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HomeMy WebLinkAboutRESOLUTIONS - 01011993 - 1993-081 'T`HFi BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on February''23, 1.993 by the following vete; AYES: Supervisors Smith, Bishop, McPeak, Torlakson NOTES: 1-lone ABSENT: Supervisor Powers ABSTAIN: kne , RESOLUTION NO. 93/81 SUBJECT: Amending ItemizedProfessional and Service Rate Charges for Contra Costa County Health Services Effective February 23, 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 Number 93/49 effective January 12, 1993: 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 BOAR RESOLVED that an amended and restated schedule of itemized rate charges for the Health Services Department'effective February 23, '1993:is established as'follows: HOSPITAL IN'PATIE'NT Service Daily Rate for Routine Roca and Board Medical Ward $ 577 Nursery Bassinet $ 436 Intensive Care $ 1,825 Mental Health` $ 572 Total Unft 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 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 change Resolution no. 93/81 ANCILLARY'SERVICES DEPARTMENT BILLING UNIT CHARGE Anesthesiology 15-Minute Intervals $64.00 Pharmacy Cost Plus % Cost plus 60% Central Supply Cost Plus % Cast 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 ASSOCIATI .N-BEL-A-T-IVE-Y_ALUE STUQIES CHARGE Medicine $ 6.50 Surgery $ 161:00 Radiology $ 7.00 Anesthesiology $ 35.00 OUTSIDE SERVICES AND SUPPLIES CAS Nuclear Medicine Cost Plus 35% EEG Cost Plus 30% Blood Bank Cast Plus 35% Prosthesis Cost Plus 35°la Laboratory Cost Plus CHS (CHS - Collection and Handling of Specimens) CHARGE Professional Use of Outpatient Visits Component Treatmgnt Room , TOTAL New Patient Brief $ 34.00 $42,00 $ 76.00 Expanded $ 44.00 $42.00 $ 8fi. . Detailed $ 60.00 $42.00 $102.00 Comprehensive i $ 77.00 $42.00 $119.t}Ci Comprehensive II $100.00 $42.00 $142.00 * Indicates change 2 Res. 93/81 3 3:E^:�ii3:a:'ae3+iS.... :.....Yi3r...:: :: ..... .. ...... 315.. ..,1.....�.31,i z AMBULATORY«CLINIC RATES (c jf d) CEJARGE Professional Use of C3Wpatient Vis s -C npanent Treat enj Room I T Established Minimal $ 14.03 $ 42.00 $ 56.00 Brief $ 20.00 $ 42.03 $ 62.00 Expanded $ 30.00 $ 42.00` $ 72.03 Detailed $ 37.00 $ 42.00 $ 79.00 Comprehensive I $ 50.00 $ 42.00 $ 92.00 Comprehensive II $ 74.00 $ 42.0 0 $116.00 Dental Care Per Fee Schedule EmeraeWy Room Visits Brief $ 35.03 $ 63.00 .$ 98.00, Umited $ 46.00 $ 63.00 $109.00 Expanded $ 74.03 $ 63.00 $137.03 Detailed $ 97.00 $ 63.00 $160:03 Camp Admit HX & PX $120.00 $`63.00 $183.00 UNIT OF Phc-tocop"n ;CERVI !QHARGE- Copy Per Page $ .10 Microfilm Per Page $ .25 Staff Time Per Hour $ 16.0a Postage Actual Charge HEALT_tj P R' I UNIT OF $,VICE CjjGE Collateral Visit $104.03 Assessment Visit $199.00 Individual Visit $131.0 Group Visit $- 90.00 Medication Visit $133.001 Crisis Visit $333.00 Day Care, Intensive/Adult Visit $163.00 Day Care, Intensive/Child Visit $104.013 Day Care, Habilitative Visit $ ,99.00 Case Management Staff Hours $ 98.00 DE=FICATiQN 50VICBS UNIT OF Medical Detoxification SERVICE CHARQB Services (21-day Procedure) New Patient (1st 7 stays) Visit` $ 1+6.501 New Patient (days 8-12) visit $ 10.50 Readmitted Patient (days 1-12) Visit $ 10.50 Physician Re-examination Visit $ 20.00 * Indicates change 3 Res. 93/89 ................ ...................... ............... .............................. ............................... ................................ ...................... DRUG ABUSE PROGRAM SERVICES UNIT OF Residential Treatment SER ICE CHARGE Admission Fee Person $ 35.00 Residential Treatment Month $2,400.00 Drug Free Outpatient UNIT OF Clinic Treatment SERVICE HARGE 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 SERVICE Alcohol Information for UNIT OF Referral Service (AIRS SERVIQE CHARGE IndividualCounseling 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 SERVICE CHARGE SkilledNursing Visit $139.00 Physical Therapy Visit $134.00 Speech Pathology Visit $139.00 Occupational Therapy Visit $133.00 Medical Social Service Visit $193.00 Home Health Aides Hour $ 75.00 HEALTH PLAN UNIT OF Medicare Premium SERVICE CHARGE Senior Health Basic individual $ 41.00 Senior Health Individual $ 55.00 Senior Health Plus 40 Individual $ 88.00 Senior Health Plus 50 Individual $ 93.00 Indicates change 4 ................ ............- . ......... ....................... .......... ............. HEALTHPLAN (cot'd) Commercial Group and UNIT OF Indiv_ 'deal Premium SEPVI , CHARGE Monthly Revenue Requirement Monthly Premium for $95.10 health care service costs. RATE AMENDMENTS: Authorize the Health Services Director or his designee to: establish specific premium rates for commercial groups and individuals including SeniorHealth members; use the "community rating by class" rate determination process" for groups of 25 or more employees; include an additional monthly premium factor for administrative cost loading; increase the revenue requirement on a quarterly basis as appropriate by an amount not to exceed 4% per quarter. PUBLIC HEALTH Family_Planning CHARGE ION 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'x+ 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.E 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 8 1 - 19 yrs. old Cost Each 20 yrs. & older Cost $15.00 Admin. Each Occupational Risk $155`.00 Each series T.B. 'Skin Tesono (P.P.©) $10.00 Includes reading but no charge for contacts Vengr al Disease $20.00 Clinic attendance for any sexually transmitted disease Nutrition Services $45.00 Per hour consultation fee * Indicates change 5 PUBLIC HEALTH (cont'M 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 Sabine 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 $ 13.508 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 10% (i.e.: videos, posters; pamphlets, t-shirts, etc) 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 Charge Regular $ 7.00 After Hours $ 7.00 Cross Filing $ 10.00 * indicates change 6 ENVl80N EffAL'`HEALTH Environmental Health Permit Fee: Restaurants Seats 0-25 $290.00 Restaurants Seats 26-49 $320.40 Restaurants Seats 50-149 $440.04 Restaurants Seats 150+ $500.00 Vending Machines Machines 1-4 $ 80.00 Vending Machines Ea. add't mach. over 4 4+ $ 15.00 Tavern/Cocktail Lounge Bar $320.00 Snack Sar $300.04 Drive-In/Take-Out $400.04 Drive-In/Take-Out & Restaurant Combination $460.04 Commissary $400.00 Catering; $400.00 School Cafeterias No Fee No Fee Itinerant Restaurants $ SMOO Retail Markets Sq.Ft <2,000 $270.04 Retail Markets Sq.Ft. 2,030-4,000 $324.44 Retail Markets Sq.Ft. 4,001-6,000 $3803.00 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. 2,400-40000 $320.00 Food Processing Establishment Sq-Ft. 4,001-6,000 $360.00 Food Processing Establishment Sq.Ft. >6,000 $500.04 Food Demonstrator $140.00 Retailer FoodVehicle (Del & Ped) $160-00 Mobile Food Prep Units $300.40 Retail Food Vehicles (Ind CAT.TRk) $160.40' Bakery Sq.Ft. <2,400 $270.00 Bakery Sq.Ft. 2,000-4,000 $324.04 Bakery Sq.Ft. 4,041-6,000 $354.40 Bakery Sq.Ft. >6,000 $500-00 Septic Tank,Chemica 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 $300.04 Pool-Resort $300.03 Each Add. Pool within Same Location $100.00 Pool-Other-Fee Q Hourly Rate $ 90.00 Pool-Other-No Fee No Fee Spa-Apartment, Motel, Hotel Mult-Use $300.01 Spa-Public School No Fee Spa-Municipal Pool No Fee Spa-Health Club/Swim School $300.40 Spa-Resort $300-00 Each Add. Within Same Location $100.00 Spa-Other-Fee @ Hourly Rate $ 90.00 Spa-Other-No Fee No Fee Small Water Systems Connection '2-4 $ 84.04 Indicates change 7 ................ ............ ............ ................ ..................... ..................................- ............ ............ .......... ............................. ENVIRONMENTAL HEALTH (Cont'dj Environmental Health Permit Fee (cont'd): 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 <2,000 $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 g Hourly Rate $ 90-00 Application Fee $ 25.00 Wiping Rags Business $150-00 SOLID WASTE-PROGRAMS Chgrgg Solid Waste Tonnage Fee $ 1.00 /ton Solid Waste Facility Permit Application $550.00 Medical Waste: Certification/Application Fee Charae Categ-QW. Small quantity generator with onsite treatment $ 120.00 Limited quantity hauler $ 60.00 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- & Qutpatient Clinics: 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 Acute psychiatric hospital $ 230.00 Intermediate care $ 345.00 $ 410.00 Primary care Clinic laboratory $ 230.00 Health care service plan facility $ 410.00 Indicates change 8 ............... ................... ............ .............. .............. ENVIRON ENTAL HEALTH (Co L c�1 SOLID WASTE PROGRAMS (conm Medical Waste (cont'd): 4: ertification.1Aonlication 'Fee Cateagry Charge 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: cri tion QAC Application Fee $ 25.000 Subdivisions proposing to use individUal seWAge disp-Qsal 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 calledpursuant to Section 420-6.026) $120.00 Subdivisions proposing to use individual Sewage disposal Ustems Site evaluation, per lot, 2-4 lots $ 90.430 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 IndividualSe-wage Disposal �ystems Site Evaluation (minimum 1 hour charge) $ 90.430 Percolation test $450.00 Each add'l percolation test $450.003 Permit (except minor building) $240.IX0 Review of existing individual system $140.00 Abandonment or sealing of septic tank Permit $ 55.00 Inspection time (Minimum 1' hr. charge) $ 90.01} Reinspection $ 55.00 Appeal (except hearings called'pursuant to Section 420 .026) $120.00 Advices consultation, miner repair permit $;90.00/hr " Indicates change 9 ENVIRONMENTAL HEALTH O0r LAND USE PROQRAM, (cont' Sewage Disposal Systems and Water Wells (cont'd): Description CHARGE Subdivi br000 Ma 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 mineral 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 PR GRAM 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 Eml2loyee6 lbs, of Material _r,Fee: 1 - 4 and < 500K $ 145 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 $ 25,900 20 and, < 10K $ 3$0 > 20 and 10K - < 100K $ 713 >_ 20 and ? 100K - < 250K $ 1,483 >_ 20 and >_ 250K - < 500K $ 2,777 > 20 and > 500K - < 2.5M_ $ 6,647 > 20 and > 2.5M - < 5M $ 13,094 , > 20 and > 5M $ 25,990 All oil refineries and all Class 1 off-site hazardous waste disposal sites $ 25,990 * Indicates Change 10 .. :s:E3EAx.•::ax:vr.z..r3rpx.aw:flr:vx:.u.:x:ir..a:r r s=:zau I E.ua:u r x:... ., ..... ....... .... 3l3.... iE.... ...:x3I E:::x:::•rxxxux 3xuvE r:..oar:r.a, rar:..:.ar: .......... ............ .3,1,f... 3 €3€iS•..313 33n,...3. 3!t. i N3 E3inY:r:n1 x....Irx....N E mauari n:::..:r•r xy^9 i nxe.•y E:.aa:x.... -- ENVIRONMENIAL HEALTH (cant'cil: HAZARDQUS T RA A n ' Hazardous Material Inventory Fees (cont'd)i Each year the fee will cover the period commencing March 1 through February 28. New handlersstarting business after September 1 of any calendar year will' be assessed a six (6) month fee the first year. The fees shall'be nein-transferrable, non-refundable and set on a facility basis. Pursuant to Section 25535.2 an additional administrative fee of $90.00/hr.hr. 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 JO-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 abode schedule when the Health Officer determines that the fee is not equitable based on health risk. QNj2EfflBOUN12N AM Underground Storage Tank Annual Permit fto for First (oldest) Tank at 9=h Site EM 12ESCRIPTION $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 UmIQ whiCh do- not nt inm" inWWs mo_nitorlag eQuipMeno: FEE DESCB ICJN $100.00 Single tank of 1,000 gallons or less used sorely 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 nk w i v inagM..abd QQnfinuousrn i r'n i FE �ES�RIPTI�N $ 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.) $250.00 Each tank of 50,000 or more * Indicates change 11 ENVIRONMENTAL HEALTH (cont'd) UNDERGROUND STORAGE TANK PROGRAM lcont'd) Underground.Storage_ Tank Installatign Plan Review and, Inspection: In addition to the applicable State surcharge prescribed by or pursuant to the law, the(following fees shall be collected: FEES DESCRIPTION $385.00 New tank facility, first tank $ 70.00 Each additional tank Underaround Storage Tank Removal.-Tem oorra_ry r'�� +,rP nr At�andtanment: FEES DESCRIPTION $100.00 Single tank of 1,000 gallons or less, locatedat 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 Inspection and Plan Review for Piping RMIacement or Modification; fEEa 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 FEES DESCRIPTION $ 50.00 Permit amendment or transfer fee Underground Tank Modification ReRair or Linin Permit FEES 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 ,pF=SCRIPTION $ 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 safety. Indicates change 12 ... ENVIRONMENTAL HF.AM (Cgrd d) UN12EBGR IRAQE16N16NK EBQGR6m Rein on orTime Use ffM DE$QRIPTIQN 90.00 For each houror 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 Search I`IEE DEaQRIPTION $ 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 RESPONSE $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 MEDIQ6L Emeraency Medical F.. Certification $15.00 Recertification $15.00 Lost/Stolen Credit Card` $10.00 EMergency Med-igal Technician-E! P r Certification and Accreditation $50.00 Recertification and Reaccreditation $40.00 Certification or Recertification Only $35.00 Mobile Intensive-Care Nurse (MICN) 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 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. 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 Qrig: County Administrator cc: Health Services Director Health Services Administration (George Washnak) County Counsel County Auditor Contact: George Woshnak (370-5036) bW:doC 2/4/93 I hereby certify that this is a trete and correct copy of an action taken and entered on the minutes of tns soars'of Sunervi s o50-8 dab shown. + ATTESTEO: -` PHIL'G T Cru:LUH,Clerk oftOWBoaro of Supervisors and County Administrator � `L i �� Deputy Res. 93/8 14 _:_... ............ _.-3 i i.. 31 ;:a:'a:M!i i. 'i@,.u....:r3,iu:aaa:3rirE:a.ipp03aaxza3 h:a::::eiiilA.:.:rip r:^per 33Rp:a:�p33,E S'zs3::33gi 31"" 3iN,^:.:.kaa.3+pHi0"^: Mn pe:r