Title
Adopt a Resolution amending Article I.d. of the Monterey County Master Fee Resolution effective upon adoption of the resolution, to adjust and add certain fees related to the Health Department's Clinic Services Bureau (Clinic Services) pursuant to the attached Fee Schedule.
Report
RECOMMENDATIONS:
It is recommended that the Board of Supervisors:
Adopt a Resolution amending Article I.d. of the Monterey County Master Fee Resolution effective upon adoption of the resolution, to adjust and add certain fees related to the Health Department's Clinic Services Bureau (Clinic Services) pursuant to the attached Fee Schedule.
SUMMARY/DISCUSSION:
The County of Monterey, on behalf of its Health Department Clinic Services Bureau (Clinic Services) operates Federally Qualified Health Center (FQHC) clinics that are required, by the Health Resources and Services Administration (HRSA), to periodically review its fee schedule to ensure that it accurately reflects costs of services rendered and that fees are consistent with local prevailing rates or charges. In compliance with the requirements, Clinic Services has been reviewing and adjusting its fee schedules annually.
Clinic Services engaged the services of Facktor, to assist with the analysis and fee adjustment proposal for the FY 2024-25 Fee Schedule. Proposed adjustments were based on Local Prevailing Rate and Cost Based Rate methodologies obtained from data collected from Center for Medicare & Medicaid Services (CMS), in compliance with HRSA requirements.
The proposed FY 2024-25 Fee Schedule reflects an average increase of less than 1% to fees compared to the FY 2023-24 Fee Schedule. The recommended increase is based on health center costs and locally prevailing rates and is applicable to existing fees that did not adequately account for health center costs based on an analysis of the distribution of health center costs across Relative Value Units (RVU) used in the past year.
Additionally, in anticipation of ex...
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