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HomeMy WebLinkAboutRESOLUTIONS - 08141990 - 90/560H. 3 THE BOAR® OF SUPERVISORS OF CONTRA COSTA COUNTY9 CALIFORNIA Adopted this Order on August 14 , 1990 by the following vote: AYES: Supervisors Powers , Schroder , hMcPeak, Torlakson, Fanden NOES: None ABSENT:None ABSTAIN: None RESOLUTION NO. 90/560 SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Effective August 14, 1990. 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 90/152 effective March 13, 1990. The County Administrator has reviewed the recommended amendment and also recommends that the previous rates and amended rates become effective August 14, 1990. 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 August 14, 1990 is established as follows: HOSPITAL INPATIENT Daily Rate for Routine Service Room and Board Medical Ward 497 * Nursery Bassinet 276 * Intensive Care 1,109 * Mental Health 567 * Rehabilitation 662 * Total Unit Rate Obstetrics Fixed all inclusive @ Routine delivery 3,553 * Routine delivery with tubal ligation 49776 * Prior or primary C-Section 7,468 * @ Services included: 1. Medical/Social Intake and orientation with Medical Social Worker. 2. Choice of Family Practice Physician a. all required lab work b. all required rests 3. Nutrition Class 4. Early Pregnancy Class 6. Labor and Delivery care, including ABC or C-Section 7. Back-up consultation services for complications of pregnancy, labor and delivery (does not include transfer and care at high risk facility if necessary for mother or baby) 8. Neonatal care, including nursery care and pediatric consultation, if needed. 9. One PHN home visit. 10. .One post-partum check with Family Physician, including birth control counseling. 11. Three return well-baby visits with Family Physicians. Indicates Rate Increase/Change RESOLUTION NO. 90/560 1 ANCILLARY SERVICES DEPARTMENT BILLING UNIT CHARGE Anesthesiology 15-Minute Intervals 52.50 * Pharmacy Cost Plus % Cost plus 60% Central Supply Cost Plus % Cost plus 400% Central Supply (Service Units) RVS 16.00 * Radiology Relative Value Units 25.00 * EKG Relative Value Units 9.20 * Laboratory (Hosp. & P.H. Lab) Relative Value Units 2.20 * Rehab. Therapy OT/PT 30-Minute Intervals 70.50 * Speech 30-Minute Intervals 70.50 * Cardiopulmonary Relative Value Units 9.00 Delivery Room 15-Minute Intervals 63.00 Surgery Recovery 1st Hour 231.00 Each add'1 15 Minutes 52.50 Operating Room Each 15 Minutes 84.00 Cast Room Unit 84.00 PROFESSIONAL COMPONENT CHARGES PER RELATIVE VALUE UNIT BASED UPON THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE SIUDIFS CHARGE Medicine 6.50 Surgery 161.00 Radiology 7.00 Anesthesiology 32.00 OUTSIDE SERVICES AND SUPPLIES CHARGE Nuclear Medicine Cost Plus 35% EEG Cost Plus 30% Blood Bank Cost Plus 35% Prosthesis Cost Plus 35% Laboratory Cost Plus CHS CHS - Collection and Handling of Specimens) AMBULATORY CLINIC RATES CHARGE Professional Use of Outpatient Visits Component Treatment Room Total New Patient Brief 34.00 29.00 63.00 Limited 44.00 29.00 73.00 Intermediate 60.00 29.00 89.00 Extended 77.00 29.00 106.00 Comprehensive 100.00 29.00 129.00 Indicates Rate Increase/Change 2 CHARGE Professional Use of Outpatient Visits Component Treatment Room Total Established Minimal 14.00 29.00 43.00 Brief 20.00 29.00 49.00 Limited 30.00 29.00 59.00 Intermediate 37.00 29.00 66.00 Extended 50.00 29.00 79.00 Comprehensive 74.00 29.00 103.00 Dental Care Per Fee Schedule Emergency Room Visits New Patient Brief 35.00 44.00 * 79.00 Limited 46.00 44.00 * 90.00 Intermediate 74.00 44.00 * 118.00 * Extended 97.00 44.00 * 141.00 * Comp Admit HX & PX $120.00 44.00 * 164.00 * Established Minimal 20.00 44.00 * 64.00 * Brief 25.00 44.00 * 69.00 * Limited 37.00 44.00 * 81.00 * Intermediate 59.00 44.00 * 103.00 * Extended 84.00 44.00 * 128.00 * Comp Admit HX & PX $100.00 44.00 * 144.00 * Unit of Photocopying Service Charge Copy Per Page 10 Microfilm Per Page 25 Staff Time Per Hour 16.00 Postage Actual charge MENTAL HEALTH PROGRAM SERVICES UNIT OF CATEGORY SERVICE CHARGE Collateral Visit 87.00 Assessment Visit 157.00 Individual Visit 116.00 Group Visit 79.00 Medication Visit 101.00 Crisis Visit 294.00 Day Care, Intensive Visit 143.00 Day Care, Habilitative Visit 87.00 Case Management Staff Hour 67.00 DETOXIFICATION SERVICES UNIT OF Medical Detoxification SERVICE CHARGE Services (21-day procedure) New Patient (1st 7 days) Visit 16.50 Indicates Rate Increase/Change 3 UNIT OF Medical Detoxification (coni) SERVICE CHARGE New Patient (days 8-12) Visit 10.50 * Readmitted Patient (days 1-12) Visit 10.50 * Physician Re-examination Visit 20.00 * DRUG ABUSE PROGRAM SERVICES UNIT OF Residential Treatment SERVICE CHARGE Admission Fee Person 35.00 Residential Treatment Month 1,350.00 ALCOHOL SERVICES Alcohol Information for Referral UNIT OF Service (AIRS)SERVICE CHARGE Individual Counseling Visit 60.00 Group Counseling Visit 20.00 Driving Under the UNIT OF Influence Program SERVICE CHARGE 1st Offender (Level I) Person 312.00 1st Offender (Level II) Person 500.00 2nd Offender Person 11175.00 HOME HEALTH AGENCY UNIT OF SERVICE SERVICE CHARGE Skilled Nursing Visit 102.00 Physical Therapy Visit 97.00 Speech Pathology Visit 107.00 Occupational Therapy Visit 102.00 Medical Social Service Visit 147.00 Home Health Agency Hour 41.00 HEALTH PLAN UNIT OF Medicare Premium SERVICE CHARGE Senior Health Basic (Low Option) Individual 41.00 Senior Health (Mid Option) Individual 55.00 Senior Health Plus (High Option) Individual 88.00 Commercial Group and UNIT OF Indivdual Premium SERVICE CHARGE Monthly Revenue Requirement Monthly Premium $ 88.03 Authorizes establishment of specific premium rates required by commercial groups and individuals; use of the community rating by class"rate 4 determination process for groups of 25 or more employees; increase in the revenue requirement on a quarterly basis as appropriate by an amount not to exceed 4% per quarter) PUBLIC HEALTH UNIT OF Family Planning SERVICE CHARGE Pregnancy Test 12.00 * Non Eligible 80.00 New membership - first year UNIT OF Family Planning`(con't)SERVICE CHARGE Non Eligible 75.00 Annual Membership renewal Male visits and supplies 8.00 Child Screening 10.00 Children up to 2 years of age over 200% of poverty 15.00 Children between 2 and 12 years of age over 200% poverty 20.00 12 years of age and older over 200% of poverty 20.00 Sports physicals over 200% of poverty Immunization a. Typhoid 10.00 Each b. Stamping of Inter- national Travel Cards $ 3.00 Each . c. Childhood Immunizations 2.00 * Each person, not to exceed $5.00 per family d. Measles Vaccine second shot)2.00 * Each under 200% of poverty 26.00 * Each over 200% of poverty T.B. Skin Testing P.P.D) 5.00 Includes reading but no charge for contacts Venereal Disease 20.00 Clinic attendance and medication for any sexually transmitted disease Nutrition Services 41.00 * Per hour consultation fee Lab Tests Gardnerella culture 19.50 Each Yeast culture No charge Done in conjunction with Gardnerella culture Quantitative VDRL 6.50 Each Qualitative VDRL 6.00 Each MHATP 20.50 Each Saline wet mount 16.00 Each KOH wet mount 16.00 Each Gram stain 16.00 Each Indicates Rate Increase/Change 5 Lab Tests FEE DESCRIPTION Darkfield 26.00 Each Beta lactamese screen 12.50 Each Screen 1 organism 19.50 3 standard PTV Chlamydia Culture - Iso 18.00 8 standard PTV Chlamydia - EIA 16.50 *6 standard PTV Chlamydia direct 13.50 8 standard PTV KOH fungus 16.00 5 standard PTV Herpes direct 18.50 9 standard PTV Herpes Iso 28.50 13 standard PTV Treponema MHA-TP 20.50 4 standard PTV Hepatitis Panel B. surface antibody 16.50 Each B. core antibody 18.50 Each B. surface antigen 18.00 Each I gm. anti A 17.50 Each E Antigen 18.00 Each E Antibody 18.00 Each Routine culture - aerobic $ 47.00 Each General culture -anaerobic$ 47.50 Each Rabies 80.00 Each Elderly Flu Shots Voluntary Contributions Public Health License Fees Category Units Capacity Charge Restaurants Seats 0-49 250. 00 Restaurants Seats 50-149 330. 00 Restaurants Seats 150+ 370. 00 Vending Machines Machines 1-4 55. 00 Vending Machines Machines 4+ 40. 00 Tavern/Cocktail Lounge Bar Each 270. 00 Snack Bar Each 270. 00 Drive-In/Take-Out Each 300. 00 Commissary Each 300. 00 Catering Each 300. 00 School Cafeterias No Fee No Fee Itinerant Restaurants Each 70. 00 Retail Markets Sq.Ft 2, 000 230. 00 Retail Markets Sq.Ft. 2, 000-5, 999 250. 00 Retail Markets Sq.Ft. 6, 000+ 350. 00 Roadside Stands Each 110. 00 Food Salvager Each 364 . 00 Food Processing Establishment Sq.Ft. 21000 230. 00 Food Processing Establishment Sq.Ft. 21000-5,999 250. 00 Food Processing Establishment Sq.Ft. 6, 000+ 350. 00 Food Demonstrator Each 100. 00 Retailer Food Vehicle (Del & Ped) Each 110. 00 Mobile Food Prep Units Each 210. 00 Retail Food Vehicles (Ind CAT.TRK) Each 110. 00 Bakery Sq.Ft. 21000 230. 00 Bakery Sq.Ft. 21000-51999 250. 00 Bakery Sq.Ft. 6, 000+ 350. 00 Hospital Beds 0-99 130. 00 Hospital Beds 100+ 200. 00 SNF Each 60. 00 Septic Tank,Chemical Toilet Cleaner Business 120. 00 Septic Tank,Chemical Toilet Cleaner Vehicle/ea 40. 00 Pool-Apt, Motel,Hotel Mult-Use) 230. 00 Pool-Public School Each No Fee Indicates Rate Increase/Change 6 Category Units Capacity Charge Pool-Municipal Pool Each No Fee Pool-Health Club/Swim School Each 230. 00 Pool-Resort Each 230. 00 Each Add. Pool within Same Location Each 80. 00 Pool-Other-Fee @ Hourly Rate Hour 71. 00 Pool-Other-No Fee Each No Fee Spa-Apartment, Motel, Hotel Mult-Use 230. 00 Spa-Public School Each No Fee Spa-Municipal Pool Each No Fee Spa-Health Club/Swim School Each 230. 00 Spa-Resort Each 230. 00 Each Add. Within Same Location Each 80. 00 Spa-Other-Fee @ Hourly Rate Hour 71. 00 Spa-Other-No Fee Each No Fee Small Water Systems Connection 2-4 50. 00 Small Water Systems Connection 5-50 90. 00 Small Water Systems Connection 51-199 110. 00 Small Water Systems No Fee No Fee Wholesale Food Sq.Ft 21000 230. 00 Wholesale Food Sq.Ft. 21000-51999 250. 00 Wholesale Food Sq.Ft 61000+ 350. 00 Ice Plant Each 90. 00 Incidental Confectionary Each 100. 00 Violation Reinspection Fee Each 50. 00 Special Services Fee @ Hourly Rate Hour 71. 00 Application Fee Each 20. 00 Wiping Rags Business Each 100. 00 Vital Statistics Certified Copies Charge Death and Fetal Death 7 . 00 Birth - General Public 11. 00 Birth - Public Agency 7 . 00 Permit for Disposition of Human Remains Regular 4 . 00 After Hours 7 . 00 Cross Filing 9. 00 Environmental Health Category Per Ton Solid Waste .Tonnage Fee 90 Indicates Rate Increase/Change WAIVER: The Health Officer 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. Orig: County Administrator I hereby cerify trot Cris is a true and correct copy ofcc: Health Services Director an action taken enr entered on the minutes of theCountyCouncilBoardofSuperviromon 'ho date shown. County Auditor ATTESTED: ice, /9 9 d County Probation Officer PHIL SAT L.. . cork of the Board Of Supervisors ana County Administrator By oeputv 7