Comprehensive Incarcerated Individuals Medical Services Solicitation

2026-11-03

STATEMENT OF WORK COMPREHENSIVE INCARCERATED INDIVIDUAL MEDICALSERVICES 1 . Background and Purpose Prince George ’ s County , Maryland , through the Department of Corrections (“ Department ”), is responsible for the care , custody , and control of all persons lawfully committed to its detention facilities . Individuals housed in the Correctional Center include pretrial detainees and sentenced persons . The Department is responsible for providing constitutionally adequate healthcare services , including medical , mental health , dental , pharmaceutical , infirmary , specialty care coordination , and related services , to all persons in its custody from the time of commitment until release , transfer , or other lawful disposition . The County seeks a qualified Contractor to provide comprehensive correctional healthcare management services at the Department ’ s facilities . This contract is for full - service correctional healthcare management and is not limited to temporary staffing , physician placement , nursing placement , consulting services , or hospital - only services . The Contractor shall furnish all clinical , administrative , management , pharmaceutical , reporting , and operational components necessary to maintain a safe , lawful , efficient , and professionally accepted healthcare program in a secure correctional environment . The Department currently operates a correctional facility with an average daily population of approximately 996 incarcerated individuals based on the most recent three - year period . The facility houses adult males , adult females , and juveniles , with an average length of stay in 2025 of approximately 76 days for non - mentally ill incarcerated persons and 100 days for mentally ill incarcerated persons . The facility ’ s housing units have a rated bed space capacity of 1 , 524 , which may increase to 1 , 624 with the use of dayroom bunk space , exclusive of the medical unit . The Department ’ s expanded medical unit includes approximately 7 , 500 gross square feet of additional ground - floor space and a 5 , 600 gross square foot second - floor level . The infirmary contains a total of 44 beds , including 14 male ward beds , 6 female ward beds , and 24 single rooms , and the medical unit includes six ( 6 ) fully equipped examination rooms . The Department manages a medically complex population that includes , among others , incarcerated individuals with chronic conditions such as diabetes , hypertension , asthma , thyroid disorders , kidney and liver disorders , pregnancy - related needs , quadriplegia , and amputations . Incarcerated individuals requiring care beyond the capability of the facility are referred to local hospitals and , when medically necessary , tertiary care providers including Johns Hopkins Hospital and George Washington University Hospital . 2 . Governing Laws , Regulations , and Standards The Contractor shall comply with all applicable federal , state , and local laws , regulations , licensing requirements , and correctional healthcare standards . This includes , but is not limited to : • The Prison Rape Elimination Act ( PREA ) standards codified at 28 CFR Part 115 • The Health Insurance Portability and Accountability Act ( HIPAA ), including the Privacy Rule , Security Rule , and Breach Notification Rule ( 45 CFR Parts 160 and 164 ) • Applicable requirements of the Maryland Department of Health ( MDH ) • Standards and requirements of the Maryland Commission on Correctional Standards ( MCCS ) • Occupational Safety and Health Administration ( OSHA ) and Maryland Occupational Safety and Health ( MOSH ) requirements • Biomedical waste handling and disposal regulations • All applicable County and Department policies governing detention healthcare operations Contractors who have contact with incarcerated individuals shall comply with all PREA training and reporting requirements . The Contractor shall also ensure full compliance with HIPAA requirements , including the implementation and maintenance of appropriate administrative , physical , and technical safeguards to protect protected health information ( PHI ) and electronic protected health information ( ePHI ). Professional Standards and Accreditation Alignment . 4 . General Scope of Services The Contractor shall serve as the County ’ s designated healthcare authority for the correctional healthcare program and shall be responsible for the overall clinical administration , management , and operation of incarcerated individual healthcare services under the contract . In this role , the Contractor shall develop and maintain written clinical policies , procedures , protocols , standing orders , quality management processes , utilization management processes , infection control processes , and staffing plans , subject to County review and approval where required . The Contractor shall provide , manage , coordinate , and be accountable for all services necessary for a complete correctional healthcare program , including but not limited to medical intake screening ; health appraisals and physical examinations ; sick call ; urgent and emergent care ; chronic disease management ; infirmary operations ; communicable disease control ; mental health services ; psychiatric services ; dental services ; pharmaceutical services ; medication administration ; specialty referrals ; hospital and off - site care coordination ; dialysis coordination ; discharge and reentry healthcare planning ; quality assurance ; utilization management ; clinical reporting ; accreditation support ; and continuity of operations planning . The Contractor shall provide all personnel , management , supervision , equipment , supplies , pharmaceuticals , and administrative support necessary to meet the requirements of this SOW unless this SOW expressly identifies a responsibility that remains with the County . 5 . Clinical Services Requirements 5 . 1 Intake Screening and Initial Assessment The Contractor shall provide an intake medical screening and mental health screening for each newly committed incarcerated individual within the timeframes required by Department policy and applicable correctional healthcare standards . The County requires screening within two ( 2 ) hours as an operational standard , and the Contractor shall meet that standard . At a minimum , the intake process shall identify urgent and emergent medical conditions , suicidality , pregnancy status where clinically appropriate , chronic care needs , communicable disease concerns , current medications , substance withdrawal risks , disability or accommodation needs , and any immediate need for isolation or higher clinical monitoring . The Contractor shall conduct tuberculosis screening and all other intake testing or screening required by County policy , public health guidance , correctional healthcare standards , and clinical judgment . 5 . 2 Health Appraisal and Physical Examination The Contractor shall complete a comprehensive health appraisal , including history and physical examination , within fourteen ( 14 ) calendar days of admission unless a shorter period is required by County policy or clinical need . Annual and periodic examinations shall be conducted as clinically indicated and as required by County policy , chronic care protocols , age - based risk , and length of stay . 5 . 3 Sick Call and Routine Medical Care The Contractor shall establish , operate , and maintain a sick call system that provides incarcerated individuals with timely access to routine and urgent medical care without unreasonable delay . Sick call services shall be available at a minimum of five ( 5 ) days per week , Monday through Friday , and shall be supported by daily triage , follow - up , and nursing assessment functions as necessary to meet incarcerated individual healthcare needs . The Contractor shall ensure that all incarcerated individual requests for medical attention are received , logged , reviewed , triaged , scheduled , and resolved in accordance with written clinical procedures approved by the County . Medical care shall not be denied , delayed , or withheld because of an incarcerated individual ’ s inability to pay any applicable co - payment .

Maryland

2026-05-02