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

Nursing Facility Assessment

Effective April 1, 2012, the cost assessment rate that applies to enrolled nursing facility providers for 48,000 or fewer total patient days per year is $13.68. The rate for more than 48,000 total patient days per year is $7.18.


  1. Pursuant to 10A NCAC 22G.0109, failure to provide accurate and timely reporting of days and payment of assessment shall result in a 10% reduction in facility rates for Medicaid participating facilities and recoupment per the Department Cash Management Plan.  Pursuant to the Department’s Cash Management Plan, DMA 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 assessment(s) become current.
  2. Provider assessments are due 15 days after the last date of the previous month.






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