Topics Related to Personal Care Services Providers

This Medicaid bulletin replaces in full the July 31, 2026, Rate Increase for Personal Care Services and the Community Alternatives Program bulletin.
This Medicaid Bulletin has been completely replaced by an updated version published on Aug. 4, 2026. Please see the Updates to Rate Increase for Personal Care Services and the Community Alternatives Program bulletin, for the latest information.
The Centers for Medicare & Medicaid Services has released 80 new ICD-10-PCS codes, Effective April 1, 2026.
Recent court rulings now require the North Carolina Department of Health and Human Services to reverse provider rate reductions and restore rates to their Sept. 30, 2025, levels.
NC Medicaid is hosting program specific office hours. Sessions will provide an opportunity for stakeholders to request technical assistance about issues and concerns.
Theme: “We’re All in This Together 3.0”
The Per Diem Rate Methodology for Congregate Settings effective April 1, 2025.
NC Medicaid’s Electronic Visit Verification (EVV) system for Home Health ensures compliance with federal requirements
Forum to be held June 4-5 in Raleigh.
Providers will continue to follow Personal Care Services in In-home settings (3L) from Jan. 1, 2025, through March 31, 2025.