Resolution 464-2010RESOLUTION NO. 4 64 -2010
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA, AMENDING THE FEE SCHEDULE FOR PRIMARY CARE
SERVICES AND PUBLIC HEALTH SERVICES ESTABLISHED VIA RESOLUTION
NO. 294 -2010 IN ORDER TO ADD FEES FOR MISCELLANEOUS VACCINATIONS
AND INTERNATIONAL CERTIFICATES OF VACCINATIONS AS SET FORTH IN
EXHIBIT "A" ATTACHED HERETO AND MADE A PART OF THIS RESOLUTION.
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, Resolution No. 294 -2010, passed by the Board of County Commissioners (BOCC) on
September 15, 2010, established a fee schedule for various primary care services, community public health services,
vital statistics, medical records, public records, and returned/dishonored checks; and
WHEREAS, subsequent to adoption of Resolution No. 294 -2010, the Monroe County Health Department
has determined that it needs to add two categories of fees, for "all other immunizations" (item C(8) on Exhibit "A ")
and for providing International Certificates of Vaccination (item C(11) on Exhibit "A "); and
WHEREAS, the BOCC is satisfied with the justifications provided by the Monroe County Health
Department;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, 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 fee increases.
3. The Monroe County Health Department is solely responsible for ensuring the County's compliance with
all financial and transition rules and resolutions, and any other factors that may be impacted by the
service fee increases at all levels: state, local, 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 Any prior resolution, ordinance or contract inconsistent herewith is hereby repealed.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
meeting of the Board held on the 15` day of December 2010.
° o
MO OE COUNTY ATTORNEY
Mayor Heather Carruthers Yes
e _ Mayor Pro Tem David Rice yes R ' ED S M:
Commissioner George Neugent Yes CYNTHIA L. HALL
--T ___ Commissioner Kim Wigington
Yes ASST ANT COUNTY ATTORNEY
Commissioner Sylvia Murphy Yes pate_ II -,col U
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
S Y L. KOLHAGE, Clerk
t` s
By:
'`' Clerk a or/ airman
FEE RESOLUTIONS
EXHIBIT A
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 160% 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` 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 $35.00 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 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 $35.00
listed above in C. (1).
(5) Tuberculin assessment of clients with a past history of
11/30/2010
positive skin test
$35.00
(6) Sexually Transmitted Diseases — The fee below will be adjusted 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.
Professional Component fees
Office /Outpatient Visit, New $178.00
Office /Outpatient Visit, Established $117.00
(7) Required Vaccines for children up to age 18 and eligible for
the Vaccine for Children program No Charge
Administration fee charged to third party payer $35.00
(8) All other Immunizations Cost of vaccine x 1.5
+ $35 injection fee
(9) Class /Seminar attendance registration
Per person charge for health care, social work
and counseling employees.
AIDS 101 No Charge
AIDS 500 No Charge
AIDS 501 No Charge
(10) Expendable medical /wound care supplies such as: Sponge Gauze,
Bandages /Dressings, Gloves Cost x 3.5
(11) International Certificates of Vaccination
VITAL STATISTICS:
(1) Birth Certificates:
Additional Copies
(2) Protective Covers
(3) Death Certificates — Certified Copy
Additional Copies
(4) Express Fee
E. MEDICAL RECORDS:
(1) Copying of Medical Record (per page)
F. PUBLIC RECORDS:
(1) Copying of Public Record (per page)
G. RETURNED /DISHONORED CHECKS: (S. 215.34(2), F.S.)
Cost x 3.5
$ 16.00
$ 16.00
$ 4.00
$ 13.00
$ 13.00
$ 1.00
25 cents
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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
3 11/30/2010