This bulletin applies to NC Medicaid Managed Care and NC Medicaid Direct.
NC Medicaid will continue the current Tailored Care Management temporary payment rate of $343.97 statewide through June 30, 2025. Effective July 1, 2025, the payment rate will be $294.86.
The continued temporary rate increase reflects the level of effort required by providers, based on available data on provider time and effort to date, to implement the Tailored Care Management model. NC Medicaid is not making any other changes to the payment methodology.