Cost-Recovery Programs
Debt Setoff
Local Government Delinquent Debt Setoff Program
The North Carolina Association of County Commissioners (NCACC) and the North Carolina League of Municipalities (NCLM) sponsor a debt setoff joint clearinghouse through which local governments may submit any outstanding delinquent debt (totaling $50 or more) through the clearinghouse to the North Carolina Department of Revenue to attempt to offset delinquent debts against individual state income tax refunds or winnings from the North Carolina Education Lottery.
The program, authorized by the General Assembly and administered by Five Star Computing in Columbia, South Carolina, offers another collection method for outstanding debts to counties, cities and other local agencies, such as water and sewer authorities, joint regional agencies, public health authorities and sanitary districts.
Technical Assistance
Please visit www.ncsetoff.org to find resources and training materials related to the Debt Setoff program.
Matthew Bigelow
Manager of Corporate Engagement
(919) 715-4367 Email MatthewEMS Medicaid Cost Settlement
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.
