s062016 Budget ApprovalJune 20, 2016
The Randolph County Board of Commissioners met at 6:00 p.m. for a special budget session
in the 1909 Randolph County Historic Courthouse Meeting Room, 145 Worth Street, Asheboro,
NC Commissioners Frye, Kemp, Haywood, Lanier, and Allen were present. Also present were
County Manager Hal Johnson; Finance Officer Will Massie; County Attorney Ben Morgan;
County Staff Attorney Aimee Scotton; Amanda Varner, Clerk to the Board; Dana Crisco, Deputy
Clerk to the Board.
Chairman Frye said this budget addresses some issues and capital needs that have been
delayed for some time.
Approval of Budget Amendments for FY 2015-2016 Close-out
Finance Officer Will Massie explained the FY2015-2016 close-out amendments needed for the
annual fund and in other funds:
• In May, the Board authorized the sale of 250,000 gallon allocation of raw water to Archdale.
The budget amendment will recognize the sale proceeds. ($499,273)
• During FY2015-16, the Emergency Services Department experienced an unusually high
number of employees being absent and other employees had to fill in. Due to those absences,
additional funds are necessary to cover the additional staffing costs. ($40,000)
• Mr. Massie also said that in January 2016, the Board obtained financing for the
Emergency Services Headquarters project and in June, the County received notification
that the NC 911 Board would provide additional one-time funding for the technology
costs. The technology costs have been budgeted in the Emergency Telephone System
Fund (Other Funds) and he requested budget amendments to move $1.1 million of
financing proceeds originally earmarked for the Emergency Services Headquarters
Capital Project Fund to the Animal Shelter Capital Project Fund.
Commissioner Allen asked about the Landfill funds that were originally earmarked for the
Animal Shelter. Mr. Massie said that Waste Management had indicated the funds to be for a
capital need but didn't specify one. The shelter was the one that was being discussed at that time.
Annual Funds
On motion of Kemp, seconded by Haywood, the Board voted unanimously to approve Budget
Amendment #38 for the Water Fund, as follows:
2015-2016 Budget Ordinance
General Fund —Budget Amendment #38
Revenues
Increase
Decrease
Sales and Services
$ 499,273
Appropriations
Increase
Decrease
Reserve
$ 499,273
On motion of Kemp, seconded by Haywood, the Board voted unanimously to approve Budget
Amendment #39. for Emergency Services, as. follows:
2015-2016 Budget Ordinance
General Fund —Budget Amendment #39
Revenues
Increase
Decrease
Sales and Services
$ 40,000
Appropriations
Increase
Decrease
Emergency Services
$ 40,000
Other Funds
On motion of Kemp, seconded by Haywood, the Board voted unanimously to approve Budget
Amendment 94 for the Emergency Services Headquarters Capital Project, as follows:
2015-2016 Budget Ordinance
Emergency Services Headquarters Capital Project Fund -Budget Amendment #4
Revenues
Increase
Decrease
Proceeds from debt
$1,100, 000
Appropriations
Increase
Decrease
Contingency
$1,100, 000
On motion of Kemp, seconded by Haywood, the Board voted unanimously to approve Budget
Amendment #2, for the Animal Shelter Capital Project Fund, as. follows:
2015-2016 Budget Ordinance
Animal Shelter Capital Project Fund -Budget Amendment #2
Revenues
Increase
Decrease
Proceeds from debt
$1,100, 000
Miscellaneous
$750, 000
Appropriations
Increase
Decrease
Professional Services
$ 2,000
Construction
$348, 000
Discussion of Capital Improvement Plan (CIP)
On motion of Kemp, seconded by Allen, the Board voted unanimously to retain the CIP as is.
Other FY2015-2016 Close-outs
Chairman Frye suggested reallocating a portion of the lapsed Malt-O-Meal (MOM) Brands
incentives. He said he had talked to Mr. Massie, Finance Officer, regarding the available funds left in
the current year budget ($68,000). He also proposed the Board consider a one-time funding to the
Shelter of Hope for their $20,000 request to assist with repairs to the homeless shelter and an
additional $5,000 to the Randolph Arts Guild to help make up their loss due to the cancellation of the
2015 Fall Festival. Commissioner Kemp asked that the Board consider increasing the one-time
amount to $10,000 for the Randolph Arts Guild.
Commissioner Haywood agreed the cancellation of the 2015 Fall Festival financially hurt the Arts
Guild. He also agreed that "the Shelter of Hope is serving a population that is in need," and said "a
little compassion once in a while is a good thing."
On motion of Haywood, seconded by Kemp,
Amendment #40 to reallocate $30,000 of lapsed
Brands project toward one-time allocations of $.
Randolph Arts Guild, as follows:
the Board voted unanimously to approve Budget
economic development incentives from the MOM
?0, 000 to the Shelter of Hope and $10, 000 to the
2015-2016 Budget Ordinance
General Fund —Budget Amendment #40
Revenues
Increase
Decrease
Appropriations
Increase
Decrease
Other Economic & Physical
Development Appropriations
$30, 000
Other Human Services Appropriations
$20, 000
Other Cultural & Recreational
$10, 000
Approval of School Tax Rates
On motion of Frye, seconded by Haywood, the Board voted unanimously to set the Archdale -
Trinity Schools Supplemental Tax District rate at the current rate of $0.0954.
On motion of Kemp, seconded by Haywood, the Board voted unanimously to set the Asheboro
City Schools Supplemental Tax District rate at the current rate of $0.15.
Approval of Tax Rates for Rural Fire Protection Tax Districts and Fire Protection Service
Districts Tax Rates
On motion of Haywood, seconded by Allen, the Board voted unanimously to set the Fire
Protection Tax District and Fire Protection Service District rates, as requested:
Rural Fire Protection Tax Districts:
Bennett Fire District
$0.0900
Coleridge Fire District
$0.0740
Eastside Fire District
$0.1100
Fairgrove Fire District
$0.0883
Farmer Fire District
$0.0900
Franklinville Fire District
$0.1200
Julian Fire District
$0.1100
Level Cross Fire District
$0.1200
Northeast Fire District
$0.1200
Seagrove Fire District
$0.1000
Southwest Fire District
$0.1200
Staley Fire District
$0.1000
Tabernacle Fire District
$0.1054
Ulah Fire District
$0.0700
Westside Fire District
$0.1200
Fire Protection Service Districts:
Climax Fire District
$0.1244
Guil-Rand Fire District
$0.1262
Level Cross Fire District
$0.1200
Northeast Fire District
$0.1200
Randleman -Sophia Fire District
$0.1200
Seagrove Fire District
$0.1000
Southwest Fire District
$0.1200
Staley Fire District
$0.1000
Ulah Fire District
$0.0700
Adoption of Departmental Fee Schedules
On motion of Allen, seconded by Kemp, the Board voted unanimously to adopt all
departmental fee schedules, as requested, and as follows:
1. Building, Electrical & Plumbing Permits (no change)
2. Emergency Services -Ambulance Oltuche(° )
3. Planning and Zoning (no change)
4. Public Health (ultuche(° )
5. Solid Waste Facility Tipping Fees (no change)
Budget Discussion and Adoption of FY 16-17 Budget and Budget Ordinance
Chairman Frye said the two items that have been in the forefront of the budget sessions have
been the needs of the schools and the Sheriff's Office and "the County hasn't been in a position
to address those for several years." During the budget process it was stated that lottery and sales
tax receipts were conservatively stated and there were contingency funds of $260,000
unallocated. He said Mr. Massie had estimated an additional $270,238 in sales tax revenues and
$275,000 in lottery proceeds could be budgeted. The total of contingency funds and sales tax
revenues equal 805 238. He reminded all that this budget still includes a quarter cent reduction
in the tax rate.
Chairman Frye said, if the Board considered the additional four deputy positions being
requested for nine months of this year (effective 10/1/16), costs would be as follows:
Deputies
Personnel (10/1/17)
Operating (outfitting) expense
Capital expense (cars)
Expenditures
$150,000
70,000
107,824
$329,238
He also suggested that the schools receive some additional funding to help with current
expenses:
Education
Randolph County Schools Current Expense $350,050
Asheboro City School Current Expense 93,950
RCC Current Expense 32,000
$476,000
Total Expenditures: 805 238
Chairman Frye said that these issues are important to the education of the children and the
public safety of the citizens.
Commissioner Haywood motioned to adopt the budget as proposed by management, with the
following changes:
• increase sales tax revenues by $270,238;
• increase Restricted Intergovernmental Fund by $275,000;
• add four Sheriff's Office deputy positions to be effective 1011116 with expenses of
$329, 238;
• add $350, 050 to Randolph County Schools Current Expense;
• add $93, 950 to Asheboro City Schools Current Expense;
• add $32, 000 to RCC Current Expense; and
• decrease contingency fund by $260, 000.
Commissioner Kemp seconded the motion, and the Board voted unanimously to adopt the FY
2016-2017 Budget Ordinance (which follows below), including the changes from above; and
which includes setting the Ad Valorem Tax Rate at 65.25 cents per $100 valuation; and which
produces a budget of $122, 944, 043 for FY 2016-2017:
RANDOLPH COUNTY
Budget Ordinance Fiscal Year 2016-17
Be It Ordained by the Board of Commissioners of Randolph County, North Carolina:
Section 1. The following amounts are hereby appropriated in the General Fund of Randolph County for the
fiscal year beginning July 1, 2016 and ending June 30, 2017:
General Government:
Governing Body $ 171,770
Administration
3,142,164
Information Technology
1,945,060
Tax
2,487,153
Elections
533,207
Register of Deeds
746,586
Public Buildings
2,839,975
Public Safety:
Sheriff
17,533,001
Emergency Services
8,114,424
Building Inspections
720,766
Adult Day Reporting Center
190,088
Juvenile Day Reporting Center
378,295
Other Public Safety Appropriations
253,210
Economic and Physical Development:
Planning and Zoning
649,814
Cooperative Extension Service
498,723
Soil and Water Conservation
205,845
Other Economic and Physical Development Appropriations
1,393,250
Environmental Protection:
Public Works
2,458,793
Human Services:
Public Health
5,485,563
Social Services
21,301,131
Veteran Services
105,762
Child Support Services
993,070
Other Human Services Appropriations
2,341,680
Cultural and Recreational:
Public Library
2,021,389
Other Cultural and Recreational Appropriations
20,000
Education
29,675,900
Debt Service
12,337,424
Other Financing Uses:
Interfand Transfers Out
4,400,000
Total
$122,944,043
Section 2. It is estimated that the following revenues will be available in the General
Fund for the fiscal year
beginning July 1, 2016 and ending June 30, 2017:
Ad Valorem Property Taxes $ 68,447,375
Local Option Sales Taxes 22,570,238
Other Taxes 1,588,000
Section 3
Section 4.
Section 5
Unrestricted Intergovernmental
350,000
Restricted Intergovernmental
19,674,602
Permits and Fees
1,025,800
Sales and Services
8,711,782
Investment Earnings
101,000
Miscellaneous
274,410
Other Financing Sources:
Appropriated Fund Balance
139,586
Interfund Transfers In
61,250
Total $122,944,043
The following amounts are hereby appropriated in the Emergency Telephone System Fund of
Randolph County for the fiscal year beginning July 1, 2016 and ending June 30, 2017:
E-911 System
Total
S 1,838,378
It is estimated that the following revenues will be available in the Emergency Telephone System
Fund for the fiscal year beginning July 1, 2016 and ending June 30, 2017:
NC 911 Board Distributions
Investment Earnings
Appropriated Fund Balance
Total
$ 1,838,378
$ 1,838,378
The following amounts are hereby appropriated in the Solid Waste Management Fund of Randolph
County for the fiscal year beginning July 1, 2016 and ending June 30, 2017:
Solid Waste Management
S 146,500
Section 6. It is estimated that the following revenues will be available in the Solid Waste Management Fund
for the fiscal year beginning July 1, 2016 and ending June 30, 2017:
Investment Earnings $ 2,000
Appropriated Fund Balance 144,500
Total $ 146,500
Section 7
Section 8
Section 9
The following amounts are hereby appropriated in the Fire Districts Fund for the fiscal year
beginning July 1, 2016 and ending June 30, 2017:
Tax Distributions
S 8,324,449
It is estimated that the following Fire District revenues will be available during the fiscal year
beginning July 1, 2016 and ending June 30, 2017:
Ad Valorem Property Taxes
S 8,324,449
The following amounts are hereby appropriated in the Water Fund for the fiscal year beginning
July 1, 2016 and ending June 30, 2017:
Bulk Water
S 1,805,520
Section 10. It is estimated that the following Water Fund revenues will be available during the fiscal year
beginning July 1, 2016 and ending June 30, 2017:
Investment Earnings S 200
Appropriated Fund Balance 5,320
Transfer from General Fund 1,800,000
Total S 1,805,520
Section 11. There is hereby levied for the fiscal year beginning July 1, 2016 and ending June 30, 2017, a
county -wide tax rate of S 0.6525 per $100 valuation of estimated taxable property situated in the
County. The ad valorem tax is based on a total estimated property valuation of $10,500,000,000,
with an expected collection rate of 99.0%.
Section 12. For the fiscal year beginning July 1, 2016, and ending June 30, 2017, there is hereby levied in the
County of Randolph a dog license fee at the rate of $3.50 per dog.
For the fiscal year beginning July 1, 2016, and ending June 30, 2017, the Board of County
Section 13. Commissioners commits the annual lease revenues to be received from the regional landfill to
support strategic planning initiatives, in the following designated percentages, and reserved for
specific projects as may be approved by the County Commissioners:
Economic development
40%
Health and well-being
40%
Workforce development
20%
There is hereby levied for the fiscal year beginning July 1, 2016 and ending June 30, 2017, the
Section 14. following tax rates for Service Districts for Fire Protection, per $100 valuation of estimated taxable
property situated in the special district. These levies are for the purpose of raising revenues for fire
protection within each respective district.
Fire Service District
Net Valuation
Tax Rate
Estimated
Approved
Climax Fire District
$ 474,110,899
0.1244
Guil-Rand Fire District
$ 2,046,698,070
0.1262
Randleman Sophia Fire District
$ 381,586,858
0.1200
Level Cross Fire District
$ 223,589,019
0.1200
Northeast Fire District
$ 134,763,617
0.1200
Seagrove Fire District
$ 205,025,631
0.1000
Southwest Fire District
$ 79,724,462
0.1200
Staley Fire District
$ 159,691,398
0.1000
Ulah Fire District
$ 587,610,639
0.0700
There is hereby levied for the fiscal year beginning July 1, 2016 and ending June 30, 2017, the
Section 15. following tax rates for Rural Fire Protection Districts, per $100 valuation of estimated taxable
property situated in the special district. These levies are for the purpose of raising revenues for fire
protection within each respective district.
Rural Fire Protection District
Net Valuation
Tax Rate
Estimated
Approved
Bennett Fire District
$ 41,396,214
0.0900
Climax Fire District
$ -
0.0000
Coleridge Fire District
$ 244,670,142
0.0740
Eastside Fire District
$ 468,288,658
0.1100
Fair rove Fire District
$ 380,442,917
0.0883
Farmer Fire District
$ 214,169,992
0.0900
Franklinville Fire District
$ 493,266,834
0.1200
Guil-Rand Fire District
$ -
0.0000
Julian Fire District
$ 87,480,515
0.1100
Level Cross Fire District
$ -
0.0000
Northeast Fire District
$ -
0.0000
Tiger Country Fire District
$ -
0.0000
Seagrove Fire District
$ -
0.0000
Sophia Fire District
$ -
0.0000
Southwest Fire District
$ -
0.0000
Staley Fire District
$ -
0.0000
Tabernacle Fire District
$ 351,897,387
0.1054
Ulah Fire District
$ -
0.0000
Westside Fire District
$ 740,999,239
0.1200
There is hereby levied for the fiscal year beginning July 1, 2016 and ending June 30, 2017, the
Section 16. following School District tax rates per $100 valuation of estimated taxable property situated in the
special district. These levies are for the purpose of raising revenues to supplement school
programs within each respective district.
School District
Net Valuation
Tax Rate
Estimated
Approved
Asheboro City School District
$ 2,192,745,672
$ 0.1500
Archdale -Trinity School District
$ 2,348,142,639
$ 0.0954
Pursuant to the requirements of North Carolina General Statute § 159-9, the County Manager is
Section 17. appointed to serve as Budget Officer. The County Manager and the Assistant County Manager, as
his designee, are hereby authorized to transfer appropriations as contained herein under the
following conditions:
a. The Budget Officer, or his designee, may transfer amounts between line item expenditures
within a department without limitation and without a report being required.
The Budget Officer, or his designee, may not transfer amounts between departments of the
b. General Fund or between funds, except as approved by the Board of County Commissioners in
the Budget Ordinance, as amended.
Section 18. The Budget Officer, or his designee, may make cash advances between funds for periods not to
exceed one hundred eighty days without reporting to the Board of Commissioners. Any advances
that extend beyond one hundred eighty days must be approved by the Board. All advances that
will be outstanding at the end of the fiscal year must be approved by the Board.
Section 19. Copies of this Budget Ordinance shall be filed with the Clerk to the Board of Commissioners of
Randolph County and furnished to the Assistant County Manager/Finance Officer for direction in
the collection of revenues and the expenditure of amounts appropriated.
Section 20. This Budget Ordinance will be effective on July 1, 2016.
Upon motion of Commissioner Kemp, seconded by Commissioner Frye, the foregoing Budget was
passed with the following vote:
Ayes: Commissioner David Allen
Commissioner Darrell Frye
Commissioner Stan Haywood
Commissioner Phil Kemp
Commissioner Arnold Lanier
Noes:
I, Amanda W. Varner, Clerk to the Randolph County Board of Commissioners, do hereby certify that the
foregoing Ordinance was duly adopted by the governing body of Randolph County at a special meeting on June
20, 2016, a quorum being present.
The 20th day of June, 2016.
Adjournment
At 6: 30 p.m., on motion by Haywood, seconded by Allen, the Board adjourned.
Darrell L. Frye, Chairman Phil Kemp
Stan Haywood
David Allen
Arnold Lanier
Amanda Varner, Clerk to the Board
Randolph County
2016 Ambulance Fee Schedule Proposal
Current
Difference
EMSIMC
2016
Adopted
Recoi tnende i
from
Recommendation
Type of Service
Medicare
Fee
Fee its cover
current
Includes 20%
Allowable
Schedule
lwhl ti ,Osts
fee
Medicare Co -Pay &
2014
schedule
minimum 130 or
150% MFS
Requirement
Basic Life Support (BLS)
$216.22 J
$325
$375
+$50
$317.48
Transport — Non Emergency
116i
A0428
Basic Life Support (BLS)
$345.95T
$375
$450
+$75
$449.74
Transport —Emergency
120Yo
A0429
Advanced Life Support —
$259.47T
$375
450
+$75
$337.31
Non Emergency A0426
120%
Advanced Life Support —
$410.82T
$445
$545
+$100
$534.07
Emergency 1 A0427
122i
Advanced Life Support—
$594.61T
$645
$800
+$155
$772.99
Emergency 2 A0433
124i
Specialty Care A0434
$702.72T
$750
$850
+$100
$913.54
113%
Patient Return A0428
$216.22 J
$325
$375
+$50
$281.09
ALS 1 Treatment—
$175
522
+$50
No Transport
128i
Convalescent Waiting Time
$125
$150
+$50
$125
(after 30 mins) added to base
fee — per hour
Standby — Special Event
$100
$1f
No
(Unit & Crew Per Hour)
Change
Standby — Special Event (per
$25
$25
No
hour/per EMS employee)
Change
Morgue Transport
$95
NEW
.ehribu sed bar the NC,Vlale
FEE
Aledical Examiner's ( 'ice
Mileage A0425
$10.97
$10.41
$11.p
+.59
$14.26 (Rural)
105i
***NOTE***
"EMS MC's suggested fee schedule recommendation is a best practice increase to the minimum 130% of the
Medicare allowed amount. The recommended increase ensures Randolph County's compliance with Medicare
guidelines of collecting the 20% obligatory co -pay and minimum 130% or 150% Medicare Fee Schedule (MFS)
requirement that will maximize payments from Insurance companies."
Medical Supplies have increased 125% since the last fee increase.
Vehicle maintenance and repair has increased 142% since the last fee increase.
Average cost for personnel to cover a four-hour special event is $100 (for two EMT's)
Randolph County Health Department
f FY17 Fee Schedule(New Rates are Effective July 1,2016 to June 30,2017)
The Health Department fee schedule is subject to change each
�uuwip�wn fiscal year.
Wi. ALMA IP.pW4iWY9 M
Board of Health approved: 51912016 Commissioners: 6/20/2016
HEALTH DEPARTMENT HEALTH DEPARTMENT FEES
Fee Rate as of
CPT Code
Description
7.1.2016
11981
Insert Nexplanon
$304.00
11982
Remove Nexplanon
$345.00
11983
Nexplanon Insert & Removal
$450.00
56501
TREATMENT OF CONDYLOMA
$255.00
57170
FITTING OF DIAPHRAGM/CAP
$156.00
58300
INSERT IUD
$174.00
58301
REMOVE IUD
$222.00
97802
MEDICAL NUTRITION INDIV IN
$50.00
97803
MED NUTRITION INDIV SUBSEQ
$40.00
99201
New Prob. Focused -10 min
$90.00
99202
New Expanded - 20 min.
$164.00
99203
New Detailed - 30 min.
$210.00
99204
New Comprehensive-45 min
$307.00
99205
New Complex-60 min
$386.00
99211
Est. (Nurses) 5-min.
$38.00
99212
Est. Prob. Focused -10 min.
$84.00
99213
Est. Expanded -15 min.
$140.00
99214
Est. Detailed - 30 min.
$207.00
99215
Est. Comprehensive-45 min.
$279.00
99241
OFFICE CONSULTATION
$104.00
99242
OFFICE CONSULTATION
$175.00
99243
OFFICE CONSULTATION
$239.00
99244
OFFICE CONSULTATION
$355.00
99245
OFFICE CONSULTATION
$435.00
99381
INIT PM E/M NEW PAT INF
$213.00
99382
INIT PM E/M NEW PAT 1-4 YRS
$223.00
99383
PREV VISIT NEW AGE 5-11
$258.00
99384
REV VISIT NEW AGE 12-17
$261.00
99385
PREV VISIT NEW AGE 18-39
$255.00
99386
PREV VISIT NEW AGE 40-64
$295.00
99391
PER PM REEVAL EST PAT INF
$191.00
99392
PREV VISIT EST AGE 1-4
$205.00
99393
PREV VISIT EST AGE 5-11
$205.00
99394
PREV VISIT EST AGE 12-17
$223.00
99395
PREV VISIT EST AGE 18-39
$229.00
99396
PREV VISIT EST AGE 40-64
$244.00
90471
ADMIN 1 VACCINE
$48.00
90472
ADMIN, 2 OR MORE VACCINES
$27.00
Randolph County Health Department
f FY17 Fee Schedule(New Rates are Effective July 1,2016 to June 30,2017)
The Health Department fee schedule is subject to change each
�uuwip�fiscal year.
Wi. WMM& IMryaWOWi+iWY.M
Board of Health approved: 51912016 Commissioners: 6/20/2016
HEALTH DEPARTMENT HEALTH DEPARTMENT FEES
Fee Rate as of
CPT Code
Description
7.1.2016
90473
ADMIN, ORAL VACCINE (ONLY)
$35.00
90474
IMMUNE ADMIN ORAL/NASAL ADDED
$25.00
LU102
COMPLETION OF RECORD OF TB SCREEN
$25.00
99404
PREVENTIVE COUNSELING INDIV
$217.00
99420
HEALTH RISK ASSESSMENT TEST
$20.00
S9445
PT EDUCATION NOC INDIVID
$21.00
81005
URINALYSIS
$5.00
81025
URINE PREGNANCY TEST
$15.00
85018
HEMOGLOBIN
$8.00
87210
WET PREP includes (Q0111)
$15.00
36415
BLOOD DRAW/ FINGER STICK (+00001)
$10.00
00001
VENIPUNCTURE FOR LHD-USE
$16.00
T1002
RN SERVICES UP TO 15 MINUTES
$75.00
82947
GLUCOSE
$12.00
83986
PH BODY FLUID
$10.00
80048
METABOLIC PANEL (CA, TOTAL)
$12.00
80051
ELECTROLYTE PANEL
$11.00
80053
COMPREHEN METABOLIC PANEL
$17.00
80061
LIPID PANEL
$25.00
80074
ACUTE HEPATITIS PANEL
$70.00
80076
HEPATIC FUNCTION PANEL
$13.00
80156
ASSAY CARBAMAZEPINE TOTAL
$22.00
80178
ASSAY LITHIUM
$10.00
80184
ASSAY PHENOBARBITAL
$18.00
80185
ASSAY PHENYTOIN TOTAL
$20.00
82465
ASSAY BLD/SERUM CHOLESTEROL
$10.00
82565
ASSAY CREATININE
$8.00
82607
VITAMIN B-12
$23.00
82728
ASSAY FERRITIN
$21.00
82977
ASSAY GGT
$11.00
83020
HEMOGLOBIN ELECTROPHORESIS
no charge
83036
GLYCOSYLATED HEMOGLOBIN TEST
$15.00
83540
ASSAY IRON
$10.00
83550
IRON BINDING TEST
$13.00
83655
ASSAY LEAD
$45.00
84132
ASSAY SERUM POTASSIUM
$10.00
84295
ASSAY SERUM SODIUM
$10.00
84443
ASSAY THYROID STIM HORMONE
$25.00
Randolph County Health Department
f FY17 Fee Schedule(New Rates are Effective July 1,2016 to June 30,2017)
The Health Department fee schedule is subject to change each
�uuwip�fiscal year.
H.iWMM& IMryaWOWi+iWY.M
Board of Health approved: 51912016 Commissioners: 6/20/2016
HEALTH DEPARTMENT HEALTH DEPARTMENT FEES
Fee Rate as of
CPT Code
Description
7.1.2016
84450
TRANSFERASE (AST) (SCOT)
$10.00
84460
ALANINE AMINO (ALT) (SGPT)
$10.00
84479
ASSAY THYROID (T3 OR T4)
$12.00
84481
FREE ASSAY (FT-3)
$45.00
84520
ASSAY UREA NITROGEN
$10.00
84550
ASSAY BLOOD/URIC ACID
$10.00
85025
COMPLETE CBC W/AUTO DIFF WBC
$16.00
85027
COMPLETE CBC AUTOMATED
$15.00
85045
AUTOMATED RETICULOCYTE COUNT
$8.00
86580
TB SKIN TEST
$18.00
86580P
TB SKIN TEST -Patient Pay
$18.00
86592
Trust (Syphilis serology)
no charge
86593
BLOOD SEROLOGY QUANTITATIVE
$22.36
86701
HIV-1
no charge
86703
HIV-1 HIV-2 SINGLE ASSAY
no charge
86704
HEP B CORE ANTIBODY TOTAL
$20.00
86706
HEP B SURFACE ANTIBODY
$16.00
86707
HEP BE ANTIBODY
$20.00
86787
VARICELLA-ZOSTER ANTIBODY
$20.00
86803
HEPATITIS C AB TEST
$22.00
87149
CULTURE TYPE NUCLEIC ACID
$30.00
87177
OVA AND PARASITES SMEARS
$33.93
87252
HERPES SIMPLEX VIRUS
$40.00
87255
GENET VIRUS ISOLATE HSV
$32.00
87340
HEPATITIS B SURFACE AG EIA
$20.00
87341
HEPATITIS B SURFACE AG EIA
$20.00
87389
HIV-1 AG HIV-1 AND HIV-2 AB
$48.50
87491
CHLAMYDIA
$50.00
87517
HEPATITIS B DNA QUANT
$51.00
87591
GONORRHEA
$52.00
87621
HPV DNA AMP PROBE(HPV Reflex)
$30.00
88141
Pap, MD Interpretation
$32.00
88174
Pap, Thin Prep
$40.00
88175
THIN PREP, PAP PROCESS FEE
$22.00
87081
GONORRHEA -Culture Screen Only
$12.00
87205
STAT MALE SMEAR/GONORRHEA
$11.00
90675
RABIES VACCINE IM
$225.76 •;•
90710
MMRV VACCINE SC
$93.00 .;.
Randolph County Health Department
f FY17 Fee Schedule(New Rates are Effective July 1,2016 to June 30,2017)
The Health Department fee schedule is subject to change each
�uuwip�fiscal year.
Wi. WMM& IMryaWOWi+iWY.M
Board of Health approved: 51912016 Commissioners: 6/20/2016
HEALTH DEPARTMENT HEALTH DEPARTMENT FEES
Fee Rate as of
CPT Code
Description
7.1.2016
90716
CHICKEN PDX VACCINE SC
$92.58 •;•
90732
PNEUMOCOCCAL VACCINE(Adult)
$64.91 .;.
90734
MENACTRA (MCV4)
$108.91 •;•
J1050
DEPO
$124.00
J105OUD
DEPO
$20.68
J7298
LEVONORGESTREL 52 MG 5 YEAR(Mirena)
$912.00
J7298UD
LEVONORGESTREL 52 MG 5 YEAR(Mirena)
$312.80
J7300
IUD Device-Paragard
$942.66
J730OUD
IUD Device-Paragard
$157.11
J7307
Nexplanon
$850.00
J7307UD
Nexplanon
$320.04
S4993
BC Pills (Birth Control Pills)
$8.82
S4993UD
BC Pills (Birth Control Pills)
$8.82
Note: (The fees with a ❖ after the cost are vaccines that Randolph County Health Department
orders in limited amounts. Randolph County Health Department charges the manufacturer's
cost, and these prices are subject to change).
Randolph County Health Department
"- FY17 Fee Schedule(New Rates are Effective July 1,2016 to June 30,2017)
The Health Department fee schedule is subject to change each
fiscal year.
Board of Health approved: 51912016 Commissioners: 6/20/2016
HEALTH DEPARTMENT DENTAL FEES
Fee Rate as of
CDT Code
Description
7.1.2016
50120
PERIODIC ORAL EVALUATION
$50.00
D0140
LIMIT ORAL EVAL PROBLEM FOCUS
$70.00
D0145
ORAL EVALUATION PT < 3YRS
$61.00
D0150
COMPREHENSIVE ORAL EVALUATION
$82.00
D0220
INTRAORAL PERIAPICAL FIRST F
$28.00
D0230
INTRAORAL PERIAPICAL EA ADD
$22.00
D0270
DENTAL BITEWING SINGLE FILM
$24.00
D0272
DENTAL BITEWINGS TWO FILMS
$42.00
D0274
DENTAL BITEWINGS FOUR FILMS
$55.00
D0330
DENTAL PANORAMIC FILM
$110.00
D0470
DIAGNOSTIC CASTS
$60.00
D1110
DENTAL PROPHYLAXIS ADULT
$70.00
D1120
DENTAL PROPHYLAXIS CHILD
$55.00
D1201
TOPICAL FLUORIDE W PROPHYLAXIS C
$41.00
D1205
TOPICAL FLUORIDE W/ PROPHYLAXIS A
$43.00
D1206
TOPICAL FLUORIDE VARNISH
$55.00
D1208
TOPICAL FLUOR (UNDER AGE 21)
$40.00
D1351
DENTAL SEALANT PER TOOTH
$47.00
D1510
SPACE MAINTAINER FIXED UNILAT
$280.00
D1515
FIXED BILAT SPACE MAINTAINER
$380.00
D2110
AMALGAM ONE SURFACE PRIMARY
$58.00
D2140
AMALGAM ONE SURFACE PERMANENT
$110.00
D2150
AMALGAM TWO SURFACES PERMANENT
$140.00
D2160
AMALGAM THREE SURFACES PERMANENT
$170.00
D2161
AMALGAM 4 OR > SURFACES PERM
$200.00
D2330
RESIN 1 SURFACE - ANT
$120.00
D2331
RESIN 2 SURFACES - ANT
$130.00
D2332
RESIN 3 SURFACES - ANT
$190.00
D2335
RESIN 4+ SURF OR W INCISAL ANT
$220.00
D2390
RESIN -BASED COMPOSITE CROWN ANT
$220.00
D2391
RESIN -BASED COMPOSITE-1 SURF PSTR
$150.00
D2392
RESIN -BASED COMPOSITE-2 SURF PSTR
$180.00
D2393
RESIN -BASED COMPOSITE-3 SURF PSTR
$235.00
D2394
RESIN -BASED COMPOSITE-4+ SURF PSTR
$250.00
D2920
DENTAL RECEMENT CROWN
$19.00
D2930
PREFAB STAINLESS STEEL CROWN PRI
$250.00
D2931
PREFAB STAINLESS STEEL CROWN PE
$250.00
D2940
PROTECTIVE RESTORATION
$76.00
Randolph County Health Department
"- FY17 Fee Schedule(New Rates are Effective July 1,2016 to June 30,2017)
The Health Department fee schedule is subject to change each
fiscal year.
Board of Health approved: 51912016 Commissioners: 6/20/2016
HEALTH DEPARTMENT DENTAL FEES
Fee Rate as of
CDT Code
Description
7.1.2016
D2951
TOOTH PIN RETENTION
$20.20
D3110
PULP CAP DIRECT
$16.00
D3120
PULP CAP INDIRECT
$50.00
D3220
THERAPEUTIC PULPOTOMY
$150.00
D4341
PERIODONTAL SCALING & ROOT
$43.00
D4355
FULL MOUTH DEBRIDEMENT
$125.00
D7111
EXTRACTION CORONAL REMNANTS
$75.00
D7140
EXTRACTION ERUPTED TOOTH/EXR
$140.00
D7210
SURG REM ERPTD TOOTH/BONE W/ MUCOP
$200.00
D7270
TOOTH REIMPLANTATION
$250.00
D7510
I&D ABSCESS INTRAORAL SOFT TISSUE
$154.00
D7520
I & D ABSCESS EXTRAORAL
$747.00
D9110
TX DENTAL PAIN MINOR PROC
$60.00
D9310
DENTAL CONSULTATION
$35.00
Randolph County Health Department
FY17 Fee Schedule(New Rates are Effective July 1,2016 to June 30,2017)
The Health Department fee schedule is subject to change each
�,.fiscal year.
wa�ewmurr� rp■rrer�mmmw
Board of Health approved: 51912016 Commissioners: 6/20/2016
HEALTH DEPARTMENT ENVIRONMENTAL HEALTH FEES
Environmental Health Services
Fee Rate as of
wimmmg Pooh Phan Review
7.1.2016
$200.00
•
Swimming Pool Permits (annual)
$100.00
•
Return visit if Pool not ready
$ 50.00
•
Tattoo Permits
$ 2 50.00
•
Food and Lodging Plan Review
Restaurants (seats)
$200.00
Food Stands (no seats)
$150.00
Meat Markets
$100.00
Mobile Food Unit
$ 75.00
Push Cart (Custom built, non -NSF)
$ 75.00
•
Temporary Food Establishments
$ 75.00
•
Limited Food Service Establishments
$ 75.00
•
New Wastewater Improvement Permits
(0-600 gal)
$200.00
(601-1000 gal)
$ 300.00
(1001-3000 gal)
$400.00
(3001-10000 gal)
$ 600.00
•
Wastewater Expansion Permits regardless of size
$100.00
• Authorization to Construct
Type I and II
$ 50.00
Type III and IV Systems
$150.00
Type V and VI Systems
$ 500.00
• Authorization to connect to an existing system
$ 50.00
• Consultative Visits
$100.00
• Re -inspection
$ 50.00
• Well Permits
$250.00
• Water Samples
Bacteriological
$ 26.00
Inorganic Chemical
$ 74.00
Petroleum
$ 74.00
Pesticide
$ 74.00
VOC
$ 74.00
Lead
$40.00
Fluoride
$ 2 5.00
Nitrate/ Nitrite
$ 5 5.00
Sulfur Sulfate Reducing Bacteria
$ 50.00
Iron Bacteria
$ 2 8.00
Other
*TBD
Trip Fee (One per application)
$ 30.00
Randolph County Health Department
FY17 Fee Schedule(New Rates are Effective July 1,2016 to June 30,2017)
The Health Department fee schedule is subject to change each
.01 fiscal year.
Board of Health approved: 51912016 Commissioners: 6/20/2016
HEALTH DEPARTMENT
ANIMAL CONTROL FEES
Animal Control Services
Fee Rate as of
• Nuisance Vio�ahon
7.1.2016
1st offense
$ 50
2nd offense
$100
3rd offense
$200
• Animal Running at Large
1st offense
$ 50
2nd offense
$100
3rd offense
$200
• Livestock Running at Large
1st offense
$ 50
2nd offense
$100
3rd offense
$200
• Interference with an Animal Control Officer
1st offense
$250
2nd offense
$ 500
3rd offense
$1 000
• Abandoning an Animal
$100
• Intentional Damage/Neglect
To a Dog or Cat Trap
$250
• Interference with Traps
1st offense
$ 50
2nd offense
$ 75
3rd offense
$100
• Dangerous Dogs
1st offense
$250
2nd offense
$ 500
3rd offense
$1,000
• Wild and Dangerous Animal
$ 300
• Exotic Reptile/Mammals
$100
• Rabies Vaccination Tag and Certification
$ 50
• Violation of Quarantine
$100
• Failure to Confine for Observation
$200
• Cruelty to Animals
$200
• Reclaim Penalty For
2nd impoundment of same animal
$10
3rd impoundment of same animal
$ 2 5
4th impoundment of same animal
$ 50
• Adoption Rule Violation
$200
• Non -Penalty Fees (Animal Control)
Randolph County Health Department
FY17 Fee Schedule(New Rates are Effective July 1,2016 to June 30,2017)
The Health Department fee schedule is subject to change each
.01 fiscal year.
Board of Health approved: 51912016 Commissioners: 6/20/2016
HEALTH DEPARTMENT ANIMAL CONTROL FEES
Animal Control Services Fee Rate as of
7.1.2016
Adoption Fees
Dogs and Cats
$ 2 5
Other small animals
$ 5
Euthanasia Request (owned animal)
$ 2 5
Rabies Quarantine Observation
$100
Animal Board Fee Per Day
$10
Owner Surrender
$15
Rabies Vaccine
$10
Microchip
$20
Heart Worm Test
$10
Feline Triple Test
$16
T-Shirt
$10
Leashes
$3
New Leash On Life Dog(Trained)
$200
Municipalities not Contracted
$10
with Animal Control to provide services.
(Charge per animal brought to Animal
Control).