Agenda - 02-21-2017 - 6-h - Health Department Fee Schedule Changes

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1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: February 21, 2017 Action Agenda Item No. 6-h SUBJECT: Health Department Fee Schedule Changes DEPARTMENT: Health ATTACHMENT(S): INFORMATION CONTACT: Dr. Colleen Bridger, 919-245-2412 Duke Hexavalent Chromium Study Rebecca Crawford, 919-245-2414 PURPOSE: To adopt and revise multiple Dental Health and Environmental Health fees approved by the Board of Health at its January 25, 2017 meeting. BACKGROUND: The Health Department reviews fee schedules on an annual basis through the budget approval process. However, multiple procedures in Dental Health and labs in Environmental Health have increased in frequency of use this fiscal year and it is necessary to add them to the fee schedule in an effort to recover costs. The proposed changes are detailed below: FINANCIAL IMPACT: Dental Health Dental Health requests the addition of two new fees for Provisional Splinting, intracoronal and extracoronal. These procedures have been used more frequently this fiscal year and are costly due to the supplies necessary to perform the procedures. Dental Health estimates performing 2- 4 of each of these procedures per month for the remainder of FY 2016-17. The fees were determined based on the Delta Dental and Cigna reimbursement rates for these procedures as the Usual, Customary, and Reasonable rates for this area for these fees were much higher ($252 and $316 respectively) and viewed as cost prohibitive for 100% payers on the sliding fee scale. The sliding scale is applicable to all dental fees. Name of Fee 2016-17 2016-17 Proposed 2016-17 Budget Current Fee Fee Impact Provisional Splinting, intracoronal $0 $115 $2,070 Provisional Splinting, extracoronal $0 $115 $2,070