Pregnancy Medical Home Fee Schedules

Effective July 1, 2021, the Pregnancy Medical Home program ceased to exist and has been replaced by the Pregnancy Management Program. The Pregnancy Management Program is available to all Medicaid maternity providers for both Medicaid Direct and Managed Care (who are not required to enroll in the program and/or have any special taxonomy). Fee schedule rates have been aligned with our clinical policy intent, which is that all maternity providers are reimbursed at the same rates associated with the former Pregnancy Medical Home Program. Please refer to the appropriate Medicaid program for Pregnancy Management Program codes and fee schedule rates effective July 1, 2021.

https://medicaid.ncdhhs.gov/providers/fee-schedules/pregnancy-medical-home-fee-schedules