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Board reviews WIC service agreement with La Plata County and Montezuma IGA carve‑outs; officials warn of potential state centralization
Summary
Dolores County board members described La Plata County's WIC mentorship and service order (monthly contact, part‑time dietitian scheduling, virtual check‑ins) and noted Montezuma County will retain immunizations under a revised IGA; members recalled state warnings the WIC program could be centralized.
Dolores County officials reviewed intercounty arrangements for WIC and immunization services at the March 16 Board of Health meeting, describing La Plata County's role in providing mentorship and high‑risk case support while Montezuma County continues to provide immunization services under a pared‑down IGA.
Julie Kable (identified in meeting materials as the county public health administrator) described La Plata's support structure: regular monthly contact with a WIC educator, scheduling for a part‑time registered dietitian, virtual check‑ins with Dolores staff, nutrition‑education follow‑up, trainings, optional in‑person visits, and fiscal compliance assistance. She said La Plata staff act as a mentor and a resource "in case we get a high risk case," and confirmed that the local office has not had a high‑risk case since she began in the role.
A board member reminded the group that the high‑risk WIC case requirement is mandated by state statute and reported prior warnings from state officials that the WIC program could be centralized and moved out of local control if counties could not meet program requirements. That history, members said, informed their continued partnership with La Plata County.
The board discussed caseload growth, noting WIC participation increased from the low 20s to about 75 clients, a change members attributed to improved outreach and service delivery. Board members asked Kable to review the La Plata service order (which shows an expiration in June next year) after she is settled in and to make recommendations for renewal or revision.
Board members also noted that Montezuma County has been retaining proceeds for a vaccination program under prior arrangements and that revisions to the Montezuma IGA should remove most of a previously budgeted $20,000 consulting amount, while travel costs are expected to remain.
There was no formal vote on the IGAs at the meeting; the matter was discussed for follow‑up and administrative action by staff.
