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Home My WebLink About1987-13111/02/87(s4)LEGAL(SPBnm) RESOLUTION NO. 87-131 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF INDIAN RIVER COUNTY, FLORIDA ACKNOWLEDGING AND APPROVING THE STATEMENT OF AGREEMENT TO SPECIAL ® CONDITIONS AND FEE SCHEDULE RELATED TO THE PROVISION OF PRIMARY HEALTH CARE SERVICES BY THE COUNTY AND THE DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES, AND ENDORSING THE ACCEPTANCE OF THE INDIAN RIVER COUNTY PUBLIC HEALTH UNIT PRIMARY CARE PROPOSAL AS PREPARED BY THE PUBLIC HEALTH DIRECTOR. WHEREAS, effective July 1 1987, each county in the State of Florida is required to establish a primary health care program; and WHEREAS, the Board has previously designated funds in its 1987/1988 budget to be used in implementing a primary health care program and has directed the staff of the County Health Department to prepare a program proposal; and WHEREAS, the State Health and Rehabilitative Services requires endorsement for the proposal from the Board and approval of a Statement of Agreement to special conditions and a Fee Schedule relating to the provision of primary care services; NOW, THEREFORE, BE IT RESOLVED BY T14E BOARD OF COUNTY COMMISSIONERS OF INDIAN RIVER COUNTY, FLORIDA that the Indian River County Public Health Unit Primary Care Proposal and the Department of Health and Rehabilitative Services Statement of Agreement and Fee Schedule are hereby endorsed and approved in furtherance of the creation of a primary health care program. The foregoing resolution was offered by Commissioner Eggert and seconded by Commissioner Bird, and, being put to a vote, the vote was as follows: Chairman Don C. Scurlock, Jr. Aye Vice Chairman Margaret C. Bowman Absent Commissioner Richard N. Bird Aye Commissioner Carolyn K. Eggert Aye Commissioner Gary C. Wheeler Aye 0 The Chairman thereupon declared the resolution duly passed and adopted this 3rd day of --November , ---- ---------- 1987. INDIAN RIVER COUNTY, FLORIDA BY ITS BOARD OF COUNTY COMMISSIONERS Byn C:-Wcun oc r, fiaTrman--- ATTEST: Bylre Breda wiig. t, APPROVED AS TO FORM AND LEGAL SUFFICIENCY: 5Faron_PfiTTT1ps er'ennan Assistant County Attorney ATTACHMENT 1 and 2 2 J ATTACHMENT II - Fee Schedule INDIAN RIVER CDUNTY 9LIC HEkTH UNIT CLINICAL FEE bDEDIA.E SERV. DATE ....................... SSI) DIAGNOSIS CLIENT __________________ D.O.B. --------------------- - - - --- - - -------------- NEXT AFPT. ADD.(Mai1) _______________________ PROVIDER ---------------------- ---------------------- CLINIC CITY ---------------- -------- CLINIC ---------------------- ---------------------- MD -- -----_"_---"- CA NP C)N SEX ______ RACE ______ CATEGORY A B C 0 E F G H SERVICES/PROCEDURES CHA6*9E PM. -CODE SERVICES/PROLEDUR�5 - - - CKIRGE FROr, CODE ffFICE VISIT (NEN PATIENT) ----_- (All Iyoes)-------- Fluooen (A11 T oesl - --- - 5.00 ------------ - 90702 90702 Brief 30.00 WAX") HIB 5.00 Limited 30.(10 90010 Henatitus A 10.00 Intermediate 35,W 90015 HeDatitUS B (Heptavax) 70.00 (cc) Extended 44.50 90017 Heoatitus B (Iem. Glob.) 70.00 (cc) Comprehensive 50.00 90020 Rabies Vaccine 50.W (Vial) OFFICE VISIT (ESTABLISHED PATIENT) MSEAS Minimal 12.00 96010 Cholera 15.00 Brief 21.50 90040 Typhoid 10,00 Limited 21,50 W.50 Intermediate 25,00 90060 LABORATORY Extended 30.00 91A)7o Blood Sugar Screening 5.00 Comprehensive 45.00 9006o Blood Sugar Fasting (SGOT) 5.00 84450 OFi;„t Vlaii ,_....., -„„xis {U PATIENT) Culture/Skin Culture/Throat 5.W 5.00 87070 Minimal 10.00 Hematocrit ()ICT) 5.00 87060 8r.A18 Brief 17.00 Hemoglobin (HGB) 5.00 8`.A18 Limited 17,00 Lead Blood 10,00 Intermediate 20.001 O'Sullivan 10,00 Extended 24. (K) Pregnancy Testing 5.00 86006 Comprehensive 36.00 RH Factoring 9 12.00 86105 EPSDT Sickle Cell 10.00 85660 School Physical (MOI 20.00 W9881 Urine (Dip Stid) 3.00 81000 School Physical (CA) 16.00 W9801 VDRL 8.00 86592 School Physical (NP) 16.40 W9001 PHARMACY CHARGE 12.00 School Physical (CHN) 10.00 W9881 COPIES PAF SMEAR 10.00 08150 Medical Records (1-3 Pgs) 2,00 MATERNITY Medical Records (4-7 Pas) 3.00 Ante Partum Care (Lox Risk) 800.00 Medical Legal Records 15.00 Ante Pattum Care (High Ftisk) 1200./10 Physicals Immunizations 1,00 1,00 New Pt. Comprehensive Vst. 50,00 Established Pt. Limited Vst. 21.50 MISCELLANEOUS FAMILY PLANNING Speciality Referral 45.00 Initial/Post Partum Exam 60.00 W9759 Nutrition Health Education 20.00 110,00 Medical 39,00 Annual Exam 52,00 Suoply/Counsel 14.00 SEE ATTACHMENT A Tubal Ligation 625.00 Vasectomy 200,00 INJECTIONS TOTAL f _„ Oral Polio No Chrg, 90712 DPT No Chro. 90701 SLIDING SCALE Z - No Chrg. 09707 " TO Tine 5.00 06585 PPD 5.00 86580 -- Pneumonococcal Vaccine 5.00 01246 OT (Adult) 10.00 90702 NMI` DUE S 0 A`1TnaM,7r I STATES SENT OF AGREEZ FS The Indian River County Health Unit and the Indian River County Board of County Commissioners agree to the following special conditions as they relate to the provision of primary care services and the implementation of their contract with the Department of'Health and Rehabilitative Services. 1. To give priority in service delivery to persons with family incomes below 100 percent of the most current federal non-farm poverty guidelines, and to follad the department's eligibility criteria; 2. To serve persons below 100 percent of the most current federal non-farm poverty guidelines at no charge; .. 3. To establish a sliding fee schedule for determining the level of payment for clients with family incomes between 100 and 200 percent of the most current federal non-farm poverty guidelines if the project plans to serve persons in this income category. Such a fee schedule shall progress in 20 percent increments between 100 and 200 percent; 4. To register all primary care clients in the department's client registration system and to issue a "primary care participant" card to all registered clients; 5. To provide client specific and aggregate reports as required by the department; 6. To follow departmental accounting procedures with respect to the funds awarded in the contract with the department; 7. To develop a consolidated or unified record for primary care clients con- sistent with guidelines established by the department; 8. To participate in the evaluation of the primary care project under the department's direction as specified in 154.011(2), F.S.; 9. To ensure that subcontractors in the primary care project abide by the same conditions as those placed on the provider. 10. The Indian River County Board of Commissioners will provide the sum of $84,000 as its contribution to the development and implementation of the Primary Care Program. Itilard D. Be , M.D., Director Indian River C6unty Public Health Unit Don C. Scurlo c, Indian River County Boa of County Commissioners