[{"_1":2,"_123":-5,"_124":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87,99,111],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6089539,"mediaKeyId","2873172-30086d711911678e466a5bf9bafe7a38","parentId",2873172,"title","County staff recommend renewing Delta Dental; propose Teladoc copay removal and musculoskeletal program","audioSeconds",1131,"startMs",6480000,"endMs",7611000,"viewUrl","/Search/View?dp=1&key=2873172-30086d711911678e466a5bf9bafe7a38&start=6480&end=7611","thumbnailUrl","https://assets.pipeline.soar.com/2873172-30086d711911678e466a5bf9bafe7a38/thumbnail_6480000.jpg","articleUrl","/articles/6089539/Davidson-County/North-Carolina/County-staff-recommend-renewing-Delta-Dental-propose-Teladoc-copay-removal-and-musculoskeletal-program","mediaUrl","https://secure.pipeline.soar.com/6089539-14195683e818e96ab7af55e40c48cbbd/orig.mp4?Expires=1771148954&Signature=lN8DTU6~URLaksio5Bla2NScVEz8hh16YPVQYrZkgEu7vwSUhqSem7v738JQK8EV5EpqH4fyrrPUep8lP5pH-eA2WKxzvdrACIuJZEZCYip7weopWjE2Q6ZCluvF~uRZjufAv9zZTYrSaAFeqQd945ZhLNjI0m3MZxylGF~repFA8W-u31Dc6k17JVnJ6UsahuiazUpnSdqEINjWHjF1InuTsht7K4TOF38UyDnEh6GqzOEWprUwh3bvcduwpuSmVN94k8rIjMozFgi5topOzCYKeLRlC-ixtnbMqm5HtzfshDapA47bUVlZqa4aM8M7Yx4gftnku0DPjpjoAfRzyg__&Key-Pair-Id=KUT5TJCACFTXG","author","Davidson County, NC","date","2025-04-03T14:18:02Z","article","Consultants from USI told Davidson County commissioners on April 3 that the county's employee health plan is in a stronger position after two high‑cost claimants left the plan this year. USI presented renewal options, recommended staying with Delta Dental to avoid balance‑billing issues, and proposed two small benefit enhancements aimed at redirecting care from higher‑cost settings.

Larry Reese of USI said the departure of two large claimants produced a favorable renewal environment. For dental, Delta Dental's renewal was higher (13.6% on the current plan, an increase USI quantified as roughly $58,590 annually in premiums) but carried a broader network match; MetLife bid a smaller percentage increase (2.8%) but with lower network match and higher risk of employee balance billing. Reese told the board the lower network match with MetLife would likely force some employees either to change dentists or pay additional out‑of‑pocket charges for dentists who do not participate in the new network.

USI also proposed two changes to the county's medical benefits: (1) a musculoskeletal (MSK) care navigation program to help employees with knees, hips, shoulders and lower back issues — USI cited a vendor price of about $0.37 per employee per month (roughly $4,000/year at current enrollment) — and (2) temporarily waiving the Teladoc $10 copay to reduce barriers to virtual care and divert some urgent care and non‑emergency ER visits to telemedicine. Reese said Blue Cross tracks which urgent/ER encounters could be diverted and that enhanced promotion of Teladoc could reduce higher‑cost visits.

Commissioners asked about network complaints, out‑of‑network balance billing and usage of Teladoc. USI said balance‑billing complaints have been minimal under Delta Dental in recent years and recommended renewal with Delta Dental to keep the balance‑billing exposure low. Commissioners asked staff to incorporate these proposals into final renewal materials and to provide communications and enrollment tools for employees if changes are adopted.","mediaType","Video","parentTitle","Davidson County Commissioners Meeting April 3, 2025","oneSentenceSummary","USI consultants advised commissioners April 3 to renew dental coverage with Delta Dental to avoid increased balance‑billing exposure, and proposed two modest medical enhancements — a $0.37/employee/month musculoskeletal care program and a temporary elimination of the $10 Teladoc copay to encourage telemedicine use.","taxTitle","Davidson County, North Carolina","taxId",13707,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6089544,"County reviews Daymark crisis case‑management program; board asks for budgets and geo‑mapped data before deciding on $139,000 carryover",4356,2139000,6495000,"/Search/View?dp=1&key=2873172-30086d711911678e466a5bf9bafe7a38&start=2139&end=6495","https://assets.pipeline.soar.com/2873172-30086d711911678e466a5bf9bafe7a38/thumbnail_2139000.jpg","/articles/6089544/Davidson-County/North-Carolina/County-reviews-Daymark-crisis-casemanagement-program-board-asks-for-budgets-and-geomapped-data-before-deciding-on-139000-carryover","https://secure.pipeline.soar.com/6089544-493e4800a8f96c16f1099a1a227a8eef/orig.mp4?Expires=1771148954&Signature=gu4XALjI~6hs4GFF814Ddty-hpNzYBIoWJFheCEk4Qvkik-tss49lsqMA6gA4j9h1D0FvA7YFz~IE-ZE3xDKyNfHSnraUgb2yvRbcyx0Fhq2HOItKlngOricliM~BD5PuT2P~cGlrVdl1Bd0mqrQcZgnMdW98g4bKkdekljpOA4ZbSwiOkImnRTzA7o700BuQoZ5HfKttAYtL3G2Nk0YnD4ToYfn8IJEKydosq2myyj6BnzTPouUvW5AZauDlUWZtATJQSa-Sdds8lc41GeDgXTRh6Ue9PyuwWucfzV58ELOnQ2H7fO-ngtysdoClnBcTb~XnJczj9u8oqpByZTp3A__&Key-Pair-Id=KUT5TJCACFTXG","Representatives from Daymark (program provider) and county Department of Social Services staff updated the Davidson County Board of Commissioners on a partner‑funded crisis case‑management program at the April 3 meeting and requested direction on carrying over $139,000 in partner funds to continue the crisis position into the next fiscal year.

Daymark presenters said five case management positions have been filled and cross‑trained across schools, DSS, the jail/court and other county programs. Cheryl Salpom, introduced as Center Director of Outpatient Services, said the program has received 315 referrals since 2022 and that staff work with whole families, not just the identified child. \"We hit the ground running, December 19. We got 5 referrals that day,\" a Daymark representative said, describing the crisis case manager who is on call 24/7.

Presenters gave a quarterly snapshot (Jan. 1–March 31): 87 families were served during the quarter; active caseloads reported were 8 active families for Lexington City Schools, 9 for Davidson County Schools, 0 for Thomasville City Schools, 33 active DSS cases, 26 court/jail cases and 50 active cases for the crisis position. Daymark staff said the crisis position averages about 4 after‑hours calls per week and cited examples in which crisis intervention preserved foster placements or avoided emergency involuntary commitments.

Commissioners pressed for clearer metrics and cost‑effectiveness evidence. Board members asked for geo‑mapping of service locations, breakdowns of how many families avoided placement or emergency hospitalization because of crisis interventions, and detailed budget figures for the program. \"If we do that, we're going to have to redefine the intensity,\" one commissioner said; another asked Daymark to provide the total program budget so the board could evaluate carryover of partner funds.

Daymark and county staff said they will provide additional data and analysis to the board, including: geo‑mapped referrals, outcomes showing preserved placements or other downstream cost savings, the full annual program budgets for both the initial case‑management program and the crisis add‑on, and a proposal for continued partner funding. Commissioners did not vote on program continuation at the April 3 meeting but asked staff to return with the requested information for a decision before the partner's carryover deadline.","Daymark representatives presented updated reporting on a partner‑funded crisis case‑management program embedded with DSS, schools and courts. The board asked for more granular data (geo‑mapping, placement preservation, budgets) before approving partner fund carryover of $139,000.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6089549,"Davidson County reviews candidate projects for federal community‑project funding, including High Rock Lake dredging",397,1446000,1843000,"/Search/View?dp=1&key=2873172-30086d711911678e466a5bf9bafe7a38&start=1446&end=1843","https://assets.pipeline.soar.com/2873172-30086d711911678e466a5bf9bafe7a38/thumbnail_1446000.jpg","/articles/6089549/Davidson-County/North-Carolina/Davidson-County-reviews-candidate-projects-for-federal-communityproject-funding-including-High-Rock-Lake-dredging","https://secure.pipeline.soar.com/6089549-ddc233abd41f92d88d217b64f87e48c2/orig.mp4?Expires=1771148954&Signature=k9RJMWWMBrg~olmUWVq0drQCCPmfMa-n9ZlYo8XgBp9AHqJjcsJzQVnmdPqeoz8Kt8CTd~oOvacqRgEy7SYl1w7EUYI4qYjq474dGnNCHbJd7hXZIqfLrEdeBM3LdsqHxZF0STGRxuexWLYTHMSD5283uld-QmYkAbOLv-OutKAT2SP3JK4IK9LlXaix3itxJTkD1Ay8H5NfqYG8rCevtc39m3-35ww2pC6hglWfl-Vb-bpA~ZHv9M3xLoj68np8dLwpaWO3D4RMnN31QXzP6rUff15zsJ-qrsR1KyNejrrFdZcNCtxV4kJSYpU2IAm4ATocD9tbiu54P3IpHp6CnA__&Key-Pair-Id=KUT5TJCACFTXG","County staff on April 3 presented a list of potential submissions for federal community project funding (congressionally directed/community project funds) and asked commissioners for direction on which projects to prioritize for the April 18 application deadline.

Staff and commissioners discussed several possible submissions, including dredging work at High Rock Lake, school facility upgrades (Thomasville High School and School Board Administration building improvements), and detention center improvements. Staff cautioned that the program awards are relatively small compared with large capital projects: \"This ain't big money,\" a county staff member said, and the board noted dredging estimates in technical reports ranging from roughly $30 million with significant contingency to much higher totals.

Commissioners and staff also discussed matching requirements and potential partners, and asked staff to follow up with a contact named \"Jackie\" who had been referenced by a federal representative's office as someone who could advise on larger grants. Board members agreed to have staff look more closely at grant criteria and return with recommendations at a future meeting; no formal motions to apply for any specific grants were made at the April 3 meeting.

Staff said the county's immediate next steps include: identifying the best candidates that meet grant criteria, checking match requirements, and meeting with the federal representative's office contact to clarify program fit for larger projects. Commissioners emphasized that grant staff should focus on projects already in planning or design that could use a smaller federal contribution as part of a larger funding package.","Commissioners reviewed a list of candidate projects for congressional community project funding with an April 18 deadline; discussion highlighted dredging at High Rock Lake, school facility upgrades and detention center improvements but no formal applications or decisions were made.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6089554,"County approves adding Northwoods 'Traverse' child‑support module; first‑year cost $106,000, annual $32,000 thereafter",343,1096000,1439000,"/Search/View?dp=1&key=2873172-30086d711911678e466a5bf9bafe7a38&start=1096&end=1439","https://assets.pipeline.soar.com/2873172-30086d711911678e466a5bf9bafe7a38/thumbnail_1096000.jpg","/articles/6089554/Davidson-County/North-Carolina/County-approves-adding-Northwoods-Traverse-childsupport-module-firstyear-cost-106000-annual-32000-thereafter","https://secure.pipeline.soar.com/6089554-aaf8df1f6a89c346c683078a09476245/orig.mp4?Expires=1771148954&Signature=I4RZu28sFywXaPPnIMXLQqk6o7UxxeK5~AjvN9ABCFnbDlpRxu9UySw7i4EA0AR~4AduMD5XhuyaHc7R4yhgfakquhvxw4xUZ2KPmxLaeo1MDSJd9N8n0TBSJ1VLkzxDDNZHCkFuTOb4wQbfamHKMNdL95wNSDrMJTcpQ5BHlUMmaG8g9KghlJmMVbcnqJ83~rtIWSCgDxAp6E5KE15MOsbLoyX6-SYfuUgUUlHYi6fwHzLwNmr9WL-mDrlG6ZWc-UjPnOUwzKphVxuk0NlEWTTKoJReTqZvKmhQgo2PUo7s4NVfH2v8K9IqHVrIxMLKCXgmMemqJOcaNdr~FT-jaA__&Key-Pair-Id=KUT5TJCACFTXG","The Davidson County Board of Commissioners on April 3 authorized staff to proceed with adding the Northwoods Traverse child‑support module to the county's existing Northwoods contract and to use available PBB (program/budget balancing) funds to cover the county share while legal review is finalized.

\"So first year implementation, everything is $106,000 and then every year after it's $32,000,\" Trish Baker, director of the county's Department of Social Services (DSS), told commissioners during the April 3 meeting. Baker said the new module will replace a paper/process‑based workflow and prepare county operations for a statewide e‑filing system the Administrative Office of the Courts (AOC) is implementing (Odyssey), which the county expects to join in October.

Staff told the board Northwoods is already in use for other DSS programs and that adding the child‑support module is an addendum to the existing contract rather than a new vendor. County staff said the vendor offers implementation support, on‑site training and local support from staff familiar with the county's operations.

The county discussed funding the purchase with PBB money and with the county counting expected child‑support reimbursement from state and federal sources; staff said child‑support costs are typically reimbursable at roughly two‑thirds (about 66–67 percent). Commissioners agreed to allow staff to finalize contract paperwork with the county attorney and proceed to sign the addendum so implementation can begin sooner than delayed procurement would allow.

Commissioners asked that the contract be routed through legal before final signature; the board approved in a voice vote a motion to proceed, with the county to book the local portion to the PBB allocation and seek reimbursement from the state for eligible costs.","Davidson County authorized use of PBB funds to add the Northwoods Traverse child‑support module to an existing contract; first‑year implementation cost cited as $106,000 with recurring annual costs around $32,000 and an expected federal/state reimbursement for a majority of eligible costs.",{"_33":112,"_35":36,"_37":38,"_39":113,"_41":114,"_43":115,"_45":116,"_47":117,"_49":118,"_51":119,"_53":120,"_55":56,"_57":58,"_59":121,"_61":62,"_63":64,"_65":122,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6089558,"Davidson County to hold June 9 hearing on Midway–Gumtree fire district consolidation",771,305000,1076000,"/Search/View?dp=1&key=2873172-30086d711911678e466a5bf9bafe7a38&start=305&end=1076","https://assets.pipeline.soar.com/2873172-30086d711911678e466a5bf9bafe7a38/thumbnail_305000.jpg","/articles/6089558/Davidson-County/North-Carolina/Davidson-County-to-hold-June-9-hearing-on-MidwayGumtree-fire-district-consolidation","https://secure.pipeline.soar.com/6089558-94dd1eed14e15bcdb46687dbc58753e2/orig.mp4?Expires=1771148954&Signature=Jus2RgkTQfuMmjUBLgW1XI3CDobZDjDI7ITyIlgRoq3NjkSfDezl0y2FvQhvsVGZq6rP1HhzJpscn2JabmtWat2rxH6QIjOUUEHjq24vCIXN2~jLpkCF33AyWzJTlC5Igtq68YB6ULeeU~r1Rq--JEdHWGTBHTDvpr~7LgLCKRmRPWa327tUGZrP5DxyCwP6asq8SeuuSpxljzOpgfIVuTuyO9DWiIO411c4QGyfuoj0GBAYAZRv1Tw8aU8~Wgw~uhtBwGJurmwwkZFeXe0xDaCyCKTJwpG4fowGjcGUsRzNyfggW0Rr~5UE8rmCP2Fq-doOwZG6aqBqV1ezez3G-g__&Key-Pair-Id=KUT5TJCACFTXG","Davidson County commissioners on April 3 set a public hearing for June 9 to consider consolidating the Midway and Gumtree fire service districts and associated insurance/response districts, county staff said. County staff told the board the consolidation would be effective July 1, 2025, if approved.

County staff said the move is intended to put the two districts under a single tax rate and a single ISO (insurance) rating, and to align fire district lines so residents are served by the same taxing district. \"What we're bringing to you today is a request for a public hearing to be set on June 9 for public hearing of the consolidation of the service districts of Gumtree and Midway Fire Departments,\" a county staff member told commissioners.

Fire chiefs who spoke said the volunteer organizations have already combined their nonprofit operations and that day‑to‑day response will be run from the Midway station. \"We're not going to change the name of the building. It's going to be Gumtree Fire Department forever, but on letterhead... it will be Midway Fire and Rescue Department Incorporated,\" one chief said. Another chief noted the consolidation would improve coverage and response times for areas near current district boundaries.

County staff described differences in current tax rates and insurance classifications. Staff said Midway is rated Class III and Gumtree is rated Class IV under the State Fire Marshal/insurance classifications; staff said state inspectors will re‑evaluate and that consolidated rating would be applied after inspection. Staff also said Midway's current tax rate is 13% and Gumtree's is 12.75%, and that notices to residents should explain the small change that would result from consolidation.

Commissioners voted by voice vote to set the June 9 public hearing. County staff also flagged a loan on the Gumtree building that would need to be refinanced if the consolidation becomes effective; staff said the loan would become Midway's obligation after consolidation and that the county will coordinate with Pinnacle Bank and provide routine confirmation of the district's revenue source if needed.

The public hearing will be advertised and mailed to affected residents, county staff said. Questions about training, station signage and vehicle paint were raised and answered by the chiefs; staff said no additional trainings are expected immediately, and that trucks and station signage will not be repainted to avoid unnecessary expense.

If the consolidation moves forward after the public hearing, staff said they will amend the contracting and budget documents so Gumtree's tax base and budget roll into Midway's budget for the single district.","County staff asked the board to set a public hearing June 9 on consolidating the Midway and Gumtree fire service districts into Midway Fire and Rescue; notice will include small tax-rate differences and the consolidation would align insurance/response districts and ISO ratings effective July 1, 2025.","actionData","errors"]

Article not found

County staff recommend renewing Delta Dental; propose Teladoc copay removal and musculoskeletal program

County reviews Daymark crisis case‑management program; board asks for budgets and geo‑mapped data before deciding on $139,000 carryover

Davidson County reviews candidate projects for federal community‑project funding, including High Rock Lake dredging

County approves adding Northwoods 'Traverse' child‑support module; first‑year cost $106,000, annual $32,000 thereafter

Davidson County to hold June 9 hearing on Midway–Gumtree fire district consolidation