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Medicaid Transformation and Counties

Medicaid Transformation Video

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Medicaid Transformation Timeline

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FAQs on Medicaid Transformation

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Other Resources Available

Medicaid Transformation Power Point Presentation

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In-Depth White Paper on Medicaid Transformation 

Medicaid in North Carolina is in a state of increasingly rapid transformation as the state has enacted legislation transitioning Medicaid services from fee-based to managed care to help share risk and control costs. North Carolina became one of the last three states to join the Medicaid program in 1970 followed by Alaska in 1972 and Arizona in 1982. Currently Medicaid and the related Children’s Health Insurance Program (CHIP) provide free or reduced cost health insurance to around 2 million low income North Carolinians. Medicaid is not direct healthcare; it provides coverage for services like a traditional insurance plan. Read on...

Staff Contacts
HughHugh Johnson
NCACC Government Relations Coordinator
(919) 715-7659

North Carolina Local Option Sales Tax

Local Option Sales Tax Video


Local Option Sales Tax Map

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Local Option Sales Tax Key Points

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Other Resources

Local Option Sales Tax Power Point Presentation

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In-Depth White Paper on Local Option Sales Tax in North Carolina

Last year, counties and municipalities in North Carolina received more than $3 billion from local option sales and use tax revenue. Local sales taxes generally account for about 15% of a county’s revenues, making sales tax the second largest revenue source after property taxes. Counties are authorized to levy up to 2.5% or 2.75% in local taxes, which is added to the state levy of 4.75%. This white paper breaks down the sales tax articles that counties can levy under the law, how the revenue is distributed between counties and municipalities, and the mechanics of the collection and distribution process. Read on...

Staff Contacts
Paige 2018Paige Worsham
NCACC Associate General Counsel
(919) 715-6245
David BakerDavid Baker
NCACC Director of Tax and Revenue Outreach
(919) 715-4365