NC Medicaid: Temporary COVID-19 Rate Increases Ending June 30, Interim Increases Added July 1

Consistent with the end of the federal COVID-19 Public Health Emergency, NC Medicaid is ending all* temporary COVID-19 rate increases and/or uniform adjustments included in rates through June 30, 2023, for the specific Medicaid services identified in SPECIAL BULLETIN COVID-19 #267: Temporary COVID-19 Rate Increases Ending June 30, 2023.

To maintain access to care for Medicaid members by supporting Medicaid providers whose temporary COVID-19 rate increases are ending while the General Assembly continues budget deliberations, NC Medicaid is implementing new temporary/interim rate increases, effective July 1, 2023,** through July 31, 2023, that estimate the permanent rate increases anticipated to be adopted by the General Assembly. As July 31 approaches, if a State budget has not yet been finalized, NC Medicaid will evaluate whether it is feasible to extend the new temporary/interim increases at some level.

Once a State budget has been finalized, NC Medicaid will implement any permanent increases at the levels appropriated in the budget and intends to systematically reprocess claims (or direct managed care organizations to reprocess claims, as applicable) retroactive to July 1 to adjust payments to the level of the appropriated permanent increases. This reprocessing will ensure that providers receive the full value of the legislated increases.

For more information, please see SPECIAL BULLETIN COVID-19 #267: Temporary COVID-19 Rate Increases Ending June 30, 2023.