HomeMy WebLinkAboutMINUTES - 04071992 - H.4 ,'AE StARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFOR IA
Adopted this Order on Anril 7 , 1992 by the following vote:
AYES: Superviosrs Powers , Fanden, Torlakson, McPeak
NOES: None
.ABSENT: Supervisor Schroder
ABSTAIN: None
RESOLUTION NO. 92/218
SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa
County Health Services Effective April 7, 1992.
The Health Services Department has submitted a recommendation to amend the schedule of
itemized service rate charges and fees and restate unchanged rates for County Health Services
adopted by Board Resolution Number 91/484 effective July 23, 1991 and Ordinance No. 90-99.
The County Administrator has reviewed and recommended adoption of this proposed
amendment.
These recommendations have been considered by the Board and IT IS BY THE BOARD
RESOLVED that an amended and restated schedule of itemized rate charges for the Health
Services Department effective April 7, 1992 is established as follows:
HOSPITAL INPATIENT
Daily Rate for Routine
Service Room and Board
Medical Ward $ 516 *
Nursery Bassinet $ 367 *
Intensive Care $ 1,412
Mental Health $ 640
Total Unit Rate
Obstetrics Fixed all inclusive @
Routine delivery $ 3,553 *
Routine delivery with tubal ligation $ 4,776 *
Prior or primary C-Section $ 7,468 *
@ 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 work
3. Nutrition Class
4. Early Pregnancy Class
6. Labor and Delivery care, including ABC or C-Section
7. Back-up consultation services for complications of pregnancy, labor and
delivery (does not include transfer and care at high risk facility if necessary for
mother or baby)
8. Neonatal care, including nursery care and pediatric consultation, if needed.
9. One PHN home visit.
10. One post-partum check with Family Physician, including birth control
counseling.
11. Three return well-baby visits with Family Physicians.
* No Rate Change
RESOLUTION NO. 92/218
1
ANCILLARY SERVICES
DEPARTMENT BILLING UNIT CHARGE
Anesthesiology 15-Minute Intervals $ 58.00 *
Pharmacy Cost Plus % Cost plus 60%
Central Supply Cost Plus % Cost plus 400%
Central Supply (Service Units) RVS $ 16.00*
Radiology Relative Value Units $ 30.00 *
EKG Relative Value Units $ 9.70 *
Laboratory (Hosp. & P.H. Lab) Relative Value Units $ 2.30 *
Rehab. Therapy
OT/PT 30-Minute Intervals $ 77.50 *
Speech 30-Minute Intervals $ 77.50 *
Cardiopulmonary Relative Value Units $ 10.00 *
Delivery Room 15-Minute Intervals $ 70.00 *
Surgery Recovery 1 st Hour $254.00 *
Each add'I 15 Minutes $ 58.00 *
Operating Room Each 15 Minutes $ 92.00 *
Cast Room Unit $ 92.00 *
PROFESSIONAL COMPONENT
CHARGES PER RELATIVE VALUE UNIT BASED UPON
THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE STUDIES
CHARGE
Medicine $ 6.50 *
Surgery $ 161.00 *
Radiology $ 7.00 *
Anesthesiology $ 35.00
OUTSIDE SERVICES AND SUPPLIES
CHARGE
Nuclear Medicine Cost Plus 35% *
EEG Cost Plus 30% *
Blood Bank Cost Plus 35% *
Prosthesis Cost Plus 35% *
Laboratory Cost Plus CHS
(CHS - Collection and Handling of Specimens)
CHARGE
Professional Use of
Outpatient Visits Component Treatment Room TOTAL
New Patient
Brief $ 34.00 * $ 33.00 * $ 67.00 *
Limited $ 44.00 * $ 33.00 * $ 77.00 *
Intermediate $ 60.00 * $ 33.00 * $ 93.00 *
Extended $ 77.00 * $ 33.00 * $110.00 *
Comprehensive $100.00 * $ 33.00 * $133.00 *
* No Rate Change
2
AMBULATORY CLINIC RATES (con's
CHARGE
Professional Use of
Outpatient Visits Component Treatment Room TOTAL
Established
Minimal $ 14.00 * $ 33.00 * $ 47.00 *
Brief $ 20.00 * $ 33.00 * $ 53.00 *
Limited $ 30.00 * $ 33.00 * $ 63.00 *
Intermediate $ 37.00 * $ 33.00 * $ 70.00 *
Extended $ 50.00 * $ 33.00 * $ 83.00 *
Comprehensive $ 74.00 * $ 33.00 * $107.00
Dental Care Per Fee Schedule
Emergen y Room Visits
New Patient
Brief $ 35.00 * $ 50.00 * $ 85.00
Limited $ 46.00 * $ 50.00 * $ 96.00
Intermediate $ 74.00 * $ 50.00 * $124.00 *
Extended $ 97.00 * $ 50.00 * $147.00 *
Comp Admit HX & PX $120.00 * $ 50.00 * $170.00 *
Established
Minimal $ 20.00 * $ 50.00 * $ 70.00 *
Brief $ 25.00 * $ 50.00 * $ 75.00 *
Limited $ 37.00 * $ 50.00 * $ 87.00 *
intermediate $ 59.00 * $ 50.00 * $109.00 *
Extended $ 84.00 * $ 50.00 * $134.00 *
Comp Admit HX & PX $100.00 * $ 50.00 * $150.00 *
UNIT OF
Photoco in SERVICE CHARGE
Copy Per Page $ .10 *
Microfilm Per Page $ .25 *
Staff Time Per Hour $ 16.00 *
Postage Actual Charge *
MENTAL HEALTH PROGRAM SERVICES
UNIT OF
SERVICE CHARGE
Collateral Visit $ 92.00
Assessment Visit $176.00
Individual Visit $116.00
Group Visit $ 79.00
Medication Visit $118.00
Crisis Visit $294.00
Day Care, Intensive/Adult Visit $143.00
Day Care, Intensive/Child Visit $ 92.00
Day Care, Habilitative Visit $ 87.00
Case Management Staff Hours $ 86.00
* No Rate Change
3
DETOXIFICATION SERVICES
UNIT OF
Medical Detoxification SERVICE CHARGE
Services (21-day procedure)
New Patient (1st 7 days) Visit $ 16.50 *
New Patient (days 8-12) Visit $ 10.50 *
Readmitted Patient (days 1-12) Visit $ 10.50 *
Physician Re-examination Visit $ 20.00 *
DRUG ABUSE PROGRAM SERVICES
UNIT OF
Residential Treatment SERVICE CHARGE
Admission Fee Person $ 35.00
Residential Treatment Month $2,400.00
Drug Free Outpatient UNIT OF
Clinic Treatment SERVICE CHARGE
Individual Intake/Assessment Visit $ 165.00 *
Individual Counseling Visit $ 103.00 *
Collateral Service Visit $ 103.00 *
Group Counseling Visit $ 42.00 *
Acupuncture Treatment Visit $ 73.00 *
Medical Assessment/
Physical Exam Visit $ 90.00 *
Outpatient Drug Free
(Composite State Charge) Visit $ 103.00
Outpatient Methadone
Maintenance Visit $ 10.00
ALCOHOL PROGRAM SERVICES
Alcohol Information for UNIT OF
Referral Service (AIRS) SERVICE CHARGE
Individual Counseling Visit $ 60.00 *
Group Counseling Visit $ 20.00 *
Driving Under the UNIT OF
Influence Program SERVICE CHARGE
1st Offender (Level 1) Person $ 312.00
1st Offender (Level 11) Person $ 500.00
2nd Offender Person $1,175.00
HOME HEALTH AGENCY
UNIT OF
SERVICE SERVICE CHARGE
Skilled Nursing Visit $128.00
Physical Therapy Visit $121.00
Speech Pathology Visit $127.00
Occupational Therapy Visit $120.00
Medical Social Service Visit $175.00
Home Health Aides Hour $ 60.00
* No Rate Change
4
HEALTH PLAN
UNIT OF
Medicare Premium SERVICE CHARGE
Senior Health Basic (Low Option) Individual $ 41.00 *
Senior Health (Mid Option) Individual $ 55.00 *
Senior Health Plus (High Option) Individual $ 88.00 *
Commercial Group and UNIT OF
Individual Premium SERVICE CHARGE
Monthly Revenue Requirement Monthly Premium $ 99.58
(Authorizes establishment of
specific premium rates required
by commercial groups and
individuals: use of the "community
rating by class" rate determination
process for groups of 25 or more
employees; increase in the revenue
requirement on a quarterly basis
as appropriate by an amount not
to exceed 4% per quarter.
PUBLIC HEALTH
Family Planning CHARGE DESCRIPTION
Pregnancy Test $ 12.00 *
Non Eligible $ 80.00 * New membership - first year
Non Eligible $ 75.00 * Annual membership renewal
Male visits and supplies $ 8.00
Child Screening
$ 10.00 * Children up to 2 years of age over 200% of
poverty
$ 15.00 * Children between 2 and 12 years of age over
200% poverty
$ 20.00 * 12 years of age and older over 200% of poverty
$ 20.00 * Sports physicals and new grade school PX
Immunization
a. Typhoid $ 10.00 * Each
b. Stamping of Inter-
national Travel Cards $ 3.00 * Each
c. Childhood
Immunizations $ 2.00 * Each person, not to exceed $5.00 per family
d. Measles Vaccine
(second shot) $ 2.00 * Each under 200% of poverty
$26.00 * Each over 200% of poverty
e. Immunization Record
(duplicate) $ 5.00 * Each
T.B. Skin Testing
(P.P.D) $ 5.00 * Includes reading but no charge for contacts
Venereal Disease $20.00 * Clinic attendance for any sexually transmitted
disease
* No Rate Change
5
PUBLIC HEALTH (coni)
CHARGE DESCRIPTION
Nutrition Services $ 45.00 * Per hour consultation fee
Lab Tests
Gardnerella culture $ 19.50 * Each
Yeast culture No charge * Done in conjunction with Gardnerella culture
Quantitative VDRL $ 6.50 * Each
Qualitative VDRL $ 6.00 * Each
M HATP $ 20.50 * Each
Saline wet mount $ 16.00 * Each
KOH wet mount $ 16.00 * Each
Gram stain $ 16.00 * Each
Darkfield $ 26.00 * Each
Beta lactamese screen $ 12.50 * Each
Screen 1 organism $ 19.50 * 3 standard PTV
Chlamydia Culture - Iso $ 18.00 * 8 standard PTV
Chlamydia - EIA $ 16.50 * 6 Standard PTV
Chlamydia direct $ 13.50 * 8 standard PTV
KOH fungus $ 16.00 * 5 standard PTV
Herpes direct $ 18.50 * 9 standard PTV
Herpes Iso $ 28.50 * 13 standard PTV
Treponema MHA-TP $ 20.50 * 4 standard PTV
Hepatitis panel
B. surface antibody $ 16.50 * Each
B. core antibody $ 18.50 * Each
B. surface antigen $ 18.00 * Each
I gm. anti A $ 17.50 * Each
E Antigen $ 18.00 * Each
E Antibody $ 18.00 * Each
Routine culture - aerobic $ 47.00 * Each
General culture-anaerobic $ 47.50 * Each
Rabies $ 80.00 * Each
Health Education Material Cost plus 10%
(i.e.: videos, posters,
pamphlets, t-shirts, etc)
Elderly Flu Shots Voluntary Contributions
VITAL STATISTICS
Certified Copies Charge
Death and Fetal Death $ 8.00 *
Birth - General Public $ 12.00 *
Birth - Government Agency $ 8.00 *
Permit for Disposition of Human Remains Charae
Regular $ 7.00 *
After Hours $ 7.00 *
Cross Filing $ 10.00 *
* No Rate Change
6
ENVIRONMENTAL HEALTH
CONSUMER PROTECTION PROGRAM:
Environmental Health Permit Fee (previously referred to as Public Health Licenses):
too nits Capacijy RATE
Restaurants Seats 0-49 $290.00
Restaurants Seats 50-149 $400.00
Restaurants Seats 150+ $440.00
Vending Machines Machines 1-4 $ 65.00
Vending Machines Ea. add'I
mach. over 4 4+ $ 10.00
Tavern/Cocktail Lounge Bar $290.00
Snack Bar $270.00
Drive-In/Take-Out $355.00
Commissary $355.00
Catering $355.00
School Cafeterias No Fee No Fee *
Itinerant Restaurants $ 80.00 *
Retail Markets Sq.Ft <2,000 $270.00
Retail Markets Sq.Ft. 2,000-5,999 $290.00
Retail Markets Sq.Ft. 6,000+ $410.00
Roadside Stands $135.00
Food Salvager $380.00
Food Processing Establishment Sq.Ft. <2,000 $270.00
Food Processing Establishment Sq.Ft. 2,000-5,999 $290.00
Food Processing Establishment Sq.Ft. 6,000+ $410.00
Food Demonstrator $125.00
Retailer Food Vehicle (Del & Ped) $135.00
Mobile Food Prep Units $250.00
Retail Food Vehicles (Ind CAT.TRk) $135.00
Bakery Sq.Ft. <2,000 $270.00
Bakery Sq.Ft. 2,000-5,999 $290.00
Bakery Sq.Ft. 6,000+ $410.00
Septic Tank,Chemical
Toilet Cleaner Business $145.00
Septic Tank,Chemical
Toilet Cleaner Vehicle/ea $ 55.00
Pool-Apt, Motel,Hotel Mult-Use $270.00
Pool-Public School No Fee *
Pool-Municipal Pool No Fee *
Pool-Health Club/Swim School $270.00
Pool-Resort $270.00
Each Add. Pool within Same Location $ 90.00 *
Pool-Other-Fee @ Hourly Rate $ 80.00 *
Pool-Other-No Fee No Fee *
Spa-Apartment, Motel, Hotel Mult-Use $270.00
Spa-Public School No Fee *
Spa-Municipal Pool No Fee *
Spa-Health Club/Swim School $270.00
Spa-Resort $270.00
Each Add. Within Same Location $ 90.00 *
Spa-Other-Fee @ Hourly Rate $ 80.00 *
Spa-Other-No Fee No Fee *
Small Water Systems Connection 2-4 $ 65.00
Small Water Systems Connection 5-50 $105.00
Small Water Systems Connection 51-199 $125.00
Small Water Systems No Fee
<2,000 $270.00
Wholesale Food Sq.Ft. 2,000-5,999 $290.00
Wholesale Food Sq.Ft 6,000+ $410.00
Ice Plant $105.00
Incidental Confectionery $115.00
7
ENVIRONMENTAL HEALTH (Coni)
Environmental Health Permit Fee (con't):
Violation Reinspection Fee $ 50.00 *
Special Services Fee @ Hourly Rate $ 80.00 *
Application Fee $ 20.00 *
Wiping Rags Business $125.00
SOLID WASTE PROGRAMS
hre
Solid Waste Tonnage Fee $ 1.00 /ton
Solid Waste Facility Permit Application $ 500.00
Medical Waste:
Certification/Application Fee
to Charge
Small quantity generator
with onsite treatment $ 105.00
Limited quantity hauler $ 55.00
Common storage facilities
Serving 2-10 generators $ 105.00
Serving 11-49 generators $ 265.00
Serving 50 or more generators $ 525.00
Transfer station
Less than 200 lbs. per month $ 150.00
200 lbs. or more per month $ 300.00
Inpatient Facilities & Outpatient Clinics:
Acute care hospitals:
1-99 beds $ 630.00
100-199 beds $ 900:00
200-250 beds $1,050.00
251 or more beds $1,470.00
Specialty clinics $ 370.00
Skilled Nursing Facilities
1-99 beds $ 290.00
100-199 beds $ 370.00
200 or more beds $ 420.00
Acute psychiatric hospital $ 210.00
Intermediate care $ 315.00
Primary care $ 370.00
Clinic laboratory $ 210.00
Health care service plan facility $ 370.00
Veterinary clinic or hospital $ 210.00
Medical/Dental/Veterinary office
(200 Lbs. or more per month) $ 210.00
Reinspection fee (per hour) $ 80.00
* No Rate Change
8
ENVIRONMENTAL HEALTH (coni)
Medical Waste (con't):
Category har e
Medical Waste certification/
application fee $ 25.00
Solid Waste - Mandatory
Service Exemption $ 5.00 - 50.00 Sliding fee
Special Services Fee $ 80.00/hr
LAND USE PROGRAM
Sewage Disposal Systems
and Water Wells: Charae Description
Subdivisions proposing to use
individual sewage disposal systems and water
$125.00 Site evaluation, per lot, 2-4 lots
$630.00 Site evaluation, 5 or more lots,
maximum
$265.00 Percolation tests, per lot or
building (5 holes min.)
$105.00 Appeal (except hearings called
pursuant to Section 420-6.026)
Subdivisions proposing to use
individual sewage disposal systems
$ 80.00 * Site evaluation, per lot, 2-4 lots
$420.00 Site evaluation,
5 or more lots
$265.00 Percolation tests, per lot or
building
$105.00 Appeal (except hearings called
pursuant to Section 420-6.026)
Individual Sewage Disposal Systems
$ 80.00 * Site Evaluation
$265.00 Percolation test
$265.00 Each add'I percolation test
$210.00 Permit (except minor building)
$125.00 Review of existing individual
system
$ 55.00 Abandonment or sealing of septic
tank permit
$ 50.00 * Reinspection
$105.00 Appeal (except hearings called
pursuant to Section 420-6.026)
$ 80.00 p/hr Advice, consultation, minor repair
permit
Subdivision proposing to use wells
$ 80.00 * . Site evaluation, per lot, 2-4 lots
$420.00 Site evaluation,
5 or more lots, maximum
$105.00 Appeals (hearings called pursuant
to Section 414-4.1019
Individual Wells
$125.00 Layout, permit and inspection of
ea. individual water system/well
Review of an existing individual
water system/well
* No Rate Change
9
ENVIRONMENTAL HEALTH (con'!)
Charge Description
Individual Wells (coni)
$ 65.00 Inspection for abandoning or
sealing well
$ 55.00 Each reinspection
$ 35.00 * Each water sample report
$ 45.00 * Each water supply-nitrate analysis
$ 15.00 .* Inspection for foster child homes
$105.00 Appeal (hearings called pursuant
to Section 414-4.1019(b))
RODENT PROGRAM
Rodent Bait Cost Plus 25%
HAZARDOUS MATERIAL PROGRAM
Fee structure for businesses required to submit a "Hazardous Material Business Plan" under Federal
Sara Title III Program and the California Hazardous Materials Release Response and Inventory Program
(AB 2185).
Hazardous Material Inventory Fees:
Number of
Employees lbs. of Material Fee
1 - 4 and < 500K $ 146
5 - 9 and < 500K $ 272
10 - 19 and < 500K $ 380
< 20 and > 500K & < 2.5M $ 5,539
< 20 and > 2.5M & < 5M $10,912
< 20 and > 5M $21,658
>_ 20 and < 10K $ 380
>_ 20 and _> 10K - < 100K $ 594
>_ 20 and >_ 100K - < 250K $ 1,239
>_ 20 and >_ 250K - < 500K $ 2,314
>_ 20 and >_ 500K - < 2.5M $ 5,539
>_ 20 and >_ 2.5M - < 5M $10,912
>_ 20 and >_ 5M $21,658
All oil refineries and all Class 1 off-site
hazardous waste disposal sites $21,658
Each year the fee will cover the period commencing March 1 through February 28. New
handlers starting business after September 1 of any calendar year will be assessed a six
(6) month fee the first year.
The fees shall be non-transferrable, non-refundable and set on a facility basis.
Additional administrative fees of 25% may be.assessed for:
1. Failure to respond to inquiries relating to compliance with these resolution; and
2. Late filing of business plans, beyond a 90-day notice of non-compliance.
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.
* No Rate Change
10
ENVIRONMENTAL HEALTH (on't)
UNDERGROUND STORAGE TANK PROGRAM
Underground Storage Tank Annual Permit
(Tanks which do not have secondary containment and continuous monitoring equipment):
FEES DESCRIPTION
$100.00 * Single tank of 1,000 gallons or less used solely in connection
with the occupancy of a residence
$285.00 * First tank of 50,000 gallons or less
$185.00 * Each additional tank of 50,000 gallons or less
$385.00 * Each tank of 50,000 gallons or more
Underground Storage Tank Annual Permit installed after January 1, 1984
(Tanks which have secondary containment and continuous monitoring equipment):
FEES DESCRIPTION
$ 60.00 * Single tank of 1,000 gallons or less used solely in connection
with the occupancy of a residence
$200.00 * First tank of 50,000 gallons or less
$150.00 * Each additional tank of 50,000 gallons or less
$250.00 * Each tank of 50,000 or more
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:
FEES DESCRIPTION
$385.00* New tank facility, first tank
$ 70.00 * Each additional tank
Underground Storage Tank Removal, Temporary Closure or Abandonment:
FEES DESCRIPTION
$100.00 * Single tank of 1,000 gallons or less, located at a residence
and use solely in connection with the occupancy of that
residence
$240.00 * First tank at a site
$100.00 * Each additional tank
Inspection and Plan Review for Piping Replacement or Modification
FEES DESCRIPTION
$280.00 * Plan review and inspection of pipe replacement or repair,
including the installation of overfill protection equipment and
corrosion control devices
Permit Amendment or Transfer
FEES DESCRIPTION
$ 50.00 * Permit amendment or transfer fee
* No Rate Change
11
t s
ENVIRONMENTAL HEALTH (coni)
Underground Tank Modification, Repair or Lining Permit
FEES DESCRIPTION
$200.00 * Includes review and inspection not exceeding four hours of
staff time
$ 70.00 * For each additional hour or fraction thereof of staff time
Contaminated Site Fee
FEES DESCRIPTION
$ 70.00 * For each hour or fraction thereof of service delivered by the
County Health Services Department in connection with the
characterization or remediation of site contaminated by
discharge of a hazardous substance, material or waste, if the
owner, operator, or other responsible person in charge of the
site requests assistance from the County or where an
inspection or an emergency response is necessary to verify
compliance with State and County regulations or to assure
public safety.
Reinspection or Time Use
FEES DESCRIPTION
$ 70.00 * For each hour or fraction thereof of staff provided shall be
charged in the following cases:
a. More than one inspection or two hours of onsite time is
required in the case of tank removals.
b. More than two inspections or four hours of onsite time
is required in the case of tank installations.
c. More than one reinspection is required to determine
compliance.
d. Inspection, consultation or other services related to
underground storage of hazardous substances or
hazardous materials or wastes are provided and said
services are not otherwise covered by this ordinance.
Document Search
FEES DESCRIPTION
$ 70.00 * For each hour or fraction thereof of staff time shall be charged
to any consulting firm, realtor, lending institute or other
commercial enterprise for services performed in complying
with document research requests for these enterprises
* No Rate Change
WAIVER: The Health Officer or his designee may waive any of these fees in any individual case in
which he determines that the advancement and protection of the public health will be better served
thereby and that these considerations outweigh the County financial interests in collecting the fee.
FEE AMENDMENTS: The Health Services Director or his designee may increase or decrease as
needed, any specific fee by not more than 5% during the next twelve month period. The Health
Services Director or his designee are authorized to adjust, waive or compromise the fee amount in
those cases in which he determines that it is cost effective to do so.
:vw
I hereby certify that this Is a true And correct copy of
Orig: County Administrator an action taken and entered on the minutes of the
cc: Healfh7Services Director
Board Of Supervis re on the date shown. L
County Counsel ATTESTED
PHIL BAfCfIIELOR,clerk of the Board
County Auditor of Supervisors and county Administrator
�,Q Deputy bOR
,
12
RESOLUTION NO. 82/218
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