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MINUTES ORANGE COUNTY BOARD OF HEALTH June 26, 2013 Page 3 maximum reimbursement amount by Medicaid was $8.14 and that the department performs 15-20 annually during Well Child visits. Tony Whitaker asked what the procedure involved and whether the Health Department was qualified to make a diagnosis or recommend the child get an evaluation to the parent. Pam McCall responded it is a standard screening tool that can trigger a referral. Our clinicians do not diagnosis autism, but refer to another practitioner specializing in that area based on results of the assessment. Motion was made by Susan Elmore to add the procedure to the fee schedule and begin billing for the service. Motion was seconded by Michael Wood and carried without dissent. VI. Educational Sessions Medical and Dental Partnerships with Piedmont Health Services-Brian Toomey and Colleen Bridger: • Dr. Bridger reported that there are unmet health needs especially in the northern end of the county. We are exploring a partnership with Piedmont Health Services to provide Primary Care services to those who don’t currently qualify for the Health Department’s Primary Care Clinic based on existing criteria. She explained the need to expand services to patients, especially men, who don’t have access to Primary Care Services/Preventive services through the Health Department. Piedmont Health Services has limited space in comparison to the Health Department’s facilities which works in favor on the partnership and increasing access to services for the underserved. • Mr. Toomey and Dr. Bridger stated they are in the process of exploring a pilot program consisting of having one Medical Provider, and one Medical Assistant to offer Primary Care Appointments 1\2 day a week at the Whitted clinic here in Hillsborough. The Health Department will provide an RN to assist during that time. The planned start time will be mid-August to get a sense of potential volume. • Mr. Toomey answered questions about existing sites. He stated that Piedmont Health Services overall sees approximately 40,000 patients annually. Piedmont currently provide WIC services at the Whitted clinic location. • Tony Whitaker asked how liability coverage would be handled. Mr. Toomey responded that each entity (Health Department and Piedmont Health Services) has its own liability insurance. • Dr. Bridger and Mr. Toomey discussed how partnership would work, and stated that each would have their own separate patient management system. Piedmont Health Services currently uses Centricity. Patients seen by Piedmont Health Services would be scheduled, billed and processed through Piedmont Health Services. • Mr. Toomey stated that when the Carrboro Dental Clinic was open, based on a previous agreement with Dr. Bridger’s predecessor they agreed to see Health Department patients and change them based on the Health Department’s rates