The public health director told the Board of Health that the statewide Medicaid/prepaid-plan transition will end the county’s locally run care management program on Dec. 31; nine employees — two nurses, six social workers and one office support staff — will be affected and staff are preparing reduction-in-force procedures.

Deputy health director Tamara Morris told commissioners that Medicaid care‑management contracts for CMARC and SIMHARP will end Dec. 31, 2026, and that recent insurer decisions (notably Healthy Blue) have created a domino effect likely to impact 24 county public‑health positions; managers pledged transition plans and monthly updates.