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ORANGE COUNTY HEALTH DEPARTMENT <br />Board of Health Policy and Procedures Manual <br />Section I: Board Adopted Policies <br />Policy EB: Fee and Eligibility Policy <br />Reviewed by: Financial Review Committee, Health Director <br />Approved by: Board of Health, Health Director <br /> <br /> <br /> Page 1 of 8 <br />Original Effective Date: January 25, 2001 <br />Revision Dates:, 10/2014, 9/2015, 4/2016, 9/2018, 10/2019 <br /> <br /> <br />I. Purpose <br />A. Public health services are increasingly costly to provide. The Health Department serves <br />the public’s interest best by assuring that all legally required public health services are <br />furnished to all citizens. The department provides recommended and requested public <br />health services based upon the priorities established by the Board of Health. <br /> <br />B. Fees are a means to help provide services to the residents of Orange County. Fees help <br />finance and extend public health services when government funding is not sufficient to <br />support the full cost of providing all required and requested services. <br /> <br />C. Fees for Orange County Health Department services are authorized under North Carolina <br />G.S. 130A-39, provided that: <br />1. They are in accordance with a plan recommended by the Health Director and <br />approved by the Board of Health and the Orange County Board of Commissioners. <br />2. They are not otherwise prohibited by law. <br />3. They are deposited to the account of the local Health Department for public health <br />purposes in accordance with the provisions of the Local Government Budget and <br />Fiscal Control Act. <br /> <br />D. Fees for services must also be in compliance with N.C. Administrative Code, Title X <br />Regulations, and Women’s and Children’s Health Program Rules. <br />E. There will be no charge for Title X Services provided for individuals with income less <br />than 100% of the Federal Poverty Level (FPL.) <br /> <br />II. Policy Implementation <br />The implementation of this policy is delegated to appropriate financial or support staff in <br />each division of the health department. <br /> <br />III. Income Eligibility <br />A. Definitions <br />1. Definition: A family is defined as a group of individuals who are living together as <br />one economic unit. Individuals are considered members of a single family or <br />economic unit when their production of income and consumption of goods are <br />related. A pregnant woman is counted as a family of two in determining family size. <br /> <br />2. Income eligibility requirements apply to: Dental Health, Family Planning, Child <br />Health, Maternal Health, Adult Health, Nutrition Services, Family Home Visiting, <br />and Primary Care Services. <br /> <br />3. The Health Department utilizes a sliding fee scale based on Federal Poverty <br />Guidelines in accordance with the Fee Schedule approved annually during the <br />County Budget process. NC DPH updates and issues the scale yearly. Specifically,