Alluvion quits medical services contract at county jail

Alluvion Health has notified Cascade County officials that it is terminating its contract with the county to provide medical services at the adult detention center.

Alluvion gave officials 120 days’ notice to terminate the contract on April 21, about a week before the day the four-year contract was approved in 2021.

County approves medical services contract for jail

The county issued a request for proposals for medical services at the jail on April 29.

Proposals are due June 24.

In a response to The Electric regarding the decision to terminate the contract, Tyler Menzales, spokesperson for Alluvion, said they were experiencing turnover due to the pandemic and the federal vaccination mandate for healthcare workers.

“For Alluvion Health, this has impacted our ability to staff inmate medical services while maintaining access to the highest quality patient care at our main clinic,” Menzales said in an email.

Alluvion recently submitted an offer to Great Falls Public Schools for $899,000 to purchase the former Roosevelt School, but has not yet released details of the plan for that building and the sale has contingencies related to the city ​​zoning changes and permits, as well as obtaining financing.

The buy-sell agreement expires in September if these contingencies are not met.

Alluvion makes an offer to purchase the former Roosevelt school

Alluvion is also renovating the Rocky Mountain Building with plans for it to serve as a medical facility.

Start of depollution work at the Rocky Mountain Building

Alluvion officials said they were also working to address shortages of healthcare workers.

“As we adapt to the growing demands of our healthcare workforce, one of our long-term strategic goals is to design and participate in comprehensive workforce development pipelines. As we continue to focus and grow our core services, we plan to develop workforce development partnerships that will allow us and the community to expand access to education, schools and health care programs. health professionals,” Menzales said in an email.

The county approved the contract in April 2021 after the contract with the former provider, Planned Parenthood of Montana, ended.

The cost for the first year of the contract, which began July 1, is $1.57 million. The contract could have been extended for an additional three years, in 12-month increments, beyond the initial four-year term.

Alluvion’s proposal was approximately $600,000 cheaper than the next lowest bid and included the following annual increases:

  • 2021-2022: base contract year at $1,572,000
  • 2022-2023: increase of 3% to $1,619,160
  • 2023-2024: increase of 3.5% to $1,675,831
  • 2024-2025: increase of 4% to $1,742,864

The request for proposals published this week for a new supplier indicates that the expected medical services are:

  • Maintain and/or maximize the use of the county’s on-site medical unit to meet the medical needs of inmates (e.g., initial physical assessments, ongoing assessment and treatment of medical conditions, reduction of off-site medical travel, and stabilization of care emergencies and emergency medical conditions) and;
  • Maintaining an on-site dental services program to meet the basic dental needs of inmates (e.g. examinations, necessary extractions and emergency treatment only) and;
  • Maintain an on-site mental health care system to meet the needs of inmates. Medical or mental health employees will testify in court proceedings at the request of the county attorney’s office and;
  • Maintain a network of offsite hospital contractors, physicians and other ancillary medical contractors to provide medically necessary services to detainees when such services cannot be provided in the detention facility or by the sub – medical treatment and;
  • The medical contractor and its employees must recognize and understand that their medical services rendered are in a prison/correctional environment subject to physical fights, potential riots, verbal abuse from inmates, loud noises, scenes or unsightly odors, emergent care situations such as overdoses, entry of POD inmates to provide urgent medical care, etc.