HomeMy WebLinkAboutRESOLUTIONS - 01012001 - 2001-182 SD.
THE BOARD OF SUPERVISORS
OF CONTRA COSTA COUNTY CALIFORNIA
Adopted this Order on: May 8 , 2001 By the following Vote:
AYES: SUPERVISORS GIOIA, GERBER, GLOVER, and UILKEMA
NOES: NONE
ABSENT: SUPERVISOR DeSAULNIER
ABSTAIN: NONE Resolution No. 2001 1182
SUBJECT: Amend the Itemized Professional and Service Rates for Contra Costa
County Health Services Effective June 1, 2001.
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 2001/59 dated February 13, 2001.
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 June 1, 2001 is established as follows:
Reason for proposed rate changes:
1. Hospital Inpatient: No Changes Proposed.
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: There has not been a fee increase since 1999.
a.) Increase Retail Foods, Consumer Protection, and certain Land Use fees by 7.5% due to a
4% cost of living adjustment awarded to all employees.
b.) Adjust certain Land Use fees to reflect more accurately the amount of time spent on a
specific procedure by inspectors.
c.) One new and two replacement vehicles will be purchased during the year.
8. Hazardous Materials Programs:
a.) The largest portion of the increase is due to the Community Warning System coming on line.
The estimated annual cost is $1,289,000.
b.) Increase fees to fund the 4% cost of living adjustment awarded to all employees.
c.) The Unannounced Inspection program was implemented part way through last year. This
year's fees reflect the cost of operating the program for a full twelve months.
9. EMS: No Changes Proposed
(1)
Racnhifinn- 2001/ 182
Hospital Inpatient
Service Current Daily Rate For Recommended Daily Rate for
Routine Room and Board Routine Room and Board
Pediatrics $1,210.00 No Change
Medical Ward $1,150.00 No Change
Transitional Care Unit $1,150.00 No Change
Nursery Bassinet $ 825.00 No Change
Intensive Care $3,325.00 No Change
Service Total Unit Rate Total Unit Rate
Fixed all inclusive @
Obstetrics $ 5,170.00 No Change
Routine Delivery with Tubal Legations $ 7,150.00 No Change
Prior or Primary C-Section $11,660.00 No Change
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 $ 587.00 No Change
Anesthesiology Each Add'I 15 min. $ 145.00 No Change
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 $ 62.32 No Change
EKG Relative Value Units $ 17.85 No Change
Laboratory(Hosp&PH Lab) Relative Value Units $ 3.75 No Change
Rehab. Therapy
OT/ PT 30 minute intervals $ 200.00 No Change
Speech 30 minute intervals $ 200.00 No Change
Cardiopulmonary Relative value Units $ 18.46 No Change
Delivery Room 15 minute intervals $ 145.00 No Change
Surgery Recovery Room 1St Hour $ 587.00 No Change
Operating Room 1St Hour $1,180.00 No Change
Operating Room Each Add'I 30 minutes $ 513.00 No Change
Cast Room Unit $ 218.00 No Change
(2)
Resolution: 2001\ 1A9
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
EEG 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
Emereency 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: 2001\182
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 Rote
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
(4)
Resolution: 2001\182
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 II) Person $ 724.00 No Change
2nd 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-ACD 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 Plan
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.
(5)
Resolution: 2001\ 189.
Public Health
Immunization
Unit Of Service Current Rates Recommend Rate
Typhoid Each (Injection) $ 45.00 No Change
(Ages 2 & Over) 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 B
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
(s)
Resolution: 2001\ 1A9
Unit Of Service Current Rates Recommend Rate
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 per hour $ 123.00 per hour
Special Services Fee at Hourly Rate With Minimum:
One - Hour Charge: $ 115.00 $ 123.00
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 $ 312.00
Overtime Charges (After Normal Business Hours) $ 146.00 $ 156.00 per hour
Applicable to:
Plan Review Fees for Permit Fee Exempt Facilities
Plan Review and Site Evaluation Fees for Community Development Services
(7)
Resolution: 2001\ 182
Second re-inspection of verified complaints will be charged to the property owner/responsible
party. A $123.00 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 $156.00 per hour.
Penalties: Penalties will be imposed for delinquent payments as provided in County Ordinance
No. 93-58, 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 Program
Consumer Protection / Retail food fees are applicable to the Environmental Health permit year
beginning January 1, 2002.
Environmental Health Permit Fee:
Category Units Capacity Current Fees Recommended Fee
Restaurants Seats 0 - 25 $ 360.00 $ 387.00
Restaurants Seats 26 - 49 $ 460.00 $ 495.00
Restaurants Seats 50-149 $ 547.00 $ 588.00
Restaurants Seats 150 + $ 622.00 $ 669.00
(NOTE: Restaurants with drive-up window (base seating + $54)
Drive Through Only $ 361.00 $ 388.00
Vending Machines Machines 1 - 4 $ 109.00 $ 117.00
Each Machine Over 4 4 + $ 19.00 $ 20.00
Tavern/Cocktail Lounge Bar $ 397.00 $ 427.00
Snack Bar $ 397.00 $ 427.00
Commissary $ 497.00 $ 534.00
Cart Commissary $ 220.00 $ 237.00
Catering $ 497.00 $ 534.00
Itinerant Food Facility
Special Events Per Food Booth $ 69.00 $ 74.00
Retail Food MarketsSquare Foot <2,000 $ 336.00 $ 361.00
Retail Food Markets Square Foot 2,001 -4,000 $ 386.00 $ 415.00
Retail Food Markets Square Foot 4,001 - 6,000 $ 547.00 $ 588.00
Retail Food Markets Square Foot >6,000 $ 622.00 $ 669.00
Incidental Retail Food Mkts $ 144.00 $ 155.00
Certified Farmer's Market (CFM) with Food Vendors:
Certified Farmer's Food Mkts (CFM)Booths 1 - 25 $ 198.00 $ 213.00
Certified Farmer's Food Mkts (CFM)Booths 26 - 45 $ 297.00 $ 319.00
Certified Farmer's Food Mkts (CFM)Booths 46 + $ 396.00 $ 426.00
Non Agricultural
Food Vendor Booths 1 - 5 CFM Fee + $ 99.00 $ 156.00
Food Vendor Booths 6 -10 CFM Fee + $ 198.00 $ 213.00
Food Vendor Booths 11 + CFM Fee + $ 297.00 $ 319.00
(8)
Resolution: 20011 182
Category Units Capacity Current Fees Recommended Fee
Wiping Rags Business $ 186.00 $ 200.00
Roadside Stands $ 186.00 $ 200.00
Food Salvager $ 523.00 $ 562.00
Food Processing Establish Square Foot <2,000 $ 336.00 $ 361.00
Food Processing Establish Square Foot 2,001 -4,000 $ 386.00 $ 415.00
Food Processing Establish Square Foot 4,001 - 6,000 $ 547.00 $ 588.00
Food Processing Establish Square Foot >6,000 $ 622.00 $ 669.00
Food Demonstrator $ 175.00 $ 188.00
Retailer Food Vehicle (Delivery&Peddlers) $ 199.00 $ 214.00
Mobile Food Prep Units $ 373.00 $ 401.00
Retailer Food Vehicles(including catering trucks) $ 199.00 $ 214.00
Ice Cream Push Carts 1 - 4 $ 58.00 each $ 62.00
Ice Cream Push Carts 5 - 10 $ 53.00 each $ 57.00
Ice Cream Push Carts > 10 $ 48.00 each $ 52.00
Bakery Square Foot <2,000 $ 336.00 $ 361.00
Bakery Square Foot 2,001 -4,000 $ 386.00 $ 415.00
Bakery Square Foot 4,001 - 6,000 $ 547.00 $ 588.00
Bakery Square Foot >6,000 $ 622.00 $ 669.00
Wholesale Food Square Foot <2,000 $ 336.00 $ 361.00
Wholesale Food Square Foot 2,001 -4,000 $ 386.00 $ 415.00
Wholesale Food Square Foot 4,001 - 6,000 $ 547.00 $ 588.00
Wholesale Food Square Foot >6,000 $ 622.00 $ 669.00
Ice Plant $ 143.00 $ 154.00
Recreational Health:
Recreational Water Park One System $ 746.00 $ 802.00
Each Additional System $ 373.00 $ 401.00
Pool-Apartment, Motel,Hotel Multi - Use $ 432.00 $ 464.00
Each Additional Pool $ 124.00 $ 133.00
Spa Apartment, Motel, Hotel Multi-Use $ 373.00 $ 401.00
Each Additional Spa $ 124.00 $ 133.00
Fee Exempt Activities (Permit Fees Only):
Food Facilities / Public Schools No Fee No Change
Municipal I Non Profit
Pools / Public Schools No Fee No Change
Municipal I 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 000-199 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 $ 100.00
(9)
Resolution: 2001\ 182
Category Units Capacity Current Fees Recommended Fee
Public Water System — Plans 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 $ 123.00 per hour
Pro-Rating Fees:
Commencement of a new business: The full annual fee shall 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.
Permanent 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 permanent 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 Facility Fees:
Closed. Illegal and Abandoned Sites
Annual Inspection — 2 Hours $ 230.00 $ 246.00
Quarterly Inspections — 8 Hours $ 920.00 $ 984.00
Monthly Inspections — 16 Hours (see Note(a)below) $1,840.00 $1,968.00
Bio-Solid Facility Sites
Annual Inspection — 2 Hours $ 230.00 $ 246.00
Quarterly Inspections — 8 Hours $ 920.00 $ 984.00
Monthly Inspections — 16 Hours $1,840.00 $1,968.00
NOTE (a): Any inspection conducted over and beyond the routine inspection is subject to the
hourly rate of$123.00 an hour.
Bio-Solid Facility Application and Review Fee
With Public Hearings — 10 Hours $1,150.00 $1,230.00
Without Public Hearings — 5 Hours(see Note(b)below) $ 575.00 $ 615.00
Solid Waste Facility Permit
Application / Review Fee (see Note(b)below) $1,150.00 $1,230.00
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 Garbage Service Exemption $ 115.00 per hour $ 123.00 per hour
Medical Waste:
Plan review (new facility/treatment system/permit revision $ 436.00 $ 469.00
Additional review(per hour) $ 115.00 $ 123.00 per hour
Health Care Service Plan Facility $ 463.00 $ 498.00
Medical/Dental/Veterinary Clinic (>200 lbs./month) $ 360.00 $ 387.00
Medical/Dental/Veterinary Clinic (<200 lbs./month) $ 45.00 $ 48.00
(10)
RPCnh Minn• gon i\ 1A9
Description Current Fees Recommended Fees
With on-site treatment (<200 lbs./month) $ 135.00 $ 145.00
With on-site treatment medical waste treatment systems, i.e. $ 73.00 $ 81.00
Autoclave, incinerator, Steam Sterilize additional fees required:
Primary Care Clinic $ 463.00 $ 498.00
Intermediate Care Facility $ 390.00 $ 419.00
Acute Psychiatric Care $ 360.00 $ 387.00
Acute Care Hospital ( 251 + beds) $1,840.00 $1,978.00
Acute Care Hospital (200-250 beds) $1,315.00 $1,414.00
Acute Care Hospital (100- 199 beds) $1,128.00 $1,213.00
Acute Care Hospital ( 1 - 99 beds) $ 791.00 $ 850.00
Skilled Nursing Facility (>200 lbs./month) $ 360.00 $ 387.00
Skilled Nursing Facility (<200 lbs./month) $ 45.00 $ 48.00
Skilled Nursing Facility
(With on-site treatment) (<200 lbs./month) $ 135.00 $ 145.00
Specialty Clinic (>200 lbs./month) $ 463.00 $ 498.00
Clinical Lab (>200lbs. /month) $ 360.00 $ 387.00
Clinical Lab (<200 lbs./month) $ 45.00 $ 48.00
Clinical Lab (With on-site treatment) (<200 lbs./month) $ 135.00 $ 145.00
Bio-med Producer (>200 lbs./month) $ 360.00 $ 387.00
Bio-med Producer (<200 lbs./month) $ 45.00 $ 48.00
Bio-med Producer
With on-site treatment (<200 lbs./month) $ 135.00 $ 145.00
Bio-med Producer
(With on-site treatment) (>200 lbs./month) $ 450.00 $ 484.00
Common Storage Facility (50 + generators) $ 360.00 $ 387.00
Common Storage Facility (11 -49 generators) $ 180.00 $ 194.00
Common Storage Facility ( 2- 10 generators) $ 135.00 $ 145.00
Limited Quantity Hauling Exemption $ 75.00 $ 81.00
Re-inspection Fee (per hour) $ 115.00 $ 123.00 per hour
Certification Application Fee $ 35.00 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 Ordinance
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.
(11)
Resolution: 2001\ 1w)
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 charged at the rate of$123.00 per hour during normal business hours and the rate of
$156.00 per hour after normal business hours.
GENERAL:
Current Fees Recommended Fees
Individual Sewage Disposal Systems:
Preliminary Investigation
Site evaluation (two hour minimum charge)(1) $ 230.00 $ 246.00
Percolation test-contractor with staff review $ 406.00
Percolation test - staff performed $ 734.00 $ 800.00
Soil profile evaluation $ 230.00 $ 246.00
Standard/Conventional Systems
Construction Permit (includes 1 hr. Plan Review) $ 460.00 $ 492.00
Additional Plan Review $ 115.00 per hour $ 123.00 per hour
Re-inspection/Cancellation/Rescheduling
(Without confirmed notice) $ 115.00 per hour $ 123.00 per hour
Alternative Systems
Construction Permit (includes 2 hr Plan Review) $ 657.00 $ 701.00
Additional Plan Review $ 115.00 per hour $ 123.00 per hour
Re-inspection/Cancellation/Rescheduling $ 115.00 per hour $ 123.00 per hour
Annual Operation Permit $ 218.00 No Change
Related Septic System Activities
Plan Review- Building additions $ 115.00 per hour $ 123.00 per hour
Septic System Abandonment Permit
(Includes 1.5 hour staff time) $ 145.00 $ 220.00
Minor Repair Permit (includes 1 hr. staff time) $ 145.00 $ 158.00
Wells and Soil Borings:
A well is any artificial excavation constructed by any method for the purpose of extracting water
from, or injecting water or other liquid into the ground, for observation of groundwaters for any
reason, for the exploration of the subsurface of the earth, for removal of substances from soil or
groundwater, dewatering, or the cathodic protection. 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 geotechnical 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, dewatering wells, test holes, test wells and exploration
holes.
Current Fees Recommended Fees
Individual Wells and Soil Borings
Permit for construction and / or reconstruction for
individual wells, including monitoring wells. $ 299.00 $ 325.00
Site evaluation (Minimum 1 hr charge) (1) $ 115.00 per hour $ 123.00 per hour
Permit for soil borings (Per parcel) (1) $ 299.00 No Change
(12)
Resolution- 2001\,on
Current Fees Recommended Fees
Review of an existing water well (1 hr minimum) (1) $ 115.00 per hour $ 123.00 per hour
Inspection permit for abandoning and sealing of
well (Fee includes 1 hr of staff time) $ 182.00 $ 200.00
Inspection permit for abandoning and sealing of well
when done at same inspection of replacement well. No Charge No Change
Subdivisions — Land Uses Proiects
Community Development Department (CDD) report
reviewed for land use permits; rezoning; developmental
plans; EIR Review; lot line adjustments; and
CDD variance requests. $ 115.00 per hour $ 123.00 per hour
Environmental Health review of CDD applications $ 35.00 No Change
Liquid Waste Disposal Permits:
Septic tank/ chemical toilet cleaner-business (1) $ 345.00 $ 375.00
Septic tank/ chemical toilet cleaner-vehicle (1) $ 115.00 per hour $ 123.00 per hour
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 $281.00. Each
additional hour is $123.00 per hour.
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 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 $1,393.00
Public Pool Complex (minimum deposit) $1,296.00 $1,393.00
Additions to original complex:
Each pool, spa, wading, therapy, or diving pool $ 373.00 $ 401.00
Bathhouse $ 373.00 $ 401.00
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 AB2185 Program:
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 Fee structure for businesses required to submit a
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Resolution: 2001\ 182
"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 2000)
Number Of Employees LBS. Of Material Current Fees Recommended Fee
N/A < 1 K *A $ 142.00 $ 235.00
0 to 4 > 1 K < 10K $ 151.00 $ 250.00
5 to 9 > 1K - < 10K $ 207.00 $ 343.00
10 to 19 > 1K - < 10K $ 259.00 $ 429.00
0 to 4 > 10K - <100K $ 311.00 $ 516.00
5 to 9 > 10K - <100K $ 362.00 $ 600.00
10 to 19 > 10K - <100K $ 415.00 $ 688.00
0 to 4 >100K - <250K $ 543.00 $ 900.00
5 to 9 >100K - <250K $ 604.00 $ 1,002.00
10 to 19 >100K - <250K $ 664.00 $ 1,101.00
0 to 4 >250K - <500K $ 723.00 $ 1,199.00
5 to 9 >250K - <500K $ 784.00 $ 1,300.00
10 to 19 >250K - <500K $ 844.00 $ 1,400.00
> 20 and < 10K $ 453.00 $ 751.00
> 20 and > 10K - <100K $ 989.00 $ 1,640.00
> 20 and >100K - <250K $ 1,970.00 $ 3,267.00
> 20 and >250K - <500K $ 3,689.00 $ 6,117.00
N/A >500K - <2.5 M $ 9,381.00 $ 15,557.00
N/A >2.5M - < 10M $ 18,479.00 $ 30,644.00
N/A >10M - <100M $ 30,261.00 $ 50,182.00
N/A >100M - < 1B $ 40,347.00 $ 66,907.00
N/A > 1B - < 5B $ 50,434.00 $ 83,635.00
N/A > 5B $ 89,286.00 $148,063.00
All marine terminals and tank farms with secondary $ 25,352.00 $ 42,041.00
containment storing greater than or equal to 10M
pounds of Hazardous Materials.
All oil refineries and Class 1 off-site hazardous $ 99,464.00 $164,941.00
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 31St. 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
Plan.
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.
(14)
Racnhitinn• gnnl\ ,.,
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.
UN-Staffed Remote Facility
Current Fees Recommended Fees
1. Exemption Processing Fee $ 113.00 $ 130.00
2. Initial Notification or Inventory Change Processing Fee $ 113.00 $ 130.00
Accidental Release Prevention Program (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 CaIARP 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
cou my
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.
(15)
Resolution: 2001\182
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. 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.
5. Non-Profit Organizations: If a stationary source is owned by a non-profit organization
(Internal Revenue Service Code tax-exempt status number 501 C), the fee shall be the
greater of$75.00 or 10% of the full fee based on the stationary source's risk ranking.
6. Pro-Rata Refunds: The fiscal year begins on July 1 st. If during a fiscal year a stationary
source discontinues handling a regulated substance, a pro-rata refund shall be issued.
This refund will be based on the pro-rated portion the fee attributable to the regulated
substance.
7. 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.
8. 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.
Unannounced Inspection Program
1. Fee Imposed: The Unannounced Inspection Program fees for Contra Costa County are
hereby imposed and assessed upon all stationary sources that handle regulated
substances and that must submit a Risk Management Plan to the U.S. EPA.
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 Unannounced Inspection 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 RF of a stationary source ("SSMCEI") shall be determined pursuant to
the 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. Pro-Rata Refunds: The fiscal year begins on July 1 st. If during a fiscal year a stationary
source discontinues handling a regulated substance, a pro-rate refund shall be issued.
This refund will be based on the pro-rated portion of the fee attributable to the regulated
substance.
4. Definitions: The terms used in this resolution shall have the meanings ascribed to them
in the Health and Safety Code Chapter 6.95 §25404.5.
5. 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 = (ARP/TRF) OMB
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Resolution: 2001\ 182
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 $ 130.00
*(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 $ 262.00
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 $ 446.00
Each tank of 50,000 gallons or more $ 579.00 $ 775.00
(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 $ 696.00
Each additional Tank $ 105.00 $ 141.00
Underground Storage Tank Removal, Temporary Closure or Abandonment:
Description Current Fees Recommended Fees
Single tank of 1,000 gallons or less, located at a $ 139.00 $ 186.00
Residence and used solely in connection with the
occupancy of that residence.
First Tank at a site $ 323.00 $ 432.00
Each additional tank $ 139.00 $ 186.00
Inspection and Plan Review for Piping Replacement or Modification:
Plan review and inspection of pipe replacement $ 381.00 $ 510.00
or repair, including the installation of overfill
protection equipment and corrosion control devices
leak detection and monitoring equipment.
(17)
Resolution: 20011 182
Description Current Fees Recommended Fees
Permit Amendment or Transfer:
Permit amendment or transfer fee $ 69.00 $ 92.00
Underground Tank Modification, Repair or Lining Permit:
Includes review and inspection not exceeding four $ 305.00 $ 408.00
hours of staff time
For each additional hour or fraction thereof of $ 113.00 $ 130.00
staff time
Contaminated Site Fee:
Each hour or fraction thereof of service delivered $ 113.00 $ 130.00
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 $ 130.00
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 /or
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:
Each hour or fraction thereof of staff time, Monday $ 113.00 $ 130.00
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)
(18)
Resolution: 2001\,
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 $ 130.00
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 $ 158.00
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 $ 131.00
2) 5 or more tons, but less than 25 tons $ 188.00 $ 249.00
3) 25 or more tons, but less than 50 tons $ 1,507.00 $ 2,000.00
4) 50 or more tons, but less than 250 tons $ 3,766.00 $ 4,997.00
5) 250 or more tons, but less than 500 tons $18,832.00 $24,990.00
6) 500 or more tons, but less than 1000 tons $42,064.00 $49,980.00
7) 1000 or more tons, but less than 2000 tons $56,496.00 $74,970.00
8) 2000 or more tons $75,328.00 $99,960.00
Reporting forms post marked after March 1"will be assessed a late fee of 50%.
Onsite Treatment Fees:
Permit By Rule (Fixed Units) $ 1,027.00 per facility $1,363.00 per facility
Conditional Authorization $ 1,027.00 per facility $1,363.00 per facility
Conditional Exemption and Commercial Laundry $ 38.00 per year $ 50.00 per year
Conditional Exemption — Limited $ 38.00 first year only $ 50.00 per year only
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.
ND OF CERTIFIED UNIFIED PROGRAM (COPA) FEE SCHEDULE
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RPsnlutinn- 2001\ 182
Emergency Medical Services Agency
Emergency Medical Technician (EMT1)
Description Current Fees 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
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
in which he determines that the advancement and protection of the public health will be better
served thereby and that these considerations out weigh the County financial interests in
collecting the fee.
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.
(20)
Resolution: 20011 182
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.
The Board discussed this matter. Following that discussion, the Board took the following action:
AMENDED the itemized Professional and Service Rates for Contra Costa County Health Services
effective June 1, 2001; ADOPTED Resolution No. 2001/182 as set forth above; and DIRECTED that the Health
Services Department report to the Board on the number of Unannounced Inspections by the Hazardous
Materials Program.
I hereby certify that this is a true and correct copy of an action taken and
entered on the minutes of the Board of Supervisors on the date shown.
Attested M a v 8 , 2001
John SweeteryClerk of the Board of Supervisors and County Administrator
BYdF I Deputy
J6 AA
Original: County Administrator
cc: Health Services Director
Health Services Administration
Health Services Controller
County Counsel
County Auditor
Contact: Patrick Godley, CFO (370-5005)
(21)
Resolution: 2001\ 182