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2 <br /> 3. Confirmed that all fees are equal to or exceed the Medicaid reimbursement rate <br /> This resulted in one (1) new proposed fee for the dental clinic (Dental Health), one (1) new <br /> proposed fee for the medical clinic (Personal Health), and one (1) new proposed fee for <br /> Environmental Health. <br /> Other additional proposed fee adjustments relate to Environmental Health fee increases for all re- <br /> inspection types as cost recovery for staff time. <br /> FINANCIAL IMPACT: Since most of these fees will only recover the direct costs of providing the <br /> services, the Department does not anticipate substantially increased revenues or expenditures. <br /> The Department continues to experience an increase in service to residents that qualify for <br /> reduced payment on the sliding fee scale. <br /> ALIGNMENT WITH STRATEGIC PLAN: This item supports: <br /> • GOAL 2: HEALTHY COMMUNITY <br /> OBJECTIVE 2. Expand access to quality, affordable healthcare services. <br /> • GOAL 1: ENVIRONMENTAL PROTECTION AND CLIMATE ACTION <br /> OBJECTIVE 6. Protect water supply/watersheds. <br /> RECOMMENDATION(S): The Manager recommends that the Board approve the proposed fee <br /> schedule changes, to become effective based on the dates on the attached FY 2024-25 New <br /> Fees Requested Spreadsheet, for Personal Health, Dental Health and Environmental Health <br /> Services as recommended by the Board of Health. <br />