ORDINANCE NO. 776
AN ORDINANCE OF THE COUNTY OF RIVERSIDE
ESTABLISHING HEALTH SERVICES AGENCY MEDI-CAL
TARGETED CASE MANAGEMENT FEE SCHEDULE
The Board of Supervisors of the County of Riverside, State of California, Ordains as follows:
Section 1. The Board of Supervisors establishes a Fee Schedule for Riverside County’s Health Services Agency Medi-Cal Targeted Case Management Program as set forth in Attachment A.
Section 2. This Ordinance and the Targeted Case Management Fee Schedule established herein shall supersede any prior Ordinance, Resolution, or Targeted Medi-Cal Case Management Fee Schedule as established by this Ordinance.
Section 3. This Ordinance shall take effect 30 days after the date of adoption.
Adopted: 776 Item 7.1 of 03/03/1998 (Eff: 04/02/1998)
(Ordinance No. 776)
Attachment A
RIVERSIDE COUNTY HEALTH SERVICES AGENCY
TARGETED CASE MANAGEMENT FEE SCHEDULE
______FEE* FOR FAMILY** OF:___________________
ADJUSTED GROSS INCOME ___1-2___ 3 _4 or More_
$1 |
- |
$76,362 |
$0 |
$0 |
$0 |
$76,363 |
- |
$80,663 |
$21 |
$0 |
$0 |
$80,66- |
- |
$86,041 |
$43 |
$0 |
$0 |
$86,042 |
- |
$91,419 |
$64 |
$0 |
$0 |
$91,420 |
- |
$96,797 |
$85 |
$0 |
$0 |
$96,798 |
- |
$102,174 |
$106 |
$0 |
$0 |
$102,175 |
- |
$107,552 |
$128 |
$0 |
$0 |
$107,553 |
- |
$112,929 |
$149 |
$0 |
$0 |
$112,930 |
- |
$118,307 |
$170 |
$21 |
$0 |
$118,308 |
- |
$123,685 |
$191 |
$43 |
$0 |
$123,686 |
- |
$129,062 |
$213 |
$64 |
$0 |
$129,063 |
- |
$134,440 |
$234 |
$85 |
$0 |
$134,441 |
- |
$139,817 |
$255 |
$106 |
$0 |
$139,818 |
- |
$145,196 |
$276 |
$128 |
$0 |
$145,197 |
- |
$150,573 |
$298 |
$149 |
$21 |
$150,574 |
- |
$155,950 |
$319 |
$170 |
$43 |
$155,951 |
- |
$161,328 |
$340 |
$191 |
$64 |
$161,329 |
- |
$166,706 |
$361 |
$213 |
$85 |
$166,707 |
- |
$172,084 |
$383 |
$234 |
$106 |
$172,085 |
- |
$177,461 |
$404 |
$255 |
$128 |
$177,462 |
- |
$182,839 |
$425 |
$276 |
$149 |
$182,840 |
- |
$188,216 |
$425 |
$298 |
$170 |
$188,217 |
- |
$193,594 |
$425 |
$319 |
$191 |
$193,595 |
- |
$198,972 |
$425 |
$340 |
$213 |
$198,973 |
- |
$204,349 |
$425 |
$361 |
$234 |
$204,350 |
- |
$209,727 |
$425 |
$383 |
$255 |
$209,728 |
- |
$215,104 |
$425 |
$404 |
$276 |
$215,105 |
- |
$220,483 |
$425 |
$425 |
$298 |
$220,484 |
- |
$225,860 |
$425 |
$425 |
$319 |
$225,861 |
- |
$231,237 |
$425 |
$425 |
$340 |
$231,238 |
- |
$236,615 |
$425 |
$425 |
$361 |
$236,616 |
- |
$241,993 |
$425 |
$425 |
$383 |
$241,994 |
- |
$247,371 |
$425 |
$425 |
$404 |
$247,372 |
- |
and over |
$425 |
$425 |
$425 |
* Fees may be waived by Health Services Agency Administration in those instances when the health and well-being of the client or public are deemed at risk.
** Including the client and all members of the family residing in the same household.