Att G - Q&A - posted 9.17.26.xlsx
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- Attached to
- RFP DOC Correctional Health ServicesBid Documents State and local contract opportunity
- Solicitation number
- 27-87787
- Issued by
- Hendricks County, Indiana
About this file
This is a Question and Answer document for RFP 27-87787 issued by the Indiana Department of Correction (IDOC) through the Indiana Department of Administration (IDOA) regarding comprehensive correctional health services. The RFP seeks proposals for health services delivery to approximately 25,000-28,000 incarcerated individuals across eighteen adult facilities, three juvenile facilities, and ten parole districts, with service scope including primary care, urgent and emergent care, infectious disease management, infirmary care, dialysis, physical therapy, optometry, women's health, telemedicine, mental health and addiction recovery services, dental services, electronic health record management, off-site specialty care, and re-entry planning. Written questions were due August 27, 2026 by 3:00 PM Eastern Time, with responses provided in this document posted by September 11, 2026. Proposals are due October 5, 2026 at 3:00 PM Eastern Time, with a mandatory pre-proposal conference held on August 26, 2026. The contract term is three years from execution with two optional two-year renewal periods, potentially extending to seven years total.
The vendor must establish regional administrative infrastructure with specified leadership positions including Vice President of Operations, statewide Medical Director, Director of Nursing, and Behavioral Health Director, with staffing levels documented in a vendor staffing matrix subject to financial penalties of $10,000 per facility per week for deficiencies. Outpatient medical claims are reimbursed at Medicare plus 4 percent, while inpatient hospital claims under HIP 2.0 Medicaid require the vendor to reimburse IDOC approximately 33 percent quarterly. The vendor assumes costs for dialysis equipment, laboratory and imaging services, emergency transportation beyond state capacity, and all staffing increases beyond the minimum schedule. Performance standards require 90 percent or better pass rates across 485 established measures, with minimum reimbursement penalties of $10,000 per deficiency per facility for failure to meet standards. The incumbent vendor is Centurion Health of Indiana, LLC, under a contract expiring March 31, 2027. Pricing must be firm for 180 days from award and remain fixed throughout the initial three-year term with no inflation adjustments. A 3 percent Indiana Veteran Owned Small Business subcontractor participation goal applies, with up to 5 bonus points available for achievement, plus an additional 5 points available under the Buy Indiana Initiative for qualifying Indiana companies. Financial responsibility bonds or letters of credit equal to 5 percent of total contract price are required prior to execution.
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Question & Inquiry Form
| Question and Answer Template | ||||||
| Attachment G | ||||||
| RFP 27-87787 Correctional Health Services | ||||||
| Please submit your questions in the form below (blue shaded area) by the date specified in RFP Section 1.23 | ||||||
| Click the dropdown in the RFP Document Column to select topic. | ||||||
| No. | RFP Document | Section Number | Page | Topic | Question | State Responses |
| 1 | 3.2 (RFP_Boilerplate) | pg. 17 | Evaluation Criteria | Will AI, machine learning, automated content analysis, natural language processing, or any other automated technology be used by IDOA, IDOC, or their agents to review, analyze, score, rank, or otherwise evaluate proposal submissions? If so, please describe the extent of that use. | AI will not be used in scoring of the proposals | |
| 2 | Attachment K Statement of Work | 1.4 | pg. 1-4 | Staffing | Can you provide the following staffing information? |
1. Historical vacancy rates by position for the last 3 years.
2. Current use of agency labor.
3. Current sign-on bonus programs.
4. Current retention bonus programs.
| 5. Historical overtime utilization. | 1. Yes (see provider vacancy report); 2. This is incumbent vendor information; 3. This is incumbent vendor information; 4. This is incumbent vendor information; This is incumbent vendor information | |||||
| 3 | Attachment K Statement of Work | 1.4 | pg. 4 | Staffing | What population or process changes have occurred over the last year to support the reduction/elimination of the below roles from the 2025 RFP? |
1. Eliminations
a. Education/Training RN
b. Regional Clinical Pharmacist
c. Assoc Regional Direction – Addiction Recovery
2. Reductions
a. Regional Directory – Addiction Recovery
| b. Regional Dental Director | Did not reduce/eliminate Regional Director of ARS | ||||||
| 4 | Attachment K Statement of Work | 1.4 | pg. 9 | Key Performance Indicators | Please provide the complete schedule of performance measures and associated financial penalties for 2026 year to date, 2025, 2024 and 2023. | We can provide-It is included with the Q&A attachments zip folder | |
| 5 | Attachment K Statement of Work | 1.4 | pg. 7 | Off-Site Care | Please provide ambulance and air ambulance spend for 2026 year to date, 2025, 2024 and 2023. | This is incumbent vendor information | |
| 6 | Attachment K Statement of Work | 1.4 | pg. 7 | Off-Site Care | Please provide ER utilization by facility for 2026 year to date, 2025, 2024 and 2023. | Please see the HSR report within the bidders library. | |
| 7 | Attachment K Statement of Work | 1.4 | pg. 7 | Are transplant costs paid for by the vendor? | Yes | ||
| 8 | Attachment D Cost Proposal Template | R30-32 | Tab 2 | Pharmacy Costs | Can you provide HIV, Hepatitis C, LAI, and Biological pharmaceutical spend for 2026 year to date, 2025, 2024 and 2023? | Yes (P&T minutes) | |
| 9 | Attachment D Cost Proposal Template | R10-15 | Tab 2 | Medical Expenditures | What were the total jail medical expenditures in 2026 year to date, 2025, 2024 and 2023? | FY 2023=$149,307,357; FY 2024=$155,604,102; FY 2025=$162,750,620; FY 2026=$187,059,283 | |
| 10 | Attachment F Technical Proposal Template | 2.4.1 | pg. 2 | Annual Total Costs | Can you provide current annual total cost for: |
1. contract monitoring reimbursements,
2. accreditation fees,
3. CMO reimbursement,
4. executive oversight reimbursement,
| 5. computer seat charges. | Contract monitoring reimbursements: $600,000; Accreditation Fees: $186,250; CMO reimbursement is built into the contract monitoring reimbursement; Executive Oversight is built in; Computer seat charges=$2,145,663 (This included seat change, security, software, network access, and cell phones. This does not include the equipment purchases that are billed separately. These include monitor scanners, printer, docking stations, etc. | ||||||
| 11 | Attachment D Cost Proposal Template | R35-36 | Tab 2 | EHR Costs | What are the current annual maintenance and licensing costs for the EHR platform? | These records are kept by the current vendor and DOC does not have access to it at this time. | |
| 12 | Attachment D Cost Proposal Template | R5-6 | Tab 1 | Itemization | If the "Miscellaneous Itemization" or "Equipment Itemization" tabs do not contain enough rows to accommodate the full itemization, how would you like vendors to provide the additional detail while remaining compliant with the pricing form requirements? | In order to keep the template secure, you may do an attachment listing these miscellaneous items out and place the total on one of the excel lines provided. Please ensure it is included within your totals prior to submission. | |
| 14 | Attachment F Technical Proposal Template | 2.4.4 | pg. 5 | Staffing | This section discusses failure to consistently staff at the appropriate levels could lead to termination of the contract. Is it the State's intent to apply credit for the vendor to staff in accordance with the staffing plans or reinforce through perfomance credits? | No, the State will not credit in accordance with staffing plans. | |
| 15 | Attachment F Technical Proposal Template | 2.4.36 | 64 | Interstate Compact Individuals | How many individuals are on interstate compact inside and outside the State of Indiana. Does the state have a total amount of expenses over the last 2 years on interstate compact individuals? | There are 39 interstate compact individuals outside of the state of Indiana. The state does not have a total for the last 2 years. | |
| 16 | HSR Feb 2024 - Oct 2025 (Bidder's Library | May and Nov 2025 | Health Service Report - May and Novemebr 2025 | It appears that we have HSR Excel files for all the periods between February 2024 and October 2025 except for May and November 2025. Can these files be provided? | Please refer to the Health Services Reports within the Bidders Library | ||
| 17 | Attachment H Reference Form | 1 | pg. 1 | Form Submission | Attachment H of the RFP requires Offerors to submit client references using a standardized reference check form. Based on our experience, many of our current clients are reluctant to complete a form of this nature when it may become part of the public procurement record, as they view detailed performance feedback about their contracted healthcare provider as sensitive and potentially subject to public disclosure requests. |
| Would the Department consider an alternative method for submitting client references, for example, allowing Offerors to provide reference contact information (name, title, organization, phone, and email) so the Department may reach out directly, rather than requiring the client to complete and submit a written form? | NO | ||||||
| 18 | Attachment F Technical Proposal Template | Multiple/Att. L | pgs. 18, 20, 30, 44, 60 / Q234 | Performance Audit Sample Size | Through reviewing the performance measures and the previous question response in row 234, given the organization’s ADP, please provide the rationale for limiting the audit sample to 10 charts and describe how this sample size provides a reliable and representative assessment of performance. Please identify the sampling methodology or standard used to determine the appropriate sample size as it relates to the Attachment F - Technical Proposal items in sections Routine Primary Care, Periodic Health Screening, Chronic Care, Dental Care, etc. where it states: “It is expected that the Vendor will address reported deficiencies within the next reporting period, so that each performance measure receives a passing score of 90% or higher.” | We are currently in the process of amending our current auditing tool, which would include increasing the sample size. | |
| 19 | Attachment F Technical Proposal Template | 2.4.47 / Att. L | pg. 77 / Q146 | Telepsychiatry Services | Attachment F, Technical Proposal template references that teleservices for mental health would be an adjunct to on site services. In row 146, it was specified that telehealth mental health encounters could equal up to to 20%. Can you please clarify if telepsychiatry is considered part of mental health or if there is an equivalent ratio that would be specific to telepsychiatry? If there is an acceptable ratio for telepsychiatry, are there any sites that specifically must have on-site psychiatry services exclusively? | Teleservices for mental health should be only be used as an adjunct to in-person mental health services. Only 20% of encounters can occur this way. | |
| 20 | Attachment K Statement of Work | 1.4 | pg. 5 | Pharmacy Costs | Can you please confirm that pharmacy will not be part of this medical and mental health contract? | Pharmacy Services will be a separate RFP | |
| 21 | Attachment K Statement of Work | 1.4 | pg. 4 | Staffing Paybacks/Penalties | Can you please confirm that there will be no staffing paybacks/penalties? | Confirmed | |
| 22 | Attachment F Technical Proposal Template | 2.4.2 | pg. 2 | Facility Calls | Within this section it states "The Vendor shall provide the necessary corporate administrative functions such as time keeping, payroll, personnel functions, billing tasks, obligations payment, telephone, and fax lines for long distance calls, etc.," can you please confirm if this includes facility long-distance? | It does not include facility long-distance. The facilities are charged long-distance fees | |
| 23 | Attachment F Technical Proposal Template | 2.4.5 | pg. 6-8 | Medicaid Eligibility | Please provide the number of physicians who are currently Medicaid eligible and the number of physicians who are not medicaid eligible | Incumbent staff information | |
| 24 | Attachment F Technical Proposal Template | 2.4.5 | pg. 6-8 | Licenses and Certifications | The RFP states, "The Vendor will not employ health care professionals whose licenses or certifications restrict them to working inside prisons only. Physicians must comply with Medication Assisted Treatment options in every IDOC facility for the treatment of substance use disorders and must maintain a current DEA registration that include Schedule III authority to prescribe buprenorphine for opioid use disorder," can you please clarify if this is the current requirement/practice for providers? | This is the current requirement/practice for providers | |
| 25 | Attachment F Technical Proposal Template | 2.4.13 | pg. 19-20 | Diabeties Patients | Within this section it states "Incarcerated individuals with an A1C>8 must be seen monthly until stabilized and patients with Class 1 HCV must be seen monthly, can you please clarify how many patients have a A1C greater than 8? | ||
| How many patients have class 1 HCV? | July 2026-261 with A1C>9% July 2026-1056 enrolled in HCV Chronic Care | ||||||
| 26 | Attachment F Technical Proposal Template | 2.4.34 / 2.4.44 / Att. L | pg. 72-74 / Q229 | IOT Cost Breakdown | Attachment L, Line 229 indicates that the current vendor incurs more than $1 million annually in IOT charges. Does this amount include only the costs identified in Column D, or does it also include user seat licenses, security support, and other IOT fees? Can IDOC provide a category-level breakdown of the most recent year's IOT charges to assist respondents in developing accurate cost estimates? | Computer seat charges. $2,145,663/this included seat charge,security, software, network access, and cell phones. This does not inlucde the equipment purchas that are billed separately. These inlcude but not limited to monitor, scanners, printers, docking stations, etc. Cost breakdown by each seat permonth or by person per month: Seat Charge $87.77, User Licenses $51.73, Security $51.95, Web $12.45, Citrix $28.18, Wireless Service $30.47 | |
| 27 | Attachment F Technical Proposal Template | 2.4.44 / Att. L | pg. 72-74 / Q384 | Comprehensive Computer Inventory | Attachment L, Line 384 indicates a more comprehensive inventory of computers, monitors, etc. can be provided. Will IDOC please provide this listing? | A comprehensive list of equipment will be provided to the awardee. | |
| 28 | Attachment F Technical Proposal Template | 2.4.34 | pg. 62-63 | Vendor EHR Responsibility | What specific NextGen costs are the contractor responsible for (licenses, upgrades, support, interfaces, administration)? | Licenses, upgrades, support, interfaces, adminstration - | |
| 29 | Attachment F Technical Proposal Template | 2.4.34 | pg. 62-63 | Production Interfaces | Please identify all existing production interfaces and indicate which party currently owns and supports them. | A comprehensive list of equipment will be provided to the awardee. | |
| 30 | Attachment F Technical Proposal Template | 2.4.39 | pg. 65-67 | Telehealth Equipment | Please identify any telehealth equipment that will remain in place and transfer to the incoming contractor at contract start. | A comprehensive list of equipment will be provided to the awardee. | |
| 31 | Attachment F Technical Proposal Template | 2.4.45 | pg. 74-76 | Technology | Please identify the systems currently used to support required reporting, dashboards, and performance-measure reporting, including any contractor-maintained databases, reporting tools, or business intelligence platforms. | These systems are vendor managed. IDOC uses NextGen. | |
| 32 | Attachment F Technical Proposal Template | 2.4.7 | pg. 11-12 | Training | Thank you for outlining the required trainings to be delivered by the vendor. Can you please provide an estimate of how many hours each month is dedicated to the training at various academies and training departments? Are these trainings delivered in person or virtually? | Training is on-going. The Division of Workforce engagement conducts trainings for Healthcare staff 1 week per month. Some computer-based training. 2.5 days in class | |
| 33 | Attachment F Technical Proposal Template | 2.4.23 | pg. 46-49 | Transition Staffing and Staff Transportation | Can IDOC please clarify, now that the 15 Transition Healthcare Facilitators, 12 Transitional Healthcare, and 2 Special Needs THL Liaisons are revoved from Attachment F, if the DOC considers the previous listed staffing to be sufficient? Is there any requirement that the transition staff provide transportation in their own vehicles for clients. For those staff working in the parole offices is there any expectation regarding home visits or work occurring outside the parole office? | Transitional Healthcare staff are not expected to attend home visits. They are expected to be in the community 4 hrs per month building/meeting with community partners | |
| 34 | Attachment F Technical Proposal Template | 2.4.24 | pg. 50-52 | Pre-Dispositonal Diagnostic Evaluation | Can the IDOC please indicate what level licensure is required to complete the pre-dispositional diagnostic evaluation and what is expected to be included in the diagnostic evaluation, for example, is psychological testing required as part of this evaluation? Is this documentation provided directly to the court? | A pschology license would be required. There is no psychological testing required. | |
| 35 | Attachment F Technical Proposal Template | 2.4.24 | pg. 51 | Medication Assisted Treatment | How many youth are currently prescribed MAT? | Zero (0) | |
| 36 | Attachment F Technical Proposal Template | 2.4.13 / Att. L | pg. 19 / Q147 | Breaking Free | Per the question response in Attachment L, grant funding was being sought for utilizing Breaking Free on tables, can IDOC confirm if funding was secured for Breaking Free? If not, will vendor be responsible for the associated fees of that program? | Breaking Free funding was not secured. Vendor will not be responsible for future funding. | |
| 37 | Attachment F Technical Proposal Template | 2.4.13 / Att. L | pg. 19 / Q148 | MAT Services | Per the question presonse in Attachment L, Can IDOC please confirm if MAT services have been expanded beyond 900 patients? Please confirm the following: |
1. What is the break down of number of medications by type used for MAT patients?
2. How are MAT medications dispensed?
3. If you are using secured meds line, how many individuals are at each facility have secured med pass?
| 4. Is IDOC currently interested in expanding MAT services? | 1. Currently 105 patients prescribed Brixadi. 2. Per state and federal law 3. MAT meds: BTC=42 CIF=13 COL=4 ISF=82 ISP=45 ISR=28 IWP=7 IYC=116 JCU=16 MCF=16 MCU=22 NCF=50 RDC=55 RTC=30 sbw=7 HTCF=77 WCC=38 WVCF=166 2. Tablets, LAI 3. See #1 4. Yes | ||||||
| 38 | Attachment F Technical Proposal Template | 2.4.13 / Att. L | pg. 19 / Q201 | MAT Services | Are there currently waitlists to related to MAT providers? How many are on the waitlist? | Waitlists are calculated on a weekly basis and the number varies. | |
| 39 | Attachment F Technical Proposal Template | 2.4.17 / Att. L | pg. 19 / Q118 | After Hours On-Call Services | Can IDOC confirm if there is an on call rotation for each facility, meaning the clinicians who work there are the ones on call for that facility, or if MH clinicians participate in a regional on call system where facilities located within a region share the on call responsible clinician? | Confirmed | |
| 40 | General | N/A | Gender Afferming Care | Can IDOC please provide more details on gender affirming care provided? Do patients recied electrolysis or other gender affirming treatment? Can IDOC please provide a breakout of how many individuals recieve each treatment type? | The IDOC provides clinically-indicated treatment for all incarcerated individuals | ||
| 41 | Attachment F Technical Proposal Template | 2.4.25 | pg. 52-54 | Suicide Prevention Treatment | The Facilities Medical Inventory document does not contain the number of suicide smocks and safety blankets per facility. Please confirm the number of each per facility and who is finacially responsible for puchasing and replacing them. | The vendor is responsible for purchasing and replacing them. Inventories aren't reported. Each facility should have 3 sets minimum | |
| 42 | Attachment D Cost Proposal Template | n/a | n/a | Pricing- General | What steps will the evaluation committee take to ensure that prices submitted by bidders are sound and sufficient to cover the FULL scope of services, as well as ALL financial risks, set forth in the RFP and to guard against lowball bids with artificially low and fundamentally inadequate prices that may be submitted in an attempt to simply win the procurement and subsequently seek price increases and/or alterations to the scope of services, terms and conditions, insurance requirements, and/or penalty and other payback provisions of the contract after submission and/or after award and startup? | Please see the instructions tab of the Attachment D; Cost Proposal. The instructions state specifically that the cost proposal shall be inclusive of the cost for all services, staffing, equipment, supplies and administrative costs as specified in this RFP. | |
| 43 | Attachment K Statement of Work | 1.4 Summary of Work | 2 | EHR / Future Modernization | Will the Indiana Office of Technology (IOT) permit the selected Contractor to host collaborative, joint technical focus groups during the transition phase to align the in-house clinical software’s database schemas (e.g., federated SSO, zero-trust data layouts) directly against restricted state IT policies? | For database schema; yes, while working with non-production datasets. SSO, zero-trust will be on a case by case basis. | |
| 44 | Attachment K Statement of Work | 1.4 Summary of Work | 9 | Artificial Intelligence Standards | Regarding the State Agency Artificial Intelligence Systems Standard, will the State provide the exact AI Readiness Assessment Questionnaire template during this Q&A window so the Contractor can pre-align the transparent machine-learning features embedded in its healthcare platform (like automated eMAR anomalies and predictive intake alerts) prior to the October 5th submission? | The current EMR solution, as submitted, does not have/include any Artificial Intelligence capabilities as a part of the solution. | |
| 45 | Attachment K Statement of Work | 1.4 Summary of Work | 3 | Agency Overview/Current Services | To support Federal mandates for Medicaid suspension rather than termination, what specific real-time interoperability standard (e.g., HL7, FHIR, or batch APIs) does the State currently support between the DOC's infrastructure and the state’s Medicaid eligibility database to assist the Contractor with automated enrollment workflows? | This is a county jail function | |
| 46 | Attachment K Statement of Work | 1.4 Summary of Work | 5 | EHR / Medicaid 1115 Waivers | Does the DOC expect the Healthcare Contractor’s proprietary clinical software platform to natively aggregate, document, and bill for services under the Section 1115 Reentry Demonstration Opportunity (such as tracking 30-day pre-release case management, MAT logs, and discharge medication supply validations)? | No. The state of Indiana has not appled for a 1115 waiver | |
| 47 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | EHR / Performance & NPS | Regarding the modified Net Promoter Score (NPS) KPI, will this survey be distributed exclusively to IDOC leadership, or will it include the Contractor's daily clinical end-users (nurses, physicians, mental health staff) operating within the facilities? Additionally, what is the frequency of these evaluations before a low score triggers a contract default notice? | Completed performance measure audits are conducted quarterly. Results will be given to IDOC Health Services leadership and forwarded to the Vendor's Regional Office leadership. Below 90% is the threshhold. | |
| 48 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | EHR / Interfaces | Will the Healthcare Contractor be responsible for the cost of any new interfaces required under the new contract? | Yes | |
| 49 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | Network / Financial Responsibility | If infrastructure cabling is required, please clarify the party that is financially responsible - DOC or Healthcare Contractor? | IDOC | |
| 50 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | Network / Financial Responsibility | Is the Healthcare Contractor responsible for the cost and management of new network runs, if needed? | In most cases, no. | |
| 51 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | Hardware / Financial Responsibility | Please clarify the party who is financial responsibility for other IT-related hardware (e.g., docking stations, scanners) not covered by the existing seat-charge model - DOC of Healthcare Contractor? | DOC | |
| 52 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | Network / Responsibility | Please clarify the responsible party for providing network infrastructure (switches and firewalls) -- the DOC or the Contractor? | DOC/IOT | |
| 53 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | Hardware / Financial Responsibility | If a timeclock needs to be relocated on-site, please clarify the responsible party for the cost -- DOC or Healthcare Contractor? | Timeclocks are managed by the vendor | |
| 54 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | Hardware / Policy | Will time clocks reside on the DOC/State network, or will the Healthcare Contractor be required to add a dedicated network? | Timeclocks are managed by the vendor | |
| 55 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | Hardware / Policy | Will the vendor be allowed to install secure, IT-based time clocks that communicate to an external server for staff time management? | Timeclocks are managed by the vendor | |
| 56 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | Software / Process | Does the DOC have a formal process to allow contractors to install software (i.e., support tools) on Agency-imaged PCs, or to request internet site whitelisting? | DOC personnel can request approved application package builds via an IOT service request so they can be properly deployed to State Assets. Additionally DOC personnel can request internet whitelisting for needed business URLs via the same IOT Service Request system. | |
| 57 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | Network / Policy | Is the DOC open to the Healthcare Contractor installing its own isolated network, separate from the DOC/State-owned network to serve Contractor end points/PCs? | The State would be open to further discussions once the contract is awarded. | |
| 58 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | Network / State Plans | Are there plans for DOC to provide wireless connectivity/access for medical services, and if so, at which locations? | Not at this time | |
| 59 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | Network / Policy | If the Healthcare Contractor is required to provide Internet, LAN, Wi-Fi, or end-user equipment, are there any restrictions on the products used, or can the Contractor implement its own standard design and equipment? | The vendor provided network and connected peripherals must not connect, integrate, or interfere with any State networking resources. The vendor will also own all its risk and security requirements. | |
| 60 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | Network / Capacity | Is rack space, power, and cooling available within current network closets to support Contractor network expansion, if the Vendor's proposal calls for it? | A site visit and closet survey would need to be performed for each location by DOC and the vendor. | |
| 61 | Attachment K Statement of Work | 1.4 Summary of Work | n/a | New Facility (Incumbent-Identified) | Please clarify and detail the upcoming IT infrastructure, network, and EHR/telehealth equipment requirements and timeline for the new Northwestern Indiana correctional facility (projected to open in 2027), and will the Contractor be expected to fund or install this infrastructure prior to opening? | IT infrastructure. DOC is funding the infrastructure install. | |
| 62 | Attachment A IVOSB Commitment | All | All | Minority & Women Business Enterprises (MWBE) | Please confirm in writing that the solicitation/RFP includes NO requirements or scoring criteria for Minority & Women Business Enterprises (MWBE) participation. | ||
| As of 7/15/2026 MWBE Participation is no longer in use for scoring purposes | |||||||
| 63 | Attachment D Cost Proposal Template | All | All | Specialty Care Spend | For each of the past 3 years, please provide total spend amounts for the following categories. | ||
| a. | Offsite services | ||||||
| b. | Laboratory services | ||||||
| c. | Offsite diagnostic (x-ray) services | ||||||
| This is vendor information that is not available to the IDOC Team. | |||||||
| 64 | Attachment D Cost Proposal Template | All | All | Cost Exclusions | Will the vendor be financially responsible for any of the following services under the new contract? |
IF YES, then for any category that will be at the vendor’s cost, please provide three years’ of cost data on the expenses incurred in that category.
| a. | Care for newborn babies after the actual delivery | |||||
| b. | Abortions that are not clinically necessary | |||||
| c. | Cosmetic surgery that is not clinically necessary | |||||
| d. | Gender reassignment (sex change) surgery and any follow-up treatment or related cosmetic procedures | |||||
| e. | Contraception, including vasectomy, tubal ligation, or reversal of such | |||||
| f. | Experimental care | |||||
| g. | Elective care, i.e., care which if not provided would not (in the opinion of the Medical Director) cause the patient’s health to deteriorate or cause the patient definite and/or irreparable physical harm | |||||
| h. | Autopsies | |||||
| A. vendor is not responsible for newborns B. Only clinical indicated services are performed C. Only services that are clinically necessary D. this is nonapplicable E. Yes, costs associated are specific to the incumbent information and not accessible to IDOC teams F. Please refer to the HCSD. Experimental care in general is not permitted. G. elective care n/a H. No | ||||||
| 65 | Attachment D Cost Proposal Template | All | All | HIP 2.0 | For each of the past three years, please indicate the dollar amount that the incumbent vendor has reimbursed the state for HIP 2.0 payments. | |
| These records are kept by the current vendor and DOC does not have access to it at this time. | ||||||
| 66 | Attachment D Cost Proposal Template | All | All | HIP 2.0 | In each of the past three years, what was the dollar value of IDOC inpatient claims that were NOT covered HIP 2.0 or traditional Medicaid? | |
| These records are kept by the current vendor and DOC does not have access to it at this time. | ||||||
| 67 | Attachment F Technical Proposal Template | All | All | Format | To make this lengthy document easier for the Evaluation Committee to review and score, will the IDOC please allow vendors to add pagination and a Table of Contents to the front of their responses to Attachment F- Technical Proposal? |
| Yes, you may do so | ||||||
| 68 | Attachment F Technical Proposal Template | Introduction | 1 of 79 | Performance measures and penalties/liquidated damages | So that vendors can trend past application of performance measures, please provide (by year) the amounts and reasons for any penalties/ liquidated damages the IDOC has assessed against the incumbent vendor over the term of the current contract. | |
| See attachments for 2024-2025 PM deficiencies | ||||||
| 69 | Attachment F Technical Proposal Template | 2.4.1 Scope of Work/General | 1 of 79 | Population | Please provide five-year population projections on the size of the IDOC's inmate population. | |
| We can provide-It is included with the Q&A attachments zip folder | ||||||
| 70 | Attachment F Technical Proposal Template | 2.4.1 Scope of Work/General | 1 of 79 | Population | The Bidder's Library provided "bed counts" for each IDOC facility. Please also provide the FY25 and FY 26 Average Daily Population for each IDOC facility. | |
| We can provide-It is included with the Q&A attachments zip folder | ||||||
| 71 | Attachment F Technical Proposal Template | 2.4.1 Scope of Work/General | 1 of 79 | Population | Is the IDOC aware of any upcoming legislation or government policy that could result in a drop in its inmate population (e.g., compassionate release, population reduction measures, etc.)? If yes, please describe and provide a timeframe for the legislation/policy implementation. | |
| No | ||||||
| 72 | Attachment F Technical Proposal Template | 2.4.1 Scope of Work/General | 1 of 79 | New IDOC HSDs | This section states, "The Vendor will follow all new IDOC Health Care Services Directives as issued." Please confirm that if a new HSD expands the Vendor's scope of responsibility or significantly increases the cost associated with providing contract-required services, then the IDOC will negotiate an appropriate increase in reimbursement with the Vendor. | |
| Confirmed | ||||||
| 73 | Attachment F Technical Proposal Template | 2.4.3 Staffing –Staffing Document | 4 of 79 | "Staffing Transition" | This section states, "This “staff transition” applies to non-provider staff only." However, the preceding paragraphs do not discuss "staff transition." Please clarfy to what the parenthetcal term "staffing transition" applies. | |
| It applies to how the new vendor's will convert staff from the previous contract or bring new staff into the system. | ||||||
| 74 | Attachment F Technical Proposal Template | 2.4.4 Staffing – Staffing | 5 of 79 | Staffing | Is the incumbent health services vendor currently filling any site-level positions through a staffing agency? If “yes,” please provide the following information on this topic. | |
| a. | The number of agency staff members, by position (e.g., RNs, LPNs, etc.) | |||||
| b. | The agency billing rate the incumbent is paying for each position | |||||
| This is vendor information that is not available to the IDOC Team. | ||||||
| 75 | Attachment F Technical Proposal Template | 2.4.5 Staffing – Qualifications | 6 of 79 | Medicaid-Eligible | This section states, "Physicians shall be Medicaid eligible within 90 days of the start of the contract." Please provide the IDOC/State of Indiana definition of "Medicaid-eligible." | |
| Indiana Medicaid information may be found at: www.in.gov/medicaid/providers | ||||||
| 76 | Attachment F Technical Proposal Template | 2.4.7 Staffing - Staff Training | 12 of 79 | Suicide Watch Companions | This section refers to "paid Suicide Watch Companions." Please provide the following information on this topic. |
a) Which IDOC facilities have paid Suicide Watch Companons?
b) Please provide the # of Paid Suicide Watch Companion FTEs at each IDOC facility.
c) Who pays for these positions, e.g., the IDOC or the Vendor?
| d) What is the current pay rate for paid Suicide Watch Companions? | a. all adult facilities b. unavailable c. IDOC d.Where not done by PLUS program participants, <$4 per day. | |||||
| 77 | Attachment F Technical Proposal Template | 2.4.11 Routine Primary Care Services | 16 of 79 | Backlogs | Please identify the number, type, and timeframes of any backlogs (e.g., Sick Call, chronic care clinics, offsite referrals, dental encounters, etc.) that currently exist at the IDOC facilities. | |
| IDOC Backlog report for 9/4/2026 is attached | ||||||
| 78 | Attachment I Pre-Proposal Network Opportunities Form | 2.4.13 Chronic Care | 19 of 79 | HCV Costs | This section states, "At the termination of the settlement agreement, the Vendor assumes all costs associated with Hepatitis management including treatment and medications." Please clarify whether the IDOC wants vendors to (a) build the cost of these post-settlement agreement HCV treatment and medications into their bids? OR (b) negotiate a contract amendment with the IDOC to cover these additional costs at the time the settlement agreement ends. | |
| The vendor should build the cost of the post-settlement agreement HCV treatment and medications into their bids. HCV medications are at cost to the IDOC and under the 340B Program. | ||||||
| 79 | Attachment F Technical Proposal Template | 2.4.14 Health Education/Healthy Lifestyle Promotion | 21 of 79 | Case Plan Credit Time | This section references something called "Case Plan Credit Time." Please provide a detailed description of this program. | |
| An earned credit time cut structure that is driven by compliance with interventions, programming, activities, and/pr referrals based on the needs which are indicated in the Indiana Risk Assessment tool and addressed thorugh the individualized case plans to provide each individual opportunity to make progress and earn credit time, as allowed by law. Policy and Administrative Procedure 01-07-101 is attached. | ||||||
| 80 | Attachment F Technical Proposal Template | 2.4.18 Dental Care | 29 of 79 | Oral Surgery | This section states, "Currently, the management of some jaw fractures is done on-site through an oral surgeon subcontractor." Please provide the name and contact information for this oral surgeon subcontractor. | |
| Fractures not indicating surgery will be treated at Plainfield CF or Miami CF by Dr. Rob Alderman at 317-841-1100. Fractures indicating surgical intervention will be treated at IU Oral Surgery | ||||||
| 81 | Attachment F Technical Proposal Template | 2.4.18 Dental Care | 29 of 79 | Dental Timeframes | This section states, "The Vendor is expected to provide routine dental services within 6 weeks of receipt of the incarcerated individual’s HCRF." What percentage of dental services currently occur within 6 weeks of receipt of the incarcerated individual’s HCRF? | |
| All routine services. | ||||||
| 82 | Attachment F Technical Proposal Template | 2.4.18 Dental Care | 27 of 79 | IDOC Oral Health Care Reporting System | This section refers to the "IDOC oral health care reporting system." Please provide a detailed description of this system. | |
| Oral health care team productivity standards shall be established with the concurrence of the IDOC Executive Director of Physical Health and monitored on a continuous basis. The vendor shall track and record all requests for services, complaints, schedules, services provided, and utilization data as requested. This should be completed and submitted monthly through HSR | ||||||
| 83 | Attachment F Technical Proposal Template | 2.4.20 Specialty Care | 31 of 79 | Specialty Care | With regard to any specialty care clinics currently conducted onsite at the IDOC 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 | |||||
| a. See Health Services Reports (HSR) attached b. As needed to be in compliance with time frames c. Usually a full day d. See HSRs e. Imaging-Meridian Services; PT-Vendor's staff , Optometry-Institutional Eye Care, LLC | ||||||
| 84 | Attachment F Technical Proposal Template | 2.4.20 Specialty Care | 31 of 79 | Specialty Services | For each of the past 36 months, please provide statistical data for each of the following categories. | |
| a. | Number of (offsite) inpatient hospital admissions | |||||
| b. | Number of (offsite) inpatient hospital days | |||||
| c. | Number of outpatient surgeries | |||||
| d. | Number of outpatient referrals | |||||
| e. | Number of trips to the emergency department (ED) | |||||
| f. | Number of ED referrals resulting in hospitalization | |||||
| g. | Number of ground ambulance transports | |||||
| h. | Number of air ambulance transports | |||||
| i. | Number of dialysis treatments | |||||
| See Health Services Reports attached | ||||||
| 85 | Attachment F Technical Proposal Template | 2.4.20 Specialty Care | 31 of 79 | SNF and LTAC Care | Please provide the following information relating to the IDOC's use of Skilled Nursing Facilities (SNFs) or Long-Term-Acute Care Facilities (LTACs). | |
| a. | For each of the past 3 years, please indicate how many (if any) IDOC patients have been admitted to a SNF or an LTAC. | |||||
| b. | Please provide the average length of stay (ALOS) for these SNF/LTAC patients. | |||||
| c. | Please provide a list of the SNF and LTAC facilities used by the IDOC. | |||||
| Bennett Rehab in Terre Haute, IN Kindred North on 10th Street in Indianapolis, IN | ||||||
| 86 | Attachment F Technical Proposal Template | 2.4.20 Specialty Care (Imaging Services) | 34 of 79 | Mobile Imaging Units | This section states, "Routine imaging services must be available at all facilities, through on-site production, mobile units, or utilization of off-site local facilities." Please provide the following information on this topic. |
a) Please identify whch IDOC facilities currently utilize mobile imaging units.
b) What type of mobile imaging (e.g., mammography, ultrasound, CT, etc.) is currenty in use at each of these facilities?
c) What is the name of the mobile imaging vendor(s)?
| a. All facilities. b, ultrasound/xray. c. Meridian | |||||
| 87 | Attachment F Technical Proposal Template | 2.4.20 Specialty Care (Specialty On-site Services) | 35 of 79 | PT Timeframes | This section states, "The Vendor is expected to provide enough physical therapist coverage that wait times are not more than 30 days from the date of referral." What is the curret average wait time for PT services? |
| Less than 30 days | |||||
| 88 | Attachment F Technical Proposal Template | 2.4.20 Specialty Care (Hospitlization) | 39 of 79 | HIP 2.0 | This section states, "The Vendor shall be responsible for all outpatient claims and those not covered by HIP 2.0 or traditional Medicaid." In each of the past three years, what percentage of IDOC inpatient claims were NOT covered HIP 2.0 or traditional Medicaid? |
| These records are kept by the current vendor and DOC does not have access to it at this time. | |||||
| 89 | Attachment F Technical Proposal Template | 2.4.20 Specialty Care (Transplants) | 39 of 79 | Transplants | Please indicate how many of each of the following types of transplants have been performed in each of the past three years: |
a) Kidney
b) Liver
c) Corneal
d) Stem Cell
| a-1, b-0, c-1, d-1 | |||||
| 90 | Attachment F Technical Proposal Template | 2.4.21 Pharmacy/ Medication Administration | 41 of 79 | Medication Continuation | Is the IDOC currently using an electronic medication verification system (e.g., Doctor First, Cerner, etc.) at intake? If “yes,” please identify which system is in use. |
| No | |||||
| 91 | Attachment F Technical Proposal Template | 2.4.21 Pharmacy/ Medication Administration | 41 of 79 | eMAR Fees | This section states, "The Vendor shall agree to use the electronic medication administration record (EZMAR) that is currently in place and shall be responsible for all fees associated with maintenance and upgrades." Please provide the amount of eMAR maintenance and upgrade fees paid by the incumbent vendor in each of the past three years. |
| We do not have access to that information. Incumbent Vendor information | |||||
| 92 | Attachment F Technical Proposal Template | 2.4.21 Pharmacy/ Medication Administration | 41 of 79 | Consutant Pharmacist | This section indicates that the Health Care Vendor--not the IDOC's Pharmacy Vendor--will be financially responsible for the cost of engaging and maintaining a Consultant Pharmacist. |
A) Please either confirm or correct this statement, as it seems an odd requirement for a solicitation that does not include pharmacy in its scope.
b) If the Consultant Pharmacist will indeed be the responsibility of the Health Care Vendor (not the Pharmacy Vendor), please discuss the IDOC's rationale for this decision.
| a. confirmed b. The IDOC wants an independent pharmacist to conduct the quarterly pharmacy reviews. | |||||
| 93 | Attachment F Technical Proposal Template | 2.4.21 Pharmacy/ Medication Administration | 42 of 79 | Epi-Pens | This section states, "The [Health Care--not the Pharmacy] Vendor must prepare and supply emergency medications such as epinephrine pens for offsite workers and offsite trips" |
a) Please either confirm or correct this statement, as it seems an odd requirement for a solicitation that does not include pharmacy in its scope.
b) If Epi-Pens will indeed be the responsibility of the Health Care Vendor (not the Pharmacy Vendor), please discuss the IDOC's rationale for this decision.
| a-confirmed b. "The Vendor must prepare and supply emergency medications such as epinephrine pens for offsite workers and offsite trips." The vendor will purchase epi-pens from the contracted pharmacy. | ||||||
| 94 | Attachment F Technical Proposal Template | 2.4.22 Women’s Health | 45 of 79 | Birth Control | This section states, "The Vendor is expected to provide medical birth control options within 30 days of release date to all releasing incarcerated individuals within childbearing age." Please confirm that the Health Care Vendor will not be financially responsible for the cost of any birth control for releasing incarcerated individuals within childbearing age. | |
| The Vendor will purchase the medications from the contracted pharmacy. | ||||||
| 95 | Attachment F Technical Proposal Template | 2.4.22 Women’s Health | 46 of 79 | Maternal Child Coordinator | This section states, "The Vendor shall provide a maternal child coordinator for the Leath Unit." We do not see this position in the Staffing Plan provided with the RFP. Is this simply an existing FTE at the Leah Unit to whom maternal-child coordination duties are assigned? If yes, please indicate what position (LPN, RN, etc.) currently fulfills this function. | |
| This is included on the Regional staffing document. Currently this roles is filled by an RN | ||||||
| 96 | Attachment F Technical Proposal Template | 2.4.25 Mental Health | 52 of 79 | Transgender patients | Are any transgender individuals in IDOC custody currently awaiting gender reassignment surgery? If “yes,” please indicate how many. | |
| No | ||||||
| 97 | Attachment F Technical Proposal Template | 2.4.31 Addiction Recovery/Substance Use Treatment | 57 of 79 | MAT/MOUD | With regard to Medication-Assisted Treatment (MAT)/ Medications for Opioid Use Disorder (MOUD) programs, please provide the following information. | |
| a. | Who will be financially responsible for the cost of MAT/MOUD medications? | |||||
| b. | Please indicate which of the three FDA-approved MAT/MOUD drugs the IDOC currently uses/prescribes in its program(s) and provide a breakdown of how many patients are being prescribed each medication. | |||||
| c. | Is the IDOC currently using any long-acting injectable MAT medications for its incarcerated patients? | |||||
| d. | Are any of the IDOC facilities certified as an Opioid Treatment Program? | |||||
| e. | Please provide the name and the amount of the fee charged (if any) by the licensed Opioid Treatment Program (OTP) through which the IDOC currently obtains and manages methadone for MOUD patients. | |||||
| a. The vendor will be responsible for the cost of medications. b.Naltrexone, suboxone, vivitrol, brixadi. Need #s c.Brixadi LAI currently in use. d. no e. N/A | ||||||
| 98 | Attachment F Technical Proposal Template | 2.4.31 Addiction Recovery/Substance Use Treatment | 58 of 79 | Types of ARS Treatment | This section states, "Substance use treatment is provided at every IDOC adult and DYS facility. Due to varying security levels at facilities, physical logistics of the facilities and other special considerations, not every ARS level of care treatment is offered at each facility." Please indicate, by facility, what type(s) of ARS treatment are currently provided at each location. | |
| CIF-RES, IOP, OP. IYC-RES, IOP, OP. BTC-IOP, OP. WCP(STARKE CO)-RES, IOP. HTCF-IOP, OP. ISP-RES, IOP, OP. ISR-RES, IOP, OP. IWP-IOP, OP. RTC-RES, IOP, OP. WCC-IOP, OP. ISF-IOP, OP. SBWR/COL-OP. MCF-RES, IOP, OP. MCA-OP. ISO-IOP, OP. JCU-OP. NCF-IOP, OP. WVCF-IOP, OP. WVA-OP. MCU-IOP, OP. ***WSP-will have RES, IOP, OP. | ||||||
| 99 | Attachment F Technical Proposal Template | 2.4.41 HIP 2.0 Impact | 67 of 79 | HIP 2.0 | For each of the past three years, please indicate what percentage of approved inpatient services was covered by either traditional Medicaid or HIP 2.0. | |
| See line 94 | ||||||
| 100 | Attachment F Technical Proposal Template | 2.4.41 HIP 2.0 Impact | 67 of 79 | HIP 2.0 | For each of the past three years, what is the dollar amount (if any) of inpatient services that were NOT covered by either traditional Medicaid or HIP 2.0? | |
| See line 94 | ||||||
| Attachment F Technical Proposal Template | 2.4.42 Administrative Responsibilities | 69 of 79 | PowerDMS Fees | This section states, "The Vendor shall also be responsible for reimbursing the cost of PowerDMS and its yearly subscription fees to IDOC for the ACA standard file development." Please indicate the dollar amount of this reimbursement(s) for each of the past three years. | ||
| PowerDMS has not been purchased, yet. ACA fees are approximately $98,000/year | ||||||
| Attachment F Technical Proposal Template | 2.4.44 IDOC Provided Administrative Equipment and Services | 72 of 79 | Mcrosoft Office | Does the State charge for providing Microsoft Office, and if so, what is the current rate? | ||
| Published rates can be found at the following link - https://www.in.gov/iot/customer-service/services-descriptions-and-rates/ | ||||||
| Attachment F Technical Proposal Template | 2.4.44 IDOC Provided Administrative Equipment and Services | 72 of 79 | Seat Charges | For each seat, please confirm that the charge is made up of the following three (3) items totalling $191.15: |
-Standard User's License fee of $51.73 -SEAT Charge of $87.47 -Security support fee of $51.95
| Published rates can be found at the following link - https://www.in.gov/iot/customer-service/services-descriptions-and-rates/ | ||||||
| Attachment F Technical Proposal Template | 2.4.44 IDOC Provided Administrative Equipment and Services | 73 of 79 | Number of Computers | Please provide the number of computers being used onsite at the IDOC facilities by the current health care vendor. | ||
| This information will be provided to the awardee | ||||||
| Attachment F Technical Proposal Template | 2.4.44 IDOC Provided Administrative Equipment and Services | 73 of 79 | Email Addresses | Are all health care vendor staff required to have an IDOC email account? | ||
| Yes | ||||||
| Attachment F Technical Proposal Template | 2.4.44 IDOC Provided Administrative Equipment and Services | 73 of 79 | IT Charges | This section states, "Additional charges to be reimbursed by Vendor include VPN or email charges, Server access and Server storage overage, and charges to maintain disaster recovery capability ." Please indicate the dollar amount of this reimbursement(s) for each of the past three years. | ||
| All these costs are in #5 total $2,145,663 in FY 2026 | ||||||
| Attachment F Technical Proposal Template | 2.4.47 Tele-Health/Tele-Medicine Services | 76 of 79 | Telehealth | Does the IDOC currently utilize telehealth? If so, please provide the following information. | ||
| a. | The type of telehealth clinic (e.g., telepsychiatry, telecardiology, etc.) | |||||
| b. | How often each telehealth clinic is currently conducted (e.g., weekly, monthly, as-needed, etc.) | |||||
| c. | The length of each telehealth clinic currently conducted (e.g., day, half-day, etc.) | |||||
| d. | The average number of patients in each telehealth clinic | |||||
| e. | The name and contact information for the tele-provider who conducts each telehealth clinic | |||||
| Telehealth is used at all facilities. Telepsychiatry is the most commonly used. We are open to all options with telehealth. The amount of time needed varies at each facility. | ||||||
| Attachment F Technical Proposal Template | 2.4.49 Implementation | 78 of 79 | Current health services contract | |||
| This section states, "The IDOC is currently under contract for all its health services (comprehensive) from a single Vendor, under a contract that expires after March 31, 2027." Please provide a copy of this contract, including any exhibits, attachments, and amendments. | ||||||
| This is available through the IDOA website | ||||||
| Attachment F Technical Proposal Template | 2.4.49 Implementation | 78 of 79 | Two Final Specifications | This section includes two final specifications to which vendors must respond, on the topics of (a) a non-emergency phone line for family members and (b) translation services. Are these scored items, i.e., will the IDOC take each vendor's response to these two final items into account in the proposal scoring process? | ||
| All aspects of the technical prosposal responses will be taken into account | ||||||
| Attachment K Statement of Work | 1.4 under "Agency Overview/Current Services" | 3 of 9 | Interagency Agreement | This section states, "When PE is activated under HIP 2.0, an interagency agreement exists between the IDOC and FSSA which requires the IDOC to pay a portion of the claim (approximately 33%)." To help vendors better understand the contract's cash flow, please rovide a copy of this interagency agreement. | ||
| We can provide-It is included with the Q&A attachments zip folder | ||||||
| Attachment K Statement of Work | 1.4 under "On-Site Medical Services" | 5 of 9 | Pharmacy Services | We see that in RFP Addendum #1, the IDOC added the following statement to this section: "Pharmacy services are contracted through a separate contract." However, there are several statements in Attachment F-Technical Proposal, that seem to contradict this statement, such as the requirements for the Health Care Vendor--not a separately contracted Pharmacy Vendor--to provide Epi-Pens and a Consultant Pharmacist. Additionally, our understanding was that pharmacy services are included in the current IDOC health care contract. Therefore, please provide the following clarifications on your Addendum #1 statement. |
a) Does the IDOC mean that in…
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