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S:\MANAGERS WORKING FILES\BOH\AGENDAS & ABSTRACTS \2015 Agenda & Abstracts\November\VI.A. BOH Abstract 11-18-15 - Fee & Elig Policy Revisions.docx Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: November 18, 2015 Agenda Item Subject: Fee and Eligibility Policy - Proposed Revisions Attachment(s): Proposed edits to: I.E. Fee and Eligibility Policy and attachments Staff or Board Member Reporting: Rebecca Crawford Purpose: _X__ Action ___ Information only ___ Information with possible action Summary Information: The NC Division of Public Health conducted a Family Planning monitoring visit in October 2015. As a result of recommended changes to the Fee and Eligibility Policy and our annual review of the process, we request minor revisions to the policy. DPH and the Health Department’s Financial Review Committee (FRC) recommended revisions are highlighted in the attached policy with tracked changes. Many edits either removed redundancies or updated the policy to reflect current practices (e.g., minimum fee for Nutrition Services). Substantive edits include: - Purpose (Section I.E.): As recommended by the Family Planning auditors, the following statement was added to the Purpose section to explicitly state that: There will be no charge for Title X Services provided for individuals with income less than 100% of the Federal Poverty Level (FPL.) - Income Eligibility (Section III.C.): The Environmental Health section was revised to clarify that WTMP and mobile home park fees are billed on a different schedule than other Environmental Health fees. - Fee Collection (Section VI.K.): As recommended by the Family Planning auditors, the Health Department’s detailed cost analysis process for fee changes will be included in the policy rather than merely identifying that the Health Department conducts a cost analysis.