Specifications include, but are not limited to: Provide services as detailed in 1 through 19 for up to 20 hours, every month on site at Keen Mountain Correctional Center. The Provider shall submit an accounting of hours worked each month to the facility’s Health Authority. The accounting of hours shall include a breakdown of hours worked on site. The Provider shall prepare an invoice and bill the Department for the hours actually 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 month hours. If hours per month reach 20 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 month hours, any additional hours of service shall be approved in advance by the facility’s Health Authority or DOC Medical Director and shall be paid at the negotiated rate. Provide general medical services to include performing physical examinations, prescribing medications, reviewing X-rays and lab reports, 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. 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 emergency medical services in doctor's office or hospital. Provide employee health services which are required by the Department (e.g. employee physicals, emergencies). Provide a monthly schedule, in advance, to the facility’s Health Authority. 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. Provide 24-hour telephone or beeper coverage. Provide inpatient care, if possible. Provide physician services at another DOC facility on a temporary basis as needed and as mutually agreed upon. Any services provided at another DOC facility must be approved in advance by the Department’s Health Services Director and outlined in a written Contract Modification. 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.