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poor indapam?gnt hanNircnea rka,cn.. <br />F. MEDICAL SERVICES FOR IMMIGRATION CUSTOMS ENFORCEMENT (fCq DETAINEES <br />1 NaphCare understands that the U.S. Public Health Service, division of immigration Health Services (DINS} <br />acts as the agent and final health authority for ICE inmates on all off - site medical and health-related <br />matters. NaphCare willsuhmlt supporting documentation for non routine, off -site mediral /health <br />services to DINS. <br />2, NapbCare will release any and all medical Information for ICE detainees to the WHS representatives <br />upon request NaphCare understands that we are responsible for soliciting DIHS approval before <br />proceeding with lion- emergency, off -site medical care including medications and will comply., <br />Tr acIdng ICE Detainees <br />NaphCare is experienced and familiarwith thsstandards related to healthcare for Immigration and <br />customs Enforcement (ICE) detainees. With our EMR system; we electronically flag an inmate's <br />record upon intake to indicate their status with as an ICE detainee. These flags within the system <br />ensure our ability to identify where an Inmate came from in order to expedite further medical <br />information Ina timely manner and track designations separately for ease of billing. VWe trackthese <br />inmates to ensure appropriate financial liability for off -site medical services. WithinTechCore'";off -site <br />claims are separated based on classification /designation and forwarded to the appropriate entity for <br />payment. We have valuable experience in this form of billing; we perform this service for several of out <br />client jail facilities and provide extensive billing services to our federal Bureau of Prisons clients, <br />3. Ali new arrlvalswill receive a T13 screen ing within 12 hours of intake and using methods in accordance <br />With CDC guidelines. <br />4, if at any time during the pre-screening pro cess there is an indication of need, or request for mental <br />health services, NaphCare wiil be notified within 24 hours and ensure a full mental health evaluation If <br />a detainee discloses a history of sexual victlmlxation or abuse during a medical or mental health intake <br />screening, whether itoccurred In an restitution setting or In the community, a referral to a qualified, <br />licensed healthcare provider will be made Immediately. <br />Where a detainee has a serious €nedical or mental health <br />condition, or otherwise. requires special or close medical <br />care, NaphCare will complete a Medical /Psychiatric Alert <br />form (IHSC -834) or equivalent, and file the form in the <br />detainee's medical record. Where medical staff <br />furthermore determines the condition to be serious <br />enough to require medical clearance of the detainee prior <br />to transfer or removal, medical staff will also place a <br />medical hold on the detainee using the <br />Medical /Psychiatric Alert form (IHSC -834} orequivalent, <br />which serves to prevent ICE from transferring or removing <br />the detainee without the prior clearance of NaphCare.'rhe <br />.fail Administrator or designee will receive notice of all <br />ICE COMPLIANCE <br />We recognize that your facility is <br />currently operating just above 2008 <br />ICE staindardsr and €star starfing acid <br />programming has been designed to <br />e nsu re that by the and of our <br />transition of the SAJ, you will be <br />operating at 2011 ICE standards. <br />medical/psychiatric-alerts or holds and will notify ICEJER0 <br />of any medical alerts or holds placed on detainee that is to be transferred, <br />Inmate Mad! <br />City of Santa <br />25H -88 <br />RFP No, 14 -034 <br />EA <br />