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The Agency Director or designated representative, and the Director of Revenue and Recovery, or designated representative, are hereby authorized to defer billing, or compromise and settle an account when investigation reveals that neither the patient nor the patient's responsible relatives or representative can pay for or otherwise secure the care, or the means for paying for the care, which the patient requires. In making this determination the Agency Director or the Director of Revenue and Recovery will give consideration to:
1. In mental health cases, the State mandated “Uniform Method of Determining ability to Pay.”
2. In non-mental health cases:
(a) The nature of the patient's illness, the probable duration of disability, its effect on the patient's future income production and the probable cost of private care.
(b) The family assets and obligations, their accustomed standard of living and the amount of indebtedness which they can be expected to assimilate.
Further, the Agency Director or the Director of Revenue and Recovery may compromise and settle an account whenever the Agency Director and the County Counsel agree that actual or potential legal problems arising from the treatment of a case, or collection of an account, indicate such action to be to the best interest of the County.
(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)
A deferred account will be activated, entered in the books and presented for collection whenever information indicates that the patient and his responsible relatives are able to pay for the services rendered.
(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)
Whenever a non-resident patient as defined by State law is admitted to an Agency facility, every effort will be made to determine his place of legal residence. No such patient will be found eligible for either a deferred bill or a compromise settlement until all means of securing payment from the authorities at his place of residence have been exhausted and all such patients who are granted deferred or compromise status will be removed from the Agency as soon as other facilities can be found and the patient's condition permits such removal. As to psychiatric patients referred for Mental Health Services, County residence as defined in Welfare and Institutions Code or Health and Safety Code, shall not be required, but state residence as defined in the Government Code is sufficient for the patient's eligibility, deferred billing, or postponement of removal to place of residence.
(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)
The care and treatment of all patients admitted to any health care institution or program operated by the Agency shall be supervised and administered only by qualified professionals who are either employed by the Agency or regularly appointed and assigned as a member of the staff of a division of the Agency.
(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)
The Agency Director shall charge and collect a fee of $40 from each person receiving venereal disease services from the County. Services provided for said fee shall include the initial examination, diagnosis, treatment, and follow-up for purposes of determining whether the disease has been cured.
(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. 10900 (N.S.), effective 6-20-24)
The Agency Director shall charge and collect the following fees for the following laboratory services:
ENVIRONMENTAL TESTING FEES | |
Colilert for Total Coliforms & E. coli (Drinking Water) | $34.13 |
Enterolert for Enterococcus - 0.1 Dilution (Marine Water) | $30.48 |
MTF for Total & Fecal Coliforms (Marine Water) | $93.62 |
MTF for Total & Fecal Coliforms (Wastewater) | $378.43 |
Food borne examination (Negative) | $139.47 |
Food borne examination (Positive) | $281.79 |
Rabies | $191.94 |
Enterolert for Enterococcus - Additional Dilution (Marine Water) | $14.80 |
Enterolert for Enterococcus - Undiluted (Marine Water) | $13.13 |
Membrane Filtration for Enterococcus - Undiluted and 0.1 Dilution | $209.90 |
Membrane Filtration for Enterococcus - Additional Dilution | $25.63 |
Colilert-18 for Total Coliforms & E. coli - Additional Dilution (Marine Water) | $16.62 |
Colilert-18 for Total Coliforms & E. coli - Undiluted (Marine Water) | $15.01 |
Membrane Filtration for Total Coliforms - Undiluted and 0.1 Dilution | $104.86 |
Membrane Filtration for Fecal Coliforms - Undiluted and 0.1 Dilution | $66.48 |
Membrane Filtration for Total Coliforms - Additional Dilution | $16.28 |
Membrane Filtration for Fecal Coliforms - Additional Dilution | $25.60 |
Colilert-18 for Total Coliforms & E. coli - 0.1 Dilution (Marine Water) | $37.93 |
ddPCR for Enterococcus | $75.60 |
ddPCR for Enterococcus (Overtime Rate) | $94.87 |
HF183 by ddPCR - Replicate | $50.13 |
HF183 by ddPCR - Triplicate | $76.26 |
Save Body Carcass Return | $25.53 |
OTHER CLINICAL FEES | |
Chlamydia / Gonorrhea | $26.12 |
SARS-CoV-2 Assay - Panther Fusion | $17.02 |
SARS-CoV IgG - Alinity I | $24.83 |
SARS-CoV-2 Assay - Panther Aptima | $27.99 |
Abbott 4 plex test (SARS, Influenza A&B and RSV) | $55.98 |
Biofire Respiratory Panel PCR | $194.47 |
Biofire GI Panel PCR | $233.19 |
HIV-1 Viral Load | $56.98 |
Hep C RNA | $13.96 |
Monkeypox PCR | $35.09 |
NON-DIAGNOSTIC GENERAL HEALTH ASSESSMENT | |
Semi-annual general filing fee | $124.00 |
Semi-annual fee for additional tests | $27.00 |
Semi-annual fee for additional location | $84.00 |
Annual Maximum Charge per Agency | $1,101.00 |
(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)
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