Specifications include, but are not limited to: Provide physical therapy services on-site at DOC Facilities as detailed in 1 through 18 on an as needed basis for up to 24 hours per week. A listing of facilities where services will be provided can be found in Attachment 9. The Provider shall submit an accounting of hours worked each week to the facility’s Health Authority. The accounting of hours shall include a breakdown of hours worked. The Provider shall prepare an invoice and bill the Department for the hours worked, up to the required total. Services provided in less than full hour increments shall be invoiced and paid in one-tenth of an hour increments. Lunch breaks shall be unpaid, and time taken must be deducted from the total week hours. If hours per week reach 24 hours at a facility and additional hours of service are required, the specific number of additional hours must be approved in writing by the facility’s Health Authority before services are provided or the Provider will not be paid for said hours. If service hours exceed the negotiated per week hours, any additional hours of service shall be approved in advance by the facility’s Health Authority and shall be paid at the negotiated rate. Telehealth may be used in lieu of an onsite visit. In such cases, the provider will adhere to all telehealth guidance as provided by the Virginia Board of Physical Therapy and determine, when appropriate, the utilization of telehealth services as a component of, or in lieu of, in-person physical therapy care. The provider is responsible for making this determination on a case-by-case basis, with selections based on physical therapist judgment, to ensure the standard of care required both professionally and legally is met. In doing so, the provider must adhere to applicable laws and standards of care including proper supervision of PTA’s and support personnel. Telehealth must include interactive audio and video to engage in the practice of physical therapy. Provide general physical therapy services to include performing initial examinations, treatment, updated plans of care, discharges, reviewing diagnostics, communicating with the medical provider, and other related duties. Record a summary of the problems and/or symptoms, the diagnosis or diagnostic hypotheses, treatments, medications, and/or any other appropriate information in each patient's medical chart at the conclusion of every consultation. Adhere to the Formulary established by the Department and/or clinically justify variances. Consult with the Department’s Office of Health Services regarding care of inmates on an as required basis. Immediately notify the Department if license or hospital privileges are denied, suspended, or revoked; if any malpractice claims are filed; if any professional disciplinary action is taken; or if he/she has any physical, mental or emotional problems which might impact performance of assigned duties. Make referrals to specialists when necessary. Use on-site office space provided by the facility during scheduled visits. Use physical therapy equipment that is requested by the provider. 10. Utilize the services of Health Services personnel employed by the facility. Provide additional visits to the facility in the event of emergency illness or injury. Provide a subcontractor/alternate physician for coverage during the Provider’s absence. The subcontractor/alternate must be approved in advance by the Department’s Health Services Director (see Attachment 1). The subcontractor/alternate must abide by the same Scope of Services as the Provider. The Department will pay the contract Provider who will be responsible for paying the subcontractor/alternate. The use of midlevel health care practitioners (i.e., Nurse Practitioner or Physician Assistant, etc.) must be approved in advance by the Department’s Health Services Director. Provide a copy of the Contract to any subcontractor/alternate. In the event the provider cancels the contract, the provider shall notify both the Contract Administrator (the Health Authority) and the Contract Officer, in writing via email and via telephone call.
