Assessment Fee Adjustment for Skilled Nursing Facility Providers

Effective Oct. 1, 2024, NC Medicaid decreased the provider assessment rates

Effective Oct. 1, 2024, NC Medicaid decreased the provider assessment rates per non-Medicare licensed bed day for Skilled Nursing Facility (SNF) providers, as reflected below. The rate for Continuing Care Retirement Communities and Tribal Facilities remains unchanged. 

For Dates of Service BeginningContinuing Care Retirement Communities and Tribal Facilities

Nursing Facility Total Annual Census

Nursing Facility Total Annual Census

  

Greater than 42,000 Patient Days

0 - 42,000 Patient Days 

Previous rate: 

July 1, 2024 through 

September 30, 2024

$0.00

$9.45

$29.25 

New Rate: 

October 1, 2024, through 

September 30, 2025

$0.00

$8.97

$27.76 

This decrease is implemented to recognize the change in Federal Medical Assistance Percentage (FMAP) associated with the beginning of a new federal fiscal year and the enhanced FMAP the state received pursuant to Section 9814 of the American Rescue Plan Act of 2021 (Pub. L. 117-2).

SNF provider assessments are due within 15 calendar days of the last day of the reporting month. For example, payment at the new rate for the reporting month of October 2024 is due by Nov. 15, 2024.  

Providers must complete and submit provider assessments timely in the Nursing Home Assessment (NHA) Portal to assure the assessment is calculated at the proper rate.  

Contact

NC Medicaid Contact Center: 888-245-0179  

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