---
title: Practice Support Services | payment
description: payment | 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.
---

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# Practice Support Update Blog

## [Medicaid Timeline for Corrected Payments & Claim Reprocessing](https://go.northwestahec.wakehealth.edu/practicesupport/medicaid-timeline-for-corrected-payments-claim-reprocessing)

 Feb 11, 2026, 2:52:55 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Medicaid](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicaid), [claims](https://go.northwestahec.wakehealth.edu/practicesupport/topic/claims), [payment](https://go.northwestahec.wakehealth.edu/practicesupport/topic/payment)

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---

### What North Carolina Primary Care Practices Need to Know

 

North Carolina Medicaid has released updated guidance on **when providers can expect corrected payments and claim reprocessing** following the **reversal of the Medicaid reimbursement rate reductions that took effect October 1, 2025**.

We know this issue has created uncertainty for practice managers, billing teams, and financial planning. Below is a **plain‑language summary of the timelines** so you can plan appropriately and communicate clearly with your staff.

---

## Background: What Changed?

On **December 10, 2025**, North Carolina announced the **reversal of the Medicaid rate reductions** implemented on October 1, 2025. These reversals apply to **both NC Medicaid Direct (Fee‑for‑Service)** and **NC Medicaid Managed Care (PHPs)**.

The state has now outlined **how and when corrected rates will be implemented** and **when affected claims will be reprocessed**, as detailed in the [NC Medicaid Rate Reduction Reversal Update](https://medicaid.ncdhhs.gov/blog/2025/12/19/medicaid-rate-reduction-reversal-update).

---

## Updated Fee Schedules

NC Medicaid has announced that **updated fee schedules**, reflecting the reversal of the October 1, 2025 rate reductions, are scheduled to be **posted on January 5, 2026**.

These updated fee schedules apply to:

- **NC Medicaid Direct (Fee‑for‑Service)**
- **NC Medicaid Managed Care (PHP) plans**

Updated schedules will be available through the [NC Medicaid Fee Schedules and Covered Codes Portal](https://ncdhhs.servicenowservices.com/fee_schedules).

---

## When PHPs Will Implement Corrected Rates

Once the updated fee schedules are posted:

- **Prepaid Health Plans (PHPs have 45 days)** to update their systems with the corrected rates.

This places PHP system implementation **between January 5 and February 19, 2026**, depending on the plan.

### What this means for your practice

Providers should expect to begin seeing **corrected Medicaid Managed Care (PHP) payments**:

- **Mid‑February through early March 2026**, depending on the PHP

---

## Reprocessing of Previously Paid Claims

PHPs are required to **reprocess all claims affected by the October 1, 2025 rate reductions** for dates of service **on or after October 1, 2025**.

- After implementing the corrected rates, **PHPs have an additional 30 days** to complete claim reprocessing.

Based on the required timelines, **claim reprocessing is expected**:

- **Late February through late March 2026**
- Some adjustments may extend into **early April**, depending on the PHP

Providers do **not** need to resubmit claims for reprocessing unless directed otherwise by their PHP.

---

### NC Medicaid Direct (Fee‑for‑Service) Timeline

For comparison, **NC Medicaid Direct (FFS)** follows a different payment timeline.

Corrected payments for NC Medicaid Direct **began appearing in the January 13, 2026 check write**, following system updates tied to the January 5 fee schedule posting.

This differs from PHP timelines, which must follow the **45‑day system update period plus a 30‑day reprocessing window**.

---

## What Providers Should Expect — At a Glance

**Medicaid Managed Care (PHPs):**

- **Corrected payment amounts:** Mid‑February through early March 2026
- **Reprocessed claim adjustments:** Late February through March 2026
- **Some remittances may extend into early April**, depending on the PHP

**NC Medicaid Direct (FFS):**

- Corrected payments began **January 13, 2026**

---

## What Practices Should Do Now

 ✅ **Continue submitting claims as usual**  
✅ **Monitor remittance advice carefully** for adjustments and reprocessed claims  
✅ **Prepare billing and finance staff** for increased remittance activity over several weeks  
✅ **Avoid duplicate resubmissions** unless specifically instructed by the PHP

PHPs have indicated that **providers do not need to take action** for affected claims to be reprocessed.

---

## Who This Applies To

This guidance applies to:

- **NC Medicaid Direct**
- **NC Medicaid Managed Care (PHPs)**

---

## How Northwest AHEC Can Help

Your **Northwest AHEC Practice Support Team** is here to help practices navigate these changes. We can assist with:

- Understanding remittance advice and claim adjustments
- Preparing staff talking points and internal communications
- Workflow planning during high‑volume claim reprocessing periods

If your practice has questions or would benefit from one‑on‑one support, please reach out to your local AHEC practice support coach.

[Read More](https://go.northwestahec.wakehealth.edu/practicesupport/medicaid-timeline-for-corrected-payments-claim-reprocessing)

## [Claims Hold Update from CMS](https://go.northwestahec.wakehealth.edu/practicesupport/claims-hold-update-from-cms)

 Oct 15, 2025, 4:39:42 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [claims](https://go.northwestahec.wakehealth.edu/practicesupport/topic/claims), [payment](https://go.northwestahec.wakehealth.edu/practicesupport/topic/payment), [government shutdown](https://go.northwestahec.wakehealth.edu/practicesupport/topic/government-shutdown)

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### 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.

To learn more about [Practice Support Click Here](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC/Practice-Support-Services)

Apply for practice support services - **[submit an email inquiry](mailto:practicesupport@ncahec.net)**

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- [No Surprises Act (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/no-surprises-act)
- [Perinatal (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/perinatal)
- [Provider Enrollment (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/provider-enrollment)
- [Value based contracting (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/value-based-contracting)
- [Wellness (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/wellness)
- [advance care planning (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/advance-care-planning)
- [artificial intelligence (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/artificial-intelligence)
- [burnout (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/burnout)
- [chronic conditions (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/chronic-conditions)
- [crisis (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/crisis)
- [finance (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/finance)
- [financial assistance (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/financial-assistance)
- [flu season (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/flu-season)
- [foster care (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/foster-care)
- [funding (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/funding)
- [harm reduction (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/harm-reduction)
- [health careers (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-careers)
- [health professionals (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-professionals)
- [hospital (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hospital)
- [intake (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/intake)
- [leadership (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/leadership)
- [management (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/management)
- [medical provider (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medical-provider)
- [memory (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/memory)
- [monoclonal antibodies (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/monoclonal-antibodies)
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- [prenatal (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prenatal)
- [psychology (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/psychology)
- [seniors (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/seniors)
- [sexually transmitted infections (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/sexually-transmitted-infections)
- [social justice (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-justice)
- [social work (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-work)
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- [students (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/students)
- [technology (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/technology)
- [women's health (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/womens-health)
- [youth (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/youth)
- [#syphilis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/syphilis)
- [988 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/988)
- [ACA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/aca)
- [AI (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ai)
- [CAP (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cap)
- [CNA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cna)
- [CSRS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/csrs)
- [Case Management (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/case-management)
- [Community Health Worker (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/community-health-worker)
- [Fetal Alcohol Spectrum Disorders (FASD) (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fetal-alcohol-spectrum-disorders-fasd)
- [Free and Charitable Clinics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/free-and-charitable-clinics)
- [HEDIS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hedis)
- [HIPAA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hipaa)
- [Hardship Exception (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hardship-exception)
- [Healthcare Insights (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthcare-insights)
- [Heart Health Now (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/heart-health-now)
- [ICD-10 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/icd-10)
- [Keeping Kids Well (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/keeping-kids-well)
- [MVP (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/mvp)
- [Medicine (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medicine)
- [NCPHC (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ncphc)
- [Nc Health Choice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-health-choice)
- [Obstetrics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/obstetrics)
- [PECOS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pecos)
- [PPE (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ppe)
- [PTSD (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ptsd)
- [Pfizer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pfizer)
- [RSV (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rsv)
- [Relief Fund (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/relief-fund)
- [SAMHSA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/samhsa)
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- [STD Update (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/std-update)
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- [carolina complete (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/carolina-complete)
- [chronic kidney disease (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/chronic-kidney-disease)
- [climate change (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/climate-change)
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- [fda (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fda)
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- [healthcare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthcare)
- [heart health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/heart-health)
- [hepatitis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hepatitis)
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- [hosar (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hosar)
- [housing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/housing)
- [human trafficking (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/human-trafficking)
- [hypertension (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hypertension)
- [implicit bias (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/implicit-bias)
- [infant formula (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infant-formula)
- [infection (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infection)
- [infectious disease (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infectious-disease)
- [internet (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/internet)
- [intervention (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/intervention)
- [lantern (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lantern)
- [lock your meds (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lock-your-meds)
- [lung cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lung-cancer)
- [maternal health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/maternal-health)
- [motivational interviewing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/motivational-interviewing)
- [nc medical journal (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-medical-journal)
- [ncir (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ncir)
- [oncology (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oncology)
- [opioid (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/opioid)
- [oral health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oral-health)
- [outcomes (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/outcomes)
- [payer contracting (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/payer-contracting)
- [phishing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/phishing)
- [physical therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physical-therapy)
- [physician assistant (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physician-assistant)
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- [referral (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/referral)
- [regulations (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/regulations)
- [remote patient monitoring (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/remote-patient-monitoring)
- [research (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/research)
- [respiratory care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/respiratory-care)
- [rn refresher (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rn-refresher)
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- [scope of practice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/scope-of-practice)
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- [surgical services (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/surgical-services)
- [team based care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/team-based-care)
- [therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/therapy)
- [training (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/training)
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- [winter (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/winter)

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# 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.

[Learn More](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC)

# Links

- [Course Catalog](http://nwahec.org/)
- [Join Our Email List](https://share.hsforms.com/16F72ZaBBRBqAda7M--9l9w4ewk6)
- [About Northwest AHEC](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec)
- [Continuing Education Services](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec/continuing-professional-development)
- [Contact Support](https://go.northwestahec.wakehealth.edu/support)

# Contact Us

[ahecmktg@wakehealth.edu](mailto:ahecmktg@wakehealth.edu)

 Medical Center Boulevard  
 Winston-Salem, North Carolina

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