The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full North Carolina ltss / waiver schedule has 13 codes.
- Every code on all 51 published schedules
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Published codes
13
LTSS / Waiver procedures on the 2025 schedule
Median % of Medicare
--
no national Medicare comparator for this category
Effective vintage
2025
latest effective year on the schedule
Common ltss / waiver procedures and what North Carolina Medicaid pays
A curated sample of recognizable procedures from the 13-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | North Carolina rate | % of Medicare |
|---|
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.
More North Carolina Medicaid fee schedules
- North Carolina physician fee schedule · 6,547 codes
- North Carolina lab & imaging fee schedule · 1,935 codes
- North Carolina dme & supplies fee schedule · 1,051 codes
- North Carolina drugs fee schedule · 369 codes
- North Carolina other services fee schedule · 91 codes
- North Carolina vision fee schedule · 47 codes
LTSS / Waiver rates in neighboring states
Frequently asked questions
What does North Carolina Medicaid pay for long-term services and supports?
North Carolina Medicaid publishes 13 ltss / waiver procedure rates effective 2025 on its fee-for-service schedule. The schedule covers personal care, attendant services, day habilitation, and waiver program services. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do North Carolina's ltss / waiver rates compare with Medicare?
Most ltss / waiver codes in this category have no direct national Medicare comparator (Medicare prices these services through different mechanisms), so a median comparison is not published here.
Do ltss / waiver services need prior authorization in North Carolina?
North Carolina does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from North Carolina's published Medicaid fee-for-service schedule (effective 2025), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time North Carolina changes these rates.