Technical Summary of Proposed Fee Changes
Effective November 1, 2012
Summary of Changes to CSB Fee Regulations
Fee Regulation – Fee and Subsidy Related Procedures 2120.1
Changes the list of Services Provided at No Cost to
the Individual by:
- Removing a no-fee Youth Consult/Screening/Testing service as it previously related to Fairfax County Public School referrals.
- Replacing the Non-Targeted Case Management language with Care Coordination language.
Complies with Fairfax County Code and Code of
Virginia related to delinquent accounts and collections. This
- Raising the Returned Check fee to $50. Previously the CSB charged $25.
- Transferring accounts with billed charges that remain unpaid more than 180 days (definition of delinquent) to a collection agency. Previously the CSB only transferred unpaid accounts of individuals who are no longer receiving services.
- Passing to individuals the 20% collection fee charged by the external collection agency. Previously the CSB absorbed the collection fee.
Note: The CSB may also begin charging a 10% fee for late payments, plus interest, plus a $30 administrative fee on past due and delinquent (unpaid for over 180 days) accounts. Previously the CSB did not assess such penalties. However, this action will not be implemented until the County Executive has authorized the CSB to do so to include approving the cost of making any system enhancements.
Fee Regulation – Subsidized Psychotropic Medication Charges 2120.2
- Clarifies eligibility criteria.
Effective December 1, 2012
Summary of Changes to CSB Fee Schedule and Ability to Pay Scale
- Updates fees based on prior year unit costs, new contracted rates, or comparative data.
- Identifies which fees are subject to the Ability to Pay Scale and which are not.
- Establishes a new per diem sliding scale fee for social and medical detoxification services, including subutex.
- Reassigns fee from Urine Collection/Drug Screening Tests to Retests only.
- Applies residential fees based on percentage of income across mental health and substance abuse, and adds a $5 minimum. (Excludes the $5 minimum from applying to the HUD grant program.)
- Adds self-pay option subject to Ability to Pay Scale for Sojourn House.
- Clarifies that the fees for medication management and psychiatric evaluations are not bundled into the fees for day treatment, intensive community treatment, residential or crisis services.
- Updates the Scale based on the historically used framework of federal poverty guidelines and County median income.
- Adjusts minimum fee on Scale from $2.00 to $5.00 for services subject to the Scale.
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