BOH minutes 102611 - Laserfiche WebLink

Browse Search

MINUTES ORANGE COUNTY BOARD OF HEALTH October 26, 2011 Board of Health Minutes Transcription completed by Lisa Smith October 26, 2011 2 Based on the results of the voting process, the final top three to five priority issues will be selected during the HCOC Council meeting on October 20, 2011. Prioritized issues serve as the foundation for the HCOC Community Health Action Plan for the next four years, and should inform the Health Department’s Community Health Improvement Plan as well. HCOC work groups or sub-committees will be formed to address each priority area, and sub- committee members will create actions steps to tackle each issue in the spring of 2012. III. Public Comment for Items NOT on Printed Agenda none IV. Action Items (Consent) A. Minutes approval of September 21, 2011 meeting The Board is required to review and approve minutes of all official meetings of the Board. The latest minutes are from the meeting on September 21, 2011 B. Accept Additional Funds The NC Division of Public Health has allocated an additional $7,650 from Title X Family Planning funds to the health department for purchasing long-acting reversible contraceptives for family planning, non-Medicaid clients for the prevention of out-of-wedlock births. These funds will help defray the cost of these devices for the department as well as purchase educational materials. C. Clinical Fee Changes The Department recently received direction from the North Carolina Division of Public Health to review and revise, as necessary, the Health Department’s Fee Schedule in response to an upcoming change on the Medicaid Cost Settlement in FY 2012-13. As such, a staff committee convened to review the cost to provide service, the current Medicaid reimbursement rate, and the existing fee schedule for each CPT code. In proposing a fee increase, the committee considered the following methodology: 1. Assess whether the Medicaid reimbursement rate is higher than the existing fee 2. Assess whether the existing fee is substantially higher than the cost to administer the service 3. Assess whether the Medicaid rate is equal to or nominally higher than the existing fee Staff also examined the existing cost, Medicaid reimbursement rate, and fee charged for high volume services. In raising a fee, staff assessed a 5% applicable risk factor to the Medicaid reimbursement rate as the basis. Those two services include the capillary blood draw and cytopath fluid redo. There are three additional fee change types. 1. The desire to charge the same administration fee for all vaccines. The fee will be raised to the existing $18 Administration fee that is charged for G0008 Influenza and G0009 Pneumococcal.