Resolution 093-2007
RESOLUTION NO. 093 - 2007
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA
AUTHORIZING THE MONROE COUNTY HEALTH
DEPARTMENT TO ESTABUSH CLINICAL FEES FOR
PRIMARY CARE SERVICES OFFERED AT THE
MONROE COUNTY HEALTH DEPARTMENT AS SET
FORTH IN EXHIBIT "A" ATTACHED lIT.1U:TO AND
MADE A PART OF THIS RESOLUTION.
WHEREAS, F. S. 154.01(2) requires counties to establish and maintain full-time county
health dep8Itments to provide environmental health, communicable disease control and primary
care servicell; and
WHEREAS, F.S. 154.01(3) requires the Department of Health to enter into contracts
with countie,s for this purpose; and
WHEREAS, on January 17, 2007, the Board apprpved the annual core contract between
the Monroe County and the Florida Department of Health for public health services; and
WHEREAS, F. S. 154.06(1) authorizes each county and each county health department
to collect feelS for primary care services rendered through the county health departments provided
that a schedule of such fees is established by resolution of the Board of County Commissioners
or by rule of'the department; and
WHEREAS, F.S. 154.06(2) requires all funds collected under this section to be
expended solely for the purpose of providing health services and facilities within the county
served by the county health department and pursuant to the rules and regulations cited therein
and pursuant to all other applicable rules and regulations; and
WHEREAS, on September 21, 2005, the Board previously approved a resolution
authorizing Ithe Monroe County Hea1th Department to increase the fees charged for birth and
death certifi(:ates (Resolution No. 358-2005), which will remain in effect; and
WHEREAS, the Monroe County Health Department has indicated the need to establish
clinical fees for primary care services offered at the Monroe County Health Departmentas set
forth in Exhibit .~.. attached hereto and made a part of this Resolution; and
WHEREAS, the Board is satisfied with the justification provided by the Monroe County
Health Deplll1ment;
NOW THEREFORE; BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY. FLORIDA;
1. That the Monroe County Health Department shall collect fees for primary care
services as specified in Exhibit "A" attached hereto and made a part of this
Resolution.
2. The Monroe County Health Department is solely responsible for ensuring
effective notice is provided to the general public and other impacted agencies and
organizations of the specific service fee increases.
3. The Monroe County Health Department is solely responsible fur ensuring the
County's compliance with all financial and transitional rules and regulations, and
any other factors that may be impacted by the service fee increases at all levels;
local, state and federal.
4. Any prior resolution, ordinance or contract inconsistent herewith is hereby
repealed.
5. This resolution shall become effective on M/lrch 1, 2007.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida at a regular meeting held on the 21st day ofFebrualY, AD., 2007.
Mayor Mario DiGennaro
Mayor Pro Tern Dixie M. Spehar
Commissioner Charles "Sonny. McCoy
Commissioner George Neugent
Commissioner Sylvia Murphy
Yes
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BOARD OF COUNTYCO~
OF MONROE COUNTY, FLO~Ag?, ;;,
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BY: ~~
Mayor Mario DiGennaro
MONROE COUNTY ATTORNEY
A PROVED AS TO FORM:
NATILEENE W. CASSEL
ASSISTANT COUNTY ATTORNEY
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MONROE COUNTY AHO E
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F'EE RESOLUTIONS
~\. PURPOSE. To establish publichealtb~rvice fees in order to expand existing
public health services to the community at large.
El. PRIMARY CARE SERVICES.
('1) Acute Episodic 'IIIness- Primary care services will be charged on a fee-for-
service basis not less than the prevailing Medicaid rate, nor more than the
. prevailing Medicare rate. The fee will be derived by considering the type of visit,
the cIlentslfding fee group baslld on Federal OMS Guidelines, and the State
Medicaid rate. Medicaid Identlflcatlon will be accepted as full payment In lieu of
charges.
(:!) Family Planning - The fee will be derived by considering the type of visit, the
client sfllling fee group based on Federal OMS Guidelines, and the Stale
Medicaid rate. Medicaid identification will be accepted as full payment in lieu of
charges.
(~I) Well Child Services - The fee will be derived by considering the client sliding
fee group, which is calculated at eligibility (Ietermlnation based on Federal OMS
Guidelines. The fee group will be applied to the rate not less than the prevailing
Medicaid rate, nor more than the prevailing Medicaid rate. Medicaid
identific;ation will be accepted as fulf payment In lieu of the fee.
(4) School/Day Care Physicals - A one-time serVice, $30.00 per physical. (A
limited visit which fulfills the basic requirement of the School System or a Day
Care Center. Lab tests and/or services perfonned beyond the basic .
requirement will be charged for separately.)
(5) Pharmacy - Fees are assessed per cost of DrescriDlion Dlus disDensina fee.
The fee will be derived by adding $5 dispensing fee plus the cost of prescription.
Cost of prescription is the cost of medication plus 0% to 20% to be determined
on a sliding fee scale category. The payment will be assessed by considering
the client sliding fee group, which is calculated at eligibility determination, based
on Federal OMS Guidelines. Medicaid identification will be accepted as full
payment In lieu of charges.
(6) Women's Health Care - Non Federally funded program for
uoinsuredlunderinsured women. A one time fee of $125 to cover complete
woman's physical, PAP smear, Gonorrhea, Syphilis, HIV, Chlamydia and
Human Papilloma Virus, if indicated. A complimentary follow up visit if required.
Lab services and/or other services charged separately. No income verification
needed,
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m Lead Screening - The fee will be derived by considering the client sliding fee
group which is calculated at englblllty determination, based on Federal OMB
Guidelines. The fee group win be applied to the rate llIItablished by the State
Medicaid program. Medicaid identification will be accepted as full payment in
lieu of charges.
(EI) Blood Chemistries Only - Actual Cost plus per visit
specimen drawing and handUng fee of
(EI) Herpes Culture Test
(10) Pregnancy Test - Nurse Consultation
Official docume~ion of positive test
(11) Pregnancy Test - Teenage Clients
(12) Chest X-Ray
(13) Hypertension. series of up to fMllests
paid at first visit
(1.4) Thin-Prep PAP laboratory lest
(1!5) HPVTest
C. COMMUNITY PUBLIC HEALTH SERVICES
(1) Tuberculoeis X-ray for suspecled. confirmed or
Symptomatic contact or case
(21 Tuberculosis Skin Test for suspected. confirmed or
Symptomatic contact or case
(3) Tuberculosis (TB) Sputum Culture for 8uspecled.
confirmed, or symptomatic contact of case
(4]1 Chest X-ray for health care employees or for
vocational or college student program requirements, with
Physician intarpretation
(5) TuberCulin (TB) Skin Test, with reading
$20.00
$30.00
No Charge
$10.00
No Charge
Medicaid Rate
$10.00
$25.00
$25.00
No Charge
No Charge
No Charge
$50.00
$35.00
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(I;) Sexually Transmitted Diseases - The fee will be derived by considering the
client sliding fee group which is calculated at eligibUity detsnnination, based on
Federal OMB Guidelines. The fee group will be applied to the rats established
by the state Medicaid Program. Medicaid identification will be accepted as full
payment in lieu of charges. Patients referred by the Disease Intervention
Specialist for initial testing may be charged.
(0) Testing for HIV I AntIbodies
(a) For Health Department Clients with eligibility card:
For test results within the nonnal time period
(State lab per sliding fee scale) No Charge to $20.00 .
For Faster test results (within 48 hours)
Private lab
$40.00
~)F~p~eMwarenm~~yH~
Department Clients:
FOI' test results within the normal time
Period (State Lab)
For faster test results (withIn 48 hours)
Private Lab
$20.00
$40.00
(7) Immunizations for adults (such as intemational travel vaccinations, hepatitis
prevention, etc.):
Flat Fee: Prevailing vaccine costs plus dispensing fee.
Dispensing Fee:
(8) Required Immunizations for children up to age 18 .
$35.00
No Charge
(g) laboratory Services
Blood Drawing Fee:
Prevailing lab cost plus blood drawing
$15.00
(HI) ClassfSeminar attendance registration
Per person charge for health care, social work
and counseling employees, per BCC resolution
AIDS 101
AIDS 500
AIDS 501
$ 5.00
$10.00
$50.00
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VITAL STATlSnCS:
(1) Birth Certificates:
Fee Pursuant to ace Resolution
State Fee Pursuant to Section 382.025.
FS (Surcharge fOr Certificates Issued by
Local Registrars)
State Surcharge, Child Welfare Tralning
Trust Fund
Total Fee for Birth CertlffC8te8
(:!) Additional Copies
(:I) Protective Covers
(-<~) Death Certificates - Certified Copy
$ 12.00
(fi) Express Fee
$ 2.50
$ 1.50
$16.00
$ 7.00
$ 4.00
$ 13.00
$ 10.00
E. MEDICAL RECORDS:
(1) Copying Medical Record (per page for f1rst.25 pages)
Per page thereafter
F. PUBLIC RECORDS:
(1) Copying of Public Record (per page)
$1.00
25 cents
25 cents