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NC Division of Medical Assistance |
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Core Billing Rates:
DMA has been instructed by the NC DHHS Secretary to reverse the proposed rate reductions that were effective September 1, 2010. Notwithstanding any further directives, the rates in effect as of August 31, 2010 shall remain in effect on September 1, 2010, and thereafter. DMA is in the process of replacing the published September 1, 2010, fees schedules with the previously published fee schedules. The Fiscal Agent has been instructed to continue with the current rates on and after September 1, 2010. If you have any questions, please call the DMA Finance Management Section at 919-647-8231.
DMA and the DHHS Controller's Office are suspending mandatory cost reporting for providers of enhanced mental health services, community based personal care services, adult care home personal care and special care services, CAP/MR-DD services, and residential treatment facility services.
919-647-8170
Fax 919-647-8190
The Rate Setting Unit is responsible for establishing reimbursement methodology and setting reimbursement rates for Medicaid-covered services.
919-647-8101
Fax 919-715-4725
The Hospital Rate Setting Unit is responsible for establishing reimbursement methodology and setting reimbursement rates for Medicaid-covered hospital sevices.
919-647-8060
Fax 919-715-4711
The Audit unit is responsible for auding cost reports from nursing facilities, intermediate care/mental retardation facilities, hospital-based nursing facilities, federally qualified health centers, rural health clinics, and State-owned hospitals. Financial and statistical data are summarized from cost reports to assist DMA in administering the reimbursement to these providers and in rate setting.
