HomeMy WebLinkAboutAugust 21 2001 Regular MinutesIREDELL COUNTY BOARD OF COMMISSIONERS
MINUTES
AUGUST 21, 2001
The Iredell County Board of Commissioners met in Regular Session on Tuesday,
August 21, 2001, at 7:00 p.m., in the Iredell County Government Center, 200 South Center Street,
Statesville, NC.
Present: Chairman Sara Haire Tice
Vice Chairman Steve D. Johnson
Tommy E. Bowles
Karen B. Ray
R. Godfrey Williams
Staff Present: County Manager Joel Mashburn, County Attorney William P. Pope, Finance
Director Susan Blumenstein, Planning Supervisor Ron Smith, and Clerk to the Board Jean Moore.
CALL TO ORDER by Chairman Tice.
INVOCATION by Commissioner Johnson.
ADJUSTMENTS OF THE AGENDA: MOTION by Chairman Tice to approve the following
adjustments.
Additions (underlined): Request from the Social Services Department to Retain a Carolina
Access Position & a Fraud Investigator Position (50% County Funds
to Supplant the Loss of State Funding) Contingent Upon the
Availability of Lapsed Salary Funds
Request from the Health Dept. for Approval to Receive and Expend
Grant Funds from the Regional HIV/AIDS Consortium and Approval
of Budeet Amendment #5
Request for the Approval of a Capital Project Ordinance for the Hall of
Justice Annex (current Agricultural Building) in the Amount of
$754,400 and Approval of a Contract with Design Associates for the
Renovation
VOTING: Ayes — 5; Nays — 0.
PRESENTATION OF SPECIAL RECOGNITIONS & AWARDS
Recognition of Attorney Thomas R. Young, with the Department of Social Services, for an
Employee Suggestion: Social Services Director Don Wall said Attorney Young was a conscientious
employee who had submitted a cost-saving suggestion pertaining to bulk -mailing rates. Wall said the
Employee Suggestion Review Committee had met and declared Young's idea to be worthy of an award.
Chairman Tice presented Mr. Young with a framed appreciation certificate, along with a $500
check. (See briefing minutes for more detail)
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Presentation by Carolyn White, of 3226 Westover Road, Statesville, NC,
Concerning Problems in her Neighborhood (burned -out house, noise, and junked vehicles): Ms.
White submitted a petition with over 150 signatures. The petition read: "We, the community of Westover
development and neighbors, would like to request a change of ordinance to limit the number of dogs and
junk cars per household. We also request an ordinance change to keep trash and brush cleaned up, lawns
mowed, and to limit noise. " Ms. White also presented photographs of her neighborhood.
White said she was complaining about property owned by Martha Steele Allison. Ms. White said
there were probably 10 to 15 dogs at the site, six junked vehicles, a burned -out house, trash and rodents.
She said that due to the animals there was an odor problem. White said the county's animal control
department had investigated, but no action was taken. She said this was because the officers were told the
animals were not on Ms. White's property. White also complained of numerous other problems, e.g.,
vandalism, loud parties, and overgrown grass (brush) at the site.
Commissioner Ray asked if the house was vacant, and if the residents had a homeowners
association.
White said the house was vacant; however, the owner was rebuilding it -- a new roof was being
constructed. She said there wasn't a homeowner's association.
County Manager Mashburn said animal control officers had been to the site several times. Animal
Control Supervisor Weisner said the dogs did not appear to be neglected. Mashburn said that in reference
to the house, the Inspections Director had advised that a building permit had been issued and everything
was in order for the construction, or renovation, to proceed. In reference to the vehicles, Mashburn said
that up to six junked vehicles were allowed.
Commissioner Johnson asked if the environmental health personnel had looked at the site.
Mashburn said the environmental supervisor had visited the site and found no violations.
Attorney Pope said it was difficult to enact a law that required people to be "good neighbors." He
said it was probably too late to get a homeowners association started for this particular problem. Pope said
the neighbors could align together and seek court action declaring the site a common law nuisance. Mr.
Pope said the problem appeared to be a "private matter" and he suspected that only the courts could address
it.
A discussion then occurred on the possibility of revamping some of the county's ordinances
pertaining to nuisances. It was noted, however, that it would be difficult to write regulations that covered
densely populated areas of the county as well as the more secluded or rural sections.
Chairman Tice requested the staff to check with the neighboring counties to find out if they had
enacted any nuisance ordinances.
PUBLIC HEARINGS
Chairman Tice declared the meeting to be in a public hearing.
Consideration of an Economic Development Incentive, in the Amount of
$152,280.00, over a five-year period, based on an $8,100,000 Investment by Egre Properties, LLC.,
and Evernham Motorsports, LLC: Chairman Tice said the purpose of the hearing was the
consideration of an incentive appropriation of $152,280.00, over a five-year period, based on an
$8,100,000 investment in Iredell County. She said the expenditure would be used for site preparation and
the general revenues of Iredell County would be the funding source. Mrs. Tice said the benefit to the
county would be the stimulation of the local economy, the promotion of business, and the creation of jobs
that paid above the median average wage for Iredell County.
Greater Statesville Development Corporation Director Jeff McKay said the motorsports
company planned to expand its facility located in the Airport Industrial Park. McKay said approximately
45 to 60 new jobs, during the first two phases, would be created. He said that initially, the company
would be constructing 45,000 square feet of new space. McKay said that additionally, new hangars for
the company's aircraft would be built.
The property owner, Burr Collier, along with Lou Patane and Rick Russell, of Evernham
Motorsports, attended the meeting but did not speak.
Chairman Tice closed the public hearing.
OTION by Commissioner Johnson to approve an economic development incentive for Egre
Properties, LLC and Evernham Motorsports, LLC in the amount of $152,280.00, over a five-year period,
based on a taxable investment of $8,100,000.
Commissioner Bowles said it appeared that more requests for motorsports incentives were being
received. Bowles said he had concerns about the county assisting too many industries of this type, even
2
though he understood the business climate for racing was very healthy at the present. Mr. Bowles said he
just wanted the county to have some diversity in its employment opportunities.
VOTING: Ayes — 5; Nays — 0.
Chairman Tice declared the meeting to be in a public hearing.
Consideration of the Financing of Certain Public Facilities (Third Creek Elementary School
and Cell III of the Solid Waste Facility) & the Refinancing of Certificates of Participation Pursuant
to an Installment Financing Agreement: Finance Director Blumenstein said the Third Creek
Elementary School was first presented as a construction possibility in 1999-2000. She said the board
began appropriating funds at that time, and over a three-year period, including this year, $6,144,800 had
been appropriated. She said that in addition, $2,455,000 in public school building capital funds would be
used, and that a total of $3.6 million would be financed. Blumenstein said $12.2 million would be the
total amount available for Third Creek Elementary. In reference to the landfill project, Blumenstein said
it was a 17 -acre -lined cell at $3,044,500. She said that over the last two years, $964,500 was transferred
from the solid waste operating fund for the project, and $1.2 million in the retained earnings of the solid
waste enterprise fund had been transferred. Mrs. Blumenstein said the county wanted to finance $880,000
to finish out the project. Lastly, Blumenstein said the county desired to refinance the term bond on the
1992 issue of Certificates of Participation. Blumenstein said the certificates were issued when the county
went towards the middle school concept.
Mrs. Blumenstein said the county would borrow approximately $5.5 million which, when added to
the existing debt reserve fund of $1.5 million, would be placed in escrow. The county would payments on
the newly borrowed funds, and the borrowed funds would be accumulated to make the term bond
payment in February of 2007. Mrs. Blumenstein said the transaction would save approximately $150,000.
Commissioner Bowles asked for a clarification on any lapsed funds or contingencies.
Blumenstein said that if a contingency was built into any of the project ordinances, the money
could not be spent until approval was obtained from the board of commissioners. She continued by
saying that in reference to this project, any excess money would have to be used by either the school
system or landfill.
Buddy Hemric, a resident of 198 Roseman Lane, Statesville, North Carolina, then spoke and
advised that he served on the 1995 School Facilities Task Force. He said the task force recommended for
the Wayside Elementary School property to be sold, as well as property located on Salisbury Road. He
said the task force had recommended for the proceeds to be used for the construction of a school to
replace Wayside and ADR. Hemric said that at that time, it was anticipated the widening of Highway 70
would cut through the middle of the Wayside School property. He questioned why the recommendation
to sell the properties wasn't followed. Mr. Hemric also shared concerns about the Iredell-Statesville
School System's handling of its finances.
Commissioner Steve Johnson, a resident of 139 Columbine Street, Statesville, North Carolina,
said he too served on the task force. Mr. Johnson said the Wayside building was still being used as a
school — it was occupied. Johnson said the building would have to be vacant before any attempts could be
made to sell the property.
Chairman Tice adjourned the hearing.
Commissioner Johnson then introduced the following resolution.
RESOLUTION DIRECTING THE FILING OF AN APPLICATION
FOR APPROVAL BY THE LOCAL GOVERNMENT
COMMISSION OF AN INSTALLMENT FINANCING AGREEMENT
TO FINANCE CERTAIN PUBLIC FACILITIES
BE IT RESOLVED by the Board of Commissioners (the 'Board of Commissioners") for the County of
Iredell, North Carolina:
Section 1. The Board of Commissioners does hereby find, determine and declare as follows:
(a) The County of Iredell, North Carolina (the "County") proposes to (a) finance (i) the construction of
the new Third Creek Elementary School and (ii) the construction of an additional lined cell for the County landfill
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and (b) refinance the outstanding Certificates of Participation (1992 Iredell-Statesville School Project) heretofore
executed and delivered by Iredell County Public Facilities Corporation (the "1992 Certificates"), pursuant to an
installment financing agreement (the "Installment Financing Agreement") with Branch Banking and Trust
Company or an affiliate thereof; the County's obligations under the Installment Financing Agreement will be
secured by, among other things, a deed of trust on the Mortgaged Property (as defined in the deed of trust to be
executed by the County as security for its obligations under the Installment Financing Agreement).
(b) The Project is necessary in order to provide modern and expanded facilities essential to the
administration of the government of the County and the public health, safety and welfare of its citizens, and the
County can achieve substantial debt service savings by refunding the 1992 Certificates.
(c) Based on advice from knowledgeable parties as to current tax-exempt interest rates, the sums to fall
due under the Installment Financing Agreement are not excessive for its stated purposes; moreover, the estimated
cost of the Project is not excessive.
(d) The County Attorney has rendered an opinion that the proposed undertakings are authorized by law
and are purposes for which public funds may be expended pursuant to the Constitution and laws of the State of
North Carolina.
(e) The Installment Financing Agreement, under the circumstances presently obtaining, is preferable to
a general obligation bond issue for this purpose. The County's current fund balance is, in light of other
requirements and prudent fiscal management, insufficient to fund the entire cost of the Project, the County does not
have the ability to issue sufficient non -voted bonds for the purposes of the Project under the provisions of Article
V, Sec. 4 of the North Carolina Constitution, and voting general obligation bonds for this purpose will result in
unacceptable delay and additional cost to the County. In addition, the facilities being financed are not eligible for
revenue bond financing under The State and Local Government Revenue Bond Act.
(f) The estimated cost of financing the Project pursuant to the Installment Financing Agreement
compares reasonably with an estimate of similar cost for general obligation bond financing therefor. The primary
difference in cost results from higher issuance costs, but this amount is insignificant when compared to the total
cost of financing the Project and effecting the refunding of the 1992 Certificates.
(g) The debt management policies of the County have been carried out in strict compliance with law,
including the filing of all required audits and reports with the Local Government Commission, and the County is
within its statutory debt limit and is not in default with respect to any of its outstanding indebtedness.
(h) The County estimates that no increase in the property tax rate would be required to raise sums to
pay the estimated debt service to fall due under the Installment Financing Agreement for all of its stated purposes.
(i) The County has made timely payment of all sums owed by it with respect to the payment of
principal of and interest on all of its outstanding debt obligations and has received no notice from the Local
Government Commission or any holder concerning the County's failure to make any required payment of debt
service.
Section 2. The Local Government Commission is hereby requested to approve the proposed Installment
Financing Agreement pursuant to the provisions of Article 8 of Chapter 159 of the General Statutes of North
Carolina, and the Director of Finance and Administrative Services is directed to complete all applications and
execute all other documents required in connection with obtaining such approval.
Section 3. This resolution shall take effect immediately upon its passage.
OTIO by Commissioner Johnson, seconded by Commissioner Bowles, to approve the
resolution.
VOTING: Ayes — 5; Nays — 0.
OTION by Commissioner Johnson to approve a resolution approving the financing terms
with Branch Banking and Trust Company in an amount of $10,000,000 with an annual fixed interest rate
of 4.41 % and a term of 10 years.
VOTING: Ayes — 5; Nays — 0.
The resolution is as follows.
RESOLUTION APPROVING FINANCING TERMS
WHEREAS: The Iredell County ("County") has previously determined to undertake a project for 2001
Public Facilities Project, and the Finance Officer has now presented a proposal for the financing of such Project.
BE IT THEREFORE RESOLVED, as follows:
1. The county hereby determines to finance the Project through Branch Banking and Trust Company
("BB&T"), in accordance with the proposal dated August 21, 2001. The amount financed shall not
exceed $10,000,000.00, the annual interest rate (in the absence of default or change in tax status) shall
not exceed 4.41% and the financing term shall not exceed ten (10) years from closing.
2. All financing contracts and all related documents for the closing of the financing (the "Financing
Documents") shall be consistent with the foregoing terms. All officers and employees of the County
4
are hereby authorized and directed to execute and deliver any financing documents, and to take all such
further action as they may consider necessary or desirable, to carry out the financing of the project as
contemplated by the proposal and this resolution. The financing documents shall include a financing
agreement and deed of trust and an escrow agreement as BB&T may request.
3. The finance officer is hereby authorized and directed to hold executed copies of the financing
documents until the conditions for the delivery of the financing documents have been completed to
such officer's satisfaction. The finance officer is authorized to approve changes to any financing
documents previously signed by county officers or employees, provided that such changes shall not
substantially alter the intent of such documents or certificates from the intent expressed in the forms
executed by such officers. The financing documents shall be in such final forms as the finance officer
shall approve, with the finance officer's release of any financing document for delivery constituting
conclusive evidence of such officer's final approval of the document's final form.
4. The County shall not take or omit to take any action the taking or omission of which shall cause its
interest payments on this financing to be includable in the gross income for federal income tax
purposes of the registered owners of the interest payment obligations. The County hereby designates
its obligations to make principal and interest payments under the Financing Documents as "qualified
tax-exempt obligations" for the purpose of Internal Revenue Code Section 265(b)(3).
5. All prior actions of County officers in furtherance of the purposes of this resolution are hereby ratified,
approved and confirmed. All other resolutions (or parts thereof) in conflict with this resolution are
hereby repealed, to the extent of the conflict. This resolution shall take effect immediately.
-----------------------------------------------CONSENT AGENDA -----------------------------------------
items.
OTIO by Commissioner Johnson to approve the following fourteen (14) consent agenda
VOTING: Ayes — 5; Nays — 0.
1. Request from the West Iredell Water Corporation for the County to Purchase 15 Water
Hydrants at a Cost of $19,500 ($1,300 ea.) in Conjunction with the Corporation's Water Line
Extension into the Wood Bridge/Cannon Road Area: Information from the West Iredell Board of
Directors dated August 14, 2001 indicated that the water corporation was in the process of a water line
extension on Sharon School Road. The information stated the corporation planned to extend its water line
by 9,000 feet by attaching to an EnergyUnited water line and possibly serving 30 new customers. West
Iredell gave a $112,000 cost for this project. In addition, the corporation said it desired to assist 23
residents in the Wood Bridge Road area. A water line would be extended 5,709 feet; however, the
corporation said 3,332 feet was in pasture land and would probably never be developed. West Iredell
indicated its cost for the Wood Bridge Road area to be $70,000. The corporation asked the county to fund
the purchase of 15 water hydrants at a cost of $19,500 for the two projects.
2. Request from the Soil & Water Conservation District Office for the Donation of a Surplus
Vehicle: (When a suitable surplus vehicle becomes available, it will be transferred to the Soil & Water
Office.)
3. Request for Approval to Retire a Canine (K-9 Mike) From Active Duty and Approval of a
Resolution to Declare the Animal Surplus & for a Private Negotiated Sale to be Held: (The animal
was declared surplus and the following resolution was approved.)
RESOLUTION
TO
DECLARE
CANINE MIKE (K-9 Mike) SURPLUS AND TO
AUTHORIZE THE STAFF TO CONDUCT A
PRIVATE NEGOTIATED SALE
WHEREAS, the County of Iredell has possession of the following item of personal property, that is
surplus to its needs, and desires to dispose of the same.
NOW, THEREFORE, BE IT RESOLVED, by the Iredell County Board of Commissioners of Iredell
County, that Evie D. Caldwell, Purchasing Agent, pursuant to the provisions of G.S. 160A-267, is hereby
authorized to dispose of the personal property, as listed, for cash or good check by private sale, and the said
purchasing agent is further authorized and directed to execute the necessary functions associated with the sale of:
K-9 Mike
F
4. Request for the Approval to Transfer the following Surplus Equipment: (1) The Open Door
Clinic has requested the donation of two examination tables and one folding table no longer in use
by the Health Dept. (2) Statesville High School and the North Piedmont Babe Ruth Baseball
Organization have requested two field conditioners that are no longer being used by the Iredell
County Recreation Dept: During the agenda briefing, Purchasing Agent Caldwell explained the
requests. The following resolution was approved.
RESOLUTION AUTHORIZING THE PRIVATE SALE
OF
CERTAIN SURPLUS PROPERTY
WHEREAS, the County of Iredell has possession of the following items of personal property which are surplus
to its needs and desires to dispose of same.
NOW, THEREFORE, BE IT RESOLVED, by the Board of Commissioners of Iredell County, that Evie D.
Caldwell, Purchasing Agent, pursuant to the provisions of G.S. 160A-267, is hereby authorized to dispose of the
personal property, providing that it is used for a public service.
Two (2) examining tables
One (1) folding table
Two (2) field conditioners
5. Request from the County Assessor's Office for Approval of the July Refunds & Releases:
During the briefing, County Assessor Weisner stated the following refunds/releases were in order for
approval.
Releases for the month of July
2001 $47,561.08
County
$ 28,870.56
Solid Waste Fees
24.00
E. Alex. Co. Fire #1
5.13
Shepherd's Fire #2
318.59
Mt. Mourne Fire #3
48.18
All County Fire #4
505.99
Statesville City
1,604.80
Statesville Downtown
314.94
Mooresville Town
14,841.28
Mooresville Downtown
0
Mooresville School
813.25
Love Valley
0
Harmony
5.03
Troutman
209.33
Refunds for the Month of July 2001
1,744.04
County $
1,094.74
Solid Waste Fees
24.00
E. Alexander Co. Fire #1
0
Shepherd's Fire #2
0
Mt. Mourne Fire #3
14.09
All County Fire #4
101.67
Statesville City
353.16
Statesville Downtown
0
Mooresville Town
17.81
Mooresville Downtown
0
Mooresville School
0
Love Valley
0
Harmony
0
Troutman
138.57
6. Request from the Solid Waste Department to Write -Off a Delinquent Account in the
Amount of $93.90: During the briefing, Solid Waste Administrative Officer Susan Cornell said she had
made several attempts to collect a Brooks Builders delinquent account. She said that during her last
conversation with Mr. Brooks, he advised of his intentions to file for bankruptcy.
7. Request from the Social Services Department to Retain a Carolina Access Position & a
Fraud Investigator Position (50% County Funds to Supplant the Loss of State Funding)
6
Contingent Upon the Availability of Lapsed Salary Funds: This request was approved, contingent
upon the availability of lapsed salary funds. (See briefing minutes for more detail.)
8. Request from the Health Dept. to Apply for a March of Dimes Grant in the Amount of
$15,015 for FY 2002-03 (B Vitamin -Folic Acid Grant): The health department requested permission
to apply for this $15,015 grant to support the Folic Acid Program. The grant would provide $10,338 for
community awareness products, advertising, brochures, etc. The remaining funds ($4,677) would be for a
part-time temporary agency health educator to continue the program's coordination.
9. Request from the Health Dept. for Approval of the Fee Schedule for FY 2001-2002
The following fees and policies were approved.
FEE SCHEDULE
CPT CODE
FISCAL YEAR 2001-2002
SERVICE
FEES FEES
FY'00-'O1 FY'O1-'02
Antepartum Care
59425
Preventive Visits (New)
$375.00
$375.00
99381
Age under lyear
$80.00
$80.00
99382
Age 1-4years
$90.00
$90.00
99383
Age 5-11 years
$154.00
$154.00
99384
Age12-17years
$169.00
$169.00
99385
Age 18-39 years
$167.00
$167.00
99386
Age 40-64years
$199.00
$199.00
99387
Age 65 years & over
$215.00
$215.00
Urine with micro
PreventiveVisits
$18.00
87086
(Established)
$ 25.00
99391
Age under 1 year
$70.00
$70.00
99392
Age 1-4years
$75.00
$75.00
99393
Age 5-11 years
$126.00
$126.00
99394
Age 12-17years
$146.00
$146.00
99395
Age 18-39years
$142.00
$142.00
99396
Age 40-64 years
$158.00
$158.00
99397
Age 65 years & over
$175.00
$175.00
Eval/Mamt Visits
(New)
99201
Minimal
$60.00
S60.00
99202
Limited
$90.00
$ 90.00
99203
Expanded
5128.00
$128.00
99204
Detailed
5188.00
$188.00
99205
Comprehensive
$236.00
$236.00
Eval/Mgmt Visits
(Established')
99211
Minimal
$35.00
535.00
99212
Limited
$55.00
$55.00
99213
Expanded
$ 76.00
S76.00
99214
Detailed
$118.00
5118.00
99215
Comprehensive
$176.00
5176.00
Antepartum Care
59425
4-6 visits
$375.00
$375.00
59426
7 or more visits 51,000.00
$1,000.00
Laboratory
82947
Glucose
$ 15.00
$15.00
82950
1 hour Glucola
S25.00
$25.00
82951
GTT (3 hr.)
S40.00
540.00
85013
Hematocrit
$ 15.00
515.00
81002
Urine Dipstick
$ 12.00
512.00
81000
Urine with micro
$18.00
$18.00
87086
Urine Colony Count
$ 25.00
525.00
81025
*Pregnancy Test (urine)
$ 10.00
$10.00
(19 years & over)
87210
WetPrep
$20.00
520.00
87081
GCCulture
$30.00
530.00
82465
#*Cholesterol
$20.00
$20.00
87205
GramStain
$15.00
515.00
7
89300
Semen Analysis
$ 40.00
S40.00
87166
Darkfield
$ 30.00
S30.00
86592
Stat RPR
$ 20.00
$ 20.00
36415
Venipuncture/stick
$ 10.00
S 10.00
99000
Handling Fee
$ 10.00
S 10.00
Office Procedures
54050
Wart Treatment/Male
$121.00
$121.00
56501
Wart Treatment/Female
$125.00
$125.00
76815
Ultrasound
$150.00
$150.00
59025
Non -Stress Test
$105.00
5105.00
59412
Cephalic Version/External
5350.00
$350.00
11975
Norplant Insertion
$505.00
5505.00
11976
Norplant Removal
$210.00
5210.00
58300
IUD Insertion
$185.00
5185.00
58301
IUD Removal
$95.00
595.00
99070
**IUD Supply
510.00
$10.00
57170
Diaphragm Fitting
$76.00
$76.00
96110
Denver Developmental
$150.00
$150.00
92551
Audiometry
$30.00
530.00
69210
Ear Irrigation
$60.00
560.00
Immunization/Injection
90782
Therapeutic/Diagnostic
S 10.00
$ 10.00
Admin. Fee
90471
Admin. Single Vaccine
$ 10.00
$5.00
90472
Admin. 2+ Vaccine
$ 15.00
$10.00
90788
Admin. Antibiotics
$10.00
$10.00
90384
Rho Gain
$111.00
$111.00
J1055
DepoProvera
$45.00
$45.00
90716
*Adult Varicella
$55.00
$50.00
90707
* Adult MMR
$40.00
$35.00
90733
*Adult Meningitis
565.00
$60.00
90746
*Adult Hepatitis
$60.00
$55.00
90632
*Adult Hepatitis A
550.00
$45.00
90633
*Ped/Adol Hepatitis A
$28.00
$23.00
90657 & 90658
*Influenza Vaccine
$9.00
$5.00
90732
*Pneumonia Vaccine
$16.00
$11.00
86580
*PPD (TB Skin Test)
510.00
$10.00
90699
*Prevnar
$67.00
Miscellaneous
Adult Health Visit
540.00
$40.00
Pill Replacement Pack
$7.00
ST00
*TRUST
$20.00
520.00
*Chem 23 (co. employee only)
$40.00
540.00
*CSC (co. employee only)
$25.00
$25.00
#*Lipid Profile
$30.00
$30.00
*****
Fees listed are only those which are new, have codes assigned, or have changed in amounts since
January I, 2000.
Sliding Fee Scale applied except as noted
*Flat Fee except as prohibited by law, regulation or fee policy (if part of clinic packaged service, will be billed
on sliding scale or to third parties regardless of age).
**Based on materials used
#*Flat Fee and if in conjunction with Allied Health nutritional education, an additional S 10.00 wilt be added to
the fee.
PREVENTIVE HEALTH DIVISION
FY'00-'01 FY'01-'02
CHILD HEALTH
EPSDT Periodic (Medicaid) $90.00 $90.00
F,PSDT Interperiodic $90.00 $90.00
Periodic Screening 100% $90.00 $90.00
Interperiodic Screening $90.00 $90.00
MATERNAL HEALTH BABY LOVE (Medicaid)
Initial Maternity Care Coordination
Subsequent month
MCC Home Visit
$110.00 $110.00
55.00 55.00
73.00 73.00
MOW Brief Visit
20.00
20.00
MOW Standard Visit
55.00
55.00
MOW Extended Visit
85.00
85.00
ADULT HEALTH
10.00
10.00
TB Control Treatment (Medicaid)
$89.00
89.00
SEXUALLY TRANSMITTED DISEASES (Medicaid)
20.00
20.00
Initial visit
$80.00
80.00
HIV Case Management (Unit rate: 15 min.)
11.00
11.00
PRENATAL (Medicaid)
Post Partum Home Visit - Maternal Assessment
$60.00
60.00
Post Partum Home Visit - Newborn Assessment
60.00
60.00
Maternity Home Visit
88.00
88.00
CHILDREN SERVICES COORDINATION (Medicaid)
Primary Service Coord.
$89.00
89.00
IMMUNIZATION UPDATE (Medicaid)
$20.00
$20.00
A Sliding Fee Scale is utilized in Child Health Clinics.
All State adjustments made to Medicaid charges will automatically be implemented in the County fee
schedule.
ALLIED HEALTH DIVISION
Dental, Health Promotion and Nutrition Sections
FY'00-'01 FY'01-'02
Services for Community Members/Organizations
Basic Cholesterol Screening and Nutrition Education $30.00 $30.00
Full Lipid Profile and Nutrition Education 40.00 40.00
Breast Pump Rental (per month) 20.00 20.00
Programs for Communitv Groups/Organizations
Blood Pressure/Hypertension
$3.00
$3.00
Community CPR Course
45.00
45.00
Infant/child CPR and First Aid Course
45.00
45.00
Grocery Store Tour - Healthy Food Selection
10.00
10.00
Health Fair and Information Booths
Donation
Donation
Health Topic Seminars (for professionals)
20.00
20.00
Health Topic Seminars (for the public -group)
Donation
Donation
Individual Weight Loss Counseling (per 30 min.)
5.00
10.00
(Or 5 for $30)
Stress Management*
Smoking Cessation*
40.00
40.00
Lighten -Up (weight loss and stress management)*
40.00
40.00
Health Education Events
Cost based on staff time, materials used & length of presentation time............ $0.00-$10.00... $0.00-10.00
(based upon actual costs) (per person)
Health Education Products
(Fees for Health Professionals)
Pamphlets (Per 100)
$15.00
$15.00
Posters
5.00
5.00
Videos
40.00
40.00
Brochures (Per 100)
20.00
20.00
Curriculum
40.00
40.00
Manuals
20.00
20.00
9
Medicaid/Non-Medicaid Reimbursed Classes
W8203 Childbirth Education Series
W8205 Parenting Education Series
Childbirth Refresher Series
Dental -Medicaid
Per Visit Flat Fee $100.00
Medical Nutrition Therapv
Medicaid/Non-Medicaid SlidinIj Fee
MNT for Women
MNT for Children
* Note that there two CPT codes for MNT as of July 2001.
97802 Initial Assessment (face to face)
97803 Re -Assessment (face to face)
( ) Will utilize Sliding Fee Scale for non -Medicaid
* County employees receive a $10 discount
$87.00
$87.00()
75.00
75.00()
33.00
33.00()
$47.00/visit - $18.00/15 min. ( )
$50.00/visit - $18.00/15 min. ( )
$18.00/15 min ( )
$18.00/15 min O
All state adjustments made to Medicaid charges will automatically be implemented in the county fee
schedule.
DENTAL FEES FOR SERVICES - ALLIED HEALTH DIVISION
Health
Medicaid
D0150
Initial Oral Exam
50.00
38.00
D0120
Recall Exam
29.00
28.00
DO 140
Emergency Exam &/or time spent on uncooperative
39.00
38.00
D0210
Complete Series X-rays
75.00
54.00
D0220
Periapical X-ray
14.00
14.00
D0230
Periapical - Two or More
12.00
10.00
D0240
Occlusal P.A.
24.00
16.00
D0270
Bitewings - Single Film
12.00
10.00
D0272
Bitewings x 2
23.00
17.00
D0274
Bitewings x 4
42.00
33.00
D0330
Panorex X-rays
60.00
41.00
D1110
Prophy (Adult) age 13 and older
50.00
32.00
D1120
Prophy (Child) age 13 and under
38.00
26.00
D1201
Prophy w/Fluoride (Child) age 13 and under
51.00
41.00
D1203
Prophy w/Fluoride Varnish (Child) age 13 and under 20.00
19.00
D1205
Prophy w/Fluoride (Adult) age 13 and older
62.00
43.00
D1351
Sealants
32.00
32.00
D4341
Root Planning/Scale (ea. quad.)
141.00
43.00
D4355
Gross Scale - Perin
103.00
60.00
D4910
Periodontal Maint. Tx.
77.00
38.00
D1510
Space Maint. Fixed - Unilateral
175.00
115.00
D1515
Space Maint. Fixed - Bilateral
180.00
173.00
D2110
Amalgam 1 Surf Primany
60.00
58.00
D2120
Amalgam 2 Surf Primary
81 .00
81.00
D2130
Amalgam 3 Surf Primary
102.00
102.00
D2131
Amalgam 4 Surf Primary
115.00
115.00
D2140
Amalgam I Surf Perm.
66.00
58.00
D2150
Amalgam 2 Surf Perm.
83.00
81.00
D2160
Amalgam 3 Surf Pern.
102.00
102.00
D2161
Amalgam 4 Surf Perm.
124.00
115.00
D2330
Resin 1 Surf Ant.
78.00
58.00
D2331
Resin 2 Surf Ant.
95.00
83.00
D2332
Resin 3 Surf Ant
120.00
102.00
D2335
Resin 4 Surf. Ant.
141.00
115.00
D2380
Resin I Surf. Poster Primary
75.00
58.00
D2385
Resin I Surf Poster Perm.
84.00
58.00
10
D2386
Resin 2 Surface Perm
117.00
115.00
D2381
Resin 2 Surface Prim
95.00
83.00
D2387
Resin 3+ Surface Perm
148.00
143.20
D2336
Resin Crown - Prim.
167.00
68.50
D2940
Sedative Filling
59.00
19.00
D3220
Pulpotomy - Excl. Rest
103.00
83.00
D2930
SSC - Primary
141.00
115.00
D2931
SSC - Permanent
174.00
173.00
D2950
Crown Buildup
100.00
78.00
D2951
Pin Placement
21.20
20.20
D2970
Temporary Crown
139.00
60.57
D3110
Pulp Cap Direct
35.00
16.00
D3310
RCT- Anterior
369.00
185.99
D3330
RCT Molar
405.00
405.00
D7110
Ext. -Primary & Perm
76.00
56.00
D7120
Ext. - Each Additional Tooth
76.00
56.00
D7210
Surg. Ext. - Erupted
136.00
58.00
D7220
Soft Tis. Impact
97.00
64.00
D7230
Partial Bony Impact
130.00
90.82
D7240
Bony Impact
250.00
121.27
D7241
Bony Impact w/compl.
300.00
151.60
D7250
Resid. Roots - Unerupted
120.00
52.86
D7510
I &D Intra Oral
90.00
19.00
D9110
Emerg. Pallative Tx.
35.00
23.00
D9230
Analgesia
39.00
26.00
D9610
Drug Inject.
48.00
13.22
D9630
Other Drug/Med.
26.00
16.00
Notes:
Medicaid reimbursements are based on an updated list as of August 29, 2000.
In-house computer system will write a discount allowance for any amount not covered by Medicaid and the patient
will not be required to pay the difference.
Cdt 3 Codes
Descriptions
ICHD Fee
D3351
Recalcification - Initial Visit
$174
D3352
Recalcification - Interim
$125
Medication Replacement
D3353
Recalcification -Final Visit
$200
with Root Canal Therapy
D2920
Recement Crown
$60
D7120
Extraction - Each Additional
$76
Tooth
ENVIRONMENTAL HEALTH
DIVISION
User Fee Schedule
Fiscal Year 2001-2002
Septic System Permit
FY'00-`Ol
Type I or II System
$175
Type III System
300
Type IV -VI System
500
Septic System Repair Permit No charge
Relayout of Septic System Permit:
Limited
Comprehensive
50
Full Permit Fee
Medicaid
$103.33
$82.66
$154.99
19.00
Was $56.00
Now $57.00
FY'01-`02
$175
300
500
No charge
50
Full Permit Fee
Existing System Inspection 50 50
Installer Fee For Uneancelled Appointment 50 50
Water Sample*
Swimming Pool Permit:
Operating <8 months
Operating >8 months
Tattoo Artist Permit (Annual)
30 30
50 50
75 75
200 200
* Water sample fee will be waived for samples collected at a physician's request as part of a diagnostic procedure.
OPERATIONS MANUAL FOR LOCAL HEALTH DEPARTMENTS
POLICY
Fees for health department services are authorized under NC General Statutes I30A-39, provided that (1) they are in
accordance with a plan recommended by the Health Director and approved by the Board of Health and County Commissioners,
and (2) they are not otherwise prohibited by law.
The demand for public health services is increasing, as are the costs of providing these services. Additionally, the resources to
fund these services are diminishing. The health department serves the public interest best by first assuring that all legally
required public health services are furnished for all citizens, and then by providing as many recommended and requested public
health services as possible.
Fees are a means to help distribute services to the citizens of Iredell County in accordance with need, as well as to help finance
and thus extend public health services.
All payments from individuals and third party payors shall be used to support the services of the program in which revenues
were earned. All fees collected shall be used in the current year or succeeding fiscal years.
A person must be a resident of the county to be eligible for services except as mandated by North Carolina Department of
Health and Human Services. Care may be provided to non -subsidized, out -of -county residents when adequate staffing/service
provision allows.
FEESCHEDULE
A schedule of fee amounts shall be established for specified health services and updated on at least an annual basis. Fees may
be adjusted on insurance rates or other contracted package of services considering costs of services.
SERVICES EXCLUDED
Certain services, such as epidemiologic investigations, mandated immunizations, Tuberculosis and Sexually Transmitted
Disease Control are excluded unless covered by Medicaid or other third party payors.
FEE CHARGES
Fees charged will be either an established (flat) rate for certain services or will be determined by applying a sliding scale based
on family size and gross annual income to the fee schedule amount. Minors requesting confidential services will be considered
a family of one.
Sliding scale fees will be charged on the basis of family income exceeding 100% of current Federal Poverty Guidelines (or
other percent guidelines required by state or federal policy for applicable programs.)
INCOME ELIGIBILITY
Income eligibility will be determined prior to service provision and shall be re-evaluated anytime income and household status
changes or at least annually.
VERIFICATION OF INCOME
Patients will be required to submit verifiable documentation of income when sliding scale fees are applied. Clients unable to
provide income documentation may be rescheduled or required to pay the full fee for the service(s) received on that date. All
must present their health insurance or Medicaid card at each visit and those who receive Medicaid are exempt from income
eligibility determinations.
PAYMENT COLLECTION
Clerical personnel (Preventive Health) and/or Professional staff (Allied Health) will be primarily responsible for informing
patients of expectations and responsibility to pay prior to the time service is rendered. Including FYI payment requirements of
any flat -rate fees. In addition, clerical/professional staff will confirm the patient's ability to pay prior to service delivery.
Verification of enrollment in Medicaid constitutes full payment for covered /billed services. Other third party insurance plans
will be billed, unless the insurance company has previously notified the Iredeil County Health Department that public health
services are not eligible to be covered. Such patients will be informed that they will be considered as private pay patients.
FAILURE TO PAY
Failure to pay charges, for rendered services, in full, at the time of service, constitutes a debt for reasonable collection, unless
the department is billing other third party insurance. Any outstanding balances, after the collection of other third party
12
insurance, will also constitute a debt for reasonable collection.
EXTENDED PAYMENTS
Arrangements may be made for extended payments when good cause is indicated. Patients will be informed of their account
status at each visit and at other encounters. Payments received will be posted to the corresponding charges for the service(s)
rendered.
STATEMENT BILLING
Patients with an active account in our patient care management software will be billed monthly at 30-60-90 day intervals.
Statements will not be generated on inactive accounts more than 18 months past due or on balances below 55.00.
SERVICE DENIAL
Priority in the provision of service is given to persons from low-income families who might otherwise not have access to such
services. As provided by Federal law, no individual will be denied services due to inability to pay, as determined by family size
and income eligibility scale.
Service limitations/denials may be applied when patients do not make a good -faith effort to reduce the outstanding balance.
Consideration shall be given to necessity of services, program guidelines, and any statutorily required services.
BAD DEBT WRITE. -OFF
Accounts will be written off no earlier than one year or more after the last date of any payment on the account. Bad debts
which are determined uncollectible (i.e. death, bankruptcy) will be written off upon notification. At no time will a patient be
notified that the account has been written off as a bad debt.
An itemized list of uncollectible, outstanding patient balances will be prepared at the end of the fiscal year for the Health
Director's review. Those approved by the Health Director and the Board of Health will be written off. The accounts receivable
system shall indicate the recording of the bill as uncollectible and evidence shall be on file to document required billings.
BAD DEBT RECLAMATIONS
Should a patient return for additional services after an outstanding balance has been written off as a bad debt, the amount the
patient has agreed to pay will be reinstated to the account. The most current write-off listing will be used for determining the
total amount that can be reinstated. Should the patient wish to pay write-offs from a period not covered by the listing, their
account will be referred to Administration for reinstatement.
ADMINISTRATION OF POLICY
The Health Director shall establish procedures to implement these policies.
The Health Director is authorized to adjust fees and fee policy for Medicaid, Medicare, and usual/customary third party
insurance, as well as for private pay. The Board of Health and Board of County Commissioners shall be informed of these
fees/fee policy adjustments at their next meeting.
Donations may be accepted from any patient regardless of income status, as long as they are truly voluntary. There shall be no
schedule of donations, nor implied or overt coercion.
10. Request from the Health Dept. for Approval to Receive and Expend Grant Funds from the
Regional HIV/AIDS Consortium and Approval of Budget Amendment #5: During the briefing,
Health Director Ray Rabe said a $3,000 continuation grant was available for this program. Rabe asked
permission to accept and expend the funds for educational materials and training.
11. Request for the Approval of a Capital Project Ordinance for the Hall of Justice Annex
(current Agricultural Building) in the Amount of $754,400 and Approval of a Contract with Design
Associates for the Renovations: The following ordinance was approved. In addition, an architectural
contract with Design Associates was approved in the amount of $41,250. The architectural firm will
renovate approximately 27,610 sq. feet of space at the 201 Water Street facility. (Excluding the
emergency communications area, the lower level of the building will be converted into space for the
Register of Deeds. The upper lever will be designed for various court uses.)
The project ordinance is as follows.
13
Capital Project Ordinance
Hall of Justice Annex
Be it Ordained by the Board of County Commissioners of Iredell County, North Carolina:
Section 1. The following costs of the design, renovation, and furnishing of the
Hall of Justice Annex (formerly Iredell Agricultural Center) shall be
financed by this fund:
Design & Engineering $ 42,000
Building Improvements 506,000
Furniture, Fixtures & Equipment 153,000
Contingency 53,400
$754,400
- ------ --------
Section 2. Funds for this Capital Project Fund will be provided from the following source:
Transfers from Capital Reserve Fund $754,400
Section 3. This Capital Project Fund shall continue until the project is complete.
Section 4. Payments from this Capital Project Fund shall be authorized by the County
Manager or his designee.
Section 5. Upon completion of the construction project, all funds remaining in this
Capital Project Fund will be transferred back to the Capital Reserve Fund.
This amended ordinance being adopted August 21, 2001.
12. Request for Approval of a Resolution Declaring September 15, 2001, as Iredell County's Big
Sweep 2001 Day:
A
RESOLUTION
DECLARING SEPTEMBER 15, 2001
AS IREDELL COUNTY'S BIG SWEEP 2001 DAY
WHEREAS, Iredell County is rich in natural resources and beauty; and
WHEREAS, water is a basic and essential need for all life; and
WHEREAS, trash fouls our waterways as well as our landscapes; and
WHEREAS, every citizen should contribute to keeping our environment clean
and healthy by working together to preserve clean water and the
natural beauty of our surroundings; and
WHEREAS, North Carolina's Big Sweep is a statewide community effort to
retrieve trash from North Carolina's waterways and landscapes.
NOW, THEREFORE, BE IT RESOLVED, that the Iredell County Board of
Commissioners hereby declares September 15, 2001 as Iredell
County's Big Sweep 2001 Day, and does further hereby urge
every citizen to do his or her part to restore the beauty and
function of our lakes and streams by volunteering to participate
to participate in the Big Sweep event.
This the 21" day of August, 2001.
13. Request for Approval of Budget Amendment #54, Retroactive to June 30, 2001, to Recognize
Additional Grant Funding for Child Day Care: Finance Director Blumenstein, during the briefing,
said $376,076.65 in additional grants had been received for child day care payments. She said the
program total for FY 00-01 would now be $448,964. Mrs. Blumenstein requested a budget amendment,
retroactive to June 30, 2001, to recognize the additional money and to increase the expenditure line item
for payment to the vendors.
14. Request for Approval of the August 7, 2001 Minutes
14
ANNOUNCEMENT OF VACANCIES OCCURRING ON BOARDS &
COMMISSIONS: (There were no vacancies to announce.)
APPOINTMENTS TO BOARDS & COMMISSIONS
Centralina Workforce Development Board (1 appt.): Chairman Tice nominated June
Hamilton, an employee of Polar Plastics.
No other nominations were submitted, and Chairman Tice moved to appoint Hamilton by
acclamation.
VOTING: Ayes — 5; Nays — 0.
Adult Care Home Community Advisory Committee (3 appts.): No nominations were
submitted and Chairman Tice �move4 to postpone these appointments until the September 4 meeting.
VOTING: Ayes — 5; Nays — 0.
Statesville Board of Adjustment -Extraterritorial Jurisdiction (2 appts.): No nominations
were submitted, and Commissioner Bowles move to postpone these appointments until the September 4
meeting.
VOTING: Ayes — 5; Nays — 0.
Recreation Advisory Board (I appt.): No nominations were submitted, and Commissioner
Johnsonave to postpone this appointment until the September 4 meeting.
VOTING: Ayes — 5; Nays — 0.
COUNTY MANAGER'S REPORT: Mashburn said a written activity report had been
distributed.
Budget Transfer for Overtime: Mr. Mashburn said he had authority in the budget ordinance to
transfer money from one department to another; however, notification to the board was necessary.
Mashburn said the Finance Department (430) had requested $1,000 to cover overtime costs. Mr.
Mashburn said he had given approval for the money to be transferred from General Governmental (480)
to cover the Finance Department's needs.
Update from the Finance Director in Regard to the August 15 Sales Tax Allocation: Blumenstein
said the most recent sales tax allocation was for the prior fiscal year's fourth quarter. She said the total
amount was $5,066,238.61. Mrs. Blumenstein said it was 5.28% higher than the August 15, 2000
distribution, but it was 2.75% less than what was budgeted. She said that with the receipt of the fourth
quarter distribution, the county was $500,270 under budget, and the deficit would increase by $48,670.
Blumenstein said that during the budget process, she had projected a $400,000 shortage, but now it
would be closer to $450,000.
Blumenstein said the first allocation for this fiscal year would be in November. Mrs. Blumenstein
said she would make a report to the board at that time. She said it appeared the sales occurring within
Iredell County were almost on "target." She said the 1971 one -cent tax was distributed on a "point of
return" method and this was for the sales just within Iredell. Blumenstein said it was the 1983 one-half
cent sales tax, and the 1986 one-half cent tax that threw the projections "off target." She said the 1986
and 1983 taxes were distributed on population, and these distributions were the ones that didn't produce
as much as was anticipated.
ADJOURNMENT: MOTION by Chairman Tice to adjourn the meeting at 8:20 p.m. NEXT
MEETING: Tuesday, September 4, 2001, at 5:00 p.m., and 7:00 p.m., in the Iredell County Government
Center, 200 South Center Street, Statesville, NC.
VOTING: Ayes — 5; Nays —0.
Approval:
15
Clerk to the Board
16