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MINUTES ORANGE COUNTY BOARD OF HEALTH July 24, 2003 Board of Health Minutes Transcription completed by V. Anne Miles 2 July 24, 2003 clinics. The total cost of the contract for July 1, 2003 through June 30, 2004 is $46,533. This amount was included in the 2003-04 approved budget. This contract could not be fully executed until the state legislature passed their budget. Motion to approve the renewal of the contract with the UNC School of Dentistry for General Practice Resident Services for FY 2004 and forward to the Commissioners for approval was made by Jessica Lee, seconded by Jonathan Klein, and carried without dissent. V. Reports and Discussion with Possible Action A. Dental Cost Study Report The last review and increase in dental fees was effective July 1, 1999. A cost study was done based on the fiscal year 2001-02. Victoria Huntley, an intern from the Health Policy graduate program at the UNC School of Public Health, performed an activity-based cost study analyzing dental staff effort to ultimately derive a unit price per service and determine if fee changes should be requested. This is the first time a cost study has been conducted for any dental services provided by the department. Using this study, the PHEADS Committee will be considering fee adjustments for the Board’s consideration. The Board commended Ms. Huntley for her work on this project. B. Medicaid Fee Adjustments Twice a year the state Medicaid office reviews the fees that are eligible for reimbursement by Medicaid. The department recently received notice that the following fees were changed as of April 1, 2003: Code Procedure Current Fee Proposed Fee 58400 Insert IUD N/A $85.00 92552 Pure Tone Audiometry, Air $15.00 $20 96152 Health & Behavior Intervention (HBI) N/A $23.00 J7302 Mirena IUD N/A $400.00 D7120 Tooth Extraction, each additional $56.00 $60.00 Proposed fees are based on the new Medicaid fees and are rounded up in five-dollar increments. After discussion, Board members suggested amending the proposed fee for the Mirena IUD to $420.00 to include cost of device plus insertion. Motion to approve the Medicaid fee adjustments as amended was made by Alice White, seconded by Lee Werley, and carried without dissent. C. Health Board Appointments The Board currently has two vacant or expired term appointments to consider; the designated nurse position and the designated physician position on the Board. Applications have been received for each position from several candidates.