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ORANGE COUNTY <br />BOARD OF COMMISSIONERS <br />ACTION AGENDA ITEM ABSTRACT <br />Meeting Date: February 2, 2010 <br />Action Age~da <br />Item No. ~_ <br />SUBJECT: New and Updated Clinical Services Fees for Health Department <br />DEPARTMENT: Health PUBLIC HEARING: (Y/N) No <br />ATTACHMENT(S): INFORMATION CONTACT: <br />Rosemary Summers, 245-2411 <br />PURPOSE: To approve new and updated clinical services fees for the Health Department. <br />BACKGROUND: Occasionally the Health Department must add or adjust fees in the clinical <br />services area to reflect requirements, program changes, or best practices as recommended by <br />the state or other national bodies. The table below contains the fee requests. <br />Service Fee <br />Urine Micro-Albumin $ 4.18 New <br />Free T3 th roid $ 42.00 New <br />I a $ 13.58 New <br />Tt $ 16.85 New <br />Urine Toxicolo Screen $160.88 New <br />Tda Vaccine $ 45.00 New <br />DSME Individual <br />Assessment $ 22.00 New <br />DSME Grou Class $ 12.00 New <br />Pediatric He atitis A $ 25.00 Ad'ustment <br />There are five new laboratory fees requested that represent the cost of the laboratory service at <br />UNC McLendon Labs. The Health Department has a standing agreement with UNC Labs for <br />reference tests such as these based on the Medicare reimbursement rate. Iga and Ttg are <br />laboratory tests that are recommended practice for screening for celiac disease. Urine micro- <br />albumin and Free T3 are used in the provision of primary care. The urine toxicology screen will <br />be used in the prenatal program. The fees would apply to patients on a sliding fee scale. It is <br />expected that there will be no more than 10 of these tests in any given year. <br />There is one new vaccine fee - Tdap (tetanus, diphtheria and pertussis). Because of State <br />budget cuts to the universal vaccine program, this vaccine that can only be given to 6th graders <br />