11/12/2025
08/14/2025 - Medicaid Program Changes -The LTSS team at NC Medicaid wants to make providers aware of upcoming changes to the Medicaid program in response to funding shortfalls from the NC General Assembly in HB 125. Secretary Sangvai is recommending service eliminations and rate reductions that will take effect on October 1, 2025. These actions are necessary to align with the budget appropriated for Medicaid rebase and administration.
HB 125 included $600 million for both the Medicaid rebase and the Medicaid Oversight Fund. Given the program's administrative requirements, this appropriation results in only $500 million for the rebase, and effectively $82 million for the Medicaid Oversight Fund, leaving a $319 million shortfall for rebase, and a $33 million shortfall for the Medicaid Managed Care Oversight Fund.
IN GOD WE TRUST
