DEPARTMENT: Public Health
FILE TYPE: Consent Action
TITLE
title
Authorization To Adopt 2025 Public Health Fee Schedule
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PURPOSE/ACTION REQUESTED
Authorize adoption of the 2025 Public Health Fee Schedule.
SUMMARY
The Dakota County Board of Commissioners, serving as the Community Health Board, has the authority to establish and collect reasonable fees for performing its duties and providing community health services pursuant to Minn. Stat. § 145A.04, subd. 4 (c). An oversight occurred in the 2025 County Fee approval process, in which a comprehensive list of fees was not included for Public Health. Fees are presented now to ensure Public Health fees are on the record. Public Health fees were set based on the analysis of costs to perform the services listed by a Public Health Nurse or Community Health Worker and are comparative to rates across the metro.
Public Health recommends the Dakota County Board of Commissioners authorize adoption of the following 2025 Public Health Fees:
• Service Area: Tuberculosis (TB) Directly Observed Therapy - DOT - (In-person, Telehealth)
o Billing Code: H0033
o Fee: $70.00
• Service Area: Public Health Nurse (PHN) Asthma Education (In-person and Telehealth)
o Billing Code: S9441
o Fee: $252.00
• Service Area: PHN Home Visit, PHN Refugee Health Visit, PHN Family Health Visit, PHN TB/Infectious Disease Visit, PHN Asthma Health Visit (In-person and Telehealth)
o Billing Code: S9123
o Fee: $252.00
• Service Area: PHN Lactation Consultation (In-person and Telehealth)
o Billing Code: S9443
o Fee: $252.00
• Service Area: All-inclusive clinic visit
o Billing Code: T1015
o Fee: $252.00
• Service Area: Latent TB Infection - PHN Case Management
o Billing Code: T1016
o Fee: $126.00
• Service Area: Immunization Fees - Immunization Services
o Billing Code: 90471, 90472, 90473, 90480
o Fee: $21.00
• Service Area: Immunization Fees - TB Skin Test TST (Mantoux)
o Billing Code: 90471, 90472, 90473, 90480
o Fee: $25.00
• Service Area: Immunization Fees - Hepatitis B (Hep B) immunizations
o Billing Code: 90471, 90472, 90473, 90480
o Fee: $55.00
• Service Area: Immunization Fees - Immunization Services - Employer-Paid
o Billing Code: 90471, 90472, 90473, 90480
o Fee: $5.00
• Service Area: Maternal-Child Health (MCH) - Community Health Worker (CHW) Visit
o Billing Code: 98960
o Fee: $32.00
• Service Area: PHN Postpartum Visit
o Billing Code: 99501
o Fee: $252.00
• Service Area: PHN Newborn Visit
o Billing Code: 99502
o Fee: $252.00
RECOMMENDATION
recommendation
Public Health recommends the Dakota County Board of Commissioners authorize the adoption of the 2025 Public Health Fees as shown in the Resolution.
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EXPLANATION OF FISCAL/FTE IMPACTS
The revenues from fees are included in the 2025 Public Health Budget.
☒ None ☐ Current budget ☐ Other
☐ Amendment Requested ☐ New FTE(s) requested
RESOLUTION
body
WHEREAS, the Dakota County Board of Commissioners, serving as the Community Health Board, has the authority to establish and collect reasonable fees for performing its duties and providing community health services pursuant to Minn. Stat. § 145A.04, subd. 4 (c); and
WHEREAS, an oversight occurred in the 2025 County Fee approval process, in which a comprehensive list of fees was not included for Public Health; and
WHEREAS, fees are presented now to ensure Public Health fees are on the record; and
WHEREAS, Public Health fees were set based on the analysis of costs to perform the services listed by a Public Health Nurse or Community Health Worker and are comparative to rates across the metro.
NOW, THEREFORE, BE IT RESOLVED, That the Dakota County Board of Commissioners hereby authorizes the adoption of the fee schedule to the following:
• Service Area: Tuberculosis (TB) Directly Observed Therapy - DOT - (In-person, Telehealth)
o Billing Code: H0033
o Fee: $70.00
• Service Area: Public Health Nurse (PHN) Asthma Education (In-person and Telehealth)
o Billing Code: S9441
o Fee: $252.00
• Service Area: PHN Home Visit, PHN Refugee Health Visit, PHN Family Health Visit, PHN TB/Infectious Disease Visit, PHN Asthma Health Visit (In-person and Telehealth)
o Billing Code: S9123
o Fee: $252.00
• Service Area: PHN Lactation Consultation (In-person and Telehealth)
o Billing Code: S9443
o Fee: $252.00
• Service Area: All-inclusive clinic visit
o Billing Code: T1015
o Fee: $252.00
• Service Area: Latent TB Infection - PHN Case Management
o Billing Code: T1016
o Fee: $126.00
• Service Area: Immunization Fees - Immunization Services
o Billing Code: 90471, 90472, 90473, 90480
o Fee: $21.00
• Service Area: Immunization Fees - TB Skin Test TST (Mantoux)
o Billing Code: 90471, 90472, 90473, 90480
o Fee: $25.00
• Service Area: Immunization Fees - Hepatitis B (Hep B) immunizations
o Billing Code: 90471, 90472, 90473, 90480
o Fee: $55.00
• Service Area: Immunization Fees - Immunization Services - Employer-Paid
o Billing Code: 90471, 90472, 90473, 90480
o Fee: $5.00
• Service Area: Maternal-Child Health (MCH) - Community Health Worker (CHW) Visit
o Billing Code: 98960
o Fee: $32.00
• Service Area: PHN Postpartum Visit
o Billing Code: 99501
o Fee: $252.00
• Service Area: PHN Newborn Visit
o Billing Code: 99502
o Fee: $252.00
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PREVIOUS BOARD ACTION
None.
ATTACHMENTS
None.
BOARD GOALS
☒ Thriving People ☐ A Healthy Environment with Quality Natural Resources
☐ A Successful Place for Business and Jobs ☐ Excellence in Public Service
CONTACTS
Department Head: Gina Pistulka
Author: Lori Tolzman