Nursing Facility Cost Assessment

Effective April 1, 2012, the cost assessment rate that applies to enrolled nursing facility providers:

  • $13.68 for 48,000 or fewer total patient days per year
  • $7.18 for more than 48,000 total patient days per year

Provider assessments are due 15 days after the last date of the previous month. Please note CCRC's (Continuing Care Retirement Community) Facility Fee Assessment is zero. 

Failure to provide accurate and timely reporting of days and payment of assessment will result in a 10% reduction in facility rates for Medicaid participating facilities and recoupment. (10A NCAC 22G.0109)

NC Medicaid is allowed to withhold up to 100% of the facility’s payments until the liability is satisfied. Please note this reduction does not have a recoupment policy and stays in effect until assessments become current.

Assessment Worksheet Instructions

Days Adjustment Calculation  


NC Medicaid Finance Section
Stacey Crute
Phone: 919-527-7169
Fax: 919-716-0600