The Human Services Department provides many services to clients and is authorized to charge fees to clients on a bundled basis (a flat fee based on any number of services provided within a specified period of time) or on an individual fee for service basis, and for services which are not otherwise paid for, in whole or in part, by Medicaid, or any other governmental agency. Bundled or individual fee for services are categorized based on long established billing guidelines by Medicaid, and other governmental entities. The following is a description of each service category and the fee associated with that service category.
Part I. Direct Services
1. Bundled Services:
A bundled service is defined as a flat fee based on any number of services provided within a specified period of time. These rates are established for Broward Addiction Recovery Division (aka BARC), Elderly and Veteran Services Division (EVSD) and Family Success Administration Division (FSAD).
| Service |
Rate |
|
a. Detoxification - Medical Detoxification |
$199.80 per day, per client |
|
b. Residential Treatment |
$140.40 per day, per client |
|
c. Non-residential Day/Night Treatment |
$75.60 per group session, per client |
2. Individual Fee for Service:
These are treatment services that are either not included in the services provided within a Bundled Services' category, or the client is not enrolled within any of the Bundled Service categories listed above.
| Service |
Rate |
|
a. Bio-psychosocial Assessment |
$81.00 per hour, per client |
|
b. Individual Services |
$97.20 per hour, per client or $24.31 for 15 minute interval(s) |
|
c. Treatment Group Services |
$32.40 per hour, per client or $8.10 for 15-minute interval(s) |
|
d. Medical and Psychiatric Services |
|
|
Initial Physical Exam |
$108.00 flat rate (if not admitted) |
| Nursing Assessment |
$21.60 flat rate (if not admitted) |
| Psychiatric Evaluation |
$135.00 per hour |
| Psychiatric Review of Medical Records |
$37.80 per quarter hour |
| Physician Clinic Visit |
$54.00 per quarter hour |
| ARNP Clinic Visit |
$54.00 per quarter hour |
| Specimen/Urine Draw |
$21.60 per sample |
| On-site Urine Screening |
$10.80 per test |
| Breathalyzer |
$10.80 per test |
| Competency Restoration |
$75.60 per hour |
3. Support Services
These are support services that are either not included in the services provided within a Bundled Services' category or the client is not enrolled within any of the Bundled Service categories listed above.
| Service |
Rate |
|
a. Individual Services |
$97.20 per hour, per client or $24.31 for 15 minute interval(s) |
|
b. Aftercare Group Services |
$21.60 per hour, per client or $5.40 for 15-minute interval(s) |
| c. Other Supportive Services |
|
|
Transitional Housing |
Actual per day contracted rate |
| Supported Housing/Living |
$51.84 per day |
4. Other Fees and Billing Practices
a. Meal Service
Broward County employees who work at or for BARC may purchase meals prepared at the Division's residential facility. The Division may make adjustments to the price of the meals as necessary, on an annual basis, to cover the cost of the meal in accordance with policies and procedures established and maintained by the Division.
|
Breakfast |
$4.32 per meal |
|
Lunch |
$7.56 per meal |
| Dinner |
$7.56 per meal |
|
Snacks |
$1.08 per snack |
The Human Services Department Director shall establish a written procedure for the purchase of such meals.
The revenues collected pursuant to this Section, shall be deposited in the General Fund Account of the BARC Division.
b. Fees for Continuing Education Units (CEU’s)
The Department or any of its Divisions may charge for classes it provides for Continuing Education Units (CEU’s) to outside participants at a fee of $16.20 per Continuing Education Unit (CEU) for internal or locally contracted trainers. If the Department or any of its Divisions' contracts with non-locally contracted trainers, a fee in the amount of $27.00 per CEU may be charged to outside participants. Outside participants are defined as anyone who is not currently employed by the Human Services Department.
Should the Department or any of its Divisions become certified as a Florida Board of Psychology or an American Psychological Association provider, CEU’s for those specialized trainings may be charged at $27.00 per CEU.
If the Department or any of its Divisions receives a grant to provide training from an outside source, the cost of the CEU’s may be offset to the extent of the grant funding. The Department and its Divisions reserve the right to negotiate for trainers in exchange for class participation.
c. Billing Practices
The Department and its Divisions reserve the ability to accept cash, money order, credit cards, or bank checks as a form of payment. Personal checks will not be accepted.
d. Sliding Fee Scale and Contracted Rates
Broward Addiction Recovery Division (aka BARC) Sliding Scale
The Division has established a sliding fee scale based on the annually established U.S. Department of Health and Human Services Poverty Guidelines for the forty-eight (48) contiguous states, including adjustments for family size as published in February of each year. The client’s income level and family size determines where he or she places on the sliding fee scale.
|
Income Level of Client (Percent of Poverty Level) |
Percent of Current Maximum Fee Client Shall Pay |
|
0 to 200% |
10% |
| More than 200% to 300% |
20% |
|
More than 300% to 400% |
30% |
| More than 400% to 500% |
40% |
| More than 500% to 600% |
60% |
| More than 600% to 700% |
80% |
| More than 700% |
100% |
Elderly and Veterans Services Division Sliding Fee Scale
An individual client fee will be assessed based on the current Human Services Department Fee Schedule for the delivered service not to exceed the maximum current fee. Fees are adjusted based on a sliding fee scale as specified in program guidelines promulgated by the Florida Department of Elder Affairs.
Contracted Rates
The Department/Division may apply for or receive grants or otherwise enter into agreements with outside agencies and health care providers setting forth a fixed fee for the services described above. The Department/Division Director shall have the authority to negotiate fees not to exceed 100% of the maximum published fees referred to in Section 36.1.
PART II. MEDICAL EXAMINER AND TRAUMA SERVICES
1. Toxicology Fees
| Service |
Rate |
|
Volatile Screen I by HSGC/FID |
$41.94 |
|
Volatile Screen II by HSGC/FID |
$47.18 |
|
Enzyme Linked ImmunoSorbent Assay (ELISA) 7 Drug Panel |
$73.40 |
| Acid, Basic and Neutral (ABN) Drug Confirmation and Quantification by GC/MS |
$230.68 |
| Blood Salicylate Screen and Confirmation by UV/Vis |
$52.43
|
| Blood Carbon Monoxide Screen by CO-Oximeter |
$26.21 |
| Blood Carbon Monoxide Confirmation by UV/Vis |
$52.43 |
| Blood Cyanide Screen by Cyanotesmo Paper |
$26.21 |
| Blood Cyanide Quantification and Confirmation by UV/Vis |
$52.43 |
| Blood Hydromorphone and Morphine Confirmation and Quantification by GC/MS |
$188.74 |
| Gamma-hydroxybutyric Acid (GHB) Confirmation and Quantification by GC/MS |
$188.74 |
| Urine Immunoassay (IA) 10 Drug Panel |
$41.94 |
| Urine Basic Drug Screen by GC/MS |
$146.80
|
| Urine Cannabinoid Confirmation by TLC |
$68.16 |
| Urine Salicylate Screen |
$10.49 |
| Urine Salicylate Confirmation by UV/Vis |
$52.43
|
| Acid, Basic and Neutral (ABN) Drug Screen by GC/MS |
$188.74 |
|
Forensic toxicology consultation or testimony is $324.00 per hour.
|
2. Pathology Service Fees
Any costs incurred in transporting the body to the Medical Examiner's Office shall be borne by the state agency and shall be included in the autopsy fee. Pathology consultation or testimony fees shall be $324.00 per hour.
3. Cremation Approvals
There shall be a service fee of $52.43 for each cremation approval issued by the Medical Examiner and Trauma Services Division.
4. Certificate/License Application Processing Fees
A processing fee in the amount of $540.00, made payable to the Board of County Commissioners, shall be submitted with all applications for Certificates of Public Convenience and Necessity for Emergency Medical Services, and Nonemergency Medical Transportation Service Licenses, unless waived by the County.
5. Certificate/License Fee
a. Prior to the issuance of a certificate of Public Convenience and Necessity for Emergency Medical Services each Provider shall pay to the County a fee of $270.00 which includes the first five (5) vehicles or less, including aircraft, and $54.00 for each vehicle in excess of five (5) vehicles.
b. Prior to the issuance of a License for Nonemergency Medical Transportation Service (new or renewal), each Provider shall pay to the County a fee of $270.00, and $54.00 for each vehicle in excess of five (5) vehicles.
PART III. COMMUNITY PARTNERSHIPS DIVISION - CHILD CARE LICENSING AND ENFORCEMENT SECTION
1. Child Care Facility Fees
| a. Application fee |
$30.60 |
|
b. License fee: |
|
|
Center capacity 0-50 |
$79.55 |
|
Center capacity 51-150 |
$140.73 |
| Center capacity over 150 |
$183.55 |
| c. License exempt facilities will be charged a fee for registration of $122.36 |
2. Child Care and Home Facility Licensure Fee Schedule
License Fee:
a. Child care facilities with up to 50 children will be charged a license fee of $79.55.
b. Child care facilities with over 50 children and up to 150 children will be charged a license fee of $140.73.
c. Child care facilities with over 150 children will be charged a license fee of $183.55.
d. If a child care facility elects during its licensure period to change its name, change the licensed capacity of the facility, or add nighttime child care as a service, an additional fee of $61.18 will be charged.
3. Other Fees
a. There shall be a $30.60 non-refundable application fee for any new prospective owner-operator of a child care facility.
b. Renewal applications received less than 45 days before the expiration date of the license shall be assessed a $61.18 late processing fee.
c. Family Child Care Homes will be charged $30.60.
d. There shall be a screening fee for processing fingerprint results of $58.12 per person charged to child care personnel of child care facilities, including arrangements for child care.