ORD-2012-044 Fiscal Year 2012-13 Budget Amendment #3

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Medicaid Maximization: (Project #30012) Revenues for this proiect- Appropriated for this Droiect: FY2012-13 - Current Budget FY 2012-13, Amendment FY 2012-13 Revised Medicaid Maximization Funds $3,924,142 ($25,000) $3,899,142 Total Project Funding $3,924,142 ($25,000) $3,899,142 Appropriated for this Droiect: 10. At the September 26, 2012 Board of Health meeting, several fees were reviewed and approved. Due to vaccine shortages and projected changes in the availability of free vaccines from the State, the Health Department anticipates the need to purchase vaccines beginning this fiscal year, and thus need to establish a charge in order to cover costs associated with the provision of the vaccines. Tobacco use cessation counseling is currently being provided by nursing staff during scheduled office visits. In order to cover costs associated with the counseling sessions, the department is requesting to charge the maximum Medicaid allowable reimbursement rate. The following new fees were approved by the Orange County Board of Health at their September 26, 2012 meeting: Description FY 2012-13 Current Budget FY 2012-13 Amendment FY 2012-13 Revised Medicaid Maximization Project $3,924,142 ($25,000) $3,899,142 Total Costs 1 $3,924,142 ($25,000) $3,899,142 10. At the September 26, 2012 Board of Health meeting, several fees were reviewed and approved. Due to vaccine shortages and projected changes in the availability of free vaccines from the State, the Health Department anticipates the need to purchase vaccines beginning this fiscal year, and thus need to establish a charge in order to cover costs associated with the provision of the vaccines. Tobacco use cessation counseling is currently being provided by nursing staff during scheduled office visits. In order to cover costs associated with the counseling sessions, the department is requesting to charge the maximum Medicaid allowable reimbursement rate. The following new fees were approved by the Orange County Board of Health at their September 26, 2012 meeting: Description Medicaid Reimbursement Rate Orange County Health De artment Rate 90654 Intradermal Flu Vaccine Non - Medicaid Reimbursable $20.00 1693 Form Completion Non-Medicaid Reimbursable $25 (Flat Fee) 90648 HIB Vaccine $21.00 $26.00 90696 Kindx (DTaP/IPV) $51.41 $52.00 99.406 Tobacco Use Cessation $10.66 $10.66 Counseling-intermediate (Maximum Medicaid Reimbursement Allowed) 99407 Tobacco Use Cessation $22.10 $22.10 Counseling-intensive (Maximum Medicaid I Reimbursement Allowed) Intradermal Flu Vaccine: The Intradermal Flu Vaccine was first made available during the 2011-2012 flu season. The vaccine is injected into the skin rather than muscle, and uses 40% less flu antigen. Medicaid does not currently reimburse for this particular vaccine. We are requesting to