NOTE: This bulletin is a follow-up to the Medicaid bulletin, Hospital at Home Program Extended Through Sept. 30, 2025, published June 10, 2025.
The following bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care.
The Hospital at Home program was launched by NC Medicaid in response to the COVID-19 Public Health Emergency. The program was extended by the Full Year Continuing Appropriations and Extensions Act of 2025, through Sept. 30, 2025. However, the authority for this program through the Centers for Medicare & Medicaid Services (CMS) ended on Sept. 30, 2025.
Therefore, the Hospital at Home Program expired on Sept. 30, 2025. Effective for dates of service on or after Oct. 1, 2025, providers can no longer bill NC Medicaid for Hospital at Home.
Per CMS’ guidance, beneficiaries being treated via hospital at home must be discharged or returned to the hospital to continue the remainder of their treatment.
Contact
NC Medicaid Contact Center: 1-888-245-0179
For beneficiaries enrolled in NC Medicaid Managed Care, refer to Health Plan Contacts and Resources.