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Grand County Public Health approves fee schedule for new reproductive health services
Summary
Grand County Public Health presented and the board approved a fee schedule for a new reproductive health clinic offering STI screening, birth-control counseling and referral services; Medicaid clients will be billed through Medicaid, and lower-income residents may be charged reduced fees or no fee based on a sliding scale.
Grand County Public Health Director Abby Baker told the Board of County Commissioners on Jan. 7 that the county will open a reproductive health clinic offering sexually transmitted infection screening and treatment, contraceptive counseling and referrals, pregnancy testing and related services.
Why it matters: The county plans to provide a safety-net reproductive health service available regardless of insurance status. The fee schedule presented at a public hearing ties patients’ out‑of‑pocket charges to their insurance status and, for uninsured patients, to a three-tiered income-based sliding scale; Medicaid and CHP+ patients will be billed through Medicaid at no cost to the patient.
Baker explained the clinic’s pricing structure: patients on Medicaid or CHP+ will incur no out-of-pocket fees and the county will bill Medicaid for services; uninsured patients who self-attest to income will be placed in Level 1 (no cost), Level 2 (small visit fees, e.g., $5 nurse visit, $20 doctor visit), or Level 3 (higher small fees) depending on household size and income. Laboratory testing will be provided free through a CDPHE arrangement in most cases; LabCorp testing will be available at standard LabCorp rates for clients who opt for quicker commercial processing. Long-acting reversible contraception (IUD/implant) would be priced to the patient at $200 (Level 2) or $400 (Level 3) if insurance is not used.
The board voted to approve the proposed fee schedule; Baker and commissioners noted that public-health staff will pursue additional funding (including Title X/family planning grants and private donations) and credentialing with larger insurers to expand billing options and minimize patient costs. The public-health director confirmed the clinic will not provide surgical or medication abortion services or gender-affirming treatments; the service is limited to preventive reproductive-health care, testing, counseling and referrals.
Ending: The board approved the fee schedule at the public hearing and staff will proceed to implement the clinic’s billing and service model while pursuing additional funding sources and insurance credentialing.
