IMPORTANT: Nursing Facility Payment Changes Effective September 1, 2025 

As a result of NC Medicaid’s ongoing effort to resolve issues related to nursing facility payments due to delays in patient monthly liability (PML) determination, NC Medicaid is making changes to the Nursing Facility process to ensure that providers can receive prompt payment for nursing facility claims in alignment with federal regulations. 

Some claims will be able to be paid without a patient monthly liability (PML) determination. Other claims will be able to be paid before the transfer of assets evaluation has been completed. 

To read the Medicaid Bulletin, with additional details on this new policy, click here.