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Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: September 26, 2018 Agenda Item Subject: Fee and Eligibility Policy Review Attachment(s): Draft Fee and Eligibility Policy Staff or Board Member Reporting: Rebecca Crawford Purpose: ____ Action _X__ Information only ____ Information with possible action Summary Information: The Board of Health reviews its policy manual annually. Updates to two sections of the Fee and Eligibility section 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 purposes of clarification, to be in compliance with state requirements, and to update according to system changes: - Service Limitation/Denial (Section V.C.): Expanded the section stating that Family Planning patients will never be refused service due to an outstanding balance or inability to provide proof of income to include Maternal Health and Child Health patients at the recommendation of the DHHS Administrative Consultant. - Fees Collection (Section VII.E.): Clarified that clients are given a statement showing the cost of services after charges are processed upon request rather than at the time services are received since the Epic Electronic Medical Record (EMR) system is unable to produce a statement until after charges are processed, which may not occur until after the patient has left the clinic. - Fees Collection (Section VII.I.): Updated the Billing Cycle section to specify the billing statement process for the Epic Electronic Medical Record (EMR) system since it differs from both the Patagonia EMR and Eaglesoft EMR that was detailed in the previous version.