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HomeMy WebLinkAboutRESOLUTIONS - 01012000 - 2000-437 Restating Itemized Professi. and Service Rate Charges For Contra Costa ilth Services 46 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY CALIFORNIA Adopted this Order on: September 12, 2000 By the following Vote: AYES: SUPERVISORS GIOIA, UILKEMA, LESAULNIER, CANCIAMILLA NOES: NONE ABSENT: SUPERVISOR GERBER ABSTAIN: NONE Resolution No. 2000\437 SUBJECT: Amend the Itemized Professional and Service Rates for Contra Costa County Health Services Effective September 1, 2000. The Health Services Department has submitted a recommendation to amend the schedule of itemized service rate charges and fees, and to restate unchanged rates for County Health Services adopted by Board Resolution Number 2000/304 dated June 13, 2000. 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 the schedule of itemized rate charges for the Health Services Department effective July 1, 2000 is established as follows: Reason for proposed rate changes: 1. Hospital Inpatient: 10% rate increase to keep gross charges higher than expected Medi-Cal payments. Per State M-Cal waiver granted by HCFA, payments must not exceed gross charges. 2. Mental Health Program: No Changes Proposed. 3. Community Substance Abuse Services: No Changes Proposed. 4. Home Health Agency: No Changes Proposed 5. CCHP: No Changes Proposed. 6. Public Health:, No Changes Proposed. 7. Environmental Health Programs: No Changes Proposed. 8. Hazardous Materials Programs: No Changes Proposed. 9. EMS: No Changes Proposed {1) Resolution: 2x00\437 Restating Itemized Professio. .and Service Rate Charges For Contra Costa t ;h Services Hospital Inpatient Service Current Daily Rate For Recommended Daily Rate for Routine Room and Board Routine Room and Board Pediatrics $1,100.00 $1,210.00 Medical Ward $1,045.00 $1,150.00 Transitional Care Unit $1,045.00 $1,150.00 Nursery Bassinet $ 743.00 $ 825.00 Intensive Care $3,025.00 $3,325.00 Service Total Unit Rate Total Unit Rate Fixed all inclusive @ Obstetrics $ 4,700.00 $ 5,170.00 Routine Delivery with Tubal Legations $ 6,500.00 $ 7,150.00 Prior or Primary C-Section $10,600.00 $11,660.00 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 test 3. Nutrition Class 4. Early Pregnancy Class 5. Labor and Delivery Care, including C-Section 6. Back-up consultation service 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 PHN home visit. 9. One post-partum check with Family Physician, including birth control counseling. 10. Three return well-baby visits with Family Physician. ANCILLARY SERVCES Department Billing Unit Current Rate Recommended Rate Anesthesiology 1st Hour $ 534.00 $ 587.00 Anesthesiology Each Add'I 15 min. $ 132.00 $ 145.00 Pharmacy Cost Plus % 120%Avg Wholesale Price No Change Plus Administration Fee Central Supply Cost Plus % Cost Plus 400 % No Change Radiology Relative value units $ 56.65 $ 62.32 EKG Relative value Units $ 16.23 $ 17.85 Laboratory(Hose&PH Lab) Relative Value Units $ 3.41 $ 3.75 Rehab. Therapy OT/ PT 30 minute intervals $ 182.00 $ 200.00 Speech 30 minute intervals $ 182.00 $ 200.00 Cardiopulmonary Relative Value Units $ 16.78 $ 18.46 Delivery Room 15 minute intervals $ 132.00 $ 145.00 Surgery Recovery Room 1st Hour $ 534.00 $ 587.00 Operating Room 1st Hour $1,073.00 $1,180.00 Operating Room Each Add'I 30 minutes $ 466.00 $ 513.00 Cast Room Unit $ 198.00 $ 218.00 Resolution: 2000\437 (2) Restating Itemized Professic and Service Rate Charges For Contra Costa ' th Services Professional Component Charges Per Relative Value Unit Based Upon The California Medical Association Relative Value Studies Department Current Rate Recommended Rate Medicine $ 7.20 No Change Surgery $175.90 No Change Radiology $ 10.00 No Change Anesthesiology $ 38.30 No Change Outside Services And Supplies Department Current Rate Recommended Rate Nuclear Medicine Cost Plus 35% No Change EBG Cost Plus 35% No Change Blood Bank Cost Plus 35% No Change Prosthesis Cost Plus 35% No Change Laboratory Cost Plus CHS * No Change * (CHS: Collection and Handling of Specimens) OutPatient Visits Family Practice CURRENT RATES RECOMMENDED RATES New Patient Professional Use of Treat- Combined Professional Use of Treat- Combined Component ment Room Rate Component ment Room Rate Brief $35.00 $ 50.00 $ 85.00 No Change Expanded $ 55.00 $ 55.00 $110.00 No Change Detailed $74.00 $ 55.00 $129.00 No Change Comprehensive 1 $100.00 $ 55.00 $155.00 No Change Comprehensive 2 $125.00 $ 55.00 $180.00 No Change Established Minimal $ 17.00 $50.00 $ 67.00 No Change Brief $ 30.00 $55.00 $ 85.00 No Change Expanded $42.00 $55.00 $ 97.00 No Change Detailed $60.00 $55.00 $115.00 No Change Comprehensive 1 $95.00 $55.00 $150.00 No Change Specialty/Others Brief $ 35.00 $ 85.00 $120.00 No Change Expanded $ 55.00 $100.00 $155.00 No Change Detailed $ 74.00 $115.00 $189.00 No Change Comprehensive 1 $112.00 $130.00 $242.00 No Change Comprehensive II $139.00 $130.00 $269.00 No Change Established Minimal $ 17.00 $ 65.00 $ 82.00 No Change Brief $30.00 $ 85.00 $115.00 No Change Expanded $42.00 $100.00 $142.00 No Change Detailed $64.00 $115.00 $179.00 No Change Emergency Room Visits Brief $ 38.00 $ 65.00 $103.00 No Change Limited $ 50.00 $ 95.00 $145.00 No Change Expanded $ 81.00 $145.00 $225.00 No Change Detailed $106.00 $190.00 $296.00 No Change Comp Admit HS&PX $144.00 $235.00 $379.00 No Change (3) Resolution: 20001437 Restating Itemized Profession,.;and Service Rate Charges For Contra Costa F. ,,.,th Services Unit of Service Current Rate Recommended Rate Dental Per Fee Schedule No Change Photocopying Copy-Subpoena Req Per Page $ .10 No Change Copy-All Other Papers Per Page $ 25 No Change Microfilm Per Page $ .25 No Change Staff Time Per Hour $ 16.00 No Change Postage Actual Charge Cafeteria Average Charge $ 4.50 No Change Mental Health Program Services Daily Room Rate Includes Professional Component Unit of Service Current Rate Recommended Rate Per Day $960.00 No Change Rehab Option Rates Mental Health Services One Minute $ 2.33 No Change Case Management One Minute $ 1.82 No Change Medication Support One Minute $ 4.32 No Change Crisis Intervention One Minute $ 3.50 No Change Crisis Stabilization 1 Hour Increment $ 85.00 No Change Day Care, Intensive Full Day $182.00 No Change Day Care, Intensive Half Day $130.00 No Change Day Care, Habilitative Full Day $118.00 No Change Day Care Habilitative Half Day $ 76.00 No Change Adult Residential Patient Day $134.00 No Change Crisis Residential Patient Day $276.00 No Change Substance Abuse Program Services Residential Treatment Unit of Service Current Rate Recommended Rate Alcohol/Drug Detox Day $ 60.00 No Change Alcohol/Drug Residential Tx Day $ 60.00 No Change Perinatal Residential TX Day $ 120.00 No Change Youth/Alcohol/Drug Residential TX Day $ 240.00 No Change Day Treatment Perinatal Day Treatment Visit $ 70.00 No Change Drug Free Outpatient Unit of Service Current Rate Recommended Rate Clinic Treatment Individual Intake/Assessment Visit $ 60.00 No Change Individual Counseling Visit $ 60.00 No Change Collateral Service Visit $ 60.00 No Change Group Counseling Visit $ 36.00 No Change Acupuncture Treatment Visit $ 60.00 No Change Medical Assessment/Physical Exam Visit $ 100.00 No Change Resolution: 20001 437 (4) Restating Itemized Professi, and Service Rate Charges For Contra Costa ' `Ith Services Unit of Service Current Rate Recommended Rate Outpatient Drug Free (Composite State Charge) Visit $ 100.00 No Change Perinatal Group Counseling Visit $ 48.00 No Change PC 1000 Drug Diversion Program Board Rates Assessment Person $ 40.00 No Change Level I Person $ 310.00 No Change Level II Person $ 510.00 No Change Level III Person $ 860.00 No Change Level IV Person $1220.00 No Change Driving Under The influence Program 1St Offender (Level 1) Person $ 490.00 No Change 1St Offender (Level 11) Person $ 724.00 No Change 2"d Offender Person $1,756.00 No Change Methadone Maintenance Dose —AOD Dose $ 7.37 No Change Dose — LAAM Dose $ 19.20 No Change Dose — Perinatal Dose $ 8.49 No Change Individual Counseling-AOD 10 Minutes $ 13.62 No Change Individual Counseling-LLAM 10 Minutes $ 13.62 No Change Individual Counseling-Perinatal 10 Minutes $ 22.83 No Change Group Counseling-AOD 10 Minutes $ 3.61 No Change Group Counseling-LAAM 10 Minutes $ 3.61 No Change Group Counseling-Perinatal 10 Minutes $ 5.57 No Change Home Health Agency Skilled Nursing Visit $ 154.00 No Change Physical Therapy Visit $ 169.00 No Change Speech Pathology Visit $ 170.00 No Change Occupational Therapy Visit $ 169.00 No Change Medical Social Service Visit $ 223.00 No Change Home Health Aides Hour $ 79.00 No Change Health Flan Medicare Premium Senior Health Basic Individual $ 41.00 No Change Senior Health Individual $ 55.00 No Change Senior Health Plus 40 Individual $ 79.00 No Change Senior Health Plus 50 Individual $ 75.00 No Change Commercial Group and Individual Monthly Premium for Health $ 175.00 No Change Premium Costs Monthly Revenue Requirement Rate Amendments: Authorize the Health Services Director or his designee to establish specific premium rates for commercial group and individuals including Senior Health Members; use the "community rating by class" rate determination process for large groups; include an additional monthly premium factor for administrative costs loading; increase the revenue requirement as appropriate by an amount not to exceed 1% cumulative per month. Resolution: 2000\ 437 (s) Restating Itemized Professio, and Service mate Charges For contra Costa i th services Public Health Immunization Unit Of Service Current Rates Recommend Rate Typhoid Each (Injection) $ 45.00 No Change (Ages 2 & aver) Each (oral) $ 35.00 No Change Yellow Fever Each $ 65.00 No Change Meningococcal Each $ 75.00 No Change Immune Globulin Each $ 20.00 No Change Stamping of International travel cards Each $ 5.00 No Change Childhood Immunizations Birth to 18 years Each(not to exceed$13.00 per family) $ 7.00 No Change Chickenpox (12 months and over; 2 doses required) 12 months -18 years Each(not to exceed$13.00 per family) $ 7.00 No Change 19 years & over Each dose,unwaivable 2 doses $ 55.00 No Change Measles. Mumps and Rubella Vaccine 12 months and over 1st shot Each(not to exceed$13.00 per family) $ 7.00 No Change 2nd Shot Each unwaivable Over 18 years, $ 26.00 No Change unless enrolled 1st year college or equivalent,or out break where State recommends. Lyme Vaccine 15 - 70 years Each unwaivable $ 75.00 No Change Flu Vaccination 6 months and over Each $ 5.00 No Change Pneumococcal 23 Valent Vaccination 2 years and over Each $ 5.00 No Change Hepatitis A 2 — 18 years Each(not to exceed$13.00 per Family $ 7.00 No Change 19 years & older Each Unwaivable $ 60.00 No Change Hepatitis S Birth to 18 years Each(not to exceed$13.00 per Family) $ 7.00 No Change 19 years & over Each Unwaivable $ 45.00 No Change Tuberculin PPD Test Each Unwaivable $ 10.00 No Change CHS/TAP/Sunshine Clinics (Not applicable to school-based clinics and Juvenile Hall) Wellness Examinations. Sports and School Physicals 0 - 3 years Each $ 70.00 No Change 4 - 6 years Each $ 90.00 No Change 7 -- 18 years Each $ 75.00 No Change Return Clinic Visits Each $ 60.00 No Change Resolution: 2000\ 437 (S) Restating Itemized Professio ind Service Rete Charges For Contra Costa P "th Services Unit of Service Current Rates Recommend Rete Family Planning Private Pay New Each per year $ 100.00 No Change Return Each per year $ 90.00 No Change Occupational Risk Each Series $ 155.00 No Change Post Blood Titers Each $ 40.00 No Change Sexually Transmitted Disease Clinic Attendance $ 20.00 No Change Nutrition Services Per hour $ 52.00 No Change Occupational Health Each Cost + 10% No Change Lab Tests Each Cost + 10% No Change Rabies Test Each $ 80.00 No Change Health Education Each Cost + 10% No Change Material (videos, pamphlets) Each $ 8.00 No Change Vital Stats Certified Copies Death & Fetal Death Each $ 8.00 No Change Birth — General Public Each $ 18.00 No Change Birth — Government Agency Each $ 9.00 No Change Permit For Disposition of Human Remains Regular Each $ 7.00 No Change After Hours Each $ 10.00 No Change Cross Filing Each $ 10.00 No Change Environmental Health Division General Program Section - Service Fees & Penalties Current Rates Recommended Rate Application Fee (Non-refundable) $ 35.00 No Change Violation Re-Inspection Fee $ 115.00 No Change Special Services Fee at Hourly Rate With Minimum: One - Hour Charge: $ 115.00 No Change Applicable to: Variance Requests Violation Administrative Hearings Field and Office Consultations Non-Routine Site Evaluations Non-routine Field Inspections (and/or) Re-inspections Special Services Fee at Hourly Rate With Minimum: Current Rate Recommended Rate Two - Hour Charge: Health Officer Appeal Hearing $ 292.00 No Change Overtime Charges (After Normal Business Hours) $ 146.00 No Change Applicable to: Plan Review Fees for Permit Fee Exempt Facilities Plan Review and Site Evaluation Fees for Community Development Services (7) Resolution: 2000\437 Restating Itemized Professio, and Service Rate Charges For Contra Costa i in Services Second re-inspection of verified complaints will be charged to the property owner/responsible party. A $110.00 fee will be charged for verified complaints at permitted and fee exempt facilities. NOTE: Additional charges will be incurred after the minimum hourly charges have been expended. Services provided after normal work hours will be charged at $146.00 per hour. Penalties: Penalties will be imposed for delinquent payments as provided in County Ordinance No. 93-08, Article 413-3.1206. Ordinance 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. Consumer Protection / Retail Food Prourraim Consumer Protection / Retail food fees are applicable to the Environmental Health permit year beginning March 1, 2001 Environmental Health Permit Fee: Category Units Capacity Current Fees Recommended Fee Restaurants Seats 0 - 25 $ 360.00 No Change Restaurants Seats 26 - 49 $ 460.00 No Change Restaurants Seats 50-149 $ 547.00 No Change Restaurants Seats 150 + $ 622.00 No Change (NOTE: Restaurants with drive-up window (base seating + $50) Drive Through Only $ 361.00 No Change Vending Machines Machines 1 - 4 $ 109.00 No Change Each Machine Over 4 4 + $ 19.00 No Change Tavern/Cocktail Lounge Bar $ 397.00 No Change Snack Bar $ 397.00 No Change Commissary $ 497.00 No Change Cart Commissary $ 220.00 No Change Catering $ 497.00 No Change Special Events Per Food Booth $ 69.00 No Change Retail Food Markets Square Foot <2,000 $ 336.00 No Change iltinerant Food Facility Retail Food Markets Square Foot 2,001 —4,000 $ 386.00 No Change Retail Food Markets Square Foot 4,001 — 6,000 $ 047.00 No Change Retail Food Markets Square Foot >6,000 $ 622.00 No Change Incidental Retail Food Mkts Square Foot $ 144.00 No Change Certified Farmer's Food Mkts (CFM)Booths 1 - 25 $ 198.00 No Change Certified Farmer's Food Mkts (CFM)Booths 26 - 45 $ 297.00 No Change Certified Farmer's Food Mkts (CFM)Booths 46 + $ 396.00 No Change Certified Farmer's Market (CFM) with_Food Vendors: Food Vendor Booths 1 — 5 CFM Fee + $ 99.00 No Change Food Vendor Booths 6 -10 CFM Fee + $ 198.00 No Change Food Vendor Booths 11 + CFM Fee + $ 297.00 No Change Wiping Rags Business $ 186.00 No Change Roadside Stands $ 186.00 No Change Food Salvager $ 023.00 No Change Resolution: 2000\437 (8) Restating Itemized Professic and Service Rate Charges For Contra Costa t 'th Services Category Units Capacity Current Fees Recommended Fee Food Processing Establish Square Foot <2,000 $ 336.00 No Change Food Processing Establish Square Foot 2,001 -4,000 $ 386.00 No Change Food Processing Establish Square Foot 4,001 - 6,000 $ 547.00 No Change Food Processing Establish Square Foot >6,000 $ 622.00 No Change Food Demonstrator $ 175.00 No Change Retailer Food Vehicle (Delivery&Peddlers) $ 199.00 No Change Mobile Food Prep Units $ 373.00 No Change Retailer Food Vehicles(including catering trucks) $ 199.00 No Change Bakery Square Foot <2,000 $ 336.00 No Change Bakery Square Foot 2,001 -4,000 $ 386.00 No Change Bakery Square Foot 4,001 - 6,000 $ 547.00 No Change Bakery Square Foot >6,000 $ 622.00 No Change Wholesale Food Square Foot <2,000 $ 336.00 No Change Ice Cream Push Carts 1 - 4 $ 58.00 No Change Ice Cream Push Carts 5 - 10 $ 53.00 No Change Ice Cream Push Carts > 10 $ 48.00 No Change Wholesale Food Square Foot 2,001 -4,000 $ 386.00 No Change Wholesale Food Square Foot 4,001 -- 6,000 $ 547.00 No Change Wholesale Food Square Foot >6,000 $ 622.00 No Change Ice Plant $ 143.00 No Change Recreational Water Park One System $ 746.00 No Change Each Additional System $ 373.00 No Change Pool-Apartment,Motel,Hotel Multi - Use $ 432.00 No Change Each Additional Pool $ 124.00 No Change Spa Apartment, Motel,Hotel Multi-Use $ 373.00 No Change Each Additional Spa $ 124.00 No Change Fee Exempt Activities (Permit Fees Only): Food Facilities / Public Schools No Fee No Change Municipal/Non profit Pools / Public Schools No Fee No Change Municipal/ Non-profit Spas / Public Schools No Fee No Change Small Water System Permits: Non-Community,surface water system $ 324.00 No Change Non-Community,Non-transient ground water system $ 412.00 No Change Non-Community,Non-transient ground water system,with treatment $ 412.00 No Change Non-Community,non-transient surface water system $ 412.00 No Change Non-Community,transient $ 324.00 No Change Community ground water system (15- 24 connections) $ 412.00 No Change Community ground water system with treatment (15- 24 connections) $ 412.00 No Change Community ground water system (25- 99 connections) $ 433.00 No Change Community ground water system with treatment (25- 99 connections) $ 433.00 No Change Community surface water system (25- 99 connections) $ 433.00 No Change Community ground water system (100-199 connections) $ 541.00 No Change Community ground water system with treatment (100-199 connections) $ 541.00 No Change Community surface water system (100-199 connections) $ 541.00 No Change .Local small water system $ 139.00 No Change State small water system $ 237.00 No Change Non-Community ground water system with food preparation $ 324.00 No Change Non-Community ground water system with treatment $ 324.00 No Change Non-Community ground water system,prepackaged food only $ 115.00 per hour No Change Public Water System - Pians Review:. New Community water system $ 515.00 No Change New Non-Community water system $ 309.00 No Change Amended permit because of ownership change $ 155.00 No Change Amended permit because of system change $ 258.00 No Change Enforcement actions pertaining specifically to small water systems $ 115.00 per hour No Change Resolution: 20001 437 (9) Restating Itemized Professic and service Rate Charges For Contra Costa t 'th Services Pro-Ratina Fees: Commencement of a new business: The full annual fee shell be paid if the activity starts during March through May; three-fourths if during June through August; one-half if during September through November; and one-fourth if during December through February. Discontinuance or sale of a business —the portion of the annual fee available for refund: If the Entity ceases to do business during March through May, three fourths; during June through August, one-half during September through November, one-fourth; and if during december through February, zero. Owners of businesses requesting a pro-rated refund must do so in writing within thirty days of sale or discontinuance of business. In the case of a business that has been sold, the owner must include in the written request for a refund the name, address and telephone number of the person to whom the business was sold. Solid Waste Programs Local Enforcement Agency Program: Solid Waste Tonnage Fee $ 1.20 /ton No Change Solid Waste Facilit Fees: ees: Closed. Illegal and Abandoned Sites Annual Inspection — 2 Hours $ 230.00 No Change Quarterly Inspections — 8 Hours $ 920.00 No Change Monthly Inspections — 16 Hours (see Note(a)below) $1,840.00 No Change Bio-Solid Facility Sites Annual Inspection — 2 Hours $ 230.00 No Change Quarterly Inspections — 8 Hours $ 920.00 No Change Monthly Inspections — 16 Hours $1,840.00 No Change NOTE (a): Any inspection conducted over and beyond the routine inspection is subject to the hourly rate of$109 an hour. BI-SoIld Eaglilty-ARylication and Reylew Fee With Public Hearings — 10 Hours $1,150.00 No Change Without Public Hearings — 5 Hours(see Note(b)below) $ 575.00 No Change Solid Waste Facility permit Application / Review Fee (see Note(b)below) $1,150.00 No Change NOTE (b): Permit application / review fee includes 10 hour of service time. An additional deposit fee may be required when initial deposit has been expended. Mandatory Service Exemption $ 115.00 per hour No Change Medical Waste: Plan review(new facility/treatment system/permit revision $ 436.00 No Change Additional review(per hour) $ 115.00 No Change Health Care Service Plan Facility $ 463.00 No Change Medical/Dental/Veterinary Clinic (>200 Ibs./month) $ 360.00 No Change Medical/DentaiNeterinary Clinic (<200 lbs./month) $ 45.00 No Change With on-site treatment (<200 lbs./month) $ 135.00 No Change With on-site treatment medical waste treatment systems, i.e. $ 73.00 No Change Autoclave, incinerator, Steam sterilize additional fees required: Primary Care Clinic $ 463.00 No Change Intermediate Care Facility $ 390.00 No Change Acute Psychiatric Care $ 360.00 No Change (10) Resolution: 2000/437 Restating Itemized Proi'essic and Service Bate Charges For Contra Costa i th Services Acute Care Hospital (251 + beds) $1,840.00 No Change Acute Care Hospital (200—250 beds) $1,315.00 No Change Acute Care Hospital (100— 199 beds) $1,128.00 No Change Acute Care Hospital ( 1 - 99 beds) $ 791.00 No Change Category Capacity Current Fees Recommended Fee Skilled Nursing Facility (>200 lbs./month) $ 360.00 No Change Skilled Nursing Facility (<200 lbs./month) $ 45.00 No Change With on-site treatment (<200 lbs./month) $ 135.00 No Change Specialty Clinic (>200 lbs./month) $ 463.00 No Change Clinical Lab (>200lbs. /month) $ 360.00 No Change Clinical Lab (<200 lbs./month) $ 45.00 No Change With on-site treatment (<200 lbs./month) $ 135.00 No Change Bio-med Producer (>200 lbs./month) $ 360.00 No Change Bio-med Producer (200 lbs./month) $ 45.00 No Change With on-site treatment (<200 lbs./month) $ 135.00 No Change Bio-med Producer with onsite treatment (>200 lbs./month) Common Storage Facility (50 + generators) $ 360.00 No Change Common storage Facility (11 —49 generators) $ 180.00 No Change Common Storage Facility ( 2- 10 generators) $ 135.00 No Change Limited Quantity Hauling Exemption $ 75.00 No Change Re-inspection Fee (per hour) $ 115.00 No Change Certification Application Fee $ 30.00 No Change Tattooing, Body Piercing and Permanent Cosmetics Facility Annual Fee $ 200.00 No Change Practitioner's Annual Registration Fee $ 25.00 No Change Land Use Programs Penalties: Penalties will be imposed for delinquent payments as provided in County Ordiance No. 93-58, Article 413-3.1206. Ordinance Code of Contra Costa County Section 420-6.707 Enforcement-- Penalties: Any person violating this chapter or regulations issued hereunder, by failing to submit plans, obtain necessary inspections and approval, 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. 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 $35.00 application fee. A (1) indicates when an additional or separate $35.00 initial application fee is required. Inspection and travel time exceeding the hours provided in the service fees set below or provided for services not listed will be changed at the rage of$115.00 an hour during normal business hours and at the rate of $146.00 an hour after normal business hours. (11} Resolution: 2000/437 Restating itemized Professic and Service Rate Charges For Contra Costa F" 'th Services General Wells and Soil Borings: A well is any artificial excavation constructed by any method for the purpose of extracting waster from, or injecting water or other liquid into the ground, for observation of ground-waters for any reason, for the exploration of the subsurface of the earth, for removal of substances from soil or groundwater, or for cathodic protection. This definition shall not include oil or gas wells or geothermal wells constructed under the jurisdiction of the State Department of Conservation This definition shall not include oil or gas wells or geothermal wells constructed under the jurisdiction of the State Department of Conservation except when such wells are converted to use as a well. This definition includes environmental and geothermal wells. A soil boring is an uncased artificial excavation constructed by any method for the purpose of obtaining information on subsurface conditions or for the purpose of determining the presence or extent of contamination in subsurface soils or groundwater. This definition includes environmental and geotechnical borings, test holes, test wells and exploration holes. Individual Sewage Disposal System: Current Rate Recommended Rate Standard System Construction Permit $ 450.00 No Change Site evaluation (two Hour minimum change) (i) $ 230.00 No Change Plan review— includes building additions $ 115.00 per hour No Change Individual Wells and Soil Borings: (Permit for construction and/or reconstruction for $ 299.00 No Change individual wells including monitoring wells) Site evaluation (minimum one-hour charge) (1) $ 115.00 per hour No Change Permit for soil borings (per parcel) $ 299.00 No Change Review of an existing individual water system well (1) $ 115.00 No Change (Inspection permit for abandoning and sealing of well $ 182.00 No Change fee includes only one-hour staff time) (Inspection permit for abandoning and sealing No Charge No Change of well when done at the same inspection of replacement well) Plan Review $ 115.00 No Change Alternative system Construction Permit $ 557.00 No Change Annual Operation Permit $ 218.00 No Change Annual Operation Permit over two hours $ 115.00 per hour No Change (Re-inspection/Cancellation/Rescheduling without $ 115.00 per hour No Change 8 — hour confirmed notice) (Septic system abandonment permit $ 145.00 No Change fee includes only one-hour staff time) Minor repair permit (fee includes only one hour staff time) $ 145.00 No Change Percolating test $ 734.00 No Change Soil profile evaluation $ 230.00 No Change Subdivisions — Land Use Projects: (Community Development Department (CDD) $ 115.00 per hour No Change Report reviewed for land use permits; re-zoning; developmental plans; EIR review; lot line adjustments; and CDD variance requests). Environmental Health review of CDD applications $ 30.00 No Change (12) Resolution: 2000/437 Restating Itemized Professio..__,and Service Rate Charges For Contra Costa I _ .Ah Services Liquid Waste Disposal Permits: Septic Tank / chemical toilet cleaner— Business (1) $ 345.00 No Change Septic Tank / chemical toilet cleaner—Vehicle(1) $ 115.00 No Change Other Programs: Plan Check: Plan check deposit fees except those specifically listed, 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. If deposit is not expended a refund will be issued. The initial fee for an "exempt facility" or a minor remodeling plan check is $248. Each additional hour is $115.00 per hour. Ordinance Cade of Centra 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 approval, 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. Current Deposit Requirement Recommended Deposit Public Pool (minimum deposit) $1,296.00 No Change Public Pool Complex (minimum deposit) $1,296.00 No Change Additions to original complex: Each pool, spa, wading, therapy, or diving pool $ 373.00 No Change Bathhouse $ 373.00 No Change Recreational water park complex (Minimum Deposit—5 times the annual pool permit) Hazardous Materials Programs Division Certified Unified Program (COPA) Fee Schedule: The setting of fees authorized by California Code of Regulations (CCR), Title 27, section 15210 and Health & Safety Code 25404.55. Hazardous Material A82185 Proeram: AB2185 fees for a current calendar year are based upon the following year's projected business plan inventory of hazardous material and are billed to the business in the sixth month after December 31st of the current calendar year l=ee 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 Fee: (Calendar 'Year 1990 Number Of Employees LBS. Of Material Current Fees Recommended Fee NIA < 1 K *A $ 142.00 No Change 0 to 4 > 1 K < 10K $ 151.00 No Change 5 to 9 > 1K - < 10K $ 207.00 No Change 10 to 19 > 1K - < 10K $ 259.00 No Change 0 to 4 > 10K - <100K $ 311.00 No Change 5 to 9 > 10K - <100K $ 362.00 No Change 10 to 19 > 10K - <100K $ 415.00 No Change Resolution: 2000/437 Restating Itemized Professio ind Service Rata Charges For Contra Costa a 'h Services 0 to 4 >100K - <250K $ 543.00 No Change 5 to 9 >100K - <250K $ 604.00 No Change 10 to 19 >100K - <250K $ 664.00 No Change 0 to 4 >250K - <500K $ 723.00 No Change 5 to 9 >250K - <500K $ 784.00 No Change 10 to 19 >250K - <500K $ 844.00 No Change > 20 and < 10K $ 453.00 No Change > 20 and > 1 oK - <100K $ 989.00 No Change > 20 and >100K - <250K $ 1,970.00 No Change > 20 and >250K - <500K $ 3,689.00 No Change N/A >500K - <2.5 M $ 9,381.00 No Change N/A >2.5M - < 10M $18,479.00 No Change N/A >10M - <1 ooM $30,261.00 No Change N/A >l ooM - < 1B $40,347.00 No Change NIA > 1B - < 5B $50,434.00 No Change NIA > 5B $89,286.00 No Change All marine terminals and tank farms with secondary $25,352.00 No Change containment storing greater than or equal to 1 OM pounds of Hazardous Materials. All oil refineries and Class 1 off-site hazardous $99,464.00 No Change waste disposal sites Liquefied carbon dioxide (CO2) shall be assigned a risk factor of 10%. In summing the total pounds of hazardous material at a given facility as part of the fee determination, the pounds of liquid (CO2) shall be multiplied by 10% and that amount used in the calculation of the aggregate pounds for the site. (A) Quantity at any one time during the reporting year equal to, or greater than, a total weight of 500 pounds or a total volume of 55 gallons, or 200 cubic feet at standard temperature and pressure for compressed gas. Partial Year Ownership - New Owner/ Operator: A Business Plan is required from a new owner/ operator from the start of the business activity to December 31s'. An annual AB2185 fee will be computed on the inventory of hazardous material listed in the Business Plan, then pro-rated by the number of months covered by the Business Pian. Discontinuance or Sale of Business: Upon discontinuance or sale of a business, the owner/ operator is required to file a business Plan for the period between the ending date of the proceeding business plan to the month in which the business activity ceased or the business was sold. The annual AB2185 fee will be computed on the inventory of hazardous material listed in the Business Plan then pro-rated based on the prior year's Business Plan or a revised Business Plan approved by the Hazardous Materials Program Director. For businesses that discontinue doing business during a calendar year, the AB2185 fee will be pro-rated based on the prior year's Business Plan or a revised Business Plan approved by the Hazardous Materials Program Director. The Fees shall be non-transferable, non-refundable and set on a facility basis. Additional Administrative Fees Will Be Assessed For: 1. Failure to respond to inquiries relating to compliance with these resolutions — 25% of fee. 2. Late filing of business plans beyond a 30—day notice of violation — 50% of fee. 3. Failure to pay the fee within terms of the invoice— 25% of fee. 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. (14) Resolution: 2000/437 Restating Itemized Professioi:.. and Service(tate Charges For Contra Costa E _ :th Services Uhl-Staffed Remote Facility Current Fees Recommended Fees 1. Exemption Processing Fee $ 113.00 No Change 2. Initial Notification or Inventory Change Processing Fee $ 113.00 No Change Accidental Release prevention Prouram (ARPP) 1. Fee Imposed: The California Accidental Release Prevention Program (CAIARP) Fees for Contra Costa County are hereby imposed and assessed upon all stationary sources that handle regulated substances. 2. Amount: The fee for a stationary source shall be determined as follows: Fee - $200 + [(TC -TSS x $200 ) TRF] x RF TC - Total cost of the County's CalARP program TSS = Total number of stationary sources in the County TRF = `Total Risk Factor," or the sum of the Stationary Source Modified Chemical Exposure Indexes ("SSMCEI") of all stationary sources in the county RF - "Risk Factor," or a stationary source SSMCEI The TRF for the County and RF of a stationary source ("SSMCEI") shall be determined pursuant to the Contra Costa County Health Services Department's California Accidental Release Prevention Program Relative Risk Determination Methodology, attached hereto as Exhibit A and incorporated herein by this reference. 3. Exempt Stationary Sources: A stationary source may apply for an exemption from preparing a Risk Management Plan under the California Accidental Release Prevention Program. The exemption may be granted if the Health Services Director or his designee determines, at his or her sole discretion, that the potential for an off-site consequence from the stationary source is remote. If a stationary source has not paid the annual CALARP fees pursuant to this resolution, the stationary source shall pay an exemption review fee upon submittal of an exemption application. The exemption application fee shall be $500.00 per regulated substance per process. (For example, if a stationary source handles one regulated substance in one process the fee is $500.00. if a stationary source handles one regulated substance in two different processes the fee is $1,000.00). If a stationary source does not handle any regulated substance in a process but stores regulated substances in a warehouse, the review fee is $500.00 per warehouse where the regulated substances are stored. If an exemption is not granted all of the exemption application fee shall be credited towards the CALARP fees assessed upon the stationary source pursuant to this resolution. An annual administrative fee of$75.00 is hereby assessed upon all stationary sources that handle regulated substances on site but are exempt from preparing an RMP pursuant to this resolution. 4. Maximum Fee: The maximum fee to be charged to any one stationary source for fiscal year 1999-2000 is $48,000.00. This maximum fee shall increase by a factor of 10% per year. 5. Multiple Stationary Sources: Companies that have multiple stationary sources that are substantially identical, as determined at the sole discretion of the Director of Health Services, or his designee, may be assessed a reduced fee. The Fee for such a company shall be the full fee for the first stationary source, plus the greater of$75.00 or 10% of the full fee for each additional substantially identical stationary source 6. Non-Profit Organizations: If a stationary source is owned by a non-profit organization (Internal Revenue Service Code tax-exempt status number 5010), the fee shall be the greater of$75.00 or 10% of the full fee based on the stationary source's risk ranking. Resolution: 2000\437 Restating Itemized Professic and Service Rate Charges For Contra Costa V `th Services 7. Pro-Rata Refunds: The fiscal year begins on July 1st. If during a fiscal year a stationary source discontinues handling a regulated substance, a pro-rata refund shall be issued. Thi refund will be based on the pro-rated portion the fee attributable to the regulated substance 8. Definitions: The terms used in this resolution shall have the meanings ascribed to them in the Health and Safety Code Article 2, §25535.5 and §25404.5. 9. Authority: This resolution and the imposition of fees hereunder are authorized in part by Health & Safety Code, Chapter 6.95, §25535.5 and §25404.5. Industrial Safety Ordinance Fee The fee schedule will be determined by the formula listed below: Fee = 1/3 ARP = (ARPITRF) OMB Fee - The regulated source's fee for Chapter 450-8 of the County Ordinance Code ARP = The regulated source's fee for the CALARP Program TRF = The sum of all of the regulated sources' CALARP Program fees that are regulated by Chapter 450-8 of the County Ordinance Code. OMB = Costs of the Ombudsperson Position *Incident Investigation Fee Current Fees Recommended Fees $ 100.00 per hour No Change *(Charged to a regulated source when an incident is investigated by the Contra Costa Health Services Department). Pro-Rata Fee: If the regulated source CALARP program fee changes, the Industrial Safety Ordinance fee will be adjusted accordingly. Underground Storage Tank Program Underground Storage Tank Annual Permit. Description Current Fees Recommended Fees Single tank of 1,000 gallons or less used solely in $ 196.00 No Change Connection with the occupancy of a residence First tank of 50,000 gallons or less (a) No Change Basic fee for tank of 50,000 gallons or less $ 333.00 No Change Each tank of 50,000 gallons or more $ 579.00 No Change (a) In addition to the basic fee, a surcharge of$150.00 is applicable on the tank at each site which has the earliest installation date. Underground Storage Tank Installation Plan Review and Inspection: In addition to the applicable State surcharge prescribed by or pursuant to the law, the following fees shall be collected: New Tank Facility, first tank $ 520.00 No Change Each additional Tank $ 105.00 No Change {16} Resolution: 2000/437 Restating Itemized Profession. and Service Rate Charges For Contra Costa h h Services Underaround Storaae Tank Removal, Temporary Closure or Abandonment: Description Current Fees Recommended Fees Single tank of 1,000 gallons or less, located at a $ 139.00 No Change Residence and used solely in connection with the occupancy of that residence. First Tank at a site $ 323.00 No Change Each additional tank $ 139.00 No Change Inspection and Plan Review for Plpina Replacement or Modifleation: Plan review and inspection of pipe replacement $ 381.00 No Change or repair, including the installation of overrill protection equipment and corrosion control devices leak detection and monitoring equipment. Permit Amendment or Transfer: Permit amendment or transfer fee $ 69.00 No Change Underground Tank Modification. Repair or Lining Permit: Includes review and inspection not exceeding four $ 305.00 No Change hours of staff time For each additional hour or fraction thereof of $ 113.00 No Change staff time Description Current Fees Recommended Fees Contaminated Site Fee: Each hour or fraction thereof of service delivered $ 113.00 No Change Monday through Friday between 8:00 a.m. and 5:00 p.m. 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 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. Re-Inspection or Time Use: Each hour or fraction thereof of staff time, Monday $ 113.00 No Change Through Friday between 8:00 a.m. and 5:00 p.m. 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 inspection or four hours of onsite. time is required in the case of tank installations C. More than one re-inspection is required to determine Compliance; and for 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. (17) Resolution: 20oot 437 Restating Itemized Professic and Service Rate Charges For Contra Costa F `.h Services Document Search: Each hour or fraction thereof of staff time, Monday $ 113.00 No Change through Friday between 8:00 a.m. and 5:00 p.m., 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. PENALTY: The following penalty shall be applied and collectible from parties responsible for the following actions: Penalty a.) Failure to file and report change in owner- $500.00 No Change ship or operator of an underground tank(s) This penalty is in addition to those that may be imposed under any other underground tank regulation. Incident Response: Each hour or fraction thereof of service time $ 113.00 No Change 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. This includes Responses to illegal drug labs. Description Current Fees Recommended Fees Hourly rate for service time after 5:00 p.m. until $ 140.00 No Change 8:00 a.m. Hazardous Waste Generator: Every generator which produces hazardous waste shall pay a fee for each generator site for each calendar year, or portion thereof. Generators are required to report the amount of waste generated on a Hazardous Waste Generator Fee form provided by Hazardous Materials Programs Division. Hazardous Waste Generated: 1) Less than 5 tons $ 99.00 No Change 2) 5 or more tons, but less than 25 tons $ 188.00 No Change 3) 25 or more tons, but less than 50 tons $ 1,507.00 No Change 4) 50 or more tons, but less than 250 tons $ 3,766.00 No Change 5) 250 or more tons, but less than 500 tons $18,832.00 No Change 6) 500 or more tons, but less than 1000 tons $42,064.00 No Change 7) 1000 or more tons, but less than 2000 tons $56,496.00 No Change 8) 2000 or more tons $75,328.00 No Change Reporting forms post marked after March 1st will be assessed a late fee of 50%. Onsite Treatment Fees: Permit By Rule (Fixed Units) $ 1,027.00 per facility No Change Conditional Authorization $ 1,027.00 per facility No Change Conditional Exemption and Commercial Laundry $ 38.00 per year No Change Conditional Exemption —Limited $ 38.00 first year only No Change {1s} Resolution: 2000\ 437 Restating Itemized Profession: and Service Rete Charges For Contra Costa i th Services Delinquent Payment Penalty: A 25% delinquent payment penalty will be assessed to any fee or service rendered if not paid within the payment terms or payment due date stated on the invoice. END CF CERTIFIi=D UNIFIED PFI©GRAM (CUPA) FEE SCNEDUL E Emergency Medical Services Agency Emergency Medical Technician (EMT1) Description Current Pees Recommended Fees Initial Certification / Re-Certification* $ 30.00 No Change Replacement Card $ 10.00 No Change Paramedic Accreditation / Re-Accreditation* $ 50.00 No Change (Re-accrediation applies only if initial Accreditation lapses) Mobile Intensive Care Nurse (MICN) Authorization / Re-Authorization* $ 50.00 No Change EMS Continuing Education Provider ** 4 year $ 100.00 No Change Non - Emergency Ambulance Service Permit 3 year county—wide $1,500.00 No Change Description Current Fees Recommended Fees Emergency/Ambulance Service Permit For: Each Emergency Response Area (3 — year) $1,500.00 No Change EMS Aircraft Classification $ 250.00 No Change EMS Aircraft Authorization 2 YEAR $1,300.00 No Change Non - Emergency Paramedic Transfer Program 1 year including up to 50 transfers $3,000.00 No Change Fee for each transfer over the first 50 / year $ 50.00 No Change * Renewal fees may be waived for employees of a service provider with an approved, in-house program for maintaining required renewal records. ** Fee may be waived for non-commercial providers offering continuing education at no charge to participants, or for providers offering continuing education to in-house employees only. Waiver: The Health Officer or his designee may waive any of these fees in any individual case it which he determines that the advancement and protection of the public health will be better serves thereby and that these considerations out weigh the County financial interests in collecting the fee. (19) Resolution: 2000\437 Restating Itemized Professio. and Service Rate Charges For Contra Costa F h Services Fee Amendments: The Health Services Director or his designee my 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 statue or regulation regardless of the amount of the increase or decrease. Medicaid Waiver: To insure compliance with the Medicaid waiver granted by Health Care Finance Agency to the State of California, the Health Director or his designee is granted the authority to increase Inpatient rates for services at CCRMC to the level necessary to ensure charges for service exceed expected Medi-Cal payments. Fee Adjustment: 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. Original: County Administrator I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the cc: Health Services Director Board of Supervips on the date shown. Health Services Administration ATTESTED: Health Services Controller PM BATCHELOR,clerk of the Board County Counsel of Supervisors and CountyAdministrator County Auditor By Deputy Contact: Patrick Godley, CFO (370-5005) (20) Resolution: 2000\ 437