Orange County NC Website
Browse       Search
1 <br /> ORANGE COUNTY <br /> BOARD OF COMMISSIONERS <br /> ACTION AGENDA ITEM ABSTRACT <br /> Meeting Date: June 3, 2025 <br /> Action Agenda <br /> Item No. 8-u <br /> SUBJECT: Approval of Health Department Fee Changes <br /> DEPARTMENT: Health Department <br /> ATTACHMENT(S): INFORMATION CONTACT: <br /> Attachment 1. Proposed Fee Changes Quintana Stewart, 919-245-2412 <br /> Frederick Perschau, 919-245-2414 <br /> PURPOSE: To approve changes to the Personal Health Services fee schedule as recommended <br /> by the Board of Health and amend the FY 2024-25 County Fee Schedule. <br /> BACKGROUND: Personal Health Services within the Orange County Health Department has <br /> requested seven (7) new fees for Behavioral Health and Nutrition Services. Staff proposes adding <br /> one (1) code for preventive medicine counseling that can be used for individual counseling on <br /> diabetes risk reduction and disease prevention. Personal Health Services' staff also propose to <br /> add/update six (6) fees to be used for behavioral health services when the Department begins <br /> billing for Integrative Behavioral Health in July 2025. Information on the one (1) preventative <br /> medicine code and the six (6) Behavioral Health codes can be found on the attached fee schedule <br /> proposal. <br /> Health Equity Impact <br /> These preventive medicine and psychotherapy counseling fees will allow us to bill at the Medicaid <br /> reimbursement rate thus keeping the cost low for self-pay patients on the sliding fee scale. <br /> FINANCIAL IMPACT: The adoption of these fees may result in additional revenue in FY 2025- <br /> 26. Staff will review during the fiscal year. <br /> ALIGNMENT WITH STRATEGIC PLAN: This item supports: <br /> • GOAL 2: HEALTHY COMMUNITY <br /> OBJECTIVE 2. Expand access to quality, affordable healthcare services. (e.g., Crisis <br /> Diversion facility, Medicaid expansion, crisis response, healthy living campaign) <br /> RECOMMENDATION(S): The Manager recommends that the Board approve the fee updates as <br /> recommended by the Board of Health. <br />