HomeMy WebLinkAboutRESOLUTIONS - 01011997 - 1997-142 THE BOARD OF SUPERVISORS
OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on March 18, 1997 by the following vote:
AYES: Supervisors Rogers, Uilkema, Gerber, Canciamilla, DeSaulnier
NOES: None
ABSENT: None
ABSTAIN: None
RESOLUTION NO. 97J142
SUBJECT: Amending Itemized Professional and Service gate Charges for Contra Costa
County Health Services Effective March 1, 1997.
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 85/303 dated June 27, 1595.
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 March 1, 1997, is established as follows:
HQSPITAL INPATIENT
Daily Rate for Routine
Service Room and Board
Pediatrics $ 788
Medical Ward $ 735
Transitional Care Unit $ 735
Nursery Bassinet $ 522
Intensive Care $ 2,146
Total Unit Bate
Obstetrics Fixed all inclusive @
Routine delivery $ 4,267
Routine delivery with tubal ligation $ 5,904
Prior or primary C-Section $ 9,632
Q 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
5. Labor and Delivery Care, including C=Section
6. 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).
7. Neonatal care, including nursery care and pediatric consultation, if needed.
8. One PAIN home visit.
9. One post-partum check with Family Physician, including birth control counseling.
10. Three return well-baby visits with Family Physician.
•Rate Change
Amending itemized Professional and Service state Changes
for Contra Costa County Health Services
Page 3
Family Practice (Cont.)
Professional Use of
CoMponent TreAtment Room 11W
Detailed $ 74.00 $ 50.00 $124.00
Comprehensive 1 $ 100.00 $ 50.00 $150.00
Comprehensive 11 $ 125.00 $ 50.00 $175.00
Established
Minimal $ 17.00 $ 45.00 $ 62.00
Brief $ 30.00 $ 50.00 $ 80.00
Expanded $ 42.00 $ 50.00 $ 92.00
Detailed $ 60.00 $ 50.00 $ 110.00
Comprehensive 1 $ 95.00 $ 50.00 $ 145.00
Dental Care Per Fee Schedule
h9pr,gialtyZOthers
Professional Use of
Component- Treatment Room Tatal,
New Patient
Brief $ 35.00 $ 78.00 $ 113.00
Expanded $ 55.00 $ 91.00 $ 146.00
Detailed $ 74.00 $ 104.00 $ 178.00
Comprehensive 1 $ 112.00 $ 117.00 $ 229.00
Comprehensive II $ 139.00 $ 117.00 $ 256.00
Established
Minimal $ 17.00 $ 58.50 $ 75.50
Brief $ 30.00 $ 78.00 $ 108.00
Expanded $ 42.00 $ 91.00 $ 133.00
Detailed $ 64.00 $ 104.00 $ 168.00
Comprehensive 1 $ 103.00 $ 117.00 $ 220.00
Emergency Room Visits
Brief $ 38.00 $ 60.00 $ 98.00
Limited $ 50.00 $ 85.00 $ 135.00
Expanded $ 81.00 $ 130.00 $ 211.00
Detailed $ 106.00 $ 175.00- $ 281.00
Comp Admit HX & PX $ 144.00 $ 215.00 $ 359.00
PhotogopY
Unit of
.3Seryjce C • rge
Copy-Subpoena Req. Per Page $ .10
Copy-All Other Papers Per Page $ .25
Microfilm Per Page $ .25
Staff Time Per Hour $ 16.00
Postage Actual Charge
Cafeteria Avg. Charge $ 4.50
•hate Change
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 5
SUBSTANCE ABUSE SERVICES (cont.)
Unit of Current
Service
Drug Free Outpatient
Clinic T eatmenj
Individual Intake/Assessment Visit $ 180.00 * $165.00
Individual Counseling Visit $ 90.00 * 108.00
Collateral Service Visit $ 90.00 * 108.00
Group Counseling Visit $ 30.00 * 42.00
Acupuncture Treatment Visit $ 30.00 * 108.00
Medical Assessment/
Physical Exam Visit $ 90.00 * 108.00
Outpatient Drug Free
(Composite State Charge) Visit $ 90.00 * 108.00
Maintenance Visit $ 12.00 * 10.00
PC 1000 Drug Diversion
Proaram Board Rates
Assessment Person $ 40.00
Level Person $ 310.00
Level 11 Person $ 510.00
Level III Person $ 880.00
Level IV Person $ 1,220.00
Driving Under the
Influence Program
1 st Offender (Level 1) Person $ 404.00
1st Offender (Level 11) Person $ 593.00
2nd Offender Person $ 1,434.00
HOME HEALTH AGENCY
Unit of Current
Service Servlag_ Charge
Skilled Nursing Visit $ 154.00 * $147.00
Physical Therapy Visit $ 169.00 * 141.00
Speech Pathology Visit $ 170.00 * 146.00
Occupational Therapy Visit $ 189.00 * 140.00
Medical Social Service Visit $ 223.00 * 203.00
Home Health Aides Hour $ 79.00
HEALTH PLAN
Unit of
,Service Charge
Medicare Premium
Senior Health Basic Individual $ 41.00
Senior Health Individual $ 55.00
Senior Health Plus 40 Individual $ 88.00
Rate Change
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 7
PUBLIC Hr;ALTH (cant.)
Current
-Charge Rate _ Description
Immunization Record
(duplicate) $ 5.00 Each
Flu Immunization $ 5.00 Each
Elderly Flu Shot $ 5.00 Requested
Hepatitis A:
2-18 years $ 35.00 new Each
19 years & older $ 60.00 new Each
Hepatitis B:
1-18 years Free '' cast Each
19 years Cost Each
20 years & over Cost plus $15.00 Each
Admin.
Occupational Risk $ 155.00 Each series
Post Blood Titers $ 40.00 new Each
T.B. Skin Tes ina
P.P.D. $ 10.00 Includes reading but no charge for
contacts
Venereal isease $ 20.00 Clinic attendance for any sexually
transmitted disease
Nutrition Services $ 52.00 Per hour consultation fee
Occupational Health Svc Cost + 10% Each
Lob Iests Cost + 10% Each
Rabies (low risk animal
tests on request) $ 80.00 Each
Health Education M to i I Cost + 10%
(i.e., videos, posters,
pamphlets, t-shirts, etc.)
Vital Statistics
(certified copies)
Death and Fetal Death $ 9.00
Birth r General Public $ 18.00 16.00
Birth - Government Agency $ 9.00
Permit for Disposition of
Human Remains
- Regular $ 7.00
-After Hours $ 10.00 7.00
- Cross Filing $ 10.00
Rate Change
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 9
ENVIRONMENTAL- SERVICES (cont.)
CONSUMER PROTECTION PROGRAM (cant.)
Current
Units .Capacity Charge.
"
of
> 6,000 $565.00
Incidental Retail Food Mkt Square Foot < 50 $ 53.00
to if < 100 $131.00
Certified Farmer's Food Mkts Booths 1-25 $180.00
' 1126-45 $270.00
"
to
46 + $360.00
Wiping Rags Business $169.00
Roadside Stands $169.00
Food Salvager $475.00
Food Processing Establish. Square Foot < 2,000 $305.00
2,000-4,000 $351.00
' 4,001-6,000 $497.00
> 6,000 $565.00
Food Demonstrator $159.00
Retailer Food Vehicle
(Del & Ped) $181.00
Mobile Food Prep Units $339.00
Retail Food Vehicles
(incl. Cat. Trk) $181.00
Bakery Square Foot < 2,000 $305.00
n rt 2,000-4,000 $351.00
H 11 4,001-6,000 $497.00
' > 6,000 $565.00
Wholesale Food Square Foot <2,000 $305.00
112,000-4,000 $351.00
' It4,001-6,000 $497.00
' > 6,000 $565.00
Ice Plant $130.00
Recreational Water Park One System $678.00
Each Add'l System $339.00
Pool-Apt, Motel, Hotel Multi-Use $339.00
Each Add'I Pool $113.00 * 170.00
Spa-Apt, Motel, Hotel Multi-Use $339.00
Each Add'I Spa $113.00 * 170.00
Fee Exempt Activities (Permit-Fees Only):
Food Facilities Public Schools/
Municipal/Non-Profit No Fee
Pools Public Schools/Municipal
Non-Profit No Fee
Spas Public Schools/Municipal
Non-Profit No Fee
Penalties will be imposed for delinquent payments as provided in County Ordinance No. 93-58,
Article 413-3.1206.
Rate Change
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 11
ENVIRONMENTAL SERVICES (cont.)
SOLID WASTE PROQBAMS (cont) Current
Rate
Medical Waste: (cant.)
Health Care Service Plan Facility $ 463.00
Medical/DentalNeterinary Clinic (> 200 lbs./month) $ 360.00
Medical/DentalNeterinary Clinic (< 200 lbs./month) $ 45.00
Medical/DentalNeterinary Clinic ( 200 lbs./month) w/on-site treatment $ 135.00 '` new
Large Quantity Generators (> 200 lbs./month) w/on-site medical waste
treatment systems(i.e., autoclave, incinerator, steam sterilizer).Additional fee required. $ 60.00 ` new
Primary Care Clinic $ 463.00
Intermediate Care Facility $ 360.00 " 390.00
Acute Care Hospital (251 + beds) $1,840.00
Acute Care Hospital (200-250 beds) $ 1,315.00
Acute Care Hospital (100-199 beds) $1,128.00
Acute Care Hospital (1-99 beds) $ 791.00
Skilled Nursing Facility (> 200 lbs./month) $ 360.00
Skilled Nursing Facility ( 200 lbs./month) $ 45.00
Specialty Clinic $ 463.00
Clinical Lab (> 200 lbs./month) $ 360.00
Clinical Lab (< 200 lbs./month) $ 45.00
Biomed Producer (> 200 lbs./month) $ 360.00
Biomed Producer (< 200 lbs./month) $ 45.00
Biomed Producer (< 200 lbs./month) w/on-site treatment $ 135.00 "` new
Common Storage Facility (50 + generators) $ 649.00
Common Storage Facility (11-49 generators) $ 360.00
Common Storage Facility (2-10 generators) $ 270.00
Limited Quantity Hauling Exemption $ 75.00
Reinspection Fee (per hour) $ 90.00
Certification Application Fee $ 30.00
Penalties will be imposed for delinquent payments as provided in County Ordinance No. 93-58,
Article 413-3.1206.
LAND USE PROGRAMS
FEES FOR THE INSTALLATION OF INDIVIDUAL SEWAGE DISPOSAL
SYSTEMS, WATER WELLS AND SUBDIVISIONS OF LAND
In order to obtain approval for installation or repair of systems, the following fees must be paid
prior to any inspection or investigation of an individual parcel or minor subdivision.
IMPORTANT: Permit fees include a non-refundable$30.00 application fee and up to 2-1/2 hours
of inspection and travel time. Thereafter, time is charged at the rate of$90.00/hr. or the time and
1/2 overtime rate after normal business hours. AM indicates when an additional or separate
$30.00 initial application fee is required.
*Rate Change
Amending itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 13
ENVIRONMENTAL HEALTH (cont.)
LAND USE-PROGRAMS (cont) Current
Fee Rate
Small Water Systems Permits:
Non-community surface water system $ 315.00
Non-community, nontransient ground water system $ 400.00
Non-community, non-transient ground water
with treatment system $ 400.00
Non-community, non-transient surface water system $ 400.00
Community ground water system (15-24 connections) $ 263.00
Community ground water system
with treatment (15-24 connections) $ 263.00
Community surface water system (15-24 connections) $ 263.00
Community ground water system (25-99 connections) $ 420.00
Community ground water system
with treatment (25-99 connections) $ 420.00
Community surface water system (25-99 connections) $ 420.00
Community ground water system (100-199 connections) $ 525.00
Community ground water system
with treatment (100-199 connections) $ 525.00
Community surface water system (100-199 connections) $ 525.00
Local small water system $ 135.00
State small water system $ 230.00
Non-community ground water system with food preparation/
open food $ 315.00
Non-community ground water system with treatment $ 315.00
Non-community ground water system, prepackaged food only $ 180.00 " new
Public Water Systems - Plans Review:
New community water system (') $ 500.00
New non-community water system {'7 $ 300.00
Amended permit because of ownership change $ 150.00
Amended permit because of system change (') $ 250.00
Enforcement actions pertaining specifically to small water systems $ 90.00/hr
Penaftigs Penalties will be imposed for delinquent payments as provided in County Ordinance
No. 93-58, Article 413-3.1206.
Plan Chock :
Plan check deposit fees are three times the annual permit fee. This includes plan check and all
applicable inspections and consultations. An additional deposit fee may be required when initial
deposit has been expended.
OWinance Code of Contra Costa County. Section 414-4.1019
Enforcement- Penalties. Any person violating this chapter or regulations issued hereunder, by
failing to submit plans, obtain necessary inspections and approvals, or pay fees, or by
commencing or continuing construction or remodeling in violation hereof, shall pay triple the
appropriate fee as a penalty and remain subject to other applicable penalties and enforcement
procedures authorized by the state law and/or this code.
Rate Changc
Amending itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 15
ENVIRONMENTAL HEALTH (cont.)
HAZARDOUS MATERIAL AB2185 PROD AM (cont.)
the inventory of hazardous material listed in the Business Plan then prorated by the number of
months covered by the Business Plan.
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 resolutions.
2. Late filing of business plans, beyond a 30-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.
RISK MANAGEMENT PREVENTION PROGRAM (RMPP)
Pursuant to Health and Safety Code Section 25535.2, annual fees are established to be collected
from each business which may be required to submit an RMPP pursuant to Health and Safety
Code Article 2 (Section 25531 et seq.).
The fee assessed is based on the risk ranking assigned to the business as follows:
Risk Ranking Annual Fee
Greater than 400 $15,600.00
200-400 $ 7,800.00
100-199 $ 3,900.00
1-99 $ 780.00
0 $ 312.00
If it is determined that a particular business will not be required to prepare an RMPP (as
explained in the RMPP exemption policy), the annual fee will be reduced to $65 to cover
administrative processing expenses.
To determine if a facility is exempt, there is a one-time fee of$500 per acutely hazardous
material per process.
If a business is a non-profit business, their fee will be 10% of the fee based upon the business'
risk ranking.
For each additional substantially identical facility, the business will be charged full price for the
first facility and 10% of that fee for each additional facility.
A delinquency charge of 25% shall be assessed for failure to pay the fee within 30 calendar days
following the date of mailing by the Director of Health Services.
UNC3ERGROUND STORAGE TANK PROGRAM
Underground Storage Jank Annual Permit: (Tanks which do not have secondary containment
and continuous monitoring equipment)
•Rate Change
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 17
ENVIRONMENTAL HEALTH (cont.)
UNDERGROUND STORAGE TANK PROGRAM (cont.)
Underground Tank Modification. Repair or Lining Permit:
ESL Desariotion
$260.00 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 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
Reinspection or Time Use:
Feed DescOgtion
$ 90.00 Each hour or fraction thereof of staff time 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:
Eees Descrigtion
$ 90.00 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.
Penalties:
The following penalties shall be applied and collectible from parties responsible for the following
actions:
P_enWb
a) Failure to pay any fee in a timely manner 25% penalty
'Bate Change
Amending Itemized Professional and Service Rate Changes
for Contra Costa County Health Services
Page 18
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.
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.
Orig: County Administrator
cc: Health Services Director
Health Services Administration
1 hereby as"that this Is.true and too
County Counsel an action taken and f
Dopy,�
entered on the minuNa of i
Board of Supery n AMISM t e tte
County Auditor
Contact: Patrick Godley (370-5005) at& and m��f�e�
Rate Change
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