Effective Aug. 1, 2026, the Division of Health Benefits (DHB) is applying an 18% increase to the current rates for all applicable Personal Care Services (PCS) procedure codes designated by DHB.
Topics Related to Personal Care Services Providers
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.
The implementation of the Rate Reimbursement Methodology for individuals living in congregate settings will take effect on April 1, 2025.