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Committee backs pilot MOA, seeks contract clarifications for ‘net recovery’ treatment
Summary
The committee recommended the fiscal court authorize a pilot to fund four Woodford County residents for neurostimulation treatment through Net Recovery, split two treatments funded by the county and two by the City of Versailles, but asked for contract changes clarifying the treatment definition and payment terms before final execution.
The contracts and leases committee reviewed a proposed memorandum of agreement (MOA) and contract with Net Recovery to fund a pilot program offering neurostimulation treatment to four Woodford County residents, using opioid settlement funds.
Judge Executive explained the agreement: the county and the City of Versailles would each fund treatment for two residents as a pilot, and the county planned to use opiate settlement funds to pay for its two treatments. "The arrangement is for a total of 4 Woodford County residents to be treated with net recovery as recommended by the Woodford County Agency for substance abuse policy," the judge said.
County officials and the county attorney raised contract concerns before recommending final approval. The county attorney read aloud a disputed contract provision defining when a treatment is considered complete. He said Net Recovery's agreement text inconsistently defines "treatment"; in one place it read "completing 24 hours or more of neurostimulation treatment" but in another it reads "completing 1 hour of neurostimulation treatment." He warned the county could be required to pay the full contract amount for a patient who receives only one hour of treatment but does not complete the full course.
"That's not right. County shouldn't pay $5,500 in effect for 1 treatment," the county attorney said. He said the county wants the contract revised so the definition is clear, to ensure payments correspond to completed treatments and to confirm residents (not just detainees) are eligible.
Other contract items flagged for adjustment included a requirement for a physician referral indicating the patient could benefit from the treatment, consistent contract terms between county and detention-center agreements (county contract proposed as two years; detention contract one year with automatic renewals), and clear residency requirements. The county attorney said Anderson County is negotiating the same provision with Net Recovery and has not finalized its contract.
After discussion, the committee voted to recommend that, once the county attorney and judge find the revised contract language satisfactory, the fiscal court grant authority for county leadership to execute the Net Recovery contract and the related MOA with the City of Versailles. The motion was moved by Squire Gentry and seconded by Squire Varner; committee members voted "aye." The judge and county attorney said staff would continue negotiating with Net Recovery to resolve the disputed provisions before signing.
Next steps: The county attorney will continue negotiations with Net Recovery to revise section 1.31 (treatment definition) and other terms; the committee recommended the full fiscal court approve execution once the county attorney signs off on the corrected contract.
