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The Board of Health reviewed these fees at its July meeting and is recommending that the <br />Board of Commissioners approve these fee changes. <br />FINANCIAL IMPACT: Without these fee adjustments, the Health Department would either not <br />be able to bill Medicaid for these services or would be required to bill Medicaid at a cost below <br />the actual cost of providing the service. While the Department has not previously provided <br />three of the services above, patients have inquired about their availability. <br />RECOMMENDATION(S): The Manager recommends that the Board approve the fee <br />adjustments listed above. <br />