Project Information

Bid Title

Inmate-Resident Healthcare Services - Questions and Answers II

Issuing Agency

Shelby County

Location

Tennessee

Published Date

May 6, 2026

Closing Date

May 15, 2026

Government Level

State & Local

Status

Closed

Ref. #

RFP 26-008-50

Original Source

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Project Description

Bid Title:

RFP 26-008-50 Questions and Answers II

Category:

Corrections

Status:

Open

Publish Date:

Wednesday, May 6, 2026 - 9:45am

Close Date:

05/15/2026 - 4:00pm

Contact Person:

Carla Hayes

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Related Documents:

RFP 26-008-50 Questions and AnswersII.pdf

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Shelby County

Tennessee

Lee Harris, Mayor

Questions and Answers II

Issued: May 6, 2026

RFP #26-008-50

Inmate/Resident Healthcare Services

(Shelby County Department of Corrections)

TO ALL PROSPECTIVE BIDDERS:

The following questions were submitted by potential vendors. Our answer is listed in red

below:

1. Please provide the current contract with all attachments, exhibits, and

addenda. – This information can be obtained via public records request.

2. Please provide the current staffing matrix and current staffing schedule.

Refer to requested staffing requested listed in the RFP. Please verify

whether the current matrix and schedule align with the contracted matrix. If

the current operating matrix and schedule include additional positions or

hours beyond the contracted requirements, please identify those

differences. If the staffing requirements listed in the RFP exceed the current

matrix, please clarify the rationale for additional positions. See attached

revised/corrected minimum staffing plan for RFP

3. Please provide all contractual staffing vacancy reports for the past year.

Please see current vacancies for all sites, for the last 3 months

CJC – RN – 5, LPN – 15, MHP – 1.8

JailEast – RN - 1, LPN - 1

Division of Corrections – RN 1.8, LPN – 6, Med. Asst – 1,

Youth Justice & Education Center – RN - 1

4. Please provide the names of all supplemental staffing agencies currently

used by the current vendor. Vendor specific, w/ internal staffing agency

use.

5. Please provide an overview of current staffing models across facilities,

including the use of agency nurses and providers, the percentage of staff

supported by agency personnel at each location, and whether any mental

health providers are subcontracted or if all are team members of the current

vendor.

a. Vendor provided staffing w/ internal and external staffing agency use

as needed

b. Subcontracted Mental Health Provision at one location for current

contract. Please refer to RFP for new contract request.

c. Please respond to the requested staffing matrix listed within the RFP

(See attached revised/corrected minimum staffing plan for RFP)

6. Please provide a list of all LOSBs the current vendor partners with to meet

the required participation threshold, including the percentage attributed to

each entity.

Please submit public records request for this information.

7. Does the current vendor have a 5M umbrella to cover liability or a 10M

umbrella as required by the RFP? Defer to Risk Management/Insurance

8. Please provide all audits performed internally by the Contract Monitor and

other agencies (TJA, NCCHC, ACA) and a detailed summary of all

contractual deficiencies, corrective actions, and penalties assessed in the

past three years.

– Information is available via public records request

9. Please provide a copy of the most recent NCCHC accreditation audit.

Criminal Justice Center and Women’s Jail East audited January 2026. – A

copy of the audit will be available for viewing after successful bid.

10. Please provide any correspondence or written communication received by

Shelby County or the Sheriff's Office from the DOJ, ACLU, NAACP, or any

local/state/federal advocacy group regarding concerns for the care of

inmates in the past three years. Information is available via public records

request

⚫ Page 2

11. Please provide a list of all litigation related to healthcare services over the past

three years, including outcomes and any financial impact. – Answer not

applicable to respond to current RFP.

12. Please disclose any financial impact to the County related to bankruptcy,

restructuring, or change of control of a healthcare provider within the past five

years. – Information will not be released.

13. Please provide the completed pre-bid sign in sheet. – The pre-bid sign in sheet

is posted to the Shelby County website.

14. We understand that Shelby County currently uses the NextGen EMR system. Is

the County willing to explore the benefits of an alternative EMR system if a vendor

can demonstrate program enhancements, ease of transition, and the reduction of

liability for the County without creating additional expenses? – Question not

required for RFP response

15. Please provide the names and titles of the individuals serving on the proposal

review committee. Question not required for RFP response

16. Please detail expected services for juveniles, specifying those required EPSDT

services at discharge that are to be performed by the contractor (and specifying any

to be referred to off-site versus performed by the contractor)

and any additional services required. Requested services outlined in the RFP for

medical, dental, and mental health services are required for all sites, to include

the Juvenile site. Standards related to Juveniles in custody are driven by DCS,

NCCHC, ACA, & Jail standards.

17. Does NCCHC certification RFP requirement apply to all staff types, including

nonclinical and corporate team members, or only to site-based clinical staff?

NCCHC certification listed in RFP applies to site leadership.

18. What system is currently used for jail management, and are there

any changes anticipated? Offender Management System (OMS). No anticipated

changes.

19. Please clarify how “intermediate care” is defined within the scope of this RFP,

including expected services, staffing, and level of acuity.

Patients are considered stable outpatients with chronic but manageable

medical. Minimum needs – ex. assistance with adls, turning, etc.

20. Please describe behavioral health safety practices, including the number and

distribution of dry cells for patients on suicide watch, how those cells are used, and

the restraint methods utilized for patients experiencing self-harm or acute

psychiatric symptoms, including the clinical protocols that guide their use.

⚫ Page 3

Behavioral Health safety practices are guided by NCCHC, Tennessee

Corrections Institute, Department of Children’s Services, and American

Correctional Association. The number of cells will be available for review upon

successful bid.

21. Does the County use mobile crisis services or contract with external

organizations to provide additional mental health support, such as case

management or reentry services? If so, please identify these partners and describe

how these services are integrated into patient care.

Yes, The County does refer to mobile crisis while in custody

Yes, The County does have a re-entry department

22. Please provide information on the current waitlist for admission to the

state psychiatric hospital, including average wait times and any factors

that impact transfers. Question not required for RFP response

23. Please provide an overview of the current Medication Assisted Treatment

program, including treatment options used, any restrictions on medications, patient

participation by facility, and overall program satisfaction.

MAT program is vendor provided, protocol-based program, compliant with

Tennessee MAT guidelines. Currently there are 2 parts, with initial phase being

continuation. Phase 2 is induction. Medications are vendors provided. Program

is available at all facilities.

24. Does the County use community resource groups or nonprofit organizations to

support treatment and rehabilitation? If so, please identify these organizations and

describe their role.

The County does not have a designated community resource group. However,

the staffing matrix includes a discharge planner for each facility and will be

expected to connect patients to a variety of community resources at release.

25. When does the County anticipate announcing the award for this RFP? As

stated in the RFP document, The Contract award date is TBD

26. Will there be a designated point of contact to support communication with

current team members who may wish to remain at Shelby County? Yes

27. Could the County please confirm whether the anticipated start date is July 1 in

the RFP or Aug. 1, as is rumored to be the extension date the current vendor

provided? As stated in the RFP document, July 1 or immediately upon execution

of the contract.

⚫ Page 4

28. Please provide updated statistical reports, to include, but not limited to, the

average daily number of patients scheduled for Sick Call, the number of patients

seen at each location, and whether tablets are used for submitting Sick Call

requests at all but at the juvenile facility.

Criminal Justice Center – Avg 150/ day - Kiosk

Jail East

-- Avg 30/day - Handwritten Forms

Division of Corrections – Avg 45/day - Handwritten Forms

Youth Juvenile Center -- Avg 5 or less per day – Handwritten Forms

29. Is the physician assigned to the compound the same physician who provides

care within the intermediate care area? Yes

30. Does the County prefer a specific scrub color for healthcare team

members? No

31. Are telehealth services currently used at any facilities? If so, how are they

integrated into care? Yes, Provider visits and some established outpatient appts

32. Is the County participating in any grants, healthcare trials, or community-

based studies that may impact a new vendor? No

33. Please confirm whether services are Medicaid credentialed, including whether

juvenile screenings are performed under this credentialing, and

provide additional detail on how these screenings are managed. No, onsite

services are not Medicaid credentialed.

34. How are psychiatric competency evaluations conducted for both adult and

juvenile patients? The evaluations are based on patient, conducted on and off

site. Does the County have designated providers for these evaluations, or will this

be the responsibility of the contracted healthcare team, including support for court-

related evaluations? West Tennessee Mental Health Institute.

If you have any questions, please contact me via email at carla.hayes@shelbycountytn.gov.

Sincerely,

Signed Original on File

Carla Hayes, Buyer

Purchasing Department

Shelby County Government

⚫ Page 5

Commodity Codes

• NAICS 541519Other Computer Related Services

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