I. Health Department

Chapter 8.02
PUBLIC HEALTH CLINIC SERVICES

Sections:

8.02.010    Public health clinic services and fees.

8.02.010 Public health clinic services and fees.

(1) Services and fees listed for Jefferson County public health clinic services shall be consistent with the following requirements:

(a) A cost analysis will be completed annually to set reimbursement rates for community health including family planning services, birth control methods and immunizations.1

(b) Fees for medications, antibiotics and treatment methods will be based on cost of acquisition unless acquired by an outside vendor at no cost to Jefferson County public health.

(c) All fees for immunizations not subsidized by the Washington State Department of Health will be the cost of the vaccine plus handling, shipping and nursing time.1

(d) Laboratory services are based on the actual fees of laboratory contractors; price lists are available upon request.

(e) The Clinical Services Financial Guidelines policy is in place, reviewed and updated annually using the federal poverty guidelines to establish the sliding fee schedule. A copy of the sliding fee schedule will be available upon request.

(f) The sliding fee schedule will not be available or offered for privately purchased vaccines administered for international travel or outside laboratory cost.

(g) Certain service fees may be waived, including but not limited to communicable disease prevention cases, medications, laboratory services or vaccines to prevent outbreaks of communicable disease, where personal insurance denies reimbursement.

(2) Jefferson County public health will automatically implement future modifications to fees for vaccines, medications, and medical supplies when any of the following changes occur:

(a) The actual cost of the service provided by an outside vendor, the supply, medication, vaccine, and laboratory charges, and like costs plus shipping and handling fees;

(b) Any new federal poverty guidelines that are published annually; or

(c) The maximum allowable Medicaid reimbursement rate.

(3) Fees for vital records are set by RCW 70.58A.560. The cost sheet shall be available by request. [Ord. 6-23 § 4 (Appx. B)]

1

The sliding fee schedule may apply. Services will not be denied due to a client’s inability to pay.