North Carolina Plans Medicaid Provider Rate Cuts If Budget Shortfall Not Addressed

On August 11, 2025, the North Carolina Department of Health and Human Services (NCDHHS) informed Medicaid provider organizations that starting October 1, 2025, it would cut reimbursement rates by at least 3%. Certain institutional provider organizations and behavioral health services face rate cuts of up to 10%. NCDHHS also plans to end optional coverage of GLP-1 medications for weight loss, although they would still be covered as treatment for diabetes and heart disease. NCDHHS previously terminated the Medicaid Healthy Opportunities Pilot and the Integrated Care for Kids Pilot.

The General Assembly could possibly provide additional funding to mitigate the . . .