June 3, 2013 - 10:00 AM - County Board of Commissioners Meeting Minutes

10 448 Meeting of the Johnston County Board of Commissioners June 3 , 2013 10 00 am The Johnston County Board of Commissioners met in regular session Monday , June 3 , 2013 at 10 00 am in the Commissioners Meeting Room , Johnston County Courthouse Annex , Smithfield , North Carolina The following members were present Present Chairman Jeffrey P Carver , Cookie Pope , Allen L Mims , Jr , DeVan Barbour , Ted G Godwin , and Chad M Stewart Absent Vice Chairman Tony Braswell Also Present County Manager Rick J Hester , Clerk to the Board Paula G Woodard , Finance Officer and Assistant County Manager J Chad McLamb , County Attorney David F Mills , and Paralegal Deputy Clerk to the Board Dana Cuddington Chairman Jeffrey P Carver called the meeting to order at 10 00 am Commissioner Ted G Godwin opened the meeting with a prayer Commissioner Cookie Pope led those in attendance in the pledge of allegiance to the American flag 1 Approval Discussion of Agenda Upon a motion by Commissioner Cookie Pope , seconded by Commissioner Allen L Mims , Jr , and carried by unanimous vote , the Board approved the agenda as presented 2 Consent Agenda Items Upon a motion by Commissioner Allen L Mims , Jr , seconded by Commissioner Ted G Godwin , and carried by unanimous vote , the Board approved the consent agenda items as follows A Approval of Minutes – May 6 , 2013 10 00 am and 6 00 pm B Tax Releases & Refunds – 04 16 2013 – 05 15 2013 Motor Vehicle Release Refund Report Year Bill # Acct # Name Tran Type Paid 2012 1304 - 539952 1301 - 557532 SMELLEDGE , CHARLES HENRY Release 19976 2012 1304 - 541275 1301 - 557474 PARRISH , WILLIAM CLARK Release 26400 2012 1304 - 545273 1301 - 547623 GUY C LEE BUILDING MATERIALS OF SMIT Release 16291 2012 1304 - 545275 1301 - 557624 LAMPE LEASING LLC Release 47709 2012 1304 - 545272 1301 - 555283 GUY C LEE BUILDING MATERIALS OF SMIT Release 43304 2012 1301 - 504459 1210 - 520699 ORRINGER , DAVID STEWART Overpayment 14734 2011 1205 - 382438 1202 - 403001 SANCHEZ , NATALIE SETAURE Release 24125 2012 1303 - 532665 1212 - 534942 JONES , JR , NEWITT WENTZ Release 14872 2012 1304 - 543787 1301 - 555621 WAINWRIGHT , BRIAN NEAL Release 22275 2012 1302 - 511310 1211 - 530627 AUMAN , CARL STEPHEN Tag Surrender 11997 2012 1210 - 451037 1207 - 464572 PRESTAGE , ROBERT SCOTT Overpayment 15424 2012 1209 - 433499 1206 - 459945 HANKS , REGINALD THOMAS Overpayment 21225 2012 1209 - 440221 1206 - 463177 BARNES , MICHAEL EUGENE Release 47717 2012 1302 - 515699 1211 - 532351 KENNEDY , BRION THOMAS Release 15775 2011 1203 - 360351 1112 - 373029 SCARBORO , MELISSA SPEARS Overpayment 21547 2011 1205 - 381172 1202 - 399742 KEALEY , RICHARD JOHN Overpayment 11100 2011 1206 - 400075 1203 - 414617 COKER , KYLE LOGAN Overpayment 16783 2012 1208 - 420646 1205 - 445130 POTTER , MARCUS LEROI Overpayment 13448 2012 1209 - 438563 1206 - 457972 TURNAGE , TOMISHA BOULDRICK Overpayment 10659 2012 1209 - 439687 1206 - 457194 CAPPS , HEATH ANTHONY Overpayment 14841 2012 1211 - 474973 1208 - 489947 HAMILTON , CLIFTON DAVID Overpayment 20419 2012 1212 - 487336 1209 - 501892 NORRIS , RANDY ALTON Overpayment 12595 2012 1212 - 494613 1209 - 500572 SMITH , WILLIAM DAVID Overpayment 19536 Page449 June 3 , 2013 – 10 00 am Continued 2012 1304 - 540040 1301 - 558404 USSERY , JR , THOMAS REGINALD Release 20275 2012 1208 - 420347 1205 - 442754 MINSCHEW , JAMES WILLIAM Overpayment 17156 2012 1302 - 510881 1211 - 530777 KLIMKOWSKI , BENJAMIN HAROLD Release 11855 2012 1209 - 439501 1206 - 459364 WOODARD , TARA KATHLEEN Overpayment 11730 2012 1304 - 534869 1301 - 554859 BARNES , SAMUEL DAVID Release 11662 2012 1208 - 420276 1205 - 442307 MCHONE , MARK TODD Overpayment 20945 2012 1207 - 406184 1204 - 428838 HINTON , SAMUEL Overpayment 11323 2012 1301 - 504628 1210 - 510132 SAUNDERS , KENNETH Overpayment 24166 2012 1303 - 523441 1212 - 542866 BEASLEY , KEVIN WAYNE Release 18352 2012 1208 - 423315 1205 - 446269 PISCHKE , SHAUNNA CHRISTINE Overpayment 22588 2012 1304 - 537162 1301 - 557731 BRADLEY , LINWOOD WAYNE Tag Surrender 16434 2012 1303 - 529821 1212 - 541715 DUPREE , MARCUS LANE Overpayment 16498 2012 1301 - 502168 1210 - 520824 RAIFORD , ANASTASIA KATHERINE Release 21393 2012 1207 - 405434 1204 - 429772 CARTER , ARNOLD DAVIS Overpayment 10720 2012 1302 - 521815 1211 - 532501 CHRISTIAN CONGREGATION OF JEHOVAHS Release 12350 2012 1304 - 538130 1301 - 553780 CARROLL , JAMES MICHAEL Release 20561 2012 1303 - 527691 1212 - 544199 BALLENGER , JR , DANIEL Release 28815 2012 1304 - 542766 1301 - 554040 DENNING , TONI MICHELLE DRAKE Release 37733 2012 1210 - 445457 1207 - 470908 HACKNEY , MARISA RENEE Overpayment 12504 2012 1209 - 443896 1206 - 458383 MERCHANT , ORBIN DWAYNE Overpayment 14886 2012 1303 - 522717 1212 - 539194 HEWETT , WILLIAM OSCAR Release 43095 2012 1212 - 497677 1209 - 501846 DENNING , PRISCILLA JOYNER Overpayment 13064 2012 1301 - 505155 1210 - 509661 DOUGLAS , LORETTA CATHERINE Overpayment 11348 2012 1210 - 453612 1207 - 478127 HONEYCUTT , TIMOTHY GREY Overpayment 13834 2012 1301 - 506179 1210 - 518219 STANLEY , MARSHA SMITH Overpayment 16066 2012 1211 - 481310 1208 - 485917 GRADY , LEEANN SMITH Release 12545 2012 1304 - 541107 1301 - 558258 GRADY , LEEANN SMITH Release 17492 2012 1208 - 430297 1204 - 449010 LEWIN , ERIC MATTHEW Overpayment 15409 2012 1208 - 421720 1205 - 448409 GASQUE , WILLIAM EUGENE Overpayment 13396 2011 1202 - 344680 1111 - 359588 WALLER , LAMAR TERRELL Overpayment 10370 2012 1303 - 525986 1212 - 534746 JOHNSON , WILLIAM EDWARD Release 15480 2012 1304 - 533525 1301 - 545972 MILLS , MARY EILEEN Release 16646 2012 1304 - 533527 1301 - 549021 MILLS , MARY EILEEN Release 12956 2012 1207 - 412718 1204 - 427959 CAMPBELL , DESAREE TEARRA Overpayment 13549 2012 1302 - 521492 1211 - 528719 WHITE , JR , BENJAMIN ROBERT Tag Surrender 65779 2012 1304 - 545382 1301 - 557474 PARRISH , WILLIAM CLARK Release 13200 2012 1208 - 425310 1205 - 438836 LAW , ADAM LAMONT Overpayment 10753 2012 1210 - 454251 1207 - 473809 ELIXSON , JAYSON STEWART Overpayment 20881 2012 1304 - 539557 1301 - 545849 GUZMAN , SERGIO Release 19351 2012 1209 - 433499 1206 - 459945 HANKS , REGINALD THOMAS Overpayment 21112 2012 1210 - 450796 1207 - 470037 LITTLE , MICHAEL VERNON Overpayment 11102 2012 1207 - 411312 1204 - 433200 LEWIS , III , JOHN L Release 17546 2012 1304 - 543742 1301 - 547214 TILLERY , CHRISTOPHER ALLEN Release 14700 2012 1211 - 473900 1208 - 486882 WOOD , EVELYN GAIL Overpayment 14474 2012 1210 - 454833 1207 - 476626 ROMERO , HUGO JAVIER Overpayment 34034 2012 1208 - 430310 1205 - 448956 FOSTER , DONALD RAY Overpayment 19850 2012 1211 - 473900 1208 - 486882 WOOD , EVELYN GAIL Void Refund 14474 2012 1211 - 475816 1208 - 484641 PEARSON , JEFFREY MARTIN Overpayment 27599 2012 1305 - 557028 1302 - 571414 TARAN , LUKE JOSEPH Release 15095 2012 1305 - 555011 1302 - 566550 MEEK , MELODIE PHILLIPS Release 44607 2012 1305 - 558815 1302 - 566550 MEEK , MELODIE PHILLIPS Release 10938 2012 1305 - 546927 1302 - 564413 THORNTON , II , EDDIE WOOD Release 16833 Page450 June 3 , 2013 – 10 00 am Continued 2010 1105 - 224139 1102 - 231811 ONEILL , TAMMY LYNN Overpayment 29631 2012 1305 - 552500 1302 - 571245 OTERO , IVAN AUGUSTO Release 18675 2012 1209 - 434436 1206 - 460338 PELLEGRINO , JULIE MAE Overpayment 16707 2011 1206 - 395232 1203 - 412430 LOVETT , JR , WARREN CLAY Overpayment 43078 2011 1206 - 402282 1203 - 410195 OCHOA , ELIAS MENDOZA Overpayment 12760 2012 1208 - 419047 1205 - 440724 CARO , CARLOS ALBERTO MARIN Overpayment 10423 2012 1208 - 420097 1205 - 441893 LEATHERS , CLARA MILLER Overpayment 11412 2012 1208 - 426467 1205 - 447145 EVANS , MELISSA ASHLEY Overpayment 12637 2012 1208 - 428349 1205 - 444033 MILLS , TIMOTHY EARL Overpayment 18561 2012 1209 - 432289 1206 - 463680 VERZAAL , WILLIAM HENRY Overpayment 15200 2012 1209 - 439813 1206 - 461678 JOHNSON , CAROL LAMM Overpayment 10877 2012 1210 - 446343 1207 - 470055 BARBOUR , MARK ARMIN Overpayment 17345 2012 1210 - 451108 1207 - 471389 ROWLAND , ELIZABETH MCCALVIN Overpayment 22839 2012 1211 - 482734 1208 - 489341 WOOTEN , TERRY ALTON Overpayment 29207 2012 1211 - 485668 1208 - 487243 GARRETT , JENNY C Overpayment 11886 2012 1212 - 490296 1209 - 499606 YORK , KAREN RENEE Overpayment 12040 2012 1212 - 493017 1209 - 503965 KLEINERT , KELLIE MARIE Overpayment 10713 2012 1305 - 549590 1302 - 572730 WOOD WELL DONE LLC Release 84042 2011 1206 - 402282 1203 - 410195 OCHOA , ELIAS MENDOZA Void Refund 12760 2012 1209 - 432289 1206 - 463680 VERZAAL , WILLIAM HENRY Void Refund 15200 2012 1209 - 439813 1206 - 461678 JOHNSON , CAROL LAMM Void Refund 10877 2012 1211 - 482734 1208 - 489341 WOOTEN , TERRY ALTON Void Refund 29207 2012 1208 - 422687 1205 - 443724 DAVIS , DAVID WAYNE Overpayment 12128 2012 1302 - 515272 1211 - 531971 BONNER , JR , JOHN HALL Overpayment 11611 2012 1212 - 494574 1209 - 498792 PICCIOTTI , JR , NICHOLAS Release 10621 2012 1212 - 494575 1209 - 502589 PICCIOTTI , JR , NICHOLAS Release 15781 2011 1202 - 345462 1111 - 358631 STEWART , SUSAN QUINN Release 16295 2012 1212 - 496192 1209 - 507200 DAVIS , DWIGHT ANTHONY Release 31536 2012 1305 - 555728 1302 - 568778 BLOUNT , VANDORA COLE Release 18306 2012 1211 - 478839 1208 - 483913 SMITH , II , ROBBY JUSTIN Overpayment 10280 2012 1305 - 555711 1302 - 568050 BILL PATTERSON TRUCKING COMPANY INC Release 84495 2012 1304 - 538889 1301 - 557694 SAMPLE , BENITA RAYE Overpayment 12021 2012 1211 - 472252 1208 - 490327 MOTORLEASE CORPORATION Overpayment 20736 Real Personal Property Releases TRANS DATE TIME USER YR BILL # ACCT # TAXPAYER NAME AMOUNT 4 17 2013 3 16 29 PM cfutch 2012 - 41013 2000129866 HINES , JEWEL 25243 4 18 2013 7 32 59 AM ghermane 2012 - 101899 2000161721 MARICELE , AGUILAR 10870 4 18 2013 7 43 52 AM ghermane 2012 - 14177 2000149822 BROOKS , STEVEN LAMONT 10067 4 18 2013 7 45 34 AM ghermane 2011 - 12541 2000149822 BROOKS , STEVEN LAMONT 10794 4 18 2013 7 46 55 AM ghermane 2010 - 12283 2000149822 BROOKS , STEVEN LAMONT 11653 4 18 2013 7 48 19 AM ghermane 2009 - 501069 2000149822 BROOKS , STEVEN LAMONT 12377 4 29 2013 9 01 22 AM ghermane 2010 - 69723 2000124656 POUND CAKE CO LLC THE 54710 4 29 2013 9 08 29 AM ghermane 2011 - 12612 2000044186 BROWN OIL CO INC 33352 4 29 2013 9 10 05 AM ghermane 2010 - 12349 2000044186 BROWN OIL CO INC 36806 4 30 2013 12 13 30 PM pgoddard 2007 - 69486 2000074818 RICKS , RONNIE B 11160 4 30 2013 12 15 18 PM pgoddard 2008 - 71460 2000074818 RICKS , RONNIE B 24109 4 30 2013 12 16 48 PM pgoddard 2009 - 73010 2000074818 RICKS , RONNIE B 24109 4 30 2013 12 20 55 PM pgoddard 2010 - 73246 2000074818 RICKS , RONNIE B 24109 4 30 2013 12 24 35 PM pgoddard 2007 - 69487 2000074818 RICKS , RONNIE B 25785 4 30 2013 12 25 47 PM pgoddard 2008 - 71461 2000074818 RICKS , RONNIE B 25985 4 30 2013 12 27 26 PM pgoddard 2009 - 73011 2000074818 RICKS , RONNIE B 25985 4 30 2013 12 29 11 PM pgoddard 2010 - 73247 2000074818 RICKS , RONNIE B 25985 5 6 2013 9 32 12 AM ghermane 2012 - 60133 2000140494 MCCULLEN , EVELYN M 12137Page451 June 3 , 2013 – 10 00 am Continued 5 6 2013 9 34 40 AM ghermane 2007 - 30935 2000112053 GOODNIGHT , JANET 49848 5 6 2013 9 36 25 AM ghermane 2008 - 31928 2000112053 GOODNIGHT , JANET 49848 5 15 2013 12 36 30 PM ghermane 2012 - 19167 17863300 CHAPPELL , JAMES 17449 5 15 2013 12 38 29 PM ghermane 2012 - 101798 2000160061 RODRIGUEZ , ARTURO 10689 Real Personal Property Refunds TRANS DATE TIME USER YR BILL # ACCT # TAXPAYER NAME AMOUNT 4 16 2013 11 55 07 AM ONLINE 2012 - 25543 2000030717 DAVIS , KEITH DURRAIN 71797 4 16 2013 12 06 30 PM cfutch 2012 - 25606 2000129899 DAVIS , MONICA 27651 4 16 2013 2 13 24 PM jmorrow 2012 - 26657 25186800 DEVINE , VERTNA JUDKINS 17606 4 17 2013 2 10 47 PM LOCKBOX 2012 - 62056 2000133283 MENDENHALL , RICHARD S 32928 4 17 2013 3 16 42 PM cfutch 2013 - 200238 2000129866 HINES , JEWEL 22353 4 18 2013 8 25 56 AM ONLINE 2012 - 25606 2000129899 DAVIS , MONICA 44146 4 26 2013 1 06 58 PM tgreen 2012 - 12812 12613021 BRADY , DANNY MACK 41016 4 29 2013 8 28 32 AM tgreen 2012 - 14673 2000126250 BROWN , WILLIE RAYMOND 20513 4 29 2013 2 17 45 PM LOCKBOX 2012 - 98894 97382920 WOMACK , ROBERT LEE 1,25928 4 29 2013 2 45 18 PM cfutch 2012 - 98894 97382920 WOMACK , ROBERT LEE 1,21830 4 30 2013 2 40 19 PM jmorrow 2012 - 83011 2000161572 AMEL LOGISTICS LLC 36400 5 2 2013 11 17 36 AM blbarbour 2012 - 57313 2000164264 LUPTON , LINDA S 2,64655 5 3 2013 2 25 59 PM blbarbour 2012 - 82749 2000126687 SMITH , MARK ANTHONY 12501 5 7 2013 11 30 07 AM tgreen 2012 - 10818 2000122176 BIXBY , NORMA 1,43336 5 13 2013 2 34 34 PM blbarbour 2012 - 28896 2000059629 EASON , MICHAEL C 47219 5 15 2013 10 49 28 AM acreech 2012 - 8030 2000135685 BARNES , AMANDA S 10000 May 20 , 2013 This is to certify that , as authorized by the Board of Commissioners on December 11 , 2000 , I have approved the following tax releases and refunds under 100 , as recommended by the County Tax Administrator , Pat Goddard A complete record of this information is on file in the County Finance Office Totals from 4 16 13 to 5 15 13 Tax refunds - Personal Real Property 31368 Tax releases - Personal Real Property 39562 Motor Vehicle releases refunds 8,05214 Recommended by Tax Administrator Pat Goddard Approved by Finance Director J Chad McLamb 3 Public Comments A Vehicle Tax Value Concern William Sims , 312 Ash Street , Smithfield , addressed the Board regarding his vehicle tax value Mr Sims informed the Board that the value of his vehicle is too high given its age and condition He asked for the Board’s assistance with the matter Following brief discussion , Tax Administrator Pat Goddard agreed to look into the matter for Mr Sims B Presentation of the Book “ The Boys of Benning ” Retired Army Colonel Rudy Baker , 1016 Swift Creek Drive , Clayton , presented a copy of the book titled “ The Boys of Benning ” to Commissioner Chad M Stewart and Mrs Virginia Stewart in memory of the late Commissioner Wade M Stewart Mr Baker stated the book was written by fourteen of the graduates from Officer Candidate School at Fort Benning Mr Baker noted he wrote Chapter 2 in the book and that Commissioner Wade Stewart had reviewed the chapter for him prior to submittal Commissioner Chad M Stewart and Mrs Virginia Stewart both thanked Mr Baker for the book Mr Baker also presented a copy of the book to the Public Library of Johnston County and Smithfield in memory of Commissioner Stewart and in honor of all veterans in Johnston County Margaret Marshall , Director for the Public Library of Johnston County and Smithfield , thanked Mr Baker and stated a plaque would be placed in the Library with the book PagePage pageNumber5452 June 3 , 2013 – 10 00 am Continued 4 Public Hearing – Proposed Fiscal Year 2013 - 2014 County Budget Advertised – The Smithfield Herald – May 22 and 29 , 2013 The Chairman opened the public hearing , and stated the purpose of the hearing is to allow public comment on the proposed FY 2013 - 2014 County budget The proposed budget and budget message have been completed and copies are available for distribution County Manager Rick Hester requested the budget message be inserted into the minutes , as follows Fiscal Year 2013 – 2014 Budget Message Dear Board Members The proposed Fiscal Year 2013 - 2014 General Fund Budget is presented at 179 million with a tax rate of 78 cents per 100 valuation If you factor out the debt service increase of 36 million , this proposed budget is less than 1 higher than the current fiscal year’s budget I would like to take a moment and thank the many county employees that assisted me with the budget preparation A special thank you goes to the Finance and Administration staff for helping prepare the final proposed document A few years ago , the Board adopted financial policy guidelines that require the General Fund to maintain a minimum 15 fund balance Based on 10 months of financials , the County’s General Fund reserves for the current Fiscal Year 2012 - 2013 is expected to exceed 15 , and staff projects the proposed General Fund Budget reserves to finish at 15 on June 30 , 2014 Highlights of the Proposed Fiscal Year 2013 - 2014 Budget • The proposed budget includes a 2 pay adjustment for employees effective July 1 , 2013 • Revenue projections for ad valorem tax and sales tax statistical data follow Ad Valorem FY 12 - 13 Budgeted FY 12 - 13 Projected FY 13 - 14 Budgeted 949 million 958 million 975 million Sales Tax FY 12 - 13 Budgeted FY 12 - 13 Projected FY 13 - 14 Budgeted 247 million 258 million 262 million • Staff anticipates the vehicle tax collections to be slightly higher with collections being handled at the time of vehicle registration renewal • As noted earlier , debt service will be 36 million higher than the current fiscal year • Funding for Johnston County Schools is recommended for a total allocation of 50 million • Johnston Community College’s current expense is proposed at 38 million , and capital outlay is proposed at 220,000 • North Carolina Counties continue to be significantly impacted by the State of North Carolina’s decisions to withhold the lottery proceeds • Funding for 24 - hour service at the Thanksgiving EMS station and the associated four new positions that would be needed are included in the proposed budget New Positions Requested and Included in the Proposed Budget • Sheriff’s Office - 8 positions 4 in July and 4 in January • Health Department – 1 position for the WIC ProgramPagePage pageNumber6453 June 3 , 2013 – 10 00 am Continued • Public Utilities Enterprise Fund – 1 position Utility Maintenance Technician • EMS Thanksgiving Station – 4 Positions would be needed if the 24 - hour service is approved as requested above Proposed Fee Adjustments • Public Utilities o Bulk Wastewater Treatment An increase of 015 per 1,000 gallons in the commodity charge is proposed The unit commodity charge for treatment would increase from 265 to 280 per 1,000 gallons o Residential Retail Wastewater Assessment Fee for capacity An increase of 300 per dwelling unit is proposed in the residential wastewater assessment fee The fee would increase from 2,400 to 2,700 o Commercial and Industrial Wastewater Assessment Fee for capacity An increase of 125 per gpd is proposed in the commercial and industrial wastewater assessment fee The fee would increase from 1000 per gpd to 1125 per gpd o Residential Retail water meter fee The fee would increase from 19500 to 21500 per meter The fee is intended to cover the actual material cost of new meters , and meter pricing has increased o Solid Waste Fund No fee increase is recommended at this time , but I would respectfully ask the Board to consider discussing the long range solid waste financial plan in the fall I look forward to discussing the proposed budget with you at your convenience Thank you for your patience and support during the preparation of this document Sincerely , Rick J Hester County Manager There being no further comments , the Chairman closed the public hearing It was the consensus of the Board to review their calendars and schedule additional special meetings for the budget consideration at the 6 00 pm meeting Note At the 6 00 pm meeting , the Board scheduled th th th additional budget meetings to be held on June 13 and 19 at 6 00 pm and June 25 at 8 00 am to be held in the Board of Commissioners Meeting Room , Johnston County Courthouse 5 Emergency Services – Approval of Fire Services Contracts Fire Marshal Paul Whitehurst presented the new fire services contracts to the Board for their review and consideration , to be effective on July 1 , 2013 Mr Whitehurst explained the fire services contracts are revised and renewed every two years and over the past few months , staff has made necessary revisions to the contracts to reflect current conditions and needs He noted the proposed changes have been discussed by the Fire Focus Group and were presented at the February Fire Chief’s Meeting Based on these meetings , staff finalized the proposed new contracts for Board consideration and all proposed changes have been reviewed by the County Attorney Mr Whitehurst and County Attorney David Mills briefly reviewed the changes in the contracts with the Board Commissioner Cookie Pope asked if the Fire Chiefs were in agreement with the contracts as proposed Mr Whitehurst confirmed that staff has already sent the proposed contracts to the Fire Chiefs who have signed off on the changes and they are now awaiting the Board’s approval Commissioner Ted G Godwin asked about the increases in the liability insurance limits Mr Whitehurst stated the increases in the liability insurance limits are consistent with industry standards , other counties , and the County Attorney’s recommendations PagePage pageNumber7454 June 3 , 2013 – 10 00 am Continued Commissioner Allen L Mims , Jr moved the Board approve the new fire services contracts as presented by staff and following to be effective on July 1 , 2013 Commissioner Ted G Godwin seconded the motion which carried by unanimous vote NORTH CAROLINA JOHNSTON COUNTY This Contract , made and entered into this first day of July , 2013 , by and between Johnston County , a political subdivision of the State of North Carolina , hereinafter referred to as the County , and the ______________ Volunteer Fire Department , Incorporated , a non - profit corporation or division of a municipal government existing under the laws of the State of North Carolina , hereinafter referred to as the Fire Department ; Now therefore , in consideration of the mutual promises contained herein and other good and valuable consideration , the parties hereto contract and agree as follows 1 The County agrees that it will cause to be assessed or levied a special fire tax within statutory limits after consultation with the Fire Department ; and will collect said fire tax on an ad valorem basis 2 The Fire District Tax Commission for the ______________ Fire District shall submit in writing to the Johnston County Manager a proposed budget and the requested rate of fire tax to be levied by the established deadline each year This request shall be forwarded to the Johnston County Board of Commissioners for approval 3 Funds collected by the County as a result of said special fire tax shall be distributed in accordance with the rate of fire tax levied per hundred dollars valuation of all real property and personal property in the ______________ Fire District and the provisions established by the Johnston County Finance Office 4 Fire Protection service tax district NC General Statute 153A - 301 funds levied and collected by the County and paid to the Fire Department by the County shall be used for fire department operations Fire protection and emergency services in the Fire District and other areas of response as dispatched and to meet the standards established by this agreement 5 The Fire Department will furnish fire protection and related emergency services consistent with the level and quality of service provided in the past by the Fire Department , within the Fire District sometimes referred to herein as “ primary service area ” and shall provide the necessary equipment , personnel , and those things necessary for furnishing such protection in the Fire District The services shall be in accordance with minimum standards set forth in this agreement and all future amendments adopted in accordance with paragraph 19 of this agreement The Fire Department shall furnish said fire protection without charge to all persons and property located in the Fire District in an efficient and workmanlike manner This provision shall not prohibit the Fire Department from recouping cost and expense from incidents or from entering into contracts with the Federal , State , or local governments or utility companies for the provisions of emergency protection services for a fee 6 The County shall require the Fire Department to furnish all applicable materials and financial statements for the purpose of the annual audit conducted by a CPA in conformity with general accepted accounting principles The Fire Department also agrees to secure and maintain a blanket bond on all persons who have access to or authority to disburse funds belonging to the Fire Department Such blanket bond shall be in the amount of not less than the revenues to be collected by the County in the tax district served by the Fire Department as projected by the County for the upcoming year Proof of such bonding shall be provided to the County prior to the disbursement of any funds by the County to the Fire Department The Fire Department shall follow the applicable statutory procedures for letting of public contracts for fire apparatus , equipment , and construction 7 The Fire Department , during the term of this contract , shall remain incorporated unless existing as a division of a municipal government and do business as a private non - profit corporation under the provisions of the North Carolina Non - Profit Corporation Act A true copy of the Articles of Incorporation , existing By - Laws , and any changes made from time - to - time to either will be filed with the County The Fire Department will adopt By - Laws , which meet all minimum legal requirements of said Act The By - Laws shall vest in a Board of Directors the authority to manage the affairs of the corporation to the extent permitted by said Act The Fire Department Board of Directors shall be representative of the citizens within the Fire District and are encouraged to include non - member citizens 8 In the event of a liquidation or dissolution of the Fire Department , or in the event that the Fire Department is no longer responsible for County - provided fire protection in the Fire Department’s primary service area , the Fire Department will assign all cash , equipment , and assets , real and personal , to the County or to such other entity as may succeed the Fire Department in providing fire protection in the Fire District on behalf of the County 9 Repeated failures to provide protection or meet conditions as contemplated in this contract may result in the County withholding any and all funds unless a plan for compliance or resolution is made 10 The Fire Department shall obtain and keep in force during the term of this contract the following minimum insurance coverage a Worker’s Compensation i Coverage for all paid and volunteer emergency workers for statutory limits in compliance with applicable state and federal laws PagePage pageNumber8455 June 3 , 2013 – 10 00 am Continued b Comprehensive General Liability , Malpractice and Errors and Omissions i 100,00000 for property damage per occurrence ii 500,00000 for property damage aggregate iii 1,000,00000 for personal bodily injury to any one person ; and iv 2,000,00000 for bodily injury aggregate per single accident or occurrence c Business Auto Policy i 2,000,00000 for bodily injury and consequent death per occurrence ii 1,000,00000 for bodily injury and consequent death to any one person ; and iii 500,00000 for property damage per occurrence d Upon request , the Fire Department shall furnish the County a certificate of insurance e The Fire Department agrees to fully indemnify and hold harmless the County , its officers , agents , employees , boards , commissions , and agencies against all loss , liability , claims or actions for damages to persons or property arising out of omissions of the Fire Department , its employees , or agents , or to which the Fire Department’s negligence shall in any way contribute f Nothing contained herein shall be construed as a waiver of immunity by the County 11 The Fire Department shall provide services within the ______________ Fire Insurance District NC General Statute 153A - 233 and maintain a minimum of a 9S rating or better with the North Carolina Department of Insurance , Office of State Fire Marshal , as well as its present nonprofit corporation status pursuant to Chapter 55A of the North Carolina General Statues The Fire Department shall continuously comply with all applicable laws , ordinances , and State regulations Refer to paragraph # 7 12 The Fire Department shall create and maintain an incident report for all emergency responses for a minimum of five 5 years The County shall provide and maintain an incident reporting database for the Fire Department’s use The Fire Department shall submit incident reports electronically to their respective County in a timely manner , either through direct entry into the County database or by electronic transmission of incident reports to the County 13 The Fire Department shall provide annually to the Johnston County Fire Marshal’s Office a current and complete roster of members of the Fire Department to include contact numbers for the Chief and Assistant Chief s 14 The Fire Department agrees to provide automatic and mutual aid services to other emergency services providers in Johnston County The Fire Department understands that other agencies will maintain their own liability policies and be responsible for their own expenses The Fire Department further agrees that it will be responsible for its own expenses while responding to a request for mutual aid to another agency within the county The current automatic aid agreement is included in Appendix A of this contract In areas where the fire district has been extended to six miles , the Fire Department agrees to maintain agreements with adjoining districts to respond with a minimum of one apparatus capable of transporting a minimum of 1,000 gallons of water to all alarms involving reported structure fires This apparatus will be dispatched simultaneously with the department within whose district the incident occurs 15 The following minimal performance standards are agreed upon by the County and the Fire Department and are part of this contract a The Fire Department shall comply with the procedures for radio communications and established protocols for the dispatch of emergencies as defined by the Johnston County Communications Center Protocols b The Fire Department officer in charge at all fire scenes shall attempt to determine the origin and cause of every fire When the officer in charge cannot determine the origin and cause of the fire , or if the cause is suspected to be of an incendiary nature , the officer in charge should request assistance from the Johnston County Fire Marshal’s Office c The Fire Department shall keep all records on site for minimum period of five 5 years All State and County required reports and rosters shall be submitted by the requested deadlines d If pressurized fire hydrants are located within the fire district , the Fire Department shall adhere to the guidelines established by the Johnston County Public Utilities Department for the flowing of hydrants The Fire Department shall immediately report any malfunctions or damage to hydrants to the entity owning the water system e The Fire Department shall follow the Johnston County Emergency Operations Plan when responding to an emergency or disaster f During a declared State of Emergency affecting the County , the Fire Department shall assist , within the limits of its personnel and equipment and capabilities and with deference to its primary service area , to the extent possible with the following services 1 Debris removal from roadways ; 2 Traffic Control ; 3 Alert and notification ; 4 Search and rescue ; 5 Evacuation ; and 6 other life saving and property protection measures as necessary Request for additional assistance outside the primary service area shall be directed to the Fire Chief or designee All operations shall be in accordance with the Johnston County Emergency Operations Plan PagePage pageNumber9456 June 3 , 2013 – 10 00 am Continued g The Fire Department should have a public fire life safety education program or similar activities for , at a minimum , educating persons regarding life safety from fire h When determining the need and location of additional facilities fire stations , etc , the Fire Department shall participate in a planning process involving the County Fire Marshal which evaluates , at a minimum , the needs of the department , the effects on property owners , the effects on insurance grading , and the impacts on adjoining fire districts i Each Fire Department may elect to voluntarily participate in certain services Each department that provides these services shall be contracted or franchised for the operation of such service , pursuant to the rules set forth by the Johnston County Board of Commissioners If the Fire Department has chosen to participate in any of these programs , the agreements can be found as Appendices of this contract SERVICE APPENDIX # Medical Services B Rescue Services C Other Services D 16 This agreement shall become effective the first day of July , 2013 , and remain in effect for a period not to exceed two years , subject to the continued legal existence of the Fire District and the Fire Department , and further subject to the termination provisions of paragraph 18 hereof 17 This agreement may not be transferred or assigned by the Fire Department , nor may the services contracted for herein be sub - contracted to other parties unless approved by the Johnston County 18 This contract may be terminated by either party upon advance notification to the other party by certified mail at least sixty 60 days prior to termination 19 Either party may propose an amendment to this agreement by submitting the amendment in writing at least sixty 60 days in advance of the amendment’s proposed effective date Amendments to this agreement must be approved by both the County and the Fire Department prior to becoming effective 20 If any part of this Contract is for any reason held invalid or unconstitutional by any court of competent jurisdiction , that part shall be deemed a separate , distinct and independent provision , and the holding shall not affect the validity of the remaining portions of this Contract 21 This contract is not intended to serve for the benefit of any third party The rights and obligations contained herein belong exclusively to the entities that are parties hereto and no third party shall rely upon anything contained herein as a benefit to that third party 22 The terms and provisions herein contained constitute the entire agreement by and between the County and the Fire Department and shall supersede all previous communications , representations , or agreements , either oral or written between the parties hereto with respect to the subject matter hereof IN TESTIMONY WHEREOF , the County has caused this instrument to be executed by the Chairman of the Board of County Commissioners and attested by the Clerk to the Board of County Commissioners , and the Fire Department has caused this instrument to be signed in its name by its President , attested by its Secretary , all by the authorization of its Board of Directors duly given NORTH CAROLINA JOHNSTON COUNTY INTER - LOCAL AGREEMENT FOR PROVISION OF FIRE SERVICE This Contract , made and entered into this the first day of July , 2013 , by and between Johnston County , a political subdivision of the State of North Carolina , hereinafter referred to as the “ County , ” and the Town of _______________ , a body politic and corporate of the State of North Carolina , hereinafter referred to as the “ Town ” ; WHEREAS , the Town and the County are authorized pursuant to NC General Statute § 160A - 460 , et seq , to enter into an inter - local agreement ; and WHEREAS , the Town and the County wish to enter into such an agreement by which the County will assess and collect a fire tax and the Town will provide certain fire protection as described herein Now therefore , in consideration of the mutual promises contained herein and other good and valuable consideration , the parties hereto contract and agree as follows 1 The County agrees that it will cause to be assessed or levied a special fire tax within statutory limits after consultation with the Town ; and will collect said fire tax on an ad valorem basis on property within the _______________ Rural Fire District hereinafter the “ District ” 2 The Town after consultation with the Fire District Tax Commission for the District ; shall submit in writing to the Johnston County Manager a proposed budget and the requested rate of fire tax to be levied by the established deadline each year This request shall be forwarded to the Johnston County Board of Commissioners for approval 3 “ Fire Department ” as used herein refers to the Town , acting by and through its Fire Department 4 Funds collected by the County as a result of said special fire tax shall be distributed in accordance with the rate of fire tax levied per hundred dollars valuation of all real property and personal property in the District and the provisions established by the Johnston County Finance Office 5 Fire tax NC General Statute 153A - 301 funds levied and collected by the County and paid to the Fire Department by the County shall be used for fire department operations Fire protection andPage0457 June 3 , 2013 – 10 00 am Continued emergency services in the District , whether within or without the Town’s corporate boundaries , and other areas of response as dispatched and to meet the standards established by this agreement 6 The Fire Department will furnish fire protection and related emergency services consistent with the level and quality of service provided in the past by the Fire Department , within the District sometimes referred to herein as “ primary service area ” and shall provide the necessary equipment , personnel , and those things necessary for furnishing such protection in the District The services shall be in accordance with minimum standards set forth in this agreement and all future amendments adopted in accordance with paragraph 18 of this agreement The Fire Department shall furnish said fire protection without charge to all persons and property located in the District in an efficient and workmanlike manner This provision shall not prohibit the Fire Department from recouping costs and expenses from incidents or from entering into contracts with the Federal , State , or local governments or utility companies for the provision of emergency protection services for a fee 7 The Fire Department shall furnish all applicable materials and financial statements for the purpose of the annual audit conducted by the Town in conformity with general accepted accounting principles The Town shall follow the applicable statutory procedures for letting of public contracts for fire apparatus , equipment , and construction 8 Repeated failures to provide protection or meet conditions as contemplated in this contract may result in the County withholding any and all funds unless a plan for compliance or resolution is made 9 The Fire Department shall obtain and keep in force during the term of this contract the following minimum insurance coverage a Worker’s Compensation i Coverage for all paid and volunteer emergency workers for statutory limits in compliance with applicable state and federal laws b Comprehensive General Liability , Malpractice and Errors and Omissions i 100,00000 for property damage per occurrence ii 500,00000 for property damage aggregate iii 1,000,00000 for personal bodily injury to any one person ; and iv 2,000,00000 for bodily injury aggregate per single accident or occurrence c Business Auto Policy i 2,000,00000 for bodily injury and consequent death per occurrence ii 1,000,00000 for bodily injury and consequent death to any one person ; and iii 500,00000 for property damage per occurrence d Upon request , the Town shall furnish the County a certificate of insurance e The Town agrees to fully indemnify and hold harmless the County , its officers , agents , employees , boards , commissions , and agencies against all loss , liability , claims or actions for damages to persons or property arising out of omissions of the Fire Department , its employees , or agents , or to which the Fire Department’s negligence shall in any way contribute f Nothing contained herein shall be construed as a waiver of immunity by the County 10 The Fire Department shall provide services within the District NC General Statute 153A - 233 and maintain a minimum of a 9S rating or better with the North Carolina Department of Insurance , Office of State Fire Marshal The Fire Department , shall continuously comply with all applicable laws , ordinances , and State regulations 11 The Fire Department shall create and maintain an incident report for all emergency responses for a minimum of five 5 years The County shall provide and maintain an incident reporting database for the Fire Department’s use The Fire Department shall submit incident reports electronically to their respective County in a timely manner , either through direct entry into the County database or by electronic transmission of incident reports to the County 12 The Fire Department shall provide annually to the Johnston County Fire Marshal’s Office a current and complete roster of members of the Fire Department to include contact numbers for the Chief and Assistant Chief s 13 The Fire Department agrees to provide automatic and mutual aid services to other emergency services providers in Johnston County The Fire Department understands that other agencies will maintain their own liability policies and be responsible for their own expenses The Fire Department further agrees that it will be responsible for its own expenses while responding to a request for mutual aid to another agency within the county The current automatic aid agreement is included in Appendix A of this contract In areas where the fire district has been extended to six miles , the Fire Department agrees to maintain agreements with adjoining districts to respond with a minimum of one apparatus capable of transporting a minimum of 1,000 gallons of water to all alarms involving reported structure fires This apparatus will be dispatched simultaneously with the department within whose district the incident occurs 14 The following minimal performance standards are agreed upon by the County , Town , and the Fire Department and are part of this contract Page1458 June 3 , 2013 – 10 00 am Continued a The Fire Department shall comply with the procedures for radio communications and established protocols for the dispatch of emergencies as defined by the Johnston County Communications Center Protocols b The Fire Department officer in charge at all fire scenes shall attempt to determine the origin and cause of every fire When the officer in charge cannot determine the origin and cause of the fire , or if the cause is suspected to be of an incendiary nature , the officer in charge should request assistance from the Johnston County Fire Marshal’s Office c The Fire Department shall keep all records on site for minimum period of five 5 years All State and County required reports and rosters shall be submitted by the requested deadlines d If pressurized fire hydrants are located within the fire district , the Fire Department shall adhere to the guidelines established by the Johnston County Public Utilities Department for the flowing of hydrants The Fire Department shall immediately report any malfunctions or damage to hydrants to the entity owning the water system e The Fire Department shall follow the Johnston County Emergency Operations Plan when responding to an emergency or disaster f During a declared State of Emergency affecting the County , the Fire Department shall assist , within the limits of its personnel and equipment and capabilities and with deference to its primary service area , to the extent possible with the following services 1 Debris removal from roadways ; 2 Traffic Control ; 3 Alert and notification ; 4 Search and rescue ; 5 Evacuation ; and 6 other life saving and property protection measures as necessary Request for additional assistance outside the primary service area shall be directed to the Fire Chief or designee All operations shall be in accordance with the Johnston County Emergency Operations Plan g The Fire Department should have a public fire life safety education program or similar activities for , at a minimum , educating persons regarding life safety from fire h When determining the need and location of additional facilities fire stations , etc , the Fire Department shall participate in a planning process involving the County Fire Marshal which evaluates , at a minimum , the needs of the department , the effects on property owners , the effects on insurance grading , and the impacts on adjoining fire districts i Each Fire Department may elect to voluntarily participate in certain services Each department that provides these services shall be contracted or franchised for the operation of such service , pursuant to the rules set forth by the Johnston County Board of Commissioners If the Fire Department has chosen to participate in any of these programs , the agreements can be found as Appendices of this contract SERVICE APPENDIX # Medical Services B Rescue Services C Other Services D 15 This agreement shall become effective the first day of July , 2013 , and remain in effect for a period not to exceed two years , subject to the continued legal existence of the Fire District and the Fire Department , and further subject to the termination provisions of paragraph 17 hereof 16 This agreement may not be transferred or assigned by the Town , nor may the services contracted for herein be sub - contracted to other parties unless approved by Johnston County 17 This contract may be terminated by either party upon advance notification to the other party by certified mail at least sixty 60 days prior to termination 18 Either party may propose an amendment to this agreement by submitting the amendment in writing at least sixty 60 days in advance of the amendment’s proposed effective date Amendments to this agreement must be approved by both the County and the Town prior to becoming effective 19 If any part of this Contract is for any reason held invalid or unconstitutional by any court of competent jurisdiction , that part shall be deemed a separate , distinct and independent provision , and the holding shall not affect the validity of the remaining portions of this Contract 20 This contract is not intended to serve for the benefit of any third party The rights and obligations contained herein belong exclusively to the entities that are parties hereto and no third party shall rely upon anything contained herein as a benefit to that third party 21 The terms and provisions herein contained constitute the entire agreement by and between the County and the Town and shall supersede all previous communications , representations , or agreements , either oral or written between the parties hereto with respect to the subject matter hereof IN TESTIMONY WHEREOF , the County has caused this instrument to be executed by the Chairman of the Board of County Commissioners and attested by the Clerk to the Board of County Commissioners , and Town of _______________ has caused this instrument to be signed in its name by its Mayor , attested by its Clerk , all by the authorization of their respective Boards duly given 6 Health Department – Approval of Fee Schedules and Sliding Fee Scales Assistant Health Director Steve Strickland requested the Board to approve the Health Department’s fee schedules and sliding fee scales as is required by the North Carolina Division of Public Health Mr StricklandPage2459 June 3 , 2013 – 10 00 am Continued presented three sets of fee schedules for the Board’s approval Behavioral Health Fees , Preventive Health Fees , and Environmental Health Fees Mr Strickland noted the Preventive Health and Environmental Health fees have no changes from the current fiscal year ; however , the Behavioral Health fee schedule is proposed with increases He stated the increases are due to the Behavioral Health services being reviewed by the Division of Public Health’s cost study whereby the Division of Medical Assistance DMA will reimburse the Health Department for the difference in what Medicaid pays for services and what the services actually cost to provide DMA will only reimburse this difference if the Health Department charges the actual cost to provide the service Mr Strickland noted the County received over 1 million this fiscal year from DMA through the cost study He stated if the fees are not adjusted , DMA will no longer reimburse the County Mr Strickland also requested approval of two sliding fee scales which the Health Department uses as a means of adjusting what the client pays for services in the Preventive Health and Behavioral Health Divisions The income rates are provided by the Federal government , who determines the poverty level He reported the Health Department has adjusted the percentage of pay for the client as allowed by the Division of Public Health to lessen the impact of the increased fees Mr Strickland offered to answer any questions Upon a question and concerns by Commissioner Ted G Godwin regarding the increases to the Behavioral Health Division fees , Mr Strickland clarified that the increases are recommendations from Medicaid to the Division of Public Health Upon a motion by Commissioner Ted G Godwin , seconded by Commissioner DeVan Barbour , and carried by unanimous vote , the Board approved the following fee schedules and sliding fee scales for the Health Department Johnston County Public Health Department Behavioral Health Fees 2013 Effective Current 7 1 2013 Procedure BH Codes New Patients Rates 99201BHD Office Visit , Minimum Problem Focused 10min 3318 10000 99202BHD Office Visit , Expanded Problem Focused 20 min 5754 17500 99203BHD Office Visit , Detailed Exam 30min 8336 22500 99204BHD Office Visit , Comprehensive Exam 45min 12927 30000 99205BHD Office Visit , Extended Comprehensive 60min 16341 37500 Established Patients 99212BHD Office Visit , Expanded Problem Focused 10min 3350 10000 99213BHD Office Visit , Detailed Exam 15min 5594 15000 99214BHD Office Visit , Comprehensive Exam 25min 8429 20000 99215BHD Office Visit , Extended Comprehensive 40min 11400 30000 NURSE 96372BH Injection Administration 1704 99211BH Nurse Evaluation 5min 1682 3000 THERAPY 90832 Psych Therapy 16 - 37 min 5224 7500 90834 Psych Therapy 38 - 52 min 6785 10000 90837 Psych Therapy 53 + min 9942 12500 90853BHP Adult Group 2557 3000 TESTING 96101BHP Psychological Testing PhD per hour 6995 15000 96101BHM Psychological Testing Masters per hour 5247 12500 90791 Diagnostic Evaluation 12539 15000 90839 Walk - in Crisis 60 min 12528 20000 90840 Walk - in Crisis each additional 30 min 10547 10600 CONSULTS 99251BHD Initial Consult 20 mins 7014 10000 99252BHD Initial Consult 40 mins 11158 15000Page3460 June 3 , 2013 – 10 00 am Continued 99253BHD Initial Consult 55 mins 14745 20000 99254BHD Initial Consult 80 mins 20403 25000 99255BHD Initial Consult 110 mins 27656 30000 99231BHD Subsequent Inpt Consult 15 mins 5260 7500 99232BHD Subsequent Inpt Consult 25 mins 7890 10000 99233BHD Subsequent Inpt Consult 35 mins 11158 12500 INPATIENT HOSPITAL 99221BHD Initial Inpt 30 mins 10361 15000 99222BHD Initial Inpt 50 mins 16737 20000 99223BHD Initial Inpt 70 mins 21758 25000 99231BHD Subsequent Inpt Consult 15 mins 5260 7500 99232BHD Subsequent Inpt Consult 25 mins 7890 10000 99233BHD Subsequent Inpt Consult 35 mins 11158 12500 99238BHD Inpt Discharge less than 30 mins 8926 10000 99239BHD Inpt Discharge 30 + mins 13708 15000 99234 Inpt Same Day Admit Discharge 40 mins 12005 15000 99235 Inpt Same Day Admit Discharge 50 mins 16552 20000 99235 Inpt Same Day Admit Discharge 55 + mins 22800 25000 Johnston County Health Departments Fees 2013 Preventive Health Fee Schedule Medicaid Proposed Current Fees Rate Fees New Patients 99201 Office Visit , Minimum Problem Focused 10200 6210 10200 99202 Office Visit , Expanded Problem Focused 17700 9315 17700 99203 Office Visit , Detailed Exam 21500 13248 21500 99204 Office Visit , Comprehensive Exam 31400 19458 31400 99205 Office Visit , Extended Comprehensive 40000 24426 40000 99381EP Initial lt; 1year 9000 9000 9000 99382EP Ages 1 - 4 Year 9000 9000 9000 99383EP Ages 5 - 11 year 32200 9000 32200 99384EP Ages 12 - 17 year Child Health 26400 9000 26400 99384FP Ages 12 - 17 year Family Planning 28400 9683 28400 99385EP Ages 18 - 39 year Child Health 26900 9683 26900 99385FP Ages 18 - 39 year Family Planning 28400 16700 28400 99386 Ages 40 - 64 year 32200 19900 32200 99387 Age 65 + 33700 21500 33700 Established Patients 99211 Office Visit , Minimum Problem Focused 5600 3416 5600 99212 Office Visit , Expanded Problem Focused 10000 5693 10000 99213 Office Visit , Detailed Exam 17300 7866 17300 99214 Office Visit , Comprehensive Exam 26000 12213 26000 99215 Office Visit , Extended Comprehensive 35000 18216 35000 99391EP Periodic lt; 1 year 26400 9000 26400 99392EP Ages 1 - 4 Year 28700 9000 28700 99393EP Ages 5 - 11 year 28600 9000 28600 99394EP Ages 12 - 17 year Child Health 30900 9000 30900 99394FP Ages 12 - 17 year Family Planning 26200 14600 26200 99395EP Ages 18 - 39 Child Health 24800 14200 24800 99395FP Ages 18 - 39 Family Planning 24800 14200 24800 99396 Ages 40 - 64 year 27100 15800 27100 99397 Ages 65 + 17500 17500 17500Page4461 June 3 , 2013 – 10 00 am Continued NUTRITION 97802 Medical Nutrition 4944 2472 4944 97803 Medical Nutrition 4370 2185 4370 EPIDEMIOLOGY T1002 STD & TB 9800 1950 9800 LU102 TB Screen Forms 000 000 000 86580 TB Skin Test Flat Fee 2000 614 2000 CHILD HEALTH D0145CH Oral Evaluation lt; 3 6900 3807 6900 D1206CH Topical Fluoride 5900 1500 5900 96110 Denver Screening 2000 961 2000 92552 Hearing 1900 1828 1900 92551 Hearing Screening 2700 858 2700 11111 Forms Flat Fee 500 000 500 MATERNITY LU600 Reporting Maternity Clinic Visits for HIS 000 000 59425 Package Antepartum Care Only 4 - 6 Visits 36528 36528 Package Antepartum care only 7 or more 59426 visits 65312 65312 59430 Individual Postpartum Care Only 11786 11786 S9442 Childbirth Classes We don’t bill the Patient 2000 2000 FAMILY PLANNING 57454 Colpo W Biopsy 28600 13134 28600 57452 Colpo W O Biopsy 12400 9296 12400 57511 Cryosurgery 14200 12352 14200 58300 IUD Insertion 18800 6700 18800 58301 IUD Removal 24100 8227 24100 J7302 Mirena Flat Fee 36000 28300 36000 J7302F Mirena FREE 000 000 S4993 Oral Contraceptives 500 500 J7300 Paragard 18500 18500 18500 LAB 82952QW Additional Test 630 548 630 82465 Cholesterol 700 608 700 81001QW Complete Urinalysis 600 443 600 81003QW DIP UA 500 314 500 87081 GC 1100 806 1100 82947QW Glucose 900 548 900 87205 Gram Stain 1000 596 1000 82951QW 3 hr GH 2000 1799 2000 99000 Handling Fee 1500 1500 82272 Hemoccult Single 900 454 900 82270 Hemoccult Stool Mulip 600 454 600 83036QW Hemoglobin A1C 1500 1356 1500 80074 Hep B Panel 6290 6511 6290 86803 Hep C Panel 3285 1994 3285 85018QW HGB 500 331 500 36415 Phlebotomy 1500 300 1500 82950 Post Glucose Dose 1000 664 1000 86592 RPR Stat 900 596 900 87205 Stat Male Smear 1000 596 1000 87880QW Strep Screen 2100 1601 2100 87086 Urine Culture 1500 1128 1500 81025 Urine Pregnancy Test Flat Fee 2500 884 2500 87210 KOH Prep 1000 533 1000 87804QW Influenza A Rapid Flu Test 1676 1601 1676 8780459QW Influenza B Rapid Flu Test 1676 1601 1676 Procedures 46600 Anoscopy 9500 6462 9500 11100 Biopsy Skin 12600 7847 12600Page5462 June 3 , 2013 – 10 00 am Continued 51701 Catherization 12400 5508 12400 G0375 Cessaition gt; 10min 1200 1200 G0376 Cessaition gt; 30min 2200 2200 11055 Cutting Benign Lesion 9600 3760 9600 11040 Debridement Abrasion 5500 3733 5500 11720 Debridement of nails 2500 2440 2500 93000 EKG 5000 1852 5000 58100 Endometrial Biopsy 21600 9404 21600 11400 Exc Benign Lesion 13300 9165 13300 11401 Exc Benign Lesion 1c 11300 11289 11300 69200 FB Removal Ear 14500 9710 14500 10120 FB Removal Uncomp 11100 10750 11100 10061 I & D abess Complex 35000 14814 35000 10060 I & D abess Simple 20000 8616 20000 10140 I & D Hemaatoma 26900 12101 26900 11900 Injection of Lesion 10800 4315 10800 90781 IV Infusion ADD hours 9000 9000 90780 IV Infusion 1st Hour 13500 13500 20610 Joint Injection Large 7400 6157 7400 20605 Joint Injection Medium 10300 4849 10300 G0101 Medicare Pelvic and Breast 7200 7200 G0102 Medicare Prostate 3800 3800 11750 Nail Excision 28700 16687 28700 30901 Nasal Bleed Simple 15000 8473 15000 94664 Nebulizer tx Initial 3600 1119 3600 94665 Nebulizer tx Sub Non - covered Medicaid 3600 3600 Q0091 Pap Collection Medicare 8400 8400 94150 Peak Flow 2300 1526 2300 94760 Pulse Oxygen 626 179 626 69210 Removal Cerumen 12200 4096 12200 11200 Removal Skin Tag 9500 6398 9500 92551 Screening Audiometry 2700 858 2700 94650 O2 Therapy 5000 5000 88142 90 thin prep 5600 2831 5600 92567 Tympanogram 4100 1545 4100 MISCELLANEOUS CHARGES A6263 Ace Bandage 100 100 A4310 Cath insertion Tray 300 300 A4323 Irrigation 200 200 A6253 Large Dressing 300 300 A6252 Medium Dressing 300 300 A6251 Small Dressing 200 200 A4550 Sterile Tray 1000 1000 99070 Unspec Materials List 1100 1048 1100 IMMUNIZATIONS 90471 Immunizations Admin 6000 2300 6000 90471EP Child Health Immunizations Adm 7500 2800 7500 90465EP Admin Fee lt; 8 Years sick 5500 2800 5500 90714 Decavac TD 6000 6000 90700 Dtap 000 000 90702 DT Ped 000 000 90657 Flu 6 - 35 Months 1500 1500 90655 Flu Preservative 1500 1500 90658F Flu FREE 000 000 90658 Flu gt; 3 2500 2500 2500 90660 Flu Mist 2500 2500 90602 high dose flu 4000 4000 90654 Intra 2500 2500 Q2038 Flu for Medicare 2500 2500Page6463 June 3 , 2013 – 10 00 am Continued G0008 Admin Fee for Medicare Flu 2275 2275 90632 Hep A 4085 4085 90633 Hep A Peds 3056 3056 90744 Hep B Peds 000 000 90747 Hep B immunocomp Patient 000 000 90746 Hep B Vacc 4775 858 4775 90636 Hep A and B 6600 6600 Q3022 Hep B Medicare 6342 6342 90645 HIB 000 000 90649 HPV 14652 14652 90713 IPV 000 000 90734 Menactra 12391 12391 86735 MMR Titer 9132 9132 90707 MMR 6478 6478 90710 MMRV 000 000 86581 NC Candida Control 916 916 90723 Pedianix 000 000 90647 Pedvax Hib 000 000 90732 Pneumovax 4700 2703 4700 G0009 Admi for Pneumovax Medicare 2275 2275 90669 Prevnar 8039 8039 90676T Rabies Titer 7572 7572 90675 Rabies Vaccine 20388 20388 90680 Rotavirus 000 000 90715 Tdap 11 - 64 4623 4623 86803 Hepatitis C Panel 3285 3285 80074 Hepatitis Panel 6290 6290 90389 TIG 000 000 90716 Varicella 10125 10125 90691 Typhoid 7393 7393 86787 Varicella Titer 2880 2880 90736 Zostavax 17415 17415 INJECTIONS J3303 Aristospan 5mg 200 200 J1200 Benadryl 50mg 100 075 100 J0570 Bicillin LA 1,200000 5300 4607 5300 J0560 Bicillin 600,000 2900 4075 2900 J1100 Decadron 4mg 016 008 016 J1040 Depo - Medrol 80mg 1400 941 1400 J1030 Depo - Medrol 40mg 800 447 800 J1055 DepoProvera INJ 4900 4050 4900 J0170 Epinephrine up to 1ml 100 092 100 J1820 Insulin Reg 500 500 J1815 Insulin Per 5 Units 060 060 90788 IM Antibiotic Injection 2000 2000 90774 IV Injection 2000 2000 J3301 Kenalog 10mg 1cc 1100 1100 J1940 Lasix 20mg 073 073 J2550 Phenegran 50mg 200 200 90384 RHO - D Immune 12700 12700 J0696 Rocephin 250mg 300 148 300 J0715 Rocephin 500mg 300 524 300 J2920 Solumedrol 500 500 J1820 Solumedrol 125mg 500 500 90378 Synagis 000 000 G0351 Therapeutic Inj 1900 1900 90782 Therapeutic Inj 1900 1900 J1885 Toradol 60mg 300 300 J3420 Vitamin B - 12 200 200Page7464 June 3 , 2013 – 10 00 am Continued J2000 Xylocaine Lidocaine 400 400 31203 50 Dextrose 200 200 Project Access 500 Copy for all Project Access Patients 500 500 BCC Program 99201BW New Pt Brief 4032 4032 99202BW Limited 6897 6897 99203BW Intermediate 9992 9992 99211BW 15 Minutes 1867 1867 99212BW 30 Minutes 4032 4032 99243BW 40 Minutes 11915 11915 240663B Super Panel 1920 1920 82947BW Glucose Blood 573 573 83036BW Hemoglobin A1C 1375 1375 81000BW Urinalysis w Microscopy 443 443 81002BW Urinalysis W O Microscopy 357 357 82270BW Hemoccult 956 956 88170BW Fine Needle 8185 8185 57452BW Colposcopy 10375 10375 57454BW Colposcopy + BX + ECC 14699 14699 57455BW Colposcopy + BX 13675 13675 57456BW Colposcopy + ECC 12931 12931 STAFF 11 Physical 1000 1000 12 Sick 300 300 Diabetic Education Program G0108 Individual 5400 5400 G0109 Group 1900 1900 82947 Serum Glucose 900 548 900 83036 HGB A1C 1500 1356 1500 97802 MNT Initial 4944 2472 4944 97803 MNT Re assess individual 4370 2185 4370 97804 Group 1400 1400 Meicicaid Patients in Primary Care Clinic LU402 Medicaid Co - Pay 300 300 Education Counseling Counseling These Services Slide 99406 Tobacco Counseling 3 - 10 min 1327 1066 1327 99407 Tobacco Counseling gt; 10 min 2582 221 2582 99408 AUDIT DAST , 15 - 20min 2946 2946 2946 99409 AUDIT DAST , gt; 30 min 5914 5914 5914 99420 Admin Inter PHQ 9 Max 2U Days 2400 814 2400 96150 Health Behav ASMI , Initial 15min 1896 1896 96150 Health Behav ASMI , each 15min 1886 1886 LU238 Health ED 000 000 Medicare Preventive Services G0438 Annual Wellness Visit Initial 15938 15938 G0439 Annual Wellness Visit Sub 10635 10635 Q0091 PAP 4200 4200 G0101 Pelvic & Breast Exam 3600 3600 G0102 Prostate DRE 1900 1900 G0103 Prostate PSA 000 000 G0107 Hemoccult , Guaiac Up to 3 1600 1600 G0402 Welcome to Medicare Exam 11994 11994Page8465 June 3 , 2013 – 10 00 am Continued G0403 ECG w Welcome to Medicare Exam 1793 1793 G0436 Tobacco counseling 3 - 10 min 1156 1156 G0437 Tobacco counseling gt; 10 min 2499 2499 G0396 AUDIT DAST 15 - 30 min 3212 3212 G0397 AUDIT DAST gt; 30 min 6587 6587 G0442 Annual Alcohol screening 889 889 G0444 Annual Depression Screening 1646 1646Page9466 June 3 , 2013 – 10 00 am Continued Johnston County Health Department Behavioral Health Division Sliding Fee 07 2013 5 10 20 Five Percent Ten Percent Twenty Percent Family Size From To From To From To 1 0 22,118 22,119 28,151 28,152 34,182 2 0 29,856 29,857 38,000 38,001 46,142 3 0 37,595 37,596 47,849 47,850 58,101 4 0 45,333 45,334 57,698 57,699 70,061 5 0 53,072 53,073 67,547 67,548 82,020 6 0 60,810 60,811 77,396 77,397 93,980 7 0 68,549 68,550 87,245 87,246 105,939 8 0 76,287 76,288 97,094 97,095 117,899 9 0 84,026 84,027 106,943 106,944 129,85