Title
Adopt a Resolution amending Article I.d. of the Monterey County Master Fee Resolution effective July 1, 2021, 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 amending Article I.d. of the Monterey County Master Fee Resolution effective July 1, 2021, 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.
Compared to the fees of FY20-21, the proposed fees for FY20-21 contains average 6.7% increase to evaluation and management services, psychiatric evaluation and management services, education and self-management services, and comprehensive perinatal service while no increase to procedures and other testing services.
Clinic Services has adopted telehealth services as the main venue to deliver primary care services during the Covid Public Health Emergency and has limited face-to-face visits and postponed procedures and other testing services if applicable. This resulted in lower frequencies in testing and procedural services and made it difficult to apply existing methods of assessing fee schedules. Therefore, Clinic Services proposes no changes to current fees for procedural services and other testing services. The proposed increase of 6.7% to evaluation and management services, psychiat...
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