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Item C27 C27 BOARD OF COUNTY COMMISSIONERS COUNTY of MONROE �� i Mayor Holly Merrill Raschein,District 5 The Florida Keys Mayor Pro Tern James K.Scholl,District 3 Craig Cates,District 1 Michelle Lincoln,District 2 ' David Rice,District 4 Board of County Commissioners Meeting December 13, 2023 Agenda Item Number: C27 2023-1915 BULK ITEM: Yes DEPARTMENT: Administration TIME APPROXIMATE: STAFF CONTACT: Lindsey Ballard n/a AGENDA ITEM WORDING: Approval of resolution approving fee schedule for primary care services, community public health services, vital statistics, medical records, and related administrative charges offered by Monroe County Health Department. ITEM BACKGROUND: F.S. 154.6(1)5 authorizes each county and county health department to collect fees for public health services rendered by the county health department provided the schedule of fees is established by resolution by the Board of County Commissioners. All funds collected must be expended solely for the purpose of providing health services and facilities within the county served by the county health department. The fees listed in this schedule are comparable with fees charged in neighboring counties. Revenue collected provides support for department functions and provision of services. The fee schedule for clinical services fees was last amended in 2010. PREVIOUS RELEVANT BOCC ACTION: 9-15-2010: BOCC adopts Resolution No. 294-2010, setting fee reschedule for clinical services. INSURANCE REQUIRED: No CONTRACT/AGREEMENT CHANGES: Increases for certain fees are shown in the attached chart. STAFF RECOMMENDATION: Approval. DOCUMENTATION: 1595 Res 294-2010.pdf Resolution FDOH Fee Schedule clinical fees 2023.pdf FINANCIAL IMPACT: TBD, depending on usage. 1596 RESOLUTION 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 1597 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 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 o Mayor Pro Tem Heather Carruthers Yes -n Commissioner George Neu gent Yes Q Commissioner Kim Wigington Yes Commissioner Mario Di Gennaro Yes . : o Cn o BOARD OF COUNTY COMMISSIONERS (Seal) OF MONROE COUNTY,FLORIDA ATTEST: DANN(YL.KOLHAGE, CLERK By:.,a 1.1- uoo� BY• Deputy Clerk Mayor !1 iel1 iV•VED AJ 7 0 SUZ NNE - 1598 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 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 1 11/12/2009 iA :1 1599 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 1600 RESOLUTION NO. - 2023 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA AUTHORIZING THE MONROE COUNTY HEALTH DEPARTMENT TO ESTABLISH FEES SPECIFICALLY FOR VITAL STATISTICS AND THE HEALTH CLINIC 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 July 19, 2022, the Board approved the annual core contract between 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 Vital Statistics and Health Clinic 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, the Monroe County Health Department has indicated the need to re-define and re-establish fees for Vital Statistics and certain aspects of Health Clinic 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; 1 1601 NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA that; I. The Monroe County Health Department shall collect fees for Vital Statistics and Health Clinic 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 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 of the Board held on the 13th day of December 2023. Mayor Holly Merrill Raschein Mayor Pro Tern Michelle Lincoln Commissioner Craig Cates Commissioner James K. Scholl Commissioner David Rice Attest: KEVIN MADOK, CLERK BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA By: By: As Deputy Clerk Mayor Approved as to form and legal sufficiency: Monroe County Attorney's Office 12-5-2023 2 1602 EXHIBIT A MONROE COUNTY HEALTH DEPARTMENT VITAL STATISTICS & CLINIC SERVICES COUNTY FEE SCHEDULE The Fee Schedules for Vital Statistics and Health Clinic Services in Monroe County have not been updated in many years. As such, the Monroe County Health Department conferred with neighboring counties and senior leadership in Tallahassee to prepare a Fee Schedule aligned and comparable to those with more recent updates. Revenue generated from Vital Statistics and Health Clinic services, once approved, will provide additional support for departmental functions and provision of services. Thank you for your consideration. Program Service Current Fee Proposed Details r/t service and fee Fee Vital Statistics Birth $16.00 $16.00 + Certification of a registered Certificate $6.25 birth. administrative fee Adjusted fee aligned with Monroe County Tax Collector. Vital Statistics Death $13.00 $16.00 + Official certification of death Certificate $6.25 with or without cause. administrative fee Adjusted fee aligned with neighboring counties. Clinic Medicare Unchanged All clinical visits with provider General Clinical Services Rates are adjusted based on a sliding Non- Unchanged scale established by the Federal Medicare Poverty Guidelines. Rates 160% of Medicaid Rate ($163.27) Clinic Medicare Unchanged All laboratory services are General Lab Services Rates adjusted based on a sliding 160% of Unchanged scale established by the Federal Medicaid Poverty Guidelines. Rate $163.27 Clinic School Health New Svc. $75.00 Comprehensive physical exam Physicals for school completed by (ages 5-18) physician or APRN, completion of required forms, and evaluation of immunization status. 3 1603 Clinic Occupational New Svc. $95.00 Comprehensive physical exam Health for work placement completed Physicals by physician or APRN, completion of required forms, and evaluation of immunization status. Clinic Consultation New Svc. $50.00 Medical staff review of for Travel immunizations for travel and Immunizations completion of required forms. Clinic Civil Surgeon New Svc. $300 Comprehensive physical exam Refugee for adjustment of status Health completed by physician or Physical APRN, completion of required forms, and evaluation of immunization status. 4 1604