2022-450-Resolution No. 2022-078 Recorded 12/15/2022Recorded in Deschutes County
Steve Dennison, County Clerk CJ2022-450
Commissioners, Journal 12/15/2022 3:55:56 PM
REVIEWED
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2022-450 II �II
LEGAL COUNSEL
For Recording Stamp Only
BEFORE THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY,
OREGON
A Resolution Amending the Deschutes
County 2022-2023 Fee Schedule * RESOLUTION NO. 2022-078
*
WHEREAS, various departments of Deschutes County charge fees for services and
permits; and
WHEREAS, it is necessary to amend the Deschutes County Fee Schedule and to adopt the
revised Health Services Fees to charge new Medicaid rates or Actual Cost of Service fees, and
WHEREAS, various Deschutes County departments have proposed fees and charges for
services and permits; and
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
DESCHUTES COUNTY, OREGON, as follows:
Section 1. That the fees set forth in Exhibit "A", attached hereto and, by this reference,
incorporated herein, are hereby amended in the 2022-2023 fees and charges of Deschutes County,
Oregon.
Section 2. The fees and charges for services and permits adopted in Exhibit A of this
Resolution are effective December 7, 2022.
Section 3. All fees and charges for services and permits in effect prior to December 7, 2022,
are hereby continued or superseded as provided herein.
Page 1 OF 2-Resolution no. 2022-078
DATED this day of December, 2022.
BOARD OF COUNTY COMMISSIONERS OF
D 7HUTES COUNTY, OREGON
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PAINTrXTAIR, C air
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ATTEST: ANTHONY DEBONE, Vice -Chair
Recording Secretary PHIL C ANG, Commissioner
Page 2 OF 2-Resolution no. 2022-078
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�v1ES CO
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�A I BOARD OF
-•r;,,�j� COMMISSIONERS
MEETING DATE: December 7, 2022
SUBJECT: Public Hearing and Resolution amending the Deschutes County Fee Schedule to
adopt revised FY 2023 Health Services fees
RECOMMENDED MOTION:
Following the public hearing, move approval of Resolution 2022-078 to amend the FY 2023
Deschutes County Fee Schedule and adopt the revised FY 2023 Health Services Fees.
BACKGROUND AND POLICY IMPLICATIONS:
In November 2022, the Center for Medicaid Services approved Oregon Health Authority's
request to increase Behavioral Health rates an average of 30 percent. Not all rates
increased —some received no increase while others doubled.
The new rates are available to be paid to Deschutes County Health Services starting in
January 2023 in accordance with its current PacificSource agreement; however, several of
the adopted FY 2023 Health Services fees are lower than what is available for
reimbursement due to the recently increased Medicaid rates. Health Services requests the
FY 2023 Deschutes County Fee Schedule be amended to reflect recent changes. The
proposed FY 2023 Fee Schedule is attached.
Oregon Health Plan and third party insurance providers are the primary recipients of the
approved billed fees, and uninsured clients are charged fees based on a sliding scale
according to Federal Poverty income guidelines.
BUDGET IMPACTS:
An estimated $500,000 in additional revenue is anticipated.
ATTENDANCE:
Cheryl Smallman, Health Services Business Officer
Arielle Samuel, Revenue and Contracts Manager
Janice Garceau, Health Services Director
Dan Emerson, Budget Manager