Title
Adopt a Resolution to:
Amend Article I.d. of the Monterey County Master Fee Resolution effective July 1, 2022, to adjust certain fees related to the Health Department's Clinic Services Bureau (Clinic Services) pursuant to the attached Fee Schedule.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors Adopt a Resolution to:
Amend Article I.d. of the Monterey County Master Fee Resolution effective July 1, 2022, to adjust certain fees related to the Health Department's Clinic Services Bureau (Clinic Services) pursuant to the attached Fee Schedule.
SUMMARY/DISCUSSION:
The Health Department's Clinic Services Bureau (Clinic Services) operates Federally Qualified Health Center Look (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 Greg Faktor & Associates (GFA), to assist with the analysis and fee adjustment proposal to FY 2022-23 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 22-23 Fee Schedule reflects an average increase of 4.7% to fees compared to the FY21-22 Fee Schedule. The recommended increase applies to 34 existing Fees 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. GFA's recommendations are for a capped increase in costs based on this analysis.
Additiona...
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