CSP904122_DMH029_Contract_Rev_.pdf

Index No.: DMH029

Eff. Date: 11/01/24

STATE OF OHIO

DEPARTMENT OF ADMINISTRATIVE SERVICES

GENERAL SERVICES DIVISION

OFFICE OF PROCUREMENT SERVICES

4200 SURFACE ROAD, COLUMBUS, OH 43228-1395

MANDATORY USE CONTRACT FOR: SUPPLEMENTAL REMOTE PHARMACY REVIEW SERVICES

CONTRACT NUMBER: CSP904122 EFFECTIVE DATES: 10/01/21 TO 9/30/24

* Renewal through 10/31/26

The Department of Administrative Services has accepted Proposals submitted in response to Request for Proposal (RFP) No.

CSP904122 that opened on 08/13/21. The evaluation of the Proposal responses has been completed. The Offeror listed herein has been determined to be the highest ranking Offeror and has been awarded a Contract for the services listed. The respective Proposal response including, Contract Terms & Conditions, any Proposal amendment, special Contract Terms & Conditions, specifications, pricing schedules and any attachments incorporated by reference and accepted by DAS become a part of this Services Contract.

This Requirements Contract is effective beginning and ending on the dates noted above unless, prior to the expiration date, the Contract is renewed, terminated, or cancelled in accordance with the Contract Terms and Conditions.

This Requirements Contract is available to the Ohio Department of Mental Health and Addiction Services as applicable.

The agency is eligible to make purchases of the contracted services in any amount and at any time as determined by the agency. The State makes no representation or guarantee that department will purchase the volume of services as advertised in the Request for Proposal.

This Requirements Contract and any Amendments thereto are available from the DAS Web site at the following address:

www.ohio.gov/procure

*Indicates a 24 month renewal, per amendment 4.

MUTUALLY AGREED UPON CLARIFICATIONS / MODIFICATIONS TO THE RFP

Suspension and Termination Email Dated 8/31/21

EFFECTIVE 09/23/24:

Starting 09/23/24, Cardinal Health agrees to cover daily operational needs during the Epic conversion, during the hours of 7AM through 4PM, at the agreed on hourly rate of $130.00/hr, as instructed by DMH.

EFFECTIVE 11/01/24:

PROHIBITION OF THE EXPENDITURE OF PUBLIC FUND FOR OFFSHORE SERVICES

No State Cabinet Agency, Board or Commission will enter into any contract to purchase services provided outside of the United States or that allows State data to be sent, taken, accessed, tested, maintained, backed-up, stored, or made available remotely outside (located) of the United States, unless a duly signed waiver from the State has been attained.

Notwithstanding any other terms of this Contract, the State reserves the right to recover any funds paid for services the Contractor performs outside of the United States for which it did not receive a waiver. The State does not waive any other rights and remedies provided to the State in the Contract.

Further, no State agency, board, commission, State educational institution, or pension fund will make any purchase from or investment in any Russian institution or company. Notwithstanding any other terms of this Contract, the State reserves the right to recover any funds paid to Contractor for purchases or investments in a Russian institution or company in violation of this paragraph. The provisions of this paragraph will expire when the applicable Executive Order is no longer effective.

The Contractor must complete the Contractor/Subcontractor Affirmation and Disclosure Form (https://procure.ohio.gov/pdf/EO2022-02D/04-Affirmation%20and%20Disclosure%20Form_3-4-22.pdf) affirming the Contractor understands and will meet the requirements of the above prohibition. During the performance of this Contract, if the Contractor changes the location(s) disclosed on the Affirmation and Disclosure Form, Contractor must complete and submit a revised Affirmation and Disclosure Form reflecting such changes.

*Denotes an update to the PROHIBITION OF THE EXPENDITURE OF PUBLIC FUND FOR OFFSHORE SERVICES, per amendment 4.

https://urldefense.com/v3/__https:/nam11.safelinks.protection.outlook.com/?url=https*3A*2F*2Fprocure.ohio.gov*2Fpdf*2FEO2022-02D*2F04-Affirmation*2520and*2520Disclosure*2520Form_3-4-22.pdf&data=05*7C01*7Cpzipperer-davis*40carestar.com*7C14e64c91626c447194d508da23d1211f*7C97949c389d76437188b278d5c33b4e88*7C1*7C0*7C637861678555466720*7CUnknown*7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0*3D*7C3000*7C*7C*7C&sdata=AVuQHWdW3*2B8b9OeMhx0lgh0JB820niXbuV3e*2FFGeMSA*3D&reserved=0__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUl!!ADJM6pxZfkrGng!WXH1-0dh0eQMkG7ITbo6N-xRTHt1UUIXntvp-MPmhqYX6FWCzHcdDwBGZuZmv4Z1Kip5Wv5aBQfzbDnwXBqOYWM8vNRO9gR98v4$

Eff. Date: 09/25/24

COST SUMMARY FORM

Contract Title: Supplemental Remote Pharmacy Review Services Contract Number: CSP901422

UNSPSC CATEGORY CODE: 85100000

Accreditation Standards: The services to be performed under this contract shall meet standards required by The Joint Commission, Center for Medicaid & Medicare Services or other accrediting or certifying organizations, as appropriate.

RPH SITE

OAKS ID NUMBER

Appalachian (Athens Only)

39894

Heartland

39895

Northcoast (Northfield)

39896

Northwest Ohio Psychiatric Hospital

39897

Summit

39898

Twin Valley (Columbus Only)

39899

DESCRIPTION OF COSTS

HOURLY

RATE

1. Standard hours (Monday – Friday)

$ 41.93

2. Weekend hours (Saturday & Sunday)

3. Holiday hours (11 holidays @ yr. x 24 hr. coverage)

4. *Additional Hours as defined by DMH for assistance with Epic conversion $ 130.00

All costs are in U.S. Dollars.

The State is not responsible for any costs not identified.

There are no additional reimbursements for travel or other related expenses.

*Denotes an update to the pricelist, effective on orders placed on or after 09/23/24.

Eff. Date: 10/01/21

CONTRACTOR INDEX

CONTRACTOR AND TERMS: CONTRACT NO: CSP904122

174662 Cardinal Health Pharmacy Services, LLC.

4872 Blazer Memorial Parkway Dublin, OH 43017

REMIT TO ADDRESS: TERMS: Net 30 Days

174662

Cardinal Health Pharmacy Services, LLC 21377 Network Place Chicago, IL 60673-1213

CONTRACTOR’S CONTACT: Mike Francis

Telephone: (740) 971-1101

FAX: (614) 210-0824

Email: Mike.Francis@cardinalhealth.com

Joe Ray Phone: (724) 601-4627

Email: Joe.Ray@cardinalhealth.com mailto:Mike.Francis@cardinalhealth.com mailto:Joe.Ray@cardinalhealth.com

SUMMARY OF AMENDMENTS

Amendment Number

Effective Date

Description

4 11/01/24

As a result of mutual agreement between the State of Ohio and the Contractor, this amendment is issued to renew the subject contract an additional 24 months, effective 11/01/24 through 10/31/26.

Additionally, this amendment is issued to update the PROHIBITION OF THE EXPENDITURE OF PUBLIC FUND FOR OFFSHORE SERVICES term.

All other prices, terms and conditions remain unchanged.

3 09/25/24

The State of Ohio elects to exercise its option to renew the subject contract for an additional one month effective 10/01/24 through 10/31/24.

Additionally, this amendment is issued to notify of an update to the Scope of Work and pricelist, effective on all orders placed on or after 09/23/24.

All other prices, terms and conditions remain unchanged.

2 1/28/22 This amendment is issued to denote an update to the Ohio Buys pricelist, effective on all orders placed on or after 01/28/22.

1 12/20/21 This amendment is issued to correct the Pricelist in Ohio Buys, effective with all orders on or after 12/20/21. Additionally, this amendment is issued to add the Summary of Amendments page.