Resolution 056-1982RESOLUTION NO. 56-1982
RESOLUTION ESTABLISHING FEE SCHEDULE FOR SERVICES
RENDERED BY THE MONROE COUNTY HEALTH DEPARTMENT
IN ACCORDANCE WITH CHAPTER 154.06, FLORIDA STAT-
UTES.
WHEREAS, Chapter 154.06, Florida Statutes, authorizes the
Board of County Commissioners of Monroe County, Florida, to es-
tablish a schedule of fees for health services rendered by the
Monroe County Health Department, and
WHEREAS, the Board of County Commissioners of Monroe County,
Florida, desires to establish and adopt a schedule of fees which
shall be implemented by the Monroe County Health Department, now,
therefore
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA, that said Board does hereby establish and adopt a
fee schedule for services rendered by the Monroe County Health
Department, a copy of same being attached hereto.
Passed and adopted by the Board of County Commissioners of
Monroe County, Florida, at a regular meeting of said Board held
on the 26th day of January, A. D. 1982.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
B y �"�-� a•
or/ airman
(Seal)
Attest:
RALPH W.69NlTf CLERK
Clerk
ANr GAL SUFFICIENCY.
Sy
�
STATE OF FLORIDA
iqDEPARTMENT OF
. Health &
BOB GRAHAM, Governor
Rehabilitative Services
DISTRICT ELEVEN
PUBLIC SERVICE BLDG.
MONROE COUNTY HEALTH DEPARTMENT
KEY WEST, FLORIDA 33040
January 19, 1982
TO: Board of County Commissioners
SUBJECT: Fee Collection
REFERENCE: F.S. 154.06 Fees and Services rendered:
Authority
In accordance with the above reference; attached for your information
and consideration is the proposed fee schedule for services that we would
like to implement in the Health Department. This fee schedule is based
on a sliding scale where a client with a higher income would pay a pro-
portionately greater amount of the actual cost of a service than a lower
:income client, given all other factors being equal. In formulating this
fee schedule we used the gross income schedule published in the Title
XX Comprehensive Annual Services Plan as our guide.
Due to Federal, State and Local funding constraints we deem this
action necessary if we are to continue to provide and expand the services
of the Monroe County Health Department.
Q
T.P. " usiness Manager
Monroe County Health Department
TPH/tr
Attachments: Title XX Gross Income Schedule
FS 154.06
Dental Fee Schedule
Environmental Health Fee Schedule
Health Services Fee Schedule
Diet Counseling Fee Schedule
(;% dof ) 3
I
S
•. GROSS lNCCMk *-'YlL (ANNUAL)
1
7,790 or
3,791 -
4,740 -
5,688 -
c,63G -
7.594 -
8.532c-
i
lesa
4,779
S,Gd7�
6,635
7,5e3
8,531
9,474
more '
I
2
5,010 or
5.011 -
6,263;-
7.515 -
E,767 -
10,019 -
11,271
2,525 cr
ss
6,262
7,514)
e
8,766
1C,018
11,270
1.12,524
more
3
6,230 or
6,231 -
7,788 -
9,345 -
10,SO2 -
12,:59
)14,016 -
5,575 cr!
less
7,767
9.344
10,901
12,458
14,015
I15,574
more
4
7,450 or
7,451 -
9,313 -
11.175 -
13.037 -
14,699 -
16,761 -
8,625 0:
less
9,312
11.174
13.036
1:,853
16,760
j'3,F24
pre
58,670
or
8,671 -
10,838 -
13,005 -
15,172 -
17,339 -
1^,50G
1,G75
less
10,837
13,004
15,171
17,338
19,505
21,674
more
6
9,E90 or
9,891 -
12,364 -
14,836 -
l7,]02 -
19,780 -
^-,252 -
:,725 c
less
12.363
14,835
17,307
15,779
22,251
I24,724
r-ore -
7
11.110 ar
11,111 -
13,8E8 -
16,665 -
1S,442 -
22,219 -
I2:,596 -
7,7,5
less
13,887
16,664
19,441
2212.8
24,995
�27,774
o.l
-,ore
8
22,330 or
12,331 -
15,413 -
18,495 -
21,577 -
24,659
27,741 -
0,225 0='
less
15,412
16,494
21.576
24,658
27,740
130,o2<
rro_e
9
13,550 or
13,551 -
16,938 -
20,325 -
22,712 -
27,099 -
,30,426 -
3,673 crl
less
16,937
20,324
23,711
27.093
3C,:85
33,e72
r-3re
10
14.770 or
14.771 -
18,463 -
22,155 -
25.E47 -
29,539 -
�33,231
orless
18,462
22,154
25,846
29,538
33,230
36,924
�6,�,25
more
11
15,990 or
15.991 -
39,968 -
23,935 -
21,932 -
11,979 -
25,97r, -
10,975 c:
less
19,987
23,984
27,981
31,972
35.,975
29,974
[-or.
L2
17.210 or
17,211 -
21,513 -
25,815 -
2C,117 -
3:,419 -
38,721
less
21,512
25,914
30,116
+4,413
32,720
'3' 0'-,
mote
13
18,430 o:
18,431 -
23,038 -
27,645 -
22,252 -
3G,E59 -
I41,466
or
less
23,037
27,644
32,251
3S,E58
:1465
146,074
i;o,m
ro_e
14
19,650 o:
19,651 -
2:,563 - 129,475
-
24.2%7 -
39,299 - i4:,211 -
.9,125 or
less
24,562
29,474
34,386
35,2?3
44,210 )49,124
bore
15
20.670 o:
20,671
2G,C,'.8 -
31,305 -
2E.522 -
41,739
46,556 -
32,175 o.
less
26,037
31,304
36,521
4:,73E
46,955
52,174
gore
G.:JC7
A
8
C
D
E
F I
I
G
g
:5:-
:S :C ifi
-
I:_ v
O
3.G0
5.00
10.00.
:6.00
26.00
36.00 S
52.00
=.
0 I 2.00
4.00
9.00
:3.JJ
22.00 I
30.00 IS
43.r0
- -�-1'
0 i 1.:0 I
1 J
1.00
2.00
3.
6.03 ; 2.00 S
11.30
C^:?1:�
0 7.r..0
15.00
3U.00
:i.=7
75.CO I
105.00 ;.50.00
r
r
0 123.00
45.00
90.00
00
225.00
315.00 5450.00
_.LA7 al
'
Step (1) - :eter^ine the aepropriate line ::t t:ne upper t.11:1e which reflects the
clie .t's fr_-ily size.
Step (2) - Y.avr across the line, located -, S"? (1) until the calur..I which contains
tF,- a;propriate. ir,cc.ne level for the clie:t.is identified.
Step (3) - F'.ove ,!own the culurn, located 'e• Step (2)8 to determine the discount
grc_p (des:nr.atei by letters A-N).
Step (4) - Locate the a;,prnpriate service :is'' line in the 1z-cr taolo.
5te2 (5) - M: C ac--uss t`,c line, located '_. =tep (:), until it c:0,se� t..e r;;:npriate
diccu.-nt group Stop (3)) colu:]41. 2'r.c .'cc t:3 he Isscs%t-d is l-)cated at tais
F.S. IQ81 PUBLIC HEALTH FACILITIES 154
the same shall relate to the duties of their respective
positions. They shall be employed by the board
expended solely for the purpose of providing health
of
county commissioners; provided, however, that no
such personnel be
services and facilities within the area served by the
local health unit. The board of county commission -
shall employed by the board of
county commissioners unless such personnel shall be
eri, or its equivalent municipal body, may provide for
the transmittal of funds collected under the
approved by the Department of Health and Rehabili-
tative Services. When a vacancy occurs in the posi-
provi-
sions of this chapter to the State Treasury for credit
to the local health unit trust fund.
tion of director of the local health unit, eligible candi-
dates shall be presented to the board of county
History. —es. 1, 2, ch. 69-80; as. 19, 35, ch. 69-106; s. 3, ch. 72.323; s. 34, ch.
77-117,
tom-
nlissioners and, if no appointment is made within 6
months from the time of this presentation, then the
PART II
Secretary of Health and Rehabilitative Services shall
make the appointment. The duties of said personnel
COUNTY PUBLIC HEALTH TRUSTS
shall be fixed and determined by the department,
upon the approval by the board of
154.07 Public health trusts; creation.
county commis-
sioners. The compensation of said personnel shall be
determined under the rules and regulations the Di-
154.08 Designated facilities; definition.
154.09 Governing body; composition.
of
vision of Personnel of the Department of Administra
154.10 Relationship with board of county commis -
tion. Such employees shall engage in the prevention
P
of disease and the promotion of health in
sinners.
154.11 Powers of board of trustees.
cooperation
with, and under the supervision of, the department.
154.12 Legal status of public health trusts.
11istory.—s. 4• ch. 14!X16, 19:11; CCL 1936 Supp 29'14(25)• sa 19 35 h
69 lik;; s.'1• ch, 72-139; s. 2• ch. 72-:123; s. 3, ch. 72.:145; R. 14. ch. 75-48; s. 32, ch.'
7.147.
154.05 Cooperation and agreements be-
tween counties. —Two or more counties may com-
bine in the establishment and maintenance of a sin-
gle full-time local health unit for the counties which
combine for that purpose, and pursuant to such com-
bination or agreement such counties may cooperate
with one another and the Department of Health and
Rehabilitative Services and contribute to a joint fund
in carrying out the purpose and intent of this chap-
ler. The duration and nature of such agreement shall
be evidenced by resolutions of the board of county
commissioners of such counties and shall be submit-
ted to and approved by the department. In the event
of anv such agreement, a full-time local health unit
shall be established and maintained by the depart-
ment in and for the benefit of the counties which
have entered into such an agreement; and, in such
case, the funds raised by taxation pursuant to this
Chapter by each such county shall be paid to the
State 'Treasurer for the account of the department
and shall be known as the full-time local health unit
trust fund of the counties so cooperating. Such trust
funds shall be used and expended by the department
for the purposes specified in this chapter in the coun-
ties which have entered into such agreement. In case
such an agreement is entered into between two or
more counties, the work contemplated by this chap-
ter shall be done by a single full-time local health
unit in the counties so cooperating, and the nature,
extent and location of such work shall be under the
control and direction of the department.
i History.—s..5. ch. 14906. 1931; CCL 1936 Supp. 2934(26): s. 2, ch. 61-119; as.
- 19. 3.5• ch. 69 106. s. 33, ch. 77.147.
15-1.06 Fees and services rendered; authori-
ty.—F;ach local health unit may collect reasonable
fees for services rendered, provided a schedule of
such fees is established by the board of county com-
missioners, or an equivalent municipal body, and
filed with the Department of Health and Rehabilita-
tive Services. All funds collected hereunder shall be
693
154.07 Public health trusts; creation. —There
may be created in and for each county of the state a
public body corporate and politic, to be known as the
"public health trust" of such county, for the purpose
of exercising the powers described herein with re-
spect to "designated facilities" as that term is herein-
after defined. No trust created hereunder shall trans-
act any hll8iness or exercise any powers until the gov-
erning body of the county of such trust shall, by
proper resolution, declare that there is a need for
such trust to function and shall appoint the members
thereof.
History. —s. 1• ch. 7.3. 102.
154.08 Designated facilities; definition.—
(1) The board of trustees of each public health
trust is authorized to become the operator of, and
governing body for, any designated facility. The term
"designated facility" shall mean any county -owned or
county -operated facility used in connection with the
delivery of health care, the operation, governance, or
maintenance of which has been designated by the
governing body of such county for transfer to the
public health trust of that county.
(2) Designated facilities may include, but shall
not be limited to, the following: sanatoriums, clinics,
ambulatory care centers, primary care centers, hospi-
tals, rehabilitation centers, health training facilities,
nursing homes, nurses' residence buildings, infirma-
ries, outpatient clinics, mental health facilities, resi-
dences for the aged, rest homes, health care adminis-
tration buildings, and parking facilities and areas
serving health care facilities.
History. —a. 2, ch. 73-IO2.
154.09 Governing body; composition—
(1) The governing body of each public health
trust shall be a board of trustees consisting of not less
than 7 nor more than 21 members, to be appointed
for staggered terms of not more than 4 years by the
governing body of the county in which such trust is
located from among the residents of the county in a
manner to be determined by the governing body of
the county.
MONROE COUNTY HEALTH DEPTARTMENT
DENTAL CLINIC FEE SCHEDULE
Acrylic Work
Dentures (each denture)........................................$50.00
Dentures (Porcelain Teeth) (each denture)......................$75.00
Treatment partial (1 tooth)....................................$40.00
Relines........................................................$25.00
Denture Repair...............................................$10.00 - $15.00
Tooth Replacement..............................................$10.00
Removable Partial Denture
Upper Vitallium...............................................$125.00
Lower Vitallium...............................................$125.00
Orthodontic Band ..............................................$ 10.00/tooth
Crown & Bridge
Porcelain Crown ...............................................$ 75.00/Unit
CastCrown ....................................................$ 75.00/Unit
OtherProcedures...................................................Determination of
Dental Director
All adult patients (over 18 years old) will be charged a fee of $5.00 per visit.
The Dental Director will have the authority to waiver or reduce fees based
on extenuating circumstances.
MONROE COUNTY HEALTH DEPARTMENT
Environmental Health
ASSESSMENT FEE SCHEDULE
Public Swimming Pool Fee ....................................... $65.00
Food Service Fee ................................................ $35.00
Food Outlet Fee ................................................. $35.00
Food Processing Fee ............................................. $50.00
Septic Tank Permit Fee .......................................... $50.00
Septic Tank Pump -Out Truck Fee .................................. $15.00
Trailer Park and Camp Fee ....................................... $65.00
1) Fee exemptions be granted to agencies of the city, county and State.
2) Fee exemptions be granted to non-profit organizations.
3) Septic tank fees be collected in each office when the permit
is applied for.
4) Fees not be pro -rated, but be on an annual basis.
5) A penalty for not paying said fees be provided for.
FEE SCHEDULE -HEALTH SERVICES
FEE
WAIVER CODE
1. LABORATORY
1)
Bacticult - urine
6.50
1-2
Staph, strep, fungi
4.50
1-2
2)
Blood Chemistry
a) Cholesterol: Triglycendes;
HDL Cholesterol
15.00
NO
b) Glucose
6.00
1-2
c) Hemoglobin
6.00
1-2
d) Hepatitis Profile:
40.00
1-2
HBs,Ag,Anti-HBC
Anti-HAV-IgM(Non WIC & Non-IPO)
e) Liver function tests
25.00
NO
SGPT, SCOT, Bilirubin, LDH-L,
Alkaline Phosphatase,
HDL Cholesterol
3)
Hematology:
a) Hematocrit - Initial (Non WIC)
3.00
1-2
Repeat (Non IPO)
3.00
1-2
4)
Microscopic Urine:
3.00
1-2
5)
Other:
a) Pin -worm slide
3.00
1-2
b) Wet -mount slide
3.00
1-2
c) Herpes Smear
5.00
NO
d) Pap Smear
6.00
1-2
6)
Pregnancy test
5.00
NO
7)
Serology:
a) Non -STD VDRL
10.00
NO
b) LGV
.;Z. 00
NJ)
c) Rurilla Titer-Patient.request
15.00
NO
-Epidemiology
15.00
1-2
8)
Urine Dipstick (Chemstrip 9)
1.00
1-2
II. PHARMACY
1)
AVC; Monistat-7
2.00'
1
2)
Dental Rx for antibiotics
5.00
1 ,
3)
Intestinal Parasite Rx
2.00
1
4)
ISG Injections (U de a 10) a
5.00
1
5)
*Post -exposure rabies vaccine it)�
370.00
1-2
*Hyperab
19.70xx
1-2
(1)
FEE SCHEDULE -HEALTH SERVICES
FEE
WAIVER CODE
1. LABORATORY
1)
Bacticult - urine
6.50
1-2
Staph, strep, fungi
4.50
1-2
2)
Blood Chemistry
a) Cholesterol: Triglycendes;
HDL Cholesterol
15.00
NO
b) Glucose
6.00
1-2
c) Hemoglobin
6.00
1-2
d) Hepatitis Profile:
40.00
1-2
HBs,Ag,Anti-HBC
Anti-HAV-IgM(Non WIC & Non-IPO)
e) Liver function tests
25.00
NO
SGPT, SGOT, Bilirubin, LDH-L,
Alkaline Phosphatase,
HDL Cholesterol
3)
Hematology:
a) Hematocrit - Initial (Non WIC)
3.00
1-2
Repeat (Non IPO)
3.00
1-2
4)
Microscopic Urine:
3.00
1-2
5)
Other:
a) Pin -worm slide
3.00
1-2
b) Wet -mount slide
3.00
1-2
c) Herpes Smear
5.00
NO
d) Pap Smear
6.00
1-2
6)
Pregnancy test
5.00
NO
7)
Serology:
a) Non -STD VDRL
10.00
NO
b) LGV
.25.00
NO
c) Rui-illa Titer-Patient.request
15.00
NO
-Epidemiology
15.00
1-2
8)
Urine Dipstick (Chemstrip 9)
1.00
' 1-2
II. PHARMACY
1)
AVC; Monistat-7
2.00•
1
2)
Dental Rx for antibiotics
5.00
1 ,
3)
Intestinal Parasite Rx
2.00
1
4)
ISG Injections (U de a����R10)
(c)'cro
5.00
1
5)
*Post -exposure rabies vaccineQ
370.00
1-2
*Hyperab
19.70xx
1-2
(1)
III. CLINICAL HEALTH SERVICES
INFANT -CHILD
1)
Audiometric Screening
3.00
1
(unrelated to School Health Program)
2)
Developmental Screening
5.00
1
(Height, Weight, Denver Development, Counseling)
3)
Orthopedic Clinic - First Visit
3.00
1
Repeat Visit
1.00
1
4)
Physical Examination for school entry
12.00
1
5)
Repeat Hct - Non WIC
3.00
1
6)
Titmus ro Good -light vision testing
3.00
1
(unrelated to School Health Program)
7)
Well -Child clinic visit
6.00
1
(includes growth and developmental- assessment,
hearing and vision screening, immunization,
Hct, TB skin test, physical exam and counseling)
CLINICAL
HEALTH SERVICE'' - Continued
ADULT
1)
STD Clinic:
Initial Visit -Includes routine screening
tests and medication
5.00
1
Repeat Visit -Includes routine screening
tests and medication
3.00
1
2)
Chest x-ray (repeat)
7.50
1
-TB Epidemiology
N/C
3)
Hypertension Clinic - per visit
6.00
1-2
(does not include .lab tests or medications)
4)
Hypertensive Evaluation: First Visit
5.00
1-2
Repeat Visit
2.00
1-2
5)
Injections - with Rx from Physician
4.00
1-2
(Patient supplies injectables)
6)
Tetanus/Diphtheria vaccine - adult booster
5.o0
1
7)
Titmus Vision Screening
3.00
1
8)
Orthopedic clinic - First Visit
3.00
1-2
Repeat Visit
1.00
1-2
9)
PPD - Employment - including reading
2.00
NO
Epidemiology
N/C
10)
Repeat Hct (Non -WIC)
3.00
1
(Non-IPO)
11)
Walk-in morbidity clinig
6.00
1
(does not include lab or medication)
12)
Audiometric Screening
3.00
1
SERVICES WITH NO FEE
State -supplied medication pick-up (Insulin, Anti-
convulsives, TB Antibiotics).
Childhood immunizations (except for travel)
TB Clinic
WIC
Health Couseling and Referral Services
(ea)
_WAIVER
1. Partial or total waiver authorized for test/exams which are medically
necessary, on signed declaration by patient (or parent or guardian of
minors) that he/she does not have money to pay.
Not waivable when done at patient request.
2. Not waivable unless order by physician, A.R.N.P., or P.H.N.
*PRICE MAY INCREASE WITHOUT NOTICE
1 (3)
DIET COUNSELING
A B C D E F G H
Office:
First visit 0 1.00 2.00 3.00 4.00 5.00 7.00 10.00
follow-up 0 .25 .50 .75 1.00 1.25 1.75 2.50
Home:
First visit 0 1.50 3.00 4.50 6.00 7.50 10.00 15.00
Follow-up 0 .50 1.00 1.50 2.00 2.50 3.50 5.00
The Nutritionist will have the authority to waiver or
reduce fees based on extenuating circumstances.
NOTE:
This scale is to be used in conjunction with the Gross Income
Schedule as published in the Title XX Comprhensive Annual
Service Plan.