Emergency Purchase Statement - Medical and Mental Health Services - 2rv.pdf

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EMERGENCY PURCHASE STATEMENT

State of Illinois Chief Procurement Office for General Services Emergency Purchase Statement V.25.2 Page of

EMERGENCY PURCHASE STATEMENT

Page of State of Illinois Chief Procurement Office for General Services Emergency Purchase Statement V.25.2 Emergency Purchase Details Emergency Category (select the appropriate option from the drop-down menu below):

Reason for selection of this particular vendor:

Description of supplies or services to be provided:

Emergency procurements shall be made with as much competition as is practicable under the circumstances, and agencies shall utilize best efforts to include contractors certified under the Business Enterprise Program in its emergency procurement process. 30 ILCS 500/20-30(a).

List the actions taken by the agency that constitute its best efforts to include contractors certified under the Business Enterprise Program in this emergency purchase:

Is there an existing State contract available for the required supplies or services?

If Yes is checked above, explain why the existing contract does not meet the need:

Actual or Estimated*:

*Estimated end date and cost will be reported later.

Select the type of funding to be used:

Signature This emergency purchase was made with as much competition as is practicable under the circumstances. Best efforts were utilized to include contractors certified under the Business Enterprise Program in the process.

I am authorized to make this emergency purchase, and I know and understand the contents of this statement and all statements herein are true and correct to the best of my knowledge.

11.0.0.20130303.1.892433.887364

Concurrent with these procurement activities, Wexford has been performing medical and mental health services for IDOC under Contract No. 10009911002 and a series of emergency contracts issued pursuant to 30 ILL. COMP. STAT. 500/20-30 during the pendency of the RFP and corresponding post-award negotiations process. Since May 2025, Wexford is performing such services under an emergency declaration that expires on July 29, 2025. But as of June 2025, IDOC and Wexford had not executed a formal written contract in connection with such efforts.

The State had also become increasingly concerned with Wexford’s performance under the most recent emergency declarations and contracts, which has resulted in staffing levels far below Wexford’s contractual goals. As such and given the urgent need to ensure adequate uninterrupted healthcare services during the development of a new procurement, the State determined that it would be in its best interest to transition services to a new contractor.

Centurion was selected based on its successful transitions in large state systems, such as Florida and Georgia, jurisdictions comparable to Illinois in terms of complexity and scale. In these other states, Centurion has been able to rapidly achieve targeted staffing numbers in order to ensure high-quality medical and mental health services. This decision by IDOC leadership, including leaders of IDOC’s Office of Health Services, was based on at least two factors. First, Wexford’s performance in recent months has given rise to serious questions about whether Wexford Health is the most appropriate partner to help IDOC remain in compliance with consent decree issued in Lippert v. Jeffreys, Case No. 10-4603 (N.D. Ill.). And, second, Wexford’s refusal to sign any contract unless IDOC immediately agreed to pay certain disputed amounts left IDOC without assurance that it could rely on Wexford’s continued performance.

As explained in the June EPS, IDOC considered whether it could use a more competitive process of source selection. However, such competition was not practicable. It was essential that IDOC quickly and confidentially identify a vendor capable of managing a complex transition. As a result of this decision, Centurion was immediately prepared to begin recruiting healthcare staff already working in IDOC facilities. Retention of staff during and after the transition is essential for the continuity of care.

Under the June EPS, IDOC and Centurion contemplated a 90-day transition, during which Centurion would plan to assume responsibility for comprehensive medical and mental health services for individuals in custody. However, despite weeks of effort to negotiate with Wexford to continue to provide services during that 90-day period, it became apparent by July 21, 2025, that a contract with Wexford for services beyond July 29 would not be immediately forthcoming. As a result, IDOC determined that it must immediately declare a new emergency for purposes of executing a new contract with Centurion to begin providing comprehensive medical and mental health services on July 30, 2025.

ExplanationSuppliesServices: The Vendor will be responsible for completing a successful transition plan to assume responsibility for comprehensive medical and mental health services for individuals in custody. This transition plan will include staff oversight, recruitment, retention, and engagement. In addition, the vendor will be responsible for working with IDOC to identify service level needs within the health care units, as well as any outside service needs, that will support a successful transition of services. The Vendor will meet agreed-upon schedule(s) that will support the overall transition of comprehensive medical and mental health services.

Beginning on July 30, 2025, and while transition planning continues, Vendor is to provide the medical, dental, vision, audiology, pharmaceutical and mental health services for individuals in custody at specified State correctional centers. Under the direction of the IDOC Medical Director and the IDOC Chief of Mental Health Services and according to the program definitions and specifications as outlined in this contract, Vendor is to arrange and provide for services on-site and as necessary off-site at local hospitals, outpatient facilities and consultative physician offices. Agency recognizes that methods of delivery of these services may differ from methods used to provide services to members of the general public, but the care and services Vendor provides should be similar. It is the intent of Agency for all individuals to receive adequate and medically necessary health care services regardless of place of assignment or disciplinary status. Vendor will provide these services at the following correctional centers beginning with the effective date of this contract: Big Muddy, Centralia, Danville, Decatur, Dixon, East Moline, Elgin, Graham, Hill, Illinois River, Jacksonville, Joliet Treatment Center, Joliet Inpatient Treatment Center, Kewanee, Lawrence, Lincoln, Logan, Menard, Murphysboro, Pinckneyville, Pontiac, Robinson, Shawnee, Sheridan, Southwestern, Stateville (including the Reception & Classification Center), Taylorville, Vandalia, Vienna, and Western Illinois.