--- title: Practice Support Services (2) description: Health care practices in North Carolina face many challenges. Our quality improvement coaches (QICs) are trained to work with you to transform the way in which care is delivered in your practice. (2) --- [![nwahec.png](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png?width=2025&height=300&name=WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png "nwahec.png")](https://go.northwestahec.wakehealth.edu/) - [Home](https://go.northwestahec.wakehealth.edu) - [What's New at NWAHEC Blog](https://go.northwestahec.wakehealth.edu/blog) - [NWAHEC Staff](https://go.northwestahec.wakehealth.edu/staff) - [Practice Support Updates](https://go.northwestahec.wakehealth.edu/practicesupport) # Practice Support Update Blog ## [ADL News: Rediscover Behavioral Health Resources with PsychiatryOnline®](https://go.northwestahec.wakehealth.edu/practicesupport/psychiatryonline) Jul 28, 2026, 9:00:03 AM / by [Janice Moore, MLS](https://go.northwestahec.wakehealth.edu/practicesupport/author/janice-moore) posted in [NCAHEC](https://go.northwestahec.wakehealth.edu/practicesupport/topic/ncahec), [digital library](https://go.northwestahec.wakehealth.edu/practicesupport/topic/digital-library) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/psychiatryonline#comments-listing) Looking for trusted behavioral health and psychiatric resources? The AHEC Digital Library (ADL) has added a valuable new resource to help support healthcare professionals, educators, and learners: **PsychiatryOnline®**. ![ncahecdigitallibrary](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/ncahecdigitallibrary.jpg?width=342&height=130&name=ncahecdigitallibrary.jpg)This comprehensive platform from the American Psychiatric Association provides access to leading journals and essential reference materials in psychiatry and behavioral health, including full-text access to: - **The American Journal of Psychiatry** - **The American Journal of Psychotherapy** - **Focus** - **The Journal of Neuropsychiatry** - **Psychiatric Research & Clinical Practice** - **Psychiatric Services** - **DSM-5-TR™ (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision)** Whether you're seeking the latest research, evidence-based clinical guidance, or authoritative diagnostic information, PsychiatryOnline offers a wealth of resources to support your practice and professional development. Take a moment to explore this new core resource and rediscover the behavioral health content available through the AHEC Digital Library. **Access PsychiatryOnline and other valuable resources through the NCAHEC Digital Library:** 🔗 [https://library.ncahec.net](https://library.ncahec.net) Happy reading! *The NCAHEC Digital Library provides North Carolina healthcare professionals with access to high-quality information resources that support education, clinical practice, and lifelong learning.*   *[![Digital Library](https://no-cache.hubspot.com/cta/default/7413846/36614b2e-461f-444c-b2a9-08ee8a5f03c1.png)](https://cta-redirect.hubspot.com/cta/redirect/7413846/36614b2e-461f-444c-b2a9-08ee8a5f03c1)*   [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/psychiatryonline) ## [NCIR Data Exchange Onboarding Temporarily Paused During System Transition](https://go.northwestahec.wakehealth.edu/practicesupport/ncir-data-exchange-onboarding-temporarily-paused-during-system-transition) Jul 15, 2026, 1:30:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [ncir](https://go.northwestahec.wakehealth.edu/practicesupport/topic/ncir) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/ncir-data-exchange-onboarding-temporarily-paused-during-system-transition#comments-listing) ![Idea exchange concept. Ideas agreement Investing in business innovation and financial commerce backing of creativity. Open lightbulb icon with gear mechanisms. Funding potential innovative growth-3](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Idea%20exchange%20concept.%20Ideas%20agreement%20Investing%20in%20business%20innovation%20and%20financial%20commerce%20backing%20of%20creativity.%20Open%20lightbulb%20icon%20with%20gear%20mechanisms.%20Funding%20potential%20innovative%20growth-3.jpeg?width=468&height=312&name=Idea%20exchange%20concept.%20Ideas%20agreement%20Investing%20in%20business%20innovation%20and%20financial%20commerce%20backing%20of%20creativity.%20Open%20lightbulb%20icon%20with%20gear%20mechanisms.%20Funding%20potential%20innovative%20growth-3.jpeg)The North Carolina Immunization Program (NCIP) has announced a temporary pause on all North Carolina Immunization Registry (NCIR) data exchange onboarding activities as it transitions to a new NCIR product. Practices, health systems, and vendors planning new NCIR data exchange connections should be aware of this change and prepare for potential delays in onboarding timelines. [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/ncir-data-exchange-onboarding-temporarily-paused-during-system-transition) ## [Rural Health Transformation Program Launches New Digital Health Initiatives to Strengthen Rural Care](https://go.northwestahec.wakehealth.edu/practicesupport/rural-health-transformation-program-launches-new-digital-health-initiatives-to-strengthen-rural-care) Jul 15, 2026, 10:30:01 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/rural-health-transformation-program-launches-new-digital-health-initiatives-to-strengthen-rural-care#comments-listing) ## ![rural-health-logo-final\_rural-health-logo](https://go.northwestahec.wakehealth.edu/hubfs/rural-health-logo-final_rural-health-logo.svg) North Carolina is taking another step toward improving access to health care in rural communities through the Rural Health Transformation Program (RHTP). In June, the North Carolina Department of Health and Human Services (NCDHHS) and the North Carolina Department of Information Technology (NCDIT) announced three new programs designed to strengthen the digital infrastructure supporting rural health care delivery. These efforts are part of Initiative Six of the North Carolina Rural Health Transformation Program (NCRHTP), which focuses on digital health and technology.  [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/rural-health-transformation-program-launches-new-digital-health-initiatives-to-strengthen-rural-care) ## [Reminder: Credit Balance Audit and Quarterly Reporting Requirements](https://go.northwestahec.wakehealth.edu/practicesupport/reminder-credit-balance-audit-and-quarterly-reporting-requirements) Jul 8, 2026, 9:00:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/reminder-credit-balance-audit-and-quarterly-reporting-requirements#comments-listing) ![Report Concept. Button on Modern Computer Keyboard with Word Report on It.-1](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Report%20Concept.%20Button%20on%20Modern%20Computer%20Keyboard%20with%20Word%20Report%20on%20It.-1.jpeg?width=229&height=172&name=Report%20Concept.%20Button%20on%20Modern%20Computer%20Keyboard%20with%20Word%20Report%20on%20It.-1.jpeg)Providers participating in the North Carolina Medicaid program are reminded of their responsibility to complete regular credit balance audits and submit required Credit Balance Reports. These reports help ensure that any overpayments or improper payments owed back to Medicaid are identified and resolved promptly. [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/reminder-credit-balance-audit-and-quarterly-reporting-requirements) ## [Top Billing Challenges We’re Seeing in NC Medicaid and What Practices Can Do About Them](https://go.northwestahec.wakehealth.edu/practicesupport/closing-the-loop-after-discharge-strengthening-care-transitions-in-practice) Jun 30, 2026, 9:30:00 AM / by [Chris Jones, DrPH](https://go.northwestahec.wakehealth.edu/practicesupport/author/chris-jones) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/closing-the-loop-after-discharge-strengthening-care-transitions-in-practice#comments-listing) ![Doctor talking with patient and taking notes](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Doctor%20talking%20with%20patient%20and%20taking%20notes.jpeg?width=378&height=252&name=Doctor%20talking%20with%20patient%20and%20taking%20notes.jpeg) Billing in today’s healthcare environment is rarely straightforward. For many practices participating in NC Medicaid, even well-designed workflows can be disrupted by claim issues, coding updates, and evolving requirements. These challenges not only affect revenue—they also create administrative burden and frustration for care teams already operating at capacity. [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/closing-the-loop-after-discharge-strengthening-care-transitions-in-practice) ## [Integrated Care Quality Series - Session 2 Registration Now Open](https://go.northwestahec.wakehealth.edu/practicesupport/integrated-care-quality-2) Jun 25, 2026, 2:30:56 PM / by [Brooke Kochanski](https://go.northwestahec.wakehealth.edu/practicesupport/author/brooke-kochanski) posted in [Medicaid](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid), [NC health department](https://go.northwestahec.wakehealth.edu/practicesupport/topic/nc-health-department) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/integrated-care-quality-2#comments-listing) We’re excited to launch Session 2 for the [**Integrated Care Quality Series**](https://go.northwestahec.wakehealth.edu/integratedcare), a four-part educational series designed to support providers, care teams, and partners in improving outcomes across maternal, preventive, and pediatric care. Aligned with NC Medicaid’s 2026 Withhold Program, this series will provide practical strategies, updated guidance, and actionable tools to strengthen high-quality, equitable care across the care continuum. ![Integrated Care Quality Series](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Integrated%20Care%20Quality%20Series.png?width=300&height=300&name=Integrated%20Care%20Quality%20Series.png)All programs in the series are being held via Live Webinar. These programs are for NC Health Department employees only. Course registration is generously supported by the North Carolina Alliance of Public Health Agencies.   **Session 2 Registration is Now Open Screening for Health‑Related Resource Needs (HRRN) August 26, 2026 11AM - 12PM - LIVE WEBINAR** Beginning in 2026, HRRN transitions from pay for reporting to pay for performance, reinforcing NC Medicaid’s commitment to addressing social drivers of health. This session examines required screening components, best practices for documentation, and effective approaches for follow up and linkage to community based resources. Q&A Session will be held two weeks after the event, link will be sent to participants. Speaker: Madison Shaffer, MPH Quality Measurement Lead - Program Evaluation, QPHE, NC Medicaid NC Department of Health and Human Services 👉 [**Learn more and register**](https://go.northwestahec.wakehealth.edu/integratedcare) **[![Register Now](https://no-cache.hubspot.com/cta/default/7413846/interactive-215439129009.png)](https://go.northwestahec.wakehealth.edu/hs/cta/wi/redirect?encryptedPayload=AVxigLI9l0CKebw3rTLQk74jBi%2BXD5kyaHJzmXx2PvvAbC0GKoYkKbiCRcnbBZCIvgaoDkFek985nXIFGZrEA4NTfGCy9EbzIvnCaRdGOH8JsieYxO0nGNENvLTHWhYHgOzQFC2MkEqMN4XYdcqXuFdh%2Bpwc7I0pi2DgZciwkI3Ekr36bB3OqeCFQwQ5V%2Bu4D8DAHAzcVSk6RgHIwLp8wR7QTulhQQEOlgTT%2BV%2BLPVzZMtf3H%2Bhc5NN4nhi6V5Du1sShe9Dp7yly%2BGR0p%2BLO7s%2BqraGxKGfVTj0gamMELEJWLXgXm1MzP9waHQ%3D%3D&webInteractiveContentId=215439129009&portalId=7413846)**   **What’s Coming Next** Future sessions in the series will address: - Women’s Preventive Health (Cervical & Breast Cancer Screening) - Child & Adolescent Well-Care and Immunizations We’ll be announcing additional session details soon, with registration opening shortly for fall offerings. **Did you miss Session 1 Prenatal and Postpartum Care?** You can register and watch recording! Check out [the website](https://go.northwestahec.wakehealth.edu/integratedcare). [![Register & Watch Recording](https://no-cache.hubspot.com/cta/default/7413846/interactive-215439129127.png)](https://go.northwestahec.wakehealth.edu/hs/cta/wi/redirect?encryptedPayload=AVxigLJZMLwG24eeXAsGuF%2BlAHadO4546%2FpxLr9%2BLMFg5GfPJ5X03BmvBGwB%2FBtALlS5dcv7R6NYiK7dZtn3TDuL4qEbeuLCIlZWGHwKjT%2FZSa3QfABrP7IqfEzCtA0PMfiQ40Z8HxfvhCzzLfqPCybwZLL%2FAyUrw15Y%2Fl6JexeVOZOFYG8RGDbrtr8Ow%2B8r22CdX2W3IzQYq%2BILkWVmRs9tS67mkF3mXdsLdXpd%2FvaG63ttc6Z7MmAKHOPfwoJ7GX7UKD9rTQZFxKxXcT5tUINjT23WADZRtKbtZz0eQ5h2&webInteractiveContentId=215439129127&portalId=7413846) [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/integrated-care-quality-2) ## [Putting Strategy into Practice: Implementing a Hospital Readmissions Reduction Approach](https://go.northwestahec.wakehealth.edu/practicesupport/putting-strategy-into-practice-implementing-a-hospital-readmissions-reduction-approach) Jun 23, 2026, 9:00:04 AM / by [Chris Jones, DrPH](https://go.northwestahec.wakehealth.edu/practicesupport/author/chris-jones) posted in [Medicaid Managed Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid-managed-care), [Billing](https://go.northwestahec.wakehealth.edu/practicesupport/topic/billing) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/putting-strategy-into-practice-implementing-a-hospital-readmissions-reduction-approach#comments-listing) ![Examination of financial condition Stethoscope on pile of U.S. twenty-dollar bills isolated on white background](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Examination%20of%20financial%20condition%20Stethoscope%20on%20pile%20of%20U.S.%20twenty-dollar%20bills%20isolated%20on%20white%20background.jpeg?width=386&height=256&name=Examination%20of%20financial%20condition%20Stethoscope%20on%20pile%20of%20U.S.%20twenty-dollar%20bills%20isolated%20on%20white%20background.jpeg)Hospital readmissions remain a persistent challenge for health systems and primary care practices alike. While the policy drivers behind readmission reduction are well known, translating those expectations into day-to-day clinical workflows is where the real work begins. For many practices, implementation is less about a single intervention and more about building a coordinated, sustainable approach across the care continuum. [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/putting-strategy-into-practice-implementing-a-hospital-readmissions-reduction-approach) ## [Update: Changes to WellCare and Carolina Complete Health Merger Claim Processing](https://go.northwestahec.wakehealth.edu/practicesupport/update-changes-to-wellcare-and-carolina-complete-health-merger-claim-processing) Jun 16, 2026, 10:15:00 AM / by [Chris Jones, DrPH](https://go.northwestahec.wakehealth.edu/practicesupport/author/chris-jones) posted in [carolina complete](https://go.northwestahec.wakehealth.edu/practicesupport/topic/carolina-complete) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/update-changes-to-wellcare-and-carolina-complete-health-merger-claim-processing#comments-listing) We [previously shared important updates](https://go.northwestahec.wakehealth.edu/practicesupport/important-updates-on-the-wellcare-and-carolina-complete-health-merger-1) regarding the Wellcare and Carolina Complete Health (CCH) merger, including an initial effective date of April 1, 2026. That timeline has now changed. ### New Effective Date and Key Change **Effective June 4, 2026**, Carolina Complete Health, Trillium Physical Health, and Partners Physical Health have transitioned from claims denials to **upfront rejections** for certain billing and credentialing issues. This change means claims with errors will now be rejected before processing rather than denied after submission. Providers will need to correct and resubmit any rejected claims. ### What Providers Should Do To reduce the risk of claim rejections, providers should review their billing and credentialing practices carefully. It is essential to confirm that all information in NCTracks is accurate and up to date, including NPI, taxonomy, service location, and enrollment details. Mismatched or outdated information may result in rejected or denied claims. Providers should also ensure that NPI and taxonomy codes are placed in the correct fields on all claims and align with the Carolina Complete Health Provider Billing Manual (pages 48 through 74). When services are rendered at a location different from the billing address listed in field 33, boxes 32, 32a, and 32b must be completed as outlined on page 58 of the manual. ### Common Reasons for Rejections Most upfront rejections are related to NPI status, taxonomy alignment, or missing provider information. Common issues include inactive or unrecognized NPIs, missing or invalid taxonomy codes, and discrepancies between credentialing records and submitted claims. Errors may involve multiple provider roles, including attending, billing, rendering, referring, supervising, and service facility providers. Rejections can also occur when required provider information is missing, not active for the date of service, or not properly linked within NCTracks. In some cases, claims may be rejected when a rendering provider is required but not submitted for certain billing taxonomies, or when supervising or service facility provider information is incomplete or not found on file. ### Why This Matters Because claims are now rejected before processing, providers may experience delays in reimbursement if errors are not addressed promptly. This shift increases the importance of accurate credentialing data and correct claim submission. Taking time now to verify NCTracks information and billing practices can help minimize disruptions and reduce administrative burden. ### Key Takeaways - New effective date: June 4, 2026 - Claims are now rejected upfront instead of denied later - Most issues involve NPI or taxonomy mismatches - Providers should review and update NCTracks and billing practices For background information, review our earlier post: [Important Updates on the Wellcare and Carolina Complete Health Merger](https://go.northwestahec.wakehealth.edu/practicesupport/important-updates-on-the-wellcare-and-carolina-complete-health-merger-1). [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/update-changes-to-wellcare-and-carolina-complete-health-merger-claim-processing) ## [DID YOU KNOW? | AHEC Digital Library (ADL): Resources for Residents](https://go.northwestahec.wakehealth.edu/practicesupport/resources-for-residents) Jun 11, 2026, 9:46:53 AM / by [Janice Moore, MLS](https://go.northwestahec.wakehealth.edu/practicesupport/author/janice-moore) posted in [NCAHEC](https://go.northwestahec.wakehealth.edu/practicesupport/topic/ncahec), [digital library](https://go.northwestahec.wakehealth.edu/practicesupport/topic/digital-library) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/resources-for-residents#comments-listing) Did you know…this time of year, NC AHEC is welcoming new resident physicians, fellows, and health science students to teaching hospitals and community sites across the state. As they begin this next phase of training, easy access to trusted, evidence-based information is essential for both learning and patient care. To support onboarding and ongoing clinical decision-making, the **AHEC Digital Library (ADL)** offers a wide range of resources tailored to residents and other learners, including: - **Research Databases:** Access to major clinical and biomedical databases, including MEDLINE, CINAHL, and The Cochrane Collection of Evidence-Based Medicine Reviews. - **Journals & E-Books:** Thousands of full-text medical/nursing journals and core textbooks. - **Point-of-Care Tools:** Includes synthesized clinical tools like Essential Evidence Plus for quick, evidence-based decision-making at the bedside. - **Subject Guides (LibGuides):** Specialized resource hubs covering key health topics. - **Certification & Specialty Readings:** Curated articles and reading lists—such as the American Board of Obstetrics and Gynecology (ABOG) recommended articles. ### Start Strong with the Resident Survival Guide For new residents looking for a quick orientation to these tools, the **Resident Survival Guide** is an excellent place to begin. This guide brings together essential library resources, tips for efficient searching, and quick links to high-value clinical tools—helping residents get up to speed quickly and make the most of their ADL access from day one. Whether you’re preparing for rounds, researching a clinical question, or reviewing for boards, the guide serves as a practical roadmap to the most useful resources available through NC AHEC Library Services. 👉 **Check out the [Resident Survival Guide](https://ncahec.libguides.com/ResidentGuide)** to get started and make the most of your ADL access. ![Designer (15)](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Designer%20(15).png?width=600&height=600&name=Designer%20(15).png)   [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/resources-for-residents) ## [Accessible Exam Tables and Scales: What the New Federal Rules Mean for Healthcare Facilities](https://go.northwestahec.wakehealth.edu/practicesupport/accessible-exam-tables) May 27, 2026, 12:13:04 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/accessible-exam-tables#comments-listing) ## Accessible Exam Tables and Scales: What the New Federal Rules ![Designer (4)-3](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Designer%20(4)-3.png?width=296&height=197&name=Designer%20(4)-3.png)New federal accessibility rules are changing how healthcare facilities must think about exam tables, weight scales, and other diagnostic equipment. These updates are not about convenience or optional upgrades. They are about ensuring that patients who use wheelchairs or have mobility limitations can be weighed, examined, and transferred safely and with dignity—without being examined in their chair or turned away because appropriate equipment is not available. Two federal actions work together to create these new expectations: updated technical standards from the U.S. Access Board and enforceable legal requirements from the Department of Justice (DOJ). Understanding how they fit together is key for planning, budgeting, and compliance. The Two Federal Actions Driving These Changes **The U.S. Access Board sets the technical standards.** In July 2024, the Access Board finalized updated standards for accessible medical diagnostic equipment (MDE), including exam tables, exam chairs, weight scales, and imaging equipment. These standards define *what counts as accessible*, such as transfer heights, support features, and clearance requirements. For example, exam tables must be able to lower to a transfer height of 17 inches or less, measured from the floor to the top of the uncompressed surface. [Access Board MDE standards](https://www.access-board.gov/mde/) On their own, these standards are not enforced. That role falls to the Department of Justice. **The Department of Justice makes the standards enforceable.** In August 2024, the DOJ finalized a new rule under Title II of the Americans with Disabilities Act (ADA) that adopts the Access Board’s standards and applies them to state and local government healthcare facilities, including public hospitals, health departments, public clinics, and university health systems. The rule became effective October 8, 2024, with enforcement beginning August 9, 2026. [DOJ MDE fact sheet](https://www.ada.gov/resources/2024-08-08-mde-fact-sheet/) ### What “Exam Tables That Lower Below 17 Inches” Really Means For patients who use wheelchairs, accessible exam tables are essential for safe transfers and complete physical exams. In practical terms, this means that at least some exam tables in a facility must lower to 17 inches or lower, allow side or end transfers, include support rails or armrests, and provide enough clearance for a wheelchair and staff assistance. Accessible tables make it possible for patients to transfer independently or with assistance, use transfer boards or mechanical lifts, and avoid unsafe manual lifting by staff. This improves safety for both patients and clinical teams. An important nuance for planning: the DOJ is currently enforcing the 2017 Access Board standard, which allows a transfer height of 17 to 19 inches. However, the Access Board’s 2024 update sets 17 inches as the maximum low height, and this is now the official technical benchmark. Many organizations are choosing to purchase equipment that meets the 17‑inch standard now to future‑proof their investments. [DOJ adoption of Access Board standards](https://www.access-board.gov/news/2024/08/13/department-of-justice-adopts-access-board-s-minimum-standards-for-accessible-medical-diagnostic-equipment/) ### Wheelchair‑Accessible Scales and Combination Equipment Facilities must also have wheelchair‑accessible weight scales. These scales must include a platform large enough for a wheelchair, a ramp or level entry, edge protection, a slip‑resistant surface, and adequate weight capacity, often including bariatric capacity. Wheelchair scales are explicitly included as medical diagnostic equipment under the rule. [HHS accessible MDE requirements](https://www.hhs.gov/sites/default/files/new-requirements-accessible-medical-diagnostic-equipment.pdf) Some facilities ask whether they can combine an exam table and scale. The answer is yes. Combination equipment is allowed as long as it meets both the exam table accessibility standards and the wheelchair scale standards. For some sites, this can reduce space constraints and equipment costs while still meeting compliance expectations. [Wheelchair scale accessibility guidance](https://www.homscales.com/wp-content/uploads/2025/11/HOM_Wheelchair_Scale_Accessibility_Compliance_Guide_20251119.pdf) ### The 10% Rule: Minimum Equipment Requirements By August 9, 2026, facilities covered by ADA Title II must ensure that at least 10% of each type of diagnostic equipment is accessible. This applies separately to exam tables, weight scales, exam chairs, and other covered equipment. If 10% would be less than one unit, at least one accessible unit is still required. Facilities that specialize in mobility‑related care, such as rehabilitation or physical therapy, have a higher threshold: 20% of each equipment type must be accessible. [ADA Title II equipment scoping requirements](https://www.ada.gov/resources/2024-08-08-mde-fact-sheet/) ### Who These Rules Apply To These requirements apply to state and local government healthcare facilities under ADA Title II, as well as federally funded providers under Section 504 of the Rehabilitation Act. This includes many providers that participate in Medicare and Medicaid. Similar timelines apply under federal funding rules, with a deadline of July 8, 2026 to have at least one accessible exam table and one accessible weight scale in place. [Section 504 MDE deadlines](https://www.hhs.gov/sites/default/files/new-requirements-accessible-medical-diagnostic-equipment.pdf) Importantly, the rules do not require replacing all existing equipment, removing non‑compliant equipment immediately, or making changes that would create an undue financial or administrative burden. However, claims of undue burden must be documented. ### What Most Facilities Need to Do Now For many organizations, compliance is less about a full renovation and more about targeted planning. Common steps include purchasing or retrofitting at least one exam table that lowers to 17–19 inches (preferably 17 inches), ensuring at least one wheelchair‑accessible scale is available, confirming bariatric capacity where appropriate, and verifying that new equipment purchases after October 8, 2024 meet accessibility standards. Facilities should also review space and workflow. This includes ensuring clear floor space next to accessible equipment, providing an accessible route to the room where compliant equipment is located, and having a scheduling process that ensures wheelchair users can access those rooms when needed. Staff training and policy updates are equally important. Staff should be trained on safe transfers, use of accessible equipment, and lift and support features. Policies should clearly prohibit denying exams or services due to lack of accessible equipment. ### Why This Matters Beyond Compliance Facilities that fail to comply may face DOJ enforcement actions, ADA complaints, or lawsuits. But the impact goes well beyond regulatory risk. Accessible equipment reduces staff injuries, improves exam quality, and helps prevent delayed or skipped care for patients with mobility disabilities. For many organizations, these changes are also an opportunity to improve patient experience, demonstrate commitment to equity, and modernize clinical workflows in a way that benefits both patients and staff. If helpful, this information can be translated into a site‑specific gap analysis, equipment prioritization plan, or plain‑language talking points for leadership and providers. ### Which ADA Rules Apply to Your Practice? Which accessibility rules your practice must follow depends primarily on **who owns and operates the practice**. Under the Americans with Disabilities Act (ADA), healthcare providers fall under different titles of the law, and those titles carry different requirements. #### If your practice is run by a state or local government (ADA Title II) Healthcare services operated by state or local governments are covered by **ADA Title II**. This includes public hospitals, county or city health departments, public clinics, and university or academic health systems that are part of a public institution. It also applies when a government entity owns a facility but contracts with another organization to operate it. Title II requires *program accessibility*. In practical terms, this means the healthcare program as a whole must be accessible to patients with disabilities, not just on a case‑by‑case basis. Because of this broader obligation, Title II providers are subject to the Department of Justice’s new, enforceable rules for accessible medical diagnostic equipment, including required numbers of accessible exam tables and wheelchair‑accessible scales and defined compliance deadlines. #### If your practice is privately owned (ADA Title III) Private and nonprofit healthcare practices that serve the public are covered by **ADA Title III**. This includes private physician offices, private hospitals, dental practices, urgent care centers, and specialty clinics. Title III focuses on non‑discrimination and removal of barriers when it is readily achievable. Unlike Title II, it does not set fixed percentages or quotas for accessible medical equipment. However, Title III practices still may not deny care because equipment is inaccessible and must make reasonable modifications to ensure patients with disabilities can receive the same services as others. #### Why many private practices are still affected by the new equipment standards Even if a practice is covered by Title III, it may also be subject to **Section 504 of the Rehabilitation Act** if it receives federal financial assistance. This includes participation in Medicare or Medicaid. Section 504 adopts the same technical standards for accessible medical diagnostic equipment and includes its own deadlines for having accessible exam tables and scales in place. As a result, many private practices are functionally required to meet the same equipment standards as public facilities, even though they are not Title II entities. In short, public providers must follow the DOJ’s specific equipment rules under Title II, while private providers must meet Title III’s access requirements and may also need to comply with Section 504 if they receive federal funding. Understanding which category your practice falls into is the first step in planning for compliance. [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/accessible-exam-tables) [Prev](https://go.northwestahec.wakehealth.edu/practicesupport/page/1) [All posts](https://go.northwestahec.wakehealth.edu/practicesupport/all) [Next](https://go.northwestahec.wakehealth.edu/practicesupport/page/3) This is a search field with an auto-suggest feature attached. - There are no suggestions because the search field is empty. ### Practice Support Services Health care practices in North Carolina face many challenges. Our team of quality improvement coaches (QICs) have skills and expertise to support you in your transformation efforts. 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Check Out These Recent Posts # About Us The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina. 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