Agenda - 08-19-2003-8n - Laserfiche WebLink

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ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: August 19, 2003 Action Agenda Item No. ~- n SUBJECT: Medicaid Fee Adjustments DEPARTMENT: Health PUBLIC HEARING: (Y/N) No ATTACHMENT(S): INFORMATION CONTACT: Rosemary Summers, ext 2411 TELEPHONE NUMBERS: Hillsborough 732-8181 Chapel Hill 968-4501 Durham 688-7331 Mebane 336-227-2031 PURPOSE: To approve adjustments in Medicaid fees for certain health department procedures. BACKGROUND: Twice a year, the state Medicaid office reviews the fees that are eligible for reimbursement. The Orange County Health Department received notice in July from the North Carolina Division of Public Health that fees were changed as of April 1, 2003. The following fees are affected by these rate changes in the Health Department: Service Current Fee** Proposed Fee* Insert IUD N/A $80 Pure Tone Audiomet ,Air $15 $20 Health & Behavior Intervention N/A $23 Mirena IUD N/A $420 Tooth Extraction, each additional $56 $60 *Proposed fee for 100% pay clients **N/A=New Fee The Health Department already provides all of the services noted above. The Mirena IUD is a new technology and there previously was no charge allowed for the others. It should be noted that the Health Department also has a sliding fee scale that is applied to all charges for clients with incomes less than 200% of the federal poverty level. Participation by clients under this sliding fee scale varies due to economic and other factors, but generally more than 80% of the clients served benefit from this sliding scale fee structure or Medicaid reimbursement.