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Home My WebLink AboutMINUTES - 06081999 - SD6 THE BOARD OF SUPERVI,.JRS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on June 8 , 1999 by the following vote: AYES: SUPERVISORS GIOIA, UILKEMA, GERBER and CANCIAMILLA NOES: NONE ABSENT: SUPERVISOR DeSAULNIER ABSTAIN: NONE RESOLUTION NO. 99/290 SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services, Emergency Medical Services Agency Effective May 1, 1999. 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 99/170 dated April 13, 1999. 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 May 1,1999, is established as follows: Reason for Proposed Rate Changes 1. Emeraencv Medical. Services Agency: The rates proposed for credentialing MICN's, Paramedics and EMT's and for ambulance service permits represent the first increases in a number of years. The EMS aircraft credentialing and non-emergency paramedic transport programs are being proposed for new programs. EMS aircraft credentialing, in particular "authorization", entails an initial in-depth application and services review and active, ongoing services monitoring process. The non-emergency paramedic transport program fees cover initial in-depth application and services review, case-by-case quality assurance evaluation, and ongoing quality improvement and program monitoring. In all cases, rates represent our best estimate of the cost to the county for conducting these programs. 2. Public Health: The two proposed increases are the result of higher vaccine costs. The other unchanged fees are being restated as they were inadvertently omitted from the previous Board Order#99/170. Emergency Medical Services Agency Current Fees Recommended Fees Emergency Medical Technician (EMT—1) Initial Certification / Recertification* $ 15.00 $ 30.00 Replacement Card $ 10.00 no change Paramedic Accreditation / Re-accreditation* $ 35.00 $ 50.00 (Re-accreditation applies only if initial Accreditation lapses.) Mobile Intensive Care Nurse (MICN) Authorization / Re-authorization* $ 25.00 $ 50.00 EMS Continuing Education Provider** (4 year) $ 100.00 no change Non-emergency Ambulance Service Permit $ 300.00 $1,500.00 (3-year county-wide) EmeraengyAmbAance Service Permit for Each Emergency Response Area (3-year) $ 300,00 $1,500.00 EMS Aircraft Classification new program $ 250.00 $ j Page 2 EMS Fees EMS Aircraft Authorization new program $1,800-00 (2 year) Non-emergency Paramedic Transfer Program (I year including up to 50 transfers) new program $3,000.00 Fee for each transfer over the first 50/year new program $ 50.00 *Renewal fees may be waived for employees of a service provider with an approved, in-house program for maintain required renewal records,) **Fee may be waived for providers offering continuing education courses at no charge to participants, or for providers offering continuing education to "in-house" employees only. Public Health Division Description Current Rate Recommended Rate Family Planning Pregnancy Test $ 15.00 no change Non Eligible New membership —first year $100.00 no change Non Eligible Annual membership Renewal $ 90.00 no change Male visits and supplies $ 10.00 no change Child Screening Children up to 2 years of age Over 200% of poverty $ 10.00 no change Children between 2 & 12 years of age over 200% of poverty $ 15.00 no change 12 years of age and older over 200% of poverty $ 20.00 no change Scoliosis Screening Each (Agreement with school district) $ 1.50 no change Yellow Fever Each $ 55.00 $ 65.00 Meningococcal Each $ 65.00 $ 75.00 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 10% during the next twelve- month period, except those fees set by Federal/State statute or regulation shall be effective concurrent with the date specified in the applicable statute or regulation regardless of the amount of increase or decrease. 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 public hearing was OpENM); 71b one appears was CT-am. PPW Lng to sem; The hearing Orig.: County Administrator cc: Health Services Director I heraby certify that this Is atrie and correct copy of an action tai r, and entered on the minutes of the Health Services Administration Masiof&�Parviaxs on�;e date snown. County Counsel ATTESTErl June 8. 1922 County Auditor PHIL BATCHELOR,Uark of the Board ofSuper ore and County Administrator ,pvm a oun Contact: Patrick Godley (370-5005) 51 Ifi BY XiJ6ateChar AGW:kn g,1�9*wx t 9$ PROOF OF PUBLICATION ION - (2015.5 C.C.P.) PUBO OF LIC Notlas Prereby given that STATE OF CALIFORNIAn" Costa County aid of Supervisors will hold County of Contra Costa a public hearing to consider' increasing certalr. fees for i am a citizen of the united States and a resident of the as in the folii win?Divasioers of County aforesaid; I am over the age of eighteen years, tthtenHealth Services Depart- and not a party to or interested in the above-entitled matter, ErnrgencX Medical Services Agenny A3VD Additions to the Pubblie Health Division. ; I am the Principal Legal Clerk of the Contra Costa Times, The hearing wi?l be held on a newspaper of general circulation, printed and published Tuesday, June a, tsss at at 2640 Shadelands give in the City of Walnut Creek, s:OO am.lnthe Board Cl--- County of Contra Costa, 94556. nsz b ,sal Pine Street,Martl- And which newspaper has been adjudged a newspaper of ne•le ivi•y the Cschedule e k oflthe general circulation by the Superior Court of the County of Board of 651,Pine street,and i Contra Costa, State of California, under the date of with the Health services De- part rtent at 20 Alien Street, October 22, 1934. Case Number 19764. DMareNdneMay e 1999 The notice, of which the annexed is a printed copy (set in /a/William S.walker,M.D. type not smaller than nonpareil), has been published in Health Services Director Contra costa County Health each regular and entire issue of sold newspaper and not ServlcesDepartment in any supplement thereof or,the following dates,to-wit: LPL6c l CCT 29; Pub(lsh May 2s;mune 3,19W May 29: June 3 all in the year of 1995 I certify {or declare) under penalty of perjury that the foregoing is true and correct. Executed at Walnut Creek, California. On this 3 day of une, 1955 :� !r�E��b ................... Signature d Contra Costa Titres P O Box 4147 Walnut Creek, CA 94596 (5110 935-2525 Proof of Publication of: (attached is a copy of the legal advertisement that published)