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Item Q1 BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: 11/18/09 - KL Division: Monroe County Health Department Bulk Item: Yes X No Staff Contact: Robert Eadie. 809-5610 AGENDA ITEM WORDING: Approval of a Resolution authorizing the Monroe County Health Department to establish clinical fees for primary care services offered as set forth in Exhibit A attached to and made a part of the resolution. ITEM BACKGROUND: F.S. 154.01(2) requires Counties to establish and maintain full-time county health departments to provide environmental health, communicable disease control and primary care services through contract with the Florida Department of Health. The Board recently approved such a contract for the Monroe County Health Department on 10/21/09. P.8. 154.06(1) authorizes each county to collect fees for primary care services provided that a schedule of such fees is established by resolution of the Board of County Commissioners or by rule of the Department. The MCHD is requesting authorization to establish clinical fees for primary care services offered at the MCHD. PREVIOUS RELEVANT BOCC ACTION: 10/21/2009 Board approved core contract between Monroe County and the Florida Department of Health for public health services provided by the Monroe County Health Department 2/17/2008 Board approved Resolution No. 502-2008 establishing fees specifically for primary care services, vital statistics, medical records, public records and returned/dishonored checked provided by the Monroe County Health Department CONTRACT/AGREEMENT CHANGES: No increase in fees from Resolution No. 502-2008. STAFF RECOMMENDATIONS: Approval. TOTAL COST: N/A BUDGETED: Yes No COST TO COUNTY: N/A SOURCE OF FUNDS: N/A REVENUE PRODUCING: Yes x No AMOUNT PER MONTH_ Year APPROVED BY: County Atty V OMB/Purchasing _ Risk Management_ DOCUMENTATION: Included x Not Required _ DISPOSITION: AGENDA ITEM # Revised 2/05 RESOLUTION NO. - 2009 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA AUTHORIZING THE MONROE COUNTY HEALTH DEPARTMENT TO ESTABLISH FEES SPECIFICALLY FOR PRIMARY CARE SERVICES, COMMUNITY PUBLIC HEALTH SERVICES, VITAL STATISTICS, MEDICAL RECORDS, PUBLIC RECORDS AND RETURNEDIDISHONORED CHECKS OFFERED AT THE MONROE COUNTY HEALTH DEPARTMENT AS SET FORTH IN EXHIBIT "A" ATTACHED HERETO AND MADE A PART OF THIS RESOLUTION. WHEREAS, F. S. 154.01(2) requires counties to establish and maintain full-time county health departments to provide environmental health, communicable disease control and primary care services; and WHEREAS, F.S. 154.01(3) requires the Department of Health to enter into contracts with counties for this purpose; and WHEREAS, on October 21, 2009, the Board approved 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 fees 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 December 17, 2008, the Board approved a resolution authorizing the Monroe County Health Department to increase the fees charged for primary care services offered at the Monroe County Health Department (Resolution No. 502-2008); and WHEREAS, the Monroe County Health Department has indicated the need to re-defme and re-establish fees for public health services offered at the Monroe County Health Department as set forth in Exhibit ''A'' attached hereto and made a part of this Resolution; and WHEREAS, pursuant to F. S. 154.01(a) and 154.06(1), this fee resolution does not include fees for environmental health services offered at the Monroe County Health Department which are regulated by a uniform statewide fee schedule and are specifically outside of the jurisdiction ofthe Board of County Commissioners of Monroe County, Florida; and WHEREAS, the Board is satisfied with the justification provided by the Monroe County Health Department; NOW THEREFORE; BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA that; 1. The Monroe County Health Department shall collect fees for primary care services, community public health services, vital statistics, medical records, public records, returned/dishonored checks 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 for ensuring the County1s 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. PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida at a regular meeting held on the _ day of November, A.D., 2009. Mayor George Neugent Mayor Pro Tem Sylvia Murphy Commissioner Kim Wigington Commissioner Heather Carruthers Commissioner Mario Di Gennaro (Seal) ATTEST: DANNY L. KOLHAGE, CLERK BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA By: BY: Deputy Clerk FEE RESOLUTIONS A. PURPOSE. To establish public health service fees in order to expand existing public health services to the community at large. B. PRIMARY CARE SERVICES. (1) Primary care services include well and sick adult and child health services and family planning services. These services will be charged at not more than 150% of the prevailing Medicare rate. Where there is no Medicare fee, the fee will be the Medicaid rate. Service levels will be determined utilizing current Medicare guidelines for coding and billing services provided. Discounting adjustments will be made to client fees based upon the current contract for services with Medicare and other 3rd party payers. In addition, sliding scale adjustments to fees for primary care services will be based upon Federal OMB guidelines and in accordance with State of Florida Department of Health Policy 56-66-08. Medicaid is billed at the current Medicaid Cost-based rate and reimbursement for these services is considered payment in full. (2) Pharmacy - Medications issued will be provided at the most recent cost. Medicaid is accepted as payment in full. ' (3) Injection fee for parenteral medications per injection $35.00 (4) Lab fees - All laboratory and pathology fees are subject to sliding scale fee adjustment based upon OMS Federal Guidelines. a. Bloods Specimens sent to outside laboratory- cost plus a $25.00 venipuncture fee per visit. b. Specimens tested in c1inic- $10.00 (hemoglobin, urine, blood sugar, mono, wet mount, strep) c. Pregnancy test No charge d. Non-blood specimens sent to outside laboratory, processing fee $10.00 per visit. C. COMMUNITY PUBLIC HEALTH SERVICES (1) Tuberculosis X-ray for suspected, confirmed or Symptomatic contact or case No Charge (2) Tuberculosis Skin Test for suspected, confirmed or Symptomatic contact or case No Charge (3) Tuberculosis (TB) Sputum Culture for suspected, confirmed, or symptomatic contact of case No Charge (4) Tuberculin (TB) Skin Test, with reading, any other than I EXHIBIT A $35.00 11/2/2009 ] .D .D 2 listed above in C. (1). (5) Sexually Transmitted Diseases - The fee will be derived 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. $70.00 (6) Adult Immunizations: Per vaccine- cost + $35.00 injection fee per vaccine. (7) Required Immunizations for children up to age 18 and eligible for the Vaccine for Children program No Charge (8) Class/Seminar attendance registration Per person charge for health care, social work and counseling employees. AIDS 101 AI DS 500 AIDS 501 $ 5.00 $10.00 $50.00 VITAL STATISTICS: (1) Birth Certificates: Additional Copies $ 16.00 $ 16.00 (2) Protective Covers $ 4.00 (4) Express Fee $ 13.00 $ 13.00 $ 10.00 (3) Death Certificates - Certified Copy Additional Copies E. MEDICAL RECORDS: (1) Copying of Medical Record (per page) 50 cents F. PUBLIC RECORDS: (1) Copying of Public Record (per page) 25 cents G. RETURNED/DISHONORED CHECKS: (S. 215.34(2), F.S.) A service fee of $15.00 or 5% of the face amount of the check, draft, or money order whichever is greater, not to exceed $150.00 2 11/2/2009 RESOLUTION NO. 502 - 2008 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA AUTHORIZING THE MONROE COUNTY BEALm DEPARTMENT TO ESTABLISH FEES SPECIFICALLY FOR PRIMARY CARE SERVICES, COM:MUNITY PUBLIC HEALTH SERVICES, VITAL STATISTICS, MEDICAL RECORDS, PUBLIC RECORDS AND RETURNEDJDISHONORED CHECKS OFFERED AT THE MONROE COUNTY HEALTH DEPARTMENT AS SET FORTH IN EXHIBIT "A" ATTACHED HERETO AND MADE A PART OF THIS RESOLUTION. WHEREAS, F. S. 154.01(2) requires counties to establish and maintain full-time county health departments to provide environmental health, communicable disease control and primary care services; and WHEREAS, F.S. 154.01(3) requires the Department of Health to enter into contracts with counties for this purpose; and WHEREAS, on January 17, 2007, the Board approved 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 fees 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 role 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 approved a resolution authorizing the Monroe County Health Department to increase the fees charged for birth and death certificates (Resolution No. 358-2005); and WHEREAS, on February 21, 2007, the Board approved a resolution authorizing the Monroe County Health Department to increase the fees charged for primary care services offered at the Monroe County Health Department (Resolution No. 093-2007); and WHEREAS, the Monroe County Health Department has indicated the need to fe-define and re-establish fees for public health services offered at the Monroe County Health Department as set forth in Exhibit "A /t attached hereto and made a part of this Resolution; and WHEREAS, pursuant to F, S. 154.01(a) and 154.06(1), tbis fee resolution does not include fees for environmental health services offered at the Monroe County Health Department which are regulated by a uniform statewide fee schedule and are specifically outside of the _ jurisdiction of the Board of County Commissioners of Monroe County, Florida; and WHEREAS, the Board is satisfied with the justification provided by the Monroe County Health Department; NOW THEREFORE; BE IT RESOL YED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA; 1. That the Monroe County Health Department shall coHect fees for primary care services, community public health services, vital statistics, medical records, public records, returned/dishonored checks as specified in Exhibit ''A II attached hereto and made a part oftms 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 for 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 alllevels~ local, state and federal. 4. Any prior resolution, ordinance or contract inconsistent herewith is hereby repealed. PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida at a regular meeting held on the 17thday of December, AD., 2008. S c t;f 3! % C"))> :I r- ::Q r- Z ~ r"l Mayor Neugent Yes ~g~ CiI '=' Mayor Pro TemMurphy Yes nxr I d Commissioner DiGennaro Yes g5:?S PI;) ::0 _~.~ Commissioner Wigington Yes .~?::1r- ~ ~ //~r~cO~~~C.ommissionerCarruthers Yes :<~$2 ~ g l O~ ;}\. ...., a> /~' _ ,,'). _, r- m t\) :::0 ,':;> l~ - ...... en t::l 10" . 'I' f ~ .. ': : ~ ,r. :'J' , /l-~! " ,6~NNY L. KOLHAGE, CLERK ;,,:......~,'."=- ~"rJ L . .', 'Y' B ","';'-. eputy Clerk BOARD OF COUNTY COMMISSIONERS OF MONaOE COUNTY, FLORIDA ~".. J!.. n~,~ BY: Mayor FEE RESOLUTIONS A. PURPOSE. To establish public health service fees in order to expand existing public health services to the community at large. B. PRIMARY CARE SERVICES. (1) Primary care services include well and sick adult and child health serv~ces and family planning services. These services will be charged at not more than 150% of the prevailing Medicare rate. Where there is no Medicare fee, the fee will be the Medicaid rate. Service levels will be determined utilizing current Medicare guidelines for coding and billlng services provided. Discounting adjustments will be made to client fees based upon the current contract for services with Medicare and other 3rd party payers. In addition, sliding scale adjustments to fees for primary care services will be based upon Federal OMS guidelines and in accordance with State of Florida Department of Health Policy 56-66-08. Medicaid is billed at the current Medicaid Cost-based rate and reimbursement for these services is considered payment in full. (2) Pharmacy - Medications issued will be provided at the most recent cost. Medicaid is accepted as payment in full. (3) Injection fee for parenteral medications per injection $35.00 (4) Lab fees - All laboratory and pathology fees are subject to sliding scale fee adjustment based upon OMS Federal Guidelines. a. Bloods Specimens sent to outside laboratory- cost plus a $25.00 venipuncture fee per visit. b. Specimens tested in clinic- $10.00 (hemoglobin, urine, blood sugar, mono, wet mount, strep) c. Pregnancy test No charge d. Non-blood specimens sent to outside laboratory, processing fee $10.00 per visit. C. COMMUNITY PUBLIC HEALTH SERVICES (1) Tuberculosis X-ray for suspected, confinned or Symptomatic contact or case No Charge (2) Tuberculosis Skin Test for suspected, confirmed or Symptomatic contact or case No Charge (3) Tuberculosis (TB) Sputum Culture for suspected, confirmed, or symptomatic contact of case No Charge (4) Tuberculin (TB) Skin Test, with reading, any other than EXHIBIT -A- $35.00 10/30/2008 listed above in C. (1), (5) Sexually Transmitted Diseases - The fee will be derived 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. $70.00 (6) Adult Immunizations: Per vaccine- cost + $35.00 injection fee per vaccine. (7) Required Immunizations for children up to age 18 and eligible for the Vaccine for Children program No Charge (8) Class/Seminar attendance registration Per person charge for health care, social work and counseling employees. AIDS 101 AIDS 500 AIDS 501 $ 5.00 $10.00 $50.00 VITAL STATISTICS: (1) Birth Certificates: Additional Copies (2) Protective Covers (4) Express Fee $ 16.00 $ 16.00 $ 4.00 $ 13.00 $ 13.00 $ 10.00 (3) Death Certificates - Certified Copy Additional Copies E. MEDICAL RECORDS: (1) Copying of Medical Record (per page) 50 cents F. PUBLIC RECORDS: (1) Copying of Public Record (per page) 25 cents G. RETURNED/DISHONORED CHECKS: (S. 215.34(2), F.S.) A s(~rvice fee of $15.00 or 5% of the face amount of the check, draft, or money order whichever is greater, not to exceed $150.00 2 10/30/2008 Statutlj.s & Cunstitution :View Statutes :->2009->ChOI54->Section 06: flsenate.gov Page 1 of 1 Go The 2009 Florida Statutes Title XI COUNTY ORGANIZATION AND INTERGOVERNMENTAL RELATIONS 154. 06 Fees and services ren dered ; authority... Chapter 154 PUBLIC HEALTH FACILITIES View Entire Chapter (1) The Department of Health may establish by rule fee schedules for public health services rendered through the county health departments. Such rules may include provisions for fee assessments, copayments, sliding fee scales, fee waivers, and fee exemptions. In addition, the department shall adopt by rule a uniform statewide fee schedule for all regulatory activities performed through the environmental health program. Each county may establish, and each county health department may collect, fees for primary care services, provided that a schedule of such fees is established by resolution of the board of county commissioners or by rule of the department, respectively. Fees for primary care services and communicable disease control services may not be less than Medicaid reimbursement rates unless otherwise required by federal or state law or regulation. (2) All funds collected under this section shall be expended solely for the purpose of providing health services and facilities within the county served by the county health department. Fees collected by county health departments pursuant to department rules shall be deposited with the Chief Financial Officer and credited to the County Health Department Trust Fund. Fees collected by the county health department for public health services or personal health services shall be allocated to the state and the county based upon the pro rata share of funding for each such service. The board of county commissioners, if it has so contracted, shall provide for the transmittal of funds collected for its pro rata share of personal health services or primary care services rendered under the provisions of this section to the State Treasury for credit to the County Health Department Trust Fund, but in any event the proceeds from such fees may only be used to fund county health department services. (3) The foregoing provisions notwithstanding, any county which charges fees for any services delivered through county health departments prior to July 1, 1983, and which has pledged or committed the fees yet to be collected toward the retirement of outstanding obligations relating to county health department facilities may be exempted from the provisions of subsection (1) until such commitment or obligation has been satisfied or discharged. History.--ss. 1,2, ch. 69-80; ss. 19,35, ch. 69-106; s. 3, ch. 72-323; s. 34, ch. 77-147; s. 9, ch. 83- 177; s. 3, ch. 89-311; s. 22, ch. 97-101; s. 11, ch. 97-237; s. 2, ch. 2000-242; s. 153, ch. 2003-261. Disclaimer: The information on this system is unverified. The journals or printed bills of the respective chambers should be consulted for official purposes. Copyright <<:>2000-2006 State of Florida. http://www.flsenate.gov/Statutes/index.cfm?p=2&App_mode=Display_Statute&Search_String=&UR...ll/2/2009