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)