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a h a%IA2 <br />your independent hmAhmro choice. <br />17. Exclusions <br />a. NaphCare will be under no obligations to provide or pay for the following types of services: <br />i. Cosmetic surgery <br />ii. Sex change surgery <br />iii. Elective vasectomy, tubal ligation, hysterectomy and other elective care which forthe <br />purposes of this contract will mean care which if not provided would not cause the <br />inmate's health to deteriorate or cause definite harm to the inmate's well-being. <br />iv. Care, treatment or surgery determined to be experimental in accordance with accepted <br />medical standards <br />V. Neonatal or newborn care (prenatal and obstetric services will be provided when <br />required) <br />vi. Contraceptive devices and medications <br />D. OFF-SITE REFERRALS TO PREFERRED PROVIDERS <br />1. NaphCare will determine the medical necessity of all off-site medical services and obtain approval <br />from the responsibility contract agency. <br />UTILIZATION MANAGEMENT <br />We are proud to say that NaphCare's Utilization Management <br />Program has the distinction of being URAC accredited. URAC is _ <br />an independent health management accreditation organization <br />which requires extensive conditions to be met before <br />accreditation can be received. As an independent, nonprofit UC <br />organization, URAC is a well-known leader in promoting <br />healthcare quality through its accreditation, education, and <br />measurement programs. URAC offers a wide range of quality <br />benchmarking programs and services that model the rapid <br />changes in the healthcare system and provide a symbol of ACCREDITED <br />excellence for organizations to validate their commitment to <br />quality and accountability. Health Utilization Management <br />Expires 11/0112018 <br />URAC's mission is to promote continuous improvement in the quality and efficiency of healthcare <br />management through processes of accreditation, education, and measurement. <br />The URAC accreditation process demonstrates a commitment to quality services and serves as a <br />framework to improve business processes through benchmarking organizations against nationally <br />recognized standards. <br />"By applying for and receiving URAC accreditation, NaphCare has demonstrated a commitment to <br />quality healthcare. NaphCare should be commended for meeting strict quality standards", said URAC <br />President and CEO Kylanne Green. "It is critically important for healthcare organizations to make a <br />commitment to quality and accountability. URAC accreditation is a demonstration of that <br />commitment." <br />Inmate Medical Services <br />City of Santa Ana <br />25F-73 <br />RFP No. 17-051 <br />74 <br />