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C, Ophthalmology Services: $ 150.00 per patient visit <br />D. 013- GYNServices: $ 250,OO per patient visit <br />E. Emergency Psychiatric Crisis: $ 50.00 per patient visit <br />5. OFF -SITE SERVICES & ON -SITE SPECIALTY SERVICES <br />Contractor shall assist in arranging off -site services for City inmates; however, <br />Contractor shall have no responsibility for costs associated with off-site services provided to <br />City inmates and as outlined in the RFP 14 -034, page 17, shall be responsible for billing the <br />responsible contract agency for all off-site related costs. <br />Contractor hereby understands that the City contracts with the Immigration and <br />Naturalization Services (INS) and the U.S. Marshal Service ( "contracting agencies ") for the <br />housing/detaining of federal inmates. Said contracting agencies are financially responsible for <br />their inmates' approved off -site treatment services. Pursuant to this Agreement, City requires <br />that Contractor assist with scheduling off-site appointments for inmates housed on behalf of the <br />contracting agencies within the Jail. The City shall supply Contractor with relevant classification <br />information regarding the federal inmates of the contracting agencies and Contractor shall bill <br />the contracting agencies directly for off-site services rendered, <br />Contractor acknowledges that the City also provides housing for other non - contracting <br />agency imnates. The non- contracting agencies include the City of Santa Ana and other cities <br />within the area. For off -site services rendered by Contractor on behalf of any non - contracting <br />agency inmate, Contractor shall be reimbursed 100% of all costs of off -site medical services for <br />these initiates by the City. Contractor will bill the City for non - contracting agency inmates for <br />these off-site services as well as services rendered off-site on behalf of City inmates. Contractor <br />shall provide invoices on the I Oth clay of the month following the month service was rendered <br />and the City shall reimburse Contractor within thirty (30) days of receipt of invoice. <br />6. RECORDS <br />A. Medical Records. Contractor will cause to be maintained a comprehensive, <br />accurate medical record for each inmate who has received health care services, This medical <br />record will be maintained pursuant to applicable laws including but not limited to HIPAA and <br />California privacy laws and will be kept separate from the inmate's confinement record. A <br />summary of the applicable medical record will be available to accompany any immate who is <br />transferred from the Facility to another location for off -site services or who is committed <br />permanently or temporarily to another correctional facility, Medical records will be kept <br />confidential, and Contractor will follow the City's policy with regard to access by inmates and <br />Facility staff to medical records, subject to applicable law regarding confidentiality of such <br />records. No information contained in the medical records will be released by Contractor except <br />as provided by the City's policy, by a court order, or otherwise in accordance with applicable <br />law. Inmate medical records are and will remain the property of the City. <br />B. Electronic Health Record. Contractor will provide its proprietary electronic <br />medical record software system, TeehCar^e (or Contractor's like -kind, updated EHR software <br />3 <br />25H -7 <br />