BOH Minutes 102319 - Laserfiche WebLink

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH October 23, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ October Page 7 The Board of Health reviews its policy manual annually. Below are the recommended updates, Rebecca Crawford, Financial and Administrative Services Director, reviewed to two sections of the Fee and Eligibility section of the policy. I.B. 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 or be subject to variations in service due to an outstanding balance or inability to provide proof of income” at the recommendation of the DHHS Administrative Consultant. • Fees for Services (Section VI.A.): Rephrased section to clarify that pregnancy tests are not free but instead are adjusted to 0% on sliding fee scale (unless required as part of another service) at the recommendation of the DHHS Administrative Consultant. • Fees for Services (Section VI.B.): Removed section that detailed offering two free blood pressure screenings to all patients to facilitate early identification of and referral for hypertension since providers are screening all patients for hypertension at each visit without charge as a standard element of the intake process. • Fees Collection (Section VII.C/B.): Clarified that “fees are not charged to self-pay clients for diagnosis and treatment of sexually transmitted disease or the investigation and control of communicable diseases.” Because we do charge Medicaid and commercial insurance for diagnosis and treatment of sexually transmitted disease or the investigation and control of communicable diseases with the approval of the client. • Attachment B – Determination of Eligibility for Clinical Services: Clarified that Family Planning confidential patient accounts that are not paid within 30 days of the statement date will not be sent to the Orange County attorney for debt setoff in order to protect the confidentiality of the patient. Beverly Scurry, Board of Health Strategic Plan Manager, reviewed the policies from the Community Assessment Policy Section l C, Confidentiality & Conflict of Interest Statement Appendix H, Board Review of Reports and Documents Section ll and the Operating Procedures Section lll. See below for the specific sections. Section l lA – Compliance with Public Health Laws/Regulations lB – Program Policy and Policy Adoption lC – Confidentiality Agreement and Conflict of Interest Statement lC – Appendix H lD – Requests for Environmental Services and Assessments lE – Fee and Eligibility Policy lF – Community Assessment Policy lG – Community and Public Input Policy lH – Policy and Procedures for Complaints