Medicaid would pay set rates for personal care and nursing

North Carolina would set aside money for Medicaid to pay providers $7.50 per 15 minutes of covered personal care. The rate would cover Medicaid personal care through the State Plan Personal Care Services Program and Community Alternatives programs for children, disabled adults, and Program Choice participants. The Department of Health and Human Services would receive the money through its Division of Health Benefits. The state money would provide the matching state share for the federal funding. State funding would begin in fiscal year 2026–2027; federal funding is specified for that year. The proposed effective date is July 1, 2026, if enacted.

North Carolina would set aside money for Medicaid to pay providers $16.25 per 15 minutes of covered private duty nursing. The rate would cover private duty nursing under Medicaid's coverage policies for patients under age 21 and patients age 21 or older. The Department of Health and Human Services would receive the money through its Division of Health Benefits. The state money would provide the matching state share for the federal funding. State funding would begin in fiscal year 2026–2027; federal funding is specified for that year. The proposed effective date is July 1, 2026, if enacted.