Medicaid Bulletin

Medicaid Bulletin Monthly Digest

Medicaid Bulletin Archive

Articles beginning January 2018 are available in the blog format.

Updated: Federally Qualified Health Centers and Rural Health Clinics Reimbursement Methodology Changes Approved
Standard Plans will reimburse the APM rate for claims with a date of service on or after Aug. 1, 2024.
Quarterly Provider Update – Summer 2025
Information on Provider Ombudsman, Children and Families Specialty Plan and Upcoming Credentialing Changes.
Credentialing Committee Bylaws Public Review Period Now Open

The North Carolina Department of Health and Human Services (NCDHHS), through General Dynamics Information Technology, Inc.

Assessment Fee Adjustment for Intermediate Care Facilities for Intellectual/Developmental Disabilities
Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.
Tailored Care Management Temporary Rate Extension Ended
The Tailored Care Management payment rate is $294.86 effective July 1, 2025.
Assessment Fee Adjustment for Skilled Nursing Facility Providers
Effective July 1, 2025, NC Medicaid adjusted the provider assessment rates.
2025 NC Medicaid Managed Care Quality Strategy Approved
The strategy outlines visions and goals for NC Medicaid Managed Care for the next three years.
2025 NC Medicaid Standard Plan Performance Comparison Tool
NC Medicaid has released a new online tool for beneficiaries to compare the five available Standard Plans. The 2025 NC Medicaid Standard Plan Performance Comparison Tool is now available online.
2021-2023 Annual Quality Report
NCDHHS is pleased to announce the release of the 2021-2023 NC Medicaid Annual Quality Report.
NC Medicaid Guidance on Sunsetting of Community Alternatives Program Waiver Appendix K Flexibilities
NC Medicaid Hurricane Helene flexibilities for Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA) Waiver programs will expire on June 30, 2025.