HomeMy WebLinkAboutC.054.93010_0526 (2)Water Sample* 30 30
Swimming Pool Permit:
Operating <8 months 50 50
Operating >8 months 75 75
Tattoo Artist Permit (Annual) 200 200
Water sample fee will be waived for samples collected at a physician's request as part of a diagnostic procedure.
POLICY OPERATIONS MANUAL FOR LOCAL HEALTH DEPARTMENTS
Fees for health department services are authorized under NC General Statutes 130A-39, provided that (1) they are in
accordance with a plan recommended by the Health Director and approved by the Board of Health and County Commissioners,
and (2) they are not otherwise prohibited by law.
The demand for public health services is increasing, as are the costs of providing these services. Additionally, the resources to
fund these services are diminishing. The health department serves the public interest best by first assuring that all legally
required public health services are famished for all citizens, and then by providing as many recommended and requested public
health services as possible.
Fees are a means to help distribute services to the citizens of Iredell County in accordance with need, as well as to help finance
and thus extend public health services.
All payments from individuals and third party payors shall be used to support the services of the program in which revenues
were earned. All fees collected shall be used in the current year or succeeding fiscal years.
A person must be a resident of the county to be eligible for services except as mandated by North Carolina Department of
Health and Human Services. Care may be provided to non -subsidized, out -of -county, residents when adequate staffing se, ice
provision allows.
FEESCHEDULE
A schedule of fee amounts shall be established for specified health services and updated on at least an annual basis. Fees may
be adjusted on insurance rates or other contracted package of services considering costs of services.
SERVICES EXCLUDED
Certain services, such as epidemiologic investigations, mandated immunizations, Tuberculosis and Sexually "I tansmured
Disease Control are excluded unless covered by Medicaid or other third party payors.
FEE CHARGES
Fees charged will be either an established (Flat) rate for certain services or will be determined by applying a sliding scale hued
on family size and gross annual income to the fee schedule amount. Minors requesting confidential services will be considered
a family of one.
Sliding scale fees will be charged on the basis of family income exceeding 100°, of current Federal Poverty Guidelines lot
other percent guidelines required by state or federal policy for applicable programs.)
INCOME ELIGIBILITY
Income eligibility will be determined prior to service provision and shall be re-evaluated anytime income and household stants
changes or at least annually.
VERIFICATION OF INCOME
Patients will be required to submit verifiable documentation of income when sliding scale fees are applied Clients Unable to
provide income documentation may be rescheduled or required to pay the full fee for the service(s) received on that date. All
must present their health insurance or Medicaid card at each visit and those who receive Medicaid are exempt font tnconnc
eligibility determinations.
PAYMENT COLLECTION
Clerical personnel (Preventive Health) and/or Professional staff (Allied Health) will be primarily responsible for informing
patients of expectations and responsibility to pay prior to the time service is rendered. Including FYI payment requirements of
any flat -rate fees. In addition, clerical/professional staff will confirm the patient's ability to pay prior to service deliverv.
Verification of enrollment in Medicaid constitutes full payment for covered /billed services. Other third party insurance plans
will be billed, unless the insurance company has previously notified the Iredell County Health Department that public health
services are not eligible to be covered. Such patients will be informed that they will be considered as private pay patients.
FAILURE TO PAY
Failure to pay charges, for rendered services, in full, at the time of service, constitutes a debt for reasonable collection, unless
the department is billing other third party insurance. Any outstanding balances, after the collection of other third party