Resolution 2004-066
RESOLUTION NO. 2004 - 66
16D1
A RESOLUTION ESTABLISHING A FEE SCHEDULE FOR PUBLIC
HEAL TH SERVICES RENDERED BY THE COUNTY HEALTH
DEPARTMENT.
WHEREAS, it is stated in Section 154.06 of the Florida Statutes, "The Department of
Health may establish fee schedules for public health services rendered through the county health
departments. Such rules may include provisions for fee assessments, co-payments, sliding fee
scales, fee waivers, and fee exemptions. In addition, the department shall adopt by rule uniform
statewide fee schedule for all regulatory activities performed through the environmental health
program. Each county may establish and each county may collect, fees for primary care services,
provided that a schedule of such fee is established by resolution of the board of county
commissioners or by rule of the department, respectively. Fees for primary care services and
communicable disease control services may not be less than Medicaid reimbursement rates unless
otherwise required by federal or state law or regulation;" and
WHEREAS, the funds collected under this section shall be expended solely for the purpose
of providing health services and facilities within the county served by the county health department.
Fees collected by county health departments pursuant to department rules shall be deposited with
the Chief Financial Officer and credited to the County Health Department Trust Fund. Fees
collected by the county health department for public health services or personal health services shall
be allocated to the state and the county based upon the pro rata share of funding for each such
service; and
WHEREAS, the board of county commissioners, if it has so contracted, shall provide for the
transmittal of funds collected for its pro rata share of personal health services or primary care
services rendered under the provisions of this section to the State Treasury for credit to the County
Health Department Trust Fund, but in any events the proceeds from such fees may only be used to
fund county health department services.
1601
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that in accordance with Florida Statutes,
the Collier County Health Department uses its statutory authority to establish the attached fee
schedule for public health services rendered through the County's Health Department.
This Resolution adopted this q"f"k day of
second and majority vote favoring same.
yl.1 M c.A'\-
, 2004, after motion,
ATTEST:
DWIGHT BROQ.~.~tk ", .
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By' ..'
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Attest I.~l~~&~~lj'
sf gnature o""Zn~ rJJj1/.;,~;'"
""",..,,".......\
BOARD OF COUNTY COMMISSIONERS
OF COLLIER COUNTY, FLORIDA
By:
Approved as to form and
Legal Sufficiency:
~~ -
Ie::: ~ ----- )
Robert Zachar -
Assistant County Attorney
Item # lk.CL
~gf:1da 31 q I b~
lJt..:te ~--
\
D~.:~ ~ 10"1
R",~d
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IS ear - 1Lp
I I .J., (J ,
OCHD CLINIC F'BE SCHEDUU; PROP08ED -
I - -
-- - Prior
Ph)'lll.eal Exam. - _.-
f---- - Immigration PE (Aduh) with ex&. PPD. RPR, HIV 150.00 - 120.00
Immigration PE (Child) 100.00 IIllme
-
MD Completion of Hi93 INS Immigration FOrni 21).00 - 18.00
--
f-- I-- PEAlone, no other tests (Employment, Sports PE) - - f---- 40.00 - 35.00
Employment PE with PPD, RPR 60,00 35,00
-
-
Pl'e Vaceine '11ten
- - -
Measles J5.oo lIame
- --
Rubella ~ J5.oo lIame
-- -
Hepatitis B Pre--Employment Screen (HBaAb) 1,5.00 - lIame
Hepatitis Panel A, B, and C Panel- No Risk Identified 20.00 15,00
-
Varicella 15.00 same
-
- -
V.woes - J>re..employmeot; or optional per pt. request -
MMR Vaccine SO.OO -~
-
Hepatitis B Vaccine (Single Dolle) SO.OO - same
Hepatitis B Vaccine (Series of 3) 150.00 same
-
Hepatitis A (Single Dolle) - SO.OO - same
-
Hepatitis A (Series of 2) 100.00 same
-
TetanU8 Vaccine 20.00 same
-
Varicella Vaccine -- 65.00 50.00
-
Post Exposure Rabies Vaccine Single Dolle (Insurance Billed) 102.00 10~~
-
Post Exposure Rabies Vaccine Series of 2 (Insurance Billed) --- 203.10 - same
Pre-ExpoIIure_Employee Rabies Vaccine (single d08e) 135-00 - same
Pre-Exposure Employee Rabies Vaccine Series of 3 doses 405-00 - same
F1u Vaccine 20.00 same
-
Pneumonia Vaccine 21).00 22,00
- --
f-- -- -- -
HIV
---. - ---
HIVTest to DOH l.ab (turnaround 10 days) 20.00 same
-
HIV Testing ('I'o 051 for expedited turnaround) 30.00 - 40.00
-
TB
- -
CXR Only (1 view with reading, no followup) 40.00 -- - none
CXR with reading &Follow-up Numng Evaluation Visit 60.00 none
-
LTBI Employment Package (PPD, ex&. Evaluation, INH if needed) 300.00 none
- -----
PPD placement &: reading --- I---- 20.00 10.00
-
- ----
SID
-
sro Asymptomatic Screen (RPR, HIV, GC, en &: Followup -- SO.OO - none
STD Asymptomatic Screen with Regular PAP &: Followup 75-00 --- none
- f---- STD Asymptomatic Screen w ThinPrep PAP, no reflex HPV -- I----- 75.00 - none
U 0 I
ENVIR.ONMENTAL HEALTH FEES
I -- -
--
FOOD
---- - -
Plan Review 50.00 Per Hour 35-00
Reinspection -
50.00 - One time fee 35.00
COlLIER COUNTY HEALTII DEPARTMENT
Fee Schedule
p. cal Y 2003 2004
EXHIBIT I
1
Fee Schedule for Core Contract (excludes State EH F-l
6131/2004
COUJER COUNTY HEALTII DEPARTMENT
Fee Schedule
EXHIBIT I
Fiscal Year 2003-2004 1""
GROUP - - - Phfr
-
Plan Review f-- 50.00 Per Hour none
--- --- ----
Reinspection SO.OO - One time fee none
Construction Inspection so.OO One time fee none
-
Adult Family Care -- f--- :150.00 - Annual Fee none
--
Assisted Uving Facilities 250,00 Annual Fee none
-
Child Care 350.00 Annual Fee none
- -
Residential Facilities --- f--- 2SO.00 Annual Fee none
-
Schools 500.00 Annual Fee none
-
Other Group Facilities :150.00 Annual Fee none
- -
-
MHP
- - -
Pian Review -- - SO.oo - Per Hour none
Reinspection 50.00 - One time fee none
- ----
TANNING -
Plan Review 50.00 Per Hour none
-
Reinspection SO.oo One time fee n~
- --
- -
SWP
- ----
Rein5pection SO.OO - One time fee none
Bacteriological Fee 180.00 Annual Fee same
Rough Plumb Imll>ection -
SO.OO One time fee same
---
Renovation Inspection 50.00 One time fee none
-- ~ -
Exempt Pool 50.00 One time fee same
-
Operator Certificate 20.00 One time fee same
-
Operator Course 50.00 One time fee same
-
-- - ---
WATER -- -
-
Water Letter 30,00 One time fee same
- --
Bacteriological Sample I 25.00 One time fee same
--- -
Sample Collection 60.00 One time fee 40.00
-- -
Nitrate Sample 60.00 One time fee 40.00
-
Bacteriological Sample :15.00 One time fee same
-- -
Sample Collection 40.00 - One time fee same
---
Nitrate Sample 60.00 One time fee 40.00
-- -
- ---
OSTDS
--- - -
Development Plan Review 20.00 One time fee none
- -
Incidental Plan Review 10.00 One time fee 5.00
-
Construction Pennit Application I 140.00 - One time fee 115-00
Final Cover Inspection ---t= SO.oo One time fee 25-00
_.U
ATIJ Permit 150.00 Annual Fee same
-
PBT Permit 200.00 Annual Fee :150.00
--- --=--
Reinspection 50.00 One time fee same
-
Repair Permit :150.00 One time fee same
-- - --
- - Septic Letter 15-00 n One time fee none
I I
1
F.. Schedule for eo,. ConllllGt (excluda StIlI. EH F_J
2
8131/2004
COlLIER COUNTY HEAL11I DEPARTMENT
Fee Schedule
EXHIBIT I
Fiscal Year 2003-2004 l~n
DENTAL - -
I t -
- --
DIAGNOSTIC Cocl. Prior
-
Initial Oral Exam - 00150 49.00 - 00150 40.00
PeriodleOral Exam - 00120 2<),00 Do120 -~
r-- -
Ilmited Oral Exam- Problem Focused - 00140 45-00 - 001.40 24.00
-
X-RAYS - ---
Intraoral ComDlete Series 85-00 00210 100.00
-
Periapical first film 17.00 00220 22.00
----
Periapical-each addt1 film_ 14-00 Do230 10.00
- ---
Bitewing-.ingle film 17.00 00270 22.00
-
Bitewinp-two films -- - 28.00 Do'r1'.l 32.00
- -"'-=--
Bitewillgll-four films 39.00 - Do274 42,00
----- --
- .!.REVENTIVE -
Routine Child Prophylaxis 43.00 Du:w 37.00
-
Prophylaxis Adult 59,00 Du10 40.00
-- - -
Topical application of fluoride 23.00 - D1203 19.00
~lh~eneinnruction 32.00 D1330 12.00
-- - - ---
Sealant 34.00 - D1351 27.00
Periodontal Scaling and Root Planing (per quadrant) 165-00 - D4341 40.00
- -
RESTORATIVE (FILLINGS) -
Amalgam-one surface, primary 69.00 02110 41,00
-
Amalgam-two surfaces, primary 86.00 DlU20 61.00
-
Amalgam-three swfaces,primary .- - 10+00 - D2l30 _.~
Amalgam-four or more surfaces primary J.25.00 02131 101.00
-
--
Amalgam-oDe surfaal, permanent 76.00 - D2140 41.00
Amalgam-two surfaces, permanent .~~ 97.00 D21,'jO 61.00
-
Amalgam-three surfaoos, permanent u8.00 02160 -~
-
Amalgam-four or more swfaces. pennanent 144.00 D:;u61 101.00
-
-
Resin - ODe surface, anterior -- - 1)4.00 - 02330 -~
Resin - two surfaces, anterior 117.00 02331 61.00
-
Resin - three surfaces anterior 145.00 02332 81.00
--.. -
Resin-four or more surfaces or involving incllal angel-anterior 181.00 D2335 101.00
-
-
Resin - one surface, posterior-primary --- !-- 91.00 - 1>2380 41.00
Resin - two surfaces, posterior- primary 117.00 02381 61.00
- - - -
Resin - three or more surfaces, posterior-primary 147,00 147.00 - 1>2382 91.00
- ~ -
~ Resin - one surface posterior-pennanent 102.00 02385 41.00
- -
Resin - two surfaces posterior-permanent 14+00 Da386 61.00
- - --
Resin - three or more swfaces posterior-permanent 179.00 - 1>2387 91.00
- -
-
Pulp cap - direct (excluding final restoration) -- - 49.00 - 1>3110 30.00
Pulp cap - Indirect (exclud!ng final restoration) 48.00 - 1>3120 30.00
GI'OlllI Dulpal debridement primary and pennanent teeth 83.00 - 1>3:w 75.00
------'-'<----
Apexification/recalcification - initial visit 221.00 D3351 100.00
-
Apexification/recalclfication-interim medication replacement 160,00 03352 100.00
Aoexification/recalclfication - final visit -
.- - 275-00 - D3353 __125-00
Tooth re-implantation and/ or stabilization of accido:ntally 320.00 - D'J'27O 150.00
evulMd or displaced tooth and/or alveolus - ----
1
F.. Schedule for ear. ContrIIct (ellCludM St8te EH F_>
3
813112004
COLLIER COUNTY HEALTII DEPARTMENT
Fee Schedule
EXHIBIT I
Fiscal Year 2003-2004 '~n
ORAL SURGERY (EXTRACl10NS) - -Prftf\
-
Simple extraction. fint tooth - 94-00 - D1UO 77.00
Simple extraction, additional tooth 88.00 D'71ao 35.00
-
Surgical extraction, erupted tooth 176-00 - 0']210 -~
Soft tiMue impaction - 205-00 - 07220 87.00
Partial bony impaction 267.00 - D7230 107.00
- --
ADJUNcnvE SERVICES -
IRM (sedative filling) Analgesia. per visit 68.00 02940 50.00
- -
Incision and Drainage J33.00 D7510 88.00
Consultation (diagnOlltic service provided by dentist or -
74.00 - 09310 - 50.00
physician other than practitioner providing treatment -
Dry Sockett Treatment 75-00 - O9uo 25.00
Behavior Management -- I---- 76.00 - 09920 35.00
Suture removal 20.00 D9999 20.00
-
Injection of novacaine 10.00 JU70 10.00
- -
Space Maintainer unilat 156-41 001510 none
-
Space Maintainer bilat 2:19.08 001515 none
U 0 I
IMMUNIZATION
====--=8 -
F1u vaccinations 20.00 17.00
-
F1u vaccinations 17.00 Sponaored, ll"Ouup billinl 15.00
-
Pneumonia 2/).00 20.00
0 I
VITAL STATIsnCS
~-=t -
Death Certificates 8.00 same
-
Birth Certificates 10.00 First copy same
-
Birth c-ertificates 6.00 Each additional same
-- 0 [
L
HBAL'I1I PROMO'I1ON Cl.t\MU - --
-
Winning with Welln_ 60.00 45-00
- ---
Smokilli Cessation 415-00 - - 30.00
Stress ManalWment W.OO none
1
.r
F.. Schedule for Cor. Contract (excludM Stat. EH F...)
4
8/31/2004