40DHHS-S3545 - Questions and Answers.docx

RFP 40DHHS-S3545

NEVADA STATEWIDE JAIL MOUD & CASE MANAGEMENT SERVICES

QUESTIONS AND ANSWERS

1. Is there already a contract in place for the services being solicited through this RFP? If yes, please provide a complete copy of the current MAT contract, including all attachments, exhibits, and amendments. Thank you!

This does not exist for our rural county jails.

2. The Cost Schedule/Excel spreadsheet provided for the Statewide jail MAT solicitation appears to be for an RFP involving the enrollment of children into a caregiver services program? Could you please provide the correct jail MAT-related spreadsheet for offerors to complete?

The incorrect Cost Schedule was replaced in Amendment 1.

3. Can the state provide statistical information by jail? Three statistics would be helpful: 1) Average Daily Population for each jail, 2) Average Length of Stay in each jail - especially for the city jails, 3) number of intakes/bookings for each jail.

4. Can the State provide a brief description information about what MAT/MOUD/SUD systems are already in place at each facility?

A “Best Practice” MAT/MOUD doesn’t exist within our more rural jails. The North Las Vegas, City of Las Vegas, and Henderson Detention Centers do have MAT programs that are limited where they’re only capturing those who participate in Community OUD Programs with varying levels of behavioral health engagement.

5. The RFP mentions naltrexone. Is it the expectation that the bidder will provide a system for running labs or will the county have the ability to do that?

Most, if not all of our rural counties/jails do not have this ability. It will be the expectation that the bidder will work through a process that meets appropriate standards for each participating jurisdiction.

6. Do any of the facilities have a current MAT services? If so, please provide details to include staffing, medications provided, community partners, etc.

Answered in Question #4

7. Do all the local jails use an EHR system for medical records? Please indicate what EHRs are currently in use at each of the facilities and if Zenova staff will be allowed remote access to the systems to enter orders directly ensuring no delay in care.

No, our rural jails do not use an EHR. For the facilities that do have contracted medical service with an EHR system, collaboration will be expected at the time of the award.

8. If there are facilities with no EHR, would the state want pricing to implement a correctional EHR for the facility?

The Nevada Health Authority is pursuing a statewide EHR through a future RFP process.

9. Are all facilities equipped with Wi-Fi?

Yes, but bandwidth will vary between each facility.

10. Is there currently an identified telehealth space, HIPPA compliant, in each of the facilities?

No, not in every facility. The identification of this space with custody leadership, will be the expectation at the time of implementation.

11. What telehealth equipment, if any, is in each of the facilities?

Some facilities have this capability via a laptop or SMART television, others do not.

12. If there is not currently telehealth equipment, does the state have a preference of tablets or laptops for use?

If the question is directed towards the end user being an inmate, the preference would be a tablet that has been retrofitted with a protective case and protected screen.

13. Is there an IT point of contact at each of the facilities that will be provided for testing and communication?

An “IT” point of contact would need to be identified for each facility.

14. Does the state have any specific parameters regarding hours of operation for the MAT program at each facility? Are there any limitations to providing services based on shift? Please provide the onsite nursing and provider schedules of each facility to ensure adequate scheduling of resources.

MAT Scheduling will vary based on operational challenges that are unique to each facility and will be determined at the time of the award. Any onsite nursing and/or provider schedules will be developed at the time of the award.

15. Please provide the medication administration times and if there is a separate MAT administration.

Medication administration times vary between each facility and will be developed at the time of the award.

16. Has the state already identified pharmacy partners in proximity to each facility to utilize?

Pharmacy partners have been identified for most participating facilities and will be determined for all participating facilities moving forward.

17. Has the state developed a way to identify family members and/or caregivers that may be in need of services?

No, not at this time. That will be the expectation of the chosen provider to identify those needs.

18. If available, please provide the average number of CIWA/COWS per facility.

This is not currently available for most of our rural facilities.

19. Is the purpose of the RFP to provide all MAT services including that for Alcohol or only Opioid Use Disorder?

Currently the expectation is to provide MOUD services.

20. Please provide an updated cost schedule as the one provided Is for AB212 Virtual Early Childhood Family Engagement Program.

See Response to #2 above.

21. Please provide the capacity and average monthly ADP of each facility for the last 12 months.

Answered in #3 above.

22. Please provide the number of intakes by facility for the last 12 months.

Answered in #3 above.

23. Please provide how many intakes are released within the first 7 days of incarceration.

This information is not tracked.

24. Please provide the average length of stay per facility.

Answered in #3 above.

25. Has the state secured vendors for drug screening, laboratory testing or pharmacy? If so please provide, if not, is this to be the responsibility of the awarded vendor/s?

Partnering Pharmacies are continuing to be identified for each county.

26. What is the planned mechanism to encourage jails to participate in the program? Will it be fully voluntary for each jail or will there be any encouragement/requirement from the state for the jails to deploy the program?

Although voluntary, the state has been engaging all of our rural jails. Most of our rural facilities do want to participate and the plan will be to encourage all listed facilities within the RFP to participate.

27. What is the overall objective of the program from the state's perspective? To reduce addiction broadly in the community? To reduce overdose deaths soon after release? To start inmates on treatment before they arrive at prison? To improve recidivism?

All of this and to have continuity of care at the time of release as well as to reduce emergency room visits.