North Carolina

Run summary

Run: 8165a8bf-87eb-4a32-9017-9148f73abb3a Status: ok Started: 2026-03-04T05:14:20.296405+00:00 Finished: 2026-03-04T05:16:09.876479+00:00 Source: North Carolina Medicaid Hub: NC_FEE_SCHEDULES IMPORTANT NEW_DOC (Current/Upcoming) - 83 - Effective 2025-07-01 - The document outlines a $34.29 rate increase for ICF-IID services in North Carolina, effective July 1, 2025. It includes specific rates for various facilities effective October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/16899dcf47dbbe50583f61d2e16d4324 - Effective 2025-07-01 - The document outlines updated Medicaid rates for vent services in North Carolina, effective from July 1, 2025, to June 30, 2026. The per diem rate is set at $453.16 for several hospitals. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/1bdbeb131bcb6ad0e7dc0f67624bcb84 - Effective 2025-08-15 - The document outlines Medicaid rate changes for freestanding birth centers in North Carolina, including a 3% rate reduction effective from 8/15/2025. It also details historical rates for procedure code 59409 with modifier SG, noting the end of temporary COVID-19 increases as of 1/1/2022. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/8151210d47daf290fa2659af926d4372 - Effective 2025-10-01 - The document introduces a new fee schedule for the Children's Developmental Services Agency (CDSA) effective October 1, 2025, with specific rates for various procedures. It includes rates for services like speech fluency evaluation and treatment of swallowing dysfunction. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/41c9cd8e1bb63e90d6e6ea0de54bcb3b - Effective 2025-10-01 - The document outlines a new fee schedule for the Community Alternatives Program for Consumer-Directed Services in North Carolina, effective October 1, 2025, with a 3% rate reduction for several services. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/54d895c9479af290fa2659af926d43ad - Effective 2025-10-01 - The document outlines a new psych per diem fee schedule for North Carolina Medicaid, effective from October 1, 2025, to June 30, 2026. The base rate is set at $895.63, and providers must be reimbursed at this rate unless an alternative arrangement is agreed upon. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/218adeba4747ba10fa2659af926d436e - Effective 2025-10-01 - The document outlines new Medicaid rates for state institutions in North Carolina, effective October 1, 2025. It includes specific rates for various facilities but notes that inclusion does not guarantee coverage. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/d3fe99c547daf290fa2659af926d4326 - Effective 2025-10-01 - The document provides a new laboratory fee schedule for the North Carolina Department of Health and Human Services, effective October 1, 2025. It includes specific rates for various laboratory tests, such as the acute hepatitis panel and hepatic function panel. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/39a893141b76be50d6e6ea0de54bcb57 - Effective 2025-10-01 - The document provides a new fee schedule for Independent Diagnostic Testing Facilities (IDTFs) with specific rates for various procedures effective from October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/67842581471ef290fa2659af926d436e - Effective 2025-10-01 - The document outlines the new inpatient RCC fee schedule for North Carolina, effective from October 1, 2025, to September 30, 2026. It includes specific rates for various hospitals and notes the transition to DRG Grouper v43.1 on April 1, 2026. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/c60a1a7a4747ba10fa2659af926d4358 - Effective 2025-10-01 - The document provides a new respiratory therapy fee schedule for North Carolina, effective October 1, 2025. It includes specific rates for various procedures, such as tracheotomy tube changes and spirometry. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/2147d549479af290fa2659af926d4329 - Effective 2025-10-01 - The document outlines new Medicaid fee schedule rates for various medical procedures effective from October 1, 2025. It includes specific rates for services such as acne surgery and drainage of abscesses. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/e82617981b36be50d6e6ea0de54bcbec - Effective 2025-10-01 - The document introduces a new ACA Physician Services Fee Schedule with specific taxonomy-defined rates and new audio-only service codes effective from October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/c5d6571c1b36be50d6e6ea0de54bcb7f - Effective 2025-10-01 - The document outlines updated DRG base rates for North Carolina Medicaid, effective from October 1, 2025, to June 30, 2026. It includes specific rates for various hospitals and mentions the transition to DRG Grouper v43.1 on April 1, 2026. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/65c9def64747ba10fa2659af926d4399 - Effective 2025-10-01 - The document outlines a new fee schedule for NC Medicaid psychiatry and behavioral health services, effective October 1, 2025. It includes specific rate changes for various CPT codes related to psychiatric services. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/283725c5471ef290fa2659af926d43a4 - Effective 2025-10-01 - The document outlines updated Medicaid dental reimbursement rates for various dental procedures, effective October 1, 2025. It includes specific rates for radiographic images and other dental services. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/1c039541479af290fa2659af926d4323 - Effective 2025-10-01 - The document outlines a new fee schedule for podiatry services in North Carolina, effective October 1, 2025. It includes specific rates for various procedures but notes that inclusion does not guarantee coverage. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/8af7d189479af290fa2659af926d4384 - Effective 2025-10-01 - The document outlines a new fee schedule for the N.C. Department of Health and Human Services, effective October 1, 2025, with rates for various procedures including newborn and non-newborn genotyping. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/b5d89f141b76be50d6e6ea0de54bcb47 - Effective 2025-10-01 - The document introduces new Medicaid rates for home infusion therapy and enteral nutrition products, effective from October 1, 2025. It includes specific rates for pediatric enteral formulas. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/5964d5c1479af290fa2659af926d437c - Effective 2025-10-01 - The document outlines a new fee schedule for the Community Alternatives Program for Disabled Adults (CAP-DA) in North Carolina, effective October 1, 2025. It includes a 3% rate reduction for several services and an 8% reduction for overlapping PCS codes. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/fe29ddc9479af290fa2659af926d4383 - Effective 2025-10-01 - The document provides updated Medicaid rates for targeted case management services in North Carolina, effective October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/2f876dc5471ef290fa2659af926d4340 - Effective 2025-10-01 - The document outlines new draft rates for hospital outpatient laboratory services under managed care, effective October 1, 2025. These rates are 146.38% of the Medicaid direct fee-for-service rates and are pending CMS approval. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/0948d3901b76be50d6e6ea0de54bcbe5 - Effective 2025-10-01 - The document outlines a new fee schedule for outpatient facility services related to COVID-19 vaccine administration and monoclonal antibodies in North Carolina, effective from October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/01e0e14947daf290fa2659af926d4334 - Effective 2025-10-01 - The document introduces a new Medicaid physician services fee schedule with specific rates effective from October 1, 2025. It includes detailed rates for various procedures, such as 'fna bx w/mr gdn ea addl' and 'drainage of skin abscess.' URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/dd19118f47dbbe50583f61d2e16d4322 - Effective 2025-10-01 - The document introduces a new dietary and nutritional services fee schedule for North Carolina Medicaid, effective October 1, 2025. It includes specific rates for procedure codes 97802 and 97803 with and without the GT modifier. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/d7b11ecd47523690fa2659af926d4372 - Effective 2025-10-01 - The document introduces a new fee schedule for non-core services at rural health clinics, effective October 1, 2025, for the state fiscal year 2026. Specific procedures, such as debridement, are included in the PPS APM rate and are not separately reimbursable. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/76c619c747dbbe50583f61d2e16d434b - Effective 2025-10-01 - The document is a new fee schedule for ambulatory surgical centers in North Carolina, effective from October 1, 2025. It includes specific rates for various procedure codes with the 'sg' modifier. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/4c70218947daf290fa2659af926d4357 - Effective 2025-10-01 - The document provides a non-published fee schedule for dialysis providers, effective from October 1, 2025, with no rate reductions. It includes specific rates for hemodialysis and peritoneal dialysis services for various providers. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/dd4b1547471fbe50583f61d2e16d43ca - Effective 2025-10-01 - The document introduces a new fee schedule for psychiatric/mental health nurse practitioners, effective October 1, 2025. It includes specific rate changes for various services, such as psychoanalysis and family psychotherapy. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/35e661c5471ef290fa2659af926d43dd - Effective 2025-10-01 - The document introduces a new fee schedule for nurse midwives in North Carolina, effective October 1, 2025. It includes specific rate changes for various procedures and references a behavioral health rate increase effective January 1, 2024. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/01e7958b47dbbe50583f61d2e16d4318 - Effective 2025-10-01 - The document provides updated vent facility rates for North Carolina, effective October 1, 2025. Rates are specified for Kindred Hospital East Greensboro, Oak Forest Health and Rehabilitation, and Valley Nursing Center. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/eceb118147daf290fa2659af926d43a4 - Effective 2025-10-01 - The document provides updated Medicaid rates for out-of-state hospitals in North Carolina, effective from October 1, 2025. It includes specific rates for inpatient psych per diem, inpatient rehab per diem, and other categories. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/53e1ad0d47daf290fa2659af926d4307 - Effective 2025-10-01 - The document outlines a new fee schedule for the North Carolina Medicaid program, effective October 1, 2025, for the fiscal year 2026. It includes specific CPT codes that are not separately reimbursable as they are included in the PPS APM rate. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/762799c747dbbe50583f61d2e16d4315 - Effective 2025-10-01 - The document provides a new fee schedule for ambulance services in North Carolina, effective October 1, 2025. It includes specific rates for various ambulance services, such as ground mileage and different levels of life support transport. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/0cbcdd8147daf290fa2659af926d4333 - Effective 2025-10-01 - The document introduces a new anesthesia fee schedule for North Carolina Medicaid, effective October 1, 2025, with fixed rates for various anesthesia services related to vaginal delivery. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/a461da8d47523690fa2659af926d4327 - Effective 2025-10-01 - The document introduces a new fee schedule for physician assistants under the ACA, effective from October 1, 2025. It includes specific rates for various procedure codes, emphasizing that these rates do not guarantee service coverage. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/4e7697d81b36be50d6e6ea0de54bcbdb - Effective 2025-10-01 - The document introduces a new fee schedule for HIV case management services, effective October 1, 2025, with a specified rate for procedure code G9012. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/946e118547daf290fa2659af926d43f4 - Effective 2025-10-01 - The document outlines a new fee schedule for speech therapy and audiology services in North Carolina, effective October 1, 2025. It includes specific rate changes for various audiology procedures. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/16d29dc7479bbe50583f61d2e16d43a3 - Effective 2025-10-01 - The document introduces a new Medicaid fee schedule for targeted case management services in North Carolina, effective October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/c8486589471ef290fa2659af926d43b7 - Effective 2025-10-01 - The document outlines a new fee schedule for the Community Alternatives Program for Children (CAP-C) in North Carolina, effective October 1, 2025. It includes rate reductions for several services, such as a 3% reduction for non-medical transportation and assistive technology, and an 8% reduction for personal care assistance services. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/7ff8950d479af290fa2659af926d43f7 - Effective 2025-10-01 - The document outlines a new swing bed per diem fee schedule effective from October 1, 2025, to June 30, 2026, for North Carolina. It includes specific rates for various hospitals and notes that rates do not contain reductions. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/d3e3a501471ef290fa2659af926d43b7 - Effective 2025-10-01 - The document introduces a new fee schedule for Level III and IV residential services, effective October 1, 2025. It includes specific rates for behavioral health long-term residential services, with different rates based on the number of beds. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/8b06ad05471ef290fa2659af926d43c3 - Effective 2025-10-01 - The document provides a new fee schedule for the North Carolina Department of Health and Human Services, effective October 1, 2025. It includes specific rates for various procedures such as drainage of abscess and foreign body removal. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/0087114b47dbbe50583f61d2e16d4381 - Effective 2025-10-01 - The document outlines a new fee schedule for non-core services at Federally Qualified Health Centers, effective October 1, 2025. Specific procedures, such as debridement and removal of prosthetic material, are included in the PPS APM rate and are not separately reimbursable. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/c925590347dbbe50583f61d2e16d4314 - Effective 2025-10-01 - The document outlines a 3% rate reduction for specific radiological imaging services in North Carolina, effective October 1, 2025. All previous rates for these services will end on September 30, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/9bfa35821b94ba50e7dc0f67624bcb45 - Effective 2025-10-01 - The document provides a revised dialysis fee schedule for North Carolina, effective October 1, 2025, with specific rates for hemodialysis and peritoneal dialysis. It includes billing instructions and references to additional resources for drug and lab rates. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/02a0e58947daf290fa2659af926d437a - Effective 2025-10-01 - The document provides a new physical therapy fee schedule for North Carolina, effective October 1, 2025, with specific rates for various procedures. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/23e61149479af290fa2659af926d4335 - Effective 2025-10-01 - The document outlines a new fee schedule for public ambulance providers in North Carolina, effective October 1, 2025. It includes cost-based rates for various counties and specifies HCPCS codes for billable ground and air transport services. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/aaa3dd8b479bbe50583f61d2e16d4310 - Effective 2025-10-01 - The document introduces a new fee schedule for the North Carolina Medicaid program, effective October 1, 2025, for the fiscal year 2026. It includes specific CPT codes for debridement services that are not separately reimbursable as they are included in the PPS APM rate. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/85851d8347dbbe50583f61d2e16d437f - Effective 2025-10-01 - The document introduces a new Medicaid fee schedule for targeted case management services in North Carolina, effective October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/85f7e589471ef290fa2659af926d4367 - Effective 2025-10-01 - The document provides updates to the NC Medicaid Physician Services Fee Schedule, including specific rates for various procedures effective October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/9e571f9c1b36be50d6e6ea0de54bcb32 - Effective 2025-10-01 - The document outlines a new fee schedule for the North Carolina Department of Health and Human Services, effective October 1, 2025, for the state fiscal year 2026. It includes specific rates for various providers and specialties under the fee-for-service model. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/8ee5550747dbbe50583f61d2e16d433e - Effective 2025-10-01 - The document outlines updated Medicaid outpatient rates for North Carolina hospitals, effective from October 1, 2025, to June 30, 2026. It includes specific rate changes for several hospitals, such as Atrium Health Cabarrus and Novant Health Forsyth Memorial Hospital. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/464ad2ba4747ba10fa2659af926d4307 - Effective 2025-10-01 - The document outlines a new fee schedule for the North Carolina Department of Health and Human Services, effective October 1, 2025, for the state fiscal year 2026. It includes specific rates for various providers under the managed care rural health clinic PPS-APM and well child fee schedule. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/02461d0747dbbe50583f61d2e16d439a - Effective 2025-10-01 - The document outlines a new fee schedule for physician assistant services under NC Medicaid, effective October 1, 2025. It includes specific rate changes for various procedures such as acne surgery and drainage of abscesses. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/cfc8190f47dbbe50583f61d2e16d43af - Effective 2025-10-01 - The document introduces a new fee schedule for radiological imaging services in North Carolina, effective October 1, 2025. It includes specific rates for various x-ray exams, such as spine and breastbone examinations. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/20e2d28147923690fa2659af926d431c - Effective 2025-10-01 - The document outlines a new home health fee schedule for NC Medicaid, effective from October 1, 2025. It includes specific rates for physical therapy visits and various medical supplies. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/b524d9c1479af290fa2659af926d432a - Effective 2025-10-01 - The document updates the orthotics and prosthetics fee schedule with new rates effective from October 1, 2025. It includes specific HCPCS codes for gradient compression stockings with detailed pricing. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/53a59985479af290fa2659af926d43e7 - Effective 2025-10-01 - The document introduces a new fee schedule for North Carolina's Medicaid program, effective from October 1, 2025, to April 30, 2026. It includes updated DRG weights and descriptions, with all previous rates end-dated as of September 30, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/db5fedce1bd0ba50e7dc0f67624bcb1b - Effective 2025-10-01 - The document outlines new Medicaid rates for enhanced mental health services in North Carolina, effective from October 1, 2025. Notable changes include rate updates for substance abuse programs and high-risk interventions. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/fae42581471ef290fa2659af926d43d9 - Effective 2025-10-01 - The document introduces a new fee schedule for the state fiscal year 2026, effective from October 1, 2025, for managed care and federally qualified health centers. It includes specific rates for Advance Community Health Inc. and mentions provider appeal rights. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/ef84d18f479bbe50583f61d2e16d4375 - Effective 2025-10-01 - The document outlines a new fee schedule for Federally Qualified Health Centers (FQHC) with an effective date of October 1, 2025, for the state fiscal year 2026. It specifies a PPS/APM rate of $478.79 for Advance Community Health Inc. and includes details on provider appeal rights. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/7f14d50f479bbe50583f61d2e16d43f5 - Effective 2025-10-01 - The document outlines the Medicaid rehab per diem fee schedule for North Carolina, effective from October 1, 2025, to June 30, 2026. It includes specific rates for various hospitals and mentions that these rates do not include reductions. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/07bad2fa4747ba10fa2659af926d4391 - Effective 2025-10-01 - The document introduces a new fee schedule for nurse practitioners under the ACA in North Carolina, specifying taxonomy-defined rates and procedure codes. It also includes new rates for audio-only services effective from October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/7bb797101b76be50d6e6ea0de54bcb1b - Effective 2025-10-01 - The document outlines the Medicaid reimbursement rates for hospice services effective from October 1, 2025, to September 30, 2026. It includes specific rates for various services such as routine home care and inpatient care across different regions. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/396d64b04785fe50583f61d2e16d4383 - Effective 2025-10-01 - The document provides a new occupational therapy fee schedule with specific rates for various services, effective from October 1, 2025. It includes rates for services like special eye evaluation and treatment of swallowing dysfunction. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/5b965509479af290fa2659af926d4316 - Effective 2025-10-01 - The document outlines updated Medicaid rates for personal care services in North Carolina, effective October 1, 2025. It specifies reimbursement methods for different care settings, including in-home and adult care homes. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/ed8b1d0147daf290fa2659af926d43fd - Effective 2025-10-01 - The document provides a revised fee schedule for auditory implant parts under NC Medicaid, effective October 1, 2025. It includes specific rates for various cochlear implant components. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/7dc1d58d475af290fa2659af926d43f1 - Effective 2025-10-01 - The document introduces a new fee schedule for research-based intensive behavioral health treatment for autism spectrum disorder in North Carolina, effective October 1, 2025. It includes specific rates for procedure codes 97151, 97152, 97153, and 97154. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/412745c61bb63e90d6e6ea0de54bcbea - Effective 2025-10-01 - The document outlines new rates for targeted case management services for juveniles and adults in North Carolina, effective October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/eca8a94d471ef290fa2659af926d43f7 - Effective 2026-01-01 - The document outlines new Medicaid reimbursement rates for FQHC dental services effective January 1, 2026, with specific rates for various radiographic procedures effective October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/5bb21141479af290fa2659af926d4340 - Effective 2026-01-01 - The document provides updated Medicaid long-term care rates for skilled nursing facilities effective from January 1, 2026, to March 31, 2026. It includes specific rate details for various facilities, replacing individual rate letters with this publication. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/7b8cea4f47937e50fa2659af926d43ff - Effective 2026-01-01 - The document is a new fee schedule for private duty nursing in North Carolina, effective January 1, 2026. It includes specific rates for services, such as a rate of 0.97 for procedure code T1000 with modifier TD, effective October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/193811c9479af290fa2659af926d437a - Effective 2026-01-01 - The document outlines a revised fee schedule for optometry services under NC Medicaid, effective January 1, 2026. It includes specific rates for various procedures, such as vitrectomy and lens prosthesis insertion, effective from October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/1e359d45479af290fa2659af926d43d8 - Effective 2026-01-01 - The document outlines a new chiropractic services fee schedule for North Carolina, effective January 1, 2026, with specific rates for various radiologic exams of the spine. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/85229dcd475af290fa2659af926d43d4 - Effective 2026-01-01 - The document introduces a new optical program fee schedule for NC Medicaid, effective January 1, 2026, with specific rates for services like contact lens dispensing and spectacle fitting starting October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/9fb41145479af290fa2659af926d43f4 - Effective 2026-01-01 - The document outlines new billing instructions for dental services in ambulatory surgical centers, effective January 1, 2026. It specifies the use of HCPCS code G0330 with modifier SG and details the claim submission process. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/dc82ddcd475af290fa2659af926d43ce - Effective 2026-01-01 - The document introduces a new fee schedule for the North Carolina Hearing Aid Program, effective January 1, 2026, with specific rates for various hearing aid services starting October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/50e3d5c1479af290fa2659af926d4331 - Effective 2026-01-01 - The document outlines new Medicaid dental reimbursement rates for rural health centers, effective January 1, 2026, with specific rates for various dental procedures effective October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/97431981479af290fa2659af926d433e - Effective 2026-01-01 - The document outlines new Medicaid managed care short stay rates for skilled nursing facilities in North Carolina, effective January 1, 2026, to March 31, 2026. It includes specific per diem rates for various facilities. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/ad4c2e4f47937e50fa2659af926d4395 - Effective 2026-02-17 - The document is a revised fee schedule for Durable Medical Equipment (DME) in North Carolina, effective February 17, 2026. It includes specific rates for various items, effective from October 1, 2025. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/52b159c3479bbe50583f61d2e16d4378 - Effective 2026-02-18 - The document is a revised fee schedule for the Physician Administered Drug Program in North Carolina, effective February 18, 2026. It includes updated rates for specific drugs, such as alglucosidase alfa and vutrisiran, with effective dates starting February 1, 2026. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/16fad147471fbe50583f61d2e16d43b6 - Effective 2026-03-01 - The document outlines a new ambulatory infusion therapy fee schedule for North Carolina, effective March 1, 2026. It includes specific rates for various injections, such as alemtuzumab and avalglucosidase alfa-ngpt. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/2db5aed347133290fa2659af926d4312 HISTORICAL DISCOVERIES NEW_DOC (Historical) - 16 - Effective 2024-10-01 - The document includes updates to the fee schedule for diabetic testing supplies and condoms, with specific rate changes effective from October 1, 2024. (LLM: high) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/1daa1107471fbe50583f61d2e16d4376 - Effective 2024-10-01 - The document outlines a new fee schedule for out-of-state hospital negotiated rates, effective October 1, 2024. It includes specific rates for various hospitals and services, such as inpatient psych per diem and inpatient DRG base rates. (LLM: high) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/72f9ddcf47dbbe50583f61d2e16d43fa - Effective 2024-07-01 - The document outlines new Medicaid fee schedule rates for public ambulance providers in North Carolina, effective July 1, 2024. It includes specific cost-based rates for various counties and lists billable HCPCS codes for ground and air transport. (LLM: high) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/1000ea2b47585254583f61d2e16d43cc - Effective 2024-05-15 - The document introduces a new rate for the Healthy Opportunities Pilot Program in North Carolina, effective May 15, 2024, for targeted case management services. (LLM: medium) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/7afa2f5f1b8b6ad0e7dc0f67624bcb89 - Effective 2024-01-01 - The document includes updates to the North Carolina Medicaid nurse practitioner fee schedule and mentions a behavioral health rate increase effective January 1, 2024. It also lists specific CPT codes with rates effective from October 1, 2025. (LLM: medium) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/232815cb47dbbe50583f61d2e16d435b - Effective 2024-01-01 - The document updates the Indian Health Services outpatient per diem fee schedule for the Cherokee Indian Hospital Authority, with new rates effective from January 1, 2024. (LLM: high) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/cc87410a1bb63e90d6e6ea0de54bcbff - Effective 2024-01-01 - The document includes updates to the clinical pharmacist practitioner fee schedule and mentions a behavioral health rate increase effective January 1, 2024. It also lists specific rates for various procedures effective October 1, 2025. (LLM: medium) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/e35453141b36be50d6e6ea0de54bcb2e - Effective 2024-01-01 - The document updates the inpatient per diem fee schedule for the Cherokee Indian Hospital Authority, with new rates effective from January 1, 2024, to December 31, 2024. (LLM: high) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/a1d7054a1bb63e90d6e6ea0de54bcbce - Effective 2024-01-01 - The document provides a fee schedule update for North Carolina's Medicaid services, including new rates for psychiatric and psychotherapy services effective January 1, 2024. (LLM: high) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/d934763d1b5c82101bed5241604bcbd3 - Effective 2023-12-31 - The document provides a fee schedule for provisionally licensed clinicians in North Carolina, with rates effective until December 31, 2023. It includes specific procedure codes and rates for services like alcohol/drug assessment and behavioral health counseling. (LLM: medium) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/dabf6e29873fb510e0f441970cbb351a - Effective 2023-10-01 - The document provides a new fee schedule for outpatient facility services related to COVID-19 vaccine and monoclonal antibody administration in North Carolina, effective from October 1, 2023, to September 30, 2024. (LLM: high) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/facc8a601b9e9e50d6e6ea0de54bcb45 - Effective 2023-07-01 - The document introduces a new fee schedule for Federally Qualified Health Centers (FQHC) effective July 1, 2023, for the state fiscal year 2024. It includes specific rates for various medical procedures valid until November 30, 2024. (LLM: high) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/406a7e831bda9a90e7dc0f67624bcb13 - Effective 2023-07-01 - The document outlines updated Medicaid rates for Federally Qualified Health Centers (FQHC) effective from July 1, 2023, with specific rates for providers like Advance Community Health Inc and Amity Medical Group. (LLM: high) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/c60afe431bda9a90e7dc0f67624bcb01 - Effective 2023-07-01 - The document outlines Medicaid rate updates for North Carolina's Rural Health Clinics (RHC) effective from July 1, 2023, for the state fiscal year 2024. It specifies that these rates apply only to Medicaid Direct (FFS) providers and includes details on all-inclusive payment rates for FQHCs and RHCs. (LLM: high) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/b6cafe831bda9a90e7dc0f67624bcbfa - Effective 2023-07-01 - The document introduces a new Rural Health Clinic fee schedule for physician services effective July 1, 2023, for the state fiscal year 2024. It includes specific rates for various procedures valid until November 30, 2024. (LLM: high) URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/141bfac31bda9a90e7dc0f67624bcb55 - Effective 2022-03-01 - The document provides a fee schedule update for the North Carolina Department of Health and Human Services, specifically for hospital lower level of care rates. The current rate for 'swing bed level of care per diem' is $129.15, effective from March 1, 2022, with no end date specified. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/bbb2a98d47daf290fa2659af926d4331 OTHER NEW_DOC (Unknown date) - 11 - The document lacks any content or evidence to review. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/5956ad45471ef290fa2659af926d4319 - The document outlines the North Carolina Medicaid fee schedule for Indian Tribal Home Health services, with updates last made on December 30, 2021. It includes specific rates for services like physical therapy and medical supplies, with some temporary COVID-19 rate increases continuing into January 2022. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/978c03191b3ed110d19a2f41f54bcbd3 - The document introduces a fee schedule for HIV case management services with a specific rate for procedure code G9012. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/4c3bc4391b3a1510d26fdb1ee54bcb6f - The document lacks any content or evidence to assess changes. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/dc952105471ef290fa2659af926d436f - The document lacks any content or evidence to assess changes. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/7286a585471ef290fa2659af926d430f - The document outlines revised OMB encounter rates for Indian Tribal Pharmacy services, effective from 2023 to 2025, with specific rates for each year. The document was uploaded on February 2, 2026. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/95c5c9c21bb63e90d6e6ea0de54bcbb1 - The document lacks any content or evidence to assess changes. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/498fa629873fb510e0f441970cbb3543 - The document provides a fee schedule for Medicaid targeted case management services in North Carolina, specifically for the procedure code T1017, with a rate of $12.96 per 15 minutes. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/a09858f11b7a1510d26fdb1ee54bcb03 - The document lacks any content or evidence to review. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/24d5e505471ef290fa2659af926d436b - The document provides a fee schedule for Medicaid targeted case management services under the HIV CAP-MR/DD waiver in North Carolina, with a specific rate for a service effective since 2012. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/f63743d11b3ed110d19a2f41f54bcbb4 - The document provides a fee schedule for HIV, mental health, and substance abuse services in North Carolina, including a rate for targeted case management. URL: https://ncdhhs.servicenowservices.com/api/g_ncd2/pubatt/dl/514262151bbad110d19a2f41f54bcb50