On the agenda: Beaufort meeting — colocation (Feb 9)

CARTERET COUNTY
CONSOLIDATED HUMAN SERVICES BOARD
Meeting Agenda
February 9, 2026
6:00 P.M
Carteret County Health Department
I.

Meeting Called to Order/Invocation

Scott Cobb, Board Chair

II.

Pledge of Allegiance

All

III.

Adoption of Consent Agenda
Board
A. Approval of November 10, 2025 Consolidated
Human Services Board Meeting Minutes
B. Request to Accept Funding –452 Revision 1
Breast and Cervical Program, $3,250
C. Request to Accept Funding –403 Revision 2, WIC,
$1547
D. Approval of 2026 Consolidated Human Services
Operating Procedures
E. Request to Approve Work First Plan

IV.

Adoption of Agenda

V.

Public Comment

VI.

Fluoridation of Public Water Supply Discussion

Scott Cobb, Board Chair

VII.

PORT Updates

Brooke Barnhill, PORT Navigator/Manager

VIII.

Health Department Updates

Nina Oliver, Health Director

IX

DSS Updates

Jessica Adams, DSS Director

X

Director’s Report

Dr. Randall Williams, Consolidated Human
Services Director

XI.

Old Business

Chairperson

XI.

New Business

Board

XIII.

Adjournment

Board

Board

To:

Carteret County Board of Commissioners

From:

Nina Oliver
Health Director

Date:

December 19, 2025

Subject: Request to Accept Additional Funding – Agreement Addendum #452 Breast and
Cervical Cancer Program (BCCCP), Revisions 1, Additional $3,250
The North Carolina Breast and Cervical Cancer Control Program (BCCCP) provides services to
underserved women in North Carolina. The goal of the North Carolina BCCCP is to reduce
morbidity and mortality due to breast and cervical cancers in North Carolina women by providing
breast and cervical cancer screening services. The Carteret County Health Department has received
an additional $3,250 in state and federal funds to offer NC-BCCCP to an additional 60 women.
We request the Board’s approval to accept this funding. Should you have any questions, please
contact me. Copy of the budget amendment and Agreement Addendum are attached.

Carteret County
Budget Amendment
Fiscal Year:

2025-2025

Department:

Health

Date:

12/19/2025

The Health Department has received additional BCCCP funding. This will be used to cover the
Justification: costs of providing BCCCP services to our citizens.

Fund

Description
Health Center

St Breast Cervical Cancer

Account Number

Increase

110.50.3515.304

Total Increase in Revenues
Health Center

Salary
FICA
Retirement
401k

3,250
110.50.5110.12100
110.50.5110.18100
110.50.5110.18200
110.50.5110.18700

Total Increase Expenditures

Approval Chairman, Board of Commissioners ________________________________

Date:

3,250

2,363
249
476
163

3,250

Division of Public Health
Agreement Addendum
FY 25-26

Page 1 of 2

Carteret County Health Department

Chronic Disease and Injury Section /
Cancer Prevention and Control Branch

Local Health Department Legal Name

DPH Section / Branch Name

452 Breast and Cervical Cancer

Lisa Brown, 919-707-5326
[email protected]

Activity Number and Description

DPH Program Contact
(name, phone number, and email)

06/01/2025 – 05/31/2026
Service Period

DPH Program Signature Date
(only required for a negotiable Agreement Addendum)

07/01/2025 – 06/30/2026
Payment Period
Original Agreement Addendum
Agreement Addendum Revision #

1

I.

Background:
No change.

II.

Purpose:
As requested by the Local Health Department, this Agreement Addendum Revision #1 provides
additional funding to increase the screening targets as listed in Section III. Scope of Work and
Deliverables below.

III.

Scope of Work and Deliverables:
As of November 1, 2025, this Agreement Addendum Revision #1 replaces Paragraph 1. Provided
Services with the following:
1. Provided Services. The Local Health Department (LHD) shall provide breast and cervical cancer
screening services and/or diagnostic services, and patient navigation-only (PN only) services to
NC BCCCP-enrolled patients according to the following two tables:
Breast and Cervical Cancer Screening and/or
Diagnostic Services Provided

Number of NC BCCCP-Enrolled Women

Service Period

State-Funded

June 1, 2025 –May 31, 2026
July 1, 2025 –May 31, 2026
November 1, 2025–May 31, 2026

Tax DonationFunded

25

Health Director Signature

(use blue ink or verifiable digital signature)

LHD to complete:

LHD program contact name:

[For DPH to contact in case
follow-up information is needed.]

Federally
Funded

25
10

Date

Phone and email address:

Signature on this page signifies you have read and accepted all pages of this document.

Template rev. June 2024

Page 2 of 2
Patient Navigation Only Services
Medicaid Application Completion
Service Period: June 1, 2025–May 31, 2026
IV.

Performance Measures / Reporting Requirements:
No change.

V.

Performance Monitoring and Quality Assurance:
No change.

VI.

Funding Guidelines or Restrictions:
No change.

Number of State-funded
NC BCCCP-Enrolled Patients
2

10/28/25

11/3/2025
11/3/25

To:

Carteret County Board of Commissioners
Carteret County Human Services Board

From:

Nina Oliver
Health Director

Date:

January 23, 2026

Subject: Request to Accept Funding – Agreement Addendum 403, WIC Revision 2, $1,547
The Carteret County Health Department’s Women, Infants, and Children (WIC) Program adjusts
funding to the Local Health Departments, that have increased WIC participation above their initial
caseload assignment 100% during the assessment period of August-September 2025. The funding
increases will enhance the Local Health Department’s ability to continue with the objective of the
Special Supplemental Nutrition Program for WIC, which is to provide supplemental nutritious
foods, nutrition education and referrals to health care for low-income persons during critical periods
of growth and development. Funds will be allocated to support salary and fringe expenses for WIC
Nutrition.
We request the Board of Commissioner’s approval to accept this funding. Should you have any
questions, please contact Nina Oliver. A copy of the budget amendment and Agreement Addendum
are attached.

Carteret County

AS400

Budget Amendment
Fiscal Year 2025-2026
Department: WIC
Date: 1/23/26
Justification: Requesting to accept caseload reallocation funding. Funds will be used for salary and fringe.
NOTE: Whole dollars only, no cents

Fund

Revenue or
Expense

General F Revenues
WIC

Description: Account Name

State WIC Client Services

Account Number
(County General
Ledger)

110.50.3515.306

Salaries
FICA
Retirement Contribution
401(k)

Total Increase Expenditures

110.50.5155.12100
110.50.5155.18100
110.50.5155.18200
110.50.5155.18700

-

1,125
118
227
77
1,547

Approval Chairman, Board of Commissioners_________________________________
Date: _________________________

Decrease

1,547
1,547

Total Increase in Revenues

Expenditures
WIC Client Services
WIC Client Services
WIC Client Services
WIC Client Services

Increase

-

Page 1 of 2

Division of Child and Family Well-Being
Agreement Addendum
FY 2025-26
Carteret County Health Department

Community Nutrition Services Section/ WIC

Local Health Department Legal Name

DCFW Section / Unit Name

403 WIC

Kimberly Lovenduski, (919) 218-3654,
[email protected];
For AA submission/follow-up and ATC funding
availability questions contact:
[email protected]

Activity Number and Description

DCFW Program Contact
(name, phone number, and email)

12/01/2025 – 05/31/2026
Service Period

DCFW Program Signature

Date

(only required for a negotiable Agreement Addendum)

01/01/2026 – 06/30/2026
Payment Period
Original Agreement Addendum
Agreement Addendum Revision # 2

I.

Background:
No change.

II.

Purpose:
This Agreement Addendum Revision #2, adjusts funding to the Local Health Departments (LHD), that
have increased WIC participation above their initial caseload assignment 100% during the assessment
period of –August - September 2025, during SFY25-26, as defined in the Revision 1 Agreement
Addendum’s Attachment A-1. In addition, the Local Health Departments (LHD) per-participant rate will
be increased.
These funding increases, applicable from December 1, 2025 through May 31, 2026, will enhance the
LHD’s ability to continue with the objective of the Special Supplemental Nutrition Program for WIC,

Health Director Signature

(use blue ink or verifiable digital signature)

LHD to complete:

LHD program contact name:

[For DPH to contact in case
follow-up information is needed.]

Phone and email address:

Date

Signature on this page signifies you have read and accepted all pages of this document.

Template rev. Sept 2024

Page 2 of 2
which is to provide supplemental nutritious foods, nutrition education, and referrals to health care for
low-income persons during critical periods of growth and development.
III.

Scope of Work and Deliverables:
As of December 1, 2025, this Agreement Addendum Revision #2 replaces Paragraph 2 in its entirety
with the following:
2. The Local Health Department shall maintain active participation in the WIC Program, which is at
least 97% of the base caseload. From December 1, 2025 through May 31, 2026, the updated base
caseload for the Local Health Department’s local WIC agency is provided in Attachment A-2 (in this
Agreement Addendum Revision #2).

IV.

Performance Measures / Reporting Requirements:
As of December 1, 2025, this Agreement Addendum Revision #2 replaces Subparagraph a. under
Paragraph 1. Performance Measures in its entirety with the following:
Maintain active participation in the WIC Program, which is at least 97% of the base caseload. The base
caseload for the Local Health Department’s local WIC agency is provided in Attachment A-2 (in the
Agreement Addendum Revision #2).

V.

Performance Monitoring and Quality Assurance:
No change.

VI.

Funding Guidelines or Restrictions:
No change.

Attachment A-2

SFY25-26 Base Caseload
December 1, 2025 - May 31, 2026
Local Agency
Alamance
Albemarle Regional
Alexander
Anson
Appalachian District
Beaufort
Bladen
Brunswick
Buncombe
Burke
Cabarrus
Caldwell
Carteret
Caswell
Catawba
Cherokee
Clay
Cleveland
Columbus
Craven
Cumberland
Dare
Davidson
Davie
Duplin
Edgecombe
Foothills
Forsyth
Franklin
Gaston
Graham
Granville-Vance
Greene
Guilford
Halifax
Harnett
Haywood
Henderson
Hoke
Iredell
Jackson

Base
Caseload
4,614
3,707
878
787
1,628
1,439
1,124
3,557
4,671
2,350
4,118
2,028
1,289
569
3,706
610
273
4,172
1,546
3,173
12,434
630
4,195
915
2,403
1,346
2,877
10,136
1,358
5,225
281
3,046
575
13,905
1,565
3,735
1,258
2,179
2,077
3,882
840

97% of Base
Caseload

Local Agency

4,476
3,596
852
763
1,579
1,396
1,090
3,450
4,531
2,280
3,995
1,967
1,250
552
3,595
592
265
4,047
1,500
3,078
12,061
611
4,069
888
2,331
1,306
2,791
9,832
1,317
5,068
273
2,955
558
13,488
1,518
3,623
1,220
2,114
2,015
3,766
815

Johnston
Jones
Lee
Lenoir
Lincoln
Macon
Madison
Mecklenburg
Montgomery
Moore
M-T-W District
Nash
New Hanover
Northampton
Onslow
Pamlico
Pender
Person
Pitt
Polk
Randolph
Richmond
Robeson
Rockingham
Rowan
Sampson
Scotland
Stanly
Stokes
Surry
Swain
Toe River District
Transylvania
Union
Wake
Warren
Wayne
Wilkes
Wilson
Yadkin
Yancey

Base
Caseload
5,071
197
1,772
2,071
1,743
873
430
26,108
1,253
1,496
1,365
2,233
3,668
421
6,845
324
1,353
955
4,936
311
3,533
2,178
6,581
2,391
2,799
2,246
1,394
1,757
1,059
2,013
289
744
583
4,431
22,226
523
5,085
1,833
2,579
1,109
370

97% of Base
Caseload
4,919
191
1,719
2,009
1,691
847
417
25,325
1,216
1,451
1,324
2,166
3,558
408
6,640
314
1,313
926
4,788
302
3,427
2,113
6,384
2,319
2,715
2,179
1,352
1,704
1,027
1,953
280
722
566
4,298
21,559
507
4,933
1,778
2,502
1,076
359

1/6/26, 2:38 PM
60 Mecklenburg •
62Montgomery •
•
63Moore
•
64 Nash
65 New Hanover •
66 Northampton •
•
67Onslow
68Orange
•
69Pamlico
•
71 Pender
•
73Person
•
74 Pitt
•
75 Polk
•
76Randolph
•
77Richmond
•
78Robeson
79Rockingham •
•
80Rowan
•
82Sampson
•
83Scotland
•
84 Stanly
85 Stokes
•
•
86 Surry
•
87 Swain
•
D6Toe River
88 Transylvania •
•
90Union
•
92Wake
•
93Warren
•
96Wayne
•
97Wllkes
•
98Wllson
•
99Yadkin
•
00Yancey
Totals

[

WicGridPrint
2
2
1
1
1
1
1
2
1
2
1

2
1
1

2
2
2

2
2
2

2
2
1
1

2
2
2
2
2

2
2

2
1

0 $1,190,318.00
0

$53,457.00

72,913 $2,449,1141.00
5,512 $108,817.00

0

$65,087.00

4,200

0

$97,911.00

2,680 $195,822.00
4,402 $358,655.00

0 $179,327.00
0 $16,142.00
0 $297,254.00
$0.00
0
0 $14,175.00

$130,175.00

505

$32,282.00

17,432

$5114,510.00

0 $40,548.00
0 $39,319.00

0 $78,065.00
0 $1,423.00
0 $9,830.00

0 $59,686.00
0 $98,009.00

0 $14,916.00
0 $4,687.00

0

$9,333.00

0 $13,333.00
0 $219,593.00

0

$2,812.00

0

$5,625.00

0 $12,024.00
0 $2,502.00

0 $26,981.00
$0.00
0

0 $30,559.00
$0.00
0

0 $109,797.00
$0.00
0

0

$0.00

$4,102.00

0

$8,203.00

0

$0.00
$28,918.00

0

0 $36,333.00
0 $11,316.00
0 $116,667.00

0

$40,976.00

5,231

$81,951.00

$40,155.00

9,663

$81,077.00

0 $170,558.00
0 $100,190.00

0 $20,274.00
0 $19,659.00
0 $29,833.00

389

0

0 $131,519.00
0 $12,538.00

0 $692,289.00

0 $49,004.00
0 $6,687.00

64,941 $263,040.00
2,678 $26,345.00
7,747

$341,114.00

0

$3,340.00

0 $13,490.00
$0.00
0
0

$2,051.00

0 $72,687.00

0

$5,000.00

0 $22,632.00
0 $233,333.00

0

$3,333.00

0

$6,680.00

0 $27,624.00
0 $1,670.00

708,746

2,614

438,985

16,084

548,029

0 $63,333.00
0 $34,322.00

0 $14,511.00
0 $2,167.00

2,695

451,624
271,262

$3,333.00

0

0 $7,008.00
0 $15,883.00
0 $7,333.00

11,092

0

2,309

353,126

2,874

210,356

11,534

395,216

347

58,329

$6,000.00

2,897

147,987

0 $4,224.00
0 $25,296.00
0 $211,655.00

1,902

116,113

13,433

882,968

0 $27,333.00
0 $14,910.00

0

0 $183,729.00
015ZB,136.00

$44,316.00

0 $91,865.00
0 $264,568.00
0 $7,333.00

0 $189,936.00
0 $79,655.00

6,302 $383,947.00
4,604 $159,979.00

0 $114,761.00
0 $23,905.00

0 $106,653.00
0 $41,971.00
0 $12,1148.00

16,021 $220,646.00
6,641 $84,378.00

0 $31,309.00
0 $15,748.00

0 10,279,244

912,523 20,827,230

https://atc.ncdhhs.gov/WICGridPrint.aspx

59,759

7,747

0 $19,727.00
0 $16,667.00

0 $13,667.00
0 $7,455.00

Sign and Date - DCFW Budget Admin

2,678

0 $24,027.00
0 $20,000.00

0

0

Sign and Date - DCFW Program Staff

936,147

47,877 1,275,845

$9,183.00

$25,896.00

64,941

0 $34,667.00
0 $18,933.00

$3,687.00

444

0 $29,164.00
0 $2,112.00

0 $55,247.00
0 $3,340.00

0 $17,333.00
0 $9,467.00

0

828

183,627

0 $14,592.00
0 $1,056.00

$2,928.00

$3,333.00

0

$21,992.00

269,158

9,663

$5,687.00

0

0 $73,333.00
0 $5,834.00

0 $48,978.00
0 $7,731.00

0

0 $11,333.00
$5,856.00

5,231

0

0 $10,000.00
$6,687.00

0

0

0

0

0 $24,489.00
0 $3,865.00

$55,485.00
1,902
13,433 $328,537.00
138,094 �1,815,471.00

0
65,035

$1,032.00

$212.00

0 $72,747.00
0 $25,333.00

0 $27,525.00
0 $152,064.00
0 $885,643.00

0
389

0

0 $36,687.00
0 $2,917.00

0 $17,161.00
0 $36,373.00
0 $12,667.00

$53,721.00

17,432 1,370,733

0

11,092 $127,950.00
2,309 $139,215.00

2,897

84,873

0 $61,117.0�
$0.00
0

0 $161,215.00
0 $73,687.00
0 $72,333.00

$63,725.00

$26,860.00

739,469

505

0 $80,608.00
0 $36,833.00

$66,658.00

0

4,402

$5,005.00

0

0 $12,013.00
0 $15,981.00

0

$12,401.00

450,173

$8,725.00

0

0

2,680

0

0 $36,167.00
0 $31,667.00

2,874 $99,391.00
11,534 $178,415.00
347 $24,803.00

299,089

0 $13,008.00
0 $24,048.00

$2,064.00

$4,101.00

0

247,712

4,200

$4,362.00

16,084 $255,055.00
2,695 $191,087.00

$46,091.00

$6,504.00

5,512

$7,440.00

0

0

0 $124,003.00
0 $114,308.00

$87,722.00

0

72,913 5,187,138

0 $93,467.00
0 $58,200.00

2,614 $209,381.00
47,877 $556,634.00
2,869 $220,936.00

0

0 $19,659.00
0 $29,833.00

0 $134,225.00
0 $9,890.00

0 $48,733.00
0 $29,074.00

0 $267,511.00
0 $107,012.00

0

0$156,129.00
0 $2,848.00

0 $67,113.00
0 $4,945.00
0 $3,720.00

0 $346,145.00

0 $14,687.00
0 $229,523.00
0 $47,811.00
0 $62,618.00

0

0

0 7,699,469

0

1/6/2026

$9,864.00

0 $29,023.00
0 $4,333.00

0

$8,333.00

0

$3,504.00

$6,687.00

0

$7,1141.00

0

$3,687.00

0

$5,510.00

$1,933.00

0 $7,333.00
0 $18,366.00
0 $3,865.00

0

$1,128.00

0 $11,019.00
0 $2,256.00

$4,836.00

0

$9,673.00

0

$3,000.00

0

$3,333.00

0 $15,655.00
0 $8,567.00

$9,707.00

][

0

0 $19,033.00
0 $11,953.00

0 3,850,177

1/6/26

$9,864.00

$833.00
0
0 $21,799.00
0 $132,264.00

0 $31,491.00
0 $19,413.00

0

$4,932.00

0

0 $1,687.00
0 $43,597.00
0 �284,568.00
0

$6,687.00

0 $38,067.00
0 $23,905.00
0 $31,309.00

0 $2,112.00
0 $22,648.00
0 $105,827.00
0

$2,000.00

138,094 4,347,446
828

105,136

0 $27,552.00
0 $10,032.00

6,302 1,022,897

0

$8,240.00

0 $12,480.00
0 $12,078.00

16,021

505,131

6,641

218,046

444

74,592

0

$8,039.00

$1,053.00

0

$1,008.00

994,568

o�.052,537

0 1,032,435

Sign and Date - DCFW Super l!

$4,000.00

478,468

0 $13,776.00
0 $5,016.00

0 $13,135.00
0 $2,107.00

Sign and Date - DCFW Program Admin

0

2,869

0

$2,016.00

0 2,036,791

4,604

366,860

912,523 "9,684,974

1/6/26
1/6/2026

2/2

FY26 - FAS

Activity Nbr + Name:

403

WIC

federal award
supplement

FAS Number + Reason:

3

This FAS is accompanying an AA+BE or an AA Revision+BE Revision.

Assistance Listing Nbr + Name:
Is award R&D?: no

10.557

Special Supplemental Nutrition Program

FAIN: 256NC705W1003

Fed awd total amt:

$

Federal funds from
grant listed above

Total federal funds
for entire Activity

$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

IDC rate: n/a

19,527,986

Fed award project description: Women, Infants & Children (2 year)
Fed awd date + awarding agency: 11-24-25

USDA, Food and Nutrition Service
Subrecipient's
UEI

Subrecipient

Subrecipient's
UEI

Federal funds from
grant listed above

Total federal funds
for entire Activity

Subrecipient

Alamance
Albemarle
Alexander
Anson
Appalachian
Beaufort
Bladen
Brunswick
Buncombe
Burke
Cabarrus
Caldwell
Carteret
Caswell
Catawba
Chatham
Cherokee
Clay
Cleveland
Columbus
Craven
Cumberland
Dare
Davidson
Davie
Duplin
Durham
Edgecombe
Foothills
Forsyth
Franklin
Gaston
Graham
Granv-Vance
Greene
Guilford
Halifax
Harnett
Haywood
Henderson
Hoke
Hyde
Iredell

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X7YWWY6ZP574
Jackson
SYGAGEFDHYR7
Johnston
HE3NNNUE27M7
Jones
F6A8UC99JWJ5
Lee
QKUFL37VPGH6
Lenoir
UGGQGSSKBGJ5
Lincoln
LLPJBC6N2LL3
Macon
YQ96F8BJYTJ9
Madison
ZKK5GNRNBBY6
MTW
Mecklenburg EZ15XL6BMM68
Montgomery E78ZAJM3BFL3
HFNSK95FS7Z8
Moore
NF58K566HQM7
Nash
New Hanover F7TLT2GMEJE1
Northampton CRA2KCAL8BA4
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Onslow
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Orange
FT59QFEAU344
Pamlico
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Pender
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Person
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Pitt
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Polk
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Randolph
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Richmond
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Robeson
Rockingham KGCCCHJJZZ43
GCB7UCV96NW6
Rowan
WRT9CSK1KJY5
Sampson
FNVTCUQGCHM5
Scotland
U86MZUYPL7C5
Stanly
W41TRA3NUNS1
Stokes
FMWCTM24C9J8
Surry
TAE3M92L4QR4
Swain
JUA6GAUQ9UM1
Toe River
Transylvania YLN4BFCJCP39
LHMKBD4AGRJ5
Union
FTJ2WJPLWMJ3
Wake
TLNAU5CNHSU5
Warren
DACFHCLQKMS1
Wayne
M14KKHY2NNR3
Wilkes
ME2DJHMYWG55
Wilson
PLCDT7JFA8B1
Yadkin
L98MCUHKC2J8
Yancey

UEI = Unique Entity Identifier

5,537
4,448
3,258
5,453
4,158
3,130
5,557
18,196
19,433
10,335
4,942
3,736
1,547
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7,654
732
328
15,728
1,855
8,717
79,249
3,962
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3,002
13,104
1,615
4,054
26,692
5,437
32,522
337
3,655
3,696
16,686
6,287
24,221
1,510
15,240
4,496
9,769

927,895
747,331
174,400
154,150
326,033
288,600
222,072
701,310
925,392
466,245
822,691
405,655
258,894
108,081
743,924
122,441
54,619
830,354
309,987
633,080
2,434,066
123,166
839,967
182,160
473,339
270,518
579,402
2,028,955
269,865
1,025,655
56,649
614,073
112,630
2,788,118
309,709
731,349
253,613
423,305
415,367
775,581

1,810
7,989
337
2,126
2,485
2,092
4,755
2,821
1,638
72,913
5,512
4,200
2,680
4,402
505
17,432
389
5,231
9,663
64,941
2,678
7,747
2,614
47,877
2,869
16,084
2,695
11,092
2,309
2,874
11,534
347
2,897
1,902
13,433
138,094
828
6,302
4,604
16,021
6,641
444

Federal Award Reporting Requirements for Pass-Through Agencies, 2 CFR § 200.331

168,543
1,020,310
39,515
356,350
417,413
351,255
171,404
84,384
275,084
5,187,138
247,712
299,089
450,173
739,469
84,873
1,370,733
65,035
269,158
183,627
936,147
59,759
708,746
438,985
1,275,845
478,468
548,029
451,625
271,262
353,126
210,355
395,216
58,329
147,987
116,113
882,968
4,347,446
105,136
1,022,897
366,860
505,130
218,046
74,592
DPH v1 05-30-24 [ag]

Operating Procedures
Carteret County Consolidated Human Services Board
1. Name and Office
The name of this organization is the Carteret County Consolidated Human Services Board
(hereinafter "Board"). The principal office of the Board is located at 3820-A Bridges Street,
Morehead City, North Carolina.
2.

Officers and Committees
a. Chair and Vice-Chair
The Board members shall elect a Chair and Vice-Chair by majority vote each year at the
August meeting.
b. Secretary
The Human Services Director shall serve as Secretary to the Board, but the director is not a
member of the Board. The Human Services Director may delegate the duties of the
Secretary that are set forth in these operating procedures to an appropriate Human Services
employee.
c. Standing committees
The Board shall not have standing committees.
d. Temporary committees
The Board may establish and appoint members for temporary committees as needed to
carry out the Board's work. All temporary committees are subject to the North Carolina
open meetings laws and shall comply with the provisions of those laws.

3.

Meetings
a. Regular Meetings
The Board shall hold a regular meeting on the second Monday of the following months:
August, November, February, and May. If necessary, the Board shall hold a special
meeting as needed, The primary location for the meeting shall be held at the Carteret
County Health Department and shall begin at 6 p.m. The meeting may be held at an
alternate location if necessary.
b. Attendance
Board Members are expected to attend all regular Board meetings. If a Board member
misses two consecutive meetings and/or attends less than 50 percent of the regularly
scheduled meetings during a calendar year, the Board may request that the County
Commissioners remove this member in accordance with General Statute 130A-35(g)(4) 11
habitual failure to attend meetings11• Absences due to illness, family emergencies,
and business conflicts shall be regarded as excused, and shall not affect Board Members'
status, providing prior notice is given to the Secretary and/or his designee.
c. Agenda
The Secretary to the Board shall prepare an agenda for each meeting. Any board
member who wishes to place an item of business on the agenda shall submit a request
to the Secretary at least two working days before the meeting. For regular meetings,
the Board may add items to the agenda or subtract items from the agenda by a majority
vote. The agenda for a special or emergency meeting may be altered only if permitted
by and in accordance with the North Carolina open meetings laws.
Any person may request that an item be placed on the Board's agenda by submitting a
written request to the Secretary at least ten working days before the meeting.
d. Presiding Officer
The Chair of the Board shall preside at Board meetings if he or she is present. If the Chair is
absent, the Vice-Chair shall preside. If the Chair and Vice-Chair are both absent,

another member designated by a majority vote of members present at the meeting shall
preside,
e. Quorum
A majority of the actual membership of the Board, excluding vacant seats, shall constitute
a quorum. A member who has withdrawn from a meeting without being excused by a
majority vote of the remaining members shall be counted as present for purposes of
determining whether or not a quorum is present.
f. Voting
Each Board member shall be permitted to abstain from voting, by so indicating when the
vote is taken. A member must abstain from voting in cases involving conflicts of interest
as defined by North Carolina law. If a member has withdrawn from a meeting without
being excused by a majority vote of the remaining member's, the member's vote shall be
recorded as an abstention,
g. Public Comment
• Any person may address the Board but may only discuss one topic at a time.
The address must be limited to five minutes unless the Chair grants a time extension.
Discussion of a single topic will be limited to fifteen minutes regardless of the number
of individuals who wish to speak (groups are encouraged to select a spokesperson).
Each speaker must give their names and address at the beginning of the address.
• A speaker may address any issue relevant to the Department of Human Services but
must conduct themselves in a manner consistent with the proceedings and appropriate
for the occasion,
• The Chair may modify these rules and may adjourn or recess this portion of the meeting
at any time.
h. Minutes
The Secretary shall prepare minutes of each Board meeting, Copies of the minutes shall be
made available to each Board member before the next regular Board meeting. At each
regular meeting, the Board shall review the minutes of the previous regular meeting as well
as any special or emergency meetings that have occurred since the previous regular
meeting, make any necessary revisions, and approve the minutes as originally drafted or as
revised, the consolidated human services board chair and director shall sign approved
minutes from meetings. The public may obtain copies of signed Board meeting minutes at
the Carteret County Health Department or from the Carteret County Government website,
4. Training
CBS Board Handbook will be updated and provided annually.
• New CHS board members shall attend or review a Board member training covering
responsibilities and authority of the board within first year of appointment or
complete
"Roles and Responsibilities of Local Public Health Governing Boards" training. Certificate of
Completion shall be provided to Secretary and Board Chair within first year of
appointment. https://sph.unc.edu/nciph/nciph-boh-roles-respon/
• CHS board members shall attend or review ongoing board member training covering
responsibilities and authority of the board, this training will be offered annually,
typically in the third quarter at the CHS Board Meeting.
5.

Amendments to Operating Procedures
These operating procedures may be amended at any regular meeting or at any properly called
special meeting that includes amendment of the operating procedures as one of the stated
purposes of the meeting. A quorum must be present at the meeting at which amendments are
discussed and approved, and any amendments must be approved by a majority of the members
present at the meeting.

6.

Rule Making
The Carteret County Consolidated Human Services Board has the responsibility and authority
of the local Board of Health to adopt rules, as necessary, to protect and promote the public

health. The Board shall do so in compliance with conditions set out in NC General
Statutes 130A-39, by vote at a regular meeting of the Board, The Board will adopt,
amend, or repeal a rule only:
• After thorough consideration by the Carteret County Consolidated Human Services Board of the
available data and analysis from county and/or other staff with expertise in the subject under
consideration,
• After consultation with the Office of the County Attorney regarding the subject under
consideration and regarding the authorities and responsibilities of the Board,
After public notice of the proposed rule, its effective date, and where copies of the proposed rule are
available, and
After conducting a public hearing on the proposed version of the rule at a regular meeting of the
Board,
7. Other Procedural Matters
The Board shall refer to the current edition of Robert's Rules of Order Newly Revised (RONR) to
answer procedural questions not addressed in the document, so as long as the procedures
prescribed in RONR do not conflict with North Carolina law,
8. Compliance with North Carolina Law
In conducting its business, the Board shall comply with all applicable North Carolina laws,
including but not limited to open meetings laws, public records laws, and the laws setting forth the
powers and duties of local boards of health. To assist the Board in compliance, the Human Services
Director shall maintain a current copy of relevant North Carolina General Statutes and make them
available lo Board members on request.
Approved and adopted by the Carteret County Consolidated Human Services Board on February 9,
2026.

Chair, Carteret County Consolidated Human Services Board

Director, Carteret County Consolidated Health and Human Services

CARTERET COUNTY DEPARTMENT OF SOCIAL SERVICES
Carteret County Work First Plan 2026-2028
Protocol Title and Number: 4.01.01 - CC WF Plan
Effective Date: February 9, 2026
Author: Kelly Dorman, Organizational Development and Quality Manager
Approved By: Jessica Adams, Director
PURPOSE AND OVERVIEW:
The Work First Program promotes a strengths-based, family-centered practice approach and
shares the mission of NCDHHS, in collaboration with its partners, to protect the health and safety
of all Carteret County residents and provide essential human services.
AUTHORITY:
NCDHHS is responsible for establishing, supervising, and monitoring the Work First Program while
each County Department of Social Services provides all services and benefits. Work First funding
is provided through the Work First Block Grant which follows the North Carolina measurable
outcomes goals and performance measures as described. North Carolina Work First policy
supersedes the county plan.
ORGANIZATION:
This agency is organized to best serve our clients and to support the shared responsibility of
helping Work First participants become self-sufficient through employment. We have explored colocations to expand access to services by placing eligibility workers in our county NC Works
Career Center and through participation in community events to offer information about the Work
First Program and how to access.
Eligibility time limits make it imperative to assess client needs, provide services and refer them to
other community resources as quickly as possible. Work First is an employment-focused program
that provides supportive services to participants to optimally reach their goal of self-sufficiency.
Work First has continued to broaden the options applicants have for applying for the program.
Applicants are able to apply for services in person, by mail, phone call, or through ePASS, North
Carolina’s online application portal.
In-Person applicant:
When a participant enters this agency, they are identified through the agency intake process who
registers the application in iiReception to alert the WFCA Income Maintenance Caseworker (IMC).
If the participant is identified as a parent, the IMC notifies the Work First Employment Social
Worker (WFES SW) who then processes application in person with the participant.
Phone Applicant:
When a participant calls this agency, they are identified through the agency intake process who
then links the participant with the WFCA IMC. The WFCA IMC ensures all paperwork is taken and
1 of 10

application is registered in iiReception.
Mail and ePASS Applicant:
Mailed applications are distributed to the front desk team to register in iiReception. Front desk staff
check the queue and registers the ePASS application in iiReception and assigns the application to
the WFCA IMC. The WFCA IMC refers the applicant to the WFES SW if appropriate.
Organizational structure:

2 of 10

Work First Case Assistance Income Maintenance Caseworker II:
The WFCA IMC explains the program, requirements, and benefits. The application is keyed into
NCFAST and determines program eligibility based on policy and appropriate documents are
completed. Referral for drug testing completed if the specific policy requirements are met and/or
referral to a Qualified Substance Abuse Professional. WFCA IMC provides case management services
in accordance with policy requirements throughout the life of the case.
Work First Employment Services Social Worker II (WFES SW):
The WFES SW meets with the applicant within 5 working days to develop their Mutual Responsibility
Agreement (MRA), their plan of action that will begin their journey to self-sufficiency. Assessments
will be completed and through work together, goals will be established for the participant. Referral for
community resources such as NC Works, Employment and Independence for People With
Disabilities, and Social Security Administration. WFES SW provides case management services in
accordance with policy requirements throughout the life of the case.
While the WFCA IMC and WFES SW have differing roles and responsibilities, they partner and work
closely to assist the participant to reach the self-sufficiency goal. Often, Work First participants have
extremely complex challenges to overcome and can be considered the most challenging to serve.
There are frequently co-occurring needs that come with each participant such as housing instability,
inadequate or no transportation, part or current substance abuse, under or untreated mental health
disorders, history of domestic violence, criminal history which presents challenges to obtaining
employment, medical needs, and varying degrees of cognitive ability.
Work First benefits are issued by the state electronically to an Electronic Benefits Transfer (EBT) card
or direct deposit to the bank of the participants choice. The awarded benefit is in accordance with the
state determined scale based on family size. The benefit for child only cases are issued at the
beginning of the month, whereas cases with a work eligible parent are released after the service
month if the WFES SW has verified that they have complied with their Mutual Responsibility
Agreements (MRA). The MRA outlines the employment activities and supportive services they will
engage in to support their employment goals. The is part of the Pay-After-Performance model that the
program has operated under for the last twelve (12) years.
CHILDCARE:
Families that qualify for and receive Benefit Diversion are considered for subsidized childcare
assistance under the 200% or below category. All Subsidized Child Care Assistance eligibility
requirements must be met to receive the service including completion of the application for childcare
services, verification of income, need, provider choice, and any other required documentation. Parent
3 of 10

fees are assigned to the parent based on the family's income. In the event that the agency subsidized
childcare assistance program goes on wait-list status, Work First eligible participants needing Child
Care may be pulled from list to be served in efforts to support their employment goals.
TRANSPORTATION:
Transportation continues to be one of the main challenges facing participants in the Work First
program. Transportation assistance is provided to Work-First work-eligible participants for any
activity listed on their MRA or MRAB/Outcome plan. Transportation assistance is helpful those served
under the work first program although it alone cannot and does not alleviate the transportation needs
for all low-income families in Carteret County. The methods for assisting participants with
transportation for employment activities include: mileage reimbursement to participants with a
vehicle at 75% of the County Reimbursement Rate; Issuing gas vouchers to support the MRA plan of
action; (any combination of the two may not exceed $250 per month) paying contracted services
within the local area transportation system, currently CCATS, or paying contracted private
organizations who must meet state policy.
Participants in the Work First program are eligible for other transportation assistance such as vehicle
repairs, tires, tune-ups, or other essential services needed to keep their vehicle running and up to date
with registration and inspections. This assistance enhances the participant’s ability to find and
maintain employment. This funding is limited to $750 per eligible participant per county fiscal year for
transportation assistance other than mileage reimbursement or purchase of fuel. Vehicle repairs are
only provided if the participant requesting the assistance owns the vehicle. The yearly total for
transportation assistance in any category is not to exceed $3,000 per eligible participant, excluding
payments to the local area transportation system.
MOE funds have been appropriated in the amount of $15,000 to provide transportation services to
eligible families in Work First Employment Services and in services for the Low-Income Families under
200% of Poverty. All expenditures are based on availability of funds.
SUBSTANCE USE SERVICES:
Carteret County Department of Social Services will continue to work with Trillium, the LME-MCO and
collaborate with Community Prevention Services to define the scope of services that are to be
provided to Work First participants, specifically services pertaining to substance use as required by
Work First policy. The Work First Program will refer participants to Community Prevention Services to
their contracted Qualified Professional in Substance Abuse (QPSA), for substance use screening
and/or treatment as needed. The WFES SW and QPSA will work together to coordinate any treatment
4 of 10

needs and Carteret County Work First staff will follow state policy regarding drug testing. (MOA
between Community Prevention Services, Inc. and Carteret County Department of Social Services
attached.)
FAMILY VIOLENCE OPTION:
Violence within the family is a substantial barrier to self-sufficiency for some Work First participants.
Work First staff must ensure that all participants seeking services are given the opportunity and
services necessary to address the violence. North Carolina adopted the Family Violence Option
which assists participants who are, or have been, victims of family violence by providing necessary
tools to address the issues related to the abuse. Prior to receiving the opportunity for waiver of one or
more Work First requirements, the Family Violence Declaration form (DSS-6966) must be completed.
This waiver will specify the activities that the participant must engage in to address the family violence
issues. Two-Parent household participants will receive the family violence option notifications also –
however, will receive the information separate and apart from one another.
Currently the agency completes the DSS-6966 with every applicant and it is reviewed with every
recertification. If there is a self-disclosure or evidence of domestic violence, the individual is then
referred for services to the Carteret County Domestic Violence Program. The WFCA IMC and WFES
SW are responsible for screening and assessing for family violence and complete necessary referrals
to community programs. Carteret County DSS along with NC Works maintains a resource guide to
local resources which includes access to food assistance, mental health services, counseling,
domestic violence counseling, childcare services, health services, homeless shelters surrounding
Carteret County. A full screening can be completed using the DSS-6968, the screening tool, which is
filed in the case record after the interview is conducted in a confidential and private meeting space
within the agency. There are several available crisis intervention options to include utilizing the local
domestic violence program, mobile crisis options, hospital or urgent cares, and/or other local mental
health agencies.
Work First staff participate in Family Violence Option Training and complete trainings provided by the
state through the NC Learning Gateway which review the dynamics of domestic violence, sexual
harassment, sexual assault, and stalking and provide the procedures to ensure the confidentiality of
survivors' personal information.
OTHER SERVICES:
NC Works Career Center Memorandum of Understanding attached following this plan outlines
collaboration with community partners.
5 of 10

MAINTENANCE OF EFFORT (MOE):
The Maintenance of Effort amount is $576,194 per fiscal year. MOE funded activities include cash
assistance, Subsidized Child Care Services (for Work First Benefits participants), supportive services
for work related expenses, educational activities, administrative costs, case management services,
medical services not covered by Medicaid.
CHILD WELFARE SERVICES:
Approximately $741,533 of the Work First Block Grant funds will be allocated to Child Welfare
Services.
EMERGENCY ASSISTANCE:
$45,000 of the Work First Block Grant is declared for Emergency Assistance. Interpreter services are
accessible during business hours and for after-hours emergencies. The agency has a Spanish
Interpreter on-site approximately two (2) days per week as the majority of the County's non-English
speaking population speaks Spanish. A language line is also available for clients speaking other
languages and for instances when the Spanish interpreter is unavailable. Staff providing intake
services will assess the needs for individuals with disabilities and make any reasonable
accommodations.
Carteret County DSS will offer short-term financial assistance to meet the emergency needs of
families. The county has opted to determine eligibility by using the 200% of poverty level to determine
eligibility. This designation is submitted to the state each year as required. Should a change to 150%
of poverty be preferred, an amendment to the plan will be made. The population to be served includes
residents who are citizens or an immigrant who is admitted as a lawful permanent resident (LPR) and
in households with at least one minor child who is a citizen or LPR and who meets the age criteria and
kinship rules as stated below.
Age requirements: To receive Emergency Assistance, a child must be age 17 or younger, except as
described next. Emancipated minor parents are considered adults and are treated as adults for
Emergency Assistance eligibility. Children may receive through the month they turn age 18. Eighteenyear-old children, who are attending high school and expected to graduate by age 19, can receive as
children through the month they graduate from high school. If an eligible 18 year old child drops out of
a four- year public or private high school, an adult high school diploma program, or home school (not
GED), or is no longer expected to graduate by the month of their 19th birthday, the child is then
6 of 10

terminated from the Work First case as soon as the caseworker verifies the situation. The child is then
evaluated for Medicaid eligibility.
Kinship Rule: The following relationships meet the kinship rule:
A. A parent - This includes a biological mother or father, a legal father, or adoptive parent(s) after
issuance of the final order;
NOTE: Biological parent(s) and biological relatives are not eligible to receive Work First Family
Assistance for the adopted child.
B. An alleged father or other alleged paternal relative;
C. A blood or half-blood relative or adoptive relative limited to: brother, sister, grandparent, greatgrandparent, great-great-grandparent, uncle or aunt, great-uncle or aunt, great-great-uncle or
aunt, nephew, niece, first cousin. Spouses of these individuals must have legal custody or legal
guardianship to meet the kinship requirement if the marriage has been terminated by death or
divorce. D. A step-relative limited to: Stepparent, stepbrother or stepsister; Spouses of a
stepparent, stepbrother, or stepsister with court ordered legal custody or legal guardianship of
a child.
NOTE: A minor parent may live with an adult who is not related if it has been determined that
the living arrangement is appropriate.
Criteria for emergency assistance cash payments include the following:
Households must be in emergency circumstances; for example, facing eviction, foreclosure or the
loss of essential utilities or the family is in a crisis situation which could potentially result in the
removal of the children from the home and placed in alternative care. Family members must meet the
same citizenship requirements as for Work First in that there must be a child in the household that is a
U.S. Citizen. Client statement of citizenship can be accepted for emergency assistance, unless
information known to the agency indicates that citizenship is questionable. If in doubt, appropriate
verification will be requested from the individual(s) applying for benefits; the assistance requested will
resolve and not perpetuate the emergency; total gross income must be at or below the 200% of
poverty level – the countable income is that same as Work First requirements; households are
allowed a maximum resource limit of $3,000. Resources that can be readily (within 5 business days)
converted into case are counted toward the $3,000 limit.
Total cash assistance is limited to $600 per household per year (year begins the month assistance is
received). If household composition changes and cash assistance participants move to another
location, they will not be eligible for case assistance payment in a new household. For example, if
Emergency Assistance (EA) was received in October, EA benefits would not begin any earlier than
October of the next year. Only the amount of assistance needed to alleviate the emergency will be
provided – not to exceed $600. This can be expended in more than one authorization.
7 of 10

Service Intake workers are responsible for determining eligibility for Emergency Assistance (EA).
SERVICES TO LOW INCOME FAMILIES (UNDER 200% OF POVERTY):
$5,000 of the Work First Block Grant is declared for non-Work First supportive services for low-income
families under 200% of poverty. Families that receive Benefit Diversion or who are in Work First and
become ineligible due to being over-income from employment may apply for these employment
supportive services. Services provided to eligible families include case-management services,
educational assistance and a one-time work-related expense such as specific work-related
equipment or special licensure. Transportation assistance is also provided; however, it is under a
different funding source as stated previously. The level of assistance provided depends upon the
needs of the family and will be provided as funding allows. Applications for assistance for services to
Low Income Families will be taken and processed by the WFES SW. WFES SW will provide counseling
and case management services to ensure that these families maintain employment or regain
employment after a temporary employment loss. The temporary employment loss cannot exceed
three months to prevent it from being considered “assistance” by the federal definition. Services are
not provided to non-custodial parents.

The eligibility guidelines used to determine assistance for this program include:
The family must not be receiving a Work First Case Assistance payment; There must be a child in the
household who meets the age, kinship, citizenship, and immigrant rules; Benefits will not meet the
TANF definition of assistance; Family gross total income is at or below the 200% of federal poverty; the
families resources must be within the resource limits as defined for WFCA; if any issues of an
Intentional Program Violation, is a fleeing felon, fleeing to avoid prosecution of a felony, is violating a
condition of probation or parole, or has a felony conviction that has an element of possession, use, or
distribution of a controlled substance, will be addresses according to policy requirements.
TRANSPORTATION ASSISTANCE TO LOW INCOME FAMILIES (UNDER 200% OF POVERTY):
This assistance is included in the $15,000 MOE funds referenced earlier in this plan. Transportation
assistance is defined as reimbursement to a transportation provider, (ex: county area transportation
system), minor repairs for road readiness that could include and is not limited to: state inspections,
tags or title, tires, battery, brake repairs, installment for vehicle insurance, purchase of fuel, or
reimbursement to an eligible family for a necessary expense that cannot be paid directly by DSS to a
provider. An example of this would be a repair to a vehicle used for employment where the services
provider would not accept a voucher from DSS for the provided service. When repairs or purchases
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are made for a vehicle, ownership of the vehicle must be verified and more than one quote for
necessary service is evaluated. If ownership of the vehicle cannot be verified, the vehicle related
requests must be denied.
The agency has parameters established for transportation assistance within policy requirements for
low-income families (under 200% of poverty) are: all transportation reimbursement or purchase of
gasoline is limited to a $250 per month per adult family member in the case for 6 months, thereafter
$125 per month. Exceptions can be made in emergent situations at the social worker and supervisors
discretion following case staffing. Minor vehicle repairs or other transportation needs (insurance,
tags, etc.) are limited to $750 per fiscal year per eligible family. Employed participants may be asked
to pay a portion of the vehicle repair to increase their vested interest towards self-sufficiency; Mileage
reimbursement is based on 75% of the counties reimbursement rate for families who own their own
vehicle; Transportation assistance utilizing a contracted vendor is authorized for 6 months,
thereafter, only half of the month is authorized to assist the recipient to transition to independence;
provision of transportation assistance is dependent on funding availability; yearly total for
transportation assistance is not to exceed $3,000 per eligible family member.
EXEMPTION FROM THE WORK REQUIREMENT FOR A CHILD UNDER 12 MONTHS:
In accordance with policy requirements, a single custodial parent can be exempt from the work
requirements for up to 12 months if they have a child in the home under 12 months of age. This is a
limited 12 months of lifetime exemption. Carteret County further specifies that the exemption can be
used up to 6 months at a time per child as long as there is a child 12 months of age or younger in the
home. The 12-month lifetime limit is still applicable. Any unused exemption months can be used by
the parent for any future children, again not to exceed the 12-month lifetime limit. The parent can use
as little as 1 month or up to 6 months of this lifetime allotment per child.
If a parent loses their 12-month exemption status due to an IV-D Sanction, they can regain it once they
are compliant with Child Support Enforcement, providing there is still a child under 12 months or
younger in the home.
INNOVATIVE STRATEGIES:
The agency develops collaborations between community resources to strengthen our community
services hours partnerships along with improved collaboration with the Carteret County Domestic
Violence Program. WFES SW have traveled to the domestic violence program to conduct face-to-face
meetings with eligible participants to alleviate the transportation burden placed on the domestic
violence program as able. To aid in our service to participants with disabilities we maintain a working
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relationship with our local vocational rehabilitation program, now called Employment and
Independence for People with Disabilities. The agency is committed to strengthening our community
partnerships and to meeting participants where they are to best meet the needs of our community.
Approved by the Consolidated Human Services Board on February 9, 2026.

______________________________________
Mr. Scott Cobb
Health and Human Services Board Chair

________________________________________
Mrs. Jessica Adams
Carteret County DSS Director

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PORT 2025 Recap

2025 YTD

Total Clients (2025)

353

Overdose Responses

98 New

Client Referrals

255 New

Client Interactions

343 (97%)

Naloxone Distributed

1,057 units

Entered Treatment

198 (56%)

Encounters & Tasks Completed

3,363

Outreach

134

Total Repeat Clients

85 (13%)

If you or someone you know could benefit from
PORT services, call PORT today at (252) 247-1129
or email [email protected].

Source: Carteret County Health Department
*1/1/2025-12/31/2025