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iMINUTES-Draft ORANGE COUNTY BOARD OF HEALTH April 25, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ March Page 4 Both the Medical and Dental clinics request to add fees outside of the normal process. Rebecca Crawford reviewed those proposed fee changes which were: Dental Clinic The Dental Clinic was awarded a grant from Delta Dental for $2,000 and have elected to use the funding to treat childhood caries by the Silver Diamine Fluoride technique, which requires the Health Department to add an associated fee to the fee schedule. We anticipate treating 75 Medicaid eligible children between the ages of 1 and 8 during the term of the grant, which will end August 31, 2018. Based on our analysis of costs to perform the procedure and fees from surrounding jurisdictions, we propose to set the fee at $49. Given that the Medicaid reimbursement rate is $24.18 for this procedure, we only anticipate receiving $1,813.50 in revenue. The proposed change is detailed below: Name of Fee 2017-18 Current Fee 2017-18 Proposed Fee 2017-18 Budget Impact Silver Diamine Fluoride (D1354) $0 $49 $1,813.50 Medical Clinic The Medical clinic recommends this new addition to our Fee Schedule due to the recent introduction on the market of the new Shingles vaccine - Shingrix. This vaccine will keep the Orange County Health Department Clinic up to date with the newest vaccines available, it will provide the residents of Orange County with the opportunity to receive protection against the Varicella Zoster Virus and it will keep our clinic relevant and able to meet the newest federal guidelines on vaccinations of people 50 years old or above. We anticipate administering five Shingrix vaccines per year and will charge our cost to purchase the vaccine, $138.60, which would potentially result in $693 in revenue. Name of Fee 2017-18 Current Fee 2017-18 Proposed Fee 2017-18 Budget Impact Shingrix Vaccine (90750) $0 $138.60 $693 The BOH members had questions that were answered by Ms. Crawford. Motion was made by Jessica Frega to approve the proposed fee changes for 2017-2018 as presented and forward to the Board of County Commissioners for action, seconded by Paul Chelminski and carried without dissent. VII. Reports and Discussion with Possible Action A. Health Director Report In addition to the report, Ms. Stewart briefly expounded upon the 3 conferences that she attended. The Annual Health Director’s Public Health Legal Conference had a key presentation on the opioid crisis. Guilford County and UNC at Greensboro have created a community- engaged response to the opioid problem in which all of the agencies that deal with the opioid crisis, law enforcement, EMS, medical professionals and psychologists team up to help addicts using a unified treatment plan. Many counties want to emulate their plan. The Equity Summit was a great conference with awesome speakers. Kristin Prelipp,