October Medicaid Rates: How Were Yours Calculated? 

When the October Medicaid rates were calculated, they included the mandated rate reduction and other adjustments according to the state plan.   

NCHCFA has reviewed the rate changes to confirm that they were implemented correctly. If you want additional details on the calculation of the October rates, including the information included in the rate model, you can access the NCHCFA October 2025 Medicaid Rate Calculator. This file is available in the member area of the NCHCFA website. Once logged in, go to the Reimbursement Resources section.  

This file also allows providers to calculate a hypothetical rate based on any case-mix and/or proposed fair rental value renovation.