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Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: August 24, 2016 Agenda Item Subject: BOH Policy Review Attachment(s): Proposed Revisions: Sections I.E. & I.H. Staff or Board Member Reporting: Coby Jansen Austin & Rebecca Crawford Purpose: __X_ Action ____ Information only ____ Information with possible action Summary Information: The Board of Health reviews its policy manual annually. After two consecutive years in which several updates were made to the policy, there are very few changes needed this year. Updates to two sections of the policy are recommended below: I.E. Fee and Eligibility Policy Staff recommends making the following revisions to the Fee and Eligibility Policy for the purpose of clarification and to be in compliance with federal Medicaid requirements: - Residency Requirements (Section IV.A.): The Residency Requirements section was revised to replace “is” with “may” regarding whether any Orange County resident or non-resident can/will be eligible for services. This change was made to clarify that non-residents are not automatically eligible for all services (certain Communicable Disease services, etc.) and to clarify that only Orange County residents qualify for the Family Home Visiting program. - Fees for Services (Section VI.O.): The Fees for Services section was revised to add language explaining that Medicaid patients will be charged only the cost for OCHD to purchase 340b drugs (a federal drug pricing program that reduces the cost of certain medications for eligible healthcare providers only). Since 340b drug pricing changes quarterly, the department will be reviewed and set annually based on an average purchase price throughout the year. This additional section is required in order to remain in compliance with DHHS and our ability to bill for Medicaid reimbursement for these drugs. OCHD typically purchases Family Planning related 340b drugs only.