NCACC First Vice President Terry Garrison of Vance County and Wake County Manager David Cooke presented on Jan. 11 the county perspective on financing the state/federal Medicaid program to the House Select Committee on Health Care’s Medicaid Subcommittee.
North Carolina is the only state that requires counties to pay a fixed percentage (15 percent) of the non-federal Medicaid share, even though the state and federal governments make all decisions regarding eligibility, services and provider payments. The county share is estimated at $470 million for the 2005-06 fiscal year – a 78 percent increase since 2000 – and the General Assembly’s Fiscal Research Division projects that total to reach $540 million for 2006-07.
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