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Home My WebLink AboutRESOLUTIONS - 01011993 - 1993-049 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNT'S', CALIFORNIA Adapted this Order on Januar,/ 12, 1993 by the following vote: AYES. Supervisors Powers:, Smith, Bishop, P1cPeak, Torlakson NOES:` done ABSENT: Prone ABSTAIN: None RESOLUTION NO. 93/49 SUBJECT: Amending Itemized Professional and 'Service Irate Charges for Contra Costa County Health Services Effective January 12 1993. 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 Dumber 92/583 effective August 11, 1992 and 81/464 effective April 28 1981. 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 December 15, 1992 is established as follows. HOSPITAL INPATIENT Daily Rate for Routine Service Room and-Board Medical Ward $ 577 Nursery Bassinet $ 436' Intensive Care $ 1,825 Mental Health $ 672 Total Unit Rate Obstetrics Fixed all inclusive @ Routine delivery $ 3,908 . Routine delivery with tubal ligation $ 5,254 Prior or primary C-Section $ 8,215 @ 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 tests 3. Nutrition Class` 4.'- Early Pregnancy Class 8. 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. PESOLUTIOPI "I0. 93/49 ............ ......................................................................... ......................................................................... ............................ .......... ANCILLARY SERVICES DEPARTMENT BILLING UNIT CHARGE Anesthesiology 15-Minute Intervals $64.00 Pharmacy Cost Plus % Cost plus 60% Central Supply Cost Plus % Cost plus 400% 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 $101.00 Speech 30-Minute Intervals $101.00 Cardiopulmonary Relative Value Units $ 10.00 Delivery Room 15-Minute Intervals $ 77.00 Surgery Recovery 1st Hour $279.00 Each Add'I 15 Minutes $ 64.00 Operating Room Each 15 Minutes $101.00 Cast Room Unit $101.00 PROFESSIONAL COMPONENT CHARGES PER RELATIVE VALUE UNIT BASED UPON THE'CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE STUDIES CHARGE 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 Component Treatment Room TQJAL - New Patient Brief $ 34.00 $42.00 $ 76.00 Expanded $ 44.00 $42.00 $ 86.00 Detailed $ 60.00 $42.00 $102.00 Comprehensive 1 $ 77-00 $42.00 $119.00 Comprehensive 11 $100-00 $42.00 $142.00 RESOLUTION NO. 93/49 2 ............. .......... !:Y:......... WRM AMBULATORYCLINIC RATES (con's CHARGE Professional Use of Outpatient Visits Component Treatment Room T TAL Established Minimal $ 14.00 $ 42.00 $ 56.00. Brief $ '..20.00 $ 42.00 $ 62.00 Expanded $' 30.00 $ 42.00 $ 72.00 Detailed $ 37.00 $ 42.00 $ 79.00 Comprehensive 1 $ 50.00 $ 42.00 $ 92.00' Comprehensive 11 $ 74.00 $ 42.00 $116.00 Dental Care Per Fee Schedule Emergency Room Visits Brief $ 35.00 $ 63.00 $ 98.00 Limited $ 46.00 $ 63.00 $109.00 Expanded $ 74.00 $ 63.00 $137.00' Detailed $ 97.00 $ 63.00 $160.00 Comp Admit HX & PX $120.00 $ 63.00 $183.00 UNIT OF tocop ng 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 SERVICE CHARGE Collateral Visit $104.00 Assessment Visit $199.00' Individual Visit $131.00 Group Visit $ 90.00 Medication Visit $133.00 Crisis Visit $333.00 Day Caro, Intensive/Adult Visit $163.00 Day Care, Intensive/Child Visit $104.00 Day Care, Habilitative Visit $ 99.00 Case Management Staff Hours $ 98.00 DETOXIFICATION SERVICES UNIT OF Medical Detoxification SERVICE CHARGE Services (21-day procedure) New Patient (1st 7 days) Visit $ 16.50 , New Patient (days 8.12) Visit $ 10.50 Readmitted Patient (days` 1-12) Visit $ 10.50 Physician Re-examination. Visit $ 20.00 RESOLUTION 93/49 3 DRUG ABUSE PROGRAM SERVICES UNIT OF ,. Residential Treatment SERVICE CHARGE Admission Fee Person $ 35.00 Residential Treatment Month $2,400.00 Drug Free Outpatient UNIT OF Clinic Treatment` ES RVICE 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 $ 99.00 Outpatient Drug Free (Composite State Charge) Visit $ 103.00 Outpatient Methadone Maintenance Visit $ 10.00' ALCOHOL PROGRAM SERVICES Alcohol Information for UNIT OF Referral 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 1) Person $ 312.00 1st Offender (Level II) Person $ 500.00 2nd Offender Person $1,175.00 HOME HEALTH AGENCY UNIT OF ERVICEES RVICE CHARGE-- Skilled HARGE-Skilled Nursing Visit $139.00 Physical Therapy Visit $134.00 Speech Pathology Visit $139:00 Occupational Therapy Visit $133.00 MedicalSocial Service Visit $193.00 Home Health Aides Hour $ 75.00 HEALTH PLAN UNIT OF Medicare PremiumES RVICE CHARGE Senior Health Basic (Low Option) Individual $ 41.00 Senior Health (Mid Option) Individual $ 55.00 Senior Health Flus (High Option) Individual $ 88.00 RESOLUTION 93/49 4 ..,,:......::,.h:,;....,:,,:,...:::.... HEALTH PLANfcgaLt Commercial Group and UNIT OF Individual Premium SERVICE CHARGE Monthly Revenue Requirement MonthlyPremium for $95.10* (Authorizes establishment of health care service costs. specific premium rates required by commercial groups and individuals: use of the "community rating by class" rate determination process for groups of 25 or more employees; authorizes an 'additional monthly premium factor for administrative cost loading; increase in the revenue requirement on a quarterly basis as appropriate by an amount not to exceed 4% per quarter. PUBLIC HEALTH Family Planning CHARGE DESCRIPTION Pregnancy Test $ 12.03 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 Immunization a. Typhoid $ 10.00 Each b. Stamping of Inter- national Travel Cards $ 5.00 Each c. Childhood Immunizations $ 5.00 Each person, not to exceed $10.00 per family d. Measles Vaccine (second shot) $ 5.00' Each under 200% of poverty $26.00 Each over 200% of poverty e. Immunization ReCOrd' (duplicate) $ 5.00 Each f. Flu Immunization $ 5.00' ` Each g. Hepatitis B 1 - 19 yrs. old Cost Each 20 yrs. & older Cost + $15.00 Admin. Each Occupational Risk $155.00 Each series T.B. Skin Testinca (P.P.D) $10.00 Includes reading but no charge for contacts Venereal Disease $20.00 Clinic attendance for any sexually transmitted disease Nutrition Sprvices $45.00 Per hour consultation fee *Indicates'change RESOLUTION NO 93/49 5 .......... ............. .......................... ........ ................................. ........................................... ................................................ PUBLIC HEALTH Lcon'tj CHARGE DESCRIPTION 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 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 ]so $ 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 10% (ie.: videos, posters, pamphlets, t-shirts, e+r'tc,N Elderly Flu Shots Voluntary Contributions VITAL STATISTICS Certified Copies Charge Death and Fetal Death $ 8.00 Birth - General Public $ 15.00 Birth - Government Agency $ 8.00 Permit for Disposition of Human Remains harc ae Regular $ 7.00 After Hours $ 7.00 Cross Filing $ 10.00 RESOLUTION 93/49 6 .............................. ...... .......... .......... M P...M 01PRIM."i 00 M: Mom. ENVIRONMENTAL'HEALTH CONSUMER PROTECTION PROGRAM: Environmental Health Permit Fee: "tteaor�r nit Capacijy RATE Restaurants Seats 0-25 $290.00 Restaurants Seats 26-49 $320.00 Restaurants Seats 50-149 $440.00 Restaurants Seats 150+ $500.00 Vending Machines (Machines 1-4 $ 80.00 Vending 'Machines Ea.'add'l mach. over 4 4+ $ 15.00 Tavern/Cocktail Lounge Bar $320.00 Snack Bar $300:00 Drive-In/Take-Out $400.00 Drive-In/Take-Out & Restaurant Combination $460'00 Commissary $400!00 Catering $400.00 School Cafeterias No Fee No Fee Itinerant Restaurants $ 80.00 Retail Markets Sq.Ft <2,000 $270.00 Retail Markets Sq.Ft. 2,000-4,000 $320.00 Retail Markets Sq.Ft. 4,001-6,000 $360.00 Retail Markets Sq.Ft >6,000 $500.00 Roadside Stands $150.00 Food Salvager $420.00 Food Processing Establishment Sq.Ft. <'2,000 $270;00 Food Processing Establishment Sq,Ft. 2,000-4,000 $320.00 Food Processing Establishment Sq.Ft. 4,001-6,000 $360.00 Food Processing Establishment Sq.Ft. >6,000 $500.00 Food Demonstrator $140.00 Retailer Food Vehicle (Del & Ped) $160.00 Mobile Food Prep Units $300.00 Retail Food Vehicles (Ind CAT.TRk) $160.00 Bakery Sq.Ft. <2,000 $270:0 Bakery Sq.Ft. 2,000-4,000 $320.00 Bakery Sq.Ft. 4,001-6,000 $360.00 Bakery Sq.Ft. >6,000 $500:00 Septic Tank,Chemical Toilet>>Cleaner Business $160.00 Septic Tank,Chemical Toilet Cleaner Vehicle/ea $ 60.00 Pool-Apt, Motel,Hotel Mult-Use $300.00 Pool-Public School No Fee Pool-Municipal Pool No Fee Pool-Health Club/Swim School $300.00 Pool-Resort $3300.00 Each Add. Pool within Same Location $100.00 Pool-Other-Fee a@ Hourly Rate' $ 90.00 Pool-Other-No Fee No Fee Spa-Apartment, Motel, Hotel Mult-Use $300.00 Spa-Public School No Fee Spa-Municipal Pool No Fee Spa-Health Club/Swim School $300.00 Spa-Resort $300.00 Each Add. Within Same Location $100.00 Spa-Other-Fee Hourly Rate $ 90.0€3 Spa-Other-No Fee No Fee Small Water Systems Connection 2-4 $80.00 7 ENVIRONMENTAL HEALTH (Cont) Environmental Health Permit Fee (con't): Small Water Systems Connection 5-50 $130.00 Small Water Systems Connection 51-199 $155.00 Small Water Systems-Non-Community $135.00 Small Water Systems No Fee Wholesale Food Sq.Ft e2,000 $270.00 Wholesale Food Sq.Ft. 2,000-4,000 $320.00 Wholesale Food Sq.Ft. 4,001-6,000 $360.00 Wholesale Food Sq.Ft >6,000 $500.00 Ice Plant $115.00 Incidental Confectionery $125.00 Violation Reinspection Fee $ 55.00 Special Services Fee @ Hourly Rate $ 90.00 Application Fee $ 25.00 Wiping Rags Business $150.00 SOLID WASTE PROGRAMS Charge Solid Waste Tonnage Fee $ 1.00 /ton Solid Waste Facility Permit Application $550.00 Medical Waste: Certification/ApIp ication Fee Category: Charae Small;quantity generator with onsite treatment $;120.00 Limited quantity hauler $ £0.00 Common storage facilities Serving 2-10 generators $ 120.00 Serving 11-49 generators $ 290.00 Serving 50 or more generators $ 575.00 Transfer station Less than 200 lbs. per month $ 165.00 200 lbs. or more per month $ 330.00 Inpatient Facilities & Outpatient Clinic Acute care hospitals: 1-99 beds $ 700.00 100-199 beds $ 999.00 200-250 beds $1,165.00 251 or more beds $1,630.00 Specialty clinics $ 410.00 Skilled Nursing Facilities 1-99 beds $ 320.00 100-199 beds $ 410.00 200 or more beds $ 462.00 Acutepsychiatric hospital $ 230.00 Intermediate care $ =345.00 Primary care $ 410.00 Clinic laboratory $ 230.00 Health care service plan facility $ 410.00 8 ENVIRONMENTAL HEALTHfC i 'ti't) SOLID WASTE»PROGRAMS (coni Medical Waste (con't): Certification./Application<Fee g Chrc.e Veterinary clinic or hospital $ 230.00 Medical/Dental/Veterinary office (200 Lbs. or more per month) $ 230.00 Reinspection fee (per hour) $ 90.00/hr Medical Waste certification/ Application fee $ 25.00 Solid Waste Mandatory Service Exemption Fee for service $ 90.00/hr. LAND USE PROGRAM Sewage Disposal Systems and Water Wells: Description QHARGE Application Fee $ 25.00 Subdivisions proposing to use indiyidual;,sewa-ae disposal systems and water Site evaluation, per lot, 2-4 lots $140.00 Site evaluation, 5 or more lots, maximum $700.00 Percolation tests, per lot or building (5 holes min.) $450.00 Appeal (except hearings,called pursuant to Section 420-6.026) $120.00 Subdivisions proposing to use individual sewage disposal systems Site evaluation, per lot, 2-4 lots $ 90.00 Site evaluation, 5 or more lots $470.00 Percolation tests, per lot or building $450.00 Appeal (except hearings,called pursuant to Section 420-6.026) $120.00 Individual Sewage Dis o al Systems Site Evaluation (minimum 1 hour charge) $ 90.00 Percolation test $450.00 Each add'l percolation test $450.00 Permit (except minor building) $240.00 Review of existing individual system $140.00 Abandonment or seating of septic tank Permit $ 55.00 Inspection time (Minimum I hr. charge) $ 90.00 Reinspection $ 55.00 Appeal (except hearings'called pursuant to Section 420-6.026) $120.00 Advice, consultation, minor repair permit $ 90.00/hr 9 .......................... ...................... .......................................... .... ........... ......................................... .............. .......................................................................................... ...... ............................................. ENVIRONMENTAL HEALTH (Con't) LAND USE PROGRAM (coWt Sewage Disposal Systems and Water Wells (con't): DescriptionCHARGE Subdivision proposing to use wells Site evaluation, per lot, 2-4 lots $ 90.00 Site evaluation, 5 or more lots, maximum $470.00 Appeals (hearings called pursuant to Section 414-4.1019) $120.00 Individual Wells Layout, permit and inspection of ea. individual water system/well $140.00 Review of an existing individual water system/well $ 90.00 Inspection for abandoning or sealing well $ 90.00 Each reinspection $ 55.00 Each water sample report $ 40.00 Each water supply-nitrate analysis $ 50-00 Inspection for foster child homes $ 25.00 Appeal (hearings called pursuant to Section 414-4,1019(b)) $120.00 General Water Hauler Business $160.00 Water Hauling Vehicle $ 60.00/vehicle Special Services Fee $ 90.00/hour RODENT PROGRAM Rodent Bait Cost Plus 25% HAZARDOUS`-MATERIAL PROGRAM Fee structure for 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 Employees lbs. of Material Fee 1 - 4 and < 500K $ 146 5 - 9 and < 500K $ 272 10 - 19 and < 500K $ 380 < 20 and > 500K & < 2.5M $ 6,647 < 20 and > 2.5M & < 5M $ 13,094 < 20 and > 5M $ 25,990 > 20 and < 1OK $ 380 20 and > 10K - < 1 OOK $ 713 20 and > 100K - < 250K $ 1,483 > 20 and > 250K - < 500K $ 2,777 > $ 6,647 > 20 and 500K - < 2-5M > 20 and > 2.5M - < 5M $ 13,094 2: 20 and 5M $ 25,990 All oil refineries and all Class 1 off-site hazardous waste disposal sites $ 25,990 10 . ... ...... ....... . .. ... ENVIRONMENTAL HEALTH orji'd HAZARDOUS MATERIAL PROGRAM (cont'd Hazardous Material Inventory Fees (cont'd)I Each year the fee will cover the period commencing March 1 through February 28. New handlers starting business after September 1 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. Pursuant to Section 25535.2 an additional administrative fee of $90.00Jhr. for staff review time will be assessed for each risk management prevention program submitted by owner or operator of a facility for certification. Additional administrative fees of 25% may be assessed for: 1. Failure to respond to inquiries relating to compliance with these resolutions 2. Late filing of business plans, beyond a 90-day notice of non-compliance 3. Failure to pay the fee in a timely manner. 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 Health Officer determines that the fee is not equitable based on health risk; UNDERGROUND STORAGE TANK PROGRAM Underground Storage Tank Annual Permit Fee'for First (oldest} Tank at Each Site EE_E3 DESCRIPTION $285.00 If first tank" does not have secondary containment and continuous monitoring equipment. $200.00 If "first tank" has secondary containment and continuous monitoring equipment. Note: Only one"first tank"fee is applicable to each site. Additional tanks are charged according to the following fee schedule: Underground Storage Tank Annual Permit a-g—nks which do not hv n a t 'inrn nt and continuousm nit rina equipment): FEES DERIPTION $100.00 Single tank of 1,000 gallons'or less used solely in connection' with the occupancy of a residence $185:00 Each additional tank of 50,000 gallons or less (excludes "first tank" if applicable.) $385.00 Each tank of 50,000 gallons or more Underground Storage Tank Annual Permit installed after January 1, 1984 Mnks.wKich hay_Q secondarynt inm nt and continuousMonitoring i rn nt FEES DESCRIPTION $ 60.00 Single tank of 1,000 gallons or less used solely in connection with the occupancy of a residence $150.00 Each additional tank of 50,000 gallons or less (excludes "first tank";,if applicable.) $250.70 Each tank of 50,000 or more 11 ENVIRONMENTAL HEALTH (gontid) UNDERGROUND STORAGE TANK PROGRAM/�I .(cont' a Underaround StorageT nk -Installation Pin Beview end Insl2ecliom. In addition to the applicable State surcharge prescribed by or pursuant to the law, the fallowing fees shall be collected: FEES DESCRIPTION $385.00 New tank facility, first tank $ 70.00 Each additional tank Underground Storage Tank Removal, Temporary Closure rAbandonment. FEE, DESCRIPTION $100.00 Single tank of 1,000 gallons or less, located at a residence and used solely in connection with the occupancy of that residence $240.00 First tank at a site $100.00 Each additional tank In tin nd Plan Review f r Piping RMIacement or Modification FEES DESCRIPTION $280.00 Plan review and inspection of pipe;replacement or repair, including the installation of overfill protection equipment and corrosion control devices Permit Amendment or Transfer FEE DE$CRIPTI N $ 50.00 Permit amendment or transfer fee Underaround Tank-Modification, Rgpair or Lining P rmit ff E DESCRIPTION $200.00 Includes review and inspection, not exceeding four hours of staff time $ 90.00 For each additional hour or fraction thereof of staff time Contaminated Site -Fee FEES DESCRIPTION $ 90.00 For each hour;or fraction thereof of service delivered by the 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 verify compliance with State and County regulations or to assure public safetty. Reinspection or Time Use FEES DES,CRIPTIQN $ 90.00 For each hour or fraction thereof of staff provided shall be charged in the following cases: 12 KIM- a}i i$'aslH&` ,,.'3isjYl9^ 'V Hfi' `tq 9F`a-vnzw 'hkzywx:r1 ENVIRONMENTAL HEALTH (cc�nt'd� UNDERGROUND STORAQE TAT PROGRAM (cont' ) 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. e. 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 Search FEES DESCRIPTION $ 90.00 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. EMERGENCY RASP NSE $90.00 For each 'hour or fraction thereof of service delivered by the County Health Services Department in connection with the characterization or remediation of site contamination 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 verify compliance with State and County regulations or to assure public safety. $135.00/$180.00 in addition to the regular hourly rate, a charge for overtime (11h or 2 times the regular hourly rate) as applicable and for the cost of emergency vehicles used in connection with the remediation of site contamination. EMERGENCY MEDICAL SERVICES AGENCY Emergency Medical Technician-1 (EMT-1� FEE Certification $15.00* Recertification $15.00* Lost/Stolen Credit Card $10.00* Ern 'raency Medical Technician-P fParamgdicl Certification and Accreditation $50.00* Recertification and Reaccreditation $40.00* Certification or Recertification Only $35.00* Mobile Intensive Care Nuri(11111 N) Authorization $25.00* Reauthorization $20.00* *Indicates change. 13 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 protectionof 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. Rates will change with applicable statute changes. The Health Services Director or his designee are authorized to adjust, waive or compromise the fee amount in those cases in which he determines that it is cost effective to do so. :vw Orig: County;Administrator cc: Health Services Director County Counsel County Auditor bon,doc 11/20/02 thereby certify that thte M a trge and Correct COPY Of an action taken and enteredthe minutes of the 0" Boar++of Supe on dtal rttowet. 17 AT TEST= p EU �p Clerk� of rd of rW* Cou* 'dm eft Deputy ex RESOLUTION NO, 93/49 14 ,Hl3 4,:4:1..,..O M1N:... 1.....3 :N :443N i::#C 4`€:s:3: ....... 8i...... .:...3 ..... ::..N .::FH:31'?E:F:. .....................�.....N1.....li:.....N.....3H N6...ii...€n6.....3.....3H:............6......l:....3 3,....!:.....!....i!:.„;:a6 x......::.::..,...:,:...: :.:...��.... .....:..�... ........�'.. .;�.:..: N 9.... 3.. i!N 3?Y,.:..: 31i„EI3 l,li. 3 Hf.�. :.H 3 t s.3N„i: H!a..:liH., n••• ::.3 h 'H .::INE 311 :i>31EHs 3!314 3�IEi:a,314 3i4HHH£::;iH l 61tH4 :Yp3 �4•H .