
the entire staffing plan for each facility? Or an agreed
upon reduced number to ensure continued
operations? Please confirm that this performance
measure is new to the contract with this ITN.

20.

Please provide copies of the authorized staffing plans
for each facility, including satellite facilities, the
number of positions filled, number of positions vacant,
and the vacancy rate for each.

Answer

Florida Department of Law Enforcement (FDLE) has up to three (3)
business days to transmit results to the Department. The Department
can take three (3) to five (5) business days to complete a review upon
receiving results from FDLE.

Service hours are based on the approved final staffing plan. The current
contract does not contain the language in PM-PGM-005 of the ITN.

21.

Please provide the capacity and the average daily
population (ADP) for each facility including satellite
facilities.

Addendum #003

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Comprehensive Health Care Services

Question
Number

22.

23.

Question

Please specify the facilities/satellites in which 24/7
health care coverage is not required, and the amount
of coverage required for each.

Please provide the names of the community provider
contracts in place for each facility for off-site and
specialty care services.

Answer

All major facilities have 24/7 nursing coverage except Putnam CI, and
Re-Entry Centers. Work Camps are covered by their parent facility

24.

What is the number of patients being seen in specialty
clinics in the RMC – either by month or annually?

25.

Please provide copies of the agreements with Nova
Southeastern University and the University of Florida
for intern, residents, and students.

Addendum #003

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FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

•

26.

27.

28.

29.

Page 51
• What is the expectation for disaster recovery of
the EMR to return to normal operations?
• What is the expectation of EMR uptime?
• What is the expectation of EMR backups to
occur?

Page 185-187
• GE Fusion Electronic Medical Record system is
currently in use
➢ What is the current state of the EMR? Is it
current with all patches, service packs, etc.?

Pages 20 thru 22 list seven (7) EMR staff positions?
• Are these expected to be full-time FTEs or parttime?
• There is a reference on page 26 to "SuperUsers". Are these to be within the state of
Florida or can they be remote?
Page 25 on-call telephone coverage
• What is the expectation for response time for
on-call staff?

Addendum #003

•
•

ITS-033 requires access and use of a backup system with the same
functionality and data as its operational system within 24 hours
PM-EMR-001 expectation is 99.99% availability. PMR-EMR-002
expectation is 100% EMR availability when needed to deliver
critical health care services to inmates.
PM-EMR-006-EMR backup frequency should be appropriate to
ensure successful operations. The vendor shall ensure data is
protected per industry standards and ensure data is easily
recoverable.

The EMR is operational and active in all facilities with all applications
functioning. There are open requests with Fusion for revisions and
enhancements that are in progress with different ETA's, but not affecting
patient care. Server OS and SQL Database patching is all up to date
and verified.

Yes, these are expected to be full-time FTEs.
Yes, these positions need to be within the State of Florida.

A 30-minute response time is expected for this coverage.

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Question
Number

Question

30.

Page 188
• Please provide the Department’s Networking
specifications.
• What is the approved PEN testing solution of
the Department or FDC OIT?
• What is the approved network monitoring
solution of the Department or FDC OIT?
• What is the Department-approved up-to-date
server and workstation anti-virus/malware
software (all components)?
• What is the Department’s approved VPN
solution?
• What is the process for requesting use of the
available network services?
➢ Who is responsible for managing the
provided services?
➢ Is there a preferred vendor for completing a
site survey?
➢ Is the equipment list provided under ITS-009
already installed or is vendor responsible for
installation?
1.If vendor is required to install, what is the
preferred vendor?
Please provide a copy of the RF plan or channel map
agreement.

31.

Page 190
What is the recommended solution for filtering
network traffic as defined in ITS-020?

Addendum #003

Answer

This is confidential restricted information. The Information will be
provided to Vendors who attended all mandatory site visits and have a
non-disclosure agreement on file.

The Department does not have a recommended solution. Vendor
solutions will be reviewed and approved or disapproved by the
Department.

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FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

Please confirm that the Florida DOC does not want
the vendor responses to include projections of our
actual costs in providing services.

Confirmed; the Vendor’s Cost reply should reflect the percentage
administrative fee. This percentage covers the Vendor’s indirect costs and
profits, to be charged in addition to direct costs for inmate Patient care
services. Vendors should describe their ability to control direct costs in
TAB C of their Replies.

33.

Please provide (by year) the amounts of any staffing
paybacks/credits the Florida Department of
Corrections
(Department) has assessed against the incumbent
vendor over the term of the current contract.

This is N/A under the current contract.

34.

Please provide (by year) the amounts and reasons for
any non-staffing penalties/ liquidated damages the
Department has assessed against the incumbent
vendor over the term of the current contract.

The current contract does not include a performance measure that
assesses financial consequences for staffing levels.

32.

35.

Are any of the Department’s facilities currently subject
to any court orders or legal directives? If “yes,”
please provide copies of the order/directive.

Addendum #003

Yes. There were two lawsuits filed by Disability Rights Florida and one
case filed by death row inmates. The relevant documents are attached.
These cases may not be all of the cases that are being sought as it is
unclear as to what “legal directives” means.
The Department added the requested information to the Resource
Library as a document/report titled with the corresponding Question
Number. The link to the Resource Library is provided in Section 2.7,
Resources of this ITN.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
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Question
Number

Question

Answer

Please see Change No. 8 of this Addendum.

36.

37.

With regard to lawsuits (frivolous or otherwise)
pertaining to inmate health care:
a. How many have been filed against the Department,
the State of Florida, and/or the incumbent health
care provider in the last three years?
b. How many have been settled in that timeframe?

For each facility listed in ITN Attachment II, please
provide the following data regarding the size of the
inmate population.
a. Three years’ worth of facility-specific historical data
b. Five-year population projections

It is estimated that there were approximately 130 lawsuits filed by
inmates regarding medical care in the last three years. This is a rough
estimate as the Department does not maintain a list of just medical care
lawsuits. In addition, the Department is not aware of the total number of
lawsuits filed against the current and former medical contractors. The
Department is unable to identify which cases are settled as the
Department does not generate a list of settled cases.

Please see the Answer to Question No. 21and the FDC Annual Reports:
Florida Department of Corrections -- Index to Statistics and Publications
(state.fl.us)

The Department will need to identify additional S-3 facilities. However,
there is no timeframe and the facilities have not been identified.

38.

Does the Department have any plans to change the
mission, size, or scope of any of its facilities within the
term of the contract? If so, please provide details
(including timeframe) on the planned change.

The Department will move the reception process for those inmates who
are 17 and under to Suwannee-Annex. This will occur this year, but the
timeframe has not been established.
The Department will establish additional Gender Dysphoria locations.
Timeframe – 2 to 3 months. Locations have not been identified.

Addendum #003

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FDC ITN-22-042
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Question
Number

Question

Answer
The Department has changed the population of Hernando CI from
female to male.

39.

For each facility listed in ITN Attachment II, please
provide a listing of any current health service
vacancies,
by position.

40.

Please confirm that if the awarded vendor retains
existing health care staff who are already
credentialed, those incumbent staff will not need to go
through the credentialing all over again with the new
vendor.

41.

Are any members of the current health service
workforce unionized? If yes, please provide the
following.
a. A copy of each union contract
b. Complete contact information for a designated
contact person at each union
c. The number of union grievances that resulted in
arbitration cases over the last 12 months

42.

Please provide the salaries/wages your incumbent
health service Vendor is paying to its staff at the
Department’s facilities.
a. How recent is this data?

Addendum #003

Please see the Answer to Question No. 20 of this Addendum.

The awarded Vendor must ensure the credentialing of all their staff.

No, the workforce is not unionized.

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Question
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Question
b. What is the source of this data (e.g., State/County
records, data from the incumbent Vendor, etc.)?

Answer
Please see Change No. 8 of this Addendum.
a. As of December 10, 2021
b. Incumbent Vendor

43.

44.

With regard to timeclocks or other timekeeping
devices, please provide the following information.
a. The number of timeclocks in place at each
Department facility
b. Where in the buildings they are located (for
example, in the lobbies, at the security sally ports,
in the
medical units, etc.)
c. Will the Department allow the incoming Contractor
connect its timeclocks to the Department’s
network?

With regard to the GE Fusion Electronic Medical
Record system, please provide the following
information:
a. What version of the EMR that is in place?
b. Is the existing EMR agreement/licensure/ownership
in (a) the Department’s name or (b) Centurion’s
name?
c. Can the incoming vendor take over the existing
EMR agreement/licensure?
d. Will the Department allow authorized providers and
other staff not located onsite at the Department’s
facilities to have remote access to the EMR?
e. What interfaces are currently in place with the
existing EMR, for example, the Offender
Management

Addendum #003

a. The incumbent Vendor shall manage its own timekeeping system.
b. The incumbent Vendor shall manage its own timekeeping system and
locations.
c. The incumbent Vendor is required to put its own time management
system in place.

a.
b.
c.
d.

AthenaPracticetm v20
Centurion’s name
Fusion License and Services Agreement is provided for reference.
Appropriate controls and Security Access Requests will be the
responsibility of the CHCC.
e. Currently FDC facilities and private facilities have interfaces to include
radiology, CIPS, OBIS, and Labs.

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Answer

System, the current pharmacy subcontractor, the
current lab services contractor, etc.?

45.

Does the Department currently utilize telehealth? If so,
please provide the following information.
a. Description of any equipment that will remain in
place for the new vendor to use
b. Description of the telehealth connectivity (network)
that will remain in place for the new vendor to use
c. The type of telehealth clinic (e.g., telepsychiatry,
telecardiology, etc.)
d. How often each telehealth clinic is currently
conducted (e.g., weekly, monthly, as-needed, etc.)
e. The length of each telehealth clinic currently
conducted (e.g., day, half-day, etc.)
f. The average number of patients in each telehealth
clinic
g. The name and contact information for the teleprovider who conducts each telehealth clinic

The FDC does not track this information; however, we have approved
the use of telehealth for neurology, ADA interpreter services, and
continue to evaluate and approve additional telehealth and telepsych as
appropriate for outpatient mental health.
The Department added the requested information to the Resource
Library as a document/report titled with the corresponding Question
Number. The link to the Resource Library is provided in Section 2.7,
Resources of this ITN.
Please see Change No. 8 of this Addendum.
See ITS-042 and ITS-043 regarding telehealth technology.

46.

What laboratory subcontractor does your current
health care vendor use for lab services, e.g., LabCorp,
Garcia, Bio-Reference, etc.?

BioReference Laboratories

47.

For facility listed in ITN Attachment II, which
hospital(s) is used most frequently?

RMCH is used primarily unless the patient’s acuity level requires an
outside hospital.

48.

Does the Department participate in any programs or
legislation (e.g., the Affordable Care Act, Medicaid

Addendum #003

No. The cost of inmate medical care is the responsibility of the awarded
Vendor, to be reimbursed by the FDC.

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Question
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Question

Answer

expansion, State law, etc.) that mandate special
discounts for inpatient care for inmate patients? If
“yes,”
please provide the following information.
a. Name and brief description of the program
b. What services are discounted under the program?
c. Who is responsible for enrolling Department
patients in the program?
d. Please provide the current processes and
timeframes for (a) enrollment in the program and
(b) payment
at the program’s discounted rates.

49.

With regard to any specialty care clinics currently
conducted onsite at the Department’s facilities, please
provide the following information.
a. The type of specialty clinic (e.g., orthopedics,
neurology, etc.)
b. How often each specialty clinic is currently
conducted (e.g., weekly, monthly, as-needed, etc.)
c. The length of each specialty clinic currently
conducted (e.g., day, half-day, etc.)
d. The average number of patients in each specialty
clinic
e. The name and contact information for the provider
who operates each specialty clinic

50.

Please identify the number, type, and timeframes of
any backlogs (chronic care clinics, offsite referrals,
dental encounters, etc.) that currently exist at the
Department’s facilities.

Addendum #003

Please see the Answer to Question No. 24 of this Addendum.

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Question
Number

Question

Answer
Please see Change No. 8 of this Addendum.

51.

52.

Please provide the following information about any
medical, behavioral health, or other special needs
units
(infirmary, addiction recovery, sex offender, geriatric,
skilled nursing, hospice, etc.) at the Department’s
facilities.
a. Type of each unit
b. Location of each unit
c. Capacity of each unit
d. Average occupancy of each unit
e. Staffing for each unit
f. Type of services/Acuity able to be handled in each
unit

For each of the past 36 months, please provide the
following mental health data.
a. Number of inmates on suicide watch each month
b. Number of suicide attempts
c. Number of successful suicides
d. Number of self-injurious behavior incidents

a. The Department added the requested information to the Resource
Library as a document/report titled with the corresponding Question
Number. The link to the Resource Library is provided in Section 2.7,
Resources of this ITN.
Please see Change No. 8 of this Addendum.
b. Please see the Answer to Question 52 a. of this Addendum.
c. The FDC had 17 suicides in 2020, 24 suicides in 2021, and, as of 527-22, 10 suicides in 2022.
d. Please see the Answer to Question 52 a. of this Addendum.
See TAB B., (5) and PGM-005 and PGM-006

Addendum #003

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FDC ITN-22-042
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Question

Answer

53.

Given the many responsibilities of psychologists in
this RFP, please confirm the number of psychologists
in the current staffing plan by institution as well as
number of vacancies.

Please see the Answer to Question No. 20 of this Addendum.
The Vendor is expected to provide staffing to meet all requirements
specified in ITN.

54.

Please provide ADP counts for each service location
by month for FY 2018, FY 2019, FY 2020, and FY
2021

Please see the Answer to Question No. 21 of this Addendum and the
FDC Annual Reports: Florida Department of Corrections -- Index to
Statistics and Publications (state.fl.us)

55.

Please provide projected inmate census for each of
the next three years.

Please see the FDC Annual Reports: Florida Department of Corrections
-- Index to Statistics and Publications (state.fl.us)

56.

Please clarify whether the proposed hospital will be in
addition to or replacing the existing hospital at RMC in
Lake Butler.

The Department did not receive approval for the proposed hospital
proviso funding language by the Legislature.

57.

Please confirm a revised staffing plan will be
negotiated when the new 500 bed Mental Health
Facility opens.

58.

59.

Yes. All staffing expectations regarding the new mental health facility
will be discussed with the Vendor when the facility is completed.
Please see PGM-005.

Please confirm a revised staffing plan will be
negotiated when the new 250 bed prison hospital
facility opens.

Please see the Answer to Question No. 56 of this Addendum.

Please clarify whether the Department is requiring one
(1) Oral Surgeon statewide or per institution.

Please see Change No. 6 of this Addendum.

Addendum #003

FDC ITB-22-042

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FDC ITN-22-042
Comprehensive Health Care Services

Question
Number
60.

Question

Please identify the retention rate for nurses in 2021 by
institution.

Answer

The Department does not maintain the requested data.

Please identify which Major Institutions require two
CHO/SMDs due to physical layout of the facility and
its mission.

Currently, RMC is the only facility that has two (2) CHOs in its staffing
plan.

Please identify the number of security staffing
vacancies by institution per month or semi-annually
for the past two years.

The information requested is unrelated to this ITN.

62.

63.

Please identify which institutions have had 80% or
less security staffing hours than were scheduled in the
past two years. For each of these Institutions, identify
how frequently this has occurred over the preceding
24 months.

61.

64.

65.

a. Please provide a copy of the current equipment
inventory by institution
b. Please identify the current medical waste disposal
subcontractor and utilization for 2021
c. Please identify the current linens subcontractor and
utilization for 2021
d. Please provide a current list of the healthcare
supplies in inventory
Please confirm the number of Medical Record
Personnel and/or Health Information Specialists
currently staffed by institution

Addendum #003

The information requested is unrelated to this ITN.

a. The Department added the requested information to Section 2.7
Resources referenced in the ITN.
Please se Change No. 8 of this Addendum.
b. Please see the Answer to Question No. 23 of this Addendum.
c. Please see the Answer to Question No. 23 of this Addendum.
d. The Department does not maintain the requested data.
Please see the Answer to Question No. 20 of this Addendum.

FDC ITB-22-042

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FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

66.

Please identify the current language interpreter
subcontractor and utilization for 2021

67.

For FY 2018, FY 2019, FY 2020 and FY 2021, please
provide a summary of amounts reimbursed by private
prison operators for use of RMCH.

68.

Please provide the current RMCH established rate
schedule.

Answer

Please see the Answer to Question No. 23 of this Addendum.

The FDC does not have this information available.

69.

Please confirm the current salary for psychology
interns and residents.

Please see the Answer to Question No. 42 of this Addendum.

70.

How many IMR and OC cells are certified in the state?
How many are pending certification?

The FDC has 306 certified Infirmary Management Review and
Observation Cells and 74 cells that are pending certification.

71.

Please provide an inventory of the Isolation
Management Rooms (IMR) items.

Addendum #003

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

72.

Question

a. Please confirm the number of healthcare
grievances by month for the past three years.
b. Please confirm the financial penalties assessed
based on grievances by month for the past 3 years
c. Please provide all health care grievance
compliance reporting by service location for FY 2018,
FY 2019, FY 2020, and FY 2021.

Answer

a. The Department added the requested information to the Resource
Library as a document/report titled with the corresponding Question
Number. The link to the Resource Library is provided in Section 2.7,
Resources of this ITN.
Please see Change No. 8 of this Addendum.
.
b. There were no financial consequences assessed regarding the
performance measure pertaining to grievances.
c. Please see the Answer to Question 72 a. of this Addendum.

73.

74.

75.

a. Please provide the past two years of CMA surveys
b. Please confirm what CMA related financial
penalties have been assessed by category for the last
three years
c. Please provide all CMA survey compliance
reporting by institution for FY 2018, FY 2019, FY
2020, and FY 2021.

Please provide an explanation of the appeal process
for the determination that CMA findings have not been
cured.
a. Please provide an explanation of or examples of
what would be considered an “indirectly” attributable
cause of death.
b. Please clarify whether this is an individualized
measure based on the circumstances of the individual

Addendum #003

Disputes regarding financial consequences being assessed may be
submitted to the Contract Manager. Disputes regarding Correctional
Medical Authority (CMA) findings must be submitted to the CMA.

This would be determined during the mortality review process to include
peer review.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

death (as indicated in the Description column) or a
“systemic pattern” (as indicated in the Expectation
column)

76.

a. Please confirm how many inmate deaths were
directly or indirectly attributed to omission indifference
or inaction related to healthcare over the past 5 years.
b. Have any such deaths results in financial penalties?
If yes,

77.

a. Would the awarded vendor be assessed a
$100,000 per occurrence/Institution penalty for those
that are not currently accredited by ACA?
b. Please provide a list of Institutions that have lost
the relevant accreditation in the last five (5) years and
identify the year in which the accreditation was lost.
c. Please provide the penalty amount assessed for FY
2018, FY 2019, FY 2020, and FY 2021.

78.

Please provide the weighted average base wage
(excluding benefits or values for shift differentials,
overtime, backfill, etc.), by Institution (or by Region),
by position

79.

Please provide detail on incentive programs currently
in place to recruit and retain Medical and Mental
Health staff, by position and Region, such as:
a. Sign-on bonuses
b. Retention bonuses

Addendum #003

a. – None have been documented
b. – No, N/A

a. All facilities are currently ACA accredited.
b. None
c. None

Please see the Answer to Question No. 42 of this Addendum.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question
c. Education/Tuition Reimbursement
d. Parking Reimbursement
e. Other Travel Reimbursement

80.

a. Please provide the current CHCC’s FDC approved
staffing plan by service location and identify any
vacancies by position for each of the preceding 24
months
b. Please provide the past four semi-annual staffing
reports, including the calculation resulting in the
financial consequence assessment.
c. Please confirm whether the current CHCC is
maintaining 90% of all required hours per Institution,
and per position type, including hours fulfilled by
subcontracted providers
d. Please identify how many times the current CHCC’s
staffing hours dropped below the 90% threshold
e. Please confirm the number of times the current
CHCC has been financially penalized for not meeting
the 90% staffing threshold and the dollar amount
associated with these penalties.

81.

Please confirm the average weekly number of intakes
by location.

82.

Please identify the Institutions with Youthful Offenders
(YOs) and their census at each.

Answer
Please see Change No. 8 of this Addendum.

a. Please see the Answer to Question No. 20 of this Addendum.
b. Please see the Answer to Question No. 20 of this Addendum.
The requirements in the ITN differ from the current Contract
c. N/A under the current contract.
d. N/A under the current contract.
e. N/A under the current contract.

Please see the Answer to Question No. 55 of this Addendum.

Addendum #003

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number
83.

84.

Question

Please clarify what training inmate assistants receive
and who is responsible for providing it to them.

Please identify the number of infirmaries, including
bed capacity and average daily census for each by
institution.

Answer

Inmates receive training at individual facilities training is provided by the
Vendor. The training was developed by the Department.

85.

86.

87.

Please identify which institutions have long term care
units and/or hospice programs and the average daily
census for each.

To plan for enough staff for observation of patients in
an IMR or Observation cell in the infirmary, please
provide the average daily number of individuals in
these locations

Please confirm how frequently psychiatric restraints
have been used, by institution, over each of the past
24 months.

Addendum #003

CFRC South Palliative Care 6 beds. Full 98% of the time.
CFRC South Intensive Medical 64 compound beds. No nursing care
provided. 70% full.
SFRC F-Dorm 76 beds Palliative and long-term. 70% full.
Zephyrhills J-Dorm 66 beds – Intensive medical patients from minimal to
quadriplegic. 95% full.
Intensive Medical Lowell I-Dorm 11 beds. Currently on administrative
hold.

The Department added the requested information to the Resource
Library as a document/report titled with the corresponding Question

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer
Number. The link to the Resource Library is provided in Section 2.7,
Resources of this ITN.
Please see Change No. 8 of this Addendum.

88.

How many inmates have been released from each
institution each year the past two years?

89.

90.

a. How many GD patients are in the system?
b. How many are waiting for a comprehensive
psychological evaluation to confirm provisional
diagnosis?
c. Please confirm at which institutions comprehensive
psychological evaluations of GD occur.

a. What is the number of known patients with
untreated chronic Hepatitis C?
b. Can the Department provide a breakdown of the
untreated patients remaining by priority level?
c. Is there a court ordered mandate of a minimum
number of patients to treat a year or other required
benchmarks?
d. Is there a court ordered oversite body or committee
to oversee Hepatitis C treatment? If so, is there
scheduled progress reporting (monthly or quarterly)?

Addendum #003

As of 5/26/22:
a. 296
b. 85
c. Wakulla CI, FSP, FWRC, Dade CI

a. 261 F2-F4.
b. 34 F4; 14 F3; 15 F2; 33 F1; 66 F0
c. No. Treatment must be in accordance with HSB 15.03.09 Supplement
3
d. No.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

91.

Question

Please identify which sites failed to meet the triage
requirement over the past two years and how many
such instances occurred by site

Answer

92.

Please identify the total number of sick call requests
submitted per month for the past 24 months, by
category, for each service location

This information is not available. Approximately 2,300 sick calls are
triaged per week.

93.

Please identify the number of Infirmary admissions
per month for each institution over the past three
years.

The number of inpatient admissions from May 1, 2021 to April 30, 2022
are as follows:

94.

Please provide number of admissions to inpatient
units broken down by institution.

Addendum #003

Facility Name
Santa Rosa Annex
Dade CI
Lake CI
Wakulla Annex

Count
1006
803
507
336

Suwannee CI
FWRC
Zephyrhills CI

321
194
113

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

I RMC

95.

96.

a. Please provide the number of individuals requiring
sex offender treatment.
b. Are they required to be housed at designated
facilities? If so, which facilities?
c. What screening tools are currently implemented for
sex offenders?

Please confirm the number of restrictive housing beds
at each institution

I 87

a. As of 5-27-22, there are approximately 1,500 sex offenders awaiting
treatment.
b. There are no designated sex offender facilities.
c. Please see the Answer to Question No. 95.

97.

98.

Please confirm the percentage of individuals
prescribed psychotropic medications by institution.

a. Please identify the institutions that have RCCU’s
and the bed capacity, type, and census of each
RCCU.
b. Is there a need for more RCCUs and if so what is
the backlog or waitlist?
c. If yes, please identify the reason why more RCCUs
aren’t currently in place

Addendum #003

Please see the Answer to Question No. 97 for the number of patients
who were dispensed mental health medications from 4/1/2022 –
5/31/2022. Approximately 16.5% of the population is being prescribed
psychotropic medications.

a. Wakulla houses the male Residential Continuum of Care Units
(RCCU):
Diversion Treatment Unit (DTU) = 240 beds (120 cells with 2 beds
each, 30 beds reserved for single occupancy)
Secure Treatment Unit (STU) = 92 beds (single cell)
Cognitive Treatment Unit (CTU) = 19 beds (single cell)
Florida Women’s Reception Center (FWRC) houses the female
RCCU:
DTU = 42 beds (14 cells with 2 beds, 14 single bed cells)

FDC ITB-22-042

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Question
Number

Question

Answer
b. There is a need for more RCCUs. The waiting list numbers are as
follows:
Wakulla
Wait list
DTU
60
STU
I CTU

106
I 19

c. Renovations of facilities have been ongoing as they require both
space and funds to put in place.

99.

100.

101.

Please confirm this should read “the inmate will
receive initial treatment to include but NOT be limited
to…” It currently states, “but be limited to.”

Please clarify what the educational and experience
requirements are for the Behavioral Health Technician
and Behavioral Health Specialist positions.

The ITN references Behavioral Health Clinicians only
twice and both instances are in IIC-016. Please
confirm this is the same position as the Behavioral
Health Specialist. If not, please identify the
qualifications for this position.

Addendum #003

Please see Change No. 7 of this Addendum.

Behavioral Health Clinicians can be Psychologists or Behavioral Health
Specialists.
The Department added the requested information to Resources
referenced in Section 2.7 of this ITN.
Please see Answers to Questions No. 102 and No.103.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

a. Please provide current SOCTS group schedules.
b. Please confirm the average group size for SOCTS
groups
c. Please confirm the participation rate in SOCTS
groups

a. Group schedules vary by institutions – please see Procedure 404.004
for requirements
b. Group sizes are defined in Procedure 404.004
c. The Department does not track this information.

103.

Please identify what incentives are currently used in
the behavioral level system

Please see the Answers to Questions No. 101, No.102, and Procedure
404.004 attachment of this Addendum.

104.

Please clarify whether the Institutional Reentry
Specialists are DOC or vendor staff?

The Institutional Reentry Specialists are Vendor Staff.

Please confirm how many releases monthly per
institution are on the MH caseload

The Department can’t answer the question in the manner it was asked.

102.

105.

106.

107.

Please confirm under what agency RMCH is currently
licensed or credentialed
Please identify the standards for licensing a hospital
as defined by the State of Florida.

Please provide utilization data for each of the past 24
months for all specialty clinics conducted at RMCH,
including:
a. ASC by procedure
b. Endoscopic
c. Otolaryngologic
d. General Surgery
e. Orthopedic Surgery
f. Plastic Surgery/Hand Surgery
g. Podiatry

Addendum #003

ACHA licenses hospitals in the State of Florida in accordance with the
Florida Statutes.

Please see the Answers to Questions No. 112 and No. 265 of this
Addendum.

FDC ITB-22-042

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FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

h. Urology
i. Dermatology
j. Ophthalmology
k. Radiology
l. Stroke/Cardiac Rehabilitative Services

108.

a. Please clarify why RMCH’s surgical suites are listed a. We are unaware of RMCH’s surgical suite being inoperable. Surgeries
as inoperable
are performed at the Ambulatory Surgical Center (ASC).
b. For staffing, what is the utilization of the ASC
b. Ortho, Gastro, Ophthalmology, General Endodontics
services by specialty (frequency of appointments)?
c. Privately owned and maintained by the ASC subcontractor
c. What is the status of the ASC is in terms of
d. The ASC is licensed through AHCA and maintained through the ASC
operational equipment?
subcontractor
d. Please confirm the existing ASC is currently
e. The Department added the requested information to Resources
licensed as required and by what agency
referenced in Section 2.7 of this ITN.
e. Please provide the most recent accreditation survey
Please see Change No. 8 of this Addendum.

109.

Please provide the name of the current vendor for OR
packs and supplies

110.

Please provide volume and types of
procedures/surgeries over the past 24 months
performed in the Ambulatory Surgical Unit, including
those in the ORs and Endo Suites.

111.

Please provide volume and similar types of
procedures/surgeries that can be performed in the
Ambulatory Surgical Unit that were performed off-site.

Addendum #003

Please see the Answer to Question No. 23 of this Addendum.

Please see the Answer to Question No. 265 of this Addendum.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

112.

Question

Please confirm the number of surgical procedures
performed by month and by name of procedure in
2018 and in 2021

Answer

113.

Please confirm the specific onsite nuclear medicine
capabilities at RMCH

114.

115.

Please provide the number of on-site cases over the
past 24 months for each type of radiological study
(Xray, CT, MRI, Fluoroscopic, PET, Nuc Med,
US/Echo, IR, bone scan, etc.), including specific test
and body part (e.g., CT abdomen, MRI brain, stress
echo/Lexiscan, etc.). Also please provide volume and
type of radiological studies conducted off-site over the
past 24 months.

Please clarify whether CT scans are processed on
site.

Addendum #003

Please see the Answers to Questions No. 112 and No. 265 of this
Addendum.
The Department added the requested information to the Resource
Library as a document/report titled with the corresponding Question
Number. The link to the Resource Library is provided in Section 2.7,
Resources of this ITN.
Please see Change No. 8 of this Addendum.

Please see the Answer to Question No. 113 of this Addendum.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

Please see the Answer to Question No. 23 of this Addendum.
116.

117.

118.

119.

120.

Please identify all onsite specialty clinics and
contracted providers by institution.

Please identify any specialty clinics the Department
would like to expand or add

The Department is open to expanding clinics that provide patient care
reduce the impact on security transports and improve access to care.
Specific clinics are not currently being pursued for expansion/ addition.

Please provide a list of the most commonly used
providers for Inpatient and Outpatient services by
institution

Please see the Answer to Question No 23 of this Addendum.

Is there an ability logistically and/or physically to
accommodate expanded outpatient surgical
procedures, radiology, and/or oncology services at
any of the physical prison locations?

a. Please confirm offsite utilization, per patient, for
each of the past 24 months
b. Is there an excel version of this data, listing specific
providers and offsite claims information?

Limitations are due to physical plant and staffing and would be site
specific.

121.

Please identify the most commonly accessed
hospitals for each institution

Please see the Answer to Question No. 23 of this Addendum.
Please see the Answer to Question No. 120 of this Addendum.

Addendum #003

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

122.

123.

124.

125.

126.

127.

128.

Question

Answer

What is the Department’s ability to transport patients
to RMCH? Is there a distance or radius defined in
miles or by geographic region that determines
whether patients are eligible for transfer to RMCH?

The Department operates transport buses and vans. Distance is not
considered alone when evaluating patient eligibility for transport to the
RMCH.

Please confirm number of sites with ACLS certification
requirements for nurses

One, the RMC Hospital only.

Please confirm number of sites with ACLS certification
requirements for providers

One, the RMC Hospital only.

Please identify which service locations have IT
connectivity issues

The Department does not currently have a list of locations with issues;
however, connectivity issues were observed at the Santa Rosa CI site
visit.

Please identify all facilities which currently have a
functioning EMR. Have these sites converted fully to
an EMR or are they using a hybrid EMR/paper
system?

The EMR is functioning at all medical facilities. Paper records are
retained based on records retention requirements.
Please see the Answer to Question No. 27 of this Addendum.

Please identify all facilities which currently lack the
infrastructure to implement a fully functioning EMR

There are no Department facilities that lack the infrastructure to
implement a fully functioning EMR.

Please identify the Departments timeline for
implementing an EMR by site

Please see the Answer to Question No. 126 of this Addendum.

Addendum #003

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

129.

Please identify how many facilities are currently on a
paper-based system

Please see the Answer to Question No. 126 of this Addendum.

130.

Please clarify how vendor’s other than the current
CHCC who provided the EMR can be held
accountable for its performance

The Vendor will be accountable through its Service Level Agreement
with the EMR provider as detailed in EMR-014.

Please confirm the number of times the current EMR
has not been up and available 99.99% of the time.

None.

Please identify the dollar value in fines and frequency
of occurrences associated with the current EMR not
being available 99.99% of the time.

No financial consequences have been assessed.

131.

132.

133.

Please clarify whether the Department would consider
another vendor’s EMR solution

No, the Department will not consider another EMR solution.

134.

Is the Department satisfied with its current EMR?
Would the Department be open to considering another
vendor’s EMR solution?

Yes, the Department is satisfied with its current EMR. No, the
Department will not consider another EMR solution.

135.

Please provide the referenced Department’s Office of
Information Technology (OIT) specifications

Please see the Answer to Question No. 30 of this Addendum.

136.

a. What is the process for obtaining the Departments
approval for the supplies, equipment, and network
connections that the Vendor proposes to implement?
b. Please provide networking equipment specifications

Addendum #003

a. Vendor will submit their network proposal to the Department. The
Department will then review, provide feedback, and
approve\disapprove.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

b. Please see the Answer to Question No. 30 of this Addendum.

a. Can the Department provide the model
specifications for the Wi-Fi, Switching, and VOIP
equipment that will be provided for Vendor use?
b. Is the Vendor responsible for administration or
operation of the VOIP system, or will the Department
administer and operation the systems and the Vendor
simply uses the VOIP Phones?
c. Are data circuits currently in place, presumably
contracted by the incumbent vendor?
d. Can these circuits be transferred to the new
Vendor?
e. Is a circuit inventory available?
f. Is the Department aware of any specific fiber or
copper cabling requirements that must be addressed?
Can a list be provided?
g. Please provide a list of all networking services
equipment the Department has identified needs or
recommends to be purchased.

a. Switches are Aruba 2930F PoE+, Wi-Fi APs are Aruba

If the Vendor provides network-based storage for all
files, is the vendor required to backup individual
windows computers in the facilities?

No, as long as all files are backed up.

138.

139.

Please provide copies of Procedures 206.001 through
206.010.

Please see Section 2.7 for how to request Restricted documents.

137.

Addendum #003

AP-535 and AP-303.
b. No, the Department will administer and operate the VOIP system.
c. The incumbent Vendor is currently utilizing the Department’s network.
d. No.
e. No.
f. Please see Section 3.6.10.2 Information Technology Software
Requirements; ITS-009 subsection a.; page 188, specifically, “a
Vendor-initiated site survey is recommended.”
g. Please see Section 3.6.10.2 Information Technology Software
Requirements; ITS-009 subsection a.; page 188, specifically, “a
Vendor-initiated site survey is recommended.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

140.

Please identify any specialty services currently
provided through telehealth services by institution

141.

a. What are current vacancy rates for each identified
clinical discipline?
b. Please confirm that the Mental Health Director
referred to is the Statewide Mental Health Director

142.

143.

144.

Please provide a list of all current licenses and
accreditations of FDC and its facilities. Are the
facilities licensed by AHCA? Are they accredited by
TJC, HFAP, or DNV?

Please provide a list of all certifications, licenses, or
permits currently held by FDC or their vendors that
would impact this
project (e.g., pharmacy license, radiation permit,
CLIA, hazardous waste, etc.)

a. Provide an inventory of Health Care Equipment by
Institution, including age and date of purchase, if

Addendum #003

Answer

Please see the Answer to Question No. 45 of this Addendum and HSB
15.06.12 Telehealth.

a. Please see the Answer to Question No. 20 of this Addendum.
b. See 3.6.1.2 Program management Minimum Requirements,
Statewide Leadership Positions

Please see the Answer to Question No. 142 of this addendum.

a. Please see the Answer to Question No. 64 of this Addendum.

FDC ITB-22-042

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FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question
available
b. Provide an inventory of all computers slated for the
transition
c. Please identify the current subcontractor
responsible for maintaining copier/printers

145.

Please provide reporting and calculation of financial
consequences for each of the Institutional Care
Performance Measures identified in section 3.6.2.4 for
FY 2018, FY 2019, FY 2020, and FY 2021.

Answer
b. Please see the Answer to Question No. 64 of this Addendum.
c. Ricoh

146.

147.

Please provide reporting and calculation of financial
consequences for each of the Institutional Dental Care
Performance Measures identified in section 3.6.3.4 for
FY 2018, FY 2019, FY 2020, and FY 2021.

Please confirm the number of individuals coded I-SY
by institution

Please see the Answer to Question No. 145 of this Addendum.

148.

Please provide the census and capacity of individuals
with R-grades by institution

Addendum #003

The Department added the requested information to the Resource
Library as a document/report titled with the corresponding Question

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer
Number. The link to the Resource Library is provided in Section 2.7,
Resources of this ITN.
Please see Change No. 8 of this Addendum.

149.

a. Please identify the institutions that have TCUs and
the bed capacity and census for each TCU
b. Please identify the institutions that have a CMHTF
and the bed capacity and census for each CMHTF
c. Please identify the institutions that have a CSU
level of care and the bed capacity and census for
each CSU
d. Please identify titles of inmate orderly and observer
education modules

Please see Change No. 8 of this Addendum.
b. Please see the Answer to Question No. 149 a. of this Addendum.
c. Please see the Answer to Question No 149 a. of this Addendum.
d. The Department added the requested information to the Resource
Library as a document/report titled with the corresponding Question
Number. The link to the Resource Library is provided in Section 2.7,
Resources of this ITN.
Please see Change No. 8 of this Addendum.

150.

151.

Please provide reporting and calculation of financial
consequences for each of the Mental Health Services
Performance Measures identified in section 3.6.4.3 for
FY 2018, FY 2019, FY 2020, and FY 2021.

Please provide reporting and calculation of financial
consequences for each of the Pharmaceutical

Addendum #003

Please see the Answer to Question No. 145 of this Addendum.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

Services Performance Measures identified in section
3.6.6.4 for FY 2018, FY 2019, FY 2020, and FY 2021.

152.

Please provide reporting and calculation of financial
consequences for each of the Utilization Management
and Specialty Care Performance Measures identified
in section 3.6.7.4 for FY 2018, FY 2019, FY 2020, and
FY 2021.

153.

Please provide reporting and calculation of financial
consequences for each of the Quality Management
Performance Measures identified in section 3.6.8.4 for
FY 2018, FY 2019, FY 2020, and FY 2021.

154.

Please describe the process for resolving disputes to
the Contract Monitor’s findings of performance
measure deficiencies.

155.

Please clarify or further describe “instances of
egregious Vendor conduct or other Vendor actions
which may be harmful to the Department” that would
lead the Department to terminate for cause without
notice.

Examples include blatant non-compliance with statutory requirements to
provide adequate healthcare, or instances which pose an outrageous
threat to a facility’s security.

The current indemnification provision is unilateral.
Please state whether the Department is open to
negotiating a reciprocal indemnification provision for
Vendor.

The Department is willing to discuss indemnification provisions during
negotiations.

156.

Addendum #003

Please see the Answer to Question No. 145 of this Addendum.

Any exceptions must be requested, in writing, by the Vendor, and must
be submitted to the Department’s Contract Manager for review by the
Department’s discipline director. If denied, the Vendor may request, in
writing, a secondary review by the Department’s Director of Health
Services.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

157.

158.

Question

a. Please clarify whether the current CHCC is making
payments to subcontractors within seven business
days of receipt of full or partial payments from the
Department.
b. Please confirm how the timeliness of vendor
payments to subcontractors is being monitored
c. Pursuant to Section 287.0585, F.S.,(2), please
confirm, “This section shall not apply when the
contract between the contractor and subcontractors or
sub-vendors provides otherwise, or when payments
under the contract are otherwise governed by ss.
255.0705-255.078.”

Please provide actual program expenditures for FY
2018, FY 2019, FY 2020 and FY 2021 in the following
categories (by Institution or Region, if possible):
a. Medical Staff/Labor Costs
b. Mental Health Labor Costs
c. Dental Labor Costs
d. Other Labor Costs
e. Pharmaceutical Expenses (excluding stock, HIV
therapies, Direct Acting Anti-Virals, or other
medications not paid for by the Vendor)
f. In-facility Dialysis Costs
g. Out-of-facility Medical Costs (not incurred at
RMCH)
h. Costs incurred at RMCH
i. Laboratory Costs
j. Radiology Costs (including, but not limited to CT
Scans, X-Rays, and MRIs)

Addendum #003

Answer

The Department does not have any documentation to respond to this
inquiry.
Under the current cost-plus Contract, the Department reimburses the
contractor after services are provided and the Contractor is responsible
for reimbursing the subcontractor.

Please see the Answer to Question No. 120 of this Addendum.

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Question
Number

Question

Answer

k. All Other Expenditures relevant to the ITN Scope of
Services

159.

Please provide actual program expenditures by
Region for FY 2018, FY 2019, FY 2020 and FY 2021.

160.

Please provide the ADP (daily census) by month July
2021 through May 2022 disaggregated by age as
follows:
a. 17 & Under
b. 18-24
c. 25-34
d. 35-49
e. 50-54
f. 55-59
g. 60-64
h. 65-69
i. 70-74
j. 75-79
k. 80-84
l. 85-89
m. 90-94
n. 95+

161.

Please provide the Pharmaceuticals costs (excluding
stock, HIV therapies, Direct Acting Anti-Virals, or other
medications not paid for by the Vendor) disaggregated
by age as follows:
a. 49 & Under
b. 50+

Addendum #003

Please see the Answer to Question No. 158 of this Addendum.

Please see the Answer to Question No. 21 of this Addendum.

The Department is unable to provide data by age range.
Please see the Answer to Question No. 158 of this Addendum.

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162.

Please provide the Out-of-facility (Off-site Medical)
costs disaggregated by age as follows:
a. 49 & Under
b. 50+

163.

Please provide claims detail illustrating off-site
utilization statistics for the following (but not limited to)
beginning with 2018 service dates:
• Specialty
• IP/OP professional
• Place of Service Code
• Admission/Discharge Dates
• Service incurred dates
• Claim types (UB/HCFA)
• DRG/Rev/CPT codes/Modifiers
• Billed Charges, Discount, Paid Amounts
• # of units or # of days
• Current network par status
• Ambulance Trips

164.

165.

Has the use of any common Medicaid (or similar) risk
adjustment model been applied to Florida prison
population? If so, please provide the model used and
average case-mix score outputs.

Please provide the amounts and range of services
paid for healthcare services to off-site providers not
shown in the claims detail, through other means such
as invoices. Examples may include oncology
treatment, dialysis, or other specialty care.

Addendum #003

Answer

Please see the Answer to Question No. 120 of this Addendum.

No.

Please see the Answer to Question No. 120 of this addendum.

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Question
Number
166.

167.

168.

169.

170.

171.

Question

Please provide annual volumes of both 15- and 30Day IP Readmissions.

Please provide the annual volume and % of Total IP
admissions resulting in a complication or major
complication.
Please provide off-site emergency services statistics:
• Volumes for each level 1-5 emergency services
• IP Admission rate
• Volume of critical care service visits
• Volume of patients sent to observation status but not
admitted inpatient

During the last day of the site tours we were told by
that volume data and other metrics important would
be provided to vendors. Please confirm if this will
happen and how it will be provided.
The Department expressed interest in reopening its
discontinued on-site ER and Lab. Please provide
relevant policies and procedures specific to both when
they were in service, and include a description of the
equipment, supplies, staffing, and capabilities specific
to each
Please identify what type of training is provided to the
inmate assistants in the ADA Dorm at Central FL
Reception Center and who is responsible for that
training.

Addendum #003

Answer

Please see the Answer to Question No. 120 of this Addendum.

Please see Change No. 8 of this Addendum.

The Department does not have the requested information. However,
potential Vendors may address providing such services in their response
to the ITN.

The Department added the requested information to the Resource
Library as a document/report titled with the corresponding Question

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Question
Number

Question

Answer
Number. The link to the Resource Library is provided in Section 2.7,
Resources of this ITN.
Please see Change No. 8 of this Addendum.

172.

173.

The Department indicated that Lowell and FSP
currently and historically utilize agency staff to fill
clinical positions. Are there other facilities that also fall
into this category?

Please confirm number of nursing encounters, annual
physicals, psychiatry contacts, mental health contacts,
infirmary admissions, suicide watch events, per
institution by month for each of the past 24 months

Staffing agencies are utilized statewide to address vacancies and
ensure coverage is provided.

174.

175.

176.

Please identify the total number of security lockdowns
> 3 hours that have occurred by facility over the past 3
years.

2020- 196
2021- 166
2022- 48
The FDC does not release facility level detail regarding lockdowns.

Please identify any gaps in current medical and
mental health services the Department would like to
see closed.

The expectations for service delivery are outlined in the ITN document
and will be discussed further during negotiations.

Please provide relevant offsite statistics specifically
related to COVID-19:

Please see the Answer to Question No. 120 of this Addendum.

Addendum #003

FDC ITB-22-042

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Comprehensive Health Care Services

Question
Number

Question

Answer

- Distinct count of patients
- IP admissions
- ER Visits
- Total Cost for all patients with primary diagnosis of
COVID-19 positive

177.

Please provide a demographic breakdown of patient
population stratified by age, gender, and race for each
year beginning with CY 2018.

178.

Are there any physical locations where airconditioning or other adequate climate controls are
unavailable to a material portion of the population?

All population locations pertaining to medical treatment areas or mental
health and transitional care units for mental health care are air
conditioned. A portion of our general population do occupy buildings that
are climate controlled in other manners such as geothermal dehumidification and fresh air-ventilation and exhaust systems.

179.

The ITN has not provided detailed information as it
relates to each facilities' mission, specifications, and
services delivered which is critical in developing an
appropriate solution. Would the Department please
provide an additional 30 days from when Q&A
responses are posted to ensure all bidders can
provide a response that offers a best value to the
Department?

Please see the Answer to Question No. 6 of this Addendum.

Addendum #003

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Question

Answer

180.

Given the scale and complexity of the services
solicited and the amount of information pending via
the Q&A process, please confirm the Department will
allow vendor’s an additional clarifying round of followup questions.

Please see the Answer to Question No. 6 of this Addendum.

181.

ITN Section 2.1 Background Page 10
Please provide a copy of the contract and any
amendments between the State and the current
healthcare vendor.

Please see Change No. 7 of this Addendum.

182.

ITN Section 2.1 Background Page 10
Are there any current or pending consent decrees,
lawsuits, or other court action that may influence the
standards of care or required services at the facilities?
If so, please identify and provide documentation.

There were two lawsuits filed by Disability Rights Florida and a lawsuit
filed by death row inmates. These may not include all of the cases that
are being sought as it is unclear what is meant by “may influence the
standards of care or required services at the facilities.”
The Department added the requested information to the Resource
Library as a document/report titled with the corresponding Question
Number. The link to the Resource Library is provided in Section 2.7,
Resources of this ITN.
Please see Change No. 8 of this Addendum.

183.

ITN Section 2.1 Background Page 10
Please provide the number of off-site inpatient
admissions and total inpatient hospital days (nonRMC) for each institution for the unique time periods
of calendar year 2020, 2021 and year to date through
April 2022.

Addendum #003

Please see the Answer to Question No. 120 of this Addendum.

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Question

Answer

184.

ITN Section 2.4 The Department’s Health Care Goals
Page 11
Will the State provide the number of inmate
healthcare lawsuits currently pending in which the
State, its employees or agents are a named party?

It is estimated that there were approximately 75 lawsuits filed by inmates
currently pending. This is a rough estimate as the Department does not
maintain a list of just medical care lawsuits.

185.

Also, will the State provide a list of the inmate
healthcare lawsuits closed over the last two (2) years
and the outcome of the cases including the amount of
any payments (judgments or settlements) paid by the
State over the course of the last two (2) years?

186.

187.

188.

The Department does not maintain a list of just medical care
lawsuits. Additionally, information is not maintained in a format that
breaks down closed cases by year and settlement information. This will
require staff to review thousands of cases to determine which were
medical, then determine which medical cases closed within the last two
years and if they were settled, then staff would have to review each
settlement agreement to determine the amount.

ITN Section 2.1 Background Page 12
What specialty clinics are currently being provided at
each institution? What is the frequency of the clinics?

Respiratory, Endocrine, Miscellaneous, Cardiovascular, Tuberculosis,
Immunity, Neurology, Gastrointestinal, and Oncology. Clinics are held as
necessary based on the patient population. Please see HSB 15.03.05.

ITN Section 2.6 Pricing Methodology Page 12
What was the annual Offsite Medical expenditures for
the unique time periods of calendar year 2020, 2021
and year to date through April 2022 for the following?
a. Inpatient hospital
b. Outpatient hospital
c. Non-Institutional Providers

Please see the Answer to Question No. 120 of this Addendum.

ITN Section 2.6 Pricing Methodology Page 12
Please provide total expenditures charged by the
current medical vendor (staffing, offsite services,

Addendum #003

Please see the Answer to Question No. 120 and No. 158 of this
Addendum.

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Question

Answer

pharmacy, other direct expenses, etc.) for the unique
time periods of calendar year 2020, 2021 and year to
date through April 2022.

189.

ITN Section 2.6 Pricing Methodology Page 12
Please provide a comprehensive list of direct costs
associated with the vendor’s health care program that
cannot be included in the cost reimbursement by the
FDC.

190.

ITN Section 3.6.1.1 How Service is Provided Today
Page 18
Provide the number of existing computers available to
the medical staff by institution.

191.

192.

193.

ITN Section 3.6.1.2 Program Management Minimum
Requirements Page 25
What is the medical staffing plan for each facility in the
current contract? Indicate the staffing plan for each
unit for facilities with more than one unit.
ITN Section 3.6.1.2 Program Management Minimum
Requirements Page 25
How many contracted healthcare staff vacancies
currently exist at each institution by job title?

ITN Section PGM-001 Page 25
With the Vendor financially responsible for costs
associated with statewide and regional offices, and all
associated items necessary for such offices, please

Addendum #003

The Department does not maintain the requested information.

Please see the Answer to Question No. 64 of this Addendum.

Please see the Answer to Question No. 20 of this Addendum.

These costs are not reimbursed.

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clarify if these costs are excluded from the cost
reimbursement by the FDC.

194.

ITN Section PGM-001 Page 25
Will the vendor be allowed to host a regional office
within the statewide office (I.e. Region 1)?

195.

ITN Section PGM-006 Page 25
Is there a current, agreed upon staffing plan for each
institution and unit? If yes, please provide the number
of full-time equivalents (FTEs) by institution, unit, and
position.

196.

ITN Section PGM-011 Page 26
Compensation under this ITN includes all EMR costs as well as other
Please clarify if the vendor has any financial
costs not specifically identified but commonly associated with delivery of
necessary health services and Vendor-required computer installations,
responsibility for fees associated with the vendor’s
staff use of the EMR. If yes, please clarify if these fees software, etc.
are reimbursable by the FDC under the cost-plus
administrative fee structure.
The Vendor will be reimbursed for cost and fees of the EMR.

197.

ITN Section PGM-015 Page 30
Please confirm that any equipment purchased by the
vendor that is approved by the FDC will be
reimbursed at 100% of the total equipment cost.

Addendum #003

Yes.

Please see the Answer to Question No. 20 of this Addendum.

FDC approved equipment purchases will be reimbursed according to the
purchase amount as approved and verified through the supporting
documentation, in accordance with the terms of the contract and
applicable laws, rules, and policies.

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Question
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Question

Answer

198.

ITN Section PGM-015 Page 30
In the event the vendor subcontracts on-site services
that include the temporary use of subcontracted
equipment on-site, please confirm that the temporary
equipment will not become the property of the FDC
upon contract termination and subcontractor may
remove their owned equipment.

199.

ITN Section PGM-015 (5) Page 30
Regarding “Additional Equipment” to the extent
telehealth carts are purchased by the contractor, will
said carts be considered “Additional Equipment” and
be retained by the contractor at the time of contract
termination?

200.

ITN Section PGM-015 (6) Page 31
Please provide a list of all IT Equipment currently
used by the existing vendor by institution.

Please see the Answer to Question No. 64 of this Addendum.

201.

ITN Section PGM-019 Page 32
Provide the total number of ER trips by facility for the
unique time periods of calendar year 2020, 2021 and
year to date through April 2022. Indicate the number
of ER trips by ambulance.

Please see the Answer to Question No. 120 of this Addendum.

202.

ITN Section PGM-019 Page 32
Please list each hospital providing emergency
services for each institution.

Please see the Answer to Question No. 23 of this Addendum.

Addendum #003

Leased equipment will not become the property of FDC upon contract
termination.

Yes.

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Question

203.

ITN Section PGM-021 Page 33
Provide the number of EKG and AED apparatuses at
each institution.

204.

ITN Section PGM-031 Page 35
Is the State currently or anticipated to be under
investigation, audit, or review by any federal, State or
local governmental authority or regulatory agency for
health care services provided?
a. Is any visit/audit/inspection currently scheduled or
pending?
b. Is the State waiting for the results of any report from
or any prior inspection/audit review?
c. Have any reports of audits or visits been issued or
received in the last 24 to 36 months? Will the State
share such reports of audits or visits?

205.

ITN Section PGM-031 Page 35
Please provide dates of all ACA and Correctional
Medical Authority audits for 2022 and beyond.

Answer

Please see the Answer to Question No. 64 of this Addendum.

a. No.
b. No.
c. Please see the Answer to Question 182 in this Addendum.

206.

ITN Section PGM-034 Page 36
Please provide the approximate number of impaired
incarcerated individuals by institution.

Addendum #003

The Department added the requested information to the Resource
Library as a document/report titled with the corresponding Question

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Question
Number

Question

Answer
Number. The link to the Resource Library is provided in Section 2.7,
Resources of this ITN.
Please see Change No. 8 of this Addendum.

207.

ITN Section PGM-034 Page 37
Which institutions (if any) are not ADA designated
facilities?

208.

209.

210.

211.

ITN Section PGM-050 Page 40
What mental health-related training to FDC staff is
currently provided (in addition to Suicide Prevention)?
Can/should the vendor propose training curricula as a
part of the proposal?

The FDC Security Staff receive 54 hours of training for working in mental
health units. Training modules are set by The FDC Staff Development
and OHS. Recommendations for training are always welcome but not
required.

ITN Section PGM-050 Page 40
What is the current schedule to provide mental healthrelated training to FDC staff? What is the hourly
requirement for the provision of said training?

Training schedules are determined at each institution separately. The
FDC Security Staff receive 54 hours of training for working in mental
health units.

ITN Section PGM-050 Page 40
Can/should the vendor propose training curricula for
mental health-related training to FDC staff as a part of
its proposal?

Training modules for the FDC staff is set by Staff Development and
OHS. Recommendations for training are always welcome but not
required.

ITN Section PGM-054 Page 41

Addendum #003

These are reimbursable costs if they are in accordance Florida’s
Reference Guide for State Expenditures.

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Question

Answer

Are the costs associated with development of a
SharePoint site for corrective action plans reimbursed
through the cost-plus administrative fee by the FDC?

Florida inmates in Other States
126 Inmates
• The receiving state is responsible for basic routine medical,
dental and psychiatric cost however any non-emergency, nonroutine special procedures and emergency cost are the
responsibility of Florida and/or its Vendor.
• These inmates are not counted in the FDC/ADP count

212.

ITN Section PGM-055 Page 42
How many Interstate Compact inmates are housed in
and outside of Florida? Will the vendor be responsible
for care/services for inmates housed in other states
outside of the State of Florida?

Other States’ inmates in Florida
94 Inmates
• Florida is responsible for basic routine medical, dental and
psychiatric cost however any non-emergency, non-routine special
procedures and emergency cost are the responsibility of the other
state and/or its Vendor.
• These inmates are counted in the FDC/ADP count
Florida inmates in Federal Custody
26 Inmates
• The FBOP is responsible for basic routine medical, dental and
psychiatric cost however any non-emergency, non-routine special
procedures and emergency cost are the responsibility of Florida
and/or its Vendor.
• These inmates are not counted in the FDC/ADP count
Federal inmates in Florida
9 Inmates
• Florida is responsible for basic routine medical, dental and
psychiatric cost however any non-emergency, non-routine special

Addendum #003

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Question

Answer
procedures and emergency cost are the responsibility of the
FBOP and/or its Vendor.
• These inmates are counted in the FDC/ADP count

213.

214.

215.

216.

ITN Section PGM-055 Page 42
Will the vendor be responsible for care/services for
FDC inmates housed in other states outside of
Florida? Also, will those inmates be listed on the
FDC/ADP inmate counts?

ITN Section PGM-058 Page 43
Please provide the number of telehealth mental health
visits listed by institution for calendar years 2020,
2021 and YTD through April 2022.

ITN Section PGM-058 Page 43
Please confirm, for the provision of telehealth mental
health services, a mental health staff person must be
present with the patient in the room. Are there FDC
requirements regarding the credentials of the mental
health staff person in the room with the patient?

ITN Section PGM-058 Page 43
Other than telepsych, please describe what if any
telehealth services are currently being provided, to
include what specialties and at which institutions.

Addendum #003

Please see the Answer to Question No. 212 of this Addendum.

The Department does not track this information.

Please see the Answer to Question No. 45 of this Addendum.
The Department approved select outpatient settings.
Please HSB15.06.12. in 2.7 Resources of this ITN.

Please see the Answer to Question No. 45 of this Addendum.

FDC ITB-22-042

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FDC ITN-22-042
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Question
Number

217.

218.

219.

220.

221.

Question

ITN Section PGM-058 Page 43
Please identify all telehealth equipment currently in
use and at which institutions.

Answer

Please see the Answer to Question No. 64 of this Addendum.

ITN Section PGM-058 Page 43
Please advise as to the requisite license level of the
nursing staff required for the encounter at the
institution (i.e. RN or LPN)?

At minimum, nursing staff must be LPNs.

ITN Section PGM-058 Page 43
For each institution, please describe the specific
connectivity, availability and access to the
Department’s networks for the purpose of delivering
telehealth.

Please see Section 3.6.10.2 Information Technology Software
Requirements; ITS-009 subsection a.; page 188, specifically, “a Vendorinitiated site survey is recommended.” Additionally, please see ITS-042
and ITS-043.

ITN Section PGM-059 Page 43
In reference to 340B agreements, does the FDC
intend to expand those agreements beyond HIV to
include other chronic illnesses, such as HCV?

ITN Section PGM-059 Page 43
Please advise as to the approximate number of HIV
patients by institution and please indicate which, if any
of those institutions are not 340B dedicated
institutions.

Addendum #003

Not at this time.

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Question

Answer
Please see Change No. 8 of this Addendum.
The Department attempts to place HIV inmates at 340B institutions.

222.

223.

224.

225.

ITN Section PGM-061 Page 45
Please confirm that the Program Director of Internship
and Residency Training as well as the Assistant
Director of Internship and Residency Training are
intended to be the health services vendor’s personnel.

ITN Section PGM-061 Page 45
Should the psychology internship and residency
positions be included in the vendor’s staffing plan?

ITN Section PGM-076 Page 50
Please clarify if costs associated with all required
compliance inspections, environmental permitting
designs, and any experts required by the Department
to review specialized medical requirements will be
reimbursed by the FDC under the cost-plus
administrative fee.

ITN Section PGM-090 Page 54
Please clarify if the travel costs associated with OBIS
training are reimbursable by the FDC under the costplus administrative fee structure.

Addendum #003

The Internship and Residency Training Director is an FDC employee
and is not the responsibility of the Vendor. The Assistant Director is an
employee of the Vendor.

Yes, the psychology interns and residency positions are paid and
managed by the Vendor and are eligible for reimbursement by the FDC.

Please see the Answer to Question No. 211 of this Addendum.

No, travel costs are not reimbursable under the contract. See PGM-090
and Section 5.2 Travel Expenses oof the ITN.

FDC ITB-22-042

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Question
Number

Question

Answer

226.

ITN Section PGM-091 Page 54
Please clarify if the vendor has any financial
responsibility for fees associated with the vendor’s
staff use of OBIS. If yes, please provide the costs or
method of calculating costs charged to the vendor.
Please also clarify if the charged fees are
reimbursable by the FDC under the cost-plus
administrative fee structure.

227.

ITN Section PGM-093 Page 54
Please confirm that background checks are not
required by the vendor’s remote corporate staff
assigned to support the FDC contract.

The Vendor’s staff assigned to the contract are required to undergo a
background/criminal records check. See PGM-093.

ITN Section 3.6.1.3 Program Management
Performance Measures Page 56
For the current healthcare contract, please identify by
measure and by institution, all Financial
Consequences imposed by the FDC for the unique
time periods of calendar year 2020, 2021 and year to
date through April 2022.

Please see the Answer to Question No. 145 of this Addendum.

ITN Section PM-PGM-004 Page 57
Have any FDC institutions lost accreditation in the last
3 years and if so, which?

No.

228.

229.

Addendum #003

The Department does not anticipate changing any fees with the use of
OBIS.

FDC ITB-22-042

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Question
Number

230.

231.

232.

Question

ITN Section PM-PGM-004 Page 57
What are the vendor’s responsibilities regarding ACA
accreditation at contracted facilities such as work
release or other satellite sites operated by contractors
of the FDC?

ITN Section PM-PGM-005 Page 58
Please provide all financial consequences (penalties,
performance deductions, offsets or other reductions
from the vendor’s payments) imposed by institution for
PM-PGM-005 noncompliance for the unique time
periods of calendar year 2020, 2021 and year to date
through April 2022.

ITN Section IC-044 Page 62
Please identify all institutions which provide “special
housing” and the number of beds so designated at
each location.

Answer

The Vendor has no ACA responsibilities at the contracted centers.

Please see the Answer to Question No. 145 of this Addendum.

233.

ITN Section IC-025 Page 70
How many pregnant inmates have been housed in the
institutions during the past 12 months? How many
pregnant inmates have delivered during the past 12
months?

Addendum #003

Approximately 116 inmates per year are pregnant. There are
approximately 65 deliveries per year.

FDC ITB-22-042

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FDC ITN-22-042
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Question
Number

234.

235.

236.

237.

238.

Question

ITN Section IC-39 Page 73
Please list the FDC institutions that provide dialysis
services and the number of dialysis chairs for each.

ITN Section IC-39 Page 73
Please provide the number of dialysis patients treated
for calendar years 2020, 2021 and YTD through April
2022.

ITN Section IC-39 Page 73
Please list the number of peritoneal dialysis
treatments provided by each institution for calendar
years 2020, 2021 and YTD through April 2022.

ITN Section IC-39 Page 73
Please list the number of hemodialysis dialysis
treatments provided by each institution for calendar
years 2020, 2021 and YTD through April 2022.

ITN Section IC-39 Page 73
Who owns the dialysis equipment? What is the
age/condition of the dialysis equipment?

Addendum #003

Answer

RMC-21
FSP-1 (only used for FSP patients, not currently in use.)
Lowell -4
SFRC-5

Please see the Answers to Questions No. 236 and No. 237.

There are currently four (4) patients at RMC.

There are currently 53 patients at RMC, 3 at Lowell, and 11 at SFRC.

Currently, a subcontractor owns and maintains all equipment.

FDC ITB-22-042

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Question
Number

239.

Question

ITN Section IC-045 Page 77
Please identify all locations with infirmaries and the
number of beds within each infirmary.

Answer

240.

241.

ITN Section IC-052 Page 79
Please identify all locations that provide palliative care
and the number of beds designated for such
purposes.

ITN Section IC-055 Page 81
How many SHOS cells and respiratory isolation cells
are available in each facility?

Please see the Answer to Question No. 85 of this Addendum.

242.

243.

ITN Section IC-055 Page 81
What is the average number of patients on Self-Harm
Observation Status per day by institution?

ITN Section IC-055 Page 82
Please provide the number of patients housed in the
infirmary on observation/suicide watch/in an IMR by

Addendum #003

The Department does not maintain the requested data in the desired
manner. Please see the Answer to Question No. 86.

Please see the Answer to Question No. 93 of this Addendum.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
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Question
Number

Question

Answer

institution/unit for calendar years 2020, 2021 and YTD
through April 2022.

244.

245.

246.

247.

ITN Section IC-056 Page 82
Please provide the number of psychiatric restraint
incidents utilized by month and institution/unit for
calendar year 2021.

ITN Section IC-059 Page 84
Do all FDC institutions and annexes currently have
properly working EKG equipment? If not, please
identify those locations without appropriate EKG
equipment.

ITN Section IC-063 Page 84
Other than dental, do any FDC institutions have
permanent radiology equipment? If so, please provide
the specific equipment item(s) by institution.

ITN Section IC-078 Page 89
Regarding, please indicate how many FDC inmates
are 1) HCV positive, 2) currently being treated for
HCV, and 3) the number of inmates treated for HCV
during calendar years 2020, 2021 and YTD through
April 2022.

Addendum #003

Please see Answer to Question No. 87 of this Addendum.

All facilities with medical departments have EKG equipment.

Please see the Answer to Question No. 64 of this Addendum.

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Question
Number

Question

Answer

Please see the Answers to Questions No. 147 and No.148 of this
Addendum.
248.

ITN Section 3.6.4 Mental Health Services Page 108
Please provide the number of patients at each of the
S-Grades, R-Grades, and SY-Grades by institution.

Please see the Answer to Question 149 of this Addendum.

249.

250.

ITN Section 3.6.4 Mental Health Services Page 108
Please provide the number of beds by facility and unit
for each TCU, CSU, CMHTF, RCCU and residential
intensive outpatient program.

ITN Section MHS-026 Page 118
Is there a residential sex offender treatment program
or all sex offender treatments provided on an
outpatient basis? If there is no designated residential
treatment unit for sex offenders, are sex offenders
housed at the same facility to facilitate group
programming?

Addendum #003

There is no residential sex offender treatment program. Treatment is
performed on an outpatient basis. There is no designated facility for sex
offenders.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

251.

Question

ITN Section MHS-046 Page 123
What is the current scope of services provided by
Case Managers?

Answer

2020- 10,049
2021- 9,036
2022- 3,481
252.

ITN Section MHS-048 Page 124
Please indicate the number of use of force incidents
by institution for calendar years 2020, 2021 and YTD
through April 2022.

253.

254.

ITN Section IIC-017 Page 136
Please indicate the number of patients assigned to
participate in weekly medication education groups
provided by Registered Nurse Specialist due to
medication non-adherence by institution for calendar
years 2020, 2021 and YTD through April 2022.

The Department doesn’t currently have the requested information
available.

ITN Section IIC-018 Page 136
What incentives are currently utilized in the BMPS?

Addendum #003

FDC ITB-22-042

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Question
Number

Question

Answer

255.

ITN Section 3.6.5.2 Hospital Care (HC) Page 155
Are there ventilators onsite for long-term care
services? If yes, which institutions have ventilators,
who owns the ventilators, and what is the
age/condition of each of the ventilators?

There are currently three (3) ventilators in use at RMCH only. All of the
units are being rented by the Contractor as needed.

256.

ITN Section 3.6.6.3 Pharmaceutical Services
Minimum Requirements Page 165
Does the FDC purchase and provide all medication
carts?

No, the Contractor is responsible for purchasing and providing
medication carts.

257.

ITN Section 3.6.6 Pharmaceutical Services Service
Area Page 165
Provide identity and provide the number of nonformulary medications ordered by institution for
calendar years 2020, 2021 and YTD through April
2022.

Please see the Answer to Question No. 158 of this Addendum.

ITN Section 3.6.6.1 Description Page 165
Please confirm that medical vendor is responsible to
pay for non-formulary medication cost AND such nonformulary costs are included in the cost
reimbursement by the FDC.

Expenditures for non-formulary medications will be considered part of
the Compensation Cap. The Department may elect to (and currently
does) pay for medication ordered through the Department’s
pharmaceutical wholesaler directly.

258.

259.

ITN Section PS-039 Page 170
Please clarify the term “Compensation Cap” and how
it relates specifically to the vendor’s services and
reimbursement.

Addendum #003

The State of Florida fiscal year maximum amount that will be reimbursed
to the Vendor by the Department.
Please see the Answer to Question No. 293 of this Addendum.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

260.

ITN Section UM-004 Page 172
In which Institutions are optometry clinics held?

All facilities should hold optometry clinics on-site at least monthly or as
needed.

261.

ITN Section UM-004 Page 172
Please list the number of optometry exams provided
by institution for calendar years 2020, 2021 and YTD
through April 2022

Please see the Answer to Question No. 265 of this Addendum.

262.

ITN Section UM-004 Page 172
Please list the number of audiology exams provided
by institution for calendar years 2020, 2021 and YTD
through April 2022

Please see the Answer to Question No. 265 of this Addendum.

263.

ITN Section UM-004 Page 172
Please list the number of PT exams provided by
institution for calendar years 2020, 2021 and YTD
through April 2022

Please see the Answer to Question No. 265 of this Addendum.

264.

ITN Section UM-004 Page 172
Please provide for the unique time periods of calendar
year 2020, 2021 and year to date through April 2022,
the number of the following procedures performed
onsite/mobile unit:
a. CT
b. MRI
c. Ultrasounds

Please see the Answer to Question No. 114 of this Addendum.

Addendum #003

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

265.

Question

ITN Section REP-UM-02 Page 174
Please provide copies of the last 8 quarters of all
Hospital Utilization Quarterly Reports.

Answer

266.

ITN Section 3.6.9.3 Electronic Medical Record
Performance Page 185
What Fusion Features are currently in use at the FDC
facilities (e.g. eMAR, Dental, BH, Orders Manager,
Optometry, Infirmary, Scheduling, e-Signature)?

The Department is using all functions currently available within the
Fusion EMR system including eMAR, Order Manager, Bedboard, eSign,
Group Notes, Formulary Manager, Non-Formulary Manager, SSRS
Reporting, Lab Manager.

267.

ITN Section 3.6.9.3 Electronic Medical Record
Performance Page 185
Are there any FDC institutions not using Fusion? If
yes, please provide the name(s) of these institutions.

No, please see the Answer to Question No. 27 of this Addendum.

268.

269.

ITN Section 3.6.9.3 Electronic Medical Record
Performance Page 185
Is the Fusion Reporting and Analytics software
currently being used to obtain all required reports and
facilitate the audit needs of FDC?

ITN Section 3.6.9.3 Electronic Medical Record
Performance Page 185
What vendors currently interface with Fusion (Lab,
Radiology, Pharmacy, etc.)?

Addendum #003

Yes.

BioReference (Lab), CIPS (Pharmacy), Trident Mobile X (Radiology),
Dental (Fusion/Athena), FDC (OBIS).

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Number

Question

Answer
The correctional facilities operated by the Florida Department of
Management Services interface with Tech Care (radiology) and Lab
Corp (Lab).

270.

ITN Section 3.6.9.3 Electronic Medical Record
Performance Page 185
Are the current interfaces using HL7 or flat file
structure?

Yes, they are using HL7.

271.

ITN Section 3.6.9.3 Electronic Medical Record
Performance Page 185
Please confirm that FDC does not want existing paper
medical records converted into electronic medical
records. If such conversion is desired, please specify
the scope of conversion and indicate the
institutions/locations involved and the number of
records to be converted.

Correct, however, all paper medical records for currently incarcerated
inmates must be maintained in accordance with records retention
requirements

272.

ITN Section 3.6.9.4 Electronic Medical Record
Performance Page 187
Has there been any unplanned downtime for Fusion
since its date of implementation? If yes, please
provide the details including number of occurrences,
and locations and amount of down-time

Please see the Answer to Question No. 131 of this Addendum.

273.

ITN Section 3.6.9.4 Electronic Medical Record
Performance Page 187
Has there been any time when the Fusion EMR was
unavailable when needed and required to deliver
critical health care services to inmates? If yes, please

Addendum #003

This information is not available. Paper forms are used as backup to
document care in the case of an emergency.

FDC ITB-22-042

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Question
Number

Question

Answer

provide the number of occurrences, and description of
each occurrence to include the number of inmates
impacted.

274.

275.

276.

277.

ITN Section 3.6.9.4 Electronic Medical Record
Performance Page 187
Please confirm if any EMR penalties have been
accessed to date. If yes, please provide details
including the number of occurrences, amount of the
financial consequence applied, and root cause (if
known) per performance measure.

ITN Section 3.6.9.4 Electronic Medical Record
Performance Page 187
Was the current vendor provided an exception window
after Fusion's implementation?

ITN Section 3.6.9.4 Electronic Medical Record
Performance Page 187
Please confirm that the EMR performance measures
will not apply when the outage is due to factors
outside of Vendor’s control, including waiting on a
response or action from an outside entity.

ITN Section 3.6.10 Page 187
Contractually, will there be equipment left by the
current vendor that will be available to incoming

Addendum #003

Please see the Answer to Question 132 of this Addendum.

No.

Monitoring of performance measures will be performed in accordance
with the expectations

Please see the Answer to Question No. 64 of this Addendum.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

vendor? If so, please provide inventory by institution
(e.g., desktop, laptop, printer, scanner, telehealth,
etc.).

278.

279.

280.

281.

282.

ITN Section 3.6.10 Page 187
Is rack space, power, and cooling available within
current network closets to install additional
equipment?

ITN Section 3.6.10 Page 187
Does FDC have backup generators at each facility in
case of power outage?

Is internet connectivity available in housing units
currently? If so, at which institutions.

ITN Section ITS-043 Page 195
Which facilities currently have telemedicine capability?
Please provide the number of units for each
institution/unit.

ITN Section ITS-043 Page 195
Provide the number of medical encounters provided
via telemedicine at each institution for the unique time

Addendum #003

This will vary depending on the site. Admin buildings are more likely to
have availability.

The Department has backup generators at each facility in case of power
outage.

No, connectivity is not present in all housing units currently. Please see
Section 3.6.10.2 Information Technology Software Requirements; ITS009 subsection a.; page 188, specifically, “a vendor-initiated site survey
is recommended.”

All major institutions as approved by the FDC. Please see the Answer to
Question No. 64 of this Addendum.

Please see the Answer to Question No. 45 of this Addendum.

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Answer

periods of calendar year 2020, 2021 and year to date
through April 2022.

283.

ITN Section 3.7 Key Performance Monitoring Page
201
Please confirm that financial consequences are
deducted from all costs-plus administrative fees billed
to the FDC.

284.

ITN 4.9 Contents of Reply Submittals Page 207-208
TABs A and B require bidders to submit Additional
Documentation (TAB A) and Reference forms,
Subcontractor Information forms, and Job
Descriptions (TAB B). Will these required documents
count toward the page limits for TABs A and B?

285.

ITN Section 5.15 Prison Rape Elimination Act (PREA)
Page 226
How many PREA events have happened by institution
over the last full year?

Addendum #003

Per Section 3.7 of the ITN, if the Department assesses financial
consequences, the Vendor shall respond with a credit for said financial
consequences on its next monthly invoice. If neither occurs, and the
financial consequences are unpaid after 60 Days, the Department will
deduct the financial consequences owed from the Vendor’s next invoice.
The Vendor will invoice the Department monthly for both the direct costs
of care, to be reimbursed, and the percentage administration fee.

Please see the Answer to Question No. 7 of this Addendum.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

286.

287.

Question

Mental Health Service Requirements, MHS010; page
113
This requirement states that psychiatric evaluations
need to occur within 10 days of arrival at a reception
center. Are these business or calendar days?

Program Management Requirements; subsection
PGM-005; page 25
ITN Section PGM-005 on Page 25 states: “The
Vendor shall develop and implement a Departmentapproved Staffing Plan that identifies all positions at
the State, regional, and institutional levels and
ensures compliance with the requirements outlined in
this ITN, including timely service delivery”.

Answer

Calendar days.

A separate staffing plan shall be submitted for every institution, annex,
and work camp.

Should vendors include each major institution’s
annexes and work camps in the staffing plan for that
facility or does the Department desire a separate
staffing plan for every annex and work camp?

288.

3.6.8.4 Quality Management Performance Measures;
page 183
The first performance measure PM-QM-01 reads,
“RMCH and any other Department license the hospital
holds, a valid AHCA Hospital Licensure”
a. Is this performance measure only related to AHCA
hospital licensure or to another, or to any other
Department license held by the hospital?

Addendum #003

a. Only for the required AHCA hospital licensure.
b. The current licensure for RMCH is through AHCA.

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Answer

b. Can the Department please identify what licensure
other than AHCA may be applicable here?

289.

3.6.4.3 Mental Health Services Performance
Measures; page 183
The 50th performance measure PM-MH-050 reads, “A
case manager completes the Form DC4-657 between
45-30 Days of release for Patients in a TCU level of
care.”

Confirmed. The language is correct as written.

Please confirm this is supposed to read 45-30, or 3045, and not 45-90?

290.

3.6.5.2, Hospital Care
ITN Section 3.6.5.2, Hospital Care provides minimum
requirements as section 3.6.5.3, but no performance
measures or services reports sections are noted.

The performance measures related to RMCH are captured in all the
service areas. There are no additional performance measures
exclusively for this service area.

Please confirm that this omission was intentional.

291.

General - Cost
Will the annual compensation cap be established by
mutual negotiation with the vendor, or has the amount
already been established by the Department of
Corrections annual budget process?

The amount is established annually by the Florida Legislature.

292.

General – Cost
Please clarify for all vendors what happens if the costs
of the program exceed the compensation cap. Does
the vendor bear the risk for any costs over the cap?

Yes, the vendor bears the risk for costs exceeding the compensation
cap.

Addendum #003

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

293.

General – Cost
Does the Department have projected annual budgets
for the healthcare program beyond the current and
upcoming fiscal years? If so, please provide future
projected budgets if able.

294.

General – Cost
Please describe the Department’s understanding of
the types of costs and expenditures that will NOT be
reimbursed under the compensation cap that vendors
can expect to be responsible for. In addition, are
there other cost items vendors can anticipate for
which the administration fee will NOT apply?

295.

296.

3.6.1.2 Program Management Minimum
Requirements; page 19 & 21
Please clarify the requirement for FTE pharmacy
positions. The ITN notes a Statewide Pharmacy
Program Director (Florida Consultant Pharmacist
License) on ITN page 19 and a RMC Hospital
Pharmacy Consultant (Florida Consultant Pharmacist
License) on ITN page 21.
a. Is this the same position?
b. If these are two different positions, please confirm
the requirement for two FTE pharmacist positions in
vendors proposed staffing plans.

RFP Section Program Management Minimum
Requirements Page 21

Addendum #003

Answer

The base funding is $421 million appropriated annually. Any additional
funding is contingent upon legislative approval.

Costs not allowable in accordance with Florida’s Reference for State
Expenditure Guidelines are not reimbursable. Travel is allowed in the
reference guide, but will not be reimbursable under the Contract.
Not at this time.

a. No, the position must meet the requirement of a pharmacist under
current law.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question
Regarding the 1.0 FTE position RMC Hospital
Pharmacy Consultant (Florida Consultant Pharmacist
License):
a. Can the Department please provide a job
description for this position?
b. Is this a new position that has been created or is
there a pharmacist already serving in this role?

297.

Section 3.6.10.2 Information technology Software
Requirements; ITS-009.b; page 188
The RFP stipulates, “..., including any additional interfacility network connections required…”
Please verify that this is “Inter” and not meant to be
“Intra” facility

298.

299.

Answer
b. The current CHCC provider is responsible for the Consultant
Pharmacist of Record for the RMC Institutional Pharmacy License.

This is found in Section 3.6.10.2 Information Technology Software
Requirements; ITS-001; page 188. This should read as “intra-facility”.
Please see Section 3.6.10.2 Information Technology Software
Requirements; ITS-009 second subsection b. and c.; page 188 for
additional clarity. " b. Any new network infrastructure needs, including
LAN wiring, building to building fiber, switching, or Wi-Fi equipment will
be the responsibility of the Vendor to procure and manage; c. Any
campus fiber installation initiatives shall be scaled to offer benefit to the
Department. Example: 12 strands minimum of fiber optic cable to be
installed between buildings;”

Section 3.6.10.2 Information technology Software
Requirements; ITS-009.b; page 188
Please clarify if the existing cabling is in place and not
in use the vendor will be able to use it. First sub
section a. indicates if fiber is available, it will be
provided. The second subsection b. the vendor is
required to provide all new cabling.

The Vendor will be able to utilize existing fiber optic cabling if it is
available. Availability is limited. As mentioned in Section 3.6.10.2
Information Technology Software Requirements; ITS-009 subsection a.;
page 188, fiber optic cabling within the facility will be provided based on
availability, a Vendor-initiated site survey is recommended, and the FDC
does not anticipate cable will be available for use.

Section 3.6.10.2 Information technology Software
Requirements; ITS-009.b; page 188

The Department anticipates the Vendor will assume responsibility.

Addendum #003

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Comprehensive Health Care Services

Question
Number

Question

Answer

For existing wired and wireless connectivity, will the
DOC continue to maintain that or will the vendor take
over that responsibility?

300.

301.

302.

303.

Section 3.6.10.2 Information technology Software
Requirements; ITS-009.b; page 188
Is it permissible to have separate data circuits
connecting to the facilities as opposed to connecting
via the DOC circuits?

Yes, if approved by the Department.

Section 3.6.10.2 Information technology Software
Requirements; ITS-009.b; page 188
If there is no fiber optic available in any given facility,
who provides the fiber and who maintains it?

Please see Section 3.6.10.2 Information Technology Software
Requirements; ITS-009 second subsection b and c.; page 188. " b. Any
new network infrastructure needs, including LAN wiring, building to
building fiber, switching, or Wi-Fi equipment will be the responsibility of
the Vendor to procure and manage; c. Any campus fiber installation
initiatives shall be scaled to offer benefit to the Department. Example:
12 strands minimum of fiber optic cable to be installed between
buildings.”

Section 3.6.10.2 Information technology Software
Requirements; ITS-009.b; page 188
Can the existing Wireless Access Points be used on
Vendor's network as opposed to on the FDC network?

Section 3.6.10.2 Information technology Software
Requirements; ITS-009.b; page 188
Does a future need for analog telephony exist or will
VOIP and e-fax cover this aspect?

Addendum #003

Yes, if approved by the Department.

The Department is not aware of a future need for analog telephony. The
Department does not have an “e-fax” solution.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

304.

305.

306.

307.

Question

General
a. Are there any restrictions on hardware
manufacturers?
b. Are Thin Clients allowed for use in the FL DOC
facilities for vendor PC usage?
c. Will all of this existing equipment be provided at no
cost to the new Contractor to be put on the prescribed
replacement schedule?
d. If so, please provide details of expected
replacement schedule (in general).

General
Are there any specifications or restrictions regarding
the system allowing providers to review documents
and diagnostic tests offsite?

General
Considering the growth of telemedicine and
collaboration technologies, what is the current network
bandwidth for each site?

General
Are any inmate health education programs currently
provided via tablets or other portable devices?

Addendum #003

Answer

a. Yes. Please see Section 3.6.10.2 Information Technology Software
Requirements; ITS-002; page 188.
b. Yes, pending approval by the Department.
c. The Department does not anticipate existing equipment will be made
available to the new Vendor.
d. The expected replacement schedule for network equipment is dictated
by the manufacturer according to announced End Of Life\End Of
Support dates.

Please see the Answer to Question No. 44 d. of this Addendum.

Please see the Answer to Question No 219 of this Addendum.

No.

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FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

Question

Answer

308.

General
Does the FDC provide e-fax services or is that the
vendor's responsibility?

No. The services would be the Vendor’s responsibility.

309.

If the only pricing consideration is Administrative
Fees, how will the Department evaluate cost
improvement ideas without a total cost buildup?

As stated in the Answer to Question No. 32, Vendors should describe
their ability to control direct costs in TAB C of their Replies. The
Department will evaluate cost improvement ideas while evaluating TAB
F of Vendor’s Replies. Please see Change No. 2 of this Addendum.

310.

311.

312.

Can the Department please confirm it does not wish to
see any sort of cost build up in the Cost Reply or
should potential Vendors just simply provide
Attachment I - Price Information Sheet?

Please see the Answers to Questions No. 32 and No. 309 of this
Addendum.

If the Department wishes to see a cost build up, is
there any desired format that can be provided to
potential Vendors ahead of submittal?

The Department’s expectation for Vendor’s Replies is outlined in Section
4.9 of the ITN.

Can the Department explain the current invoicing
process and what backup is required for invoices?

Vendor invoices are reviewed and verified for payment in accordance
with the terms of the contract, applicable laws, rules, and policies. The
Vendor must submit detailed invoices and supporting documentation to
include, but not limited to, verification of service delivery, medical claims
information, product and subcontractor invoices, proof of delivery, proof
of payment, etc. for any reimbursement requests.

Addendum #003

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number
313.

Question

Are all medical personnel in support of the DOC
vendors/contractors? Or, are there state medical
personnel as well?

Answer
FDC employs medical professionals that provide oversight and policy
determinations. The Vendor will be responsible for comprehensive
inmate healthcare.

314.

Will the state please provide the current funded
staffing levels at all facilities as well as current actual
staffing levels?

Please see the Answer to Question No. 20 of this Addendum.

315.

Is telemedicine currently used in any capacity? If so,
where and for what specialties?

Please see the Answer to Question No. 45 of this Addendum.

316.

To verify; will vendor personnel complete state DOC
security or other new hire trainings?

Yes.

317.

318.

Is the vendor responsible for its own learning
management system?

As it relates to the Administrative Fee, would the
Department consider any leadership called out in
3.6.1.2 to be indirect costs as they would not be
dealing with particular inmates?

Addendum #003

Yes.

The Vendor shall be compensated an administrative fee to cover
corporate support costs including, but not limited to, oversight of
recruiting, human resources, clinical operations/utilization management,
payroll, and information technology.

FDC ITB-22-042

Responses to Written Questions
FDC ITN-22-042
Comprehensive Health Care Services

Question
Number

319.

Question

Please provide user/administrative documentation
about the FLDOC instance of GE Fusion Electronic
Medical Record (EMR) application.

Answer

320.

What electronic Utilization Management System is
currently in use on the incumbent contract?

321.

Can the State confirm what space, fixtures, furniture,
non-health care equipment, and health care
equipment is currently present in each facility that can
be used by the successful bidder?

The Department does not have a comprehensive list as requested.
Please see the Answer to Question No. 64 of this Addendum.

322.

Who is responsible to provider interpreters - the State
or the vendor?

The Vendor is responsible for providing language interpreters for the
provision of medical services.

323.

Can you confirm whether the department pays the
CHDs to provide medical services at designated
institutions?

Yes, under the 340B program for five (5) county health departments.

324.

Do vendor medical staff accompany inmates on
transfer transportation?

Addendum #003

TrueCare.

No.

FDC ITB-22-042

ADDENDUM #002
Solicitation Number:

FDC ITN-22-042

Solicitation Title:

Comprehensive Health Care Services

Bids due by:

July 15, 2022 at 2:00 p.m., Eastern Time

Addendum Number:

002

Addendum Date:

June 13, 2022

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

Addendum #002

ITB-22-042

REVISED
TIMELINE
FDC ITN-22-042
EVENT

DUE DATE

Release of ITN

April 1, 2022

Mandatory
Pre-Reply
Conferences and Site
Visits

April 19 – May 4,
2022

Last Day for written
inquiries to be
received by the
Department

May 13, 2022, Prior
to 5:00 p.m., Eastern
Time

Anticipated Posting
of written responses
to written inquiries

June -1320, 2022

Sealed Replies
Due and Opened

June 30 July 15,
2022, at 2:00 p.m.,
Eastern Time

Replies should be addressed to:
Attn: Eunice Arnold, Procurement Officer
Florida Department of Corrections
Bureau of Procurement
501 South Calhoun Street
Tallahassee, Florida 32399

Evaluation Team
Meeting

July 30 August 15,
2022, at 2:00 p.m.,
Eastern Time

Meeting Location:
Florida Department of Corrections
Bureau of Procurement
501 South Calhoun Street
Tallahassee, Florida 32399

Anticipated
Negotiations

Anticipated Posting of
Intent to Award

Addendum #002

September 2022 –
November 2022

March 2023

Florida Department of Corrections
Bureau of Procurement
501 South Calhoun Street
Tallahassee, Florida 32399
Vendor Bid System (VBS):
http://www.myflorida.com/apps/vbs

ITB-22-042

ADDENDUM #001

Solicitation Number:

FDC ITN-22-042

Solicitation Title:

Comprehensive Health Care Services

Bids due by:

June 30, 2022 at 2:00 p.m., Eastern Time

Addendum Number:

001

Addendum Date:

April 12, 2022

Failure to file a protest within the time prescribed in Section 120.57(3), Florida Statutes, or failure to
post the bond or other security required by law within the time allowed for filing a bond shall constitute
a waiver of proceedings under Chapter 120, Florida Statutes.
Please be advised that the information below is applicable to the original specifications of the above referenced
solicitation. Added language to the ITN is highlighted in yellow, while deleted language is stricken.
This Addendum includes the following changes:
Change No. 1:
Section 4.4, Mandatory Site Visits and Pre-Reply Conferences, first paragraph, is hereby revised as follows:
All interested Vendors, before submitting their Reply, must visit the following sites to become familiar with
conditions that may affect the services required as they pertain to the Contract. The Department will
deem a Vendor’s Reply non-responsive if a Vendor does not attend each of the following site visits. The
Department has set specific dates for the site visits and will not allow visits for individual Vendors or visits at any
other time. Interested parties must contact Tim Hooten at Tim.Hooten@fdc.myflorida.com
Timothy.Hooten@fdc.myflorida.com at least fivetwo(52) Business Days before the site visit listed in the Timeline
and furnish him with the following information on all attendees: the attendee’s Full Name, Social Security
Number, Date of Birth and Driver’s License Number. Participation in the Site Visits will be limited to two (2)
representatives per organization, though the same individuals do not need to attend all visits. The Vendor
may send different individuals to each Site Visit so long as at least one (1) Vendor representative is present at
each Site Visit.

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

Addendum #001

ITB-22-042

Invitation to Negotiate (ITN)

'l'ransl'o1·111ing One Lif'e at a Time"

Florida Department
of Corrections

Comprehensive Health Care Services
ITN 22-042
ITN Released: April 1, 2022
Site Visits: April 18-29, 2022 (See Section 4.4 for additional information.)
Deadline for Questions: 5:00 p.m. ET May 13, 2022*
Replies Due: 2:00 p.m. ET June 30, 2022*
Eunice Arnold
Procurement Officer
Florida Department of Corrections
501 S. Calhoun Street
Tallahassee, FL 32399
*Timeline subject to change. Changes will be communicated through an addendum to this
ITN (see Section 4.18)

TABLE OF CONTENTS
TIMELINE........................................................................................................................................................ 4
SECTION 1 – DEFINITIONS .......................................................................................................................... 5
SECTION 2 – INTRODUCTION....................................................................................................................10
2.1
2.2
2.3
2.4
2.5
2.6
2.7

Background ........................................................................................................................... 10
Statement of Purpose ........................................................................................................... 10
Procurement Overview ......................................................................................................... 11
The Department’s Health Care Goals .................................................................................. 11
Term of Contract ................................................................................................................... 12
Pricing Methodology ............................................................................................................. 12
Resources .............................................................................................................................. 13

SECTION 3 – SCOPE OF WORK ................................................................................................................15
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8
3.9

General Description of Services .......................................................................................... 15
Overview of Services ............................................................................................................ 15
Service Locations and Service Times ................................................................................. 16
Rules and Regulatory Requirements .................................................................................. 16
Confidentiality ....................................................................................................................... 17
Health Care Services ............................................................................................................ 17
Key Performance Monitoring ............................................................................................. 201
Overall Contract Compliance Monitoring ......................................................................... 202
Future Transitions and Contract Expiration Tasks ......................................................... 202

SECTION 4 – PROCUREMENT RULES AND INFORMATION ................................................................203
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.8
4.9
4.10
4.11
4.12
4.13
4.14
4.15
4.16
4.17
4.18
4.19
4.20
4.21
4.22
4.23
4.24
4.25
4.26
4.27
4.28

General Instructions to Vendors ....................................................................................... 203
Procurement Officer ........................................................................................................... 203
Questions ............................................................................................................................. 203
Mandatory Site Visits and Pre-Reply Conferences.......................................................... 203
Special Accommodations .................................................................................................. 205
Alternate Provisions and Conditions ................................................................................ 205
Reply Bond .......................................................................................................................... 205
Pass/Fail Mandatory Responsiveness Requirements ..................................................... 205
Submission of Replies ........................................................................................................ 206
Contents of Reply Submittals ............................................................................................ 207
Reply Evaluation Criteria .................................................................................................... 212
Reply Evaluation and Negotiation Process ...................................................................... 214
Reply Opening ..................................................................................................................... 219
Costs of Preparing Reply ................................................................................................... 219
Disposal of Replies ............................................................................................................. 219
Right to Withdraw Invitation to Negotiate ........................................................................ 219
Right to Reject Reply Submissions and Waiver of Minor Irregularities ........................ 219
Addenda ............................................................................................................................... 219
Cost/Price Discussions ...................................................................................................... 219
No Prior Involvement and Conflicts of Interest ................................................................ 219
State Licensing Requirements........................................................................................... 220
MyFloridaMarketPlace (MFMP) Vendor Registration....................................................... 220
Unauthorized Employment of Alien Workers ................................................................... 220
Confidential, Proprietary, or Trade Secret Material ......................................................... 220
Vendor Substitute W-9 ........................................................................................................ 221
Scrutinized Companies Certification ................................................................................ 221
Disclosure of Reply Submittal Contents .......................................................................... 221
Advertising Notice of Agency Decision ............................................................................ 222
Protest Procedures ............................................................................................................. 222

Page 2 of 259

FDC ITN-22-042

SECTION 5 – CONTRACT TERMS AND CONDITIONS ...........................................................................223
5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
5.9
5.10
5.11
5.12
5.13
5.14
5.15
5.16
5.17
5.18
5.19
5.20
5.21

General Contract Conditions ............................................................................................. 223
Travel Expenses .................................................................................................................. 223
E-Verify ................................................................................................................................. 223
State Initiatives .................................................................................................................... 223
Subcontracts ....................................................................................................................... 224
Copyrights, Right to Data, Patents and Royalties ........................................................... 225
Use of Funds for Lobbying Prohibited.............................................................................. 225
Reservation of Rights ......................................................................................................... 225
Taxes .................................................................................................................................... 226
Safety Standards ................................................................................................................. 226
Americans with Disabilities Act ......................................................................................... 226
HIPAA Business Associate Agreement ............................................................................ 226
Employment of Department Personnel ............................................................................. 226
Legal Requirements ............................................................................................................ 226
Prison Rape Elimination Act (PREA)................................................................................. 226
Termination .......................................................................................................................... 227
Retention of Records .......................................................................................................... 227
Audit Records ...................................................................................................................... 228
Indemnification .................................................................................................................... 228
Inspector General ................................................................................................................ 228
Cooperation with the Florida Senate and Florida House of Representatives............... 228

ATTACHMENT I – PRICE INFORMATION SHEET ..................................................................................229
ATTACHMENT II - SERVICE LOCATIONS ...............................................................................................230
ATTACHMENT III – VENDOR'S CONTACT INFORMATION AND CERTIFICATION .............................239
ATTACHMENT IV – REPLY BOND FORM ...............................................................................................240
ATTACHMENT V – PASS/FAIL REQUIREMENT CERTIFICATION AND NON-COLLUSION
CERTIFICATION ........................................................................................................................................241
ATTACHMENT VI – VENDOR’S REFERENCE FORM .............................................................................243
ATTACHMENT VII – CERTIFICATION OF DRUG FREE WORKPLACE PROGRAM .............................248
ATTACHMENT VIII – NOTICE OF CONFLICT OF INTEREST .................................................................249
ATTACHMENT IX – SUBCONTRACTING FORM .....................................................................................250
ATTACHMENT X – SECURITY REQUIREMENTS FOR VENDORS ........................................................251
ATTACHMENT XI – BUSINESS ASSOCIATE AGREEMENT FOR HIPAA .............................................253
ATTACHMENT XIII – FEDERAL BUREAU OF INVESTIGATION CRIMINAL JUSTICE INFORMATION
SERVICES SECURITY ADDENDUM ....................................................................................................... 259

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

Page 3 of 259

FDC ITN-22-042

TIMELINE
FDC ITN-22-042
EVENT

DUE DATE

Release of ITN

April 1, 2022

Mandatory
Pre-Reply
Conferences and Site
Visits

April 19 – May 4,
2022

Last Day for written
inquiries to be
received by the
Department

May 13, 2022, Prior
to 5:00 p.m., Eastern
Time

Anticipated Posting
of written responses
to written inquiries

June 13, 2022

Sealed Replies
Due and Opened

Evaluation Team
Meeting

Anticipated
Negotiations

Anticipated Posting of
Intent to Award

Vendor Bid System (VBS):
http://www.myflorida.com/apps/vbs
Replies should be addressed to:
Attn: Eunice Arnold, Procurement Officer
Florida Department of Corrections
Bureau of Procurement
501 South Calhoun Street
Tallahassee, Florida 32399

June 30, 2022, at
2:00 p.m., Eastern
Time

July 11, 2022, at 2:00
p.m., Eastern Time

September 2022 –
November 2022

March 2023

Submit questions to:
Florida Department of Corrections
Bureau of Procurement
Email: purchasing@fdc.myflorida.com
Subject Line Should Read: ITN-22-042

Meeting Location:
Florida Department of Corrections
Bureau of Procurement
501 South Calhoun Street
Tallahassee, Florida 32399
Florida Department of Corrections
Bureau of Procurement
501 South Calhoun Street
Tallahassee, Florida 32399
Vendor Bid System (VBS):
http://www.myflorida.com/apps/vbs

Page 4 of 259

FDC ITN-22-042

SECTION 1 – DEFINITIONS
The terms used in this Invitation to Negotiate (ITN), unless the context otherwise clearly requires a
different construction and interpretation, have the following meanings:
1.1

Administrative Confinement: The temporary separation of an Inmate from Inmates in General
Population in order to provide for security and safety until such time as a more permanent Inmate
management decision process can be concluded, such as a referral to Disciplinary Confinement,
Close Management, Protective Management, or a transfer.

1.2

American Correctional Association (ACA): An international accreditation entity that establishes
standards for and conducts audits of correctional programs to assess their administration and
management, facilities, operations and services, Inmate programs, staff training, medical services,
sanitation, use of segregation and detention, incidents of violence, crowding, offender activity levels,
and provision of basic services which may impact the life, safety, and health of Inmates and staff.

1.3

Americans with Disabilities Act (ADA): Legislation which prohibits discrimination based on
disability, which can be found in the Americans with Disabilities Act and in the Code of Federal
Regulations (C.F.R.) at 28 C.F.R. Parts 35 (Title II) and 36 (Title III).

1.4

Business Day: 8:00 a.m. to 5:00 p.m., Eastern Time (ET), excluding weekends and State holiday.

1.5

Clinician: A Florida-licensed Clinician, Advanced Practice Registered Nurse (APRN), Physician,
Physician’s Assistant (PA), Dentist, Psychiatrist, Psychiatric APRN, or other appropriately-licensed
health care provider delivering or overseeing direct Patient care.

1.6

Close Management (CM): The Confinement of an Inmate apart from the General Population for
reasons of security, or to maintain the order and effective management of the Institution; the Inmate,
through his/her own behavior, has demonstrated an inability to live in General Population without
abusing the rights and privileges of others.

1.7

Cognitive Treatment Unit (CTU): an outpatient level of mental health care for Inmates who exhibit
an impairment of cognitive functioning due to dementia, traumatic brain injury, or other
neurocognitive disorder that substantially interferes with their ability to meet the ordinary demands
of daily living.

1.8

Confinement: Administrative Confinement or Disciplinary Confinement.

1.9

Contract: The formal written agreement resulting from this ITN between the Successful Vendor
and the Department.

1.10 Contract Manager: The Department’s employee, or his/her designee, responsible for performance
oversight and operational management of the Contract. The Contract Manager will be designated
in the Contract.
1.11 Correctional Institution or Institution (CI): Any prison or other correctional facility, temporary or
permanent, in which Inmates are housed under the custody of the Department to include, main
units, annexes, road prisons, work camps, forestry camps, community release centers, re-entry
centers, and any other satellite facilities.
1.12 Correctional Medical Authority (CMA): An independent oversight group established Sections
945.601-6036, Florida Statute (F.S.), to assist with the delivery of health care services for Inmates
through an advisory role, and by assuring that adequate standards of medical and mental health
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FDC ITN-22-042

services are maintained by the FDC.
1.13 Corrections Mental Health Treatment Facility (CMHTF): Any extended treatment or
hospitalization-level unit that the Department’s Assistant Secretary for Health Services specifically
designates by Rule 33-404.201, Florida Administrative Code (F.A.C) to provide psychiatric care,
which may include involuntary treatment and therapeutic interventions in accordance with Sections
945.40-945.49, F.S.
1.14 Corrective Action Plan (CAP): The Vendor’s written comprehensive plan to remedy deficiencies
discovered during the Contract term.
1.15 Cost Reply: The portion of the Vendor’s Reply relating to costs, which must include the completion
of Attachment I, Price Information Sheet.
1.16 Crisis Stabilization Unit (CSU): An inpatient mental health treatment unit that provides intensive
management, observation, and treatment intervention, while seeking rapid stabilization of acute
symptoms and conditions.
1.17 Day: Calendar Day, unless otherwise stated.
1.18 Death Row: A class of custody, also known as Maximum Custody (different from Maximum
Management), wherein the Inmate is under a sentence of death.
1.19 Dentist: A dental practitioner holding an active Florida Dental License, or Dental Temporary
Certificate (DTC) from the Florida Department of Health’s Board of Dentistry, who is certified in
cardiopulmonary resuscitation (CPR).
1.20 Department or FDC: The State of Florida, Department of Corrections.
1.21 Disabled Inmate: An Inmate who has a physical or mental impairment that substantially limits one
(1) or more major life activities.
1.22 Disabled Inmate Committee: A multi-disciplinary team that works together for the development,
implementation, and monitoring of an individualized management and services plan for each
Disabled Inmate.
1.23 Disciplinary Confinement: A form of punishment in which Inmates found guilty of committing
violations of Department rules are confined for specified periods of time to individual cells based
upon authorized penalties for prohibited conduct.
1.24 Diversion Treatment Unit: An outpatient level of mental health care for Inmates who exhibit an
impairment(s) associated with the diagnosis of a serious mental illness that hinders their ability to
function in the General Population.
1.25 Electronic Medical Record (EMR): An enabling technology that allows Clinicians and health care
providers and administrators access to an Inmate’s clinical and behavioral health content, and
provides operational efficiencies for both inpatient and outpatient services.
1.26 End of Sentence (EOS): When an Inmate reaches the end of their court-mandated sentence of
incarceration and is released from a Department Institution, ending their eligibility for coverage for
medical services covered under this ITN.

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FDC ITN-22-042

1.27 General Population: The population of Inmates who are not in a Special Housing status or
inpatient mental health or medical unit(s).
1.28 Health Classification Grade: A designation of overall functional capacity in various areas including
medical, mental health, work, transportation, work camp eligibility, and impairment status, provided
to each Inmate upon reception and revised as necessary throughout their incarceration.
1.29 Health Services Bulletin (HSB): The Department’s guidelines for the provision of Inmate health
care, created pursuant to Section 945.6034, F.S. Health Services Bulletins do not override rules or
procedures but provide additional guidance for health services staff and are considered Department
policies. HSBs are published under the authority of the Director of Health Services.
1.30 HIPAA: The federal law known as the Health Insurance Portability and Accountability Act of 1996
(HIPAA, Title II), which established standards for the security and privacy of health data, and related
rules.
1.31 HITECH Act: The Health Information Technology for Economic and Clinical Health Act, enacted as
part of the American Recovery and Reinvestment Act of 2009 and related rules. HITECH generally
establishes new requirements for notification of protected health information breaches, makes
business associates directly liable for compliance with HIPAA security and privacy requirements,
modifies disclosure accounting rules and enhances the civil and criminal enforcement of HIPAA.
1.32 Impaired Inmate: Any Inmate who has a professionally determined limitation in the performance
of daily living activities, work, or participation in the programs and services available to the general
Inmate population.
1.33 Impaired Inmate Committee: The institutional staff members functioning as a multi-disciplinary
team working together for the development, implementation, and monitoring of an Individualized
Service Plan for each Impaired Inmate.
1.34 Individualized Service Plan (ISP): A written description of an Inmate’s current problems, goals,
and treatment.
1.35 Inmate(s) or Patient(s): An individual who is incarcerated by the Department.
1.36 Inmate Assistant: An Inmate whose work assignment is to assist another Inmate with his/her
activities of daily living, and who has received the training required in the Nursing Manual in relation
to the performance of their assistance.
1.37 Isolation Management Room (IMR): A cell in an infirmary area or inpatient mental health care
unit that has been certified as being suitable for housing those with acute mental impairment or
those who are at risk for self-injury.
1.38 Licensed Nurse: A Registered or Licensed Practical Nurse, with an active license in the State of
Florida.
1.39 Major Institution(s) or Parent Institution(s): A Correctional Institution designated to provide
oversight and limited classification services to smaller satellite facilities.
1.40 Mandatory Responsiveness Requirements: Terms, conditions, or requirements that must be met
by the Vendor to be considered responsive to this ITN.
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FDC ITN-22-042

1.41 Material Deviation(s): A deviation that the Department, in its sole discretion, finds to be out of
substantial accord with the requirements of this solicitation, provides a substantial competitive
advantage to other Vendors, or has a potentially significant effect on the quantity or quality of
services sought or on the cost to the Department.
1.42 Maximum Management: A temporary status for an Inmate, who through a recent incident, or
series of incidents, has been identified as being an extreme security risk to the Department, and
requires an immediate level of control beyond that available in Confinement, Close Management,
or Death Row.
1.43 Minor Irregularity: A deviation from the ITN terms and conditions that does not significantly affect
the price or quality of services sought, does not give the Vendor a substantial competitive advantage
or benefit not enjoyed by other Vendors, and does not adversely impact the interests of the
Department.
1.44 Multi-Disciplinary Services Team (MDST): A group of individuals representing different
professions, disciplines, or service areas, which has the responsibility for ensuring access to
necessary assessment, treatment, continuity of care, and services to Inmates in accordance with
their identified mental health needs, and which collaboratively develops, implements, reviews, and
revises an Individualized Service Plan, as needed.
1.45 Observation Cell (OC): A Confinement cell that has been certified as meeting the housing and
safety criteria of an Isolation Management Room.
1.46 Offender Based Information System (OBIS): The Offender Based Information System that serves
as the Department’s official record-keeping system of Inmates.
1.47 Prison Rape Elimination Act (PREA): The “Prison Rape Elimination Act of 2003” and related
rules. The Act provides for analysis of the incidence and effects of prison rape in federal, State, and
local Institutions and for information, resources, recommendations, and funding to protect
individuals from prison rape.
1.48 Protective Management: Special management status for the protection of Inmates from other
Inmates in an environment as representative of that of Inmates in General Population as is safely
possible.
1.49 Reply: A Vendor’s written response submitted in answer to this ITN.
1.50 Residential Continuum of Care Unit (RCCU): Specialized residential mental health units that
provide augmented outpatient mental health treatment and habilitation services in a protective
environment for Inmates with serious psychological impairments associated with a historical
inability to successfully adjust to daily living in the incarceration environment.
1.51 Responsible Vendor: A Vendor who has the capability in all respects to fully perform the Contract
requirements and the integrity and reliability that will assure good faith performance.
1.52 Responsive Reply: A Reply, submitted by a responsive and Responsible Vendor that conforms in
all material respects to this ITN.
1.53 Secure Treatment Unit (STU): An outpatient level of mental health care for Inmates who exhibit
an impairment(s) associated with a diagnosis of serious mental illness and a marked inability to
conform their behavior to institutional standards.
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FDC ITN-22-042

1.54 Self-Harm Observation Status (SHOS): A clinical status ordered by a qualified Clinician that
provides safe housing and close monitoring of Inmates determined to be suicidal or at risk for
serious self-injurious behavior.
1.55 Service Location(s): Any site(s) where services are performed under the Contract.
1.56 SOAP: A format of medical documentation utilizing the headings, “Subjective, Objective,
Assessment, and Plan.”
1.57 SOAPIE: A format of medical documentation utilizing the headings, “Subjective, Objective,
Assessment, Plan, Intervention, and Education.”
1.58 Special Housing: Administrative Confinement, Disciplinary Confinement, Protective Management,
Maximum Management, Death Row, and Close Management.
1.59 Structured Out-of-Cell Treatment Services (SOCTS): Weekly scheduled individualized treatment
services, psychoeducational groups, and therapeutic activities to ameliorate disabling symptoms of
a diagnosed mental illness and improve behavioral functioning as identified in the Individualized
Service Plans.
1.60 Successful Vendor: The Vendor who receives the award of this ITN and will be performing
contractual duties as the prime Vendor under the Contract.
1.61 Transitional Care Unit (TCU): An inpatient mental health unit that provides intermediate care for
Inmates transitioning from a more intensive level of inpatient care back to an outpatient setting, as
well as long term care for Patients with chronic and severe mental illness.
1.62 Value-Added Services: Additional services and commodities the Vendor may offer the
Department, at no additional cost, beyond those services and commodities expressly included in
this ITN, which may be unknown to the Department at this time yet meet its overall goals.
1.63 Vendor: A legally qualified corporation, partnership, or other business entity submitting a Reply to
this ITN.
1.64 Warden: The Department employee, or his/her designee, responsible for the management and
oversight of the Day-to-Day operations of a Correctional Institution.

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FDC ITN-22-042

SECTION 2 – INTRODUCTION
2.1

Background
The Department is responsible for the supervisory and protective care, custody, and control
of approximately 80,000 Inmates and the community supervision of approximately 150,000
offenders. These numbers are projected to increase over the term of the Contract. The
Department is the third largest state prison system in the United States, with an annual
operating budget of approximately $2.7 billion.
The Department has over 144 facilities statewide, including 50 Major Institutions, 17 annexes,
seven (7) private prisons (operated by the Florida Department of Management Services (DMS)
and not included as Service Locations for the services sought in this solicitation), 35 work camps,
four (4) road prisons/basic training units/forestry camps, three (3) re-entry centers, and 28
community release centers. Not all of the Department’s facilities are currently housing Inmates.
The Department has divided the State into four (4) geographic regions: Region I (the Panhandle),
Region II (North Florida), Region III (Central Florida), and Region IV (South Florida). Each Major
Institution is supervised by a Warden. Each Warden reports to the Regional Director of Institutions
for their assigned region.
Prior to 2012, the Department ran its health services operations through a combination of State
employees, who provided direct medical, mental health, and dental health care services behind
the secure perimeter of an Institution, and more than 200 contracted providers who provided
specialty care, hospital services, and ancillary services. Currently, the Department delivers
medical, dental, and mental health services through a privatized model as contracted with
Centurion of Florida, LLC (Centurion). Centurion provides on-site primary medical, mental health,
and dental health care services, and on-site and off-site specialty care, inpatient, and outpatient
hospital care, and ancillary services. Centurion also operates health care services at the
Department’s Reception and Medical Center (RMC) in Lake Butler, FL which includes a licensed
120 bed hospital with an ambulatory surgical center, contracted cancer center, and specialty care
clinics. The Department provides pharmacy dispensing services through three (3) regional
pharmacies and one (1) hospital pharmacy at RMC. The Department has implemented the use
of an Electronic Medical Record (EMR) application provided by GE Fusion in collaboration with
Centurion.

2.2

Statement of Purpose
The Department is seeking Responsive Replies from qualified and Responsible Vendors to
deliver comprehensive health care services, including medical, mental health, dental, and hospital
services, effectively and efficiently to Inmates at all Service Locations listed in Attachment II.
Comprehensive health care services include all Patient care services, and administrative support
services, required to provide the necessary and appropriate treatment to Inmates that meets the
minimum constitutionally adequate level of care established by federal law. These services
include treatment on-site and off-site as necessary. Services must be provided in accordance the
comprehensive health care standards outlined in Section 3 of this ITN and detailed in the
Department’s procedures and Health Services Bulletins. Vendors must have at least three (3)
years of business/corporate experience within the last five (5) years providing correctional health
care as described in this ITN. Vendors may use experience of their subsidiaries and any
anticipated subcontractor relationship in their Reply to fulfill this requirement.

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FDC ITN-22-042

2.3

Procurement Overview
The Department is requesting competitive sealed Replies from Responsible Vendors to establish
a multi-year Contract for the provision of comprehensive health care services to Inmates in the
Department’s care. The Department is interested in considering Value-Added Services that would
be beneficial to or otherwise complement the services required by this ITN.
The process for evaluating and selecting a Vendor will consist of two (2) phases. The first phase
involves evaluation of the submitted Replies, which will result in the selection of Vendors to
participate in the negotiation phase. In the second phase, the negotiation phase, Vendors will be
asked to provide a presentation of their Replies and negotiate a final statement of work, pricing,
and terms and conditions of the final Contract. The negotiation phase culminates in one or more
of the Vendors receiving a request to submit a best and final offer (BAFO). Vendors’ BAFOs will
include: (1) a revised statement of work; (2) a final Contract draft; and (3) a final cost and
compensation model. The Department will award a Contract to a single Vendor for services
statewide.

2.4

The Department’s Health Care Goals
The Department is looking to not only provide the levels of care required by law and rule, but also
to achieve strategic improvements in Inmate care. Overall goals for the Department include:
•
•
•
•
•
•
•
•

Reducing Inmate mortality where early detection and appropriate, timely treatment could have
avoided preventable mortality;
Ensuring that Inmates in Special Housing have full access to and receive the same level of
care as Inmates in General Population;
Improving the provision of assessment, development, and implementation of mental health
treatment at all levels and settings of care.
Reducing the volume of Inmate grievances and litigation related to health care services;
Improving waiting times for consultations, diagnostic testing, and treatment;
Reducing the use of unsecured community hospital units and increasing the use of secured
community hospital units to alleviate the need for additional security staff resources and
overtime;
Ensuring Inmates are prepared for continued medical care and supportive services, where
appropriate, upon their release back into the community; and
Maximizing technology and efficiencies to provide enhanced services at reduced costs,
including the establishment and expansion of academic partnerships.

The intent of this ITN is to contract with a service provider to assist the Department in meeting
these goals.
2.4.1 Specific Goals of this ITN
•
•
•
•

Establish a flexible Contract, with transparency of service costs, alignment of costs with
services, and an efficient and accurate end-of-year projection and cost modeling
process.
Establish a Contract that allows the Vendor to bring industry expertise and the ability to
shape strategy to lower the cost of health care services.
Ensure a smooth transition and continuation of services from the current Contract to the
new, without disruption and with minimal risk.
Ensure pricing that is cost effective throughout the entire term of the Contract.
Page 11 of 259

FDC ITN-22-042

•
2.5

Establish a collaborative relationship with the Vendor that will maximize the extent the
Department achieves the objectives of this ITN.

Term of Contract
It is anticipated that the initial term of the Contract shall be five (5) years. The Department may
renew the Contract for up to five (5) renewal years, or portions thereof. Any renewal shall be
contingent, at minimum, on the Vendor’s satisfactory performance of the Contract, as determined
by the Department and subject to the availability of funds. If the Department desires to renew the
Contract, it will provide written notice to the Vendor no later than 120 Days prior to the Contract’s
expiration date.

2.6

Pricing Methodology
The Department is seeking pricing that will provide the best value to the State; therefore,
interested Vendors must submit a Cost Reply utilizing the Price Information Sheet, provided as
Attachment I. Vendors are encouraged to submit a Cost Reply in such a manner as to offer the
most cost effective and innovative solution for services and resources the Vendor can offer, as
cost efficiency for the State will be a consideration in determining best value. Vendors shall
provide the Cost Reply according to the instructions provided in Section 4.10, Contents of Reply
Submittals.
The Successful Vendor will be reimbursed for all costs associated with the provision of
comprehensive medical, dental, mental health, pharmaceutical, and hospital services.
In addition to cost reimbursement, Vendors shall provide a single percentage administrative fee
to be charged above the actual costs for the delivery of comprehensive health care services
statewide. To ensure the Department obtains services at the best value, the Department reserves
the right, during the negotiation phase to consider alternate pricing models.
Compensation will be based on the provision of comprehensive health care services, which
include, but are not limited to the following:
Medical Services
• Primary, secondary, tertiary care and specialty care, including diagnostic testing, staging
procedures, and treatment of Inmates diagnosed with cancer
• Preventive clinical services
• All other therapeutic and diagnostic ancillary services, and completion of same-Day surgeries
in the ambulatory surgical unit
• All emergency room, outpatient, and inpatient hospital care, including hospital care at the
Reception and Medical Center Hospital
• All medical on-site or off-site specialty referrals
• Physical and occupational therapy
• All health-related assistive devices unless covered by vocational rehabilitation
• Hearing screening and diagnostic services necessary to identify and treat those who are deaf
or hard of hearing
• All optometry, orthopedic, neurology, and podiatry services
• Ambulance and other emergency transportation considered medically necessary
• Health education services
Dental Health Services
• Emergency dental treatment
Page 12 of 259

FDC ITN-22-042

•
•
•
•
•

Urgent, non-emergent, dental treatment
Routine dental treatment
All therapeutic and diagnostic ancillary services
All reception and intake examinations
All dental-related appliances and protheses

Mental Health Services
• Mental health assessments and testing
• Mental health treatment and services to include outpatient services, inpatient services
including hospitalization
• Inpatient and infirmary mental health care
• Transitional mental health care, crisis stabilization, and operations of CMHTFs
• Mental health reentry and aftercare planning
Utilization Management
• Nationally accepted or recognized electronic Utilization Management System services, to
include basic audits and edits, such as the federally required National Correct Coding Initiative
edits, and the criteria for determination of health care treatment, procedures, and specialty
care, along with an electronic process for higher level review of denials.
Pharmaceutical Services
• All non-formulary prescription medications, except for medications provided through the
Federal 340B STD Specialty Care Drug Discount Program
• Acquisition and maintenance of all pharmacy licenses
• Monthly Consultant Pharmacist Inspection Reports
Electronic Medical Record
• Ongoing maintenance, improvements, and updates
• Storage of Electronic Medical Record data
• Training of other vendor(s) and Department staff
• Helpdesk support staff and administrative functions
Other Costs across Service Categories
All direct and indirect costs associated with the delivery of comprehensive health care services
will be incurred by the Vendor to include, but not be limited to:
• All costs for medical, surgical and related office supplies
• All costs for on-site medical and related office equipment needed in addition to existing
equipment
• Other costs not specifically identified but commonly associated with delivery of necessary
health services
• Vendor-required computer installations, software, etc.
In addition, the Department reserves the right to access any programs under the Federal Health
Care Reform Act, federal, State or local grants, and partnership opportunities, or any State
initiatives that result in savings on health care costs.
2.7

Resources
The Department is providing links to resources Vendors may find helpful in the development of
their Replies. In order to gain a comprehensive understanding of the current services, Vendors
are strongly encouraged to review the information contained in these links.
Page 13 of 259

FDC ITN-22-042

Many exhibits contain multiple files. In addition, some exhibits contain information on health care
services or Correctional Institutions that may not be covered by this ITN. The Vendor may
disregard any information that does not pertain to this ITN.
•

Comprehensive Health Care Service contracts:
https://facts.fldfs.com/Search/ContractDetail.aspx?AgencyId=700000&ContractId=C2930

•

Current Department Policies, Procedures, and Health Services Bulletins (except those
identified as “Restricted”):
http://fdc.myflorida.com/health/procedures.html

Some of the Department’s Procedures are identified as “Restricted” and are not available for
public viewing. Restricted Department Procedures will be made available to interested Vendors
for the development of Replies. To obtain a copy of the restricted Procedures, Vendors must email
a signed copy of Attachment XII, Nondisclosure Agreement for Restricted Information, to the
Procurement Officer, along with their Express Mail (i.e., FedEx, UPS) account number to cover
the cost of shipping. Once the signed agreement is received by the Procurement Officer, the
Department will provide the restricted procedures on a CD to the Vendor, via overnight mail.
Vendors having trouble accessing any documents should contact the Procurement Officer.
Note: Exhibits are provided for informational purposes only. All possible efforts have been made
to ensure the information contained in the resource documents is accurate, complete, and current.

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

Page 14 of 259

FDC ITN-22-042

SECTION 3 – SCOPE OF WORK
The State is required to provide Inmates with a constitutional standard of care when they are admitted
to the Department’s Institutions, in accordance with Sections 945.025(2), and 945.6034, F.S. The
Department’s health care delivery is managed by its Office of Health Services (OHS), which oversees
the delivery of health-related services, provides technical assistance to the Vendor, and handles
statewide operational functions such as policy development, grievance appeals, clinical legal issues,
contract management and monitoring, and collaboration with other State agencies.
3.1

General Description of Services
The Florida Department of Corrections seeks to deliver the required comprehensive health care
services to its correctional population in a cost-effective manner. Services are provided on-site,
at State-operated Correctional Institutions, and off-site at hospitals and specialty care
offices/centers. Under the Contract, the Vendor would assume total liability for health care
service(s) delivered to Inmates under the care and supervision of the Department. This includes
all health care provided in clinics, health care which cannot be provided in the clinics, and
responses to emergencies that occur in the clinic or elsewhere within the facility, until the
appropriate emergency medical or mental health providers arrive.
Health Care Standards
The Department is responsible for ensuring health care services are provided in accordance with
established standards of care. The Vendor will be held accountable for providing care in
accordance with these standards. Section 945.6034(1), F.S., outlines the general requirements
of these standards. Additionally, the Department has developed related Health Services Bulletins
(HSBs), procedures, and manuals that provide standards and responsibilities relating to Inmate
health care. The requirements noted below are not all-inclusive of the comprehensive health care
requirements outlined in the Department’s HSBs, procedures, and manuals. Various legal cases
have impacted the FDC’s present rules, policies, procedures, HSBs, manuals, and forms. In
case of error, omission, or discrepancy, the Department’s current HSBs, procedures, policies,
manuals, and forms will take precedence. To ensure the most efficient health care delivery, the
Department will consider changes suggested by the Vendor to policies, procedures, and forms
that are not explicitly mandated by law, but is not required to adopt any such change. The FDC
shall retain exclusive control of its policies, procedures, HSBs, manuals, and forms.
The Vendor shall be responsible for all pre-existing health care conditions of those Inmates
covered under the Contract as of 12:00 a.m. on the first Day of the Contract implementation. The
Vendor shall be responsible for all health care costs incurred for services provided after 12:00
a.m. on the first Day of the Contract without limitation as to the cause of an injury or illness
requiring health care services. The Vendor shall not dispute or refuse acceptance of any Inmate
assignment based on any medical or mental health condition(s).

3.2

Overview of Services
It is the intent of the Department to secure complete comprehensive health care services for
Inmates in its care and custody. Any incidental health, mental health, dental, nursing, or ancillary
services omitted from these specifications should be included as a part of the Vendor’s price to
deliver a quality, working, comprehensive health care services program that is in compliance with
the specifications of this ITN. The Vendor’s comprehensive health care services program,
training curriculum, staff, and supplies must be fully identified, described, and documented within
the Vendor’s Reply. All staff, supplies, and other required components of this ITN must be
included in the Vendor’s proposed pricing.
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FDC ITN-22-042

The Vendor must operate the health services program with respect for Inmate’s right to
appropriate health care services.
There are eight (8) primary components that make up the current services:
• Program Management;
• Institutional Care;
• Dental Care;
• Mental Health Services;
• Utilization Management and Specialty Care;
• Hospital Administration and Care
• Quality Management; and
• Pharmaceutical Services.
These components are discussed in greater detail below.
3.3

Service Locations and Service Times
The Vendor shall provide comprehensive health care services at all Service Locations listed in
Attachment II. The Department reserves the right to add or delete Service Locations upon 60
Days’ written notice to the Vendor. The Vendor shall ensure Inmates have access to
comprehensive health care services as needed, 24 hours per Day, seven (7) Days per week,
and 365 Days per year.

3.4

Rules and Regulatory Requirements
3.4.1 The Vendor shall provide all services following all applicable federal and State laws, rules,
regulations, and the Department’s rules and procedures. All such laws, rules, regulations,
current and/or as revised, are incorporated herein by reference and made a part of the
Contract. The Vendor and the Department shall work cooperatively to ensure service
delivery is in complete compliance with all such rules and regulations.
3.4.2 The Vendor shall ensure that all Vendor’s staff providing services under the Contract
comply with prevailing ethical and professional standards, and the statutes, rules,
procedures, and regulations as mentioned above.
3.4.3 The Vendor shall ensure that the Vendor’s staff adhere to all policies and procedures
regarding transportation, security, custody, and control of Inmates.
3.4.4 Should any of the above laws, standards, rules, regulations, Department Procedures, or
directives change during the Contract term, the updated version will apply.
3.4.5 The Vendor shall pay for all costs associated with local, State, and federal licenses,
permits, and inspection fees required to provide services. All required permits and licenses
shall be current, maintained on site and a copy submitted to the Contract Manager, upon
request.
3.4.6 The Vendor shall comply with the provisions of the Americans with Disabilities Act. This
includes provisions referencing both employment and public service agencies (Titles I and
II), as well as any other applicable provision.
3.4.7 The Vendor must provide health care services in accordance with the national American
Correctional Association (ACA) standards, prevailing professional practice standards and
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FDC ITN-22-042

guidelines, and State and federal statutes. The performance of the Vendor’s personnel
and administration must meet or exceed standards established by ACA as they currently
exist and/or may be amended.
3.4.8 From time to time, the Governor, State Surgeon General, or FDC Secretary may issue
Executive Orders that impact the Department’s health services operations. The Vendor
must comply with the terms and conditions of any Executive Orders issued.
3.4.9 Department policy, procedures, and directive language will take precedence and control
over the Vendor’s policies and procedures in the event of any conflict.
3.5

Confidentiality
The Vendor shall maintain confidentiality with reference to individual Inmates, in accordance with
applicable local, State, and federal law. The Department and Vendor agree that all information
and records obtained in the course of providing services to Inmates shall be subject to
confidentiality and disclosure provisions of applicable federal and State statutes and regulations
adopted pursuant thereto.

3.6

Health Care Services
3.6.1

Program Management Service Area
Description
The Vendor will be responsible for all oversight and program management of
comprehensive health care services. This includes the following responsibilities:
a) Deliverables – Maintain the ability to provide, and provide, all comprehensive health
care services to Inmates.
b) Impact Analyses – Perform and deliver impact analyses, within a time frame specified
by the Department, on how potential rule or statute changes may impact the health
services program and its cost and success.
c) Analytics – Compile and maintain statistical information related to Inmate health care
which the Department can use to make changes and improvements to the delivery of
health care services. No data or statistical information shall be released externally
without prior written approval from the FDC’s Office of Communications and Office of
Health Services.
d) Contract Compliance – Monitor Contract responsibilities, ensure compliance, and
report metrics, including gaps, and how gaps were prevented, monthly.
e) Service Function Oversight and Success – Provide oversight of each of the following
service functions:
• Program Management
• Institutional Care
• Dental Care
• Mental Health Assessments
• Mental Health Services
• Outpatient Services
• Inpatient and Infirmary Services
Page 17 of 259

FDC ITN-22-042

•
•
•
•
•

Re-Entry and Aftercare Planning
Hospital Administration and Care
Utilization Management and Specialty Care
Quality Management
Pharmaceutical Services

Oversight includes, but not limited to:
• Resource Planning and Management
• Risk and Issue Management
• Change Control
• Budget Control
• Quality Assurance
• Problem Resolution
The Department will look to Vendor’s leadership to ensure a smooth and successful
operation as part of Program Management.
3.6.1.1 How Service is Provided Today
Program management is performed today by a Comprehensive Health Care
Contractor (CHCC). The CHCC coordinates the delivery of health care services
and provides management services to include:
•
•
•
•
•
•
•
•
•
•
•
•
•

Leadership at statewide, regional, and institutional levels;
Oversight of all administrative and program management requirements;
Problem resolution involving the delivery of health care services, policy
compliance, etc.;
Ensuring timely delivery of Contract reports and deliverables;
Coordinating staffing issues (filling vacancies, employee relations, etc.);
Ensuring responsiveness to requests for copies of records, public records;
requests, coordination of legal issues, etc.;
Resolving issues related to subcontractors (performance, billing, etc.);
Coordinating specialty care programs;
Maintaining, repairing, and replacing health care equipment;
Maintaining, repairing, and replacing FDC computers that were provided at
transition;
Purchasing and maintaining additional computers as needed;
Overseeing corrective action related to performance issues; and
Implementing, maintaining, and managing the Department’s EMR
application.

The Department oversees the delivery of health care services, provides technical
assistance to the CHCC, and handles statewide functions such as policy
development, grievance appeals, clinical-legal correspondence, and contract
management and monitoring. The Department retains control of bed movement
for the RMC Hospital (RMCH), other critical care medical beds, and inpatient
mental health units.
3.6.1.2 Program Management Minimum Requirements
The Vendor shall provide administrative oversight to ensure all program
management functions are carried out in accordance with the requirements
Page 18 of 259

FDC ITN-22-042

outlined in this ITN. At minimum, the Vendor shall have the following program
management positions:
Statewide Leadership Positions
Position Title
(or equivalent title)
Corporate Officer

Vice-President of Operations
(VPO)
Statewide Medical Director
(Clinician)
Statewide Director of Nursing
(DON) (Registered Nurse)
Statewide Dental Director
(Dentist)

Statewide Mental Health Director
(Psychologist)
Statewide Psychiatric Advisor
(Psychiatrist)
Statewide Mental Health Re-entry
Coordinator
Statewide Mental Health Training
Coordinator
Statewide Pharmacy Program
Director (Florida Consultant
Pharmacist License)

Statewide Medical Re-entry
Coordinator (located at RMC)

Purpose
Overall Contract
program management
liaison
Contract oversight
and management
Statewide
responsibility for
clinical oversight of
medical services
Statewide
responsibility for all
nursing services
Clinical oversight of all
dental care, both on
and off-site, dental
utilization
management, and the
supervision of all
dental staff members
Oversee mental
health services
statewide
Oversee all
psychiatric services
statewide
Discharge planning for
Inmates with serious
mental health issues
Training management
and coordination for
mental health topics
Direct overall
pharmacy service
including
management of all
pharmacy staff, all
pharmacy licenses,
coordinating
pharmacy services
with other health care
providers
Discharge planning for
Inmates with
Page 19 of 259

Department Liaison
• Health Services
Director

• Chief of Health
Services
Administration
• Contract Manager

# of
Positions
1

• Chief Clinical
Advisor
• Chief of Medical
Services
• Chief of Nursing
Services

• Chief of Dental
Services

• Chief of Mental
Health Services

• Central Office
Mental Health ReEntry Manager
• Assistant Chief of
Mental Health

• Chief of Pharmacy
Services

• Statewide Medical

Reentry Coordinator
(Office of Institutions)

FDC ITN-22-042

Position Title
(or equivalent title)
Statewide Female Health Services
Coordinator

Continuous Quality Improvement
(CQI) Coordinator

Statewide EMR Director

Statewide EMR Project Manager
Statewide Recruitment
Coordinator

Statewide Disabled/Impaired
Inmate Coordinator

Purpose
challenging health
issues
Oversee female
health services and
evolving medical
standards of care
addressing specific
needs for an
incarcerated
population.
Responsible for
quality assurance,
quality management,
utilization
management, and risk
management within
each discipline

To support ongoing
EMR improvements,
maintenance, and
training
Oversee EMR
helpdesk, training,
and education
Oversee statewide
recruiting efforts, and
plan for short-term
staffing solutions
during staff turnover,
transition, or extended
staff leave
Oversee
Disabled/Impaired
Inmate services

Department Liaison

• Female Services

Administrator,
Office of
Institutions

• Chief of Pharmacy
Services
• Chief of Dental
Services
• Chief of Mental
Health Services
• Chief of Medical
Services
• Chief of Nursing
Services
• Chief of Health
Services
Administration

• Chief of Health
Services
Administration
• Chief of Health
Services
Administration
• Contract Manager

• Impaired Inmate

Services Coordinator

(OHS)

Reception and Medical Center Hospital (RMCH) Leadership Positions
Position Title
Purpose
Department Liaison
(or equivalent title)
RMC Hospital Administrator
Manage all hospital • Chief of Health
operations (the
Services
RMCH Governing
Administration
Body must approve
this candidate
before employment)
RMC Hospital Chief Medical
Oversee clinical
• Chief Clinical Advisor
Officer (Florida-licensed Clinician
services at RMC
• Chief of Medical
with experience as a Hospitalist)
Hospital (RMCH)
Services
Page 20 of 259

# of
Positions

# of
Positions
1

FDC ITN-22-042

Position Title
(or equivalent title)
RMC Hospital Executive Nursing
Director (Registered Nurse)

RMC Hospital Director of Nursing
(Registered Nurse)
RMC Hospital Infection Control
Nurse (Registered Nurse)

RMC Hospital Pharmacy
Consultant (Florida Consultant
Pharmacist License)

RMCH Health Information
Specialists
RMCH Risk Manager (FloridaLicensed Risk Manager)

RMCH EMR Specialist

Regional Leadership Positions
Position Title
(or equivalent title)
Regional Directors of Operations

Purpose
Oversee nursing
services at RMCH
and RMC(this
position is in
addition to the DON
position at RMC as
an Institution)
Oversee nursing
services for RMCH
Oversee infection
control within RMC
Hospital (this
position is in
addition to the
Infection Control
Nurse position at
RMC as an
Institution)
Serve as the
Consultant
Pharmacist of
Record for the RMC
institutional
pharmacy permit(s),
and will provide
clinical oversight of
the institutional
pharmacy services
at RMC
Manage all medical
records and record
requests at RMC
Oversee the
comprehensive risk
management
program for RMC
Hospital health care
operations
Provide EMR
support training,
troubleshooting, and
acting as a liaison to
the EMR team

Department Liaison
• Assistant Chief of
Nursing Services

• Assistant Chief of
Nursing Services
• Statewide Infection
Control Coordinator

• Chief of Pharmacy
Services

• Chief of Health
Services
Administration
• Chief of Medical
Services

• Chief of Health
Services
Administration

Purpose
Responsible for the
health care operations
and administration in
each region
Page 21 of 259

# of
Positions
1

Department
Liaison
• Regional
Directors of
Institutions

# of
Positions
4

FDC ITN-22-042

Position Title
(or equivalent title)
Regional Medical Directors
(Clinicians)

Purpose
Responsible for the
clinical care in each
region

Regional Mental Health Directors
(Psychologists)

Responsible for all
mental health care in
each region

Regional Dental Directors
(Dentists)

Responsible for all
clinical dental care in
each region
(The Regional Dental
Director may provide
clinical services at an
Institution they manage
if needed.)
Responsible for all
nursing services in each
region
Oversee institutional
infection control in each
region
Responsible for the QM
program within each
region
Oversee and support
regional recruiting
efforts, and plan for
short-term staffing
solutions during staff
turnover, transition, or
extended staff leave
Responsible for
interpreting medical
evaluations and
treatment of Inmates
who are deaf, hard-ofhearing, or otherwise
non-verbal

Regional Directors of Nursing
(Registered Nurses)
Regional Infection Control Nurse
(Registered Nurses)
Regional QM Program
Coordinators
Regional Recruitment Coordinators

Region 2 American Sign Language
Staff Interpreter

Regional EMR Specialists

Provide EMR support
training,
troubleshooting, and
acting as a liaison to the
EMR team

Department
Liaison
• Chief of Medical
Services
• Regional
Directors of
Institutions
• Assistant Chief
of Mental Health
• Regional
Directors of
Institutions
• Assistant Chief
of Dental
Services

# of
Positions
4

• Chief of Nursing
Services

8 (two (2)
per
Region)
4

• Statewide
Infection Control
Coordinator
• QM Program
Manager

• Regional
Directors of
Institutions
• Institution
Wardens

• Impaired Inmate
Services
Coordinator
• Regional
Directors of
Institutions
• Institution
Wardens
• Chief of Health
Services
Administration

The Vendor shall add other regional positions as needed to ensure the appropriate oversight of
health care operations within each region.
Page 22 of 259

FDC ITN-22-042

Institutional Leadership Positions
Position Title
(or equivalent title)
Health Services Administrator
(HSA) (Administrator or Registered
Nurse)

Purpose
Responsible for the
program management
of health care
operations within their
Institution, including
issue resolution

Department
Liaison
• Warden

Chief Health Office (CHO)
(Clinician/Doctor)/Site Medical
Director (SMD)

Responsible for the
clinical care at each
Institution and their
associated satellite
sites

• Warden for
administrative
issues
• Chief of
Medical
Services for
clinical issues

Psychological Services Director
(Psychologist)

Serve as the single
point of accountability
for the delivery of
mental health
services

• Warden for
administrative
issues
• Chief of Mental
Health
Services for
clinical issues

Page 23 of 259

# of
Positions
1 per Major
Institution,
with a junior
HSA position
at annexes or
work camps.
RMC shall
have at least
one (1) HSA
and one (1)
junior HSA in
addition to the
Hospital
Administrator
to provide
administrative
oversight over
non-hospital
health care
operations at
RMC
1-2 per Major
Institution
depending
upon physical
layout (annex)
of the facility
and its
mission
1 per Major
Institution (to
include those
with 2 or more
psychologists)
with either an:
• inpatient
services
• Close
Management
unit
• reception
center
(excluding
Sumter CI)
• an S-3
population of
400+
• RCCU
FDC ITN-22-042

Position Title
(or equivalent title)
Director of Nursing (Registered
Nurse)

Purpose
Responsible for all
nursing services in
their assigned
Institution

Assistant Director of Nursing
(Registered Nurse)

Oversee institutional
inpatient mental
health nursing
services in their
assigned Institution

Nurse Manager (Registered Nurse)

Oversee institutional
inpatient mental
health nursing
services in their
assigned Institution
and Department
liaison
Oversee institutional
infection control in
each region

Infection Control Nurse (Floridalicensed Registered Nurse)

Dentist (Florida-licensed or Board
of Dentistry-approved)

Responsible for all
dental care and
related issues

Oral Surgeon

Responsible for all
dental care and
related surgical issues
Page 24 of 259

Department
Liaison
• Warden for
administrative
issues
• Chief of
Nursing
Services for
clinical issues
• Warden for
administrative
issues
• Chief of
Nursing
Services for
clinical issues
• Warden for
administrative
issues
• Chief of
Nursing
Services for
clinical issues
• Warden for
administrative
issues
• Chief of
Medical
Services for
clinical issues
• Warden for
administrative
issues
• Chief of Dental
Services for
clinical issues

• Warden for
administrative
issues

# of
Positions
1 per Major
Institution

1 per
Institution with
an inpatient
mental health
unit
1 per re-entry
center

1 per
Institution
(This is a role,
not a
dedicated
position)
Based on
population as
follows for
Institutions
<600=0.5 – 1
FTE
600 – 1,200 =
1 FTE
1200 – 1500 =
1.5 FTE
1,500+ = 2
FTE
NWFRC,
CFRC, SFRC
3 FTE per
location
FWRC = 2
FTE
1 per
Institution

FDC ITN-22-042

Position Title
(or equivalent title)

Purpose

Department
Liaison
• Chief of Dental
Services for
clinical issues

# of
Positions

All Vendor positions providing services under the Contract shall be included in the Vendor’s
Department-approved Staffing Plan.
Program Management staff must be available by phone on health care service delivery and
Contract management issues, Monday through Friday, during regular business hours. After regular
business hours, the Vendor must have on-call telephone coverage for emergent or urgent purposes
only.
Program Management Requirements (PGM)
No.
PGM-001

PGM-002
PGM-003
PGM-004

PGM-005

PGM-006

Requirement
The Vendor shall establish and maintain office space to house its leadership team
in Florida. The Vendor will be responsible for all costs associated with this facility,
including rent, utilities, equipment, supplies, computers, phone, and other
electronics and communication devices, services, or programs. The Vendor’s
statewide leadership team would preferably be in Tallahassee, FL unless
otherwise approved by the Department, regional leadership would be located
within the region(s), preferably near the Department’s regional offices.
The Vendor shall work with the Contract Manager to establish and maintain
communication protocols for the handling of routine, urgent, and emergent
Contract issues.
The Vendor shall establish an online collaboration site (ex. SharePoint) for sharing
documents and other program information between it and the Department.
The Vendor shall establish and maintain a system to ensure staff and
subcontractors working under the Contract are knowledgeable of and adhere to
all applicable statutes, rules, procedures, HSBs, manuals, and forms covering the
delivery of health care services, security operations, and the conduct of staff in the
institutional health services units. Staff and subcontractors shall be trained on,
and given routine access to, all policies and procedures that pertain to their job
responsibilities, including any specific training requirements related to litigation.
The Vendor shall develop and implement a Department-approved Staffing Plan
that identifies all positions at the State, regional, and institutional levels and
ensures compliance with the requirements outlined in this ITN, including timely
service delivery. The Vendor shall review its Staffing Plan at least once per quarter
and be flexible enough to respond to minor institutional mission changes over the
Contract term. If there are mission changes that impact health services functions
and responsibilities at service locations, the Department will advise the Vendor of
such modifications in writing. If these modifications require the Vendor to make
changes that substantively impact cost, the Department and Vendor will work
together on the changes and implement them through a formal Contract
amendment. The Department must approve any changes to the Staffing Plan prior
to change implementation.
At all times, the Vendor shall ensure appropriate staffing levels under the Contract
in accordance with its Department-approved Final Staffing Plan, which shall note
the reasonable number of hours required and positions necessary to fulfill the
Department’s health care requirements. The Vendor shall ensure that it maintains
fulfillment of its positions to cover the hours required in its Final Staffing Plan, even
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No.

PGM-007

PGM-008

PGM-009
PGM-010

PGM-011

Requirement
if coverage is secured by trained and qualified subcontracted providers. The
Vendor shall ensure that staff providing services have the requisite training,
licenses, certifications, and knowledge to provide services at the level of
professional competency required for each position.
The Vendor shall develop and implement a Department-approved written
comprehensive Health Care Work Plan Operations with clear objectives outlining
how the Vendor will:
1. develop and implement Department policies and procedures;
2. comply with all State licensure requirements and standards regarding the
delivery of comprehensive health care services;
3. ensure seamless EMR operations, including a HD and systems development
team;
4. maintain full reporting and accountability to the Department; and
5. keep an open, collaborative relationship with the Department’s Senior
Leadership, Office of Health Services, Department staff, Regional Directors,
Wardens, and institutional staff.
Recruitment and Retention
The Vendor shall develop and implement a Recruitment and Retention Plan that
identifies all recruitment and retention activities statewide, including plans for
short-term staffing solutions during staff turnover, or extended staff leave. The
initial Recruitment and Retention Plan will be submitted within 30 Days of Contract
execution and updated plans shall be provided at least once per quarter.
The Vendor shall establish Statewide and Regional Recruitment Coordinators.
The Statewide Recruitment Coordinator shall provide the Department a quarterly
report of all recruitment and retention activities it undertakes to ensure staffing of
the Contract. The Vendor shall provide this report in a manner approved by the
Department. The Regional Recruitment Coordinators shall provide real-time
updates to the Regional Directors and Warden of each Parent Institution when that
Service Location experiences vacancies less than 20% within a pay period, per
discipline. In addition, Regional Recruitment Coordinators shall provide monthly
Vacancy and Recruitment Action Reports to the Regional Director and leadership
at each Parent Institution in a manner and form approved by the Department.
The Vendor shall ensure institutional health services staff (including Vendor staff
and subcontractors) adhere to all requirements, including the schedule for running
reports necessary to meet requirements outlined in procedure, HSB and rule.
The Vendor shall ensure EMR training, OBIS or other FDC database training (if
necessary), technical assistance, and security access is handled in a tiered
approach. The Vendor shall set up an IT support desk and designate “super
users” to serve as the main points of contact to Department staff. The Department
will provide staff to coordinate security access requests. The Vendor shall provide
EMR training prior to the start date for new hires with recurring sessions available
for current staff. Train-the-trainer and super user sessions must establish
adequate on-site technical assistance coverage statewide. The Vendor’s super
users will be responsible for providing training and technical assistance to regional
and institutional health services staff. The Vendor will be responsible for ensuring
all Vendor staff who access the EMR are trained on data entry, scanning, and
reporting requirements.
The Vendor shall ensure all direct care staff document health care encounters
accurately and thoroughly in accordance with Department policy and professional
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PGM-012

Requirement
standards. All health care encounters with Inmate Patients shall be documented
in the EMR during or immediately following an encounter, before another Inmate
encounter occurs. If required by the FDC to be documented in paper, all
documentation shall be written in black ballpoint pen ink, except for noting orders
and allergies in red ballpoint pen ink. Approved, unaltered FDC Forms must be
completed in their entirety. If a field is not applicable, staff shall strikethrough the
response portion or write N/A. No fields should be left blank.
Nursing documentation shall include:
1. Date
2. Time
3. Problem-oriented charting format SOAPIE for each problem, if no form exists
for the issue:
• S=Subjective data
• O=Objective data
• A=Assessment data
• P=Plan
• I=Interventions
• E= Education and Evaluation
• Signature/e-sign, title, credentials, and printed name of the writer.
Late entries in the EMR shall be documented, and shall include:
1. Current date and time of the entry
2. Late entry for (date of incident/encounter)
3. Documentation information
4. Signature/e-sign of the writer with title, credentials, and printed name.
The Vendor shall ensure appropriate staff attends all required Department
meetings, including, but not limited to institutional leadership meetings scheduled
by the Wardens, regional meetings planned by the Regional Director(s) of
Institutions, statewide meetings planned by the Department, and:
Institutional Meetings
1. Disabled Inmate Committee: Institutional staff multidisciplinary team working
together for the development, implementation, and monitoring of an
Individualized Service Plan for each Disabled Inmate.
2. Institutional Health Services Leadership Meeting with Warden: Held
weekly, or as needed, to discuss issues related to health care services
delivery.
3. Institutional Quality Management (QM): Held monthly to evaluate and help
improve the quality of health care services provided to Inmates at each
Institution.
4. Nursing Staff Meeting: Conduct by the DON monthly with all nursing staff to
provide education on at least one (1) nursing protocol and all updated HSBs
and procedures.

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Requirement
Regional Meetings
The Department’s Regional Directors of Institutions and the Vendor’s regional
leaders will discuss issues that impact multiple Institutions within the region and
escalate any issues or concerns related to security.
Statewide Meetings
1. Semi-annual Reviews with the FDC Senior Management: The Vendor shall
lead a semi-annual review with the FDC Senior management on service
operations, including key statistics, challenges and successes, and policy
improvement recommendations. The Vendor shall develop and deliver the
agenda to the Contract Manager at least five (5) Business Days before the
meeting.
2. Weekly Contract Management: This weekly meeting is an opportunity for the
Vendor and the Contract Manager to review operational issues, discuss best
practices, and resolve problems.
3. Pharmacy and Therapeutics Committee: This committee comprises
representatives from the FDC and Vendor’s medical, mental health, and
dental disciplines. The Vendor shall have at least two (2) representatives on
the committee. The FDC Health Services Director appoints committee
members who must be prescribing Clinicians for their disciplines. This group
meets at least four (4) times per year. The group is responsible for, but not be
limited to, the following:
• Establishment and maintenance of a comprehensive drug formulary.
• Approval of policies and procedures relating to the selection, distribution,
handling, use, and administration of drugs.
• Evaluation of clinical data concerning new drugs or preparations requested
for addition to the formulary.
• Assistance and consultation on matters related to the oversight and
management of the Department’s pharmacy budget.
4. Statewide QM: Held at least twice yearly, the QM Program evaluates and
makes recommendations to improve the quality of health care services
provided to Department Inmates.
5. Statewide Operational: Held in conjunction with the Statewide QM meetings
and Pharmacy and Therapeutics Committee meetings, the Statewide
Operational Meeting is used to discuss and resolve issues related to the overall
operation of the Inmate health care system.

PGM-013

6. Statewide Recruitment and Retention: In response to significant concerns
raised by the FDC due to staffing shortages, the Vendor’s recruiters shall
provide updates to statewide leadership on recruiting and staff retention
progress and challenges.
Collaboration with Regional and Institutional Leadership
Regional Collaborations
The Department’s Regional Directors of Institutions are responsible for overseeing
every Institution within their assigned region. The Vendor’s regional leadership
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Requirement
team shall maintain regular and open communication with each Regional Director
and hold a minimum of one (1) in person meeting per quarter.
These communications will involve discussion on issues such as:
• interpretation of security policies and procedures;
• monitoring results, with an emphasis on Institutions that are not meeting
performance standards and trends involving findings at multiple Institutions
within the region;
• the Vendor’s proposed solutions to resolving problems involving health care
trends;
• plans for new or expanded programs (such as telehealth);
• best practices that could be replicated in other Institutions or other areas of the
State; and
• general problem-solving.
Institutional Collaborations
The Department will provide security for the Vendor’s staff while in Sate facilities.
The level of security provided will be in accordance with the same security
standards afforded to FDC personnel.
The Vendor shall be required to work collaboratively with Department staff in
delivering health care services at each Institution covered under the Contract. All
Vendor staff working under the Contract shall be required to follow all laws, rules,
and Department Procedures.
The Warden at each Institution has full responsibility for the Institution's operation
and all associated satellite facilities. The Vendor will obtain and review the security
requirements specific to that Institution and establish a schedule of regular
meetings with the Warden to include the designated institutional health services
leadership team. These meetings shall provide a forum for the Vendor to:
• provide status reports to the Warden;
• provide staffing schedules and address any vacancy concerns;
• discuss preparations for upcoming surveys and monitoring visits;
• track corrective action related to surveys; and
• engage in problem-solving.

PGM-014

The Vendor shall maintain an open and honest dialogue with the Warden and
advise them of any possible barriers to effective care delivery. The Vendor’s
dialogue should include a real-time communication of vacancies and recruitment
efforts, and a discussion of the Vendor’s plans to ensure service delivery. The
Vendor shall also be responsive to the Warden on any issues between the
regularly scheduled meetings.
The Vendor shall:
1. Possess and maintain documents material to the Contract such as current
copies of required State and federal licenses, permits, registrations, and the
insurance policy face-sheet showing sufficient coverage.
2. Ensure all required compliance inspections, environmental permitting designs,
and any experts required by the Department to review specialized medical
requirements are acquired or maintained throughout the Contract term.
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PGM-015

Requirement
3. Ensure all required operating licenses, permits, registrations, and insurance
are acquired and maintained at each Institution.
4. Post license and permits at each Institution, per statutory requirements and
FDC policy.
1. The Department will not provide any administrative functions or office support
for the Vendor (e.g., clerical or data entry assistance, office supplies, copiers,
fax machines, and preparation of documents).
2. Space and Fixtures: The Department will provide office space within each
health services unit of each Institution. The Institution shall provide and
maintain presently available and utilized health space, building fixtures, and
other items for the Vendor’s use to ensure the Contract's efficient operation.
The Institution shall also provide or arrange for non-hazardous waste disposal
services, not including medical waste disposal, which is the Vendor's
responsibility. The Department will maintain and repair the office space
assigned to the Vendor, if necessary, and provide building utilities necessary
for the Contract's performance as determined necessary by the Department.
The Vendor shall operate the space provided in an energy-efficient manner.
3. Furniture and Non-Health Care Equipment: The Department will allow the
Vendor to utilize the Department’s furniture and non-health care equipment
currently in place in each health services unit. The Vendor shall lease or
purchase of office equipment such as scanners, copiers, etc. The Vendor shall
be liable for their utilization of associated non-health care equipment, including
all telephone equipment, telephone lines, and service, including all longdistance service and dedicated lines for EKG’s or lab reports, copy machines,
or fax equipment, and is responsible for all costs, including the installation of
any phone, fax, or dedicated lines requested by the Vendor. The Vendor shall
maintain any furniture and non-health care equipment identified on the
provided inventory, including repair and replacement (including installation) of
Department-owned equipment. Any equipment damaged or otherwise found
to be beyond economical repair after the Contract start date will be repaired or
replaced by the Vendor and placed on the inventory list. All inventoried
furniture and non-health care equipment identified on the inventory sheet shall
remain the Department's property upon expiration or termination of the
Contract. All furniture and non-health care equipment purchased by the
Vendor in support of the Contract shall become the Department's property
upon Contract expiration or termination.
4. Health Care Equipment: The Vendor may utilize the Department’s existing
medical equipment, including all ancillary equipment in medical and dental
units. The Vendor shall maintain all equipment and replace any equipment
used by the Vendor that becomes non-functional during the Contract term. All
health care equipment, including Vendor replacements, shall remain the
Department's property upon Contract expiration or termination. Any health
care equipment damaged or otherwise found to be beyond economical repair
after the Contract’s effective date will be repaired or replaced by the Vendor
and added to the Department’s inventory list. Within 30 Days of Contract
execution, the Vendor shall advise the Department of any existing health care
equipment that it does not need.
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Requirement
5. Additional Equipment: If the Vendor identifies necessary health care
equipment not already in the Department’s inventory, the Vendor shall submit
a request for approval to the Contract Manager. If approved, the Vendor shall
purchase, install, and maintain such equipment per the Department’s
functionality, sanitation, and security requirements. Any additional equipment
purchased by the Vendor for the Contract that the Department does not
reimburse shall be maintained by the Vendor and shall remain its property
upon Contract expiration or termination. Such equipment shall become the
Department’s property upon Contract expiration or termination.
Additional equipment purchased by the FDC for use in the medical or dental
unit(s) shall be maintained by the Vendor and replaced should it become
nonfunctional.
6. IT Equipment: The Vendor shall have adequate computer hardware and
software for staff to perform care, enter information into the EMR system
timely, provide required reports, and perform essential functions required by
the Contract. The Vendor must maintain all computer equipment in compliance
with the Department’s information technology standards.
7. Health Care Supplies: The Vendor shall provide all health care supplies
required to render health care services. The Vendor shall have at least a 30
Day-supply of health care supplies upon its assumption of responsibility for
service implementation at the Institutions.
8. Within 14 Days of expiration or termination of the Contract, The Vendor shall
ensure a physical inventory be conducted of all equipment, pharmaceuticals,
and health care supplies. All equipment, pharmaceuticals, and supplies
reimbursed by the Department will become the Department’s property.
9. Forms: The Vendor shall utilize Department Forms (written and within the
EMR), as specified, to carry out the provisions of the Contract. The Department
will provide an electronic copy of each form in a format that the Vendor may
duplicate for use. The Vendor shall request prior approval from the Contract
Manager to modify or develop additional forms.

PGM-016

10. The Vendor shall not be responsible for housekeeping services, building
maintenance, bed linens, routine Inmate transportation, and security.
However, the Vendor shall be responsible for maintaining the health services
unit in compliance with Department policy, including sanitation, infection
control, and specialty garments required per Department policy. The Vendor
is responsible for health care specialty items used in the infirmary, including,
but not limited to, treated (flame-retardant) mattresses, medical/psychiatric
restraint materials and devices, suicide garments, and infirmary clothing.
The Vendor shall establish and maintain a provider network that provides costeffective quality health care and establishes a sufficient provider base to meet
industry standards in all Regions. The network should be robust to ensure
sufficient coverage for all necessary health care services and specialties. The
Vendor shall execute subcontracts with community health providers, including
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No.
PGM-017

PGM-018

PGM-019

PGM-020
PGM-021

Requirement
hospitals, clinics, Clinicians, agency and locum tenen staffing services specialty
care services, diagnostic testing, laboratory services and other ancillary services.
The Vendor shall develop and maintain a Biomedical and Pharmaceutical Waste
Plan, which addresses the definition, collection, storage, decontamination, and
disposal of regulated waste. The Vendor shall provide its BMWP to the Contract
Manager within 30 Days of Contract execution and shall submit any updates to the
Biomedical and Pharmaceutical Waste Plan to the Contract Manager within 30
Days of the proposed update. The Vendor shall provide biomedical waste handling
training to staff and Inmates as required.
To support this Biomedical and Pharmaceutical Waste Plan, the Vendor shall
execute subcontracts for the disposal of regulated waste and provide a list of any
new or updated biomedical/pharmaceutical waste subcontracts to the Contract
Manager within 30 Days of such changes.
The Vendor shall develop and maintain an Emergency Medical Services (EMS)
plan to ensure the provision of all medically necessary Inmate transportation by
ambulance or other life-support conveyance, either by ground or air, for all Service
Locations covered by the Contract. The Vendor shall submit any updates to the
existing plan to the Department within 30 Days of the proposed changes to the
Contract Manager.
Per Florida Statutes, county EMS are solely responsible for determining the need
for air transport (ie. Life Flight); however, the Vendor shall cover such services'
costs.
The Vendor’s Institutional CHO/SMD shall work closely with the Warden to support
the overall Institution emergency plan's health services components.
The Vendor shall develop and implement Medical Emergency Care Plans for each
Institution and satellite facility covered by the Contract, per the requirements
outlined in HSB 15.03.22, Medical Emergency Care Plan and Guidelines. The
Plans shall ensure the immediate response and care of Inmates who have health
care emergencies, and include 24-hour emergency coverage, per HSB 15.03.06,
Medical Emergency Plans. The Vendor shall provide training on HSBs 15.03.06
and 15.03.22 to all institutional staff. The Vendor shall develop and implement a
system for ensuring the Vendor’s institutional team carries out all required
emergency activities, including participation in institutional disaster drills and mock
codes, and shall participate in all the necessary emergency activities coordinated
by the Department’s Emergency Operations Center(s).
The Medical Emergency Plan shall include, at a minimum, the following items:
1. communications system;
2. recall of key staff;
3. assignment of health care staff;
4. safety and security of the patient and staff areas;
5. use of emergency equipment and supplies;
6. establishment of a triage area;
7. triage procedures;
8. medical records and EMR availability;
9. transfer of injured to local hospitals;
10. evacuation procedures (to be coordinated with security personnel);
11. practice disaster drills covering each shift at least once per year;
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Requirement
12. evaluation of medical emergency drills, including a written report of findings
and recommendations;
13. training and orientation of health services staff to the plan and respective
roles;
14. coordination with outside agencies; and
15. report of each actual medical emergency within 30 Days after the event,
including the major medical activities, staffing, casualties, overall evaluation,
and recommendations. The Vendor shall provide each report to the Warden,
the Department’s Regional Health Services Manager, the Department’s
Director of Health Services, the Department’s Chief Clinical Advisor, and the
Department’s Chief of Health Services Administration.
At each Institution, the Vendor’s HSA/DON/Hospital Administrator, working with
the Warden, will ensure that a written emergency services plan includes the
following:
1. on-site emergency first aid equipped with:
• Automatic External Defibrillator (AED)
• Suction
• One-way mask or Ambu-bag
• EKG
• IV supplies (solutions, tubing, and start kits)
• Oxygen, masks, and tubing
• Jump Bag (HSB 15.03.22, Attachment 1)
• Emergency Medication (DC4-681)
2. emergency evacuation of the Inmate(s) from the facility;
3. use of an emergency vehicle;
4. use of one or more designated hospital emergency rooms or other
appropriate health care facilities;
5. emergency on-call Clinicians, DON, pharmacist, and dental services;
6. Security procedures providing for the immediate transfer of Inmates, when
appropriate; and
7. control and access for keys to secure the Jump Bag, medications, and
emergency treatment area.
The Vendor shall provide and maintain first aid kits in all specified locations in
Institutions and satellite facilities, including dental clinics, per Procedure 403.005,
First Aid Kits.
Each first aid kit must include:
• an approved CPR barrier device;
• at least two (2) pairs of disposable latex gloves (large and medium);
• four (4) doses of Narcan (Note: This requirement does not apply to first aid kits
stored in areas where the ambient temperature exceeds the Narcan’s storage
limitations listed in Procedure 403.005)
• rolled gauze,
• 2" x 2" gauze pads,
• 4" x 4" gauze pads,
• 1" rolled tape
• band-aids of various sizes (to avoid opening first aid kits unnecessarily, an
assortment of band-aids may be kept separately in areas identified by the
Institution for daily Inmate use); and
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No.

PGM-023

PGM-024
PGM-025

PGM-026
PGM-027

PGM-028

PGM-029

Requirement
• disinfectant for cleaning wounds.
The Vendor shall purchase and restock first aid kits. The Vendor shall seal the
First Aid Box with a sealed numbered plastic security seal after refilling. The
Vendor shall list the contents and attach the list to the outside of each kit.
The Vendor shall provide and maintain the following in all institutional dental
clinics:
1. an Automatic External Defibrillators (AEDs), as required by Rule 64B5-17.015,
Florida Administrative Code (F.A.C.) (Office Safety Requirements) and
Chapter 466, F.S.;
2. a portable oxygen tank with tubing and mask(s);
3. an Emergency Kit, as outlined in HSB 15.04.13, Dental Services; Supplement
A, Dental Office Emergency Treatment Protocols; and
4. a sufficient supply of Personal Protective Equipment (PPE) for all dental staff
with Inmate contact.
The Vendor must ensure crash carts are in all nursing stations within the RCMH.
A list of contents must be displayed on the front of each drawer, and a list of
medical supplies must be attached to the top right front of each crash cart.
Emergencies
The Vendor shall ensure Licensed Nurses are available onsite at all Institutions to
respond to urgent and emergent outpatient needs, 24 hours a Day, seven (7) Days
a week.
The Vendor shall ensure a Clinician or Licensed Nurse respond to all medical
emergencies immediately and no longer than four (4) minutes after notification (a
First Responder may fulfill this requirement). If determined necessary, the Vendor
shall ensure the Patient’s transport via local ambulance services to the nearest
community hospital offering 24-hour emergency services.
The Vendor shall participate in the annual disaster drill and perform quarterly mock
codes.
The Vendor shall provide qualified health care staff to respond to Department staff,
vendors, volunteers, and visitors for emergencies at Institutions and provide Basic
First Aid and Basic Life Support to stabilize them while awaiting emergency
medical services and transportation to the nearest community hospital offering 24hour emergency services.
The Vendor shall ensure compliance with HIPAA administration, privacy and
security requirements and ensure compliance with all provisions outlined in the
Business Associate Agreement for HIPAA (Attachment XI), and shall:
1. Ensure all staff (including subcontractors) are trained on Procedures 102.006,
HIPAA Privacy Policy, and 206.010, Information Technology Security Relating
to HIPAA.
2. Ensure a release of information (Form DC4-711B, Consent and Authorization
for Use and Disclosure Inspection and Release of Confidential Information) is
obtained to release all Protected Health Information (PHI), except under the
conditions outlined in Procedure 102.006.
The Vendor shall develop, implement, and manage a system for tracking and
responding timely to all care inquiries or complaints made by Inmates and
requesters. When the Department requests copies of health care records, health
care summaries, or any other clinical information on Inmates, the Vendor shall
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Requirement
provide the documentation to the Department’s Health Services Director, per the
following schedule:
1. Urgent Care Issues (examples: cancer, cardiac, or neurological) – requires a
response within 24 hours; and
2. Routine Care Issues – requires a response within 72 hours.

PGM-030

Unless authorized by law in accordance with HIPAA and Section 945.10, F.S., the
Vendor shall ensure under HIPAA, a valid Release of Information (ROI) must be
verified, or the Inmate be asked to sign an ROI to allow the requestor access to
their PHI. If the Inmate refuses to sign an ROI, the information shall not be
provided to the requestor. Requests for information by authorized Department staff
do not require an ROI since the Department is the medical and mental health
records custodian. Additionally, requests for PHI authorized in Florida Statutes,
court-orders, or in response to a valid HIPAA-compliant subpoena do not require
an ROI.
The Vendor shall process all Inmate requests and informal and formal grievances
following Chapter 33-103, F.A.C., Form DC6-236, Inmate Request, Form DC1303, Request for Administrative Remedy or Appeal, HSB 15.02.01, Medical and
Mental Health Care Inquiries, Complaints, and Informal Grievances, and HSB
15.04.05, Dental Care Requests, Complaints, and Informal Grievance.
The Vendor’s leadership staff at each Institution shall:
1. serve as the liaison to the Warden, on all issues related to institutional health
care grievances;
2. process and respond to Inmate requests, informal grievances, and formal
grievances that involve health care services, per policy;
3. maintain copies of all Inmate requests, informal grievances, and formal
grievances in the health care unit;
4. ensure a completed Form DC6-236 or Form DC1-303 is in the Inmate’s health
care record and documented in the health record, per documentation
requirements outlined in HSB 15.02.01, Sections IV, Parts A and B.; and
5. maintain tracking logs for Inmate requests, informal grievances, and formal
grievances using Form DC4-797C, Grievance, Inmate Request or Inquiry Log.

PGM-031

PGM-032

The Vendor must obtain a completed ROI (Form DC4-711B, Consent and
Authorization for Use and Disclosure Inspection and Release of Confidential
Information) to release all PHI, except under the conditions outlined in Procedure
102.006.
The Vendor shall notify the Contract Manager via email of its receipt of any of the
following related to services provided under the Contract within 24 hours (or the
next Business Day, if the deadline falls on a weekend or holiday):
• Notice of any audit or investigation;
• Intent on imposing disciplinary action by any State or federal regulatory or
administrative body; and
• Any other legal actions or lawsuits filed against the Vendor.
The Vendor shall provide copies of the below reports or documents within seven
(7) Business Days of the Vendor’s receipt:
• Audit reports for any reportable condition, complaints, or files;
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Requirement
• Notices of investigation from any State or federal regulatory or administrative
body;
• Warning letters or inspection reports issued, including reports of “no findings,”
by any State or federal regulatory or administrative body;
• All disciplinary actions imposed by any State or federal regulatory or
Administrative body for the Vendor or any of the Vendor’s employees; and
• Notices of legal actions and copies of claims.
The Vendor shall cooperate with the Office of the Attorney General, State
Attorney, or any outside counsel designated by the Department on cases that
involve Inmates who are under the Vendor’s care through the Contract.
The Vendor shall process public records requests, following Chapter 119 and
Section 945.10, F.S., Confidential Information, Rule 33-102.101, F.A.C., Public
Information and Inspection of Records, Rule 33-401.701, F.A.C., Medical and
Substance Abuse Clinical Files, Rule 33-601.901, F.A.C., Confidential Records,
and Procedure 102.008, Public Records Requests.
Specifically, the Vendor shall:
1. allow the Department and the public access to any documents, papers, letters,
or other materials subject to the provisions of Florida Statutes, made or
received by the Vendor in conjunction with services provided under the
Contract, which are not otherwise exempt from disclosure;
2. train all Vendor employees and subcontractors on the provisions of Procedure
102.008;
3. provide specialized training to all Health Information Specialists on their role
as the record custodian for health services records of active Inmates at their
Institution or health services unit; and
4. develop and implement a tracking system for all public records requests
received and processed.

PGM-034

Note: Florida has a very broad public records law. No requirement in Florida Law
requires public records requests to be submitted in writing.
The Vendor shall provide health care services to Inmates with impairments, per
HSB 15.03.25, Services for Inmates with Auditory, Mobility, or Vision Impairments
and Disabilities, Procedure 403.013, Inmate Impairment and Disabilities Services,
HSB 15.03.25.01, Auditory Services, HSB 15.03.25.02, Mobility Services, HSB
15.03.25.03, Vision Services, and all appendices.
The Vendor shall:
1. Notify the Warden of each Institution of the identification of Inmates who
become disabled for the availability of an ISP and for required services of all
assigned Disabled Inmates;
2. Provide a medical or psychological evaluation, as appropriate, and document
service needs on Form DC4-691, Disabled Inmate Management and Service
Plan;
3. Ensure appropriate impairment grades outlined in HSB 15.03.13, Assignment
of Health Classification Grades to Inmates, are recorded correctly for all
Impaired Inmates on the Form DC4-706, Health Services Profile, ensure EMR
data transfer to the HS06 screen in OBIS, and confirm these records match;
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4. Participate in quarterly institutional Disabled Inmate Committee meetings in
January, April, July, and October of each year;
5. Complete Form DC4-691, Disabled Inmate Management and Service Plan, for
each Disabled Inmate at each quarterly committee meeting (Note: Inmates
must participate in this process unless they a documented refusal);
6. Process transfers of impaired or Disabled Inmates, per Procedure 401.016,
Medical Transfers; and
7. Prepare a prerelease plan for each impaired or Disabled Inmate, per HSB
15.03.29, Prerelease Planning for Continuity of Health Care, and all
appendices.
The Vendor shall handle all disabilities that qualify for consideration under the
Americans with Disabilities Act (ADA) per Rule 33-210.201, F.A.C., ADA
Provisions for Inmates, and Procedure 604.101, Americans with Disabilities Act
Provisions for Inmates.
The Vendor shall ensure a Clinician be responsible for the diagnosis of a medical
or physical condition, determination of the Inmate’s capabilities for work and
program participation, and determination of the need for services or special
accommodations, following Procedure 604.101, Americans with Disabilities Act
Provisions for Inmates. The Psychologist shall have these responsibilities, in
consultation with the Clinician and the use of an individualized psychological
assessment, for intellectually Disabled Inmates. The Psychologist shall also be a
member of the Disabled Inmate Committee for all Inmates with identified
disabilities.

PGM-035

PGM-036
PGM-037

The Vendor shall cooperate fully with all Department staff on issues related to the
planning and implementation of services for Inmates with impairments or ADA
accommodation needs.
The Vendor shall ensure the RMCH nursing services are appropriately organized,
staffed, and equipped to provide competent nursing care according to the level of
acuity of Patient care provided, and in accordance with Florida hospital licensure
requirements.
The Vendor shall ensure Certified Nursing Assistants (CNAs) are utilized within
the scope of their competency and license.
The Vendor shall determine the need for new Inmate Assistants. The Vendor shall
provide Inmate Assistants the required training, upon initial assignment and
annually, per Procedure 403.011, Inmate Assistants for Impaired Inmates.
Responsibilities include, but are not limited to:
1. Inmate Assistant training shall be provided by a health care professional
designated by the Vendor’s CHO/SMD, based on the training outlined in the
Nursing Manual.
2. Following the training session, each Inmate Assistant shall demonstrate the
skills taught during the training to the instructor. The instructor shall check
“passed” if the skills are demonstrated correctly and “needs training” if not
using the Nursing Manual Inmate Assistant Training Modules.
3. The Impaired Inmate Nurse, or designee, shall provide training as needed to
any Inmate Assistants who need remedial or additional training, and shall
document the training in Nursing Manual Inmate Assistant Training Modules.
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PGM-038

PGM-039
PGM-040

Requirement
4. Before the Inmate Assistant assumes their duties, the CHO or Institution’s
Medical Director shall confirm the Inmate is trained in all aspects of their
assignment’s responsibilities and that the Inmate has demonstrated
acceptable performance.
5. Training shall be documented using the Nursing Manual Inmate Assistant
Training Modules and entered in OBIS on the Inmate Program Achievements
screen.
6. For Inmates assigned as an Inmate Assistant, an entry shall be made in OBIS
on her/his “General Medical Contact” screen recording the Inmate Assistant’s
assigned duties and identify the Inmate Assistant.
7. Both original completed forms, the Nursing Manual Inmate Assistant Training
Modules, shall be filed in the Inmate’s medical record and a copy provided to
Classification.
8. The Vendor shall discuss the importance of confidentiality with the Inmate
Assistant, and the Inmate shall sign Form DC1-206, Inmate Acknowledgement
of Responsibility to Maintain Confidentiality of Health or Substance Abuse
Information, before assuming her/his responsibilities as an Inmate Assistant.
9. The Vendor’s staff will take reasonable measures to avoid disclosing the
Disabled Inmate’s PHI when the disclosure is not necessary to perform an
Inmate Assistant’s duties.
The Vendor shall follow and enforce the Department’s Prison Rape Elimination
Act (PREA) policies which mandate reporting and treatment for abuse or neglect
of all Inmates in secure Institutions. PREA is federal law, Public law 108-79, and
is designated as 34 U.S.C. 30301-30309. Following PREA, the Department has a
zero-tolerance standard against sexual assaults and rapes of incarcerated
persons of any age.
The Vendor shall:
1. ensure compliance with Procedure 602.053, Prison Rape: Prevention,
Detection, and Response, and HSB 15.03.36, Post Sexual Battery Medical
Action;
2. complete all documentation, reporting, and referral requirements outlined in
HSB 15.03.36, Section III;
3. train all health care staff on PREA requirements outlined in HSB 15.03.36,
Section IV, Specialized Training; and
4. ensure compliance with the applicable PREA standards as required by 28
C.F.R. Part 115.
The Vendor shall implement and oversee a health care Quality Management
program per HSB 15.09.01, Quality Management Program.
The Vendor shall ensure all newly employed Licensed Nurses and CNAs receive
an orientation that includes, but is not limited to:
1. a review of HSB 15.11.01, Health Services Personnel Orientation and
associated Appendices A, B, and C, completing Form DC4-654C, Nursing
Personnel Orientation Process Checklist;
2. completion of skills assessment, DC4-678, Emergency Procedures Skills
Checklist;
3. information on where to access and review Chapter 33, F.A.C., the
Department’s procedures, HSBs, manuals, and associated forms;
4. OBIS training, as applicable;
5. EMR training; and
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PGM-041

PGM-042
PGM-043
PGM-044
PGM-045
PGM-046
PGM-047
PGM-048

PGM-049

Requirement
6. Job-specific information and expectations.
New staff must also complete the FDC New Employee Orientation, and the training
required in the FDC Master Training Plan, totaling 40 training credits annually.
The Vendor’s nursing staff must demonstrate ongoing professional competency,
including records and documentation requirements, through competency
assessments annually, quarterly, and as needed.
The Vendor’s Licensed Nurses shall complete a quarterly mock code response
that includes:
1. A man-down drill simulating an emergency affecting one (1) individual who
needs immediate medical intervention in a life-threatening situation commonly
experienced in a correctional setting. Use Forms DC4-679, Med Code 99
Emergency Resuscitation Flowsheet and DC4-677, Med Code 99 Critique to
document the team’s performance;
2. Completing Form DC4-678, Emergency Procedures Skills Checklist; and
3. Training on inventory and use of the Jump Bag, emergency equipment, and
emergency medications
The Vendor must maintain nursing orientation, competency assessments, and
emergency training documentation on-site in the HSA or DON’s office.
The Vendor must provide their staff with unimpeded access to all current
Department Procedures, HSBs, manuals (e.g., Nursing Manual, Infection Control
Manual, and Blood Borne Pathogen Manual), and forms.
The Vendor shall maintain an acknowledgment sheet with employee signatures to
affirm that they have read and understand the policies and procedures noted in
PGM-044.
The Vendor’s Statewide Medical Director and the Statewide DON shall sign the
acknowledgment receipt in the FDC Nursing Manual and the Statewide DON shall
maintain the receipt.
The Vendor’s Statewide DON must review updates to laws, rules, Department
Procedures, HSBs, Health Care Manuals, and forms within one (1) week of being
published.
The Vendor shall ensure that all its nursing staff review all associated updates of
laws, rules, procedures, bulletins, and forms related to their work assignments.
The Vendor shall ensure that its nursing staff attend education programs to
increase their knowledge of infection control practices, including care of
tuberculosis (TB) patients, hepatitis, outbreaks, wound care, mental disorders,
and mental health nursing interventions.
The Vendor shall protect Inmate Patient rights by:
• ensuring Inmate PHI is maintained confidential, as required in the Contract;
• providing access to care by posting sick call sign up times and sick call hours
in medical areas and Inmate dormitories, per Procedure 403.006, Sick-Call
Process and Emergencies;
• honoring an Inmate’s expressed wishes to refuse medical care, per Rule 33401.105, F.A.C, Refusal of Health Care Services. Document all refusals on
Form DC4-711A, Refusal of Health Care Service, and document the refusal in
the Patient’s medical record, per Rule 33-401.105(3), F.A.C.;
• honoring an Inmate’s right to refuse medications, per Procedure 403.007,
Medication Administration and Refusals, and document medication refusals,
per Procedure 403.007(4);
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PGM-050

PGM-051

PGM-052

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• ensuring Inmates can, and encouraging Inmates to, exercise their selfdetermination rights to establish written instructions regarding incapacity
planning, per HSB 15.02.15, Health Care Advance Directives; and
• ensuring all Inmates are educated on these rights.
The administration of psychotropic medications by a Clinician without an Inmate’s
informed consent is restricted to emergencies in accordance with HSB 15.05.19,
Psychotropic Medication Use Standards and Informed Consent, and Florida law.
Upon request an approval from the Department’s Chief of Mental Health Services,
the Vendor shall develop and provide mental health-related training to FDC staff
to improve clinical and operational efficacy. Training may cover any mental healthrelated topic required in policies, procedures, HSBs, and the Department’s Staff
Development curriculum.
The Vendor shall ensure as part of primary health care, health education services
are essential and required component of the total health care delivery system. As
requested by the Department’s Regional Directors, Wardens, or the Contract
Manager, the Vendor shall provide specialized training to security staff,
institutional staff, and Inmates on health care-related topics, such as:
• First aid training
• Cardiopulmonary resuscitation (CPR) certification training
• AED Training for selected staff
• Sprains
• Casts
• Seizures
• Minor burns
• Dependency on drugs
• Health seminar
• Lifts and carries
• Suicide Prevention and Emergency Response Training; and
• Universal Precautions
This training does not replace any health care services offered by the Vendor but
augments the Vendor's services. Inmates are not permitted to provide health
services to other Inmates.
The Vendor’s nursing staff shall:
1. orient Inmates on access to care procedures immediately upon arrival at
reception and at new facilities, per Procedure 403.008, Inmate Health Services
Orientation and Education;
2. document the Inmate orientation on the DC4-773, Inmate Health Education;
and
3. ensure each Inmate receives a copy of NI1-010, Health Services Inmate
Orientation Handbook, in English, Spanish, or another appropriate format.
The Vendor shall provide all Inmates communicable disease and health education:
1. within seven (7) Days of arrival at a Reception and Medical Center;
2. within seven (7) Days of arrival at a permanent Institution;
3. during periodic screenings; and
4. no less than 30 Days before their End-of Sentence (EOS).
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PGM-054

Requirement
Inmate health care education should cover:
1. Access to health care, including mental health and psychiatric emergencies;
2. Communicable diseases (HIV; Hepatitis A, B, and C; Gastroenteritis; Syphilis;
Chlamydia; Gonorrhea; Human Papilloma Virus; Herpes; Methicillin-Resistant
Staphylococcus Aureus; and Tuberculosis)
3. Care of minor skin wounds
4. Diabetes
5. Personal/oral hygiene
6. Exercise
7. Heart disease
8. Hypertension
9. Infection control for kitchen workers
10. Smoking and smoking cessation
11. Stress management
12. Universal Precautions
13. Co-payment for Inmate health services
14. How to obtain over the counter and prescribed medications
15. Right to refuse medication and treatment
16. Advance directives
17. Antibiotic-resistant microorganisms;
18. Hand hygiene;
19. Healthy weight management;
20. Medication education; and
21. Self-examinations for men or women, as appropriate.
The Vendor shall ensure that all health services information and care (written and
oral) is provided in a language understood by the Inmate, including American Sign
Language or Signed English. American Sign Language or Signed English
interpreters shall be provided when needed. When selecting an interpreter, every
reasonable effort should be made to use American Sign Language interpreters
who hold a certification from the National Registry of Interpreters for the Deaf or
the National Association of the Deaf.
When a literacy problem exists, a staff member with the necessary literacy skills
shall assist the Inmate in understanding the training. Physically or mentally
challenged Inmates will receive health education and health-related
communication based on their individual needs. Inmates may not provide
interpretation services for fellow Inmates.
The Vendor shall actively participate in Department Contract and QM monitoring
reviews, Correctional Medical Authority (CMA) surveys, and American
Correctional Association (ACA) accreditations reviews.
The Vendor shall:
1. Maintain the health services area of each Institution in a state of readiness at
all times;
2. Cooperate with monitors/surveyors on requests for information that are made
before, during, and after visits;
3. Develop Corrective Action Plans (CAP) to address all findings and
recommendations, following Department policy and Contract monitoring
requirements, CMA policy, and ACA policy, as applicable;

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PGM-055

PGM-056

Requirement
4. Develop and manage a Microsoft SharePoint site (or similar) that the
Department and the CMA can access to upload corrective action
documentation; and
5. Manage and track their progress on all CAPS to ensure actions are fully
completed within the CAP's timelines.
Following its initial surveys, CMA conducts CAP assessments to determine if
corrective action is being taken per the approved CAP. CMA findings shall be
closed no later than the second on-site CAP assessment visit.
The Vendor shall collaborate with the Federal Bureau of Prisons, county jails,
private correctional facilities, and other correctional jurisdictions on intakes,
transfers, and discharges. The Vendor shall provide health care services for
Inmate Patients referred from the following programs to Institutions covered by the
Contract:
1. Interstate Compact Inmates - Assume all responsibility for the coordination,
provision of care, and reimbursement processing for Interstate Compact
Inmates, under established Interstate Compact Agreements. The Vendor shall
coordinate all interstate compact medical requests through the Department’s
designee to ensure they are appropriately processed.
2. County Jail Work Programs - The Department sometimes houses Inmates
in certain county jails where they participate in work programs. Inmates in
these programs receive health care at the closest Institution. The Vendor is
responsible for coordinating the transfer and medical care of these Inmates.
3. Federal Inmates – The Vendor shall coordinate medically-related transfers to
and from federal prisons. The Department has a small number of federal
Inmates in our custody, and there is no cost exchanged with the Federal
Bureau of Prisons.
4. Private Correctional Facilities – The Vendor shall provide and coordinate
health care services for all Inmates transferred from private facilities to the
Department-operated Institutions. The private correctional facilities are
allowed to use RMCH when available. The Vendor will work with the private
prison operators to coordinate reimbursement based on the established rate
schedule. The Vendor shall work cooperatively with private facility staff on
transfers to and from these facilities.
There are currently approximately 10,000 Inmates housed in seven (7) private
correctional facilities. The Department retains final decision-making authority
regarding the transfer of Inmates between the Department-operated Institutions
and private correctional facilities.
When an Inmate with a serious medical issue is released from an Institution, the
Vendor must identify their health care conditions during the pre-release stage and
then identify community resources to meet the Inmate’s individualized needs.
Planning should include, at a minimum, continuing medication with a 14-Day
supply (except for HIV medications, which shall be a 30-Day supply), provided
upon release, unless clinically contraindicated or earlier appointments with outside
providers have been scheduled for follow-up care.
The Vendor shall:
1. Provide adequate staffing to coordinate discharge planning at each Institution.
Discharge planning includes making referrals to appropriate community health
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PGM-057
PGM-058

PGM-059

Requirement
care providers and organizations and participating in the institutional discharge
planning process to promote continuity of care. As part of discharge planning,
the Vendor is responsible for referring releasing Inmates meeting the criteria
in Section 945.46, F.S., for commitment under Chapter 394, F.S.
2. Develop, implement, and coordinate a comprehensive discharge plan for
Inmates with acute or chronic illness who are difficult to place due to their
offense and are within six (6) months of EOS.
3. Coordinate Inmate release issues with the Department’s Office of Health
Services, Division of Development: Improvement and Readiness, and Bureau
of Admission and Release to help assist Inmates as they prepare to transition
back into the community.
4. Coordinate the health care portion of the Department’s re-entry initiative.
The Vendor shall provide sufficient staff and a system for timely review,
verification, processing, and payment of all claims and invoices for services
provided under the Contract.
The Vendor may use telehealth services to augment direct health care services,
with approval by the Department. Any use of telehealth services must follow
Section 456.47, F.S., and the Department’s Information Technology and Security
requirements for telehealth.
Telehealth services (including medical, psychological, and psychiatric care) may
be offered under the following conditions:
1. The Vendor must submit a plan to be approved by the Department’s Health
Services Director.
2. The plan must address programmatic, security, and information technology
issues and meet statutory requirements.
3. The Clinician must provide services from a location compliant with Florida
Statutes, prevailing professional guidelines, and community standards.
4. Telehealth may only augment primary medical care services or provide
psychological or psychiatric outpatient services (telehealth services may not
be provided to Inmates in Close Management, mental health inpatient units,
Protective Management, and Death Row).
5. All sessions must include a nurse/mental health staff in the room with the
Inmate during the telehealth evaluation, as required by the Department.
The Department has interagency agreements with the Florida Department of
Health (DOH) and five (5) county health departments (CHDs) to treat Inmates with
HIV/AIDS and other Sexually Transmitted Diseases. Under these agreements,
approved by the Federal Centers for Disease Control and Health Resources
Services Administration, the Department pays the CHDs to provide medical
services at designated Institutions. The CHD Clinicians prescribe the drugs, which
the DOH State Pharmacy fills. This model allows the Department to be eligible for
Federal 340B drug pricing. The CHD services cover the Department’s routine
Immunity Clinic visits (see HSB 15.03.05, Chronic Illness Monitoring and Clinic
Establishment Guidelines and Attachment 6, Immunity Clinic).
The Department will provide the following support for the program:
1. The Department will pay for the CHD clinical team services and
pharmaceuticals associated with the 340B Program.
2. The Department will provide a computer, printer, and associated supplies for
use by the CHD staff.
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3. The Department will provide technical assistance on administrative and clinical
functions requirements of the Program.
4. The Department will serve as the liaison between the Vendor and the DOH
and CHDs on issues requiring problem resolution.
The Vendor shall provide the following support for this program:
1. Advise the Department of HIV positive Inmates housed at a non-participating
Institutions, so that they can be considered for transfer to a 340B site.
2. Enroll all eligible Inmates in the 340B Program at each participating site.
3. Advise the CHD staff of the expected number of Inmates at the next scheduled
time block for appointments.
4. Provide dedicated examination room space for the CHD.
5. Escort CHD Inmates from the waiting area to the CHD clinic room(s) without
revealing any Protected Health Information or announcing that the Inmates
being seen by the CHD Clinician (to ensure compliance with State and federal
confidentiality laws).
6. Perform any required labs timely to ensure the lab results are available for
each scheduled Inmate before the next CHD visit.
7. Maintain a record for CHD Patients, per HSB 15.12.03, Health Records,
Section VI. Provide the Inmate copy of the documentation outlined in this
portion of the health record to the Inmate upon EOS/release from the
Department’s custody, so they can take it to the nearest CHD to receive
treatment post-release.
8. Ensure continuity of care by coordinating other clinical issues regarding the
treatment of participating Inmates with the CHD clinical team. The Site
Medical Director shall serve as the clinical liaison to the CHD Clinician.
9. Fax (or electronically submit if appropriate) DOH prescriptions to the
Department’s pharmacies (for profiling purposes).
10. Review and verify 340B service and pharmaceutical invoices from the CHDs
on the Department’s behalf. The Department will pay the invoices once the
Vendor has verified that services were provided and advised the Department
of any discrepancies.
Under Section 945.355, F.S., the Department is responsible for providing various
transitional services to HIV positive Inmates who are reaching EOS, including
educational assistance, an Individualized Service Plan, HIV testing, and a 30-Day
supply of HIV medications at release unless clinically contraindicated. As
continuity of medications is critical to the care of HIV Patients, the medications
should be ordered far enough in advance, so they can be hand-delivered to the
Inmate before they release from the Institution.
The pre-release planning services required under Florida Statutes are funded
through a Pre-Release Planning grant from the Department of Health (DOH). This
program has been in effect since 1999 and is 100% funded through federal Ryan
White Title B funds. HIV Pre-Release Planners, who are Department employees,
work with Inmates and corrections staff in other Institutions to coordinate referrals
and linkages to medical care, case management, medication assistance, and
other supportive services. They coordinate with local Ryan White providers to
ease the transition post-release back into the community and ensure clients
continue to seek necessary care and treatment. Also, the Department has a
separate Peer Educator grant from DOH. Under this program, a Department
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PGM-061

Requirement
employee trains Inmates to provide other Inmates with education on preventing
the transmission of HIV and HCV to others and on the importance of receiving
follow-up care and treatment. This program is currently serving Inmates at Central
Florida Reception Center and Florida Women’s Reception Center.
The Department will provide the following support for the program:
1. Pre-release planners in each region to plan and coordinate resources and
activities with each Inmate before release.
2. A linkage coordinator in South Florida and Central Florida to follow up with
Inmates post-release.
3. A Peer Educator at Central Florida Reception Center and Florida Women’s
Reception Center (which also provides services to Inmates at Lowell CI) to
train Inmates to become HIV/HCV Educators to their Inmate peers.
The Vendor shall provide the following support for the program:
1. Ensure there is documentation of HIV positivity in each HIV positive (HIV+)
Inmate’s record, either through a Western Blot or Multi-Spot.
2. Work with the Pre-release Planners to coordinate the scheduling of
appointments with Inmates.
3. Provide private, secure office space for Pre-release Planners to meet with
Inmates to discuss release plans.
4. Provide EOS testing, per the terms and conditions outlined in Section 945.355
(2), F.S. The Inmate has the right to refuse testing under the provisions of
Rule 33-401.105, F.A.C., Refusal of Health Care Services. The Vendor shall
document refusals using Form DC4-711A, Refusal of Health Care Services.
The Department has a Doctoral Psychology Internship program accredited by the
American Psychological Association (APA), which is a member of the Association
of Psychology Postdoctoral and Internship Centers (APPIC). The internship
mission is to provide training that will produce postdoctoral, entry-level
Psychologists who have the requisite knowledge and skills for successful entry
into the practice of professional psychology in general clinical or correctional
settings and eventually become licensed Psychologists. The internship uses a
Practitioner-Scholar Model where scientific training is integrated into the practice
training component. The internship consists of 2,000 hours over one year,
beginning July 1st and ending June 30th.
The Department also has a Psychology Post-Doctoral Residency program that is
a member of the Association of Psychology Postdoctoral and Internship Centers
(APPIC) and has obtained accreditation by the American Psychological
Association. The Residency program’s mission is to prepare the Psychology
Residents for the advanced practice of professional psychology, emphasizing
correctional psychology.
The Vendor shall incorporate the FDC Program Director of Internship and
Residency Training, the FDC Assistant Director of Internship and Residency
Training, four (4) Interns, four (4) Residents and a staff assistant into the mental
health service delivery system to satisfy the internship and residency requirements
as determined by the Program Director. The Program Director will assign the
interns’ and residents’ workload and duties to meet program requirements. The
interns and residents’ complete rotations at different facilities during the year. The
Vendor will ensure that at least three (3) different Florida-licensed Psychologists
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PGM-062

PGM-063

PGM-064

PGM-065

PGM-066

PGM-067

PGM-068

Requirement
are consistently available to provide supervision to the interns and residents, as
determined by the Program Director. This Program is currently administered from
Zephyrhills CI.
The Department currently has working relationships with Nova Southeastern
University and the University of Florida to provide interns, residents, and students
at FDC facilities. The Vendor is encouraged to continue the relationships with
these universities or propose other partnerships that encourage Florida students
to consider careers in correctional health care. The Vendor will ensure the interns'
and residents' supervisory and educational requirements are consistent with the
accrediting organization requirements.
The Vendor shall assist the Department in processing transfers for Inmates with
complex medical needs. The Department must approve all Inmate transfers to the
Department’s specialty care Institutions that serve Inmates with complex medical
needs such as step-down care, long-term care, and palliative care. Currently, the
Department has specialty dorms at Zephyrhills CI (A-Dorm and J-Dorm), Central
Florida Reception Center (South Unit Infirmary); South Florida Reception Center
(F-Dorm), and Lowell CI (Main unit, I-Dorm). Transfers to these facilities shall be
made following HSB 15.09.04, Utilization Management Procedures, Section VII.
The Department must approve all non-emergent transfers to RMCH.
The Vendor shall provide health care services to Inmates at satellite facilities, per
HSB 15.07.02, Health Services for Inmates in Community Facilities. The Vendor
must provide basic health care services at each satellite facility, with more
complex care provided at the nearby Parent Institution. Health records for Inmates
at satellite facilities shall be maintained per HSB 15.12.03 and HSB 15.07.02. The
Vendor shall track utilization costs for Inmates at satellite facilities separately from
their Parent Institution.
The Warden has full operational control of the Institution and designated satellite
facilities. The Vendor shall ensure its staff, including subcontractors, are required
to follow all security directives, including but not limited to requirements for
entering and exiting Institutions, counts, lockdowns, use of restraints, and incident
reporting.
The Vendor shall coordinate outside referrals with the Department for security and
transportation arrangements. The Vendor’s staff shall not provide personal
transportation services to Inmates. Off-site services (including specialty consults
and hospital care) should occur close to the Institution, to the extent possible.
When Department staff become aware of an Inmate experiencing an emergent or
urgent health problem, the Vendor’s health care personnel must immediately
address the issue by permitting the Inmate to be escorted to medical or the
Infirmary for an evaluation or sending Vendor staff to the Patient’s location. The
Vendor must plan, in advance, for the management of emergency services and
must maintain an “open” system capable of responding to emergency
circumstances as they occur.
The Vendor shall certify Isolation Management Rooms (IMR) and Observation
Cells (OCs) per Procedure 404.002, Isolation Management Room and
Observation Cells. The Vendor will ensure that each IMR and OC is certified by a
Regional Mental Health Director following all standards and guidelines in
Procedure 404.002 and documented on Form DC4-527, Checklist for Review of
Isolation Management Room/Observation Cell. These completed checklists
should be readily available at the Institution for review at any time. Each IMR and
OC will be inspected and certified at least annually, and any time damage or a
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Requirement
structural change occurs that affects one (1) or more of the criteria listed in
Procedure 404.002.
The Vendor will purchase and ensure that approved suicide mattresses, blankets,
and garments are available, as specified in Procedure 404.002, for all certified
IMRs and OCs located in inpatient units and infirmary settings:
• one (1) mattress, two (2) blankets, and garments per each IMR located in an
inpatient unit; and
• one (1) mattress, three (3) blankets, and garments per each IMR located in an
Infirmary setting and each OC.
The Vendor shall ensure its staff are required to report various incidents per
Procedure 602.008, Incident Reports-Institutions:
1. When an event occurs that is not fully documented in another form or
information is received, requiring written notification or documentation, an
employee involved in the event, who witnessed the event, or received the
information must complete Form DC6-210, Incident Report.
2. An Incident Report (Form DC6-210) must always be completed:
• by staff who participate in or witness a use-of-force;
• by medical staff when restraints are applied without use-of-force per Rule
33-602.210, F.A.C.;
• by an employee who witnesses an incident as outlined in Procedure
602.010, Drug Testing of Inmates, that results in a reasonable suspicion
drug test; and
• by an employee who knows about any incident, or allegation of an incident,
involving sexual battery or sexual harassment of an Inmate outlined in
Procedure 602.053, Prison Rape: Prevention, Detection, and Response.
3. Each incident should be considered regarding its possible impact on public
safety, the operation of the Institution, or the Department's liability.

PGM-070

4. Incident Reporting: A statement of the circumstances and details of the
incident will be completed by each Vendor employee who has witnessed or
received information pertaining to an unusual or suspicious event involving
an Inmate, employee, or member of the general public. This will be completed
as soon as possible, but no later than the end of the shift. The employee will
legibly sign the incident report (Form DC6-210) using her/his full name. An
employee who is unsure whether the incident warrants an incident report
should notify her/his immediate supervisor. The Shift Supervisor should be
notified of the incident before the incident report(s) (Form DC6-210[s]) is
written. The Shift Supervisor will determine which employees will prepare
incident reports (Form DC6-210s) if numerous employees witness the same
incident. Staff who see abuse of an Inmate should file Form DC6-210A as
established in Rule 33-602.210, F.A.C., without prior notification to the Shift
Supervisor.
The Vendor shall ensure its staff are familiar and comply with their responsibilities
noted in the procedures below:
1. 607.001 Security Threat Management Program (STG) *Restricted*
2. 602.009 Emergency Preparedness *Restricted*
Page 47 of 259

FDC ITN-22-042

Program Management Requirements (PGM)
No.

PGM-071

PGM-072

Requirement
3. 602.010 Drug Testing of Inmates*Restricted*
4. 602.011 Escape/Recapture*Restricted*
5. 602.016 Entering/Exiting FDC Institutions *Restricted*
6. 602.018 Contraband and Searches of Inmates *Restricted*
7. 602.023 Personal Body Alarms*Restricted*
8. 602.024 External Inmate Transportation and Security *Restricted*
9. 602.028 Special Management Spit Shield *Restricted*
10. 602.037 Tools and Sensitive Items Control *Restricted*
11. 602.039 Key Control and Locking Systems*Restricted*
12. 602.049 Forced Hygiene Compliance *Restricted*
13. 602.053 Prison Rape: Prevention, Detection, and Response *Restricted*
14. 602.054 Escort Chair *Restricted*
15. 602.056 Identification Cards *Restricted*
16. Rule 33-602, F.A.C., Security Operations *Restricted*
17. DC1-211, Non-Security Staff Instructions for Reporting Inappropriate Inmate
Behavior *Restricted*
The Vendor shall comply with Procedure 602.037, Tool & Sensitive Item Control
for items including, but not limited to, hypodermic needles, syringes, and medical
tools. The Vendor shall store reserve stocks of hypodermic needles, scalpels, and
syringes in a secure area located behind a locked door with a restricted key. The
Vendor shall only make available for use the minimum number of syringes,
needles, scalpels, and blades needed for daily operations with the remaining
inventory stored in the secure area until removed for use on a specific Patient.
The Vendor shall maintain a perpetual inventory of needles and syringes and
scalpels/blades on Form DC4-765S, Syringes and Other Sharps Control Log. The
inventory shall be updated as items are removed from the storage area for use.
Inventories of the “working stocks” shall be conducted each shift and recorded on
Form DC6-284. The Vendor shall report lost sharps, medical and dental tool to the
Institution’s Chief of Security immediately upon discovery. Form DC4-765R will be
updated as items are removed from bulk stock storage areas to replenish daily
working stocks.
The Institution’s Chief of Security and Vendor’s HSA will coordinate guidelines for
the safe handling of dangerous drugs, hypodermic apparatus, and medical/dental
tools. They will restrict key access to those health care and administrative staff
approved for access to these items.
The Vendor shall ensure its medical staff assuming duties at posts are authorized
to use 24-hour checkout keys will inventory/count the keys received and will notify
the control room of her/his findings.
Keys shall not be:
1. left hanging in locks;
2. kept in office desk drawers;
3. left lying on a desk;
4. unattended in any manner;
5. thrown from one (1) person to another;
6. skidded or intentionally dropped on the floor; or
7. carried attached to the belt where they are visible.
Page 48 of 259

FDC ITN-22-042

Program Management Requirements (PGM)
No.

PGM-073

Requirement
If the Vendor loses, misplaces, or damages a key, Vendor staff shall immediately
report the incident to the Institution’s Chief of Security or Shift Supervisor so that
adequate safeguards may be placed. The Vendor shall complete Form DC6-210,
Incident Report, detailing the circumstances of the incident of the lost, misplaced,
or damaged keys.
Under no circumstances shall an Inmate be permitted to handle security
keys and locks or be allowed to work on or make repairs to any locking
device.
Mental Health Clinical Review, Supervision, and Training
The Vendor shall ensure that all non-psychiatric mental health services provided
are supervised by the Vendor’s Psychologist who assumes clinical responsibility
and professional accountability for the services provided. In doing so, the
Psychologist reviews and approves reports, intervention plans, and strategies.
The review is documented by co-signing Bio-Psycho-Social Assessments
(BPSAs), Individualized Service Plans (ISPs), treatment summaries, and referrals
for psychiatric services and clinical consultations. Regardless of an Inmate’s
mental health grade, only a Psychologist can approve testing protocols or conduct
a psychological evaluation.
The Vendor shall ensure if a Behavioral Health Specialist (Mental Health
Counselor) is a Registered Mental Health Intern, supervision will be provided and
documented per the requirements of the Chapter 491, F.S. Supervision for
provisional licensed Psychologists will be provided and documented per the
requirements of the Chapter 490, F.S.

PGM-074

PGM-075

One (1) hour of relevant in-service training shall be provided monthly by a
Psychologist to institutional clinical staff.
The Vendor shall provide staff support for the RMCH Governing Body and ensure
compliance with all requirements outlined in the Governing Body By-Laws. The
Department will coordinate appointments to the Governing Body and provide
orientation for new members.
Conduct and Safety Requirements
The Vendor shall ensure all staff adhere to the standards of conduct prescribed in
Chapter 33-208, F.A.C, and as prescribed in the Department’s personnel policy
and procedure guidelines, particularly rules of conduct, employee uniform,
employee grooming, and clothing requirements (as applicable), security
procedures, and any other applicable rules, regulations, policies and procedures
of the Department. By submitting a response to this ITN, the Vendor
acknowledges and accepts, for itself and any of its agents, that all or some of the
services to be provided under the Contract shall be provided in a correctional
setting with direct and/or indirect contact with the Inmate population and that there
are inherent risks associated with the correctional environment. Staff conduct
requirements are as follows:
1. The Vendor’s staff shall not display favoritism to or preferential treatment of
one Inmate or group of Inmates over another.
2. The Vendor’s staff shall not deal with any Inmate except in a relationship that
supports services under the Contract. Specifically, staff members must never
accept for themselves or any member of their family, any personal (tangible or
intangible) gift, favor, or service from an Inmate, an Inmate’s family, or close
Page 49 of 259

FDC ITN-22-042

Program Management Requirements (PGM)
No.

PGM-076

Requirement
associate, no matter how trivial the gift or service may seem. The Vendor shall
report to the Contract Manager any violations or attempted violation of these
restrictions. In addition, no staff member shall give any gifts, favors, or services
to Inmates, their family, or close associates.
3. The Vendor’s staff shall not enter any business relationship with Inmates or
their families (example – selling, buying or trading personal property), or
personally employ them in any capacity.
4. The Vendor’s staff shall not have outside contact (other than incidental contact)
with an Inmate being served or their family or close associates, except for
those activities that are to be rendered under the Contract.
5. The Vendor’s staff shall not engage in any conduct which is criminal in nature
or which would bring discredit upon the Vendor or the State. In providing
services pursuant to this ITN, the Vendor shall ensure that its employees avoid
both misconduct and the appearance of misconduct.
6. At no time shall the Vendor or Vendor’s staff, while delivering services under
the Contract, wear clothing that resembles or could reasonably be mistaken
for an Inmate’s uniform or any correctional officer’s uniform, or bears the logo
or other identifying words or symbol of any law enforcement or correctional
department or agency.
7. Any violation or attempted violation of the restrictions referred to in this section
regarding employee conduct shall be reported by phone and in writing to the
Contract Manager, including proposed action to be taken by the Vendor. Any
failure to report a violation or take appropriate disciplinary action against the
offending party or parties shall subject the Vendor to appropriate action, up to
and including termination of the Contract.
8. The Vendor shall report any incident described above or requiring investigation
by the Vendor, in writing, to the Warden and the Contract Manager within 24
hours of the Vendor’s knowledge of the incident.
9. Vendor shall participate, as needed, with FDC security audits to ensure
compliance with tool control and other security-related policies and
procedures.
The Vendor shall:
1. Possess and maintain documents material to the Contract resulting from this
ITN, including but not limited to current copies of all required State and federal
licenses, permits, registrations, and insurance documentation.
2. Bear any costs associated with all required compliance inspections,
environmental permitting designs, and any experts required by the Department
to review specialized medical requirements.
3. Ensure all required operating licenses, permits, registrations, and insurance
are acquired prior to the transition date at each Institution.
4. Post license and permits at each Institution, in accordance with statutory
requirements and FDC policy.
5. Maintain current copies of the foregoing documents which include, but are not
limited to:
a. The face-sheet of the current insurance policy showing sufficient coverage
b. Any applicable State and/or federal licenses related to services provided
under the Contract resulting from this ITN
In addition, ensure all such licenses, permits, and registrations remain current and
in good standing throughout the term of the Contract. Any revisions or renewals
Page 50 of 259

FDC ITN-22-042

Program Management Requirements (PGM)
No.
PGM-077

PGM-078
PGM-079

Requirement
to the above documents made during the Contract period shall be submitted to the
Contract Manager within 15 Days of revision or renewal.
The Vendor shall ensure staff performing services under the Contract resulting
from this ITN receive required orientation and training, as follows:
1. The Department will determine what type and duration of orientation and
training is appropriate for the Vendor’s staff. Job specific orientation/training
with regard to particular policies, procedures, rules and/or processes
pertaining to the administration of health care at each Institution where the
Vendor delivers services shall be coordinated between the Vendor and
designated Department staff.
2. The Vendor will not be compensated by the Department for any costs incurred
as a result of Vendor’s staff attending non-FDC required orientation and
training, including any wages paid unless authorized by the Department.
3. The FDC New Employee Orientation will be provided by the Department before
the Vendor’s staff begins to provide direct Patient care services on-site. The
Vendor shall coordinate with designated Department staff at each Institution
for the administration and scheduling of the Vendor’s staff new employee
orientation.
4. The Vendor shall be responsible for ensuring that all Vendor staff complete 40
hours of required annual training. The nature, extent, and content of the
training will be determined by the Department’s Office of Staff Development
and published in the Department’s Master Training Plan.
5. The Vendor shall, at their expense, track and document all orientation and
training as indicated above.
6. The Department is not responsible for any required professional or nonprofessional education/training required for the Vendor’s staff.
7. The Vendor shall provide trainers/instructors for training relevant to the
Department, including, but not limited to, peer support, psychiatric restraint,
and suicide prevention.
The Vendor shall maintain acknowledgement sheets with employee signatures to
affirm that they have read the policies and procedures and understand them.
Medical Disaster Plan
The Vendor shall participate in the Department’s disaster plan for the delivery of
health services in the event of a disaster, such as an epidemic, riot, strike, fire,
tornado, or other acts of God. The Vendor shall implement and emergency plan in
accordance with HSB 15.03.06, Medical Emergency Plans, and Procedure
602.009, Emergency Preparedness, and shall update its plan annually, or as
indicated. The health care disaster plan must include the following:
• Communications system;
• Recall of key staff;
• Assignment of health care staff;
• Establishment of a triage area;
• Triage procedures;
• Health records - identification of injured;
• Medical Record/EMR availability;
• Use of ambulance services;
• Transfer of injured to local hospitals;
• Evacuation procedures (coordinated with security personnel);
• Back-up plan;
• Use of emergency equipment and supplies; and
Page 51 of 259

FDC ITN-22-042

PGM-080

PGM-081

PGM-082

PGM-083

PGM-084
PGM-085
PGM-086

• Annual practice drill, according to Department policy.
The Vendor shall ensure its institutional staff, including subcontractors and other
providers performing services under the Contract, are screened and/or tested for
tuberculosis prior to the start of service delivery, as appropriate, and
screened/tested annually thereafter, as required by Department Procedure
401.015, Employee Tuberculosis Screening and Control Program. The Vendor
shall provide each Institution’s Environmental Health and Safety Officer (EHSO)
with a report, with proof of Tuberculosis system screening and testing prior to the
start of service delivery by the staff member and annually thereafter. The Vendor
shall be responsible for obtaining the TB screening/testing and shall bear all costs
associated with the TB screening/testing.
The Vendor shall ensure its staff performing services under the Contract at
institutional sites are vaccinated against Hepatitis B in accordance with the
Department of Health’s guidelines prior to the start of service delivery. The Vendor
shall provide the Contract Manager with proof of vaccination prior to the start of
service delivery by the staff member. The Vendor shall bear all costs associated
with the vaccination of their staff or subcontractor staff.
Additionally, the Vendor is responsible for vaccinating the Department’s
institutional staff. The Department will supply the vaccine for Department staff.
To accomplish its operational mission, the Department must communicate with
parties outside of its internal email and information systems. These
communications may include electronic protected health information (ePHI) or
other confidential information governed HIPAA, HITECH, Section 945.10, F.S., or
Chapter 60GG-2, F.A.C. These and other regulations require that electronic
transmission of ePHI or confidential information be encrypted.
The Vendor must follow all State and federal laws, rules, and Department policies
and procedures relating to storage, access to, and confidentiality of health care
records. The Vendor shall provide secure storage to ensure the safe and
confidential maintenance of active and inactive Inmate health records and logs, in
accordance with HSB 15.12.03, Health Records. In addition, the Vendor shall
ensure the transfer of Inmate health records and medications required for
continuity of care in accordance with Procedure 401.017, Health Records and
Medication Transfer. Health records will be transported in accordance with HSB
15.12.03.
The Vendor shall ensure that its personnel document in the Inmate’s health record
all health care contacts in the proper format per standard health practice, ACA
standards, and any relevant Department policies and procedures.
The Vendor shall be responsible for the orderly maintenance and timely filing of
all health information utilizing Contract employees, as staffing indicates.
The Vendor shall ensure all Inmates have an updated health record that complies
with HSB 15.12.03;
1. Safeguard and secure health records and any other documents containing
PHI, per Procedure 102.006, HIPAA Privacy Policy;
2. Employ at least one (1) Health Information Specialist at each Major Institution
and each institutional annex, and at least one (1) Health Information
Specialists and one (1) EMR Specialist at RMCH, to ensure compliance with
the standards outlined in HSB 15.12.03, Section III., F., and to serve as
records custodian for all active Inmates;
3. Employ a sufficient number of trained medical records clerks to ensure clinical
information, significant to an Inmate’s health, is filed in each health record
within 72 hours of receipt;
Page 52 of 259

FDC ITN-22-042

PGM-087

PGM-088

4. Process health record transfers following Procedure 401.017, Health Records
and Medication Transfer;
5. Perform health record vault audits, per the schedule outlined in HSB 15.12.03;
6. Secure and transport records of Inmates who have reached EOS, per HSB
15.12.03, Section XVIII, Post-Release (EOS) and Deceased Inmates - Health
Record Retention and Destruction Schedule;
7. Organize and transmit any loose filing discovered after a record has been
transported, following Procedure 401.017 or HSB 15.12.03, as applicable.
The information shall be secured separate from any other medical records and
clearly marked with the Inmate’s name and DC number, and mailed to the
Inmate’s current Institution or to the medical records archive if the Inmate has
reached EOS; and
8. Upon request, make all nonproprietary records related to services provided
under the Contract available to the Department for any litigation, requests for
public records, or monitoring and evaluation activities of the Contract timely.
Health Record Retention Period
1. Unless otherwise governed explicitly by Department regulations, the Vendor
shall keep all health records for seven (7) years or for the retention period
required for records of the same type according to Florida Statutes, whichever
is longer. All retention periods start on the first Day after expiration or
termination of the Contract.
2. If any litigation, claim, negotiation, audit, or other action involving the records
referred to has been started before the expiration of the applicable retention
period, the Vendor shall retain all records until completion of the action and
resolution of all issues, which arise from it, or until the end of the period
specified for, whichever is later.
3. To avoid duplicate recordkeeping, the Department may make special
arrangements with the Vendor for the Department to retain any records, which
are needed for joint use. The Department may accept the transfer of records
to its custody when it determines that the records possess long-term retention
value. When records are transferred to or maintained by the Department, the
retention requirements of this paragraph are not applicable to the Vendor for
those records.
4. The Department’s retention program complies with guidelines established by
the Florida Department of State, Division of Library and Information Services
Records Management program. The following medical record retention and
destruction practices are followed:
• Records of Inmates presently on extended parole will be maintained until
release from such Department of Corrections responsibility. After seven (7)
consecutive years of inactivity, the Department shall authorize
destruction/recycling procedures in accordance with law.
• Hard copies of health records will be securely stored at the Statewide
Records Retention Center in Raiford. All health records received at the
record archives will be checked to ensure that the color-coded year band
is properly attached before filing.
The Department shall provide security and security procedures to protect the
Vendor’s equipment as well as FDC medical equipment. FDC security procedures
shall provide direction for the reasonably safe security management for
transportation of pharmaceuticals, medical supplies and equipment. The Vendor
shall ensure that the Vendor’s staff adheres to all policies and procedures
regarding transportation, security, custody, and control of Inmates.

Page 53 of 259

FDC ITN-22-042

PGM-089
PGM-090

PGM-091

PGM-092

PGM-093

The Department shall provide security escorts to and from clinic appointments
whenever necessary as determined by security regulations and procedures
outlined in the policies and procedures.
OBIS Use and Training
If deemed necessary by the Department, the Vendor shall make available
appropriate personnel for training in the Health Services’ component of the
Offender-Based Information System (OBIS-HS). Training will be provided by the
Department and will be conducted at designated locations across the State.
Personnel required to attend include the Data Entry Operators and any personnel
entering or accessing data in the OBIS-HS system. The Vendor is responsible for
payment of travel expenses for its employees, in the event that such training is
required. Failure of the Vendor to provide sufficient personnel for training is not an
acceptable reason for not maintaining OBIS information current. If there is any
reason the Vendor is directed to access the Department’s information network,
each employee doing so must have undergone a successful level 2 background
check as defined in Chapter 435, F.S.
Data Entry and Data Exchange
The Vendor shall ensure information is available for input or via interface into the
Department’s existing information systems including but not limited to OBIS. Data
includes, but is not limited to information or reports, billing information, and
auditing data to ensure accuracy of medical records plus any other Department
system or component developed for Health Services or any Department system
or component deemed necessary for Health Service operations. When requested,
the Vendor shall provide the Department data that can be uploaded into the
medical record system. The data will meet all the parameters of the Department
and will be provided at no cost to the Department. This data shall conform to all
Department, State, and federal rules, guidelines, procedures, and laws covering
data transfer.
The Vendor shall provide a method to interface and submit data in a format
required by the Department for uploading to the OBIS or other system as
determined by the Department. The Vendor shall also provide a web-based
method for reviewing the reports.
Staff Background/Criminal Record Checks
1. The Vendors’ staff assigned to the Contract shall be subject to a Florida
Department of Law Enforcement (FDLE) Florida Crime Information
Center/National Crime Information Center (FCIC/NCIC) background/criminal
records check. The Vendor shall send all potential hires for fingerprinting to do
a thorough background check. The Department may conduct background
checks and they may occur or re-occur at any time during the Contract period.
The Department has full discretion to require the Vendor to disqualify, prevent,
or remove any staff from any work under the Contract. The use of criminal
history records and information derived from such records checks are
restricted pursuant to Section 943.054, F.S. The Department shall not disclose
any information regarding the records check findings or criteria for
disqualification or removal to the Vendor. The Department shall not confirm to
the Vendor the existence or nonexistence of any criminal history record
information.
2. In order to carry out this records check, the Vendor shall provide, (prior to
commencing services upon Institution property) OR (prior to Contract
execution, if requested) OR (upon request), the following data for any
individual Vendor or subcontractor’s staff assigned to the Contract: Full Name,
Race, Gender, Date of Birth, Social Security Number, Driver’s License
Number, and State of Issue.
Page 54 of 259

FDC ITN-22-042

PGM-094

PGM-095

3. The Vendor shall also ensure that the Contract Manager is provided the
information needed to have the FCIC/NCIC background check conducted prior
to any new Vendor staff being hired or assigned to work under the Contract.
The Vendor shall not offer employment to any individual or assign any
individual to work under the Contract, who has not had an FCIC/NCIC
background check conducted, unless authorized by the Contract Manager.
4. The Vendor shall ensure that no person who has been barred from any
Institution or other facility shall provide services under the Contract.
5. The Vendor shall not permit any individual to provide services under the
Contract who is under supervision or jurisdiction of any parole, probation, or
correctional authority. Persons under any such supervision may work for other
elements of the Vendor’s agency that are independent of the contracted
services.
6. Note that a felony or first-degree misdemeanor conviction, a plea of guilty or
nolo contendere to a felony or first-degree misdemeanor crime, or an
adjudication of guilt withheld to a felony or first-degree misdemeanor crime
does not automatically bar the Vendor from hiring the proposed employee.
However, the Department reserves the right to prior approval in such cases.
Generally, two (2) years with no criminal history is preferred. The Vendor shall
make full written report to the Department’s Contract Manager within three (3)
Days whenever an employee has a criminal charge filed against him/her, or is
arrested, or receives a Notice to Appear for violation of any criminal law
involving a misdemeanor, felony, ordinance (except minor violations for which
the fine or bond forfeiture is two hundred dollars ($200) or less) or when
Vendor or Vendor’s staff has knowledge of any violation of the laws, rules,
directives, or procedures of the Department.
Legal Health Services Requirements
The Vendor shall provide its own legal services in support of those expended by
the Department in relation to health care litigation. The Vendor shall provide its
own legal services to support the requirements in the Contract or as related to the
provision of services (i.e., guardianship).
The Vendor shall provide a Transition Plan detailing the activities and timeframes
for transitioning various aspects of service delivery to a new provider upon
termination or expiration of the Contract. Transition activities should occur over
four (4) to six (6) months.

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

Page 55 of 259

FDC ITN-22-042

3.6.1.3 Program Management Performance Measures

No.

Description

PM-PGM-001

All informal
health care
grievances
are
responded to
within 15
Days of
receipt of the
initial
grievance in
accordance
with 33103.005,
F.A.C.

PM-PGM-002

All findings
from CMA
surveys are
cured by the
second CAP
assessment.

Performance Measures (PM)
Measurement
Expectation
Duration

80%
compliance,
per Institution

100% Per
Occurrence

Financial Consequence

Semi-annually

For performance below
80%, consequences will be
assessed as follows:
70%-79.99%:
$2,000 per Institution
60%-69.99%:
$4,000 per Institution
Less than 60%:
$6,000 per Institution

Semi-annually

For performance below
100%, consequences will be
assessed as follows:
More than 2:
$10,000 per Institution
3-4:
$20,000 per Institution
4 or more:
$40,000 per Institution
For CMA audit findings not
cured by the third and
subsequent CAP
assessments, the
consequence will increase
by 25% in value for each
subsequent assessment not
cured.

Page 56 of 259

FDC ITN-22-042

No.

PM-PGM-003

PM-PGM-004

Description
No Inmate
deaths occur
that are
directly or
indirectly
attributed to
the Vendor’s
omission
indifference
or inaction to
a Patient's
identified
needs.

Maintain
compliance
with
mandatory
medical
health
standards
and 90% of
nonmandatory
Health care
standards to
retain ACA
accreditation.

Performance Measures (PM)
Measurement
Expectation
Duration
All Mortality
Per
Reviews
occurrence
(conducted
upon an
Inmate’s
death) show
no Inmate
deaths occur
as a result of
the Vendor’s
systemic
pattern of
indifference or
inaction to
identified
needs of a
Patient which
directly or
indirectly
resulted in
death.

Retain
accreditation

Per
occurrence

Page 57 of 259

Financial Consequence
$100,000 per occurrence

$100,000 occurrence, per
Institution that loses
accreditation related to
failed health standards, plus
payment of all costs and
fees associated with ACA
re-accreditation

FDC ITN-22-042

No.

Description

PM-PGM-005

Maintain a
staffing
pattern that
fulfills the
needs of the
Department
by ensuring
the minimum
numbers of
staff hours
are met, per
Service
Location and
per position
type, as
approved by
the
Department
in the Final
Staffing Plan.

Performance Measures (PM)
Measurement
Expectation
Duration

90% of all
required hours
are met, per
Institution, and
per position
type, including
hours fulfilled
by
subcontracted
providers

Semi-Annually

Financial Consequence

$10,000 per percentage
point, or portion thereof, less
than 90%

3.6.1.4 Program Management Reports
Reports
REP-PGM-01 Final
Transition and
Implementation Plan
REP-PGM-02
Vendor
Organization and
Staffing Plan

REP-PGM-03
Staff Review Report

REP-PGM-04
Medical Emergency
Plan
REP-PGM-05
Staff New Employee
Orientation Report

Due Date
Within three (3)
Days of Contract
execution
Within five (5)
Business Days of
Contract execution,
and annually
thereafter on the 5th
Business Day each
July
Quarterly by the 10th
Business Day of the
month following the
end of the quarter

Within 30 Days of
Contract’s effective
date
Within 14 Days of
Contract effective
date and annually
thereafter

Description
The Vendor shall provide a Final Transition and
Implementation Plan in accordance with Section
3.6.11.3 of this ITN.
The Vendor shall provide an overview of its
organization, specifically those staff assigned to the
services included in this ITN, including an
organization chart, staffing plan, and other relevant
organizational information.
The Vendor shall provide a list of personnel on staff,
including staff who have been added and/or
removed since the prior report, titles, start date, date
of required trainings, credentials (as applicable),
and date of successful background screening.
Also, the report should list vacant positions and the
length of each vacancy.
The Vendor shall provide a plan for the immediate
response and care of Inmates with medical, dental,
and mental health emergencies for each Institution.
The Vendor shall provide documentation that
training that will be provided to Vendor and
subcontractor staff prior to their engagement on the
Contract, and annually thereafter.

Page 58 of 259

FDC ITN-22-042

Reports
REP-PGM-06
Subcontractor List
REP-PGM-07
Biomedical and
Pharmaceutical
Waste Plan
REP-PGM-08
Emergency Medical
Services (EMS)
Plan

REP-PGM-09
End-of-Contract
Transition Plan
REP-PGM-10
Quarterly Cost
Report

3.6.2

Due Date
Within five (5)
Business Days of
the Contract’s
effective date
Within 30 Days of
Contract’s effective
date

Description
The Vendor shall provide a list of all subcontracts
and letters of agreement for hospitals, Clinician
services, specialty care services and ancillary
services to the Contract Manager.
The Vendor shall provide a plan addressing the
definition, collection, storage, decontamination, and
disposal of regulated waste.

Within 30 Days prior
to the transition date
at each Institution

The Vendor shall develop and maintain this plan to
ensure the provision of all medically necessary
Inmate transportation by ambulance or other lifesupport conveyance, either by ground or air, for all
Institutions covered by this ITN. Any changes to the
EMS Plan must be reported in writing to the
Contract Manager.
The Vendor shall provide a transition plan that
documents the Vendor’s plans for transitioning to
another Vendor upon the expiration of the Contract.
The Vendor shall provide a quarterly report of its
operating costs to include, at a minimum, employee
salaries
and
benefits,
ancillary
services,
medication, and medical supplies used for each
Institution. Costs that are not able to be broken out
by Institution may be provided in aggregate. These
costs reports should be submitted in a format
approved by the Contract Manager. Any changes
made to the format of this report by the Department
during the term of the Contract shall be incorporated
by the Vendor.

Within 90 Days of
Contract’s effective
date
Quarterly by the 10th
Business Day of the
month following the
end of the quarter

Institutional Care Service Area
3.6.2.1 Description
Institutional care consists of many different facets of health care delivery within the secure
correctional environment. This includes services provided to Inmates during the reception
process and at their permanent Institution, including sick call, use-of-force examinations,
physical assessments, and specialty care such as palliative care, geriatric medicine, female care,
health education, and infirmary services.
3.6.2.2 How Service is Provided Today
Today, institutional care is delivered by our current CHCC. The CHCC’s staff is involved in all
elements of care “behind-the-fence.” These services are critical to the success of health care
delivery. The fundamental right of Inmates to access health care begins with the health care staff
at their Institution. It is critical that institutional teams ensure that quality care is given to Inmates,
with special attention given to follow-up of diagnostic tests and specialty consultations.
Vendor staff need to understand how to interact with Inmates and often are required to provide
clinical care at an Inmate’s location, such as in Special Housing, rather than just in the designated
health services area. A prospective Vendor should take into account the staffing required to not
only appropriately staff the health services/infirmary area, but also to ensure that Inmates in
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annexes, work camps, and other areas, which may not be located within walking distance of the
main health services area, are afforded appropriate care.
3.6.2.3 Institutional Care Minimum Requirements
Institutional Care Requirements (IC)
No.
IC-001

IC-002

IC-003

IC-004

Requirement
The Vendor shall provide Health Education to Inmate Patients during all encounters
as well as during Chronic Illness Clinic (CIC) appointments on relevant topics
including, but not limited to, medication compliance, disease prevention, blood borne
pathogens, STDs, TB, personal hygiene, weight control, exercise, and healthy
lifestyle.
The Vendor shall ensure Clinician’s Orders:
1. Unless input directly into the EMR, Clinician’s orders shall be legibly documented
in black ball point pen ink on the DC4-714B, Clinician’s Order Sheet, and/or on
the DC4-714C, DEA Controlled Substances Clinician’s Prescription/Order Sheet.
2. All Clinician orders shall be implemented by the nursing staff, as directed by the
Clinician.
3. All stat and “now” orders shall be noted and transcribed by the Licensed Nurse
immediately following the Clinician’s written or verbal order.
4. Infirmary orders shall be noted and transcribed by the Licensed Nurse within two
(2) hours of the Clinician’s verbal or written order.
5. Outpatient clinic Clinician orders shall be noted and transcribed by the Licensed
Nurse on the shift written or no later than the next Day’s shift.
6. All noted orders shall be documented in red ball point pen ink and reflect the date,
time, signature and stamp or printed name with title (RN or LPN).
7. All Clinician orders that require medical treatment and data collection (nebulizer
treatment, blood pressure and glucose monitoring, etc.) except wound care shall
be documented on the DC4-701A, Medication and Treatment Record.
8. All telephone orders shall:
a. Be preceded by the abbreviation “T.O.” written by the Licensed Nurse.
b. Be repeated back to the Clinician to ensure accuracy of the order and
documented as such.
9. Documented by the Licensed Nurse and countersigned by a prescribing Clinician
as soon as possible and no later than the next Business Day.
Medical Holds
The Vendor shall ensure the Clinician document Medical holds on the “Health
Services Profile,” DC4-706, in accordance with HSB 15.02.02, Health Care
Clearance/Holds.
The Vendor shall ensure medical holds shall continue until an Inmate’s care is stable
to the point that a transfer will not compromise treatment or the health of the Inmate.
The Vendor shall provide all care in accordance with applicable State and federal
statutes, Florida Administrative Code, Department procedures, manuals, HSBs,
health care directives, and forms.
In addition, the Vendor shall provide nursing care in accordance with:
National Nursing and Health Care Standards including, but not limited to:
• National Council of State Boards of Nursing
• The American Nurses Association Correctional Nursing Scope and Standards of
Practice
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Institutional Care Requirements (IC)
No.

IC-005
IC-006
IC-007
IC-008
IC-009
IC-010
IC-011
IC-012

Requirement
• The American Nurses Association Nursing Scope and Standards of Practice
• The American Nurses Association Psychiatric Mental Health Nursing Scope and
Standards of Practice
• The American Nurses Association Nurses Code of Ethics
• American Correctional Association
The Vendor’s nursing services shall be organized, staffed, and equipped to provide
competent nursing care, according to the level of acuity of Patient care provided at
each Institution.
The Vendor’s Registered Nurses shall provide coverage 24 hours per Day, seven (7)
Days per week at Institutions with 600 or more Inmates designated to house Inmates
classified as medical grades M-3 or M-4.
The Vendor shall ensure its Licensed Nurses are available on-site at all times to
provide services within the scope of their licenses and certifications under the
direction of an RN, if the Licensed Nurse is not an RN.
The Vendor shall ensure where levels of inpatient care are provided (Infirmary,
Palliative Care, Intensive Medical Unit, etc.), a Registered Nurse(s) is available onsite to oversee inpatient nursing care at all times.
The Vendor shall ensure certified nursing assistants (CNAs) are utilized, as
appropriate, within the scope of their practice.
The Vendor shall ensure each Institution’s Director of Nursing is available on-site
during regular business hours and available after hours and on weekends and
holidays by telephone.
The Vendor shall ensure its Clinician provide clinical assistance to the nursing staff
during their daily activities including, but not limited to wound care, infirmary care,
insulin line, and EKG.
Intake and Reception Process
The Vendor shall provide services in accordance with Procedures 401.014, Health
Services Intake and Reception Process; 403.008, Inmate Health Services Orientation
and Education and HSB, 15.01.06, Health Care Reception Process for New
Commitments.
1. The Vendor shall ensure a Licensed Nurse provide each newly committed Inmate
Form DC4-711C, Authorization for Health Evaluation and Treatment, to sign prior
to screening and evaluation.
2. The Vendor shall ensure a Licensed Nurse witness Inmate’s signature on Form
DC4-711C and once signed by the Inmate, the Licensed Nurse will also sign and
stamp, or electronically sign, the form as a witness. If the Inmate refuses to sign
Form DC4-711C, s/he will sign a Refusal of Health Care Services, Form DC4711A, is documented on Form DC4-701
3. The Vendor shall ensure if an Inmate’s current health is stable, within eight (8)
hours of arrival, a Licensed Nurse conduct an initial screening of the Inmate and
a review of any transfer information from the county jail (Form DC4-871, County
Jail to DC Health Information Transfer Summary) to identify Inmate health care
needs.
4. The Vendor shall ensure nursing staff immediately refer any Inmate they believe
is showing active symptoms of psychosis (e.g., active hallucinations, delusions,
etc.), a manic episode (unexplained agitation, pressured speech, etc.), or risk of
self-injury/suicide to mental health staff and must take necessary precautions to
provide for the Inmate’s safety, in accordance with Procedure 404.001, Suicide
and Self-Injury Prevention.
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No.

Requirement
5. The Vendor shall ensure any Inmate who needs immediate mental, dental, or
medical services be identified and referred by the Licensed Nurse to respective
specialties for evaluation and appropriate treatment.
6. The Vendor shall ensure Inmates with impairments or disabilities be assessed
and provided with specialized services, per HSB 15.03.25, Services for Inmates
with Auditory, Mobility, or Vision Impairments and Disabilities. The Warden, or
designee, shall be notified of the disability and recommend accommodation
needs.
7. The Vendor shall ensure communicable diseases be documented on the Form
DC4-710, Communicable Disease Record.
8. The Vendor shall ensure medication from previous jail providers that is prescribed
appropriately, clearly identified, unadulterated, dispensed, and with a label
indicating the Inmate’s name, be single-dosed until a Clinician sees the Patient.
If there is no clear medical need for the prescription, the Inmate will be referred to
a Clinician as soon as possible and the medication will be withheld until the
Clinician has evaluated the Patient.
9. The Vendor shall ensure every effort will be made to ensure continuity of
medication, in accordance with HS