Except as otherwise provided by law or by contract all aid rendered shall be a charge against the patient, the patient’s spouse, or the patient’s parents when the patient is a minor, and they shall be jointly and severally liable to pay the costs thereof. Parents shall not be liable for care of children 15 years of age or older living separate and apart from the parents and managing their own financial affairs unless such parents have requested or consented to such care of their child or children. The Agency Director or designated representative, and the Director of Revenue and Recovery, or designated representative, are hereby authorized to use appropriate means to collect repayment of costs from patients and responsible relatives, including securing payment by requiring execution and filing of liens consistent with Welfare & Institutions Code section 17109 and any other applicable statutory provisions.
(Added by Ord. No. 9704 (N.S.), effective 3-10-05; amended by Ord. No. 9920 (N.S.), effective 4-10-08; amended by Ord. No. 10477 (N.S.), effective 5-25-17; amended by Ord. No. 10532 (N.S.), effective 5-24-18; amended by Ord. No. 10600 (N.S.), effective 5-30-19)
Except as otherwise specified in Section 240 through Section 255 of this Administrative Code, the rates of charge for health care to be rendered by public health and behavioral health programs listed in Section 233 of this Administrative Code shall be set in accordance with the current published Medi-Cal schedule and shall be revised by the Agency Director of the Health and Human Services Agency, referred to hereafter in this Article as Agency Director, as the published Medi-Cal schedule changes. At least once each twenty-four (24) months, the rates shall be reviewed by the Health and Human Services Agency to assure that such charges do not exceed the County's actual costs. In the event the review determines that any specific charge(s) exceed actual costs, the Agency Director shall revise the rates of charge to reduce the applicable charge(s) to the level of actual costs. Specified services subject this section include:
(a) public health services:
(1) Trichomonas test
(2) GC Culture (Negative) test
(3) GC Culture (Positive) test
(4) Acid fast smear exam (Ziehl- Neelson) test
(5) Norovirus by PCR test
(6) Confirmatory HIV-1/2 (Genius) test
(7) Aerobic Bacterial Culture (Negative) test
(8) Aerobic Bacterial Culture (Positive) test
(9) Mycobacteriology Culture (includes Specimen Concentration, Fluorochrome Smear, and MGIT culture)
(10) Mycobacteriology Positive Culture and Identification (includes Specimen Concentration, Fluorochrome Smear, MGIT culture, Ziehl-Neelsen smear, GeneXpert MTB/Rif, and subculture)
(11) Drug susceptibility, per drug test
(12) Direct specimen PCR for TB/ Rifampin resistance test
(13) Quantiferon Gold (TB test, cell immune measure) test
(14) Darkfield exam test
(15) RPR - quantitative test
(16) Confirmatory TP-PA with both RPR above test
(17) Syphilis Antibody CIA test
(18) Virus Identification by PCR, Influenza test
(19) Immunizations provided
(20) Enterovirus
(21) Zika IgM (Manual)
(22) Hepatitis A PCR Screening (Thermocycler)
(23) GC Gram Stain
(24) Measles PCR
(25) Mumps PCR
(26) Herpes NAAT
(27) Measles CIA IgG
(28) Hepatitis A Prep Sequencing
(29) SARS-CoV-2 Assay - Alinity m
(30) Hepatitis B CORE Antibody (Total)
(31) Hepatitis C Antibody
(32) Hep C RNA
(33) Hepatitis B surface antibody (HbsAg) Quantitative
(34) Hepatitis B surface antigen (HbsAb) Qualitative
(35) HIV-1/2 Antigen/Antibody CIA test
(36) Carbapenem-Resistant A. baumannii (CRAB) - Negative
(37) Carbapenem-Resistant A. baumannii (CRAB) - Positive
(38) SARS-CoV-2 Assay - GeneXpert
(39) GeneXpert - 4plex test (SARS, Influenza A&B and RSV)
(40) Other related health services that are included in the Medi-Cal schedule
(b) behavioral health services:
(1) Hospital Inpatient
(2) Hospital Administrative Day
(3) Crisis Stabilization - Urgent Care/ ER
(4) Day Rehabilitation - Full Day
(5) Outpatient Services by Provider type
(6) Other related behavioral health services that are included in the Medi-Cal schedule
(c) medical care services
(1) Pharmacy Dispensing
(Added by Ord. No. 8835 (N.S.), effective 11-6-97; amended by Ord. No. 9475 (N.S.), effective 7-18-02; amended by Ord. No. 9558 (N.S.), effective 6-20-03; amended by Ord. No. 10477 (N.S.), effective 5-25-17; amended by Ord. No. 10532 (N.S.), effective 5-24-18; amended by Ord. No. 10600 (N.S.), effective 5-30-19; amended by Ord. No. 10722 (N.S.), effective 6-3-21; amended by Ord. No. 10797 (N.S.), effective 7-14-22; amended by Ord. No. 10844 (N.S.), effective 6-22-23; amended by Ord. No. 10900 (N.S.), effective 6-20-24)
Except for those persons who pay the established rates of charge in full, the economic status of all patients who seek admission to any of the treatment or custodial facilities where patients are charged will be determined as follows:
(a) Mental Health and Substance Use Disorder cases: In accordance with the State mandated "Uniform Method of Determining Ability to Pay" and California Health and Safety Code 11841."
(b) Prisoners: Those receiving out-patient care will be accepted as financially eligible. Those receiving in- patient care will be checked for applicable third-party coverage.
(c) All others: In accordance with the eligibility procedure used by the State's Medi-Cal Program, or as may otherwise be approved by the Board of Supervisors.
(Added by Ord. No. 8835 (N.S.), effective 11-6-97; amended by Ord. No. 9475 (N.S.), effective 7-18-02; amended by Ord. No. 9558 (N.S.), effective 6-20-03; amended by Ord. No. 10477 (N.S.), effective 5-25-17; amended by Ord. No. 10532 (N.S.), effective 5-24-18; amended by Ord. No. 10600 (N.S.), effective 5-30-19; amended by Ord. No. 10797 (N.S.), effective 7-14-22)
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