EMS Medicaid Cost Settlement

EMS Enhanced Federal Medicaid Settlement Program
This program is an annual cost reporting program that allows for reimbursement of a portion of a participating units annual operational cost as they relate to Medicaid eligible emergency ambulance services. The North Carolina Association of County Commissioners (NCACC) administers this program in conjunction with the NC Department of Health and Human Services (DHHS) for units of government that deliver EMS services. Units of government must meet specific criteria in order to participate in the settlement program. The unit of government must first be enrolled as a NC Medicaid provider. The unit must also be a governmental unit as described in G.S. 138 A-3 (15d) of the state statue and have certified public expenditures (CPE) in order to be eligible for cost settlement. EMS Medicaid cost settlement is for governmental providers of emergency ambulance services only. Units of government that deliver these EMS services, or deliver those services through special arrangements with volunteers or private contractors, could be eligible to participate in the program.

Contact Information
To discuss the program requirements or set up an appointment, contact NCACC Controller Scott Kauffman at (919) 715-6411.