HomeMy WebLinkAboutRESOLUTIONS - 01011992 - 1992-218 I'AE 40AR� OF lSUPERk '%ORS OF CONTRA COSTA "CUN'TY, CALIFORNIA
Adopted this Ardor on Avril 7, 1992 by Vie following vote:
MIIUI��WWII.Ip��111tl11�1�111 �M
AYES: Superviosrs Powers , "Fanden, Torlakson, NcPeak
NOES: None
DISSENT: SupervisorSchroder
ABSTAIN: None
RESOLUTION-NO. 92/218
SUBJECT.- Amending itemized Professional and Service Rate'` Charges for Contra Aosta
County Health Services Effective April 7, 1992.
'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 herd Resolution Number 91/484 effective July 23, 1991 and Ordinance No. 90-99.
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 April 7 1992 is established as follows;
HQSPITAL INPATIENT
Daily Rate for Routine
Semo Room and,tard
Medical Ward $ 516
Nursery Bassinet $ 367
Intensive Care $ 1,412
Mental'Health $ 640
Total Unit Rd Rate_
Obstetrics Fixed all inclusive
Routine delivery $ 3,553
Routine delivery with tubal ligation $ 4,775
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 lab work
3. Nutrition Cass
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
cher or baby
8 Neonatal care, including nursery care and pediatric consultation, if needed.
9. One PHiV home visit.
10. One post-partum check' with Family Physician, including birth control
counseling.
11". Three return well-baby visits with Family Physicians.
* No Rate Change
RESOLUTION NO. 92/218
1
ANCILLARY SELF VICES
DEPARTMENT BILLING UNIT CHABGE
Anesthesiology 15-Minute Intervals $ 58.00
Pharmacy Cost Plus % Cost plus 60°rb
Central Supply Cost Pius % Cost plus 400%
Central Supply (Service Units) RVS $ 16.00*
Radiology Relative Value Units $ 30.00 *
EKG Relative Value Units $ 9.70 *
Laboratory (Hosp. & P.H. Lab) Relative Value Units $ 2.30 *
Rehab. Therapy
OT/PT 30-Minute Intervals $ 77.50
Speech 30-Minute Intervals $ 77.50
Cardiopulmonary Relative Value Units $ 10.00
Delivery Room 15-Minute Intervals $ 70.00
Surgery Recovery 1st Hour $254.00
Each add'I 15 Minutes $ 58.00
Operating Room Each 15 Minutes $ 92.00
Cast Room Unit $ 92.00
PROFESSIONAL COMPONENT
CHARGES PER RELATIVE VALUE UNIT BASED UPON
THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE STUDIES
AGE
Medicine $ 6.50
Surgery $ 161.00
Radiology $ 7.00 *
Anesthesiology $ 35.00
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)
CHARGE
Professional Use of
Outpatient visits Compgnent Treatment Roam IML
.
New Patient
Brief $ 34.00 * $ 33.00 * $ 67.00
Limited $ 44.00 * $ 33.00 * $ 77.00
Intermediate $ 60.00 * $ 33.0E3 * $ 93.00
Extended $ 77.00 * $ 33.00 * $110.00
Comprehensive $100.00 * $ 33.00 * $133.00
No Rate Change
2
AMBULA
-TORY-CLINIC RAIES (mn'o
CHARGE
Professional Use of
OjApatient Vi i s Component Treatment Roam IML
Established
Minimal $ 14.00:* $ 33.00 * $ 47.00
Brief $ 20.00 * $ 33.00 * $ 53.00 *
Limited $ 30.00 * $ 33.00 * $ 83.00 *
Intermediate $ ;37.00 * $ 33.00 * ' $ 70.00
Extended $ 50.00 * $33.00 * $ 83.00
Comprehensive $ 74.00,* $ 33.00 * $107.00
Dental Gare Per Fee Schedule
Emergengy BQQM Msits
New Patient
Brief $ 35.00'* $ 50.00 * $ 85.00;*
Umited $ 46.00'* $ 50.00 * $ 96.00
Intermediate $ 74.00 * $ 50.00 * $124.00 *
Extended $ '97.00''* $ 50.00 * $147.00
Gump Admit HX & PX $120.00 * $ 50.00 * $170.00 *
Established
Minimal $ 20.00 * $ 50.00 * $ 70.00 *
Brief $ 25.00 * $ 50.00 * $ 75.00 *
Umited $ ,'37.00 * $ 50.00 * $ 87.00 *
Intermediate $ 59.00'* $ 50.00 * $109.00
Extended $ 84.00'* $ 50.00 * $134.00
Gump Admit HX & PX $100.00 * $ 50.00 * $150.00
UNIT OF
Ehotocc yina SERVICE _CHARGE
Copy Per Page $ .10
Microfilm Per Page $ .25 *
Staff Time Per Hour $ 16.00 *
PostageActual Charge
ENTAL HEALTH f!RQC2RAM,S. ERVICES
UNIT OF ccc`
SERVICE HARGE
Collateral Visit $ 92.00
Assessment Visit $176.00
Individual'' Visit $116.00
Group Visit $' 79.00
Medication Visit $118.00
Crisis Visit $294.00
Day Care, Intensive/Adult Visit $143.00
Day Care, Intensive/Child Visit $ 92.00
Clay Gare, Hablitative Visit $' 87.00
Case Management Staff Hours $ 86.00
*
No Rate Change
3
..............;:......... ........
.................................................................................................................................................................. ........... ............... .............
.... ......
DETOXIFICATION SERVICES
UNIT OF
Detoxification Medical Detoxd SERVICE -CHARGE
Services (21-day procedure)
New Patient (1 st 7 days) visit $ 16.50 *
New Patient (days 8-12) visit $ 10.50 *
Readmitted Patient (days 1-12) Visit $ 10.50
-examination $ 20.00
Physician Re visit
DRUG ABUSE PRRAl1/I SERVICES
UNIT OF
flesid2ntial Treatment SERVI. CHARGE
Admission Fee Person $ 3$.00
Residential Treatment Month $2,400.00
Drug Free Outpatient UNIT OF
Clinic Treatment . SEBACE CHARGE
Individual Intake/Assessment Visit $ 165.00
Individual Counseling visit $ 103.00
Collateral Service Visit $ 103-00
Group Counseling Visit $ 42.00
Acupuncture Treatment Visit $ 73.00
Medical Assessment/
Physical Exam Visit $ 90.00
Outpatient Drug Free
(Composite State Charge) Visit 103.00
Outpatient Methadone
Maintenance Visit $ 10.00
ALCOHOL PROGRAM SERVICES
Alcohol Information for UNIT OF
R"f rral Service WRZ SERVICE CHARGE
Individual Counseling Visit $ 60.00 *
Group Counseling Visit $ 20.00 *
Driving Under the UNIT OF
Influence Program SERVICE CHARGE
1st Offender (Level 1) Person $ 312.00
Ist Offender (Level 11) Person $ 500.00
2nd Offender Person $1,175.00
HOME HEALTH AGENCY
UNIT OF
SERVICE SERVE CHARGE
Skilled Nursing Visit $128.00
Physical Therapy visit $121.00
Speech Pathology Visit $127.00
Occupational Therapy Visit $120.00
Medical Social Service Visit $175-00 ,
Home Health Aides Hour 60-00
No Rate Change
4
...........
..........
... .... ....
a
TH PLAN:
UNIT OF
Aedicere Premium' SERVICE
Senior Health Basic (Low Option) Wividual $ 41.00 *
Senior Health (Mid Option) Individual $ 55.00
Senior Health Plus (High Option) Individual $ 88.00
Commercial Group and UNIT OF
IncrMclual Premium SE13VICE
Monthly Revenue Requirement Monthly Premium $ 99.58
(Authorizes establishment of
specific premium rates required
by commercial groups and
individuals: use of the *community
rating by mase rate 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
Family Planning CESC TIQN
Pregnancy Test $ 12.00
Non Eligible $ 80.00 * New membership first year
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 and new grade school PX
Immo iz'_ ion
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 20096 of poverty
$26.00 * Each over 200% of poverty
e. Immunization Record
(duplicate) $ 5.00 * Each
MB, Skim Testino
(P.P.D) $ 500 * Includes reading but no charge for contacts
Venereal Disease $20.00 * Clinic attendance for any sexually transmitted
disease
* No Rate Change
5
1
PUBLIC HEALTH (coni)
CHARGEDESCRIPTION
Nutrition Services $ 45.00 * 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 $ MOD * Each
KOH wet mount $ 16.00 * Each
Gram stain $ 16.00 * Each
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
Health Education Material Cost plus 1010A
(i.e.: Videos, posters,
pamphlets, t-shirts, etc)
Elderly Flu Shot Voluntary Contributions
VITAL STATISTICS
Certified Co JeseS Charge
Death and Fetal Death $ 8.00
Birth - General Public $ 12.00 *
Birth -Government Agency $ 8.00
Permit f_or Disoosition of Human Remains ChaMe
Regular $ 700
After Hours $ 7.00
Cross Filing $ 10.00
* No Rate Change
6
.
FNVIROI`MENTAL HEALTH
CONSUMER PROTECTIQNPROGRAM;
Environmental Health Permit Fee (previously'referred to as Public Health Licenses): ,
CategoU vDita CARIAtFfA fES
Restaurants Seats 0-49 $290,003
Restaurants Seats 50-149 $400.40
Restaurants Seats 150+ $440.0
Vending Machines Machines 1-4 $ 65.40
Vending Machines Ea, add°I'
mach, over 4 4+ $ 10.00
Tavern/Cocktail Lounge Bar $290.00
Snack Bar $270.0
Drive-In/Take-Out $355.043
Commissary $355.00
Catering $355.00
School Cafeterias No.Fee No Fee
Itinerant Restaurants' $80.00
Retail Markets Sq.Ft <2,000' $270.00
Retail Markets Sq.Ft. 2,000-59999 $290.00
Retail Markets Sq.Ft. 61000+ $410.00
Roadside'Stands $135.00
Food Salvager $380.00
Food Processing Establishment; Sq.Ft. <2,000 $270.00
Food Processing Establishment Sq.Ft. 2,000-5,999 $290.00
Fond Processing Estab l#shment Sq.Ft. 6,000+ $410.00
Food Demonstrator $125.00
Retailer Food Vehicle (Del & Ped) $135.00
Mobile Food Prep Units $250.00
Retail Fond Vehicles (Ind GAT.TRk) $135.00
Bakery Sq.Ft. <Z000 $270.443
Bakery Sq.Ft. 2,000-5,999 $290.0
Bakery Sq.Ft. 6,000+ $410.00
Septic Tank,Chemical
Toilet'Cleaner Business $145.00
Septic Tank,Chemical
Toilet Gleaner Vehicle/ea $ 55.4X3
Pool-Apt,'Mots,Hotel Mult-Use
Pool-Public School No Fee
Pool-Municipal Pool No Fee
Pool-Heatth Club/Swim School $270.00
Pool-Resort $270.00
Each Add. Pool within Same Location $ 90.00
Pool-Other-Fere Q Hourly Rate $ 80.00
Pool-Other No Fee No Fee
Spa-Apartment, Motel, Hotel Mult-Use $270.0
Spa-Public School No Fee *
Spa-Municipal Fool No Fee
Spa-Health Club/Swim School'' $270.00
Spa-Resort $270.00
Each Add. Within Same Location $ 90.00
Spa-Other-Fee i0 Hourly Rate ' $ 80.00
Spa-Other-No Fee No Fee
Small Water Systems Connection 2-4 $ 65.00
Small Water Systems Connection 5-50 $905.00
Small Water Systema Connection 51-199 $125.00
Small "Water Systems No Fee
yu�, ►�Qs� c,�r, + '- Ft <2,000 $270,00
Wholesale Foot! Sq.Ft. 2,400-5,999 $290.00
Wholesale Foul Sq.Ft 6,000+ $410.40
Ice Plant $105.00
incidental'Confectionery $115.00
7'`
ENVIRONMENTAL HEALTH (Coni
Environmental Health Permit Fee (can't):
Violation Reinspection Fee $ 50.00
Special Services Fee Hourly Rate $ 80.00
Application Fee $ 20.00
Wiping Rags Business $125.00
SOLID WASTE PROGRAM
Charge
Solid Waste Tonnage Fee $ 1-.00 /ton
Solid Waste Facility Fermin Application $ 500.00
Medical Waste:
Cert&&ionj.& liojio 1 Fee
categow Charae
Small quantity generator,
With onsite treatment $ 105.00
Limited quantity hauler $ 55.00
Qommon storage facilities
Serving 2.10 generators $ 105.00
Serving 11-49 generators $ 265.00
Serving 50 or more generators $ 525.00
Transfer station
Less than 200 lbs. per month $ 150.00
200 lbs or more per month $ 300.00
Inpatient Facilities & O,utpi tient Clinics:
Acute care hospitals:
1-:'99 beds $ '630.00
100-199 beds $ 900.0
200450 beds $1,050.00
251 or more beds $1,470.00
Specialty clinics $ 370.00
Skilled,:.Nursing Facilities
1-99 beds $ 290.00
100-199 beds $ 370.00
200 or more 'beds $ 420.00
Acute psychiatric hospital $ ,210.00
Intermediate care $ 315.00
Primary care $ :,370.00
Clinic laboratory $ 210.00
Health care service plan facility $ 370.00
Veterinary clinic or hospital $ 210.00
Medical/Dental/Veterinary office
(200 Lbs. or more per month) $ 210.00
Reinspection fee (per hour) $ 80.00
No Rate Change
8
:.:
.:,
r
EIt/IRt�NMEIIITTAL HEALTH (cQr
Medical baste (con't);
category
Medical Waste certification/
application fee $ 25.00
SOU6 waste - Mandatory
Service Exemption $ 5.00 - 50.00 Sliding'fee
Special Services Fee $ 80.00/hr
LAND USE PROGRAM
Sewage Disposal Systems
and Water Wells. Qharge Descripton'
Subdivisions proposing to use
individual saMe dispg ai'Ugerns4nd wate
$125.00" Site evaluation, per lot, 2-4 lots
$630.00; Site evaluation, 5 or more lots,;
maximum
$265.00 Percolation tests,'per lot or
building (5 holes 'min.)
$105.00' Appeal (except 'hearings called'
pursuant to Section 42D-6.026)
Subdivisions proposing to use
Individual sewage disystcros
$ 80.00 * Site evaluation, per lot, 2-4 lots
$420.00' Site evaluation,
5 or more lots
$265.00 Percolation tests, per lot or
building
$105.00 Appeal (except hearings called
pursuant to;Section 420-6.026)
Individual Sewage `s steal Systems
$ 80.00`* Site Evaluation
$265.00' Percolation test
$265.00 Each add'I 'percolation test
$210.40 Permit (except minor building)
$125.00 Review of existing individual
system
$ 55.00 Abandonment or sealing of septic
tank permit
$ 50.00 * Reinspection
$105.00' Appeal (except hearings called
pursuant to Section 420-6.426)
$ 80.00'p/hr Advice, consultation, minor repair
permit
SUbdiWs-ion ptQposing to use wells
$ 80.00'* Site evaluation, per lot;2-4 low
$420.00' Site evaluation,
5 or more lots, maximum
$1105.00 Appeals (hearings called pursuant`
to Section 414-4.1019
INiyidual'Wells
$125.00 Layout, permit and inspection of
ea. individual water system/well
4 0O.W review of an existing individual
water system/well
* No Rate Change
9
......................................................... ................................................................................................................................................................................................................................. .........
. .. . ..............
ENVIRONMENT
AL HEALTH (CoaLtJ
Cha rae Descri9ka
Individual Wells (,gQnX
$65.00 Inspection for abandoning or
sealing well
$ 55.00 Each reinspection
$ 35D0 * Each water sample report
$45.00 * Each water supply-nitrate analysis
$ 15.00 Inspection for foster child homes
$105.00 Appeal (hearings called pursuant
to Section 414-4.1019(b))
RODENTPROGRAM
Rodent Bait Cost Plus 25%
HAZARDOUS MATERIAL PROGRAM
Fee structure4or businesses required to submit a "Hazardous Material Business Plan" under Federal
Sara Title III Program and the California Hazardous Materials Release Response and Inventory Program
(AB 2185).
Hazardous Material Inventory Fees:
Number of
Em Wes lbs, of Material E=
1 -:4 and < 500K 146
5 -9 and
< 500K $ 272
10 - 19 and < 500K $ 380
< 20 and > 500K & < 2.5M $ 5,539
< 20 and > 2.5M & < 5M $10,912
20 and > 5M
$21,658
20 and < 10K $ 380
> 20 and a 1OK - < 100K $ 594
> 20 and > 100K - < 250K $ 1,239
> 20 and
250K - < 500K $ 2,314
a 20 and 500K - < 2.5M $ 5,539
2t 20 and 2.5M - < SM $10,912
> 20 and > 5M $21,658
All oil refineries and all Class 1 off-site
hazardous waste disposal sites $21,658
Each year the fee:Will cover the period commencing March I through February 28 New
handlers startingbusiness after September I of any calendar year will be assessed a six
(6) month fee the first year.
The fees shall be:non-transferrable, non-refundable and set on a facility basis.
Additional administrative fees of 25%may be assessed for:
1. Failure to respond to inquiries relating to compliance with these resolution; and
2. Late filing of business plans, beyond a 90-day notice of non-compliance.
The administering agency reserves the right to adjust the fees dependent on total
program cost and may adjust individual facility fees within the above:schedule when the
Heatth Officer:determines that:the fee is not equitable based on health risk.
No Rate Change
10
ViR 'NMENTAL'NEAM (con't3
UNDERGROUND STORAGE TANK PROGRAM
Underground Storage Tank Annual Permit
FEES DESCRIPTION
$100.00 * Single tank of 1,000 gallons or less used solely in connection
with the occupancy of a residence
$285.00 * First tank of 50,000 gallons or less
$185.00 * Each additional tank of 50,000 gallons or less
$385.00 * Each tank of 50,000 gallons or more
Underground Storage Tank Annual Permit Installed after January 1, 1984
I "Ek5 YKhich have s n are=ntajnMent and conti itoring equipment):
DESCRIPTION
$60.00 * Single tank of 1,000 gallons or less used solely in connection
with'the occupancy of a residence
$200.00 * First tank of 50,000 gallons or less
$150.00 * Each additional'tank of 50,000 gallons or less
$250.00 * Each tank of 50,000 or more
Un'er round Storage Tarek Installation Plan Review and Ins2ection:
In addition to the applicable Mate surcharge prescribed'by or pursuant to the law, the following
fees shall be collected:
EEU DESCRIPTIQN
$385.03 * New tank facility, first tank
$ 70.00 * Each additional tank
r r l, TemporaU QlosurerAbandonment:
ES DESCBl !
$100.00 * Single tank of 1,000 ;gallons or less, located at a residence
and use solely" in connection with the occupancy of that
residence
$240.00 * First tank at a site
$100.00 * Each additional'tank
IE)Sm.ction anal.!Plan Ronew for PiRng Replacement or.Modifi tion
FEES DESCRIPTION
$280.00 * Plan review and Inspection of pipe replacement or repair,
including the installation of overfill protection equipment and
corrasion'control devices
Earmft Amendment gr Transfer
FEES 12ESCRIPTION
$ 50.00 * Permit amendment or transfer fee
* No Rate Changs
11
.......................................... ................ ............... .......................... ......................................... ...........
... . ........
ENVIRONMENTAL HEALTH (MOM
UnderaCQund Tank Modification. Repair or Lining Permit
DESCRIPTION
$200-00 Includes review and inspection not exceeding four hours of
staff time
$ 70.00 Foreach additional hour or fraction thereof of staff time
ContamioaW Site Fee
FDESCRIPTION
EES
$ 70.00 Foreach hour or fraction thereof of service delivered by the
I
County Health Services Department in connection with the
characterization' or remediation of site contaminated by
discharge of a hazardous substance, material or waste, if the
owner,operator,or other responsible person in charge of the
site requests assistance from, the County or where an
inspection or an emergency response is necessary to verity
compliance with State and County regulations or to assure
public safety.
Reins ion Qr Time Use
FEES DESCRIPTION
$ 70.00 For each hour or fraction thereof of staff provided shall be
charged in the following cases:
a. More than one inspection or two hours of onsite time is
required in the case of tank removals.
b. More than two inspections or four hours of onsite time
is required in the case of tank installations.
c. More than one reinspection is required to determine
compliance.
d. Inspection, consultation or other services related to
underground storage of hazardous substances or
hazardous materials or wastes are provided and said
services are not otherwise covered by this ordinance.
Document Sear
EM DE$CRIFTION
$ 70.00 For each hour or fraction thereof of staff time shall be charged
to any consulting firm, realtor, lending institute or other
commercial enterprise for services performed in complying
with document research requests for these enterprises
No Rate Change
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 5% during the next twelve month period. The Health
fee e amount
Services Director or his designee are authorized to adjust, waiveor compromise the in:
those cases in which he determines that it is cost effective to do so.
:vw
I hereby WON 00 NO 16 A MO&W Wed OOPY of
Inutge of the
an WWn Uk*n WO 9ftWW on go M
Orifi: County Administrator
PM C
CC: Health"Services Director on to dde
BOW Df
101
ATTESTED'Counsel ELOR,Cle*of the 808M
PHIL BATCG
County Auditor of sore and County AdAdministratorsupr
vi
Deputy
12
................. .......
...................
!o