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HomeMy WebLinkAbout05-02 - Res. Department of Health Services Fee Schedule Mason County Board of Commissioners Resolution No . 5 - 02 Whereas, the provision of public health services and activities within Mason County requires the collection of fees to compliment other sources of revenue , Whereas, it is the role and responsibility of Mason County Board of Commissioners to set policy for Mason County Department of Health Services concerning the funding of public health programs and activities in Mason County and to set fees accordingly, Whereas , the Mason County Board of Health held a public hearing on January 10 , 2002 for the purpose of taking public testimony and to deliberate on the appropriate fees for public health goods and services and recommended that they be forwarded to the Mason County Board of Commissioners for adoption, Now therefore be it resolved, the fee schedule as shown in Attachment "A" is hereby adopted as the Mason County Department of Health Services Fee Schedule, effective January 15 , 20026 Dated this 15th day of January, 2002 Mason County Board of Commissioners Mason County, Wasihngton Absent 1 / 15 / 02 Attest : Chair s Clerk of the Board U Commissioner Approved as to Form : DCommissioner Mason County Prosecuting Attorney i Proposed Environmental Health Fees,for° 2002 Well decommissioning 0 0 $ 100 Note: Any work that requires a permit from Environmental Health being Well site inspection $ 100 $ 100 $ 125 done without a permit will be subject to a penalty of a double permit fee and additional inspection fees where applicable . (New 2002) Re-inspections $ 50 $ 50 $ 100 (Two fees were reduced and two new areas added in 2000. There were no changes to the Letters / WFI or Name Changes 0 0 $50/hr fee schedule in 2001. Land Use Fees Water system design renewal $ 100 $ 100 $ 100 1999 2000 2002 Waivers / variance $50 $50 $ 100 BLA (office review) $ 10 $ 10 $25 Large Lot Subdivision Appeals 0 0 $ 100 Application fee $ 105 $ 105 $200 Certified Designer Per parcel fee $ 10 $ 10 $ 15 Test 0 0 $250 Short Subdivision $ 105 $ 105 $200 Annual 0 0 $ 150 Subdivision Laboratory Application fee $415 $415 $450 1999 2000 2002 Per parcel fee $25 $25 $25 Drinking water Other review (per hour) $ 50 $50 $50 Coliform $ 18 $ 18 $ 18Coliformresample $ 10 $ 10 $ 15 a Nitrates $ 15 $ 15 $ 15 N Surface Water / Sewage E Water Program Fees Fecal coli orm ' a I999 Z000 2002 if $20 $20 $20 u TSS $ 15 $ 15 $ 15 rd Plan Review BOD � Private 2 party 0 0 $50 $45 $45 $45 < 2 connections $ 150 $ 150 $ 175 Other Environmental Health Fees 344 connections $300 $ 300 $350 Existing System Approval 0 0 $200 1999 2000 2002 Re-submittal 0 $ 100 $ 100 Water contact facility Year-round operation $ 150 $ 150 $200 Water system sanitary survey $ 150 $ 150 $ 50/hr Seasonal operation $ 75 $75 $ 125 (Fee for service.) Well construction permit $20 $20 $ 50 Process and ship vector specimen 0 0 $25 Fee for copies $ . 15 each Non-complex Large $ 155 $ 175 Solid Waste Pees Small Rest Sery $ 103 $ 125 F 2000 2002 Non-Restr $ 77 $ 100 Municipal Landfill Application $50/hr $50/hr Renewal $250 $250 Markets Complex Large $515 $550 Closure $250 $250 Small $268 $300 Transfer Station Application $320 $320 Non-complex Large $ 103 $ 125 Renewal $220 $220 Small Fee $ 77 $ 100 Per Ton $ 1450 $ 1050 No Fee $ 0 $ 0 Monofill; Inert Disposal Application $320 $320 Renewal $220 $220 Taverns Complex Large $515 $550 Closure $200 $200 Small $ 155 $ 175 Non-complex Large $ 155 $ 175 Small $ 77 $ 100 Construction Demolition Application $320 $320 Mobiles Complex $ 191 $225 Landfill (Inert) Renewal $220 $220 Closure $200 $200 Non-complex $ 113 $ 125 Construction Demolition Application $515 $515 0 Landfill (Non-inert) Renewal $220 $220 No Fee $ 0 $ 0 Kitchens Large Fee $ 103 $ 12 Closure $200 $200 Small Fee $ 77 $ 100 Woodwaste, Woodwaste Recycling Application $500 $500 No Fee $ 0 $ 0 Limited Purpose Landfill Renewal $320 $320 Medical Incinerator, Waste-to- Closure $220 $220 Temporaries Complex Profit $ 133 $ 150 Energy, Treatment Facility Non-Profit $ 32 $ 35 Non-complex Profit $ 30 $ 35 Biosolids (Sludge/Septage) Inspection & (Shelton)I $450 Non-Profit $ 0 $ 0 Utilization Site Monitoring (WCC) $ 12000 Single Event %x Fee Farmer's Market Site & Operation Approval (Biorecycling) $3 ,500 Inactive $50 $ 100 Confectionery $ 30 $ 35 *2002 Proposal--- Fee for Service --- $400 base + S50 per hour > 3 hours Drop Box Application $320 $320 Espresso Stand 0 $ 125 Renewal $220 $220 Re-inspections Initial $ 0 $ 0 Piles, Surface Impoundments Application $220 $220 Renewal $ 155 $ 155 Follow-up $ 100 $ 100 Tire Pile, Recycling, Composting Application $320 $320 Off Premises Vending for Licensed Restaurant $ 30 $ 35 Soil Treatment Renewal $ 155 $ 155 Waste Utilization Projects (ie tires) Application $320 $320 $ 50/hr $ 50/hr Technical Assistance Renewal $220 $220 Plan Review $ 50/hr $ 50/hr Per Hour (>3 hrs) $50 $50 Appeal $ 0 $ 100 Food Service Education (per student) $206 $225 Hazardous Collection Disposal Approvals, $50/hr $50/hr Food Handlers Cards (fee set by State) $ 8 $ 8 Permitting Storage Tank Disposal, Other Duplicate for lost card $ 2 $ 2 Consultation, Site Monitoring, Technical Assistance Waiver $ 150 $ 150 MASOV IUNTY PERSONAL HEALTH 2O02 FEE SCH ' 4ILE At; Lachment " A " 2002 2001 2002 0 ;� . % Minimal (5) 15 . 00760* 00* 2 . 5 hr. cert . training (Per person) ** 15 . 00 ** 15 . 00* Problem Focused (20)(new) 25 ,004 hr, cert, training (Per person) **30. 00 **30 . 00* est is ed 20. 00 kw Expanded Problem (60)(new) 35 . 00Initial TB Exam 32 . 00 36 . 00* (established) 30. 00 50 . 00* Follow-up TB Exam 19 . 00 22 . 00* lillillillid Detailed (new) 47, 00 90.00* PPD (same as Imms Admin fee) 15 * 001 15 . 00* (established) 40 , 00 75. 00* X-Ray, 1 view 50 , 00 cost* Travel Clinic 45, 00 45 , 00 Radiologist 20 , 00 cost* g ., .. ,.,.. R . Blood Pressure Check 1 . 00 1 , 00 Off-site Clinic Rate (Per Hour) 65 . 00 65, 00 Liquid Nitrogen/Warts 49. 00 49. 00* Copy immunization record to pt 1 , 00 1 . 00 Pre / Post Couseling 50, 00 54. 50* Copy medical records ( 1 st 30 pgs)**** -- 0 . 83 Case Management (Full month) 160. 00 169 , 50 each add'] page**** -- 0, 63 Case Management (Partial month) 80. 00 84 , 75 Clerical fee for searching & handling**** -- 19 . 00 Comprehensive Assessment 128 . 00 135 . 75 iiiiiiiiiiiiie Public records-per RCW 42 , 17, 300 - 0. 15mmw Doxycyline 14 2 .00 2 . 50* DTi 1 - 2 - 3 - 4 - 5 - B 5 . 00 15 . 60* Doxycyline 28 3.00 3 . 75* DT (Ped) 1 - 2 - 3 - 4 - 5 5 . 00 15 . 60* Erythromycin 408 4. 00 5 . 00* Td 1 - 2 - B - Adolescent 5 , 00 15 .60* Metronidazole 14/500 mg 2 , 00 2 . 50* OPV 1 - 2 - 3 - 4 - B 5.00 15 .60* Amox/Prob 500 mg ea 2000 2 . 50* IPV 1 - 2 - 3 - 4 - B 5. 00 15.60* Rocephin Inj 250 mg 13 , 00 16 .25* HIB 1 - 2 - 3 - 4 5 . 00 15 . 60* Suprax (Cefixime)400 mg 5. 00 6 . 50* MMR 1 - 2 5 , 00 15 . 60* Zithromax 250 mg 21 , 00 23 . 75* HEP A 1 - 2 Adolescent 5. 00 15. 60* Tetracycline 28/500 mg K32 * 00 3. 75* HEB-B 1 - 2 - 3 - B (0A8 yrs old) 5 , 00 15 . 60* Bacetracin Ointment 1 . 25* Hep A/B Combo 42 , 00 45 . 20 Monistat/7 15 , 00 Varicella (Chicken Pox) 0A8 5, 00 15.60* Nystatin Cream 3 . 75* HEB-B 1 - 2 - 3 - B (Adult) 30 . 00 30. 00 Lindane Lotion 5 , 25 HBIG ($ 174.04/cc) (/cc) Lindane Shampoo 5 . 50 Immune Globulin ISG 5, 00 5. 00 Podophyllum Treatment 6 . 00* HEP A (Havrix) Adult 22 . 00 22 .00 INH 300 mg 30 3 . 75* Prevnar (Pneumococcal Conjugate) IIIIIIIIIIIN 5 . 00 15 . 60* Rifamate 60 47 . 50* Oral Typhoid 43 . 00 36 . 25 Rifampin 30/300 mg 21 . 50* Injectable Typhoid 41 ,68 41 . 50 Rifampin 60/300 mg 32 , 00 48 . 00* Td (Adult) 13, 00 16 .25 PZA 60/500 mg 39 , 00 54. 50* Rabies (3 doses - PRE-PAID) 248 , 00 401 ,25 Ethambutol 60/400 mg 72 , 00 80 . 00* Influenza 12 , 00 12.00 B6 Pyridoxine 50 mg 2 . 00 3. 00* Pneumonia 21 . 00 21 .00 Varicella (Chicken Pox) Adult 51 . 00 62. 50 Pregnancy Test 10. 00 12 . 50* Yellow Fever 56 , 00 71 . 25 Blood Draw 3. 00 5 , 00 Meningococcal 64 . 00 71 , 80 KOHMet Mount 7. 00 7 . 00* Unlisted meds/vaccines-aquisition cost Cost Cost Pap Smear 10. 00 16. 00 Pathologist fee -- 31 . 25* Birth Certificates (each copy)### 13. 00 13 . 00 UA (W/O) Micro 3 , 00 3 . 00* Death Certificates (first copy)### 13. 00 13 , 00 RPR/VDRL 0 . 00 4, 50 Additional Copies### 8 , 00 8 . 00 HSV-culture 30, 00 35 ,25 Research Fee### 8. 00 8. 00 GC 0 , 00 4, 50 Corrections to Death Certs (1st copy) 8 . 00 8 , 00 CT 0 , 00 4. 50 Additional corrected copies 3 . 00 3 , 00 HSV-antibody (Igg) -- 20 .25 IMF 1E .. IgM Anti-HAV (Hep A) 13 . 00 18 . 25 Mr Nursing Office Visit 58 . 00 57. 20 Anti-HAV (Hep A Total) 18 , 00 19 . 50 Nursing Home Visit 90 , 00 90 . 00 HbsAB (Hep B Titer)*** + 16. 00 17 , 00 MCM 0076M -- 100 .47 HBsAg (surface antigen) 13, 00 17 , 00 MCM 0077M -- 111 . 54 Anti-HBc (core antibody) 14. 00 19, 50 MCM 0079M -- 70 . 30 Hep B Screen (HBsAg & Anit-HBs)*** 26 . 00 29 , 50 MCM 0080M -- 82 . 04 Hep B Panel (HBs Ag , Anti-HBs & Anti-HBc)*** 37 , 00 44 , 50 MCM 0081 M -- 11 . 74 Hep Panel (acute) 39, 00 62 . 00 Childbirth Education -- 55. 00 Anti-HCV (Hep C) 16, 00 22 . 00 Family Planning Visit 10 , 00 10. 00 Liver Profile 30. 00 31 . 50* Psy Home Visit 86. 00 90. 00 Sputum 3. 00 4 . 50* DNA testing for Probation Services ## 22 .00 27. 00 Varicella-zoster virus antibody ( IgG) 18 . 00 19. 50 �. . v ..� Venipuncture (MGH) 11 . 00 15 . 50 2 Hour prep time/2 hour class 1 **120. 00 **120, 00 ## S & H cost included * Fees that can be slid to $0 ### Fee set by State ** Minimum 4 persons per class (slide scale available) + Infant only in the Perinatal Hep-B Frog . No Fee *** Perinatal Hep B Program - No Fee ++ Based on Medicaid reimbursement, rounded up to nearest $5 ****May charge for medical records iaw WAC 246111,08400 +++ Based on County portion of state set fee # Fee that can be slid to 25% 01110/02 -- FEES MAY BE RAISED TO REFLECT INCREASED ACQUISITION COST ""