HomeMy WebLinkAboutMINUTES - 05132003 - SD5 THE BOARD OF SUPERVISORS
OF CONTRA COSTA COUNTY CALIFORNIA
Adopted this Order on: May 13, 2003 By the following Vote:
AYES: SUMMM GIOIA, t3IIK MA & aLOM
NOES: NW
ABSENT: DIM
ABSTAIN: SUP& M Desi= Resolution No. A0031177
Mln= III Is WOr
SUBJECT: Amend the Itemized Professional and Service Rates for Contra Costa
County Health Services Effective May 1, 2003, for Hazardous Material Programs and
effective July 1, 2003, for all other fees.
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 20021359 dated June 18, 2002.
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 tate Health Services Department
effective May 1, 2003 and July 1, 2003 are established as follows:
Reason for proposed rate chanes:
1. Hospital: Increase inpatient room rates and ancillary services rates by 10% to ensure
charges remain higher than expected Medi-Cal payments; no change to outpatient rates.
2. Mental Health Program: Update rates by 5%to ensure charges remain higher than
expected Medi-Cal Schedule of Maximum Allowances Rates.
3. Alcohol and Other Drugs: Updated selected fees based on expected M-Cal schedule of
allowance increases to ensure charges remain higher than Medi-Cal payment rates.
4, Contra Costa Health Plan: Increase Commercial and Individual Premiums by 16%, to
accommodate projected increased expenses.
5. Public Health: Minor amendments to reflect fee changes for Immunizations, Nutrition
Counseling, and Vital Statistic record fees.
6. Environmental Health: Increase fees by 5% to accommodate expected increased
expenses.
7. Hazardous Materials Programs: Increase fees by 15% to accommodate expected
increased expenses.
8. Emergency Medical Services: No Changes Proposed.
Resolution: 2003/177
Hospital Inpatient
Service Current Defy Rate For Recommended Daily Rate for
Routine Room and Board Routine Room and Board
Pediatrics $ 1,650.00 $ 1,850.00
Medical Ward $ 1,540.00 $ 1,700.00
Transitional Care Unit $ 1,540.00 $ 1,700.00
Nursery Bassinet $ 1,100.00 $ 1,200,00
Intensive Care $ 4,400.00 $ 4,850.00
Service Total Unit Rate Total Unit Rate
Fixed all inclusive
Obstetrics $ 5,000.00 $ 6,500,00
Routine Delivery with Tubal legations $ 8,000.00 $ 9,000.00
Prior or Primary C-Section $ 18,000.00 $ 14,500.00
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
. 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 (sloes 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 SERVICES
Department Billing Unit Current Rate Recommended Rate
Anesthesiology 1 st Hour $ 781.00 $ 859.00
Anesthesiology Each Addl 15 min. $ 193.00 $ 212.00
Pharmacy Cost Plus % 120%Avg Wholesale Price No Change
Plus Administration Pee
Central Supply Cost Plus % Cost Plus 400% No Change
Radiology Relative value Units $ 83.00 $ 91.00
EKG Relative value Units $ 24.00 $ 26.00
Laboratory(Hose&PH lab) Relative Value Units $ 5.00 $ 6.00
Rehab. Therapy
CTI PT act minute intervals $ 266.00 $ 293.00
Speech 30 minute intervals $ 266.00 $ 293.00
Cardiopulmonary Relative value Units $ 25.00 $ 28.00
Delivery Room 15 minute intervals $ 193.00 $ 212.00
Surgery Recovery Room 1't Hour $ 781.00 $ 859.00
Operating Room 1't Hour $ 1,571.00 $ 1,728.00
Operating Room Each Add'i 30 minutes $ 682.00 $ 750.00
Cast Room Unit $ 288.00 $ 317.00
(2)
Resolution: 2003\177
Professional Component Charges Per Medicare R.S.R.V.S. Amounts
Department Current Rate Recommended Rate
Medicine R.B.R.V.S. Pius 3o% No Change
Surgery R.B.R.V.S. Pius 30% No Change
Radiology R.B.R.V.S. Pius 3n. No Change
Anesthesiology R.B.R.V.S. Plus 3o% No Change
Outside Services And Supplies
De ►�artment 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 CNS * No Change
(CHS: Collection and Handling of Specimens)
4utPatient Visits
Family Practice
CURRENT RATES RECOMMENDED RATES
New Patient Professional Use of Treat- Combined Professional Use of Treat- Combined
Component ment>Room Rate Component meet Room Rate
Brief $35.00 $ 50.00 $ 85.00 No Change
Expanded $ 57.00 $ 55.00 $112.00 No Change
Detailed $84.00 $ 55.00 $139.00 No Change
Comprehensive 1 $125.00 $ 55.00 $180.00 No Change
Comprehensive 2 $162.00 $55.00 $217.00 No Change
Established
Minimal $ 17.00 $ 50.00 $ 67.00 No Change
Brief $ 30.00 $ 55-00 $ 85.00 No Change
Expanded $43.00 $55.00 $ 98.00 No Change
Detailed $69.00 $ 55.00 $124.00 No Change
Comprehensive $110.00 $55.00 $165.00 No Change
Spec alty/Others
Brief $ 35.00 $ 85.00 $120.00 No Change
Expanded $ 57.00 $100.00 $157.00 No Change
Detailed $ 84.00 $115.00 $199.00 No Change
Comprehensive 1 $125,00 $130.00 $255,00 No Change
Comprehensive 11 $162.00 $130.00 $292.00 No Change
Established
Minimal $ 17.00 $ 65.00 $ 82.00 No Change
Brief $30.00 $ 85,00 $115.00 No Change
Expanded $43.00 $100.00 $143.00 No Change
Detailed $69.00 $115.00 $184.00 No Change
Comprehensive $110.00 $130,00 $240.00 No Change
(3)
Resolution: 20031177
CURRENT RATES RECOMMENDED RATES
Eni rgency Rooth 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
Deviled $106.00 $190.00 '$296.00 No Change
Comp Admit HS&PX $144.00 $235.00 $379.00 No Change
Unit of Service Current Rate Recommended Rate
Dental Per Fee Schedule current fee + 6%
Photoco tying
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
Ca#�eteria
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 $ 1,406.00 $ 1,550.00
Rehab dation Rates
Mental Health Services One Minute $ 2.63 $ 2.76
Case Management One Minute $ 2.04 $ 2.14
Medication Support One Minute $ 4.59 $ 5.13
Crisis intervention One Minute $ 3.93 $ 4.13
Crisis Stabilization 1 Hour Increment $ 95.75 $ 100.54
Day Care, intensive Full Day $ 205.02 $ 215.27
Day Care, Intensive Half Day $ 145.98 $ 153.28
Day Care, Habiltative Full Day $ 132.92 $ 139.57
Day Care Habilitative Half Day $ 85.17 $ 89.43
Adult Residential Patient Day $ 150.45 $ 157.97
Crisis Residential Patient Day $ 308.45 $ 323.87
Alcohol and other Drugs Services
Residontiat Treatment
Unit of Service Current Rate Recommended Rate
Alcohol/Drug Detox Day $ 60.00 $ 65.00
Alcohol/Drug Residential TX Day $ 60.00 $ 65.00
Perinatal Residential TX Day $ 120.00 No Change
Youth/Alcohol/Drug Residential TX Day $ 240.00 $ 250.00
(4)
Resolution: 20031177
....... ...
Darr Treatment
Perinatal Day Treatment Visit $ 70.00 $ 80.00
Unit of Service Current Rate Recommended Rate
Clinic Treatment
Individual Intake/Assessment Visit $ 60.00 $ 70.00
Individual Counseling Visit $ 60.00 $ 70.00
Collateral Service Visit $ 60.00 $ 70.00
Group Counseling Visit $ 36.00 No Change
Acupuncture Treatment Visit $ 60.00 $ 70.00
Medical Assessment/Physical Exam Visit $ 100.00 No Change
Outpatient Drum Free
(Composite State Charge) Visit $ 100.00 $ 110.00
Perinatal Group Counseling Visit $ 48.00 $ 50.00
PC 1000 Drug Diversion Program Board Rates
Level Person $ 500.00 No Change
Level 11 Person $ 800.00 No Change
Driving Under The Influence Prouram
1st Offender(Level 1) Person $ 507.00 No Change
1't Offender(Level 11) Person $ 829.00 No Change
2nd Offender Person $1,759.00 No Change
Wet and Reckless Person $ 186.00 No Change
Methadone Maintenance
Dose -AOD Dose $ 7.37 $ 9.39
Dose - LAAM Dose $ 19.20 $ 22.33
Dose - Perinatal Dose $ 8.49 $ 10.75
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-AOID 10 Minutes $ 3.61 No Change
Group Counseling-LAAM 10 Minutes $ 3.61 No Change
Group Counseling-Perinatal 10 Minutes $ 5.57 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 $ 205.58 $ 238.50
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: 2003\177
Public Health
Service Unit Of Service Current Rates Recommend hate
Immunization
Typhoid (Ages 2 & Over) Each (Injection) $ 45.00 $ 50.00
Typhoid ( Ages 6 & Over) Each (oral) $ 45.00 $ 50.00
Yellow Fever Each $ 65.00 $ 75.00
Meningococcal Each $ 75.00 No Change
Immune Globulin Each $ 20.00 $ 35.00
Childhood Immunizations
Birth to 18 years Each(not to exceed$20.00 per family) $ 7.00 $ 10.00
Chickenpox (12 months and over; 2 doses required)
12 months -18 years Each(not to exceed$20.00 per family) $ 7.00 $ 10.00
19 years &over Each dose,unwaivable 2 doses $ 55.00 $ 60.00
Measles. Mumps and Rubelta Vaccine
12 months and over 1 st shut Each(not to exceed$20.00 per family) $ 7.00 $ 10.00
2nd Shat Each unwaivable Over 18 years, $ 26.00 $ 35.00
unless enrolled 1 st year college or
equivalent,or out break where State recommends.
Flu Vaccination
6 months and over Each $ 5.00 No Change
Pneumococcal 23 Valent Vaccination
2 years and over Each $ 15.00 No Change
Hepatitis A
2 - 18 years Each(not to exceed$2.0.00 per Family $ 7.00 $ 10.00
19 years & older Each Unwaivable $ 60.00 No Change
Hepatitis B
Birth to 18 years Each(not to exceed$20.00 per Family) $ 7.00 $ 10.00
19 years & over Each Unwaivable $ 45.00 $ 60.00
Post Blood Titers Each $ 40.00 $ 50.00
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
(6)
Resolution: 2003\177
Famliy Planrtin Private Pay
Service Unit Of Service Current Rates Recommend Rate
New Each per year $ 100.00 No Change
Return Each per year $ 90.00 No Change
Sexually Transmitted Disease
Clinic Attendance Each $ 20.00 No Change
Nutrition Services Per hour $ 55.00 $ 60.00
occupational Health Each Cost + 10% No Change
Public Heatth Laboratory
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 Each $ 12.50 $ 14.50
Fetal Death Each $ 10.50 No Change
Birth — General Public Each $ 17.50 $ 19.50
Birth — Government Agency Each $ 9.00 $ 11.00
Permit For Disposition of Human Remains
Regular Each $ 7.00 $ 13.00
After Hours Each $ 7.00 $ 13.00
Cross Filing Each $ 10.00 $ 18.00
Environmental Health Division
General Prouram Section-- Service Fees & Penalties
Current Rates Recommended Rate
Application Fee (Non-refundable) $ 35.00 No Change
Violation Re-inspection Fee $ 123.00 per hour No Change
Special Services Fee at Hourly Rate With Minimum:
One _ Hour Charge: $ 123.00 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
Two - Hour Charge:
Health Officer Appeal Hearing $ 312.00 No Change
Overtime Charges (After Normal Business Hours) $ 155.00 No Change
(7)
Resolution: 2003/177
Current Rues Recommended Rate
Applicable to;
Plan Review Fees for Permit Fee Exempt Facilities
Plan Review and Site Evaluation Fees for Community Development Services
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 Count 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 July 1, 2003.
Environmental Health Permit Fee:
Cy Units Capacity Current Fees Recommended Fee
Restaurants Seats 0 - 25 $ 387.00 $ 406.00
Restaurants Seats 26 - 49 $ 495.00 $ 520.00
Restaurants Seats 50-149 $ 588.00 $ 617.00
Restaurants Seats 150 + $ 669.00 $ 702.00
(NOTE: Restaurants with drive-up window (base seating + $57)
Drive Through Only/ Restaurant to go only $ 388.00 $ 407.00
Vending Machines Machines 1 - 4 $ 117.00 $ 123.00
Each Machine Over 4 4 + $ 20.00 $ 21.00
Tavern/Cocktail Lounge Bar $ 427.00 No Change
Snack Bar $ 427.00 No Change
Commissary $ 534.00 $ 561.00
Cart Commissary $ 237.00 $ 249.00
Catering $ 534,00 $ 561.00
Multi-Event Facility (up to 15 Hours) Hours New $ 123.00 per hour
Pptwo" Units Capacity Current Fees Recommended Fee
Special Events Per Food Booth $ 74.00 $ 78.00
Retail Food MarketsSquare Foot <2,000 $ 361.00 $ 379.00
Retail Food Markets Square Foot 2,001 - 4,000 $ 415.00 $ 436.00
Retail Food Markets Square Foot 4,001 -6,000 $ 588.00 $ 617.00
Retail Food Markets Square Foot >6,000 $ 669.00 $ 702.00
Incidental Retail Food Mets $ 155.00 $ 163.00
(8)
Resolution: 20031177
............
Certified Farmer's Market (CFM) with Food Vendors:
Cateaory Units Capacity Current Fees Recommended Fee
Certified Farmer's Food Mkts (CFM)Booths 1 - 25 $ 213.00 $ 224.00
Certified Farmer's Food Mkts (CFM)Booths 26 - 45 $ 319.00 $ 335.00
Certified Farmer's Food Mkts (CFM)Booths 46 + $ 426.00 $ 447.00
Non Agricultural
Food Vendor Booths 11 - 5 CFM Fee + $ 156.00 $ 164.00
Food vendor Booths 6 -10 CFM Fee + $ 213.00 $ 224.00
Food Vendor Booths 11 + CFM Fee + $ 319.00 $ 335.00
Wiping Rags Business $ 200.00 $ 210.00
Roadside Stands $ 200.00 $ 210.00
Food Salvager $ 562.00 $ 590.00
Food Processing Establish Square Foot <2,000 $ 361.00 $ 379.00
Food Processing Establish Square Foot 2,001 -4,000 $ 415.00 $ 436.00
Food Processing Establish Square Foot 4,001 - 6,000 $ 588.00 $ 617.00
Food Processing,Establish Square Foot >6,000 $ 669.00 $ 702.00
Food Demonstrator $ 188.00 $ 197.00
Retailer Food Vehicle (Delivery&Peddlers) $ 214.00 $ 225.00
Mobile Food Prep Units $ 401.00 $ 421.00
Retailer Food Vehicles(including catering trucks) $ 214.00 $ 225.00
Ice Cream Push Carts 1 - 4 $ 62.00 each $ 65.00
Ice Cream Push Carts 5 - 10 $ 57.00 each $ 60.00
Ice Cream Push Carts > 10 $ 52.00 each $ 55.00
Bakery Square Foot <2,000 $ 361.00 $ 379.00
Bakery Square Foot 2,001 -4,000 $ 415.00 $ 436.00
Bakery Square Foot 4,001 -6,000 $ 588.00 $ 617.00
Bakery Square Foot >6,000 $ 669.00 $ 702.00
Wholesale Food Square Foot <2,000 $ 361.00 $ 379.00
Wholesale Food Square Foot 2,001 -4,000 $ 415.00 $ 436.00
Wholesale Food Square Foot 4,001 - 6,000 $ 588.00 $ 617.00
Wholesale Food Square Foot >6,000 $ 669.00 $ 702.00
Ice Plant $ 154.00 $ 162.00
Recreational Health;
Recreational Water Park One System $ 802.00 $ 842.00
Each AdditionalSystem $ 401.00 $ 421.00
Pool-Apartment,Motel,Hotel Multi - Use $ 464.00 $ 487.00
Each Additional Pool $ 133.00 $ 140.00
Spa Apartment,Motel,Hotel Mufti-Use $ 401.00 $ 421.00
Each Additional Spa $ 133.00 $ 140.00
Fee Exempt Activities (Permit Fees Only):
Food Facilities / Public Schools No Fee No Change
Municipal/Nan Profit
Pools /Public Schools No Fee No Change
Municipal/Non-Profft
Spas / Public Schools No Fee No Change
Small water System Permits•
Non-Community,surface water system $ 324.00 $ 340.00
(9)
Resolution: 2003/177
Catesory Units Capacity Current Fees Recommended Fee
Non-Community,Non-transient ground water system $ 412.00 $ 433.00
Non-Community,bion-transient ground water system,with treatment $ 412.00 $ 43100
Non-Community,non-transient surface water system $ 412.00 $ 433.00
Non-Community,transient $ 324.00 $ 340.40
Community ground water system (15- 24 connections) $ 412.00 $ 433.00
Community ground water system with treatment (15- 24 connections) $ 412.00 $ 433.00
Community ground water system (25- 99 connections) $ 433.00 $ 455.00
Community ground water system with treatment (25- 99 connections) $ 433.00 $ 455.00
Category Units 9"acity Current Fees Recommended Fee
Community surface water system (25- 99 connections) $ 433.00 $ 455.00
Community ground water system (100-199 connections) $ 541.00 $ 568.00
Community ground water system with treatment (100-199 connections) $ 541.00 $ 568.00
Community surface water system (100-199 connections) $ 541.00 $ 568.00
.Local small water system $ 139.00 $ 146.00
State small water system $ 237.00 $ 249.00
Non-Community ground water system with food preparation $ 324.00 $ 340.00
Non-Community ground water system with treatment $ 324.00 $ 340.00
Non-Community ground water system,prepackaged food only $ 100.00 $ 0.00
Public Water System - Plans Review:.
New Community water system $ 515.00 $ 541.00
New Non-Community water system $ 309.00 $ 324.00
Amended permit because of ownership change $ 155.00 $ 163.00
Amended permit because of system change $ 253.00 $ 271.00
Enforcement actions pertaining specifically to small water systems $ 123.00 per hour No Change
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
Category Units Capacity Current Fees Recommended Fele
LocalEnforcementAgency Program.-
Solid
rogram:Solid Waste Tonnage Fee $ 1.20 /ton No Change
Solid Waste Facility Fees:
Closed. Illegal and Abandoned Sites
Annual Inspection- 2 Hours $ 246.00 No Change
Quarterly Inspections- 8 Hours $ 984.00 No Change
Monthly Inspections- 16 Hours (see tete(a)below) $1,968.00 No Change
(10)
Resolution: 2003/177
Cates. Units Capacity Current Fees Recommended Fee
Bio-Solid Facility Situs
Annual Inspection --- 2 Hours $ 246.00 No Change
Quarterly inspections— 8 Hours $ 984.00 No Change
Monthly Inspections — 16 Hours $1,968.00 No Change
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 $1,230.00 No Change
Without Public Hearings— 5 Hours(see Note(b)below) $ 615.00 No Change
Solid Waste Facility Permit
Application / Review Fee (see Mote(b)below) $1,230.00 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.
Category Units Capacity Current Fees Recommended Fee
Mandatory Garbage Service Exemption $ 123.00 per hour No Change
Medical Waste:
Plan review(new facility/treatment system/permit revision $ 469.00 No Change
Additional review(per hour) $ 123.00 per hour No Change
Health Care Service Plan Facility $ 498.00 No Change
Medical/DentaiNeterinary Clinic (>200 lbs./month) $ 387.00 No Change
Medical/DentalNeterinary Clinic (<200 lbs./month) $ 48.00 No Change
Description Current Fees Recommended Fees
Med/Dental/Veterinary Clinic s with on-site
Treatment Systems (<200 lbs./month) $ 145.00 No Change
Additional fee for large quality generators with on-site treatment $ 81.00 No Change
Primary Care Clinic $ 498.00 No Change
Intermediate Care Facility $ 419.00 No Change
Acute Psychiatric Care $ 387.00 No Change
Acute Care Hospital (251 + beds) $1,978.00 No Change
Acute Care Hospital (200-250 beds) $1,414.00 No Change
Acute Care Hospital (100-199 beds) $1,213.00 No Change
Acute Care Hospital ( 1 - 99 beds) $ 850.00 No Change
Skilled Nursing Facility (>200 tbs./month) $ 387.00 No Change
Skilled Nursing Facility (<200 lbs./month) $ 48.00 No Change
Skilled Nursing Facility
(With on-site treatment) (<200 lbs./month) $ 145.00 No Change
Specialty Clinic (>200 tbs./month) $ 498.00 No Change
Clinical Lab (>200lbs./month) $ 387.00 No Change
Clinical Lab (<200 lbs./month) $ 48.00 No Change
Clinical Lab(With on-site treatment) (<200 lbs./month) $ 145.00 No Change
Bio-med Producer (>200 lbs./month) $ 387.00 No Change
Blo-med Producer (<200 lbs./month) $ 48.00 No Change
Bio-med Producer
With on-site treatment (<200 lbs./month) $ 145.00 No Change
Common Storage Facility (50 + generators) $ 387.00 No Change
Common Storage Facility (11 -49 generators) $ 194.00 No Change
Common Storage Facility ( 2- 10 generators) $ 145.00 No Change
(11}
Resolution: 20031177
Description Current Fees Recommended Feces
Limited Quantity Hauling Exemption 81.00 No Change
Re-inspection Fee (per hour) $ 123.00 per hour No Change
Certification Application Fee $ 35.00 No Change
Tattooing, Body Piercing and Permanent Cosmetics
Facility Annual Fee $ 200.00 No Change
Body Art Registration Fee $ 25.00 $ 50.00
Land Use Pro rg ams
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 4213-6.707
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 f 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 (l) 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:
PrelimingEy Investigation
Site evaluation (two hour minimum charge)(I) $ 246.00 $ 271.00
Percolation test-contractor with staff review $ 406.00 $ 447.00
Percolation test-staff performed $ 800.00 $ 880.00
Soil profile evaluation $ 246.00 $ 271.00
Standard/Conventional Systems
Construction Permit (includes 1 hr. Plan Review) $ 492.00 $ 541.00
Additional Plan Review $ 123.00 per hour No Change
Re-i nspection/Cancellation/Resched uling
(Without confirmed notice) $ 123.00 per hour No Change
Alternative Systems
Construction Permit (includes 2 hr Plan Review) $ 701.00 $ 771.00
Additional Plan Review $ 123.00 per hour No Change
Re-i n spection/Cancellation/Rescheduling $ 123.00 per hour No Change
Annual Operation Permit $ 218.00 $ 240.00
Related Septic System Activities
Plan Review- Building additions $ 123.00 per hour No Change
Septic System Abandonment Permit
(Includes 1.5 hour staff time) $ 220.00 $ 242.00
(12)
Resolution: 2003/177
13escription Current Fees Recommended Fees
Minor Repair Permit (includes 1 hr. staff time) $ 188.00 $ 174.00
Wells and Soil Barings:
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 encased 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 f or reconstruction for $ 325.00 $ 358.00
individual wells, including monitoring wells.
Site evaluation (Minimum 1 hr charge) (1) $ 123.00 per hour No Change
Permit for soil borings (Per parcel) (1) $ 299.00 $ 329.00
Review of an existing water well (1 hr minimum) (1) $ 123.00 per hour No Change
Inspection permit for abandoning and sealing of
well (Pee includes 1 hr of staff time) $ 200.00 $ 220.00
Inspection permit for abandoning and sealing of well
when done at same inspection of replacement well. No Charge No Change
Subdivisions Land Uses Projects
Community Development Department(CDD) report
reviewed for land use permits; rezoning; developmental
plans; EIR Review; lot line adjustments; and
CDD variance requests. $ 123.00 per hour No Change
Environmental Health review of CDD,applications $ 35.00 $ 50.00
Uguid Waste Disposal Permits:
Sewage Pumps Company $ 375.00 $ 413.00
Septic System $ 123.00 $ 135.00
Portable Toilet Pumper Vehicle New $ 135.00
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.
(13)
Resolution: 20031177
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) $1,393.00 No Change
Public Pool Complex (minimum deposit) $1,393.00 No Change
Current Deposit Requirement Recommended Deposit
Additions to original complex:
Each pool, spa, wading, therapy, or diving pool $ 401.00 No Change
Bathhouse $ 401.00 No Change
Recreational water park complex(Minimum [Deposit--5 times the annual pool permit)
Hazardous Materials Programs Division
Cert1f1*d Unified Pr9gram (CUPA) Fee schedulle:
The setting sof fees authorized by California Code of Regulations (CCR), Title 27, section 15210
and Health & Safety Code 25404.55.
Hazardous Material A82185 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 31 st of the current calendar year fee structure for businesses required to submit a
"Hazardous Material Business Plan" under Federal Sara Title Ill Program and the California
Hazardous Materials Release Response and Inventory Program (AB 2185).
Hazardous Maternal Inventory Fee: Calendar Year 2002
Number Of Empiovees LBS.Of Material Current:pees Recommended Fee
N/A < 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 > 1 K - < 10K $ 259.00 No Change
0 to 4 > 10K - <100K $ 516.00 No Change
5 to 9 > 10K- <100K $ 600.00 No Change
10 to 19 > 10K - <100K $ 688.00 No Change
0 to 4 >100K - <250K $ 900.00 No Change
5 to 9 >100K - <250K $ 1,002.00 No Change
10 to 19 >IOOK- <250K $ 1,101.00 No Change
0 to 4 >250K - <500K $ 1,199.00 No Change
5 to 9 >250K - <500K $ 1,300.00 No Change
10 to 19 >250K - <500K $ 1,400.00 No Change
> 20 and < 10K $ 751.00 No Change
> 20 and > 10K- <100K $ 1,640.00 No Change
> 20 and >100K - <250K $ 3,267.00 No Change
> 20 and >250K - <500K $ 6,117.00 No Change
N/A >500K - <2.5 M $ 15,557.00 No Change
N/A >2.5M - < '10M $ 30,644.00 No Change
N/A >10M - doom $ 50,182.00 No Change
N/A >100M - < IB $ 66.907.00 No Change
N/A > 113 - < 513 $ 83,635.00 No Change
Resolution: 2003\177
Number Of Employees LOS.Of Material Current Fees Recommended Fee
N/A > 513 $148,063.00 No Change
All marineterminals and tank farms with secondary $ 42,041.00 leo Change
containment storing greater than or equal to 10M
pounds of Hazardous Materials.
All oil refineries and Class 1 off-site hazardous $ 164,941.00 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 I Operator:
A Business Plan is required from a new owner/ operator from the start of the business activity to
December 31"t. 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 Sala 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.
Resolution: 20031177
Ute-Staffed Remote Faculty
Current Fees Recommended Fees
1. Exemption Processing Fee $ 130.00 No Change
2. Initial Notification or inventory Change Processing Fee $ 130.00 No Change
Accidental>Release Prevention_Program (A PP)
I 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 W 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. 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 S#. 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.
€1s)
Resolution: 20031177
7. Definitions: The terms used in this resolution shall have the meanings ascribed to them in
the Health and Safety Code Article 2, §25588.5 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 Disk 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
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.
OMS = Costs of the Ombudsperson Position
*Incident Investigation Fee Current Fees Recommended Fees
$ 130.00 per hour No Change
*(Charged to a regulated source when an incident is investigated by the Contra Costa Health
Services Department).
Fro-Rata Fee: If the regulated source CALARP program fee changes, the Industrial Safety
Ordinance fee will be adjusted accordingly.
(17)
Resolution: 2003/177
Underground Storane Tank Program
Underground Storage Tank Annual Permit:
Description Current Fees Recommended Fees
Single tank of 1,000 gallons or less used solely in $ 262.00 $ 322.00
Connection with the occupancy of a residence
First tank of 50,000 gallons or less (a) $ 548.00
Basic fee for tank of 50,000 gallons or less $ 446.00 $ 548.00
Each tank of 50,000 gallons or more $ 775.00 $ 953.00
(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 lave, the following
fees shall be collected:
New Tank Facility, first tank $ 696.00 $ 856.00
Each additional Tank $ 141.00 $ 173.00
Underground Storage Tank Removah Temporary Closure or Abandonment:
Description Current Fees Recommended Fees
Single tank of 1,000 gallons or less, located at a $ 186.00 $ 229.00
Residence and used solely in connection with the
occupancy of that residence.
First Tank at a Site $ 432.00 $ 531.00
Each Additional Tank $ 186.00 $ 229.00
Pro-Rata Feu
For Underground Storage Tank installations during the permit period of July 1 st through the
following June 30th, the Annual Permit Fee shall be prorated for the number of months the tank
was installed' during the permit period.
Inspection and Plan Review for Piping Replacement or Modification:
Plan review and inspection of pipe replacement $ 510.00 $ 627.00
or repair, including the installation of overfill
protection equipment and corrosion control devices
leak detection and monitoring equipment.
Permit Amendment or Transfer:
Permit amendment or transfer fee $ 92.00 $ 113.00
Descri»tiop Current Fees Recommended Fees
UndergroundTank Modification. Repair or Lining Permit.-
Includes review and inspection not exceeding four $ 408.00 $ 502.00
hours of staff time
For each additional hour or fraction thereof of $ 130.00 No Change
staff time
(18}
Resolution: 20031177
Description Current Fees Recommended Fees
Contaminated Site Fee:
Each hour or fraction thereof of service delivered $ 130.00 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 Ilse;
Each hour or fraction thereof of staff time, Monday $ 130.00 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
Description Current Fees Recommended i=+ees
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.
pocumont Searcb:
Each hour or fraction thereof of staff time, Monday $ 130.00 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 $ 130.00 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
(1�}
Resolution: 2003/177
response is necessary to verify compliance with State and
County regulations or to assure public safety. This includes
Responses to illegal drug labs.
Desodiation Current Fees Recommended Fees
Hourly rate for service time after 5:00 p.m. until $ 158.00 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 Reporting form provided by Hazardous Materials
Programs Division.
Hazardous Waste Generated:
1) Less than 5 tons $ 131.00 $ 151.00
2) 5 or more tons, but less than 25 tons $ 249.00 $ 287.00
3) 25 or more tons, but less than 50 tons $ 2,000.00 $ 2,305.00
4) 50 or more tons, but less than 250 tons $ 4,997.00 $ 5,760.00
5) 250 or more tons, but less than 500 tons $24,990.00 $ 28,806.00
6) 500 or more tans, but less than 1000 tons $49,980.00 $ 57,613.00
7) 1000 or more tons, but less than 2000 tons $74,970.00 $ 86,419.00
8) 2000 or more tons $99,960.00 $116,953.00
"Late filing of Hazardous Waste Generator reporting forms beyond a 30 day notice of violation will
be assessed a 50% late filing fee.,,
Description Current Fears Recommended Fees
Onsite Treatment Fees:
Permit By Rule (Fixed Units) $ 1,363.00 per facitify No Change
Conditional Authorization $ 1,363.00 per facUity No Change
Conditional Exemption and Commercial Laundry $ 50.00 per year No Change
Conditional Exemption—Limited $ 50.00 per year No Change
Delinquent Payment Penalty;
A 25°Icy 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.
ENO QUER
(20)
Resolution: 2003\177
Emergency Medical Services Agency
Emergency Medical Technician (EMT1)
Description Current Fees Recommended Fees
Initial Certification f 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)
Description Current Fees Recommended Fees
Mobile Intensive Care Murse (MICH)
Authorization / Re-Authorization* $ 50.00 No Change
EMS Cantinuing Education Provider
4 year $ 100.00 No Change
Nom -Emerstencv Ambulance Service Permit
3 year county—wide $1,500.00 No Change
Emergency I Ambulance Service Permit For:
Each Emergency Response Area (3 — year) $1,500.00 No Change
EMS Aircraft Classffication $ 250.00 No Change
EMS Aircraft AWhorl"tion
2 YEAR $1,300.00 No Change
Description Current Fees Recommended fees
Mon --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.
(21)
Resolution: 2003/177
a
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 the Center for
Medi-Careand Medi-Caid Services 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
ensure customary charges for service exceed expected Medi-Cal payments.
Fey: 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.
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 L kki '
John Sweeten Clerk of the Board of supervisors and county Administrator
i
BY Deputy
Original: County Administrator
cc. Health Services Director
Health Services Administration
Health Services Controller
County Counsel
County Auditor
Contact: Patrick Godley, CFO(370-5005)
(22)
Resolution: 2003/177