Agenda - 01-22-2009 - 4j - Laserfiche WebLink

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2 the average contraceptives used yet still be affordable for clients. There are four fees associated with required testing for Health Department employees, volunteers, and contractors such as interpreters. These are flat fees paid by the prospective employee, volunteer or contractor. Direct service providers must show immunity to Varicella, Measles, Mumps and Rubella but often cannot provide documented vaccination. This would allow a titer (a blood test that shows immunity levels) to be drawn to establish immunity and prevents unnecessary re- vaccination. These fees allow the Department to pay the direct costs of UNC Labs that performs these tests. The Bile Acid Test is a best practice lab test for the most common form of liver disease for prenatal patients. This is also a direct cost of the test performed by UNC Labs. Reimbursement for administration of vaccines must be consistent across payors and at the present time there is a differential fee of $5.00 for Medicare and $11.00 for Medicaid for the administration of one vaccine. The new proposed fee brings the Medicare charge to the same level as the Medicaid administration fee. Finally, as part of a new federal policy, the Health Department is required to collect a $3.00 co-pay from all adult Medicaid recipients and that needs to be added to the fee schedule. FINANCIAL IMPACT: in S ce most of the fees will only recover the direct costs of providing the Y P 9 services, the Department does not anticipate substantially increased revenues or expenditures. The Department continues to experience a rise in service to residents that qualify for reduced payment on the sliding fee scale. RECOMMENDATION(S): The Manager recommends the Board approve the additions and changes to the fee schedule for Personal Health Services in the Health Department.