integrated health care for prisoners

The Michigan Department of Corrections (MDOC) has issued a Request for Information (RFI) #190000000019 for an integrated health care services contract covering prisoner medical services across 29 correctional facilities serving approximately 39,500 prisoners annually. The procurement seeks comprehensive health care services including medical, behavioral health, substance abuse, and pharmacy services for male and female correctional facilities, with a primary focus on an integrated care model that coordinates primary and behavioral health treatments. Key deliverables include providing medical providers, managing pharmacy services, maintaining an off-site specialty service network, handling claims adjudication, performing utilization management, and supporting re-entry and discharge planning. The RFI specifically targets best practices in prisoner healthcare, with potential development of a future Request for Proposal (RFP). Critical dates include an initial RFI release on April 12, 2019, a deadline for submitting questions by April 26, 2019, and a response submission deadline of May 17, 2019, with an anticipated contract start date of June 1, 2021, for a five-year term with potential option years.

The current health care contract is with Corizon Health Inc., and the procurement does not indicate specific set-aside designations or restrictions on respondent types. The existing infrastructure includes a 152-bed inpatient health center, a 200-bed mental health facility, and multiple infirmaries, with approximately 24% of the prisoner population currently receiving mental health treatment. The current contract has a base rate of $246.54 per prisoner per month, with total contract costs of $128,077,000 in FY2018 and pharmacy-specific spending of $36,739,000 in the same fiscal year. The Duane Water Hospital (DWH) health center currently operates with one full-time civil servant pharmacist and multiple contractual pharmacists and technicians. The MDOC is exploring 340B pharmaceutical pricing programs and emphasizes an integrated care approach that systematically identifies and matches patients to appropriate levels of care, with a focus on preventative measures, clinical outcomes, medication management, and ensuring continuity of care upon prisoner release.