This bulletin applies to NC Medicaid Managed Care and NC Medicaid Direct Skilled Nursing Facility providers
Provided in the chart below are the CY 2026 NC Medicaid provider assessment rates per non-Medicare licensed bed day for Skilled Nursing Facility (SNF) providers applicable to each quarter. The rate for Continuing Care Retirement Communities and Tribal Facilities remain unchanged.
| For Dates of Service Beginning: |
Date Posted | Continuing Care Retirement Communities and Tribal Facilities | Nursing Facility Total Lower Tier (Large Census) | Nursing Facility Total Upper Tier (Small Census) |
|---|---|---|---|---|
| N/A | Greater than 42,000 Patient Days | 0 to 42,000 Patient Days | ||
| Current Quarter Rate: October 1, 2026, to December 31, 2026 | 10/02/2026 | N/A | $10.73 | $33.20 |
| Previous quarter Assessment Rate: July 1, 2026, to September 30, 2026 | 07/06/2026 | N/A | $10.73 | $33.20 |
| Previous quarter Assessment Rate: April 1, 2026, to June 30, 2026 | 04/06/2026 | N/A | $10.73 | $33.20 |
| Previous quarter Assessment Rate: January 1, 2026, to March 31, 2026 | 01/08/2026 | N/A | $11.47 | $35.48 |
These rates have been implemented to ensure the assessment aligns with the Centers for Medicare & Medicaid Services (CMS)-previously approved SNF reimbursement methodology and the transition from RUG III to PDPM (Payment Driven Payment Model). The assessments also reflect the Department’s commitment to benefiting SNF provider reimbursement by maintaining the maximization of the 6% assessment cap as allowed by CMS.
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 October 2026 is due Nov. 15, 2026.
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
Medicaid.ProviderReimbursement@dhhs.nc.gov