Effective July 1, 2025, NC Medicaid adjusted 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 remain unchanged.
| For Dates of Service Beginning | Continuing Care Retirement Communities and Tribal Facilities | Nursing Facility Total Annual Census | Nursing Facility Total Annual Census |
|---|---|---|---|
| N/A | Greater than 42,000 Patient Days | 0 to 42,000 Patient Days | |
| New Rate: July 1, 2025, to June 30, 2026 | N/A | $9.99 | $30.92 |
| Previous rate: April 1, 2025, to June 30, 2025 | N/A | $8.97 | $27.76 |
The adjustment is implemented to maintain authorized levels and 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. Payment at the new rate for the reporting month of July 2025 is due by Aug. 15, 2025.
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: 1-888-245-0179