Specifications include, but are not limited to: The Hawaii State Hospital (“HSH”) provides adult inpatient psychiatric services and is part of the Department of Health (DOH), Adult Mental Health Division (AMHD). Majority of the patients are committed by the judicial system. HSH is accredited by The Joint Commission (TJC). HSH is requesting proposals from qualified applicants to provide inpatient and outpatient medical and psychiatric services for its patients. The patients traditionally have extended stays. Many of them arrive with chronic medical illness or develop acute medical illness during their stays. HSH needs to contract with facilities and providers in the community for those services it cannot provide internally. Required services run the entire gamut of acute and elective, medical and surgical, diagnostic, and therapeutic procedures including emergency medical services. Exact needs for medical services cannot be determined. Request for services shall be based on needs of medical services throughout the contract period.