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NC Department of Health and Human Services
NC Division of
Medical Assistance

ICF-IID (ICF/MR) Assessment

Effective January 1, 2011, the cost assessment rate that applies to all ICF/MR enrolled providers for total non-Medicare patient days changed from $11.46 to $20.36.

  1. Provider assessments and payments are due 15 days after the last date of the previous month.
  2. Pursuant to State Plan 4.19-D .0306(e)(5), the State may withhold up to twenty (20) percent per month of a provider’s payment for failure to file a timely cost report or other relevant information related to a facility’s operation and requested by the Division of Medical Assistance.  These funds shall be released to the provider after the cost report or the related information requested by the Division of Medical Assistance is acceptably filed.  The provider shall experience delayed payment while the check is routed to the State and split for the amount withheld. 
  3. If payment is not made at least 30 days after the due date other actions will be taken.  Pursuant to Session Law 2009-451, Section 10.73 (c), the Department shall not make any payment to a provider unless and until all outstanding Medicaid recoupments, assessments, or overpayments have been repaid in full to the Department, together with any applicable penalty and interest charges, or unless and until the provider has entered into an approved payment plan. Ready NC Connect NC