Addendum_2_RFP DOC 2025-05.pdf

HELEN E. HANKS

COMMISSIONER

LISA M. STONE

DIRECTOR

STATE OF NEW HAMPSHIRE

DEPARTMENT OF CORRECTIONS

DIVISION OF ADMINISTRATION

P.O. BOX 1806

CONCORD, NH 03302-1806

603-271-5610 FAX: 888-908-6609

TDD ACCESS: 1-800-735-2964

www.nh.gov/nhdoc

Promoting Public Safety with Respect, Professionalism, Dedication and Courage as One Team

State of NH, Department of Corrections Page 1 of 2 Medical and Forensic Services Initials: ___________

Date: ____________

March 31, 2025

ADDENDUM # 2 to RFP NHDOC 2025-05

THIS DOCUMENT SHALL BE INITIALED BY THE CONTRACT SIGNATORY

AND SUBMITTED WITH THE VENDOR’S BID RESPONSE.

RFP: NHDOC 2025-05 Comprehensive Healthcare Services

Currently Reads:

5.1. Lab tests as identified in Estimated Budget/Method of Payment, EXHIBIT C.

5.2. Lab tests that Vendor may/can provide that are not listed in the EXHIBIT C, Clinical Laboratory Fee Schedule.

Change to Read:

5.1. Lab tests as identified in Lab Test attachment published in Addendum 3 to this RFP.

5.2. Lab tests that Vendor may/can provide that are not listed in Lab Test attachment published in Addendum 3 to this RFP.

Currently Reads:

5.15.1. Phlebotomy services shall be provided by Vendor five (5) times per week for up to twenty-two (22) hours for the NH State Prison for Men (NHSP-M) to include: once (1) a week for the Secure Psychiatric Unit (SPU)/Residential Treatment Unit (RTU), Special Housing Unit (SHU), Close Custody Unit (CCU), and Community Corrections for Men. As well as one (1) time per week (up to five and a half (5.5) hours) at the NH Correctional Facility for Women (NHCF-W) and Community Corrections for Women, and up to two and a half (2.5) hours of additional phlebotomy services as needed combined total of phlebotomy hours shall be a total of thirty (30) hours.

Change to Read:

5.15.1. Phlebotomy services shall be provided by the vendor five (5) times per week for the Southern Region and at least once (1) a week for the Northern New Hampshire Correctional Facility. Up to twenty-two (22) hours for the NH State Prison for Men (NHSP-M) to include: once (1) a week for the Secured Psychiatric Unit (SPU)/Residential Treatment Unit (RTU), Special Housing Unit (SHU), Close Custody Unit (CCU), and Division of Rehabilitative Services for Men. As well as one (1) time per week (up to five and a half (5.5) at the NH Correctional Facility for Women (NHCF-W) and Division of Rehabilitative Services for Women, and up to two and half (2.5) hours of additional phlebotomy services as needed combined total of phlebotomy hours shall be a total of thirty (30) hours for the Southern Region. Phlebotomy Services will be provided for the Northern NH Correctional Facility a total of up to four (4) hours a week.

Currently Reads:

5.8 Vendors shall adhere to RSA 623-C:2, as amended effective July 1, 2015, pursuant to RSA 151, where the NH Department of Corrections shall pay no more than one hundred ten percent (110%) of the Medicare allowable

State of NH, Department of Corrections Page 2 of 2 Medical and Forensic Services Initials: ___________ rate. Vendors shall utilize the July, 2021 Centers of Medicare & Medicaid Services (CMS) Laboratory Fee Schedule detailed in Estimated Budget/Method of Payment, EXHIBIT C. Vendors are requested to provide the best pricing for each requested laboratory test not to exceed the allowable rate articulated in RSA 623.1-C:2.

Change to Read:

5.8 Vendors shall adhere to RSA 623-C:2, as amended effective July 1, 2015, pursuant to RSA 151, where the NH Department of Corrections shall pay no more than one hundred ten percent (110%) of the most current Medicare allowable rate. Vendors shall utilize the January 2025 Centers of Medicare & Medicaid Services (CMS) Laboratory Fee Schedule. Vendors are requested to provide the best pricing for each requested laboratory test not to exceed the allowable rate articulated in RSA 623.1-C:2.

Currently Reads:

10.1. Lab tests as identified in Estimated Budget/Method of Payment, EXHIBIT C.

10.2. Lab tests that Vendor may/can provide that are not listed in the EXHIBIT C, Clinical Laboratory Fee Schedule.

Change to Read:

10.1. Lab tests as identified in Lab Test attachment published in Addendum 3 to this RFP.

10.2. Lab tests that Vendor may/can provide that are not listed in Lab Test attachment published in Addendum 3 to this RFP.

Currently Reads:

10.8 Vendors shall adhere to RSA 623-C:2, as amended effective July 1, 2015, pursuant to RSA 151, where the NH Department of Corrections shall pay no more than one hundred ten percent (110%) of the Medicare allowable rate. Vendors Shall utilize the July , 2021 Centers of Medicare & Medicaid Services (CMS) Laboratory Fee Schedule detailed in Estimated Budget/Method of Payment, EXHIBIT C. Vendors are requested to provide the best pricing for each requested laboratory test not to exceed the allowable rate articulated in RSA 623.1-C:2.

Change to Read:

10.8 Vendors shall adhere to RSA 623-C:2, as amended effective July 1, 2015, pursuant to RSA 151, where the NH Department of Corrections shall pay no more than one hundred ten percent (110%) of the most current Medicare allowable rate. Vendors Shall utilize the January 2025 Centers for Medicare & Medicaid Services (CMS) Laboratory Fee Schedule. Vendors are requested to provide the best pricing for each requested laboratory test not to exceed the allowable rate articulated in RSA 623.1-C:2.

Currently Reads:

10.15 Phlebotomy services schedule:

Phlebotomy services shall be provided by the vendor five (5) times per week for up to twenty-two (22) hours for the NH State Prison for Men (NHSP-M) to include: once (1) a week for the Secured Psychiatric Unit (SPU)/Residential Treatment Unit (RTU), Special Housing Unit (SHU), Close Custody Unit (CCU), and Community Corrections for Men. As well as one (1) time per week (up to five and a half (5.5) at the NH Correctional Facility for Women (NHCF-W) and Community Corrections for Women, and up to two and half (2.5) hours of additional phlebotomy services as needed combined total of phlebotomy hours shall be a total of thirty (30) hours.

Change to Read:

10.15 Phlebotomy services schedule:

Phlebotomy services shall be provided by the vendor five (5) times per week for the Southern Region and at least once (1) a week for the Northern New Hampshire Correctional Facility. Up to twenty-two (22) hours for the NH State Prison for Men (NHSP-M) to include: once (1) a week for the Secured Psychiatric Unit (SPU)/Residential Treatment Unit (RTU), Special Housing Unit (SHU), Close Custody Unit (CCU), and Division of Rehabilitative Services for Men. As well as one (1) time per week (up to five and a half (5.5) at the NH Correctional Facility

Medical and Forensic Services Initials: ___________ for Women (NHCF-W) and Division of Rehabilitative Services for Women, and up to two and half (2.5) hours of additional phlebotomy services as needed combined total of phlebotomy hours shall be a total of thirty (30) hours for the Southern Region. Phlebotomy Services will be provided for the Northern NH Correctional Facility a total of up to four (4) hours a week.

1.1. Required Contracted Medical Staff by Position, Site and Full-Time Equivalent (FTE)1:

Facilities/Locations Position2 #FTE

ALL SITES

Chief Medical Officer (CMO) 1.0 Staff Physician(s) 2.3

Advanced Practice Registered Nurse (APRNs)3 5.5 Medical Case Manager 1.0

Podiatrist 0.25 NHSP/M Medical Assistant 1.0

NCF Medical Assistant 1.0 Required Contracted Medical Staff by Position, Site and FTE 12.05

1.1. Required Contracted Medical Staff by Position, Site and Full-Time Equivalent (FTE)1:

Facilities/Locations Position2 #FTE

ALL SITES

Chief Medical Officer (CMO) 1.0 Staff Physician(s) 2.3

Advanced Practice Registered Nurse (APRNs)3 5.5 Medical Case Manager 1.0

Podiatrist 0.25 Phlebotomist 0.85

NHSP/M Medical Assistant 1.0 NCF Medical Assistant 1.0

Required Contracted Medical Staff by Position, Site and FTE 12.9

Medical and Forensic Services Initials: ___________

1.1. Required Contracted Administrative Staff by Position. Site and FTE⁸:

Facilities/Locations Position9 #FTE

Central Office

Program Manager 1.0 Administrative Assistant 1.0

Quality Improvement Analyst (QIA) 1.0 Medical Case Manager 1.0

NGRI Coordinator 1.0

Required Contracted Administrative Staff by Position, Site and FTE 5.0 8 One (I) FTE = forty (40) hours 9 Submitted proposals shall include job descriptions for each required contracted administrative staff matrix.

7.1. Required Contracted Administrative Staff by Position. Site and FTE⁸:

Facilities/Locations Position9 #FTE

Central Office Program Manager 1.0

Administrative Assistant 1.0 Quality Improvement Analyst (OIA) 1.0

Required Contracted Administrative Staff by Position, Site and FTE 3.0

Medical and Forensic Services Initials: ___________

FY 2026 Medical - Dental - Mental Health Contracted Positions

Healthcare Contracted Positions #of FTE's

Loaded Yearly Compensation

Rate

Indirect Cost % (included in Loaded

Yearly Compensation

Rate)

Total

Chief Medical Officer 1 $ % $ Staff Physician(s) 2.3 $ % $ Medical Case Manager 1 $ % $ Podiatrist 0.25 $ % $ APRN(s) 5.5 $ % $ Medical Assistant(s) 2 $ % $ Chief Dental Officer (CDO) 1 $ % $ Oral Surgeon 0.25 $ % $ Staff Dentist(s) 2.6 $ % $ Dental Assistant(s) 1.6 $ % $ Dental Hygienist(s) 2 $ % $ Chief Psychiatric Officer

(CPO) 1 $ % $

Staff Psychologist 1 $ % $ Staff Psychiatrist(s) 3 $ % $ Psychiatric Nurse Practitioner(s) 6 $ % $

Mental Health Clinician(s) 5 $ % $ LADC(s) 2 $ % $ NGRI Clinical Coordinator 1 $ % $ Program Manager 1 $ % $ Administrative Asst. 1 $ % $

QIA 1 $ % $

Phlebotomist 1.5 $ % $ Sub-Total Positions 43 $

Total Medical - Dental - Mental Health Contracted Positions $ Notes: # of FTE's x Loaded Yearly Compensation Rate = Total

Medical and Forensic Services Initials: ___________

FY 2027 Medical - Dental - Mental Health Contracted Positions

Positions #of FTE's

Loaded Yearly Compensation

Rate

Indirect Cost % (included in Loaded

Yearly Compensation

Rate)

Total

Chief Medical Officer 1 $ % $ Staff Physician(s) 2.3 $ % $ Medical Case Manager 1 $ % $ Podiatrist 0.25 $ % $ APRN(s) 5.5 $ % $ Medical Assistant(s) 2 $ % $ Chief Dental Officer (CDO) 1 $ % $ Oral Surgeon 0.25 $ % $ Staff Dentist(s) 2.6 $ % $ Dental Assistant(s) 1.6 $ % $ Dental Hygienist(s) 2 $ % $ Chief Psychiatric Officer

(CPO) 1 $ % $

Staff Psychologist 1 $ % $ Staff Psychiatrist(s) 3 $ % $ Psychiatric Nurse Practitioner(s) 6 $ % $

Mental Health Clinician(s) 5 $ % $ LADC(s) 2 $ % $ NGRI Clinical Coordinator 1 $ % $ Program Manager 1 $ % $ Administrative Asst. 1 $ % $

QIA 1 $ % $

Phlebotomist 1.5 $ % $ Sub-Total Positions 43 $

Medical and Forensic Services Initials: ___________

FY 2028 Medical - Dental - Mental Health Contracted Positions

Positions # of FTE's

Loaded Yearly Compensation

Rate

Indirect Cost % (included in Loaded

Yearly Compensation

Rate)

Total

Chief Medical Officer 1 $ % $ Staff Physician(s) 2.3 $ % $ Medical Case Manager 1 $ % $ Podiatrist 0.25 $ % $ APRN(s) 5.5 $ % $ Medical Assistant(s) 2 $ % $ Chief Dental Officer (CDO) 1 $ % $ Oral Surgeon 0.25 $ % $ Staff Dentist(s) 2.6 $ % $ Dental Assistant(s) 1.6 $ % $ Dental Hygienist(s) 2 $ % $ Chief Psychiatric Officer

(CPO) 1 $ % $

Staff Psychologist 1 $ % $ Staff Psychiatrist(s) 3 $ % $ Psychiatric Nurse Practitioner(s) 6 $ % $

Mental Health Clinician(s) 5 $ % $ LADC(s) 2 $ % $ NGRI Clinical Coordinator 1 $ % $ Program Manager 1 $ % $ Administrative Asst. 1 $ % $

QIA 1 $ % $

Phlebotomist 1.5 $ % $ Sub-Total Positions 43 $

Medical and Forensic Services Initials: ___________

OPTIONAL RENEWAL

FY 2029 Medical - Dental - Mental Health Contracted Positions

Medical - Dental - Behavioral Health Contracted Positions

#of FTE's

Loaded Yearly Compensation

Rate

Indirect Cost%

(included in Loaded Yearly Compensation

Rate

Total

Chief Medical Officer 1 $ % $ Staff Physician(s) 2.3 $ % $ Medical Case Manager 1 $ % $ Podiatrist 0.25 $ % $ APRN(s) 5.5 $ % $ Medical Assistant(s) 2 $ % $ Chief Dental Officer (CDO) 1 $ % $ Oral Surgeon 0.25 $ % $ Staff Dentist(s) 2.6 $ % $ Dental Assistant(s) 1.6 $ % $ Dental Hygienist(s) 2 $ % $ Chief Psychiatric Officer (CPO) 1 $ % $ Staff Psychologist 1 $ % $ Staff Psychiatrist(s) 3 $ % $ Psychiatric Nurse Practitioner(s) 6 $ % $ Mental Health Clinician(s) 5 $ % $ LADC(s) 2 $ % $ NGRI Clinical Coordinator 1 $ % $ Program Manager 1 $ % $ Administrative Asst. 1 $ % $

QIA 1 $ % $

Phlebotomist 1.5 $ % $ Sub-Total Positions 43 $

Total Medical - Dental - Behavioral Health Contracted Positions $

Medical and Forensic Services Initials: ___________

FY 2030 Medical - Dental - Mental Health Contracted Positions

Medical - Dental - Behavioral Health Contracted Positions

#of FTE's

Loaded Yearly Compensation

Rate

Indirect Cost%

(included in Loaded Yearly Compensation

Rate

Total

Chief Medical Officer 1 $ % $ Staff Physician(s) 2.3 $ % $ Medical Case Manager 1 $ % $ Podiatrist 0.25 $ % $ APRN(s) 5.5 $ % $ Medical Assistant(s) 2 $ % $ Chief Dental Officer (CDO) 1 $ % $ Oral Surgeon 0.25 $ % $ Staff Dentist(s) 2.6 $ % $ Dental Assistant(s) 1.6 $ % $ Dental Hygienist(s) 2 $ % $ Chief Psychiatric Officer (CPO) 1 $ % $ Staff Psychologist 1 $ % $ Staff Psychiatrist(s) 3 $ % $ Psychiatric Nurse Practitioner(s) 6 $ % $ Mental Health Clinician(s) 5 $ % $ LADC(s) 2 $ % $ NGRI Clinical Coordinator 1 $ % $ Program Manager 1 $ % $ Administrative Asst. 1 $ % $

QIA 1 $ % $

Phlebotomist 1.5 $ % $ Sub-Total Positions 43 $

Medical and Forensic Services Initials: ___________

FY 2026 Medical - Dental - Mental Health Contracted Positions

Positions #of FTE's

Loaded Yearly Compensation

Rate

Indirect Cost % (included in Loaded

Yearly Compensation

Rate)

Total

Chief Medical Officer 1 $ % $ Staff Physician(s) 2.3 $ % $ Medical Case Manager 1 $ % $ Addictionologist 1 $ % $ Podiatrist 0.25 $ % $ APRN(s) 5.5 $ % $ Medical Assistant(s) 2 $ % $ Chief Dental Officer (CDO) 1 $ % $ Oral Surgeon 0.25 $ % $ Staff Dentist(s) 2.6 $ % $ Dental Assistant(s) 1.6 $ % $ Dental Hygienist(s) 2 $ % $ Chief Psychiatric Officer

(CPO) 1 $ % $

Staff Psychologist 1 $ % $ Staff Psychiatrist(s) 3 $ % $ Psychiatric Nurse Practitioner(s) 6 $ % $

Mental Health Clinician(s) 5 $ % $ LADC(s) 2 $ % $ NGRI Clinical Coordinator 1 $ % $ Program Manager 1 $ % $ Administrative Asst. 1 $ % $

QIA 1 $ % $

Phlebotomist 0.85 $ % $ Sub-Total Positions 43.35 $ % $

Medical and Forensic Services Initials: ___________

FY 2027 Medical - Dental - Mental Health Contracted Positions

Positions #of FTE's

Loaded Yearly Compensation

Rate

Indirect Cost % (included in Loaded

Yearly Compensation

Rate)

Total

Chief Medical Officer 1 $ % $ Staff Physician(s) 2.3 $ % $ Medical Case Manager 1 $ % $ Addictionologist 1 $ % $ Podiatrist 0.25 $ % $ APRN(s) 5.5 $ % $ Medical Assistant(s) 2 $ % $ Chief Dental Officer (CDO) 1 $ % $ Oral Surgeon 0.25 $ % $ Staff Dentist(s) 2.6 $ % $ Dental Assistant(s) 1.6 $ % $ Dental Hygienist(s) 2 $ % $ Chief Psychiatric Officer

(CPO) 1 $ % $

Staff Psychologist 1 $ % $ Staff Psychiatrist(s) 3 $ % $ Psychiatric Nurse Practitioner(s) 6 $ % $

Mental Health Clinician(s) 5 $ % $ LADC(s) 2 $ % $ NGRI Clinical Coordinator 1 $ % $ Program Manager 1 $ % $ Administrative Asst. 1 $ % $

QIA 1 $ % $

Phlebotomist 0.85 $ % $ Sub-Total Positions 43.35 $

Medical and Forensic Services Initials: ___________

FY 2028 Medical - Dental - Mental Health Contracted Positions

Positions # of FTE's

Loaded Yearly Compensation

Rate

Indirect Cost % (included in Loaded

Yearly Compensation

Rate)

Total

Chief Medical Officer 1 $ % $ Staff Physician(s) 2.3 $ % $ Medical Case Manager 1 $ % $ Addictionologist 1 $ % $ Podiatrist 0.25 $ % $ APRN(s) 5.5 $ % $ Medical Assistant(s) 2 $ % $ Chief Dental Officer (CDO) 1 $ % $ Oral Surgeon 0.25 $ % $ Staff Dentist(s) 2.6 $ % $ Dental Assistant(s) 1.6 $ % $ Dental Hygienist(s) 2 $ % $ Chief Psychiatric Officer

(CPO) 1 $ % $

Staff Psychologist 1 $ % $ Staff Psychiatrist(s) 3 $ % $ Psychiatric Nurse Practitioner(s) 6 $ % $

Mental Health Clinician(s) 5 $ % $ LADC(s) 2 $ % $ NGRI Clinical Coordinator 1 $ % $ Program Manager 1 $ % $ Administrative Asst. 1 $ % $

QIA 1 $ % $

Phlebotomist .85 $ % $ Sub-Total Positions 43.35 $

Medical and Forensic Services Initials: ___________

FY 2029 Medical - Dental - Mental Health Contracted Positions

Medical - Dental - Behavioral Health Contracted Positions

#of FTE's

Loaded Yearly Compensation

Rate

Indirect Cost%

(included in Loaded Yearly Compensation

Rate

Total

Chief Medical Officer 1 $ % $ Staff Physician(s) 2.3 $ % $ Medical Case Manager 1 $ % $ Addictionologist 1 $ % $ Podiatrist 0.25 $ % $ APRN(s) 5.5 $ % $ Medical Assistant(s) 2 $ % $ Chief Dental Officer (CDO) 1 $ % $ Oral Surgeon 0.25 $ % $ Staff Dentist(s) 2.6 $ % $ Dental Assistant(s) 1.6 $ % $ Dental Hygienist(s) 2 $ % $ Chief Psychiatric Officer (CPO) 1 $ % $ Staff Psychologist 1 $ % $ Staff Psychiatrist(s) 3 $ % $ Psychiatric Nurse Practitioner(s) 6 $ % $ Mental Health Clinician(s) 5 $ % $ LADC(s) 2 $ % $ NGRI Clinical Coordinator 1 $ % $ Program Manager 1 $ % $ Administrative Asst. 1 $ % $

QIA 1 $ % $

Phlebotomist 0.85 $ % $ Sub-Total Positions 43.35 $

Medical and Forensic Services Initials: ___________

FY 2030 Medical - Dental - Mental Health Contracted Positions

Medical - Dental - Behavioral Health Contracted Positions

#of FTE's

Loaded Yearly Compensation

Rate

Indirect Cost%

(included in Loaded Yearly Compensation

Rate

Total

Chief Medical Officer 1 $ % $ Staff Physician(s) 2.3 $ % $ Medical Case Manager 1 $ % $ Addictionologist 1 $ % $ Podiatrist 0.25 $ % $ APRN(s) 5.5 $ % $ Medical Assistant(s) 2 $ % $ Chief Dental Officer (CDO) 1 $ % $ Oral Surgeon 0.25 $ % $ Staff Dentist(s) 2.6 $ % $ Dental Assistant(s) 1.6 $ % $ Dental Hygienist(s) 2 $ % $ Chief Psychiatric Officer (CPO) 1 $ % $ Staff Psychologist 1 $ % $ Staff Psychiatrist(s) 3 $ % $ Psychiatric Nurse Practitioner(s) 6 $ % $ Mental Health Clinician(s) 5 $ % $ LADC(s) 2 $ % $ NGRI Clinical Coordinator 1 $ % $ Program Manager 1 $ % $ Administrative Asst. 1 $ % $

QIA 1 $ % $

Phlebotomist 0.85 $ % $ Sub-Total Positions 43.35 $

Medical and Forensic Services Initials: ___________

Medical and Forensic Services Initials: ___________

Contractor Name Contractor Address NHDOC 2025-05 Medical-Dental Behavioral Health Professional Services

Dates of Service: MM/DD/YY through MM/DD/YY Invoice Date Invoice Number

Service Position Per Diem (hrs.

worked) Filled FTE's Total Amount

Medical

Chief Medical Officer (CMO) $ Staff Physician $ Medical Case Manager $ Podiatrist $

APRN $

Medical Assistants (MA) $ Phlebotomist $

Dental

Chief Dental Officer (CDO) $ Oral Surgeon $ Staff Dentist(s) $ Dental Assistant(s) $ Dental Hygienist(s) $

Behavioral Health

Chief Psychiatric Officer (CPO) $

Staff Psychologist $ Staff Psychiatrist(s) $ Psychiatric Nurse Practitioner(s) $

Mental Health Clinician(s) $ LADC(s) $ NGRI Clinical Coordinator $ Addictionologist $

Administrative

Program Manager $ Administrative Asst. $

QIA $

Total Hours Worked & FTE's $ Total Amount Due* $

*Contractor time sheets shall be attached for all per diem positions showing all hours actually worked.

Medical and Forensic Services Initials: ___________

Contract Administrator: Barbara A. Mitera Email: DOC.bids_contracts@doc.nh.gov and Barbara.A.Mitera@doc.nh.gov

TEL. NO.: 603/271-7468

NOTE: ALL CHANGES TO BID SOLICITATION NOTED IN ADDENDUMS WILL SUPERSEDE PREVIOUSLY

SUBMITTED DOCUMENTS AND MUST BE SUBMITTED WITH THE BID. ALL OTHER SPECIFICATIONS

REMAIN UNCHANGED AND VALID.

BIDDER________________________________ ADDRESS ____________________________

BY _______________________________

(this document must be signed)

________________________________ TEL. NO.____________________________

(please type or print name)

Please visit: https://das.nh.gov/purchasing/vendorresources.aspx and click on “Bid and Proposals” for complete bid and addendums or go to: https://www.corrections.nh.gov/resources/bids-contracts and search by bid number.

ADDENDUM # 2 to RFP NHDOC 2025-05