New NC Medicaid Fee Schedule and Portal Now Available

NC Medicaid fee schedules were moved to a new Fee Schedule and Covered Code Portal on November 3. The new website is available to the public and offers enhanced search options for fee schedules, covered procedure codes and covered revenue code data. These enhancements include:     

Fee Schedules (NC Medicaid Website Fee Schedules Only)  

• Fee schedules are available in a formatted, standardized template   
• A single link is available to download all current and archived fee schedule files   
• A single link is available to access a new lookup tool that allows users to search for fee schedule data using filters    

Covered Procedure Code Combinations and Covered Revenue Code Documents  

• These documents are housed on a new website accessible to Health Plans and Providers  
• A single link allows users to download each of the covered procedure code combinations and covered revenue code files  
• A single link is available to access a new lookup tool to search for covered procedure code combinations data and covered revenue code data using filters    

Please review the User Guide for additional information on navigating the new Fee Schedule and Covered Code Portal.  

All fee schedule data created prior to November 3, 2022, will remain on the current NC Medicaid website. Please refer any questions to the NC Medicaid Contact Center at 888-245-0179.