HomeMy WebLinkAboutRESOLUTIONS - 01272003 - 99-290 (0
THE BOARD OF SUPERVI,...;QRS 4
` OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on June 8 , 1999 by the following vote:
AYES: SUPERVISORS GIOIA, UILKEMA, GERBER and CANCIAMILLA
NOES: NONE
ABSENT: SUPERVISOR DeSAULNIER
ABSTAIN: NONE
RESOLUTION NO. 991290
SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa
County Health Services, Emergency Medical Services Agency Effective
May 1, 1999.
The Health Services Department has submitted a recommendation to amend the schedule of
itemized service rate charges and fees and restate unchanged rates for County Health Services
adopted by Board Resolution Number 99/170 dated April 13, 1999.
The County Administrator has reviewed and recommended adoption of this proposed
amendment.
These recommendations have been considered by the Board and IT IS BY THE BOARD
RESOLVED that an amended and restated schedule of itemized rate charges for the Health
Services Department effective May 1,1999, is established as follows:
Reason for Proposed Rate Changes
1. Emergency Medical Services Agency: The rates proposed for credentialing MICN's,
Paramedics and EMT's and for ambulance service permits represent the first increases in a
number of years. The EMS aircraft credentialing and non-emergency paramedic transport
programs are being proposed for new programs. EMS aircraft credentialing, in particular
"authorization", entails an initial in-depth application and services review and active, ongoing
services monitoring process. The non-emergency paramedic transport program fees cover
initial in-depth application and services review, case-by-case quality assurance evaluation, and
ongoing quality improvement and program monitoring. In all cases, rates represent our best
estimate of the cost to the county for conducting these programs.
2. Public Health: The two proposed increases are the result of higher vaccine costs. The other
unchanged fees are being restated as they were inadvertently omitted from the previous Board
Order#99/170.
Emergency Medical Services Agency
Current Fees Recommended Fees
Emergency Medical Technician (EMT--11
Initial Certification / Recertification* $ 15.00 $ 30.00
Replacement Card $ 10.00 no change
Paramedic Accreditation / Re-accreditation" $ 35.00 $ 50.00
(Re-accreditation applies only if initial
Accreditation lapses.)
Mobile Intensive Care Nurse MI N)
Authorization / Re-authorization* $ 25.00 $ 50.00
EMS Continuing Education Provider** (4 year) $ 100.00 no change
Nan-emergency Ambulance Service Permit $ 300.00 $1,500.00
'(3-year county-wide)
Emgcgency Ambulange Service Permit for
Each Emergency Response Area (3-year) $ 300.00 $1,500.00
EM Aircraft Classi r ation new program $ 250.00
j
Page 2
FMS Fees
EMMa Aircraft Authorization new program $1,800.00
(2 year)
Non emerctengy Paramedic Transfer i'Mgrar
(1 year including up to 50 transfers) new program $3,000.00
Fee for each transfer over the first 501year new program $ 50.00
*Renewal fees may be waived for employees of a service provider with an approved, in-house
program for maintain required renewal records.)
**Fee may be waived for providers offering continuing education courses at no charge to
participants, or for providers offering continuing education to in-house" employees only.
Public Health Division
Description Qurrent_Rate Regommended Rate
Family Planning
Pregnancy Test $ 15.00 no change
Non Eligible New membership -•first year $100.00 no change
Non Eligible Annual membership Renewal $ 90.00 no change
Male visits and supplies $ 10.00 no change
Child Screening
Children up to 2 years of age
Over 200% of poverty $ 10.00 no change
Children between 2 & 12 years
of age over 200% of poverty $ 15.00 no change
12 years of age and older
over 200% of poverty $ 20.00 no change
Scoliosis Screening Each
(Agreement with school district) $ 1.50 no change
Yellow Fever Each $ 55.00 $ 65.00
Meningococcal Each $ 65.00 $ 75.00
WAIVER: The Health Officer or his designee may waive any of these fees in any
individual case in which he determines that the advancement and protection of the
public health will be better served thereby and that these considerations outweigh the
County financial interests in collecting the fee.
FEE AMENDMENTS: The Health Services Director or his designee may increase or
decrease as needed, any specific fee by not more than 10% during the next twelve-
month period, except those fees set by Federal/State statute or regulation shall be
effective concurrent with the date specified in the applicable statute or regulation
regardless of the amount of increase or decrease.
Fee Adjustment: The Health Services Director or his designee is authorized to adjust,
waive or compromise the fee amount in those cases in which he determines that it is
cost effective to do so. M* public hearing was oma; No
was CLOW.
Odg.: County Administrator
cc: Health Services Director f hereby certify that this is a true and oorrect copy of
an action taken and entered on the minutes of the
Health Services Administration Board of Supervisors on the date shown.
County Counsel ATTEUM: JIM g, 1999
County Auditor PHIL BATCHELOR,Clark of the Board
of Super4ors and county Administrator
Contact: Patrick Godley (3705005)
ey Al Nizt�ta.,U,,.doc ew:k,