Nursing Facility Cost Assessment
Effective April 1, 2012, the cost assessment rate that applies to enrolled nursing facility providers:
- $13.68 for 48,000 or fewer total patient days per year
- $7.18 for more than 48,000 total patient days per year
Provider assessments are due 15 days after the last date of the previous month.
Failure to provide accurate and timely reporting of days and payment of assessment will result in a 10% reduction in facility rates for Medicaid participating facilities and recoupment. (10A NCAC 22G.0109)
Medical Assistance is allowed to withhold up to 100% of the facility’s payments until the liability is satisfied. Please note this reduction does not have a recoupment policy and stays in effect until assessments become current.
Medical Assistance Finance Section