Changes to CSB Fees and Practices for 2014

Reimbursement for Services Policy 2120

  • Adds language on use of Extended Payment Plans and Deferred Repayment Contracts
  • Clarifies County policy regarding the placement of delinquent accounts with the Fairfax County Department of Tax Administration (DTA) for collection.

Ability to Pay Scale

  • Eliminates the minimum fee
  • Increases the 0% liability income threshold to 150% of Federal Poverty Guideline ($17,235 for an individual)
  • Reduces the number of increments between 0% and 100% liable from 12 down to 6
  • Removes subsidies for mid and upper incomes
  • Asks individuals with incomes over 200% of FPL to pay a little more than in the past
  • Demonstrates fiscal responsibility without threatening the safety net

CSB Fee Regulation – Fee and Subsidy Related Procedures 2120.1

  • Removes redundancies, simplifies many sections and updates terms
  • Adds category of Unanticipated Revisions to be authorized following the instruction from these:  County Code, State Code, Virginia Medicaid, Federal regulation or law, and American Medical Association.
  • Updates the list of Services Provided at No Cost to the Individual by:
    • Removes reference to Pre-Release Center and Substance Abuse Suspension Program
    • Adds reference to Diversion to Detoxification Center services
    • Adds reference to services not requested or refused by individuals

CSB Fee Schedule

  • Updates fees related to costs, new contracted rates, or comparative data.
  • Adds clinical procedure codes and fees for three levels of complexity in Evaluation & Management services performed by medical staff
  • Reestablishes per diem fees subject to the Ability to Pay Scale for two Residential Treatment programs for better alignment
  • Sets fees for several Nursing services and Physician-directed Addiction Medicine and Physical Exams to initiate discussions with new Medicaid managed care companies and Qualified Health Plans
  • Adds Telehealth Facility Fee as allowed under Medicare
  • Clarifies the difference in Release of Information copying charges between individuals and third parties
  • Removes service fees for inactive/obsolete services

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Fairfax-Falls Church Community Services Board

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