4. Jail-Clay County inmate contract

threatening situations or such treatment or medications as may be required in order to maintain the health or well being of the prisoner while incarcerated, including but not limited to, emergency room care, hospitalization, prescriptions, surgery, or ambulance service. Necessary medical treatment shall not include elective medical or dental care which would normally be provided by the prisoner, which shall not be provided in any case. CASS shall notify CLAY as soon as possible after an emergency requiring the removal of the prisoner from the JAIL and to obtain prior approval for removal for all other medical services required. Inmates from CLA Y shall receive such medical, psychiatric, and dental treatment as may be necessary to safeguard their physical and mental health and comply with the requirements of federal and state laws. Current Correction Health Standards (NCCHC) shall be used as a guideline for the treatment of inmates. Except in the case of an emergency, CASS shall contact CLAY for prior approval for the medical, psychiatric, or dental expenses for which CLAY is responsible under the terms of this contract. If an inmate's behavior indicates a possible need for inpatient mental health treatment, CLAY shall be notified of the situation. If it is determined that the inmate requires in-patient mental health treatment, CLAY shall transfer the prisoner to one of its own facilities. In the event of a mental health related emergency, CLA Y shall transfer the inmate as soon as practicable. In the event that medical treatment is administered to an inmate, as a result of an injury that was sustained in the JAIL, excluding self-inflicted or intentional, the medical costs for such treatment will be borne by CASSo CLA Y is responsible for transportation to and from the detention facility for medical purposes. Should CLAY request and CASS has staff available, CLAY agrees to reimburse CASS for transportation to and from the detention facility for medical purposes. The reimbursement amount shall be the actual cost incurred, such as emergency ambulance care costs, or if a Cass County vehicle is utilized, then the reimbursement amount shall be at the applicable federal mileage rate at that time. In addition, CLA Y shall reimburse CASS at the rate of Thirty-Five Dollars ($35.00) per man hour, with a three hour minimum, for each correctional officer or sworn law enforcement officer provided by CASS when supervising the inmate outside the Page 3 of 9