Questions - 2025 USMS SSN Medical and Mental Detention Services.pdf

Sources Sought Notice PODSS06272025 U.S. Marshals Service - Medical and Mental Detention Services

Questions

1. Within the Sources Sought Notice Scope, the comprehensive list of required Medical Services, Inpatient Psychiatric Services, and the Partial Hospitalization/Stepdown Program encompass a wide range of specialty care, varying in complexity.

a. Will the U.S. Marshals Service provide a ranked list of its top ten (10) needs? Please see original sources sought notice, Required Medical and Inpatient Psychiatric Services.

b. Is the U.S. Marshals Service amenable to the Contractor delivering or supplementing the required services via telehealth or telemedicine? Yes - if the service is medically necessary and pre-authorized.

c. Will the Contractor be required to provide Psychiatry services such as competency evaluations, competency restoration treatment, and psychological evaluations? Not currently.

d. What are the U.S. Marshals Service's specific expectations/requirements for the Dialectical Behavior Therapy program? Please refer to the original sources sought notice;

no additional requirements will be detailed at this time. Specific requirements will be addressed in the RFP should the USMS seek procurement.

e. Will the U.S. Marshals Service please provide an estimated number of bariatric patients that will be housed by the Contractor? Estimated to be 5 or less.

f. If a patient requires a higher level of care than is available from the Contractor, would the patient be eligible to remain in a contracted skilled nursing unit or long-term care hospital, or would they need to be transferred back to the U.S. Marshals Service for continued management? After USMS review and if pre-authorized, the prisoner would be eligible to remain in a contracted skilled nursing unit or long-term care hospital,

g. Will the U.S. Marshals Service identify what standard of care the Contractor's facility will be required to meet, for example FPBDS or NDS? FPBDS and accreditation by NCCHC

h. Will the U.S. Marshals Service confirm if either its Agency or the Contractor will be responsible for the cost of the following:

• Pharmaceutical medications; Contractor will be responsible for the cost of routine medications set forth in an agreed upon formulary. USMS will maintain responsibility for medications not included in the pre-arranged formulary.

• Inpatient hospitalization; USMS at Medicare rates after USMS pre-authorization

• Long Term Acute Care Admissions; USMS at Medicare rates after USMS pre-authorization

2. In reference to the Goals Section, the Sources Sought Notice specifies that the Contractor's facility should possess the capacity to accommodate a minimum of thirty (30) prisoners at a single location.

• For example, would the U.S. Marshals Service accept a model in which five (5) individuals are housed at a facility equipped for psychiatric treatment, while another five

(5) are accommodated at a separate location specializing in Dialysis Services, and so forth?

a. Should the U.S. Marshals Service require all thirty (30) prisoners to be housed at a single location, will the Agency please clarify its expectations regarding the physical structure or layout of the facility or unit? A model encompassing multiple facilities with each maintaining the ability to house a variety of needs would be considered. The facilities will be required to meet the USMS security standards set forth in the FPBDS.

b. Will the U.S. Marshals Service please specify what the daily need is for the sources being sought? The need is variable based on the population.

3. Within the Goals Section, the Sources Sought Notice indicates that the facility should be situated in the Northeast, Central/Midwest, or Western regions of the United States.

a. Will the U.S. Marshals Service specify if there is a preferred geographic area among these regions? All regions will be considered.

b. Will the U.S. Marshals Service provide insight into which region currently demonstrates the greatest or most urgent need? Variable based on population; all regions will be considered.

4. Since construction of a new facility will not be considered, will the USMS allow any “lead time” for security modifications to an existing structure? Yes – OMO supports a 60-day lead time

5. What are the minimum physical security features that will be required, i.e., perimeter fence/barrier, secure areas/units/rooms within the facility, open dorms or individual locked rooms, secure recreation area outside of the facility, minimum standards for door locks, protocols for key control, security protocols for food service staff (sharp kitchen utensils), security protocols for housekeeping staff, etc.? The facilities will be required to meet the USMS security standards set forth in the FPBDS.

6. Will a negative pressure room/airborne isolation room be required? Yes, two will be required

7. Will security staff be the responsibility of the contractor or USMS? If security is the responsibility of the contractor, will the USMS require armed or unarmed security staff? The Contractor. The facilities will be required to meet the USMS security standards set forth in the FPBDS.

8. What accreditation will be required? Yes, NCCHC accreditation

9. Will the facility include any government furnished property? No

10. Will the contractor’s employees and sub-contract workers working at the facility be subject to a security background investigation performed by the USMS? If yes, please provide an estimated time for the USMS to complete the investigation after submission of all required documents. Yes, specific requirements will be addressed in the RFP should the USMS seek procurement.

8. Will there be any USMS staff permanently assigned to the facility, which would require a private office? No.

11. If a USMS prisoner requires non-emergent medical care at a different location, will the contractor be required to furnish transportation and coordinate the care? Yes - with pre-authorization from the USMS

12. Will USMS require the contractor to allow other Federal agencies to use the facility, i.e., BOP or ICE? Yes – if USMS decides to allow other agencies to utilize the potential contract.