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BROIGSA- 15.0007 <br />Required testing for TB infection and /or disease using any Food and Drug <br />Administration (FDA) approved method, and recording the history of past and present <br />illnesses (mental acid physical, dental, pregnancy status, history of substance abuse, <br />screening questions for other iufeetious disease, and current health status). Initial <br />screening will also oontain height, weight, and a complete set of vital signs (BP, P, T). <br />Blood sugar and 02 readings may be necessary dependent upon specified diagnosis or <br />current medical concern, <br />L The Service Provider shall furnish mental health evaluations as determined by the <br />Facility local health authority and in accordance with 2011 PBNDS, National <br />Commission on Correctional Health Care (NCCHC), and ACA standards with the <br />expectation to provide custody oversight and medication as needed. <br />J, A full health assessment to include a history and hands on physical examination <br />shall be completed within the first 14 days of detainee arrival unless the clinical <br />situation dictates an earlier evaluation, Detainees with chronic medical and /or mental <br />health conditions shall receive prescribed treatment and follow -up care with the <br />appropriate level of provider and in accordance with PBNDS 2011, the FRS, National <br />Commission on Correctional Eealth Care (NCCHC) and ACA standards based on which <br />standards are applicable under this agreement. In addition, any juvenile (pediatric or <br />adolescent) seen for a scheduled medical, dental or mental health appointment will <br />have a weight, blood pressure, temperature, and pulse taken and recorded In the <br />record. This does not include the weekly mental health wellness check conducted for <br />each juvenile, <br />K. If the Service Provider determines that an ICE detainee has a medical condition which <br />renders that person unacceptable for detention under this Agreement, (for example, <br />serious contagious disease, condition needing life support, uncontrollable violence, or <br />serious mental health condition), the Service Provider shall notify ICE through the Field <br />Office representative. Upon such notification, the Service Provider shall allow ICE <br />reasonable time to make the proper arrangements for further disposition of that detainee, <br />L. The Service Provider shall release any and all medical information for ICE detainees to <br />the IHSC representatives upon request, <br />The Service Provider shall submit a Medical Payment Authorization Request (McdPAR) <br />to IHSC for payment for off -site medical care (e.g. offsite lab testing, eyeglasses, <br />prosthetics, hospitalizations, emergency visits). The Service Provider shall enter <br />payment authorization requests electronically as outlined in the MedPAR User Guide: <br />https: / /na.edpar.ehr- icehealth era /. <br />A, The Health Authority of the Service Provider shall notify the ICE contact and/or FMC as <br />soon as possible if emergency ere was obtained off site; and in no case more than <br />seventy -two (72) hours after detainee is in receipt of such care, Authorized payment for <br />all offsite medical services for the initial emergency need and for medical and /or mental <br />health care required beyond the initial emergency situation will be made by the Veterans <br />25G -12 <br />