03/02/2000
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NEW HANOVER COUNTY BOARD OF HEALTH
Dr. Thomas Fanning Wood Memorial Conference Room
New Hanover County Health Department
AGENDA
Date:
March 1, 2000
Time:
8:00 A.M.
Place:
Dr. Thomas Fanning Wood Conference Room
New Hanover County Health Department
Presiding:
Mr. William T Steuer, Chairman
Invocation:
Mrs. Anne Braswell Rowe
Minutes:
February 2, 2000
Recognitions:
Retirees
Edwin Hart, Environmental Health Specialist Environmental Health
Martha B Walton, Public Health Nurse, Community Health Chairman
Personnel
New EmDlovees
Glendora D. Slappy, Clerical Assistant, Administration
Brian K. Scott, Environmental Health Specialist, Environmental Health
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Departmenta Focal:
I Social Work in Public Health
. Mr William T. Steuer
Ms. Barbara Berkemeier
Social Worker
Monthly Financial Report: January 2000
Ms. Cindy Hewett
Business Officer
.e
NHCBH Agenda
March 1,2000
Page 2
Committee Reports:
Executive Committee
- Mr. William T Steuer
Budget Committee
AS 400 Upgrade
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Unfinished Business:
/ Generators/Hookups at Emergency Shelters
- Mr. William T Steuer
New Business:
/1_ 1(. Grnn' Pmpo~1 - Worn," '"fm", """ ChHd= """""'~
11--J.tf Reclassification Request. Clerical Assistant to Administrative Assistant
:;...5-
;Fj Appointments to Animal Control Services Advisory Boar
. 30- 3~ Budget Amendment - Medicaid Cost settle~ 997-98
6~-7b RevisiontoFeepOliCY-CPT/ICD9codin~ ~~.' L
~ Appre",tio" L~"""'"~~' April 27 '-1Ml!~F~"
Performance Evaluation - Health Director ~ ~
- Mr. William Steuer
Comments:
Board of Health Members
e
Health Director
1 AEIOU (;}J1ff(UJO 'd-tto1 ~r~~vrr- ~~ fd~'7-d E. Rice
2. Cape Fear Area United Way - Health Services Allocation Team ~1,t'1&Pf~4~
3 Regional Health and Human Services Needs Assessment Upda _ Li/lii ~~ ~ .
4 NHC - School Retrofit Projects Steering Group . _./L. - &H ~
5 Management Academy for Public Health D~ W-" _ F'fOO-()( ~~
6. NHCHDP'fi~::~~ - ~~.uk,
Other Business: ~~ ~ - /)/(9f t/~~fr~5.L__
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Mr. William T. Steuer, Chairman, called the regular business meeting of the New Hanover County Board
of Health to order at 8:00 a.m. on Wednesday, March 2,2000.
Members Present:
William T. Steuer, Chairman
Wilson O'Kelly Jewell, DDS, Vice-Chairman
Henry V. Estep, RHO
Michael E. Goins, OD
Robert G. Greer, Vice-Chair, County Commissioners
Gela N. Hunter, RN, Nurse Practitioner
Anne Braswell Rowe
Philip P. Smith, Sr., MD
Melody C. Speck, DVM
Estelle G. Whitted, RN
Members Absent:
W. Edwin Link, Jr., RPH
Others Present:
Mr. David E. Rice
Lynda F. Smith, Assistant Health Director
Frances De Vane, Recording Secretary
Invocation:
Ms. Anne B. Rowe gave the invocation.
Minntes:
Mr. Steuer asked for corrections to the minutes of the February 2, 2000 New Hanover County Board of
Health meeting. The minutes of the February 2, 2000 Board of Health meeting were corrected and
approved by the Board of Health.
Recognitions:
Retirees
Mr. David E. Rice, Health Director, presented a retirement plaque to Ms. Martha B. Walton, Public
Health Nurse, and Community Health. He congratulated Ms. Walton on her years of service as a Public
Health Nurse. Mr. Edwin Hart, Environmental Health Specialist, Environmental Health, was
commended for his public health services and his retirement plaque will be sent to him.
Personnel
New Emplovees
Mr. Rice recognized and welcomed Ms. Glendora D. Slappy, Clerical Assistant, Administration, and Mr.
Brian K. Scot, Environmental Health Specialist, Environmental Health. Mr. Scott is a new employee and
Ms. Slappy is a former health department employee.
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Student Intern
Mr. Rice introduced Ms. Michelle Masson, UNCW Intern, who IS servlllg an internship III the
Community Health Division.
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Department Focal:
Social Work in Public Health
Ms. Barbara Berkemeier, Social Worker presented a department focal on Social Work in Public Health.
March is Social Work Month celebrating 102 years of social work. She gave the history of Social Work
in the New Hanover County Health Department. She emphasized there is a great need for social workers
in the health department.
The health department now employs 9 social workers. They work with Maternity Care Coordinators and
with clients at Coastal OB/GYN Center, Carolina and Cape Fear OB/GYN, New Hanover Community
Health Center, and Coastal Family Medicine. Child Service Coordinators work with children (from birth
to 5 years old) and with their families addressing developmental, environmental, social and medical
concerns. A Certified Clinical Social Worker provides more intensive psycho-social counseling to high-
risk pregnant women and to women attending the Women's Preventive Health clinics in the health
department. Social workers make referrals and work with Women, Infants, and Children and other
health department clinics. Ms. Berkemeier emphasized the client comes first and patient care is proactive.
Since January clinics are held in the Zimmer Building ofthe New Hanover Regional Medical Center.
Mr. Steuer thanked Ms. Berkemeier for her presentation.
Monthly Financial Report - January 2000:
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Ms. Cindy Hewett, Business Officer, referred the Board to a chart and a summary of the January Revenue and
Expenditure Reports. She reported the reports reflect the expenditure and revenue line items are on schedule. The
January Health Department Financial Summary Monthly Revenue and Expenditure Report reflects an expenditure
remaining balance of $4,787,057 (49.07%) and reflects an earned revenue remaining balance $1,923,375 (53.23
%). She explained Animal Control Services and Environmental Health fees are lower than they should be. This
was expected since revenues for both programs were increased by the by the budget office, and we do project
earning all the budgeted revenue.
Committee Reports:
Executive Committee
Mr. Steuer reported the Executive Committee at 6:00 p.m. on Tuesday, February 22, 2000. Items are
listed under New Business on the Board of Health Agenda.
Budeet Committee - AS400 Uperade
Ms. Rowe, Chair of the Budget Committee, presented a request and a recommendation from Mr. Bill
Clontz, Information Technology (IT) Director, to upgrade the AS400 Computer System. She stated
upgrade is needed and will add $50,000 to the Administration Division FY2000-2001 Budget Request. I
Mr. Rice advised if the computer requests are not approved in the budget request, the upgrade will not be
needed.
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Dr. Speck inquired whether personal computers are pu~chased through a central point. Ms. Hewett
explained the IT Department is the county's central purchasing department for county computers and
computer equipment.
MOTION: Ms. Rowe moved from the Budget Committee for the Board of Health to approve the
budget request for $50,000 to upgrade the AS400 Computer System and to increase the FY2000-2001
Budget Request ($50,000). Upon vote, the MOTION CARRIED UNAMIOUSL Y.
Unfinished Business:
Generators/Hookups at Emereencv Shelters - Meetine February 21
Mr. Rice reported the School Retrofit Projects Steering Group met on February 21,2000. The generator
hookup project went out to bid. The County Commissioners received two bids. Three bids are required
for the first bids. The next time one bid will be required; therefore, the School Retrofit Project will be
delayed three weeks. The identified schools for the generator equipment by priority are Dorothy B.
Johnson, Trask, Eaton, Noble, and Codington. Mr. Rice stated Mr. Dan Summers, Emergency
Management Director, has requested a mobile generator in FY 2000-01 budget request.
Mr. Steuer stated perhaps by the end of June 2000 electrical transfer switches will be installed in the
schools used for disaster shelters. Dr. Goins commended Mr. Steuer and the Board of Health members
for their interest and efforts in obtaining the generator equipment.
New Business:
I Grant Proposal- Women Infapts, and Children Outreach ($5,590)
Mr. Steuer recommended from the Executive Committee for the Board of Health to accept and approve a
Grant Application for Women, Infants, and Children Outreach Project in the amount of $5,590. The
grant, funded by the Nutrition Services Branch of the North Carolina Department of Health and Human
Services, Division of Public Health, is targeted to recovering caseload lost as a result of Hurricane Floyd.
The Outreach proposal should increase health department WIC participants. The budget request includes
temporary salary for a part-time Clerical Specialist I ($2,390) travel, and operating expenses for outreach
activities.
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MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and
approve a Grant Application for Women, Infants, and Children Outreach Project in the amount of $5,590 and to
submit the grant application to the New Hanover County Commissioners for their consideration. Upon vote, the
MOTION CARRIED UNAMIOUSL Y.
Reclassification Request - Clerical Assistant to Administrative Assistant II
Mr. Steuer recommended from the Executive Committee for the Board of Health to accept and approve a
reclassification request of a vacant Animal Control Services (ACS) Clerical Assistant position to an Administrative
Assistant II position. The Administrative Assistant will supervise the expanded ACS Management Support staff,
assist with budgetary items, and provide office manager skills to the division.
MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and
approve the reclassification request of a vacant Clerical Assistant position to an Administrative Assistant II position
in the Animal Control Services Division and to submit the reclassification request to the New Hanover County
Manager for consideration. Upon vote, the MOTION CARRIED UNAMIOUSL Y.
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Appointments to Animal Control Services Advisory Board
Mr. Steuer recommended from the Executive Committee the appointment of Ms. Jewell Ann Diehn for Member at I
Large on the Animal Control Services Advisory Committee. The expired terms and vacancies on the committee are
Member at Large, Cat Interest, Kennel Operator, and Friends of Feline.
Mr. Greer inquired regarding the ACS Advisory Committee appointment procedure. Mr. Rice advised the vacancies
are advertised in the newspapers and appointed by the Board of Health. Dr. McNeil reported she will again
advertise and present ACS Committee applicants for the Cat Interest, Kennel Operator, and Friends of Feline
positions based upon availability. There were no other applications for the vacant positions.
MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and
approve the appointment of Ms. Jewell Ann Diehn for Member at Large on the Animal Control Services Advisory
Committee. Upon vote, the MOTION CARRIED UNAMIOUSL Y.
Budeet Amendment - Medicaid Cost Settlement 1997-98
Mr. Steuer recommended from the Executive Committee for the Board of Health to accept and approve
the Budget Amendment for the 1997-98 Medicaid Cost Settlement for $174,590, revised to delete
partitions for the auditorium ($19,590) and workstations ($34,000), amended to add automation
expenditures from FY200 I Budget Request for those programs in which Medicaid revenues were earned.
Ms. Lynda F. Smith, Assistant Health Director, explained the budget amendment for $ I 74,590 for the Medicaid
Cost Settlement for the period of October 1997 - September 1998. If the budget amendment is approved, the items
marked with an *are to be deleted from the Health Department FY2001 Budget Request. The Request for
Budgeting Medicaid Maximization is follows:
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Administration - 110-510-5131 - $74,450
*Training and Travel ($4,500)
*Other Improvements - Medical Records ($16,000)
*Partitions for Auditorium ($19,590)
*Capital Outlay - Equipment - 8 Workstation cubicles for Upstairs ($34,000)
CSC Title XIX Revenue Source - 110-510-5133-3327 - $53,000
To offset projected shortfall of Medicaid Revenue ($ 53,000)
CSC Contract Services - 110-510-5133-3700 - $19,000
Additional interpreter services through 1999 ($ 5,000)
Temporary clerical help for medical records ($ 4,000)
Medical records bar coding transition ($10,000)
*EPI - 110-510-51514210 - Snpplies - $5,000
Purchase vaccines from FY2000 Budget Request ($5,000)
*EPI - 110-510-5151-6400 - Capital Outlay- Equipment - $15,000*
Generator for Pharmacy ($15,000)
MATERNAL HEALTH -110-510-5162-3700 - Contracted Services - $1,000
Transportation services additional amount through June 30, 2000 ($1,000)
F AMIL Y PLANNING - 110-510-5163-4210 - Supplies and Drugs $7,500
Purchase supplies an drugs cut from FY 2000 Budget Request ($7,500)
*Items in FY2001 Budget Request - to be deleted if approved this fiscal year
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Ms. Smith stated some of the automation expenditures ($38,000) in FY2001 Budget Request could be
substituted for the auditorium partitions and workstations. The Child Health Services Coordinator Title
XIX Revenue Source is to offset projected shortfall in current year Title XIX revenue.
Mr. Estep inquired whether the health department will receive Medicaid Maximization funding annually.
Ms. Smith responded the funding probably will continue at least for the next two years. Ms. Smith
advised the Medicaid Cost Settlement ($174,590) reimbursement funds are required to be budgeted and
expended to further the objectives of the program that generated the revenues.
Mr. Greer stated particularly this budget year, the reimbursement funds need to be expended based upon
need. Mr. Rice reported recommendations from Ms. Cam Griffin, New Hanover County Budget
Director, were considered in the preparation of the budget amendment for the expenditure of funding.
MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and
approve the Budget Amendment for the 1997-98 Medicaid Cost Settlement for $174,590, revised to
delete partitions for the auditorium ($19,590) and workstations ($34,000), amended to add automation
expenditures from FY200 I Budget Request for those programs in which Medicaid revenues were earned,
and to submit the budget request to the New Hanover County Commissioners for their consideration.
Upon vote, the MOTION CARRIED UNAMIOUSL Y.
Revision of Fee Policv
Mr. Rice referred the Board of Health to their copy of the New Hanover County Fee Policy revised
February 2000. He stated this is a fluid document and that health departments are changing the way they
do business. The health department will be considered as a single provider. Effective July 1, 2000, health
departments will bill Medicaid and third party payors by CPT/ICD9 codes (Current Procedural
Terminology (CPT) and International Classification of Diseases-9th Revision (ICD9) diagnosis codes.
Ms. Hewett reviewed the changes in the Health Department Fee Policy. Effective July I, the existing
codes used to bill Medicaid will not be accepted. In the past many of the health department services
were billed and reimbursed by Medicaid as bundled services. The services have been identified and
broken down into CPT/ICD9 codes and fees. Ms. Hewett reiterated beginning July 1,2000, the new CPT
coding each service will have a specific individual CPT code with a specific fee for each service. Health
department services will no longer be billed as bundled services. She expressed in order to accomplish
the conversion to CPT/ICD9 billing codes, the health department staff has worked diligently.
Ms. Hewett advised the fee policy revision includes CPT Codes and Fees based upon a Sliding Fee Scale
at 250% Federal Poverty Level for Women's Health (Family Planning) pending state approval and at
350% Federal Poverty Level for other applicable programs. The Family Planning sliding fee scales are
restricted by Title X regulations which require state prior approval. Ms. Hewett stated the health
department wants to maintain clients and to utilize the sliding fee schedule. Even though third party
payors are billed, many health department clients do not have private insurance.
Ms. Whitted referred the Board to page 76 of the Revised Health Department Fee Policy. She expressed
concern about the omission of an introductory statement to inform a health department client that an
insurance claim was submitted, that no response or payment was received by the health department, and
that the client may wish to contact their insurance company to verify the status of their claim.
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It was the consensus of the Board of Health to include an introductory statement on page 76 of the
Revised Health Department Fee Policy to advise the client of the status of their insurance claim as I
submitted to their insurance company. Ms. Hewitt will make this revision to page 76 of the fee policy to
clarify this issue.
Dr. Goins emphasized the health department has no choice since CPT/ICD9 codes and fees are standard
billing procedures. He expressed revenues may decrease the first year; however, revenues will probably
increase with proper charges and proper application of charges and codes. He informed the conversion
process will require a lot of staff time.
Mr. Greer asked if this means public health will have another menu of health services. Ms. Beth Jones,
Communicable Director, advised the health departments cannot charge for Communicable Disease
mandated services. She explained this process is new to the whole state and concerns the Nursing
Directors. Concerns include the possibility of a decrease and of changes in public health services and
whether clients will go to their private physicians. Ms. Hunter stated the health department provides
some services cheaper. Ms. Hunter and Dr. Smith concurred private physicians should not object to the
new health department billing process. Ms. Hewett advised if an insurance company is billed for a
service, the sliding fee scale will be applied to the balance. Changes in revenues will have to be
monitored after the billing system is actually implemented and in place.
Mr. Rice added the public health mission is to promote health and prevent disease. He summarized in
order for the Health Department to bill, a mechanism must be in place, adjustments will need to be made, I
and then we will need to focus on possible changes.
MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to accept and
approve the New Hanover County Health Department Fee Policy (Revised February 2000) based upon a
Sliding Fee Scale at 250% Federal Poverty Level for Women's Health (Family Planning) pending state
approval and at 350% Federal Poverty Level for other applicable programs and to submit the fee policy
revision to the New Hanover County Commissioners for their consideration. Upon vote, the MOTION
CARRIED UNAMIOUSL Y.
Staff Appreciation Luncheon
Mr. Steuer recommended from the Executive Committee for the Board of Health to approve to again
sponsor a Staff Appreciation Luncheon.
Mr. Rice reported Mr. John Coble, Past Board of Health Chair, is available to assist with the employee
luncheon either on Thursday, April 13, or Thursday April 27, 2000. The Board decided to have the
luncheon on Thursday, April 13,
MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to approve for the
Board of Health to sponsor a Staff Appreciation Luncheon on Thursday, April 13, 2000.
Ms. Hunter expressed concern that employees must set-up and clean-up prior to and after the appreciation
luncheon. She suggested the Board members consider cleaning after the luncheon.
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Performance Evaluation - Health Director
Mr. Steuer recommended from the Executive Committee for the Board of Health to approve a annual
performance evaluation for Mr. Rice with an above expected rating, to give Mr. Rice a 4% merit increase,
and to request that Mr. Steuer present a summary of the performance evaluations to Mr. Rice.
Mr. Steuer explained that the Board of Health had a better understanding and used the scoring range in a
more realistic manner to evaluate each question on Mr. Rice's performance appraisal. This year's salary
increase was based on a scoring range of 0-5 with 3 being expected. Mr. Rice's overall average score was
2.574 as compared to 1.7 the previous year. Mr. Steuer advised the scoring this year was more realistic
and was equal to or better than previous scores. He reported the Board of Health is extremely pleased
with Mr. Rice's performance.
Dr. Goins suggested that the performance evaluation tool for the Health Director be reviewed, revised,
and presented to the Executive Committee by September for their consideration. It is difficult to apply.
It was the consensus of the Board of Health to redesign the performance evaluation and appraisal rating
system to clarify and to improve the performance measurement tool.
Ms. Lynda Smith advised this year the salary increase for health department employees was based on a
maximum of 5%. This was an in-house decision due to the number of excel bonuses and to budget
constraints. Mr. Steuer stated Mr. Rice informed him prior to his evaluation that he would not accept a
salary increase over the 5% maximum.
I Mr. Steuer advised the perfonnance ratings and listing of comments would be presented to Mr. Rice.
MOTION: Mr. Steuer moved from the Executive Committee for the Board of Health to approve a
performance evaluation for Mr. Rice, Health Director, with an above expected rating, to give Mr. Rice a
4% merit increase, and to request that Mr. Steuer present a summary of the performance evaluations to
Mr. Rice. Upon vote, the MOTION CARRIED UNAMIOUSL Y.
Comments:
Board of Health Members
Mr. Rice's Performance Evaluation
Ms. Whitted reported all she hears is that Mr. Rice's job performance is great. She thanked Mr. Rice for a
job well done and for the improvements he is making in the health department.
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Mr. Greer expressed his appreciation to Mr. Rice for his good job performance, and he commended Mr.
Rice for his position on the acceptance of his' salary increase not to exceed the 5% maximum.
Mr. Steuer expressed Mr. Rice prepares newsletters and other informational documents to keep the Board
of Health abreast of the Health Department activities. He reminded the Board that certain personnel
information and issues are confidential.
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Health Director
AEIOU
Mr. Rice reported tomorrow the Assessing, Evaluating, Improving, Our Opportunities are Unlimited
(AEIOU) Surveys will be distributed to staff for their completion. This is the second Organizational
Capacity Assessment Survey. The Board of Health is requested to complete an abbreviated version of
the survey.
Cape Fear United Wav - Health Services Allocation Team
Mr. Rice reported he served on the Cape Fear Area United Way Health Allocations Team. His duties on
this team are now complete.
Reeional Health and Human Services Needs Assessment Update
Mr. Rice stated the Regional Health and Human Services Needs Assessment focus groups are meeting,
and they will be the key to the strategic planning process. Telephone surveys are being conducted to
identify the needs assessment process and gather data.
Manaeement Academv for Public Health
Mr. Rice advised Ms. Lynda Smith, Assistant Health Director, and Ms. Cindy Hewitt, Business Officer,
attended the Management Academy for Public Health session held in February in Roanoke, Virginia.
They gave a presentation on the Diabetes Community Coalition. The final Management Academy
session will be held in May in Chapel Hill, North Carolina.
NHCHD - Policv and Procedures Manual Update
Mr. Rice presented a Table of Contents of the New Hanover County Health Department Policy and
Procedures Manual. To date 20 policies have been adopted. The policies have been distributed to
employees for their use and placement in their policy manuals.
Board of Health Information
Mr. Rice referred the Board to information in their packet. It includes: a letter to John Coble regarding
the annual fee paid by restaurateurs; a Report on Boards of Health Compensation Per Meeting; a letter
regarding Women's and Children' Health Section Clusters for identification of WCH process outcome
objectives~ a budget update memo from Mr. Allen O'Neal, County Manager; a letter of support from
Sheriff Joseph McQueen for a new LPN position in the Jail Medical Program; an invitation to a Public
Health Luncheon and Celebration on April 4 at the Sheraton Imperial Hotel, Research Triangle, North
Carolina; a 1999 Dangerous Dog Panel Dog Bite Report; and the results of the New Hanover County
Blood Drive that ended January 21, 2000. Mr. Rice reported again the health department was on top
with 51 blood donors.
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Other Business:
Board of Health E-mail Addresses
Mr. Rice requested Board members to furnish their e-mail addresses for an e-mail directory that he is
preparmg.
Adjournment:
Mr. Steuer adjourned the regular meeting of the New Hanover County Board of Health at 10:05 a.m.
p~cI ~
William T. Steuer, PE/RLS, Chairman
New Hanover County Board of Health
David E. Rice, M.P .H.,M.A., Health Director
New Hanover County Health Department
Approved: April 5, 2000
9
New Hanover County Health Department
Expenditure Summary for January 2000
. $4,500,000
$4,000,000
$3,500,000
$3,000,000
$2,500,000
$2,000,000
$1,500,000
$1,000,000
$500,000
$0
Salary & Fringe
.
$900,000
$800,000
$700,000
$600,000
$500,000
$400,000
$300,000
$200.000
$100,000
.
III Projected FY 99 - 00
.. Expended FY 99-00
C Expended FY 98 -99
Opelllting
Capital Outlay
New Hanover County llealth Department
Revenue Summary January 2000
$-
.. ~ojected FY 99-00
.. Earned FY 99-00
C Earned FY 98-99
Federal &
State
AC Fees
Medicaid
8-1 Fees
Heatth Fees
Other
Note: The Revenue Summary Chart does not include County Appropriation and Medicaid Maximization funds,
Note: The projected figures in both charts are the respective budgeted amounts muhiplid by the cumulative per~ntage (November = 41.65%).
This serves as a basis for where earnings and expenditures for the Health Department should be at this point in time if all earnings and
expenditures occurred equally each month.
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Type of
Expenditure
Salary & Fringe
Operating
Capital Outlay
New Hanover County Health Department
FY99-00
MONTHLY EXPENDITURE REPORT
As of January 31, 2000
Summary for the New Hanover County Health Department
Cumulative 0/0
58.31%
Month Reported
Month 7 of 12: Jan-OO
Budgeted
Amount
Current Year
Expended Balance
Amount Remaining
%
Prior Year
Expended Balance
Amount Remaining
%
Budgeted
Amount
Expenditure Summary
For Month of January 2000
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New Hanover County Health Department
FY 99 - 00
MONTHLY REVENUE REPORT
As of January 31, 2000
Swnmary for the New Hanover County Health Department
Cumulative %
58.31%
Month Reported
Month 7 of 12
JalHlO
Current Year (Through Jan 2000) Prior Year rough December
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Federal & State 1 ,353,803 728,890 628,913 53.69% 1,368,943 723,256 645,687 52.83%
ACF_ 516,453 203,855 312,598 39.47% . 493,100 209,508 283,592 42.49%
Medicaid 852,884 386,608 466,276 45.33% 824,754 346,387 476,387 42.24%
Medicaid Max 192,301 192,301 , 00.00% 250,068 401,768 (151,702) 160.68%
EHF_ 312,900 130,184 41.60% 236,000 141,169 94,831 59.82%
Heafth Fees 109,515 80,473 73.46% 98,065 61,767 38,298 62.99%
Other n5,172 469,362 60.55% 568,457 339,605 228,852 59.95%
Note: County Appropriation is not calculated above. The County appropriation is the difference between the total amounts on the
program expenditure report and the totals on the program revenue report.
The budgeted amount for County Appropriation for FY 99 - 00 is ($9.399,758 - $ 4,112.828) = $ 5,286,930.
The expended amount for County Appropriation for this FY (year-to-date) is ($4,612,701 . $ 2,189,453) = $ 2,423,246.
Revenue Summary
For Month of January 2000
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rtEIiLTt\ EXECLtTlUE- (lDrnm~
NEW HANOVER COUNTY BOARD OF eOMfnl5SroRERS
REQUEST FOR BOARD ACTION
Meeting Date: 02t.2i'100
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Department: Health Presenter: Nancy Nail, Nutrition Director
Contact: Nancy Nail, Nutrition Director
SUBJECT.
Grant Application for Women/Infants/Children (WIC) Outreach Project (Amount
$5,590)
BRIEF SUMMARY:
The Nutrition Services Branch of the North Carolina Department of Health and Human Services,
Division of Public Health, has notified us of a Request for Proposals for WIC Outreach Projects
targeted to recovering caseload lost as a result of Hurricane Floyd.
These grants will allocate State WIC funds to do grassroots outreach campaigns to locate former
and newly eligible WIC participants and encourage them to participate in the program.
Grants of $5,000 to $10,000 will be awarded.
We are requesting $5,590 in order to increase our WIC participants by 355. In order to
accomplish this goal, we are requesting a temporary part.time Clerical Specialist I
. (20hrs/week/12weeks). The budget is outlined on page 2 of the grant form as follows:
Temporary Salary
Travel (50miles) per week
Printing
Radio ads
$2,390
200
1,000
2,000
Please review pages 4 and 5 of the grant form for activities and target audience..
RECOMMENDED MOTION AND REOUESTED ACTIONS:
Approve grant application to be forwarded to County Commissioners with approval of Budget
amendment for $5,590 if grant awarded.
FUNDING SOURCE:
WIC Outreach Grant -no county matching funds required
ATTACHMENTS:
Yes 5 pages
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PROJECT PROPOSAL
WIC OUTREACH PROJECT
Applicant WlC Agency
New Hanover County Health Department
Address 2029 South 17 th Street
Wilmington, NC 28401
Phone Number 910-343-6541
Fax Number
910-34144072
Project Manager Nancy Nail
Title Nutrition Program Directphone 910-343-6541
Other WlC Agencies Participating in this Project (if applicable):
Agency Contact Person Title
Agency Contact Person Title
Agenc)' Contact Person Title
_gency Contact Person Title
Number of participants to be added to caseload as a result ofthis project:
Agency New Hanover County Health Dept. Number 355
Agency
Number
Agenc:_
Number
Agency
Number
Agency
Number
Total Number 355
Will the above numbers bring the caseload of each participating agency up to 97% of assigned caseload?
~Yes No
12
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fIlew Hanover
County
Agency Project Proposal
Page 2
Budget through June 20, 2000:
Personnel Temporary part-time Clerical Specialist I (20 hrs/week
for 12 weeks)
Cost $2390':00
Cost
Cost
Materials
Travel 50 miles/week for 12 weeks
.quipment
Other Specify'
Do you plan to use any subcontacts?
Cost $1000.00
2000.00
CoSt
Cost
Cost
Total Budget $5590.00
Yes x No If yes, briefly describe:
Printing
Radio ads
.
(If you use subcontracts. they must be sent to your regional nutrition program consultant for approval prior to
implementation)
13
New Hanover County
Agency Project Proposal
.
Project Activities:
Page 3
Briefly describe how your project will target the participants lost or newly eligible as a result of flooding:
Activityffarget Audience
Hire temporary part-time Clerical
Specialist I to perform Outreach
activities (20 hours/week for 11 weeks)
Outreach activities to include:
1) Door-to-door campaign in hurricane
affected areas to distribute WIC out-
reach materials and/or provide WIC
certification appointments
2) Distribute WIC posters to businesses
such as grocery stores, laundromats, etc
in areas identified as affected by the
hurricanes
3)Distribute WIC Outreach materials to
MD offices and encourage referrals
4) Contact identified churches to
investigate providing WIC outreach
materials in church bulletins
5) Provide WIC Outreach flyers to WIC
vendors to be used as grocery bag
stuffers
6) Print and provide tray liners
promoting WIC participation to cooperati
fast food restaurants in New Hanover
County such as McDonald's
7) Phone calls to former WIC participant
encouraging recertification and
Person(s) Responsible
Nancy Nail
Clerical Specialist I
"
"
"
I'
I
,
Nancy Nail &
Clerical Specialist I
& WIC Administrative
Assistant
Nancy Nail & Clerical
g Specialist I
Time Frame
By 4-1-00
By 4-14-00
By 4-21-00
By 4-28-00
By 4-21-00
By 5-1-00
During May 2000
WIC .Clerical Specialist 1 throughout duration
and entire WIC staff of outreach effort
14
New Hanover County
Agency Project Proposal
Page 4
eroject Activities (continued):
Activityffarget Population
Organize at least' three "walk-in"
WIC certification days and promote
through local media, WIC vendors, and
MD offices
Person(s) Responsible
Time Frame
Entire WIC staff
One event per month
in Xpril, May, and
June
Write a 15-30 second radio spot
promoting WIC participation and pay to
advertise on appropriate local radio
stations including Local Hispanic
stations (goal of 50-75 or more spots)
Nancy Nail with help from
Health Educator
to run during months
of April and/or May
15
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North Carolina
Department of Health and Human Services
Division of Public Health 0 Nutrition Services Branch
1330 St. Mary's Street 01914 Mail Service Center oRaleigh, Nonh Carolina 27699.19140 Courier S4-42'()1
Ann F. Wolfe,MD" M.P.H., Director
MEMORANDUM January 26,2000
TO: Local Health Directors,
Hurricane Floyd Affected Counties
ATIENTION: WIC Directors
.
FROM: Alice Lenihan, Head ~
Nutrition Services Branch
SUBJECT: Request fQr Proposals for WIC Outreach Project!;
Due February 29, 2000
Enclosed is a Request for Proposals (RFP) for WIC Outreach Projects targeted to recovering caseload
lost as a result of Hurricane Floyd. These grants will allocate State WIC funds to do grassroots
outreach campaigns to locate former and newly eligible WIC participants and encourage them to
participate in the program.
. For the remainder of State Contract Year 1999-2000, a total of$IOO,OOO is available for funding
outreach projects. Grants of $5,000 to $10,000 will be awarded for this purpose to a limited number
ofWIC Programs based on the strength of the proposals. We encourage WIC agencies to partner
with other WIC agencies who have common goals and can use similar activities to accomplish them.
Additional weight will be given to multi-WIC agency proposals when selecting grantees.
The enclosed materials describe the RFP requirements and guidelines. We look forward to you'
application. Please contact your Regional Nutrition Consultant if you have questions.
Enclosures
cc: SMT
Regional and Central Office Nutrition Consultants
Nutrition Services Branch Staff
S:sharelnutritionlcarolynlrfpmem
.
Every",",,., E>eryDoy. EveryBody
1.:
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.
Jean McNeil
02/07/2000 04:55:20 PM
To: David E Rice/NHC@NHC
cc: Lynda Smith/NHC@NHC, Daisy Brown/NHC@NHC
Subject: Re: Position Reclassification
This is the response from Cathy Morgan. Let me know if additional information is required in
preparation of material for the Executive Meeting of the Board of Health. Thank you for your
consideration of this very important matter
...................... Forwarded by Jean McNeil/NHC on 02/07/2000 05:07 PM ............''--...........
. Cathy Morgan 02/07/2000 03:06 PM
To: Jean McNeil/NHC@NHC
cc: Andre Mallette/NHC@NHC
Subject: Re: Position Reclassification ~
Jean:
I have reviewed the attachment below (the completed position description questionnaire for the
vacant position you propose to reclassify). As we discussed, ultimately this request to reclassify
the position must go to County Manager Allen O'Neal, who has the authority to approve or deny
the request.
Although, we are approaching implementation of a new classification and pay system in July
hopefully, I agree with you that now.. while you have a position vacancy.. is an opportune time
to re.structure your organization the way it will work best for you. I also agree that, with the
recent addition of clerical positions to your organization making a total of 6 clerical positions, it
makes sense for you to now have a clerical supervisor-type position to free you from some of the
direct supervision responsibility so you can devote more time to larger administrative functions.
If Mr O'Neal agrees that reclassification is in order at this time, I think the Administrative
Assistant II classification (pay grade 114) would be acceptable. Looking at the number
supervised, the proposed specialized fiscal support/review work and responsibility for
coordinating volunteers, I can see that classification level for now It would probably transfer
easily into a classification in the pay plan the consultants recommend.
If you need anything further from me, please feel free to call on me at x7324
Cathy
Jean McNeil
Jean McNeil
02/07/200011.12:14 AM
To:
Cathy Morgan/NHC@NHC
17,.
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.
cc:
Subject: Re: Position Reclassification
Cathy, please review the attached PDQ document and send me a lotus note (and probably Dave
Rice and Lynda Smith) with your comments regarding the write up. They said the form and
request must go through the Board of Health and higher prior to advertising for the position. I
didn't know it was so involved.
This is a DRAFT. I will be happy to make changes per your request. If you simply want to lend
your support without reading the information in detail, that's fine by me. (You may be required
to read it in detail.)
~
nni;ndn
18
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New Hanover Countv
Animal Control Services
Jean McNeil, Director
Request for Position ReclossiflCaIion:
Clerical Assistant to Administrative Assistant II
Anima1 Control Services has undergone tremendous growth in the last fiscal year both in staffing
changes and a growing community. The clerical staffhas doubled in size adding a greater work
load to me and a loss of continuity to the flow of division responsibilities.
A recent vacancy in a Clerical Assistant position has created an opportunity to reclassifY this
position to the much needed job of Administrative Assistant II. Departments that have similar
clerical makeups to our present status generally have an Administrative Assistant to supervise the
clerical staff. This person will also be utilized to assist me in my job responsibilities, so that the
division can be run in a more efficient manner.
I have been in contact with Cathy Morgan in Human Resources regarding this issue. She agrees
with the decision to reclassify the position to a supervisory position. We discussed the current
position reclassification study currently being reviewed, but she feh this should be considered as a
separate item.
The need has presented itself as an immediate and favorable circumstance by the current vacancy
we now face. Please consider approving this reclassification at your earliest convenience, so we
can proceed with recruitment. A position description will follow shortly after your approval.
Thank you for your consideration.
02/07/0Ojpm
19
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I
.
.
.
Fiscal Year:
REQUEST FOR'1"IEW'PosrrioN, RECLASSIFICATION OR SALARY UPGRADE
TO DEPARTMENT HEADS: Ple_
/ill ill all blGll1u and _"",r all qlU!"
tioM. Enter "NIA" if a MaN. ar 9IU!"
liD.. does _ appl,. Also, carefbJl,
rellUlID GA, altacluJd tornu to .........
p.....rCOllllpleliora. lraeon.plele (orrru
...., res"" ill ckl4yedactiora.
DepartmentlDivision Name: Health Dept/ Animal Control
510
110
Agency #:
Fund #:
5114
Organization #:
Cheek the Requested Action: 0 New Position 0 Reel"-mcation 0 Salary Uprgrade
I. Current position classification title (Do lIOt compkte for" -new position request):
clerical assistant
G~ 109'~18, Ib'L - :tiLtl,1UL)
2. Requested position classification title' Adminis tra tive Assis tan t II
3.
Requested pay grade: 114 Proposed effective date of requested action: immedia te
($24,024 - $34,403)
Check one: I!I Full-time 0 Part-time. Ifpart-time, check one: 0 50% 0 75% 080%
4.
S. Essential duties and responsibilities.Supervises clerical staff and makes decisions
regarding entire starr 1n the absence of Director and/or supervisor;
includes planning, organizing, and participating in the enforcement of
applicable rules and regulations governing animal control, and general
office management. Directs the preparation & maintenance of necessary
records & reports, assists in preparation of budget & monitors expendi-
tures. Responds to public inquiries in person, by telephone, or througn
written correspondence.Educates general public concerning rabies & anima
care_ Other duties as deemed necessary by the director.
(see attached essential duties from PDQ and additional comments)
6. Justification for requested action [For reclassification or salary upgrade, briefly describe changes to
this position's duties and responsibilities (and/or to your organization) which you think justify the
action; for new position, describe conditions that you think warrant the addition of a new position.]:
Animal Control Services has undergone tremendous growth in the last
fiscal year both in staffing changes and a growing community. The
clerical staff has doubled in size adding a greater work load to the
Director and a loss of continuity to the flow of division responsi-
bilities. A recent vacancy in a Clerical Assistant position has create<
an opportunity to reclassify this position to the much needed job of
Administrative Assistant II. Departments that have similar clerical
makeups to our present status generally have an Administrative Assistanl
to supervise the clerical staff. This person will also be utilized to
assist the director in her job responsibilities, so that the division
HR-HlWScan be run in a more Co ,,_ 2 efficient manner
n....ue on page . .
20 _
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.
7.
page 2
How will the requested action benefit the County?
The ACS Division will operate in a more efficient manner by bett€r
organization of personnel. More county residents will have the oppor-
tunity for education. Volunteers will more readily be utilized to
implement positive programs for animals and citizens in our community.
8. Are there any employees currently performing the same duties and respoAsibilities as described in
the PDQ? IX] Yes 0 No If "yes," identify be name, position classification title,
and unit.
Jean McNeil - Director
Judy Evonko - Supervisor
Delisa Lloyd - Clerical Assistant II
9.
If your answer is "yes" to 1/8. what impact would the requested action have; on the Do~ition(s) listed?
The supervisory personnel will be free to develop 1nnovAt1ve programs
for the department and perform additional educational presentations in
the community. The clerical person would be free to dedicate much
needed time to understanding and developing programs with the new
Chameleon software.
10. What will be the impact if the requested action is not taken?
ACS will continue to function, but not at its best capacity. The general
public will suffer a diminished opportunity for rabies education, as the
supervisory staff will be occupied with managerial duties. The volunteer
program will not develop as rapidly with no person to directly oversee
the clerical portion. The new Chameleon software will not be utilized
as fully as soon as possible.
11. How will the position be funded?
General county funds.
~MI'-1.~(.,.~
U Signature Title
(Attach czdditio1lGl sheets if needed. Do not write below this line.)
Feb. 14, 00
Date
Director
Action on Request:
HR-HIWS
21
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New Hanover County
IV. ESSENTIAL DUTIES
Essential Duties Decisions Required Frequency %01
DWMOAO Time
1. Supervises clerical staff and Clerical staff scheduling, D 45%
makes decisions regarding entire periormance appraisals,
staff in the absence of Director interpretation of current
and/or Supervisor; includes laws and regulations,
planning, organizing, and quarantine decisions,
participating in the enforcement changes to county code.
of applicable rules and regUlations
governing animal control, and
general office management.
2. Responds to pUblic inquiries in Public compliance to laws D 15%
person, by telephone, or through and regulations, response
written correspondence. time to complaints,
answers questions
regarding cases.
3. Directs the preparation and New forms or reports for D 15%
maintenance of necessary records job clarity, decisions and
and reports, assists in preparation monitoring of expenditures.
of budget and monitors
expenditures.
4. Educates the general public Presenting information to M 5%
concerning rabies and animal meet the understanding
care, either by presentaion, capacity of the group by
phone, or handout material age level represented.
preparation.
5. Attends meetings to clarify Preparation of information M 5%
division operation and collaborate to be presented at
with internal or external groups, meetings, preventive
tracking of rabies epidemiology measu res to protect pet
and pUblic population.
22
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.
New Hanover County
6. Reviews statistical reports, Decisions regarding M 10%
prepares reports and data, plans appropriate data to track,
and schedules special projects graph/format typing,
and dangerous dog meetings. special events.
7. Coordination of volunteer Training and overseeing of D 5%
program in areas of administrative volunteers for clerical work,
aide and community outreach. coordination of special
events and community
outreach programs.
8.
9.
10.
23
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XIII. ADDITIONAL COMMENTS
Are there any additional comments that you would like to make to be sure you have described
you job adequately?
Animal Control Services is a complex and diversified entity. The work we do is unique in our protection
of both the general public and the pets they choose to call companion animals. The information
contained in this written form only begins to give an overview of the stress and mental demands placed
on each individual that works in the division. Each employee must have a great love for animals and a
great degree of dedication to the service of our community to perform the duties of the job effectively
Please take the magnitude of the work performed into consideration when making your decision to
reclassify this position.
24
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New Hanover Countv
Animal Control Services
Advisory Committee Appointments
The following positions are vacant per the new rotation scheduling and one resignation effective
December 1, 1999:
Member @ Large
Friends ofFelines
Kennel Operator
Cat Interest (person would fill the remainder ofterrn; to expire December 2000)
No applications have been received for kennel operator or Friends of Felines. Current leadership
of Friends of Felines is undetennined at present time.
ACS can re-advertise for the other open positions and pursue contact with a possible member of
the cat group to seek their representation on the committee.
02l15/0Ojpm
25
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Aninud Control Advisorv Committee
ADDOintment Rotations
Replacements will occur by rotation of the respective members in the following categories:
Grouo One
Member @Large- general public (vacant)
Friends of Felines - group representative (Carol Smith)
Kennel Operator - general public (restricted selection) (vacant)
Grouo Two
Hanover Kennel Club - group representative (John Boozer)
Azalea Dog Training Club - group representative (Cheryl Fiste)
Cat Interest - general public (Maryann Waldron)
Grouo Three
Member @ Large - general public (Donna Booth-Neal)
Hunter - general public (restricted selection) (Eddie Spencer)
Humane Society - group representative (Joyce Bradley)
Note: The veterinarian position on the committee is the veterinarian that serves on the Board of
Health or their designee.
Members in group one will come to the end of their term in December, 1999. Groups two and
three will be replaced in 2000 and 2001, respectively. Anyone currently in a position will serve
until their term expires. If they are serving in their first three year term, they have the option of
serving another three year term before going ofIthe committee.
These positions are subject to approval by the Board ofHea1th. Group representatives are named
by appointment, and that named person is the only voting member of the committee. Another
person may be sent to the meetings in their stead for information to be distn"buted to the group
that they represent.
The selections were made to allow an opportunity for someone from the general public to apply
annually. There is as even a dispersernent of group representatives as possible as well.
Revised 8/26/99 jpm
26
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December 1, 1999
It is with deep regret that I must resign from the
New Hanover County Animal Control Advisory Board and
as Volunteer Coordinator for Animal Control. My ten
years of working with the professional and dedicated
staff at Animal Control and with the members of the
Board of Health makes this decision a difficult one,
but I find myself in a position where I cannot devote
. the necessary time and work to effectively serve in
these capacities.
Sincerely,
m
Mar~ Waldron
.
27
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Jewell Ann Diehn
4953 Tanbark Dr
Wilmington, NC 28412
December 1, 1999
Jean McNeil
220 Division Dr.
Wtlmington, NC 28401
Dear Ms. McNeil:
I am interested in serving on the NHC Animal Control Services Advisory Committee. I
would qualifY for the at-large member or the cat-interest seat. I do not currently own any
animals, but have in the past.
I am currently serving on the County's Adult Care Advisory Committee.
Sincerely,
~~AL
Jewell Ann Diehn
,28
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NEW HANOVER COUNTY
DAVID E. RICE
Health Director
ANIMAL CONTROL DMSION
220 DMSION DRIVE
Wll..MINGTON, NORTH CAROLINA 28401
TELEPHONE (910) 341-4197
FAX (910) 341-4349
JEAN P. McNEIL
Animal Control Director
New Hanover County Animal Control Services
220 Division Drive
WIlmiruzton. N.C. 28401
(910) 341-4197
Aoolication for Aooointment to Animal Control Advisorv Committee
.
e: f- D2-0fJ(2/J~
Address: 0? 30 I (j LO O/2CJrfr91W :))rtu{.~
-
City: W~lr1U JJ&T<5tJ1 ;\J c....
Telephone: Home: Cjr 0- d{Sfo -10/1.( Business: -
-
Why do you wish to serve on the Animal Control Advisory Committee? An /} ~ ~C:.tJ
tJ~~ lAJ}f'i) rJyt-S 20 Lj/lS eX IVlJ &Jc.L ~
,PoL 1Jk~/hJ s FEE L A.) f ~jO c7Cf arM- E- ;=oiL
A-7vfyy 4-LS IT'S" 7>~ P7'9-t/L ~u tJlre.w <..- G)"JY; iJy ~ ~
~t areas of concern would ou like to~ the Committee address?
~
.
cyOLL't df,altl'z -<0LL't gJ'tw'ti1!J
].9
110.510.5131.6300 (Adm) Other Improvements 16,000
Additional amount for Medical Records Renovation ~
IIO-5\O-S-lal-4~oll C1r..-~ ~C<f>E1V~S ., 1'1,:1ID
~~ 0.5131.6300 (Adm) Other Impro s ~OI\r\.o2A ,t>Ob ~o
\)~ -\. . Modern fo able partition I orium), witR SeuI16r\\~" '1Q~
~~~sl~ransfer Coefficient. 0 artitioning of auditorium ~~ '1,1 \0
IT\o\;into three se spaces when r conference or ?It,:''\.f...Q:> 400
~meeti ace (in FY2001 Budget Request, thl unt
. 0,000) n. . :1 ~
110 - SIO-S131-~q COlT\~u,..-\(:~ E<:>l ~t0scs, _~'ll~;t&L c.'7
R ~~ *. 1-9400 (Adm) Capital 0 ' ment
~ 6'l.8 Workstation cUDlc upstairs to provide 3ct\1Cec-ser,a,Q. 3lc
'~rkspace for mployees an ture growth ~\)~~s.
~~';t (in FY udget Request this amount IS LCV'\pl6Dead~DDD
_'1s.~) rn f\ stations and is $40,000) ~Lte,@' 1
~~C\).rOL r.. SI):.~D 5t~&D
110.510.5133.332~ (CSC)).Title XIX Revenue Source ft3,OOO"
Budget additional ~o offset projected shortfall of
revenue earned from Medicaid due partly to position
vacancies resulting in fewer visits and fewer billings
('?-.'Lc\U."*'b"'" ':l ctl,lD::lD .~..~~oS) -k ~,,~
a.u.wl"t\~~,-,>~~ >uq~ &t ~
-1iSS" ~IO. ~ a,.....,.,.~ o..ucll.Q~~O\..L~ ~~~
Q~-\ta.S.(~I+Oe~~J~~ wt9'lk.~,J.,~ wcu...~~)~Cl 30
"(-$19,$qO + -t ~4-\ 000 ;::? ~ S3,!5~D)
.
.
.
MEDICAID MAXIMIZATION COST SETTLEMENTi BUDGET: REQUEST
Line Item Justification
Fiscal Year: 1999-2000 -* LJ~~ 0JL0.... ~~O)
Department: Health ;-;:O::~::~~
Division: Administration - Health n...t'1:J;u ~.;;> ~kd'O""-'GO
Department Contact Person: Lynda Smith ~ Q'\... \cuA ~
J> '1 Sqo ~d; ca;ci eos.\ rl-{lfI\)Ed-.
~rnl~S~~
Request: $174,590
Explanation
Request for Budgeting Medicaid Maximization
Settlement amount of $174,950 in Fiscal Year
1999.2000 Budget
$Request
*110.510.5131-5200 (Adm) Training & Travel
AS400 training Systems Admin and Business Officer
4,500
~
.
.
.
Continued Medicaid Maximization Budget Request:
110.510-5133.3700 (CSC) Contract Services
Additional interpreter services to get through the year
$5,000
Temporary clerical help for medical records move and
consolidation of files (this will require additional time
outside normal working hours) $4,000
19,000
Medical records bar coding transition
SEE. Q.~4&...& Lo4-<<.s ""~'!.. $10000
"\ I '" I :'000 bO~ 8"1""""'0..+' ""-- '
110-510.5151-4210 (Epi) Supplies
Purchase of vaccines.money needed to purchase
vaccines was cut from FY2000 Budget Request.unless
money is there to make the purchase of vaccines the
services cannot be provided
5,000
*110-510.5151-6400 (Epi) CapitalOutlay.Equipment
Generator for Pharmacy. needed to store inventory in
state provided and purchased vaccines
15,000
110.510.5162-3700 (Maternal Hlth) Contract Services
Transportation services.additional amount needed to
provide this services through June 30, 2000
1,000
110.510-5163.4210 (Family Planning) Supplies
Drugs.FY2000 Budget Request was cut in this line
item.money needed to purchase drugs for Family
Planning
7,500
*Indicates items included in Fiscal Year 2001 Budget
Request which can be deleted from that request if
approved this fiscal year
See attached pages 104, 106, 108, and 168 from FY 2001 Budget Request Workbook
giving justification for items above with *.
LFS 2/16/2000
31
.
.
.
Beth Jones
.-..-..-..-.-.---.-.
------'-----
. 02/16/2000 10:24 AM
To: Lynda Smith/NHC@NHC
cc: Kim Roane/NHC@NHC, Paula JenkinsINHC@NHC
Subject: Medical Records Transition.. Contract services
When the Medical Records Room is completed, then we must convert all medical records to the
new filing system. The records have been filed using a color -coded system which has exceeded
the limits of effective filing and retrieval with the number of records we now have. The new
system is designed for the projected number allowing for growth. It is a completly new method
called terminal digit. It is what has been recommended by a number of sources, including other
health departments and the Administrative consultants. We were hoping for funds to assist in
making the transition. It will require contracting with a firm to provide technical assistance to our
staff to make the conversion. They quoted a figure of approximately $10,000 to direct this effort.
32
.
.
.
Line Item Justification
Fiscal Year: 2000 - 2001
Deparbnent: Health
Division: Administration - Health
~D
-1L ~~
~~\\JS:~~
6Q\-'l' Ql).A...~
~~tb ~~DDD
Deparbnent Contact Person: Lynda Smith
Deparbnent Contact Phone Nbr.: 343-6592
Fund: 110 Agency: 510 Orgn: 5131
Object: 5200 TRAINING & TRAVEL
Request: $17,600
Explanation
Health Director
Assistant Health Director
Clerks
APHA Annual Meeting
as Training & as Users Group Meetings
Busin
A 00 Trainin S stems Admin I & Business Officer
*New Clerical Specialist
*New Epidemiologist
*New Computer Support Specialist
$Request
5,000
1,900
1,000
1,000
1,000
4,500 *
1,000
1,000
Increase due to training on AS400 and for 3 new positions
33
.
.
.
Line Item Justification
'''caIVear. 2000-2001 tJ".. Lu.." ~j,tE
Deparbnent: Health '::-; -\.v ~ ~~
i l"S ecJ) '-1;-CLA - ~ i)t
Division: Administration - Health ~~ ~ _ LuLO.O Ul -4 c c4-k
Deparbnent Contact Person: Lynda Smith 1.~OID9P ~ _ \,~ ~~
Deparbnent Contact Phone Nbr.: 343-6590 ~
Fund: 110 Agency: 510 Orgn: 5131
Object: 6300 OTHER IMPROVEMENTS
Request: $107,000
$Request
47,000
Explanation
Outside Concrete Patio. Canopy Covered Area with Tables
and Seating
Employees' lunch, breaks, etc. Currently, have one small
breakroom with table. Employees frequently sit in cars or try
to congregate around one small wooden table.
----pL\~\ '{~ ~*
Modem Fold Operable Partitions ( . 'um) !; ~ 2Q 0
with Sound Transfer Coefficient - to allow pa' of
auditorium into three separate space en needed fp-r-- . ~ L{ ';)DO I
conference or meeting spa -i- LL
40,000
Fire/Smoke Detection and Alarm System
To upgrade existing system which is outdated (original in
building as of 1974). This includes $35,000 for the system
and $5,000 for design fee.
34
I
Line Item Justification
W~~ (l.A \? ~CY. ~
7~\..0. ~a..o.. ~ ~
h~~ ~~~E~ 1'&
~ CWt~.i\,e1i ~()C{)l..0jJL
. \:e~~~o~~~
b 0\.~~~
,\eC~
U]u.. ~~,,\'l
.
Fiscal Year: 2000 - 2001
Department: Health
Division: Administration - Health
Department Contact Person: Lynda Smith
Object: 6400 CAPITAL OUTLAY - EQUIPMENT
Request: $42,300
Department Contact Phone Nbr.: 343-6592
Fund: 110 Agency: 510 Orgn: 5131
Explanation
12 Work Station cubicles for space ups .
workspace for new employees, futur r
collaboration with other agencies
Large capacity paper tray for Digital Copier
2,300
.
35
GENERATOR FOR PHARMACY:
At peak times refrigerator and freezer in the pharmacy
contains approximately a $72,435 inventory in state provided
and purchased vaccines. Temperature parameters for the
refrigerator and the vaccine freezer must be assured for
vaccine efficacy. During one notable power failure, the
temperature in the refrigerator was dangerously close to
becoming out of range in 45 minutes. Power failures occur at
times other than hurricanes and are attributed to other
weather conditions such as summer thunderstorms, ice and
also factors unrelated to weather.
Effective March 1, 1999, the cost of any state-supplied
vaccine which is lost or damaged must be reimbursed to the
state of North Carolina by the county. This is a significant
financial exposure which must be considered. The purchase
of a generator will greatly mitigate this risk. A cost-benefit
analysis clearly concludes that, should vaccine be lost even
one time, the cost of the generator at $15,000 is substantially
lower than the replacement cost of $72,435 in vaccine
inventory.
Peak inventory times occur between 8/1 & 12/1 annually.
Purchased Vaccines; Total = $33,488
Type Doses
Hep B 400
MMR 10
VAR 10
Flu 5300
Pneumonia 500
Hepatitis A 100
Rabies 3
Lymerix 15
Menomune 5
.
.
.
State-Provided Vaccines; Total = $38,947
Type Doses
Hep B 2000
MMR 500
VAR 50
OPV 400
_~PV 300
DTaP 425
DT 20
Td 983
Hib 266
Influenza 25
Pnuemococcal 10
~
.::x
15,000
Value
$9300
282
456
15,600
5005
1636
218
718
273
Value
$18,000
7345
1771
1164
2097
3931
50
2458
2022
54
55
36
North Carolina
Department of Health and Human Services
Division of Public Health
1330 St. Mary's Street 01916 Mail Service Center 0 Raleigh, North Carolina 27699-1916 0 Courier S6-P.:M)
H. DavidBrulOII,M.D~Secmary o Ann F. Wo1fe,M.D~M.P.H., Direaor 0 FRff v v
-:LII/ :J-OOO I
MEMORANDUM V-]) C ~(
~.
_L -f ()&~ I
J ^~ '.:051-0
~ C~_..;. 1 1/-" 101113' I
z-~~o ~~ :jJft~
Ik~I(_.Itt^:rt.=r'\ I ~~2~
I am pleased that we are now able to electronically transmit to you this week Medicaid cost settlement funds & u
for fiscal year 1997-98. The atlached shows the reimbursement detail for your health department ~
These Medicaid reimbursement fimds are required to be budgeted and expended to further the objectives of l:P:s,
the program that generated the receipts. Consistent with this requirement, these Medicaid receipts may be
held in reserve for future needs or expended for a variety of public health needs and activities, including but
not limited to:
TO:
FROM:
Loca1 Health Directors
II<J
Ann F. Wolfe, MO, MPH
DATE:
January 12, 2000
RE:
Medicaid Cost Settlement 1997-98
.
expanding the provision of preventive and primary care services to uninsured and IDlOO-insured
populations;
expanding the provision of support services such as interpreter SerVices;-care coordination, home
visiting and transportation;
operating expenses, including medical and laboratory supplies, in programs that generate Medicaid
revenue;
public information, outreach, and other population based services;
capital improvement such as building construction, renovation and repair - if the capital expenditure
would benefit public health programs other than programs that generated the Medicaid receipts, a
simple cost allocation plan would need to be developed to assure that the Medicaid receipts are used
in the Program that genaated the receipts . for example, if 80"10 of a new health department building
would house the child health program, Medicaid receipts from the child health program could be used
to cover 80"10 of the cost of the new building;
automation of clinical, fisca1 and administrative operations, if there is a simple cost allocation plan for
allocating costs IIJ1J1.oJl,iately to the programs that generated the Medicaid receipts;
Any other reasonabl~lic health expenditures, if there is a simple cost allocation plan for allocating
costs IIJ1J1.o,...iately to the programs that generated the Medicaid receipts.
-
If you have any questions, please feel free to call Steven Gamer at 919-715-5265 or Dennis Harrington at
919-733-4981.
cc: ColDlty Finance Officer
II
,. 7
EveryWher<. EvcryDcry. Evcry..;J
.
.
.
Medicaid Cost Settlement
October 1997 - September 1998
Local Health Department
New Hanover
New Hanover
New Hanover
New Hanover
New Hanover
New Hanover Total
Program
Adult Health
Family Planning
MCH
STD Control
TB Control
Settlement Amount
$697 15
$11,143.22
$153,535.50
$7,613.25
$1,60115
$174,590.29
1n12000
38
c
.
.
.
NEW HANOVER COUNTY
HEALTH DEPARTMENT
FEE POLICY
FEBRUARY 2000
39
. NEW HANOVER COUNTY HEALTH DEPARTMENT
FEE POLICY
TABLE OF CONTENTS
SECTION I ANIMAL CONTROL 2-4
SECTION II ENVIRONMENTAL HEALTH 5-6
SECTION III PERSONAL HEALTH SERVICES 7-17
General Guidelines 7-10
Program Specific Information 10-12
Accounts Receivable 12
CPT Codes and Fees 13-18
SECTION IV ATTACHMENTS
Patient Bill of Rights 19-20
Federal Poverty Levels 21
Sliding Fee Scale 22-24
Sliding Fee Scale Rates 25-27
Bad Debt Write-Off Policy 28
. Socio-Economic Data &
Income Form 29
Financial Agreement Form 30
Authorization & Assignment of
Benefits Form 31
DEHNR Form 2800- Personal
Data Sheet 32
HCFA 1500 Form 33
Letters to Patients 34-37
.
As of 02/23/00
40
.
.
~
SECTION I
ANIMAL CONTROL SERVICES
ANIMAL CONTROL SERVICES FEES
Cat/D09
Altered
Unaltered
Cat/dog under 1 year of age
Cat/dog 1 year of age or older
Cat/dog 1 year of age or older
1 year license
1 year license
3 year license
9.00
9.00
21.00
9.00
18.00
42.00
Any owner of a handicap helper dog which is used for seeing or hearing purposes and
can show proof of spay/neuter shall receive a license free of charge.
KENNEL LICENSES
Cats/Dogs
5 - 10
11 - 20
21 - Over
40.00
60.00
80.00
PET KENNEL
Any combination of dogs and cats
All must be neutered or spayed
Good for one year (renewable on date of purchase)
BREEDER KENNEL
Either dogs or cats
Do not have to be neutered or spayed
Good for one year (renewable on date of purchase)
Kennel must participate in three AKC or UKC sanctioned events per year
(proof to be shown) or equivalent for ~ts or six in three years
Not required to purchase "responsible breeding permit"
HUNTER KENNEL
Dogs only
Do not have to be spayed or neutered
Good for one year (renewable on date of purchase)
Kennel must participate in three lawful or sanctioned events per year
(proof when possible)
Proof of N.C. hunting license
No refund due to death or 1088 of ownership
12/96
41
'-
The owner of an animal shall be subject to escalating fees. The fees are directed toward
and against the owner The purpose of the fee is to affect the conduct of the owner by
seeking tohave.all-Owneuesponsibly_maintain a sufficientrestraint and_confinement of _~
their animal.
SHELTER
Impoundment per day
Bite animals/dangerous dogs per day
8.00
15.00
ADOPTION
Cats/Dogs 60.00
Other - Large 15.00
-Small 3.00
REDEMPTION
All Animals Owner's Offense
- 1st 20.00
2nd 60.00
3rd 100.00
4th 150.00
5th or more 250.00
ADOPTION REFUND POLICY
Refunds for adoptions may be granted if the following conditions are met
1. The adopted animal is retumed
2. The adopted animal is examined by a veterinarian within five working days
from the adoption date and a health problem is noted
3. The adoptee produces either a handwritten note or a computer generated
report from the veterinarian stating the findings and date examined
,
The amount of refund will be the total of adoption fee and county license fee, if purchased
and returned. The adoptee is responsible for any charges by the veterinarian.
10/99
42
I.
e
.
Section/Description
CIVIL CITATION
3-1 (d)
3-4 (d)
.~
3-5
3-6
3-7
3-8
3-9
3-10
3-11
3-12
3-13
3-14
3-15
3-16 (d)
3-16 (I)
3-19
3-23
3-30
Article II
3-28
Interference with any Duly Appointed Agent
Restraint
(2) PUbticNuisance
First Violation
Second Violation
Three or More Violations
(A) County License Fee
(B) Rabies Vaccination
Keeping Stray Animals
Rabies Vaccination and Control
Wearing of Collar, Tags, & Identification
Cats/Dogs Running at Large
First Violation
Second Violation
Third Violation
Fourth Violation
Fifth Violation
Unprovoked Dog Bite/Running Loose
150.00
250.00
50.00
100.00
200.00
100.00
200.00
25.00
500.00
15.00
25.00
75.00
200.00
300.00
500.00
SOO.OO
Vicious Animals
Barking Dogs
First Violation
Second Violation
Three or More Violations
500.00
50.00
100.00
250.00
Teasing and Molesting
Injuring Animals, Notice Required
Health and Welfare
Manner of Keeping & Treating Animals
100.00
100.00
300.00
300.00
Sterilization of Cats & Dogs
Animals Impounded/Judicial Process/Admin. Seizure
250.00
500.00
Interference with Trap or Cage
Collection of Cats and Dogs for Resale
Responsible Breeding Permit
100.00
500.00
2SO.00
Dangerous Dog/Potentially Dangerous Dog
Precautions Against Attacks by Dangerous Dogs/Potentially Dangerous Dogs
(a) Unattended Dangerous/Potentially Dangerous 500.00
(a1) Failure to Tattoo/Notice of Death 500.00
(b) Transfer of Ownership 500.00
Ferret Regulation
Rabies Vaccination
County Pet License Fee
Unprovoked Bite
Provoked Bite
12/96
100.00
500.00
500.00
100.00
43
;-
~
.
SECTION II
ENVIRONMENTAL HEALTH DIVISION
The attached schedule of fees has been established for certain
Environmental Health Division services. Payment is required prior to the
provision of these services. Fees must be accompanied by the
appropriate application and any other necessary documents or maps, and
are payable QMLY in the Environmental Health Office QB through the US
Postal Service. Staff Sl::IAU...liQI accept or agree to transport any
payment of fees during their conduction of field work.
Fees are collected and recorded by the management support staff in the
office during the hours of7:00 AM until 5:00 PM. A receipt shall be issued
for each fee collected. In the event that all management support staff are
away from the office for a period during the specified hours, an
Environmental Health Specialist shall be designated by Environmental
Health management staff to accept applications, collect fees and issue
receipts.
A daily deposit of collected fees shall be made between 3:00 PM and 3:30
PM with the appropriate Health Department management support staff
person.
08/97
44
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S 00 M """ VI """ """ """ 0 00 l"l 0 """ r-- """ 00 0 VI 0 VI M l"l 0
l"l 00 - - - - - l"l l"l - - l"l - l"l l"l l"l
U 609 609 609 609 609 609 609 609 609 609 609 609 609 609 609 609 609 609 609 609 609 609 609
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45
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.
NEW HANOVER COUNTY HEALTH DEPARTMENT
FEE POLICIES
L
General Guidelines
A. The fee system implemented by this organization has been approved by
the New Hanover County Board of Health (NHCBOH). Implementation
date was July 1, 1984. For the Women's Preventive Health Section fee
system was approved by the NHCBOH in October 1983
Revision Date:
B. Services provided for the protection of the public's health and prevention
of disease will not be denied based on inability to pay Every effort will
be made to provide services to patients at or below 150% of poverty
C. Unless confidentiality is a barrier, if a patient has any form of third-party
reimbursement, to include Medicaid, Medicare and other private
insurance, that payer must be billed for services, with the exception of flat
rate charges. Medicaid will be billed as the payer of last resort. Patients
must sign the Authorization and Assignment of Benefits Form (page 31).
.
D
Patients who are receiving Medicaid (Title XIX) will submit their
Medicaid number for third party payment. Reimbursable visits will be
claimed to Title XIX for payment and no further charges will be made to
the patient.
E. Sliding fee scales will be applied in specified programs (Pages 22, 23 and
24).
F The New Hanover County Health Department (NHCHD) will require
"proof of income" to reduce charges when applying the sliding fee scale.
If a patient is unable to produce this required information, they will be
placed on a 100% sliding fee scale status, until the information has been
provided. The patient will be billed accordingly The NHCHD
representative has the right to verify income information in all cases,
however the patient must read, understand, and sign the income statement
Page 29) in order for their income to be checked. The sliding fee scale
does not apply to all services. Services with flat rate fees do not require
proof of income. In extreme or unusual circumstances, the Health
Director or designee may make exceptions.
G.
If a patient prefers not to produce required proof of income information,
they will be placed on a 100% sliding fee scale status. However, the
patient must read, sign, and date the waiver on the NHCHD Income
Statement (page 29).
.
02/23/00
46
.
H.
Payment, or co-pay for third party billing, is expected at the time of
service for all chargeable services. Partial payment is accepted for all
chargeable services, with the exception of vaccines not provided by the
state.
I. If a patient has a balance greater than $50 00 remaining on their account, a
payment agreement and schedule will be established and signed by the
patient (page 30). Patients who have demonstrated no "good faith" effort
to pay may be subject to service restrictions as allowed by law
J Payment in full is required at the time of service for vaccines not supplied
by the State, with the exception of flu and pneumonia vaccines provided to
Medicaid and Medicare Part B recipients. Insurance companies will not
be billed for these vaccines. Patients will be provided a receipt for billing
their insurance company
K. A self-pay patient categorized as a 60% or greater on the sliding fee scale,
with a previous bad debt write off will not be allowed to charge services
unless a payment is made toward their previous balance and other
payment arrangements are agreed upon.
L.
A self-pay patient categorized as a 40% or below on the sliding fee scale,
with a previous bad debt write off will not be denied services but their
account will be reactivated.
.
M. North Carolina State Law prohibits charging patients for the following:
Administration of vaccines (IMM) required by law; examination and
treatment of STDs; and examination and treatment of tuberculosis (TB).
. G.S. 130A-153(a) prohibits charging patients for
administration of vaccines required by law;
. G.S.130A-162 prohibits charging patients for examination
and treatment ofV.D patients; and
. G.S 130A-178(a) prohibits charging patients for examination
and treatment of tuberculosis patients, suspects and contacts.
The above general statutes were referenced in a letter from Dr Ronald H.
Levine, State Health Director dated March 8, 1984
.
If patients receiving state mandated services (STD/ TB/ IMM) have
insurance coverage, their insurance company will be billed the established
fee unless the breach of confidentiality statement is signed by the patient
requesting that third party billing not occur (Authorization and
Assignment of Benefits Form, Page 31). If there is a balance remaining
after payment is received from the insurance company, the patient will not
be billed for this balance.
02/23/00
47
.
Maternity Care Coordination, Child SelVice Coordination and Parenting
Classes will be billed to Medicaid. These selVices are not reimbursable
through private insurance. For Non-Medicaid patients, these selVices will
be billed to state grants.
Orthopedic and Neurology clinic selVices are available only to Medicaid
and indigent patients. All Non-Medicaid visits will be billed to state
grants.
N. If an insurance company pays for selVices rendered and payment is sent
directly to the patient; the patient is responsible for payment to the
NHCHD In such instances, selVices may be restricted until said payment
is received by the NHCHD, as allowed by law
o Reimbursable visits, for patients with insurance coverage, will be billed to
the insurance company If there is a balance remaining after the insurance
payment is received by NHCHD, the balance will be billed to the patient
based on their sliding fee scale rates, except when co-payments have
already been applied.
p
Bad debt write-off policies have been established (page 28).
.
Q
Fees, based on current cost or purchase of supplies, may be adjusted by
the Health Director
R. Tests or vaccines recommended or required as part of the Employee
Health Program will be administered at no charge to NHCHD employees.
For other purchased vaccines the Health Director may establish reduced
charges.
S. New Hanover County employees may purchase certain in-stock
medications, at wholesale prices, for themselves, their spouses, and their
dependent children.
T All environmental health - laboratory services fees will be collected by the
Laboratory or Environmental Health.
U The Jail Medical Program shall not charge for selVices except according to
the Inmate Co-Payment Program.
V The Health Director, or designee, has the authority to waive or reduce fees
for special projects or targeted populations.
.
02/23/00
48
.
W
Donations may be accepted from any patient regardless of income status
as long as they are truly voluntary There should be no "schedule of
donations", bills for donations, or implied or overt coercion.
n. Program Specific Information
A. Environmental Charges - Water Bacteriology
1 Samples collected by the Environmental Health division will be
charged and the fee collected in the Environmental Health section.
2. The Environmental Health clerk will submit a monthly report to
the Laboratory Director listing total water sample revenues for the
month.
3 Fees, for water samples, not collected by the Environmental Health
Division will be billed monthly by the Laboratory Director
4. Checks will be received by the Administration Division and
deposited to the appropriate account.
.
. B.
Women's Preventive Health
1 The WPH Program has established a method of directly assessing
patient charges and collecting payments for clinical services in
accordance with Title X regulations and the fee policy as
established by New Hanover County Board of Health.
2. There will be no minimum fee requirement or surcharge that is
indiscriminately applied to all patients.
3 Patients who are certified for WPH services under Title XX will
not be charged for reimbursable WPH visits. Claims will be
submitted to Title XX for reimbursable visit..
4 Full charges will be assessed if patient income falls at or above
250% of the Federal non-farm poverty level.
5
Unemancipated minors seeking confidential services are "a family
of one" and are to be considered on the basis of their own
resources. In such cases, the minor's income must still be
reported through the patient data system. Third-party sources ( e.g.
Insurance, Title XIX, Title XX) should be billed if eligibility
criteria are met. Charges to emancipated minors will be based on
the local fee schedule.
.
49
02/23/00
.
.
.
· Reimbursable visits are new and established visits.
6. Charges may be made for supplies not required by the plan of
contraceptive care based on cost of supplies. Charges for extra
cycles of pills may also be made. Non-family planning services
will be charged according to locally established fee schedule and
will apply to all patients (Pages 25, 26 and 27).
7 The NHCHD Socio-Economic Data and Income Form (Page 29) is
prepared from verified income information. Patient fee is
determined using DEHNR Maternal & Child Health sliding fee
scale (pages 22, 23 and 24).
8. It is illegal for fees collected in family planning to be put in any
fund other than a separate WPH account for use in the local WPH
Program. ..
..
Re: U S. Department of Human and Health
Services Public Health Service, D.H.H.S Publication (OASH) 82-
50,00 pg. 25, Found in Codified Fed. Reg. for FP #420FR59.5 (s)
(8).
C.
Laboratory
1 The Laboratory will initiate the NHCHD encounter form on
private provider's patients. The encounter form lists all services
provided. All services to be rendered will be indicated on the
form.
2. The patient will be directed to the clerk / cashier
D Kindergarten Health Assessment
1 Children seen for Kindergarten Health Assessments will be
charged in accordance with the NHCHD Sliding Fee Scale (pages
25, 26 and 27).
E. Jail Medical Services: Inmate Co-Payment Program
1
This program is established to promote appropriate sick call
request, maintain professional health care, maximize utilization of
jail and health department staff time, teach inmate responsibility,
and recap partial cost of health services.
02/23/00
50
.
2.
Medical services listed below will continue to be provided at no
charge to inmate:
Admission - dental and physical screening
Mental health screening
Medical emergencies
Communicable disease screening and management
Follow-up visits initiated by medical staff
All health services to federal inmates (sick call services are
included in per diem rate, prescriptions totally reimbursed)
3 Medical care will not be refused due to inability to pay
m. Accounts Receivable
The Accounts Receivable Bookkeeping System includes:
.
1
The fee policy will be explained to each patient with explanations
of purpose and details of procedure when the patient receives their
initial contraceptive services and as indicated on subsequent visits.
Each patient is given an opportunity to pay and every effort will be
made by the staff to collect total or partial payment on the day of
the visits.
2. Provided that patient confidentiality is not jeopardized, bills
showing total charges (less sliding scale discount) will be mailed to
patients within 45 days after their visit. Two additional statements
with balance owed will be mailed if no payment or subsequent
visit is made.
3 Patients whose accounts exceed $50 balance and have
demonstrated no "good faith" effort to pay will be subject to
service restrictions. Service restrictions will be at the discretion of
the Health Director or Assistant Health Director or their designee
and may include prioritizing appointments, and refusal to serve for
non-contraceptive related visits.
.
02/23/00
51
.
.
.
New Hanover County Health Department
CPT Codes and Fees
CPTI
Medicaid NHCHD
Clinic I Service Codes CPT I Medicaid Description Fees
New Patient 99201 New pt Levell - Minimal $43.00
99202 New pt Level II - Problem Focus $60.00
99203 New pt Level III - Expanded $81.00
99204 New pt Level IV - Detailed $117.00
99205 New pt Level V - Comprehensive $159.00
99381 Well Exam <1 $113.00
99382 1-4 Yr Exam $120.00
99383 5-11 YrExam $119.00
99384 12-17 Yr Exam $145.00
99385 18-39 Year Exam $135.00
Established Patient 99211 Est pt Level I - Minimal $23.00
99212 Est pt Level II - Problem Focus $37.00
99213 Est pt Level III - Expanded $49.00
99214 Est pt Level IV - Detailed $71.00
99215 Est Pt Level V - Comprehensive $117.00
99391 Well Exam <1 $91.00
99392 1-4 Yr Exam $101.00
99393 5-11 YrExam $106.00
99394 12-17 Yr Exam $122.00
99395 18-39 Yr Exam $112.00
Counseling 99401 Prev Medical Counseling - 15 Min $40.00
99402 Prev Medical Counseling - 30 Min $76.00
99403 Prev Medical Counseling- 45 Min $113.00
99404 Prev Medical Counseling- 60 Min $144.00
99411 Group Counseling - 30 Min $39.00
99412 Group Counseling - 60 Min $68.00
99420 Admin & Interpretation Health Risk $88.00
99429 Unlisted Preventive Medicine Service $0.00
'1lml:lm'iilnn; Telephone Contact (Simple Brief) $17.00
Iiln~lm'i2Im; Telephone Intermediate (Consult, Advice) $40.00
~i1}iiD:ml1[~ Telephone Complex (Counseling) $56.00
99361 Medical Conference (30 min) $73.00
99362 Medical Conference (60 min) $120.00
FP: j1055 DepoProvera Injection $22.00
11975 Insert Norplant $504.90
Legend:
AF' Administrative Fee
NC: No Charge
HF: Handling Fee
LC: Lab Corp
FR: Flat Rate (sliding fee scale does not apply)
52
As of 2/23/00
.
.
.
New Hanover County Health Department
CPT Codes and Fees
CPT/
Medicaid NHCHD
Clinic / Service Codes CPT / Medicaid Description Fees
FP: 11976 Remove Norplant $197 11
11977 Remove/Reinsert Norplant $553.00
57170 Diaphragm Fitting $89.00
FP: Medicaid Codes Y2001 Family Planning Initial Visit $165.00
Y2002 Family Planning Limited Visit $45.00
Y2003 Family Planning Extended Visit $79.00
Y2004 Family Planning Complete Visit $110.00
W5131 Norplant Insertion $504.90
W5132 Norplant Removal $197 11
W5133 Norplant Removal and Reinsertion $553.00
W5141 DepoProvera Injection $23.74
CD: 87164 Dark Field Exam $41.00
56501 Destroy Vulva Lesion (s) $132.00
54050 Destruction/Lesion/Condyloma $74.00
46900 Destroy Anal Lesion(s) $109.00
CD: Medicaid Codes Y2013 STD Control Treatment $80.00
TB: 86580 TB Intradermal Test $5.00
1B: Medicaid Codes Y2012 TB Control Treatment $89.00
X-Rays: 71010 Chest X-Ray/PA $40.00
71020 Chest X-Ray/PA & Lat $70.00
71021 Chest X-Ray/Lordotic $40.00
Child Health: 96110 Developmental TesV Limited $168.00
92551 Pure Tone Audiometry, air $30.00
93770 Blood Pressure Check NC
CH: Medicaid codes W8203 Childbirth Education classes $87.00
W8010 Child Health Screening Periodic $90.00
W8016 Child Health Screening Interperiodic $90.00
Y2155 Child Service Coordination $89.00
Y2023 Child Health Treatment $60.00
Y2048 Newbom EPSDT Screen Home Visit $65.00
MH: Medicaid Codes W8204 Maternal Care Skilled Nurse Home Visit $88.00
W8201 MCC Initial $110.00
W8202 MCC Subsequent $55.00
Y2044 MCC Home Visit $60.00
W8205 Parenting Education classes $73.00
End 6/30
End 6/30
End 6/30
End 6/30
End 6/30
End 6/30
End 6/30
End 6/30
End 6/30
FR
End 6/30
FR
FR
FR
Legend:
AF' Administrative Fee
NC: No Charge
HF' Handling Fee
LC: Lab Corp
FR: Flat Rate (sliding fee scale does not apply)
53
As of 2/23/00
.
.
.
New Hanover County Health Department
CPT Codes and Fees
CPT/
Medicaid NHCHD
Clinic / Service Codes CPT / Medicaid Description Fees
MH: Medicaid Codes Y2046 Postpartum Assessment Home Visit $60.00
Y2049 Intensive Psychosocial Counseling $40.00
Y2047 Newborn Assessment Home Visit $60.00
IMM: 90700 52 DTAP vaccine 1M AF
90702 52 DT vaccine 1M AF
90707 52 MMR virus vaccine SC/jet AF
90707 MMR virus vaccine SC/jet $35.00
9071652 Chicken Pox Vaccine AF
90716 Chicken Pox Vaccine $50.00
90712 52 Oral poliovirus vaccine AF
90713 52 Poliomyelitis vaccine SC AF
90647 52 HIB vaccine, PRP-OMP, 1m AF
90632 HEP-A vaccine, adult, 1M $25.00
90633 HEP A Pediatric / Adolescent $25.00
9074452 HEP-B Vaccine PED/AppIIM under 11 AF
9074552 HEP-B AdolescenV Ped High Risk 111-19) AF
9074652 HEP-B vaccine, over 201M AF
90746 HEP-B vaccine, over 201M $40.00
90281 52 Immune Globulin AF
90665 Lyme Disease vaccine, 1M $55.00
90782 Injection (SC) / (1M) $5.00
95115 Immunotherapy, one injection $5.00
95117 Immunotherapy injections $10.00
90657 52 Flu vaccine AF
90657 Flu (Child - 6 - 35 months) $12.00
90658 52 Flu vaccine AF
90658 Flu (Adult / 3 years+) $12.00
90732 Pnueumococcal vaccine $20.00
90732 52 Pnueumococcal vaccine AF
90676 Rabies vaccine $78.00
90733 Meningococcal Vaccine (Private Stock) $65.00
GOO08 Medicare Administration Fee (FLU) $4.00
GOO09 Medicare Administration Fee (Pneu) $5.00
90471 IMM Administration Single Dose $20.00
90472 IMM Administration( Single charge for all add. doses) $10.00
FR
FR
FR
FR
FR
FR
FR
FR
FR
FR
FR
FR
FR
FR
Legend:
AF' Administrative Fee
NC: No Charge
HF' Handling Fee
LC: Lab Corp
FR: Flat Rate (sliding fee scale does not apply)
54
As of 2/23/00
.
.
.
New Hanover County Health Department
CPT Codes and Fees
CPTI
Medicaid NHCHD
Clinic I Service Codes CPT I Medicaid Description Fees
IMM: Medicaid Code W8012 Immunization Update $20.00
00124 Adult Drug Injection (Medicaid) $2.35
Com H:Medicald Y2016 Orthopedic Care $80.00
Y2025 Neurology care $95.00
House Lab : 82465 Assay Serum Cholesterol $20.00
81001 Urinalysis, auto, w/microscopic $22.00
81003 Urinalysis, auto, without microscopic $17 .00
85027 Coulter Hematology Profile $29.00
85018 Hemoglobin $16.00
86592 Serology, qualitative (trust) $21.00
86593 Serology, quantitative (trust) $15.00
87070 Bacteria Culture Screening $20.00
87210 Wet Smear $15.00
87205 Gram Stain $15.00
36415 Veni puncture/Fingerstick $14.00
84450 SGOT lAST $24.00
84460 SGOT ALT $24.00
82250 Bilirubin, Total $24.00
82565 Assay Creatinine $19.00
82947 Glucose, quantitative $20.00
82962 Glucose, blood reagent strip $20.00
83615 Lactate (LD) (LDH) enzyme $24.00
84075 Assay Alkaline phosphate $24.00
85651 RBC SED rate, non-auto $20.00
87430 Step A Ag, EIA $35.00
82270 Test Feces Blood (Occult Bid) $16.00
81025 Urine Pregnancy Test $11.00
87060 Nose, throat, bacteria culture $34.00
87086 Urine Culture, plating and colony count $15.00
87184 Urine Culture (Identification) and
Susceptibility Studies LC
State Lab: 87060 26 Nose, throat, bacteria culture HF
83655 26 Blood Lead HF
80156 26 Assay Carbamazepine HF
80299 26 Valproic Acid HF
End 6/30
End 6/30
Legend:
AF' Administrative Fee
NC: No Charge
HF' Handling Fee
LC: Lab Corp
FR: Flat Rate (sliding fee scale does not apply)
55
As of 2/23/00
.
.
.
New Hanover County Health Department
CPT Codes and Fees
CPTI
Medicaid NHCHD
Clinic 1 Service Codes CPT 1 Medicaid Description Fees
State Lab: 80091 26 Thyroid Panel HF
8016426 Assay Dipropylacetic Acid HF
8018426 Assay for Phenobarbital HF
80185 26 Assay for Phenytoin HF
83020 26 Hemoglobin Electrophorsis HF
86701 26 HIV- (State Lab) HF
87270 26 Chlamydia trach ag,DFA HF
87206 26 Smear, Stain Interpret HF
8711826 Mycobacteria identification HF
87045 26 Stool Culture for bacteria HF
84437 26 Assay Total Thyroxine HF
80092 26 Assay Thyroid HF
84443 26 Assay Thyroid Stim Hormone HF
8018826 Assay for Primidone HF
8016826 Assay for Ethosoximide HF
84030 26 Assay Blood PKU HF
86360 26 T-cell counUratio HF
86781 26 Treponema pallidum confirm HF
87252 26 Virus Inoculation for Test (Herpes) HF
87340 26 HEP B Surface ag,E/A HF
82760 26 Assay Galactose HF
87177 26 Ova & Parasites Smears HF
88142 Pap Smear HF
99001 Handling Fee $15.00
NUTRITION Y2041 Enhanced Nutrition Counseling (MH) $47.00
Y2351 Enhanced Nutrition Counseling (CH) $50.00
MISC MRO Medical Record Original (copy of record
or immunization certificate) $5.00
MRX Xerox copy of Immunization Record $2.00
MRI Medical Record for Insurance (based on
reimbursement from Ins. Co.) varies
FAXL Local Fax (per page) $1.00
FAXLD Long Distance Fax (per page) $2.00
TBSF TB Screening Form $5.00
ADM Off- Site Administrative Charge $5.00
FR
FR
FR
FR
FR
FR
FR
Legend:
AF' Administrative Fee
NC: No Charge
HF' Handling Fee
LC: Lab Corp
FR: Flat Rate (sliding fee scale does not apply)
56
As of 2/23/00
.
.
.
New Hanover County Health Department
CPT Codes and Fees
CPTI
Medicaid NHCHD
Clinic I Service Codes CPT I Medicaid Description Fees
MISC Returned Check Fee $25.00
Jail Health Charges
Sick Call Visit $10.00
Dentist Visit $10.00
Prescriptions $5.00
WPH Supplemental Fees
Miconazole Vaginal Cream (per tube) $8.00
Triple Sulfa Vaginal Cream (Der tube) $5.00
ReDlacement Oral Contraceptive (per cycle) $8.00
Replacement Diaphragm (each) $10.00
Medications available for NHC Employees
Delfen Foam (each) $8.00
Prenatal Vitamins (per package) $12.00
Miconazole Vaginal Cream (per tube) $8.00
Orthocept (per cycle) $8.00
Ortho-Novum 7-7-7 (per cycle) $8.00
Ortho Tricyclen (per cycle) $8.00
Lo-Ovral (per cycle) $8.00
Triphasil (per cycle) $8.00
Replacement Diaphragm (each) $10.00
FR
FR
FR
FR
FR
FR
FR
FR
FR
FR
FR
FR
FR
FR
FR
FR
FR
Legend:
AF' Administrative Fee
NC: No Charge
HF' Handling Fee
LC: Lab Corp
FR: Flat Rate (sliding fee scale does not apply)
As of 2/23/00
57
.
.
.
SECTION IV
As of 02/23/00
NEW HANOVER COUNTY HEALTH DEPARTMENT
FEE POLICY
ATTACHMENTS
Patient Bill of Rights
Federal Poverty Levels
Sliding Fee Scale
Sliding Fee Scale Rates
Bad Debt Write-Off Policy
Socio-Economic Data &
Income Form
Financial Agreement Form
Authorization & Assignment of
Benefits Form
DEHNR Form 2800- Personal
Data Sheet
HCFA 1500 Form
Letters to Patients
19-20
21
22-24
25-27
28
29
30
31
32
33
34-37
58
fit
e
.
NEW HANOVER
", .,'
County Health Department
PATIENT'S BILL OF RIGHTS
1. The PATIENT has the right to considerate and respectful C8J'e.
2. The PATIENT has the right to obtain from his/her medical provider complete and
current information concerning diagnosis and treatment, in terms the patient can be
reasonably expected to understand When it is not medically advisable to give such
information to the patient, the information should be made available to an appropriate
person in hislher behalf. The patient has the right to know by name the medical
provider responsible for coordinating hislher C8J'e.
3. The PATIENT has the right to receive hislher medical provider information necessary
to give informed consent prior to the start of any procedure and/or treatment. Except
in emergencies, such information for informed consent should include, but not
necessarily be limited to, the specific procedure and/or treatment and the medically
significant risks involved Where medically significant a1ternatives for C8J'e or
treatment exist, or when the patient requests information concerning medical
alternatives, the patient has the right to such information. The patient also has the
right to know the name of the person responsible for the procedures and/or treatment.
4. The PATIENT has the right to refuse treatment to the extent permitted by law and to
be informed of the medical consequences ofhislher action.
S. The PATIENT has the right to every consideration ofhislher privacy concerning
hislher own medical C8J'e program. Case discussion, consultation, examination, and
treatment are confidential and should be conducted discreetly. Those not directly
involved in direct C8J'e must have the permission of the patient to be present.
6. The PATIENT has the right to expect that all communications and records pertaining
to hislher C8J'e should be treated as confidential.
7. The PATIENT has the right to expect that within its capacity any agency must make
reasonable response to the request of a patient for services. The agency must provide
evaluation, service, and/or referral as indicated by the urgency of the case. When
medically permiSSIble, a patient may be transferred to another agency only after
he/she has received complete information and explanation concerning the needs for
and alternatives to such a transfer. The agency to which the patient is to be
transferred must first have accepted the patient for transfer.
59
II
e
.
.'
Patient's Bill of Rights
8. The PATIENT has the right to obtain information as to any relationship of the agenCy -----
to other similar agencies and educational institutions insofar as hislher C8J'e is
concemed The patient has the right to obtain information as to the existence of any
professional relationship among individuals, by name who is treating himlher.
9. The PATIENT has the right to expect reasonable continuity of C8J'e. He/she has the
right to know in advance what appointment times and health C8J'e providers are
available.
10. The PATIENT bas the right to examine and receive an explanation ofhislher bill
regardless of source of payment.
11. The P AnENT has the right to know what the Health Department rules and
regulations are that apply to hislher conduct as a patient.
The NEW HANOVER _ County Health Department staff provides safe and individual
patient C8J'e based on each pati~'s needs and rights through:
a. recognition of each patient's dignity as a human being, and
b. defending the rights of each patient as an advocate.
Our goal is to proIllote and contribute to the highest level of health possible for the
citizens of _NEW HANOVElt.. County by:
lJ Identifying and reducing health risks in the County
lJ Detecting, investigating and preventing the spread of disease
lJ Promoting healthy lifestyles
lJ Providing a safe and healthful environment
lJ Providing quality health C8J'e services to those with limited access
The observance of these rights is expected to contribute to quality patient C8J'e and greater
satisfaction for the patient and health care provider.
60
.'
e
FEDERAL POVERTY LEVELS FOR 1999
Familv Size
Gross Annual Income
1 $ 8,240
2 11,060
3 13,880
4 16,700
5 19,520
6 22,340
7 25,160
. 8 27,980
9 30,800
10 33,620*
*Add $2,820 for each additional family member
Reference: Federal Reaister, March 18, 1999, Pages 13428-13430.
tI
Women's Health 5-7-1999
07-01-99
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63
.
.
.
New Hanover County Health Department
Sliding Fee Scale Rates
CPTI
Medicaid
Codes CPT I Medicaid Description 0% 20% 40% 60% 60% 100%
99201 New PI Levell - Minimal $0.00 $8.60 $17.20 $25.80 $34.40 $43.00
99202 New PI Level II - Problem Focus $0.00 $12.00 $24.00 $36.00 $48.00 $60.00
99203 New PI Level III - Expanded $0.00 $16.20 $32.40 $48,60 $64.80 $81.00
99204 New PI Level IV - Detailed $0,00 $23.40 $46.80 $70.20 $93,60 $117.00
99205 New PI Level V - Comprehensive $0,00 $31.80 $63,60 $95.40 $127.20 $159.00
99381 Wen Exam <1 $0.00 $22.60 $45.20 $67.80 $90.40 $113,00
99382 1-4 Vr Exam $0.00 $24.00 $48.00 $72.00 $96.00 $120.00
99383 5-11 Vr Exam $0.00 $23.80 $47.60 $7140 $95.20 $119.00
99384 12-17 Vr Exam $0.00 $29.00 $58.00 $87.00 $116.00 $145.00
99385 18-39 Year Exam $0.00 $27 00 $54,00 $81.00 $108.00 $135.00
99211 Est PI Levell - Minimal $0.00 $4.60 $9.20 $13.80 $18.40 $23.00
99212 Est PI Level II - Problem Focus $0.00 $740 $14.80 $22.20 $29,60 $37.00
99213 Est PI Level III - Expanded $0.00 $9.80 $19,60 $29.40 $39.20 $49,00
99214 Est PI Level IV - Detailed $0.00 $14.20 $28.40 $42.60 $56.80 $71,00
99215 Est PI Level V - Comprehensive $0.00 $23.40 $46.80 $70.20 $93.60 $117.00
99391 Wen Exam <1 $0.00 $18.20 $36,40 $54.60 $72.80 $91.00
99392 1-4 Vr Exam $0.00 $20.20 $40.40 $60.60 $80,80 $101.00
99393 5-11 VrExam $0.00 $21.20 $42.40 $63.60 $84.80 $106.00
99394 12-17 Vr Exam $0.00 $24.40 $48.80 $73.20 $97,60 $122.00
99395 18-39 Vr Exam $0.00 $22.40 $44.80 $67.20 $89.60 $112.00
99401 Prev Medical Counseling - 15 Min $0.00 $8.00 $16.00 $24.00 $32.00 $40.00
99402 Prev Medical Counseling - 30 Min $0.00 $15.20 $30.40 $45.60 $60.80 $76.00
99403 Prev Medical Counseling- 45 Min $0.00 $22.60 $45.20 $67,80 $90.40 $113.00
99404 Prev Medical Counseling- 60 Min $0.00 $28.80 $57.60 $86.40 $115,20 $144.00
99411 Group Counseling - 30 Min $0.00 $7.80 $15.60 $23.40 $31.20 $39.00
99412 Group Counseling - 60 Min $0.00 $13.60 $27.20 $40.80 $54.40 $68.00
99420 Admin & Interpretation Health Risk $0.00 $17.60 $35,20 $52.80 $70.40 $88.00
99429 Unlisted Preventive Medicine Service $0.00 $0.00 $0.00 $0.00 $0,00 $0.00
.~ml Telephone Contact (Simple Brief) $0.00 $3.40 $6.80 $10.20 $13,60 $17 00
.'W,woV,"',"'WN.
It.aJ~* Telephone Intermediate (Consult, Advice) $0.00 $8.00 $16.00 $24.00 $32.00 $40.00
It..~liW Telephone Complex (Counseling) $0.00 $11.20 $22.40 $33.60 $44.80 $56.00
99361 Medical Conference (30 min) $0.00 $14.60 $29.20 $43.80 $58.40 $73.00
99362 Medical Conference (60 min) $0.00 $24.00 $48.00 $72.00 $96.00 $120.00
i1055 DepoProvera Injection $0.00 $4.40 $8,80 $13.20 $17.60 $22.00
11975 Insert Norplant $000 $100.98 $201.96 $302.94 $403,92 $504.90
64
As of 2/23/00
.
.
.
New Hanover County Health Department
Sliding Fee Scale Rates
CPT/
Medicaid
Codes CPT / Medicaid Description 0% 20% 40% 60% 60% 100%
11976 Remove Norplant $0.00 $39.42 $78.84 $118.27 $157.69 $19711
11977 Remove/Reinsert Norplant $0.00 $110.60 $221.20 $331.80 $442.40 $553.00
57170 Diaphragm Filling $0.00 $17.80 $35.60 $53.40 $71.20 $89.00
Y2001 Family Planning Initial Visit $0.00 $33.00 $66.00 $99.00 $132.00 $165.00
Y2002 Family Planning Limited Visit $0.00 $9.00 $18.00 $27.00 $36.00 $45.00
Y2003 Family Planning Extended Visit $0.00 $15.80 $31.60 $4740 $63.20 $79.00
Y2004 Familv Plannino Complete Visit $0.00 $22.00 $44.00 $66.00 $88.00 $110.00
W5131 Norplant Insertion $0.00 $100.98 $201.96 $302.94 $403.92 $504.90
W5132 Norplant Removal $0.00 $39.42 $78.84 $118.27 $157.69 $19711
W5133 NOl'Dlant Removal and Reinsertion $0.00 $110.60 $221.20 $331.80 $442.40 $553.00
W5141 DepoProvera Injection $0.00 $4.75 $9.50 $14.24 $18.99 $23.74
87164 Dark Field Exam $0.00 $8.20 $16.40 $24.60 $32.80 $41.00
56501 Destroy Vulva Lesion (s) $0.00 $26.40 $52.80 $79.20 $105.60 $132.00
54050 Destruction/Lesion/Condyloma $0.00 $14.80 $29.60 $44.40 $59.20 $74.00
46900 Destroy Anal Lesion(s) $0.00 $2180 $43.60 $65.40 $87.20 $109.00
Y2013 STD Control Treatment $0.00 $16.00 $32.00 $48.00 $64.00 $80.00
Y2012 TB Contl'Dl Treatment $0.00 $17.80 $35.60 $53.40 $71.20 $89.00
96110 Developmental Tesll Limited $0.00 $33.60 $67.20 $100.80 $134.40 $168.00
92551 Pure Tone Audiometry, air $0.00 $6.00 $12.00 $18.00 $24.00 $30.00
W8203 Childbirth Education classes $0.00 $17 40 $34.80 $52.20 $69.60 $87.00
W8010 Child Health Screening Periodic $0.00 $18.00 $36.00 $54.00 $72.00 $90.00
W8016 Child Health Screening Interperiodic $0.00 $18.00 $36.00 $54.00 $72.00 $90.00
Y2155 Child Service Coordination $0.00 $17.80 $35.60 $53.40 $71.20 $89.00
Y2048 Newborn EPSDT Screen Home Visit $0.00 $13.00 $26.00 $39.00 $52.00 $65.00
Y2023 Child Health Treatment $0.00 $12.00 $24.00 $36.00 $48.00 $60.00
W8204 Maternal Care Skined Nurse Home Visit $0.00 $17.60 $35.20 $52.80 $70.40 $88.00
W8201 MCC Initial $0.00 $22.00 $44.00 $66.00 $88.00 $110.00
W8202 MCC Subsequent $0.00 $11.00 $22.00 $33.00 $44.00 $55.00
Y2044 MCC Home Visit $0.00 $12.00 $24.00 $36.00 $48.00 $60.00
W8205 Parenting Education classes $0.00 $14.60 $29.20 $43.80 $58.40 $73.00
Y2046 Postpartum Assessment Home Visit $0.00 $12.00 $24.00 $36.00 $48.00 $60.00
Y2049 Intensive Psychosocial Counseling $0.00 $8.00 $16.00 $24.00 $32.00 $40.00
Y2047 Newborn Assessment Home Visit $0.00 $12.00 $24.00 $36.00 $48.00 $60.00
90471 IMM Administration Single Dose $0.00 $4.00 $8.00 $12.00 $16.00 $20.00
90472 IMM Administration( Single charge for an add. $0.00 $2.00 $4.00 $6.00 $8.00 $10.00
65
As of 2/23/00
.
.
.
New Hanover County Health Department
Sliding Fee Scale Rates
CPT/
Medicaid
Codes CPT / Medicaid Description 0% 20% 40% 80% 80% 100%
W8012 Immunization Update $0.00 $4.00 $8.00 $12.00 $16.00 $20.00
a0124 Adult Drug Injection (Medicaid) $0.00 $0.47 $0.94 $141 $1.88 $2.35
Y2016 Orthopedic Care $0.00 $16.00 $32.00 $48.00 $64.00 $80.00
Y2025 Neurolooy Care $0.00 $19.00 $38.00 $57.00 $76.00 $95.00
82465 Assav Serum Cholesterol $0.00 $4.00 $8.00 $12.00 $16.00 $20.00
81001 Urinalvsis, auto, w/microscopic $0.00 $4.40 $8.80 $13.20 $17.60 $22.00
81003 Urinalvsis, auto, without microscopic $0.00 $3.40 $6.80 $10.20 $13.60 $17.00
85027 Coulter Hematoloay Profile $0.00 $5.80 $11.60 $1740 $23.20 $29.00
85018 Hemoglobin $0.00 $3.20 $6.40 $9.60 $12.80 $16.00
86592 Serology, qualitative (trust) $0.00 $4.20 $8.40 $12.60 $16.80 $21.00
86593 Serology, quantitative (trust) $0.00 $3.00 $6.00 $9.00 $12.00 $15.00
87070 Bacteria Culture Screening $0.00 $4.00 $8.00 $12.00 $16.00 $20.00
87210 Wet Smear $0.00 $3.00 $6.00 $9.00 $12.00 $15.00
87205 Gram Stain $0.00 $3.00 $6.00 $9.00 $12.00 $15.00
36415 VenipuncturelFinoerstick $0.00 $2.80 $5.60 $8.40 $11.20 $14.00
84450 SGOT / AST $0.00 $4.80 $9.60 $14.40 $19.20 $24.00
84460 SGOT AlT $0.00 $4.80 $9.60 $14.40 $19.20 $24.00
82250 Bilirubin, Total $0.00 $4.80 $9.60 $14.40 $19.20 $24.00
82565 Assav Creatinine $0.00 $3.80 $7.60 $11.40 $15.20 $19.00
82947 Glucose, quantitative $0.00 $4.00 $8.00 $12.00 $16.00 $20.00
82962 Glucose, blood reagent strip $0.00 $4.00 $8.00 $12.00 $16.00 $20.00
83615 lactate (lD) (lDH) enzyme $0.00 $4.80 $9.60 $14.40 $19.20 $24.00
84075 Assay Alkaline phosphate $0.00 $4.80 $9.60 $14.40 $19.20 $24.00
85651 RBC SED rate, non-auto $0.00 $4.00 $8.00 $12.00 $16.00 $20.00
87430 Step A Ag, EIA $0.00 $7.00 $14.00 $21.00 $28.00 $35.00
82270 Test Feces Blood (Occult Bid) $0.00 $3.20 $6.40 $9.60 $12.80 $16.00
81025 Urine Pregnancy Test $0.00 $2.20 $4.40 $6.60 $8.80 $11.00
87060 Nose, throat, bacteria culture $0.00 $6.80 $13.60 $20.40 $27.20 $34.00
87086 Urine Culture, plating and colony count $0.00 $3.00 $6.00 $9.00 $12.00 $15.00
99001 Handling Fee $0.00 $3.00 $6.00 $9.00 $12.00 $15.00
Y2041 Enhanced Nutrition Counseling (MH) $0.00 $9.40 $18.80 $28.20 $37.60 $47.00
Y2351 Enhanced Nutr~ion Counseling (CH) $0.00 $10.00 $20.00 $30.00 $40.00 $50.00
66
As of 2/23/00
.
.
.
NEW HANOVER COUNTY HEALTH DEPARTMENT
---BAD-J}EBl'-W~FRPOUCY-----
After all procedures have been followed as previously described in the New Hanover County
Health Department fee policy, the bad debt write off procedures will be as followed:
Bad debts will be written off as uncollectable, 12 months following the date of the last visit
except when:
1. There has been no intervening charge visit within one year and the patient still wishes
to remain an active patient. Future services may be denied if effort for payment is not
made.
2. Small amounts are being paid toward the bill.
An itemized list of uncollectable outstanding patient balances will be prepared at the end of the
fiscal year for the Health Director's review Those approved by the Health Director and the
Board of Health will be written off. The Accounts Receivable system shall indicate the
recording of the bill as uncollectable by adjusting the patient balance to zero. Evidence shall be
on file to document required billings.
A self-pay patient (categorized as a 60"10 or greater on the sliding fee scale) with a previous bad
debt write off will not be allowed to charge services unless a payment is made toward their
previous balance and other payment arrangements are agreed upon. A self-pay patient,
categorized as 40"10 or below on the sliding fee scale, will not be denied services but their
account will re reactivated.
If a patient returns to the health department after a bad debt has been determined uncollectable
their bad debt write off shall be reactivated and the billing process resumes. The patient' s
account balance will be reinstated at the full amount of the write off.
A patient should never be informed that a debt has been written off.
A copy of the Bad Debt Write-off for the fiscal year will be sent to the New Hanover County
Finance Office.
Date
Health Director
Chairman, Board of Health
02/16/00
67
NHCHD Socio-Economic Data and Income Statement
. Name
Addrass-.
Telephone
Circle correct answers:
Resident of North Carolina
Medicaid Eligible
Insurance
Self-pay
No Pay
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
Gross annual family income
Total number in family including applicant
Number of children under 21
Patient Fee According To Scale
Depo Provera Injections
_%
$
$
$
$
$
$
Examination/Contraceptives_ %
Norplant Insertion/Removal_%
$
$
$
.
Gross income is defined as salary, wages, profits, or commissions from self-employed activities, rental from
property, pensions, mil nary allotments, retirement income, social security benefits, dividends, interest on savings,
stocks, bonds, etc., and/or a combination of the above.
Upon penafties prescribed by law, I hereby affirm that to the best of my knowledge and belief, this income
slelement is true and correct. I understand that the information may be checked by a state reviewer, and I agree
to provide financial records raquired to carry out this review. I also understand that my employar may ba asked to
verify information concerning my income.
[] I prefer Dot to provide the New Hanover County Health Department with proof of income; therefore I
understand that I am fully obligated for payment of services provided.
I, the undersigned, verify the above information is true to the best of my knowledge and I understand
payment is expected at the time of selVice for all selVices rendered.
Relationship of Authorized Representative
Signature of PatientIParentl Authorized
R.eprcsenta1ivc
Date
Date
Signature ofWitn...
.
68
02116/00
.
.
.
New Hanover County Health Department
Financial Agreement/Payment Plan
POLICY STATEMENT
Payment is expected at the time of service for all services rendered. Partial payment is accepted
for services with the exception of private stock vaccines. A financial agreement and payment
plan will be established for all patients with a remaining balance.
Patients whose accounts exceed $50.00 and have made no "good faith" effort to pay will be
subject of service restriction as allowed by law
PAYMENT PLAN:
Previous Balance
New Charges +
Total
Today's Payment
Current Balance
Patient will agree to pay $
noted above is paid in full.
on a weekly/monthly basis until the current balance
(Circle)
In the event a patient returns for additional services for which a partial payment is made, a new
financial agreement will be required.
I have read the payment plan as noted above and agree to comply with the specified terms.
Signature:
Date:
(patient)
Signature:
Date:
(Health Dept. Representative)
02116/00
69
New Hanover County Health Department
Authorization and Assignment of Benefits Form
.
Patient Jnronnation:
Computer ID#
Lost Name First Name I
- ..MlddlelMaldoo- ... .
Medicare ID# Medicare Name I
Subscriben Name
Insurance Co Name Insurance Co. Number
"'Add.....
Secondary Secondary Ins Co. Number
Insurance Co Name
"'Add.....
I request that payment of authorized MedicarelMedicaid/3'" Party Payer benefits be made on my behalf to New
Hanover County Health Department (NHCHD) for any services provided. I authorize any holder of medical
infonnation (to include mv infonnation / Substance Use / Mental Health and Social Data) about me to release
to the Health Care Financing Administration (HCF A) and its agents any information needed to determine these
benefits payable for related services.
I understand that my signature will serve as legal "signature on File" for purposes of filing my insurance claims
and payment of benefits to the NHCHD for services rendered.
I understand that my insurance company will send an Explanation of Benefits (EOB) to the address provided on
the HCF A fonn when any claims are processed for services provided.
. I agree to repay the NHCHD any money I receive from insurance for services that the Health Department
provided for me. I further agree that failure to repay assigned insurance benefits to the NHCHD is a reason for
denial or restriction of future services until such amounts have been repaid.
Si...... ofPatiadl\'aradl Authorized Ilq>resmtaIive
Representative's Address:
Relationship of Authorizod RopresealaIM
Dale
Reason Patient is unable to sign:
o I do not authorize billing of my insurance company for services provided or release ofinforrnation
for services provided (to include IllY information / Substance Use / Mental Health and Social Data)
due to breach of confidentiality with notification of claims processing on the Explanation of Benefits.
Sl...... ofPatiadl\'aradl Authorized Ilq>resmtaIive
Representative's Address:
Relationship of Authorized Representative
Date
Reason Patient is unable to sign:
.
Date
Signature orWitncss
02/16/00
70
NC Department of Environment, Health, and Natural Resoun:es
Oftice 01 Public Health Nursing
PERSONAL DATA SHEET
---
,,~o.
Medicaid No.
Medicare No.
Health Insurance Coverage
Mall Mar. Home IMlrl<lSchoOI IMlrl<lSchool
Dala Y/No Address Grade Slat. phone Phone Hours
PfMentAdd,..
Add.... Change
-- a.ange
Add.....O\aI~
-- a.ange
--a.ange
--
--- ....Iah_ DYnaMo ......-'
MIOrant Farm Wartcef DYnaMo -- DYnCMo
--- DYnaMo .- D Ves D No
COUNTRY OF ORIGIN:
Name Uaed by Third Party Payor
Confiden\l8l Contact
phone
Emergency Contact
Phone
Physician
phone
Persons \lvino In homo DOB or Aoa Sex Relationship to oallenl, school and grade. awav. deceaaed Idate)
.-
71
DEHNR 2800 (Revlo8cllll96)
,,<<'''< nF NURSING (Review 12199)
[~_-~~_~~~~ii;=~~]
----,
SOURCES OF INCOME
Dates 01 ToIallncome
Name 01 Family Members List all Employers or Employment AFDC Before
Dalo with 8n Income Sources or Income From To Waoes SSI Retirement other Taxes
THE ABOVE INFORMATION I HAVE GIVEN IS CORRECT. I UNDERSTAND THE HEAL TH
DEPARTMENT HAS THE RIGHT TO CHECK THIS INFORMATION.
InteniewW's signature
p'-'ellg_
Family
Size
($1911_) (Dete) (SIgn.III18)
(S1gn.tuI8) (D.te) ($1911.11I18)
(SIgn.III18) (Dele) ($1911.11I18)
(51911.11I18) (Dele) (51911.11I18)
($1911.11I18) (D.te) (SIgn.III18)
($1911.11I18) (D.te) (SIgn.III18)
ENVIRONMENT
(D.te)
(Dete)
(D.te)
(D.te)
(D.te)
(D.te)
Worldng Power Water System Indoor RevIeW Review
Date Food Slam"" Free Lunch Proo. W1C Relrta. Stove On Heat Public other Plumb. Dates Dstes
-'
DEHNR 2800
I HEALTH INSURANCE CLAIM FORM PICA rTTl
MEDICARE MEDICAID ,CHAMPUS_, CHAMPVA GROUP FECA OTHER '8. INSURED'S 1.0. NUMBER (FOR pROGRAM IN ITEM 1)
I ,"""".<e" n ,_lei I) n ,_- ~'n (VAF/Je ~)n-~~'::fo'1"'-h"'i"si~NGn(iDl' ..... --_.~-_. .-.-....... ..-.-....
PAl lENT'S NAME (Last Name, FirSt Name. MIddle InItIBI) 3. PATIENT'S BIRTH DATE SEX 4. INSUREO'S NAME (last Name. FIrst Name, Middle InIIlaII
MM, DO I YY Mn Fn
, !
PA 111- N-' 'S ADDRESS (No.. Street) 6. p"TlENT RELATlONSHIP TO INSURED 7 .INSURED'S ADDRESS (No.. StrMt)
Sell 0 _00"''0 oo.r[]
IlY 'STATE 8. PATIENT STATUS CITY I STATE Z
Sl.....o -0 "'""'0 0
~
IPCODE I (LEP")E (Ind........ Code) Z1P CODE I TEL("HOHE )INCtUOE Afl!A COOE) 2;
E.-...o Full-limeD pan.lImen II:
. Student Student 0
...
OTHER INSUREO'S NAME (Last Name. First Name, Mlddlllnltlall 10. ~ PATIENrS CONDITION RELATED TO: 11, INSURED'S POLICY GROUP OR FECA NUMBER !
fil
I OTHER INSURED'S POlICY OR GROUP NUMBER .. EMPlOYMENT? (CURRENT OR PREVIOUS) .. INSURED'S DATI: OF BIRTH SEX II:
MM.OO.YY :;)
DYES oNO , , "0 Fo en
, , !
1 OIH~ R INSURED'S DATE Of BIRTH SEX b. AUTO ACCIDENT? PLACE (.....) b. EMPLOYER"S NAME OR SCHOOL NAME C
NN 00 I yy I Mn Fn DYES oNO Z
, L-.J C
~.""iMPi"<>YER'S NAME OR SCHOOL NAME Co OTHER ACCIDENT? Co INSURANCE Pt..AN NAME OR pROGRAM NAME !Z
DYES 000 W
i
ttiNSliRiNCE PLAN NAME OR PROGRAM NAME lOd. RESERVED FOR LOCAL USE d. tS THERE ANOTHER HEAlTH BENEFIT PlAN?
- DYES DNO " pes. mum to and c:amPett Item 8 I'd. 1
READ BACK OF FORM BEFORE COiiPLETING . SlGNDtG 1lIIS FORIL 13.INSURED'S OR AUTHORIZED PERSOH'S SIGNATURE I auIhOriz8
12. PATIENT'S OR AuTHORIZED PERSON'S StGNATURE 18UlhDrizetM ,....-01 any mIdIcaI or oIhIr lnIormIIIlonnec:eaIIY payment of medical beMIb 10 Ole ........4lw-.ed phyIIdIn or IUflPIer
Iof
10 process 1111$ ctaim. I also request peymenl 01 pemmenl benefiIs eiItWf to myIIIf or to the party who KIC8I* asIgnrMnt ..... desCIIbed beloW.
"low.
- DATE SIGNED
OF CURRENT: ~ ILLNESS (FIrst IY"lptom) OR 15. If PATIENT HAS HAD SAME OR SIMILAR ILLNESS. 16. DATES PATIENT UNABLE TO WORK IN CURRENT OCCUPATION ~
, DO I YY INJURY (~OR GNE FIRST DATE MM , DO,VY MMlOOIYY MM.DDIYY
,I PREGNANCY(LMP) , , FROM" TOI'
17. NAME Of REFERRING PHYSICIAN OR OTHER SOURCE 17..1.0. NUMBER OF REFERRING PHYStclAN 18. HOSPITALIZATION DATES RELATED TO CURRENT SERVICES
MM, DO ,VY MM , 00, VY
FROM , , TO , ,
19. RESERVED FOR LOCAl USE 20. OUTSIDE lAB? S CHARGES
DYES oNO I I
21. DiAGNOSIS OR NATURE OF illNESS OR INJURY. (RELATE ITEMS 1,2,3 OR" TO ITEM 24E. BY LINE) t 22. MEDICAID RESUBMISSION
CODE I ORIGINAL REF, NO,
1.L--._ 3, L-- -
23. PRtOR AUTHORlZAnoN NUMBER
2. L--. "L----"
2'. A . C 0 E F 0 H I J K z
Fr9:TE<S) OF SERVICE,-o .- T,.. PROCEDURES. SERVICES. OR SUPPUES DIAGNOSIS RESERVED FOR 0
01 01 "~='"':'""'~) . CHARGES OR F_ BIG COB LOCAL USE ~
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, 00 ........'F'r - ,
,
I VES NO S , . ' . ,
; 31. StGNATURE OF PHYSICIAN OR SUPPUER 32. NAME AND ADDRESS OF FACILITY WHERE SERVICES WERE 33, PHYSICIAN'S. SlJPPUER'S .,LLING HAIlE. ADDRESS, ZIP COOE
~ INCUJOtNG DEGREES OR CREDENTW.S RENDERED (a 0IhW Ihan hoI'I'III or orUct) & pHONE'
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; apptrtothisbIDand..........partthenlCll.)
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! SIGNED DATE PlNI
>
,ASE
NOT
~PLE
THIS
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II:
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(APPROVED BY AMA COUNCIL ON MEDtcAI. seRVICE 8188)
PLEASE PRINT OR TYPE
FORM HCFA-15OD (12-80)
FORM r::NICfJ-15OD F()RtlI ARR-1!l;n1'1
.
.
.
NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17111 STREET
WILMINGTON, NC 28401-4946
--TELEPHONEi910)343-6500;F AX (910)-341-4146- -- ~.~~~.
DAVID E. RICE, M.P.H., M.A.
Hcallh Direclor
LYNDA F. SMITH, M.P.A.
Assistant Heal1b DiredOr
DATE:
RE: Name
Acct #
Your insurance company has informed me that your visit to the
Health Department on has been applied to your deductible.
Your balance of $
of this notification.
is your responsibility. Payment is due within 30 days
If you have any questions, please contact me at (910) 343-6500 Ext.
Claims Processor
NHCHD 02/11/00
73
"'~ ~,tP-~~..~'"
.
.
.
NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17111 STREET
WILMINGTON, NC 28401-4946
TELEPHONEi9Hlp43-65eo;FAX(910)-341-4146-----.~."..... ....,..,. ....'...L.
DAVID E. RICE, M.P.H., M.A.
Hcallh Director
LYNDA F. SMITH, MP.A.
Assistant Health Director
DATE:
RE. Name
Acct #
Your insurance company has informed us that the claim for your visit on
been denied due to the following:
has
_ Non-covered service
_ Insurance not in effect on date of service
Other:
The balance due on your account is
notification.
. Payment is due within 30 days of this
If you have any questions, please contact me at (910) 343-6500 Ext.
Claims Processor
NHCHD 02/11/00
"'~ ~,IAI-~~Il~'"
74
Ie
NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH l-rm STREET
WILMINGTON, NC 28401-4946
TELEPHONE-(910)-343-65eo,FAX (91 0)-341-4146------.......... ~ E~
DAVID E. RICE, M.P.H., M.A.
Health Director
LYNDA F. SMITH, M.P.A.
Assistant Health Director
DATE:
RE: Name
Acct #
.
Your insurance company has paid $
visit on
towards your
The remaining balance for your visit is $
this notification.
. Payment is due within 30 days of
If you have any questions, please contact me at (910) 343-6500 Ext.
Claims Processor
NHCHC 02/11100
.
"'~ ~r~-a,.Aat~"
75
.
-
NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH I1fH STREET
WILMINGTON, NC 28401-4946
.. TELEPHONEi9lO) 343-6500;-FA*i9i~41--4146
DAVID E. RICE, M.P.H., M.A.
Health Director
DATE.
RE: Name
Acet #
. Your insurance company has not paid on the claim submitted for your
visit on
LYNDA F. SMITH, M.P.A.
Assistant Health Director
The balance due on your account is $
notification.
. Payment is due within 30 days of this
If you have any questions, please contact me at (910) 343-6500 Ext.
Claims Processor
NHCHD 02/11/00
-
II ~ ~,/d - ~ Jl~~q',."
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Social Work Month
March, 2000
102 Years -1898 -2000
New Hanover County Health Department
Public Health Social Workers
Maryann Adkins
Barbara Berkemeier
Sylvia Brown
Paula Calvert
Pam Cooke
Alfreda Gee
Joyce Hatem
Susan Sanderford
Martha Wright
New Hanover County employs nine social workers, 4 in Maternity Care Coordination
(MCC) and 4 as Child Service Coordinators (CSC). Maternity Care Coordinators work
with Medicaid eligible women during their pregnancy and two months post partum.
MCC's work with clients at Coastal OB/GYN Center, Carolina and Cape Fear OB/GYN,
New Hanover Community Health Center, and Coastal Family Medicine.
Child Service Coordinator work with children from birth to five years of age and their
families. These children have been referred because of developmental delay,
env.ironmentai, social and medical concerns.
We have one Perinatal Social Worker, who is also a Certified Clinical Social Worker,
who provides the more intensive psycho-social counselling to "high risk" pregnant
women and their families and also women of reproductive age attending the Women's
Preventive Health Clinics in the Health Dept.
CONTENTS
.
.
. Introduction and Implementation
. Attendance
. Code of Ethical Conduct
. Committees and Special Activities
. Computer Usage
. Confidentiality
. Customer Service Statement
. Division Orientation and Training
. Dress Code
. Gifts and Favors
. Legal Contacts
On-Call / Stand By
. Outside Employment
. Parking
. Personal Leave
. Personnel - Vacancies
. PhoneMail
. Political Activity
. Sick Leave
. Staff Meetings
. Workday - Workweek
.
. Adopted Policies
New Hanover County Health Department Policy and Procedures Manual
February 22, 2000
e
.
.
NEW HANOVER COUNTY
HEALTH DEPARTMENT
ENV1RONMENTALHEALTH
2029 SOUTH 1 rrn STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6667, FAX (910) 772-7810
............-..-.
DAVID E. RICE, M.P.H., M.A.
Health Director
LYNDA F. SMITH, M.P.A.
Assistant Health Director
February 10, 2000
John Coble
18 W Oxford St
Wrightsville Beach, NC 28480
Dear John:
The Board Of Health requested that I solicit your advice about a matter
discussed at our meeting last week. While assessing the Health Department's FY 00-
01 budget proposal, it became clear that growth in the county has substantially
increased the workload of Environmental Health staff.
As we considered potential sources of revenue to support or supplement the
costs of Environmental Health Services, we were reminded of the state statute
prohibiting fees for services related to the permitting and grading of restaurants. We
also discussed the very nominal $25.00 annual fee paid by restaurateurs to the state
Department Of Environment And Natural Resources Division Of Environmental Health.
Board members suggested that the North Carolina Restaurant Association may be
willing to support an increase in the $25.00 annual fee or may be willing to support a
petition of legislators to change this statute so that local fees can be established for
these and other similar services.
A significant cost is incurred by the Health Department before an establishment
ever opens for business. Analysis of menus, review of plans and equipment
specifications plus construction site visits take an appreciable amount of staff time. We
highly value this service as it is designed to facilitate more than regulate compliance
with food safety standards. Our customers also highly value this service. A user fee
would not only help support it, but additionally would force speculators to share in the
costs.
There are certainly other important factors that you may share with us on this
subject. I look forward to the opportunity of hearing your perspective.
Very truly yours,
d~ ~/t;;-.
William T Steuer, PE, RLS, Chairman
New Hanover County Board Of Health
M~ ~I'_-d..~'"
.
Board of Health Compensation per Meeting
.
NC County Members Chairman
_er $25 + mifeage
An"'" $0
-- $15
Bertie $35 $50
Bladen $15... mileaage $20 ... mileage
Brunswick $35 ... mileage
Buncombe Dinner in lieu r:I
Cabanu. $0
ca..... $35
C...... $40
Chatham $15... mileage
Cherokee $50
Columbus $35
C....... $50 $60
Cumber1and $0
Dare $50 + mileage $75 + mileage
~ $25 $30
Duplin Dinner in lieu of
FOB,," $20 $25
Gaston $25
Granllille-Vance $20 ... mUeage $25 ... mileage
G..... $20 $25
GuilfOrd $18
- $20 + mileage $25 ... mileage
Haywood $25 + meal
Henderson $20
Hertford.Gates $50 $125
lredell $25 + mileage
Johnston $25 ... mileage
Jones $20 $35
Lee $20
Lenoir $20 donated to Health Department
Uncoln $20
Macon $35
Madison $25
New Hanover $20 $25
Northhampton $25 $30
Onslow $10
Orange $25 $30
p"""" $20
Randolph $20 ... mileage
Richmond $50 $55
Robeson $50 $100
Rockingham $25 $30
Rowan $40 $50
Sampsal $15 ... mileage and meal
Scotland $25 $35
Stanly $20 $30
Stokes $30
Suny $0
Swain $25 pAaced in a SCXlIarship fund
Transylania $0
Union $15
Wilson $20 $25
Yadkin $17 $20
0212212000
.
~MEMO
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NEW HANOVER COUNTY
INTER-OFFICE
TO'
FROM:
Department He~
Allen O'Nea~ v
February 22, 2000
DATE:
RE.
FY 00-01 BUDGET
We are at the very preliminary stage of developing the FY 00-01 Budget. Staff
met with the Commissioners on Feb 11 and 12 to discuss the budget.
.
There will be a large -increase in debt service required for the school bonds.
While this is considered separately from the County operating and capital budget,
the reality is that a tax increase beyond the amount required to cover debt
service may not be acceptable.
At this time, it looks like there will be no increases recommended in the budget
for new positions or new programs. The only exception to this will be critical
positions, grant funded, or those positions and programs for self-supporting
organizations. The review of vacant positions before they are filled will become
more stringent.
This information is provided to keep you updated on the FY 00-01 Budget
process. Your continued cooperation is very much appreciated.
Please feel free to check with Cam or me if you have any questions or need any
additional information.
btb
cc: Board of Commissioners
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1fip>ne (910) 341-4200
Jlrax (910) 341-4039
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February 10, 2000
Betty Creech, RN
Community Health Director
New Hanover County Health Departmerit
Dear Mrs. Creech: (~1~~J:- i", .,
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1 offer this correspondence in,supp~rt6fyou{aitejrtpt to a4c1:lin'J...PNpOsition in the jail clinic. There has
been a marked increase in o,!!:jairpop1,llatiOl;'Rver,th,!l,plisqe~y~in<:reasing the work load of the
entire staff. The medical stliffassigned to the Jail;Clinicd6ano1.list8iidiiigjob. It is my understanding,
. however, that the clinic is ~6t,jri;~~inpiiance~itIisfirttll~wsan'an'at:i(5ria:rstandards as a direct result of
insufficient staff ., . '\,' "'',,0 ", ',.;. .
r .,.".,",.' ..;"? i '," "~",. .', " _.::'
The national accreditation ~~!4h;otlt.~~(bini~Cis ~'achi~{~ilt,~ntf~:~roud of. Accreditation has also
proven valuable in the area of':lia~ilityniiti~i6rjart4r~elieyethe pfQfi:~sionalism it fosters benefits the
county on a daily basis. ' . ";.:\\J,'
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Your proposed request to prOVide"~ I,icenSed 'Practical N!irsetotiieJ~iIClinic staff has my full support.
Please contact me in can be of.~hh:ei~~i;~ce.-iiiJ:l1is"I#~tr~r:cr ';;"';;';J
'I .i "':'~,':, -', '~'j \~.>-,i\; 'r~.'c-' !.,
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Sincerely,
.(;::;:t~.' '
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Sheriff Joseph McQueen, Jr
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MEMBER
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North Carolina
Department of Health and Human Services
Division of Public Health
1330 St. Mary's Street 01916 Mail Service Center 0 Raleigh, Nonh Carolina 27699-1916 o Courier 56-23-01
H. David Bruton, M.D., Secretary 0 Ann F Wolfe, M.D., M.P.H., Director
January 20, 2000
TO:
Accountability Work Group Participants
FROM:
Dorothy Cilenti, MSW, MPH ~
Deputy Section Chief
RE:
Clusters
Attached please find the most recent groupings for accountability clusters. Recall
that the Women's & Children's Health Section intends to use these clusters to identify
outliers on WCH process outcome objectives.
.
Based on the discussion at our last meeting, counties were grouped by race, child
poverty, percent offamilies with two parents, percent of births to women with less than a
lih grade education, and percent of households without cars. We had discussed adding a
physician per capita variable but doing so greatly skewed the cluster sizes.
We also researched the economic tiers published by the Department of Commerce
to determine whether those five tiers could be used for public health accountability
purposes. Only one tier Le.most economically distressed counties, moderately
corresponded to one of our proposed clusters.
Please review the clusters and give me your feedback by February 9, 2000. You
can call me at (919) 715-3662 or e-mail at dorothv,cilenti(a)ncmaiLnet. My plan is to
present these agreed upon clusters to WCH Liaison Committee members at their
February meeting.
Thanks in advance for your feedback.
c: Sarah McCracken
SMT
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EveryWhere, Evet)Day. EveryBody
.
----
---
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.
. .
By Race, Urban, Child Poverty, 2 Parent Family, Education, Car -- Standardized
Cluster 1
1 Alamance
2 Albemarle
3 Buncombe
4 Burke
5 Cabarrus
6 Caldwell
Cluster 2
1 Anson
2 Beaufort
3 Bertie
4 Bladen
5 Columbus
6 Duplin
7 Gates/Hertford
7 Cleveland
8 Davidson
9 Gaston
10 Harnett
11 Iredell
12 Johnston
8 Greene
9 Hyde
10 Northampton
11 Sampson
12 Swain
13 Warren
13 Lee
14 Nash
15 Person
16 Rockingham
17 Rowan
18 Stanly
Cluster 3
1 Craven 6 Mecklenburg
2 Cumberland 7 New Hanover
3 Durham 8 Pitt
4 Forsyth 9 Wake
5 Guilford 10 Wayne
Cluster 4
. 1 Alexander 8 Graham 15 RPM
2 Appalachian 9 Jackson 16 Surry
3 Brunswick 10 Jones 17 Toe River
4 Caswell 11 Madison 18 Wilkes
5 Cherokee 12 Montgomery 19 Yadkin
6 Clay 13 Pamlico
7 Franklin 14 Pender
Cluster 5
1 Carteret 7 Henderson 12 Orange
2 Catawba 8 Lincoln 13 Randolph
3 Chatham 9 Macon 14 Stokes
4 Dare 10 Moore 15 Transylvania
5 Davie 11 Onslow 16 Union
6 Haywood
Cluster 6
1 Edgecombe 6MTW
2 GranvilleNance 7 Richmond
3 Halifax 8 Robeson
4 Hoke 9 Scotland
5 Lenoir 10 Wilson
.
reVlsec,v
C lus-k-(S
. Public Health Luncheon &
Celebration
Sheraton Imperial Hotel, Research Triangle Park
April 4, 2000 11 :00 am - 1 :00 pm
Er'el)'II,/Jere, Er'elJ'drfY, Fi/,/,rybor/l'
In every crisis or emergency situation, the public health family of North Carolina is the first to respond and
volunteer their time, knowledge and expertise. Whether the crisis is a result of a natural disaster, man-made
disaster or medical emergency, the public can depend on public health professionals to respond. Join us in
celebrating the volunteer spirit of public health at this luncheon during National Public Health Week.
Registmtion Fee: $20.00
Registmtion DemfJine: Mardi 27, 2000
Mail to: NCPRA
.
4208 Six Forks Road, Suite 2-JJ8B
Raleigh, NC 27609
SPOD80red by Pride In Public Health Committee ottbe North Carolina Public Dealtb Association
North Carolina Public Health Association
4208 Six Forks Rd. Suite 2.3388
Raleigh. NC 27609
Phone:919-7S9-8004
Fax: 919-789-8005
Email: ncpha@interpath.com
Contact Deborah Rowe: 919.789.8004,
Registration
Name
Address
Phone
Signature
Sign up for:
Luncheoo
= Registered for L.ocal Health Directors Spring Educational Conference
(Luncheoo included in Conference Registration Fee)
$20.00
_ Vegetarian Lunch Preferred
.
.
.
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02/14/2000 11 :48 AM
To: N otesEveryone_ARah ha Uo_JZygm u nt, NotesE veryone_KAbram s_to_ VPu rifoy
cc:
Subject: Blood Drive / Final Results
Following are the results of our 1st Blood Drive for 2000 which
ended on January 21st:
Health Department
Department of Social Services
Property Management
Tax Department
Inspections Department
Library
51 Donors (always on top)
42 Donors (a close second)
14 Donors (very impressive)
11 Donors
8 Donors
7 Donors
Parks, Environmental Management, & Engineering:
6 Donors
Cooperative Extension & Museum:
Aging Department & Finance:
Register of Deeds
5 Donors
4 Donors
3 Donors
Planning Department, Information Technology, Fire Services, Human
Resources & Sheriff's Department:
2 Donors
County Manager's Office & Elections:1 Donor
And the grand total of donations is......... 184 Units
Wow! Thanks to all who made this a successful Drive and mark you
calendars for our next Blood Drive on April 4th