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(02) Getting Started- Fee for Service Revenue Generation Survey Results


The Fee for Service Revenue Generation Survey is a web-based survey sent by ASTHO to the chief financial officers of the 59 state and territorial health agencies, with a copy to state/territorial health officials and their senior deputies. Responses were received from 34 states and one territory (Guam), for a response rate of 66% among states and 56% overall.  This survey evaluated whether health departments were billing for services and examined the barriers and reasons why, if they were not seeking reimbursement.

Primary Toolkit:

Billing for Clinical Services

Keyword Area:



Institutional Author:

Association of State and Territorial Health Officials (ASTHO)




The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.