Title
Adopt a Resolution amending Article I.d. of the Monterey County Master Fee Resolution effective July 1, 2016, to adjust certain fees related to the Health Department's Clinic Services Bureau pursuant to the attached Fee Schedule.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Adopt a Resolution amending Article I.d. of the Monterey County Master Fee Resolution effective July 1, 2016, to adjust certain fees related to the Health Department's Clinic Services Bureau pursuant to the attached Fee Schedule.
SUMMARY/DISCUSSION:
The Health Department's Clinic Services Bureau (Clinic Services) operates Federally Qualified Health Center Look-Alike (FQHC-LA) clinics that are required, by the Health Resources and Services Administration (HRSA), to periodically review its fee schedule to ensure that it accurately reflects the costs of services provided and that fees are consistent with local prevailing rates or charges. Despite the Health Department's Clinic Services implementing fee increases over two consecutive years to be in compliance with the Policy Information Notice set by HRSA on Sliding Fee Discount and Related Billing and Collections Program Requirements issued in 2014, Calendar Year 2015 Uniform Data System (UDS) data to HRSA indicates our fees are still lower than the average in the State and still do not result in 100% cost recovery for services performed. At this time, the Health Department's Clinic Services Bureau is proposing that, starting with FY 2016-17 and following, that fees be adjusted, in most cases, with an increase by an average of 10.91% to facilitate a closer approach to full recovery and the market rate of the services performed. In some cases, though, new procedures and procedure billing numbers are implemented, which has resulted in a new fee collection indicated in the attached spreadsheet, and, in some cases, a greater than 10% is indicated to reflect an adjustment to the current market rate of se...
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