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MrF-» To: Commissio6ers & Sam Gattis continued Page 3 <br /> 4. Line it&n lo-'641-45 in our B-idget is used to help selected maternity <br /> patients with a por.tion,of their mater'raity costs. There vw.a7 failure <br /> to encumber'$2,920 in 179--'80 bills into fiscal 180-181. Tne'bills <br /> were paid on July 18, 1.980 out of. this year's flunds. <br /> These State funds of last year were put into the county general,flrnd... <br /> I am-requesting the Czmmissioners to replace the $2,920,in this year's - <br /> budget'to properly pay those-last year's bills and enable "us to help <br /> patients with'this }rear's allocation. <br /> .5. 'Tfe Board motioned to reeorniterid t o the Cpmmissionees that <br /> the Department <br /> charge 3rd party•'payors" for•those services provided. by the Department <br /> which:are medicaid reimbdrseabie. <br /> The Board is�nvt recorm6n3ing a generalized fee-for service"system, <br /> riot recommending dha6ging service..offer iings to accomodate-^tha med - <br /> C = caidi; sys em; -riot recommending &kGablis'bent of local negot.!aced <br /> tne3icaid..reimbursenent rates (�rith the necessary cost accounEing). <br /> This action~i3 :S imply tci^aeeept`jthe statewide. D:H.S rieotiated <br /> aade;reirirbursement: rate for-each ,eligible service we happen 'to pr6vide. <br /> Irl order to faill:medicaid'we s4c.woiild a patients if they have private <br /> insurance cir medicaid -If "they have private insurance we would have <br /> to bill the',insurance'f rm. so'as' to legally be able'to bill.medicaid <br /> for- those not covered :by private insurance and eligible-for.inedieaid. <br /> If.we do'no have'lst-party charges for,a-service and the �pat.j:e doffs <br /> not:.have 3rd party pay, the service will'.be.provided free <br /> -moose familiar with.medical billing systems will suspect"Chas"procedure <br /> d s illy gal: Attachment Number !:to-this mem6..is a letter tirS1a cki clearl}r <br /> ` states that;tYris "procedure is le- <br /> The reasons for this action are (A) that medicaid is 72 fedeYal, <br /> 26% state and 2% local money,arid it seems prudent to shift as much <br /> burden „as possible from'the local prdper�y., tax; and (B).the,&.aard <br /> needs the„revenue to balance: this years Midget: [1e aspire to:cal lent <br /> about $15,,POP with this..action this .year. <br /> Belo,i are medicaid reimburseatile servic;s and"standard billing <br /> rates: <br /> vice 3rd -Patrty Ballan& Mate :. <br /> 1d Health,:Treatment -21 <br /> Chi .9 <br /> Blood Pressure Monitoring �:9D <br /> Cancer .Detection :.17.75 <br /> -Diabetes 'Detection... .. 8,71; <br /> Eye-Care 11 46 <br /> r <br /> Fiyperte,ris�oneatzan 11 64 <br /> Maternal Health 21.13 <br /> Tuberculosis Control _ 20.13 <br /> Venereal'Disease 14.36 <br /> E.P:S.D.T.:" 25.00 <br /> 6; The Commissioners should authorize a Courity Officer to sign- (as I have <br /> been by the Health Board) a ?alenorandum of €]nderstanding iiith D.H.S. and <br /> the Division of V-dical Assistance so we can collect Medicaid,' <br /> i” <br /> i <br />