Resolution 294-2010RESOLUTION NO. 294 — 2010
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
RETURNED/DISHONORED 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 -define
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, 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;
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.
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 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 15t' day of September, A.D., 2010.
Mayor Sylvia Murphy Yes
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Mayor Pro Tem Heather Carruthers Yes
Commissioner George Neug ent Yes
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Commissioner Kim Wigington Yes
Commissioner Mario Di Gennaro Yes
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ATTEST: DANNY L. KOLHAGE, CLERK
By: ..aaLde . UQ4�
Deputy Clerk
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BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
BY:
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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 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 3`d 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 OMB 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, confirmed or
Symptomatic contact or case
(2) Tuberculosis Skin Test for suspected, confirmed or
Symptomatic contact or case
(3) Tuberculosis (TB) Sputum Culture for suspected,
confirmed, or symptomatic contact of case
(4) Tuberculin (TB) Skin Test, with reading, any other than
No Charge
No Charge
No Charge
$35.00
11/12/2009
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 OMB 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 $ 5.00
AIDS 500 $10.00
AIDS 501 $50.00
VITAL STATISTICS:
(1)
Birth Certificates:
$ 16.00
Additional Copies
$ 16.00
(2)
Protective Covers
$ 4.00
(3)
Death Certificates — Certified Copy
$ 13.00
Additional Copies
$ 13.00
(4)
Express Fee
$ 10.00
E. MEDICAL
RECORDS:
(1) Copying of Medical Record (per page) $ 1.00
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 / 12/2009