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North Carolina extends Medicaid rate floor

North Carolina extends Medicaid rate floor

RALEIGH, N.C. – Both chambers of the North Carolina General Assembly have approved a one‑year extension of the state’s Medicaid rate floor, moving its expiration from June 30, 2026, to June 30, 2027, according to a bulletin from AAHomecare. House Bill 696 was signed into law by Gov. Josh Stein on April 30. This extension builds on a success for North Carolina providers first achieved in 2021, when the state enacted Senate Bill 594 to establish a Medicaid rate floor for DMEPOS. That legislation set reimbursement at 100% of the lesser of a supplier’s usual charge or the maximum allowable Medicaid fee‑for‑service rate. The five‑year protection, effective July 1, 2021, ensured that Medicaid managed care organizations could not cut DMEPOS reimbursement below sustainable levels. The AAHomecare team worked closely with Dick Carlton, ACMESA’s lobbyist, and Hampton Billups with Checkmate, who was retained by Aeroflow Health.

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