RFP - Inmate Medical Services

Worth County is seeking a comprehensive correctional healthcare provider for its newly constructed jail facility in Sylvester, Georgia, with an expected opening in September 2026 and an average daily population of 90 to 100 inmates, expanding to a maximum capacity of 160. The contract requires a full spectrum of medical, dental, behavioral health, pharmacy, and off-site care services compliant with constitutional standards and national correctional healthcare best practices, including intake screening, chronic disease management, psychiatric evaluations, medication administration, emergency response, and reentry planning. The County mandates strict adherence to NCCHC accreditation standards of at least 85% annually, with clinical performance measured by key performance indicators such as 98% completion of intake screenings within 12 hours and 99% medication administration accuracy. Failure to meet KPI thresholds results in financial penalties against the monthly management fee. The provider must be fully operational within 60 days of contract execution, with a detailed transition plan covering staffing, EMR migration, formulary development, credentialing, and coordination with the outgoing provider. The contract is structured as a three-year initial term with two optional one-year renewals, contingent on satisfactory performance, mutual agreement, and county funding. The pricing model consists of a fixed annual management fee covering clinical and administrative staffing and operational costs, and reimbursable pass-through costs for pharmaceuticals, off-site specialty care, diagnostics, and durable medical equipment, subject to open-book accounting requirements. The contractor must maintain a separate cost center for County services, disclose all manufacturer rebates and volume discounts, and pass all savings directly to the County. Insurance requirements include $1 million per occurrence/$3 million aggregate in professional and general liability, $2 million cyber liability, $500,000 employer’s liability, statutory workers’ compensation, and a $5 million umbrella policy, with the County named as an additional insured. Full HIPAA compliance is mandatory, requiring a signed Business Associate Agreement and 24-hour breach reporting. The County retains audit rights over financial and clinical records with five business days’ notice and requires an annual independent audit. Proposals must be submitted by 2 p.m. on August 11, 2026, in one original, four copies, and one electronic copy on USB, with the cost proposal sealed separately. All proposers must submit a non-collusion affidavit, conflict of interest disclosure, valid licenses, insurance certificates, and resumes of key personnel, and must attend