RFP No. 26-15 - In-Custody Medical & Mental Health Services - Addendum No. 1

Bidder Question Responses
RFP #26-15
PUEBLO COUNTY PURCHASING
215 WEST 10TH STREET, ROOM 14
PUEBLO, CO 81003
Telephone: (719) 583-6097
purchasing@pueblocounty.us
ADDENDUM NO. 1
COUNTY OF PUEBLO, COLORADO
RFP No. 26-15 - In-Custody Medical & Mental Health Services
Date: 5/15/26
What the Change is being done to the current RFP:
Question and Responses
The proposer shall permanently affix this Addendum No. 1 to the RFP packet so it will be
submitted with the RFP.
The undersigned proposer acknowledges receipt of this Addendum No. 1.
Received by: _________________________________________
Firm Name: ___________________________________________
Address: _____________________________________________
Date: ________________________________________________

Bidder Question Responses
RFP #26-15
Please provide Average Daily Population (ADP) numbers for the past three (3) years.
2025 - 415
2024 - 427
2023 - 452
Are there any juveniles housed in the Facility?
NO
Please provide a breakdown of the overall incarcerated individual population by the following:
CDOC - 22 (snapshot)
USMS - No holds (snapshot)
ICE - Criminal charges, state law prohibits detainers
Work Release - 15 (labor crew)
Please provide a breakdown of the overall incarcerated individual population by the following:
Male - 339 (snapshot)
Female - 65 (snapshot)
Transgender - We assign housing by biological self
What is the average length of stay (ALOS) for Pueblo County's inmates over the past three years (2023, 2024,
2025), and 2026 to date?
2025 30.4
2024 30.5
2023 27.8
When was the last NCCHC and/or ACA audit?
NCCHC 2023, probation until 2024
ACA 2022
Has the current provider been found with any accreditation (NCCHC or ACA) deficiencies since they've been
contracted with Pueblo County?
NO, no longer on probation NCCHC
The "PROJECT REQUIREMENTS" section on page 4 of the RFP cites, "Maintain & Manage NCCHC
Accreditation Standards"
The Pueblo County Detention Center is one of the few "Triple Crown Accredited facilities nationwide, which
includes NCCHC, as well as ACA accreditation. Is it the responsibility of successful providers to meet and exceed
ACA standards and ensure the detention center maintains accreditation, or will this responsibility lie with Pueblo
County?
Contractor
Please provide a list of all medical and dental equipment that will be available to the new Contractor, including the
model, age, and condition.

Bidder Question Responses
RFP #26-15

Bidder Question Responses
RFP #26-15
Does the County manage the inmate co-pay program, including all payments for co-pays? If the provider is to
manage, please provide as much detail as possible on how the co-payment program is currently managed.
YES, invoice from Contractor to inmate accounts.
Please provide last year's contract amendment, including the contract amount and staffing matrix.
Previous contracts and amendments are public record. Send any CORA request to the Pueblo County Purchasing
office
If available, please provide any additional staffing matrix for the new facility developed by the County or the current
healthcare vendor.
Nothing available, staffing will adjust with new facility needs.
Please provide the current JBBS budget broken down by category and any such budget developed for the new
facility when it opens.
Current JBBS budget consists of Substance Use Disorder (SUDS) & Mental Health
Please provide the hourly rate for all nursing personnel.
Information not available
Please provide a list of all office/computer equipment that will be available to the new Contractor (e.g., computers,
printers, fax machine, copier, etc.), including the model, age, and condition.
This office provides space, desks, & phones.
Current vendor supplies all IT needs, worksta(cid:415)ons, and laptops
How many AEDs are on site?
Eight (8)
Who is responsible for maintaining the AEDs - the County or the Contractor?
County
Equipment and Supplies, what equipment and supplies will the Contractor be responsible for?
Med carts and treatment carts
How many intakes are conducted on average per day, per month, and per year?
Daily - n/a
Weekly - 108
Monthly - 468
Annually - 5620
When are PPDs implanted - during intake or during the 14-day health assessment?
Screen only, volunteer when offered
Please identify any on-site specialty clinics currently conducted on site, and frequency.
Twice weekly, Infant Mortality (Syphilis)
Please identify the following current providers:
Laboratory LabCorp
STAT Labs LabCorp
Hospitals Parkview Medical Center and St. Mary-Corwin Medical Center
Ambulance American Medical Response (AMR)
X-Ray Mobile X (Trident)
Pharmacy Diamond
Back-up Pharmacy Walgreens, Pueblo Northside
Oxygen Airgas
Medical Supplies McKesson
Office Supplies McKesson
Health Info Exchange CoreEMR
Dental DenTrust
Page 1 of 13

Bidder Question Responses
RFP #26-15
Are X-ray services provided using on-site equipment or through a mobile X-ray provider?
Mobile
If there is on-site X-ray equipment, is it film or digital?
NO
Who is responsible for biohazardous waste removal services - the County or the Contractor?
Contractor
Who is responsible for shredding services - the County or the Contractor?
County
Who is responsible for providing medical gas - the County or the Contractor?
Contractor
What telemedicine services are currently provided?
Contractor
Please provide frequency of each telemedicine clinic/consultation
Information unavailable
Is sick call conducted in the housing units or the medical unit?
Sick call is conducted in the clinic
Is med pass conducted in the housing units or the medical unit?
Med Pass is conducted in the housing units
Please provide statistical data for the past two (2) years regarding on-site services, including but not limited to:
Intakes/Receiving Screenings
Nurse sick call, Mid-level sick call, Physician sick call
Incarcerated individual health assessments
Number of incarcerated individuals evaluated by the psychiatric/mental health providers
Number of chronic care visits by type
Number of on-site clinic visits by type (e.g., OB/GYN, orthopedics, ophthalmology, cardiology, etc.)
Labs
X-rays
Telemedicine encounters by specialty
All services must follow NCCHC guideline
Please provide the current staffing plan by position, credential, and shift.
Staffed per contract
Is the current staffing plan considered adequate for the facility?
YES, for old jail, will need to be modified for new jail.
Can more than one staffing option be provided in the RFP response?
YES, be cautious of cost coming into contract 12 way through year.
Does the facility currently use 12-hour or 8-hour shifts? Other?
Depends on the FTE hours and need.
Is the current staffing structure working well or is a new structure desired?
YES
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Bidder Question Responses
RFP #26-15
Are there any vacant positions at this time?
YES, NPs and MAT nurse have been of interest. We would like to no have so much PRN staff.
During the past two (2) years, what is the average number of individuals receiving dialysis treatments?
2
How much has been spent annually on dialysis over the past two (2) years?
Invoiced to county
Information unavailable
What are the average weekly number of treatments?
3/week
Are dialysis services provided on site or off site?
Off-Site
Please identify the on-site and/or off-site dialysis provider.
Local
Is there an existing backlog for dental services? (If so, please provide details)
None
How do the County and the current vendor currently manage inmates/detainees with Substance Use/Opioid Use
Disorder (SUD/OUD)?
MAT program and detoxing in facility
Does the Facility currently provide continuation of FDA-approved medications ( e.g., methadone, buprenorphine,
naltrexone/Vivitrol) for individuals who were receiving them in the community prior to entry?
Yes we provide, but we also pick up community dosing from clinics. We would like this change in the future to
avoid the extra clinic trips.
What percentage of incarcerated individuals are diagnosed with Opioid Use Disorder (OUD) at intake?
Persons in our custody showed the majority reported substance use or abuse, both male & female, various.
Is Pueblo County interested in staffing an MAT RN and/or an MAT Coordinator to work in conjunction with the
MAT Provider?
Not at this time
Is Pueblo County accepting of a Nurse Practitioner to manage and support the MAT program?
Not at this time
What medication (e.g., methadone, buprenorphine, etc.) do you currently use for opioid-dependent pregnant
patients?
As prescribed by the provider
Are injectable medications used for substance abuse treatment? (i.e. vivitrol, sublocade, etc.) If so, which ones? Do
you have statistical data on the number of injections over the past 12 months to supply us?
Injectables are currently not used due to cost.
What is the average MAT census? How many MAT patients, per month, over the last year? Please separate the
number of initiations and the number of continuations.
Census varies, snapshot 30, inductions also varies snapshot 6
Do you currently induct new patients into MAT at the Facility prior to discharge?
YES
If so, what medication(s) do you provide?
Naltrexone, Methadone, Suboxone
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Bidder Question Responses
RFP #26-15
How many patients are you inducting on average per month by medication?
Patients are inducted as requested and prioritized before release
If you are not currently inducting new patients into MAT, are you interested in providing induction service going
forward?
YES, but cost is an issue, as well as furthering dependency with not positive assistance
Please provide the percentage of intakes who enter the Facility on a verified MAT program in the community.
Patients are continued as verified, varies
Do you work with a community provider/local clinic to provide methadone?
YES
If so, please provide methadone provider's name and contact information.
Elevate, Health Solutions, CTS, Crossroads
The "PROJECT REQUIREMENTS" section on page 4 (of 13) of the RFP cites "Methadone pick-up" services.
Please explain, in as much detail as possible, the Methadone pick up services which are currently being provided by
the current provider, and the county's expectation from the successful provider, specifically to these services.
Deputies currently pick-up from Methadone clinics. We would like to know options to not have to do this.
Do you have grant funding for MAT?
Limited
If so, please provide details.
Shared between the county JBBS and medical
What is your anticipated budget for MAT?
Varies on populations
Have you considered costs other than staffing, such as medications, drug screens, labs, supplies, and additional
custody staff?
YES, we try to anticipate.
Do you want to establish a licensed and certified on-site opioid treatment program (OTP), which has its own
associated costs?
YES, we are interested but cost.
Please provide the current mental health staffing by FTE count, day/shift and their credential/licensure. Do you
consider this current mental health staffing adequate?
Staffed per contract
Is the current mental health staffing considered adequate?
YES
Is there a requirement for 24/7 on-call by Mental Health Professionals? If it is not required, who manages after hour
releases of individuals on suicide watch to the community? If so, what hours?
YES, we would like MH onsite or available 24/7. However, finding licensures to do so is a challenge do to the
hours. On-call is of interest.
What mental health services are currently being provided on site (i.e., specialized mental health units, group therapy
services, etc.)? If yes to groups, how often are they currently provided and how many individuals are served?
Per NCCHC guidelines
Are group therapy services required?
If so, what types of groups are currently provided?
If so, please indicate the number of times per week each group is provided.
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Bidder Question Responses
RFP #26-15
Per NCCHC guidelines
Is the mental health team expected to manage discharge planning services or do you already have other personnel
providing discharge planning services at your site?
YES
If so, please provide specific requirements.
Are there service agreements related to the timing of mental health evaluations and/or response to mental health
referrals?
Per NCCHC guidelines
Is there a requirement for any court involvement by the mental health staff?
If so, please describe the required involvement?
YES, collaboration with competency
Are mental health staff responsible for coordinating trial competency examinations and transfers?
NO
What is the average wait time for patients pending transfer to the state hospital for competency restoration?
120+ days minimum
Do substance use treatment services offered to the incarcerated individuals at the facility?
YES
If so, is there a limit to the number of patients in the program?
We use community programs that have their own grant funding.
Is there any specialty housing available for incarcerated individuals with mental health issues?
YES
If so, please provide the number and capacity of mental health housing units.
One housing unit (males), 56 beds
What are the number and location of suicide watch cells?
Same housing unit (males), 7 cells with sub-dayroom.
Who conducts suicide watch -Correctional/Custody staff or the Contractor?
Correctional staff
What is the average number of incarcerated individuals in the restricted housing unit(s) at the Facility? How often
are mental health professionals completing rounds in restricted housing each week?
Per NCCHC guidelines
What is the frequency of mental health staff rounds in restricted housing units per week?
Per NCCHC guidelines
Are any mental health services provided by a community services board (CSB) or private provider, other than those
addressed in the RFP?
NO, unless competency based
Who is financially responsible for psychiatric emergencies and/or psychiatric hospitalizations -the County or the
Contractor? Please identify the hospital used for psychiatric inpatient admissions.
County
Please identify the hospital used for mental health inpatient referrals.
Colorado Mental Health Institute
What are the requirements for mental health training for Correctional/Custody staff?
Page 5 of 13

Bidder Question Responses
RFP #26-15
Per NCCHC guidelines
Please provide the following information:
***SEE ATTACHED EXCEL HEALTH SERVICES REPORT***
How many med passes are conducted daily?
4
How many med carts are used per med pass?
3
How long does the average med pass take to complete?
3-4hours
Is there a Keep-on-Person (KOP) program at the facility?
NO
Do discharge medications include psychotropic medications?
No discharge with meds, prescription with local pharmacy
Who is responsible for the purchasing of the influenza vaccine: County or the Contractor? Has the health department
provided the influenza vaccine in the past?
Contractor
Who is responsible for the purchasing of the covid 19 vaccine: the County or the Contractor? If the contractor, will
the Contractor be reimbursed?
N/A
Please provide a 2-year breakdown utilization on vaccines provided by staff and inmates.
Based on population & staffing, NCCHC & ACA guidelines
Does the current EMR system provide any of the following interfaces? If yes, please identify interfacing
vendor/agency.
Contractor
Will direct access to the JMS be available on clinical computers? If so, what are the requirements (installation,
network, accounts)?
Yes, County IT permissions
Does the County or the current Contractor provide any wireless connectivity/access to medical? If so, which
locations are covered?
YES, Contractor
Who is the Internet Service Provider and what bandwidth are they providing?
Segra at new jail site, bandwidth not known.
Who will be responsible for providing internet connectivity the County or the Contractor?
Contractor
If the County provides internet connectivity, what internet circuits will be available to the Contractor - dedicated
circuit or delivered through the County's network? What is the bandwidth?
Dedicated Circuit
Are there sufficient network ports for connecting all of the equipment? If not, who is responsible for extending the
network?
New facility, expansion should not be needed, but if so the Contractor.
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Bidder Question Responses
RFP #26-15
If the Contractor provides internet connectivity, are there any preferred/existing vendors that can be leveraged to
provide this service?
NO
Will the successful proposer be expected to provide and manage its own network infrastructure (LAN/WAN/Wi
Fi/firewalls) required to support medical operations, or may they leverage PCSO's existing network infrastructure,
including appropriate VLAN segmentation, to support connectivity?
YES
If the Contractor is responsible for its own network infrastructure, will the selected Contractor be allowed to use
existing network drops?
YES
If the Contractor is responsible for its own network infrastructure, how many wiring closets service the PCs used by
the Contractor? Will the Contractor be allowed to use existing fiber to interconnect wiring closets if required?
YES
If structured cabling is required, who is financially responsible-the County or the Contractor?
Contractor, if new cabling is required
Who is responsible for providing PC hardware and peripherals-the County or the Contractor? (If a mixed
responsibility, please explain.)
Contractor
If the Contractor is required to provide Internet, networking, Wi-Fi, or end user equipment, are there any restrictions
to the products used, or can the Contractor implement its standard design and equipment?
Info unavailable
Who is responsible for providing copiers-the County or the Contractor?
Contractor
If the County is responsible for copiers, what is the make and model number of the current copier?
N/A
Does the current Contractor provide time clocks?
YES
What is the process for requesting additional software from the County?
County will only provide to county offices
What is the process for requesting additional equipment from the County?
Submission through the Detention Operations Captain
Are the clinical computers currently managed on the County's Windows domain, the Contractor's
NO
Has the current Contractor been assessed any penalties in the past two (2) years?
If so, please identify the penalty type and amount for each of the past two (2) years.
NO
As the contract transitions between vendors, it is important to migrate patient records from the
current EHR to the new vendor's EHR. As patient records are the property of County, it is important
for you to request the records from your current vendor and review them for completeness and
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