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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 4 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 />C. Family Planning, Maternal Health, and Child Health clients will never be refused service <br />or be subject to variations in service due to an outstanding balance or inability to provide <br />proof of income. Health Department clients are eligible to receive these services <br />regardless of their participation in other programs. Family Planning, Maternal Health, and <br />Child Health services are voluntary to all clients. <br /> <br /> <br /> <br />D. Falsification of eligibility by the client may result in denial or limitation of services. <br /> <br />E. The Health Department shall not deny a service due to religion, race, national origin, <br />creed, sex, marital status, familial status, sexual orientation, veteran status or age. <br /> <br />F. The Health Department shall assure that no otherwise qualified handicapped individual, <br />solely by reason of his/her handicap, be excluded from participation in, be denied the <br />benefits of, or be subjected to discrimination under any program or activity covered by <br />this agreement. <br /> <br />G. The Health Director can override any decision to deny or limit services to a client in <br />accordance with the existing fee waiver process. <br /> <br />VI. Fees for Services <br />A. In order to facilitate early entry into prenatal care or family planning services, pregnancy <br />tests charges will be adjusted to 0% on the sliding fee will be provided free of charge <br />unless they are required as part of another service. <br /> <br />B. In order to facilitate early identification of and referral for hypertension, two blood <br />pressure screenings will be provided in the clinic free of charge. Borderline readings will <br />be checked free until determined to be normal or the client is referred for further <br />evaluation. Follow-up of clients with a diagnosis of hypertension will be charged <br />according to the fee policy. <br /> <br />C.B. Fees are not charged to self-pay clients for diagnosis and treatment of sexually <br />transmitted diseases, or investigation and control of communicable diseases. There is also <br />no charge to clients for any State-provided vaccine. <br /> <br />D.C. Fees are charged for health and dental services provided to individuals unless <br />prohibited by law or regulation. Fees are established based upon cost analysis, Medicaid <br />and Medicare rates, comparable provider rates and/or state or contractual agreements. <br />The Health Director shall inform the Board of Health and the Orange County Board of <br />Commissioners of these adjustments in a timely manner. <br /> <br />E.D. Fees may be charged to clients for “non-program” specific services without being <br />adjusted on a sliding fee scale (flat fees).