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Agenda Item Number ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: January 25, 2016 Agenda Item Subject: FY 2016-17 Fee Schedule & Requested Changes Attachment(s): Fee Schedule & Requested Changes Staff/Board Member Reporting: Rebecca Crawford, Finance and Administrative Services Director Purpose/Recommended Action: ___ Action/Approve _x_ Action/Approve & forward to Board of Commissioners ___ Information with possible action ___ Accept as information ___ Revise & schedule for future action Summary Information: 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 our fee schedule in an effort to recover costs. The proposed changes are detailed below: 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 16-17. 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 our 100% payers on the sliding fee scale. Name of Fee 2016-17 Current Fee 2016-17 Proposed Fee 2016-17 Budget Impact Provisional Splinting, intracoronal $0 $115 $2,070 Provisional Splinting, extracoronal $0 $115 $2,070