Specifications include, but are not limited to: A. Provide, at its own cost, services including but not limited to: all professional medical, mental health, dental and related health care and administrative services for inmates. Services shall include but not be limited to: a comprehensive health evaluation of each inmate following award of the contract (to be in accordance with NCCHC standards) regularly scheduled sick call, twenty-four hour nursing care, regular physician, mental health, and dental visits to the facilities, on-site emergency medical services, on-site diagnostic studies (radiology and laboratory), pharmaceutical management and administration, medical records management, administrative support services and other services as described herein. B. Include Specialty services, but those services shall not be limited to radiology services and laboratory services to the extent reasonably necessary in the opinion of a medical professional. When non-emergency specialty care is required and cannot be rendered at the Jail or Prison, the Proposer shall make arrangements with the Sheriff or Warden for the transportation of the inmate(s) to an off-site medical provider and / or hospital. C. Include Hospitalization services arrangements which shall be made by the Proposer for any inmate who requires hospitalization. A licensed physician employed by the Proposer shall be responsible for making hospitalization decisions. The cost for all off-site inpatient and outpatient healthcare services will be the responsibility of the County or it’s Third Party Administrator. Nevertheless, it is the intent of the County to limit this exposure. The Proposer will be expected to demonstrate a utilization management program that will minimize healthcare costs and provide constitutionally required healthcare. D. Include Transportation services which shall be provided by the County in cooperation with the Sheriff and Warden in non-emergency instances. The cost of all emergency transportation (e.g. ambulance services) will be the responsibility of the County; however, the Proposer shall make such arrangements, when medically necessary. E. Include Mandated medical services which are required by law or court orders of consenting or non-consenting inmates shall be provided by the Proposer. The Sheriff and/or Warden will restrain such inmates as necessary. Should new legislation or a court order require substantial new medical treatment, the Proposer shall not be financially responsible unless specifically agreed upon between the Proposer and the County.