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Board asks for clearer IGA language to define nursing oversight and billing
Summary
Board members told staff to draft deeper intergovernmental-agreement language so nursing responsibilities, credentialing and billing flows are explicit before returning for legal and board review.
Members focused on revising the intergovernmental agreement (IGA) to specify nursing oversight and billing responsibilities between Dolores County and Montezuma County Public Health. Agency official (S2) said the current draft is a starting point but "we need to include more nursing wording in this IGA," and recommended attorney review and clearer assignment of medical oversight and administrative duties.
The parties discussed credentialing requirements for billing (providers must be nurses or higher), the practical workload for vaccine clinics and shared supervision models used in other multi‑county arrangements. S2 described a model used elsewhere where a single medical director or nurse practitioner provides oversight while local nurses administer vaccines, and recommended drafting concrete language that delineates who enters immunization records and who holds liability.
The board directed staff to prepare a revised IGA draft, consult county attorneys, and coordinate with Montezuma County and other regional partners before bringing a final proposal back to the board.
