Transportation, Room & Board and necessary physical treatment out of state placements

PROCUREMENT JUSTIFICATION FORM (PJF) This form must accompany all contract requests and sole source requisitions (RQS) over $5,000 submitted to the Division of Procurement Services. INSTRUCTIONS: Please provide the requested information in the white spaces below. All responses (except signatures) must be typed; no hand-written forms will be accepted. See the guidance document posted with this form on the Division of Procurement Services intranet site (Forms page) for additional instructions. PART |: OVERVIEW Department Office/Division/Program: | DHHS Riverview Psychiatric Center Department.Contract Administrator-or.| Shawn Belanger Grant.Coordinator:.| Brianne Carrero (If-applicable) Department Reference #:-| RPC-23-002 Amount: Contract/Amendment/Grant CT 10A 20220915000000000819 $ 839,312.00 Advantage.CT / ROS:#: Proposed Start Date: 41/01/2022 Proposed End) = y39/2023 CONTREGE Date: Original:Start Date: Previous End Date: Project Start Date: Grant Start Date: : Project:End Date:

Grant'End. Date: Vendor/Provider/Grantee Name,.| Correct Care of South Carolina City; State:| Columbia, SC Transportation, room and board, and necessary physical and mental heaith treatment for court ordered out-of-state placements. Effective: Date: New. End Date: AMENDMENT (GRANT | Brief Description of. Goods/Services/Grant: PART Il: JUSTIFICATION FOR VENDOR SELECTION Mark anX before the justification(s) that applies to this request. (Check all that apply.) . Q |-A:.Competitive Process | O | G.-Grant Amendment | O | HH. State Statute/Agency Directed Single Source/Unique Vendor ~ Federal Agency Directed J. Willing. and Qualified Emergency B. Cc. D.-Proprietary/Copyright/Patents E: F: Oo ro/;oO/0 K.Client:-Choice L University. Cooperative Project Other Authorization REV 10/49/2021 Page 1 of 2 Kathy Paquette 1/30/2023 Procurement Justification Form (PJF) Please respond to ALL of the questions in the following sections. PART Ill: SUPPLEMENTAL INFORMATION 4. Provide.a moredetailed description and explain:the need for the goods, services or grant to. supplement the response.in Parti. The Department has an urgent need to relocate six (6) patients from Riverview Psychiatric Center (RPC) to another location. RPC does not currently have the resources available to provide the level of medical, psychiatric and other specialized care required by these patients and assure that the services required for other patients housed within the institution are not compromised. Maintaining these patients at RPC may precipitate the loss of the facility's Joint Commission accreditation and the States Specialty Hospital License to RPC as a hospital. A previous determination from CMS has indicated that the additional security and behavioral controls needed for these patients would diminish the acceptable standards of care in a psychiatric hospital. Superior Court Judge Murphy has ordered that the Department Commissioner, through RPC, identify and locate these patients to an appropriate safe setting for the specialized treatment needed by these patients. 2..-Provide.a brief justification forthe selected. vendor to supplement the response in Part Il. Reference the RFP. number, if applicable. This is a continuation of the current contractual agreement with the Provider. The original agreement was approved due to the urgency of the situation. The Department has been satisfied with the services provided by the Provider and wish to continue the current agreement. To ensure continuity of care for the patients currently residing at Provider's facility, it is vital that this agreement continue. 3.. Explain how. the negotiated costs or rates.are fair and reasonable; or how the funding was allocated to grantee. This Provider's per diem rates are fair and reasonable. These patients are under Department custody and require specialized psychiatric and medical services. Due to the unique combination of these patients needs, it is extremely difficult to locate suitable arrangements for these patients. 4. Describe the plan-for future competition for the goods.or services. The Department does not intend to RFP this service. PART IV: AMERICAN RESCUE PLAN ACT (ARPA) / MAINE JOBS & RECOVERY PLAN (MJRP) Does this:request utilize ARPA/MJRP. funds? O Yes - If Yes, please attach the approved Business Case(s). & No-lIf No, proceed to Part V PART V: APPROVALS The signatures below indicate approval of this procurement request. ee Signature of requesting Department's Commissioner. (or. designee): Typed Name: Signature of DAFS Procurement Official: Typed Name: Date: REV 10/21/2021 Page 2 of 2 DocuSigned by: 41C2BA36FAF44CD...