Effective July 1, 2025, and in accordance with NC Department of Health and Human Services State Plan Amendment, SPA 25-0005, the Tailored Care Management payment rate is $294.86. There will be no change to the 1915(i)/Innovations/Traumatic Brain Injury (TBI) waiver add-on rates of $79.73. NC Medicaid is not making any other changes to the TCM payment methodology.