NC Medicaid School Based Services
PSU Provider Enrollment Preparation Fact Sheet
In 2023, the Centers for Medicare & Medicaid (CMS) released guidance that requires individual
practitioner enrollment to submit billing claims to Medicaid. By July 1, 2026, all eligible school-based
practitioners must enroll in North Carolina Medicaid.
NC Medicaid and NC Department of Public Instruction (DPI) have partnered to provide guidance to
assist public school units (PSUs) with this process. This prerequisite document and checklist are
intended to be used as a suggestion to help PSUs determine which practitioners will need to enroll.
Medicaid Tool Kit
This guide was created to help North Carolina schools increase their participation in the Medicaid reimbursement program. By understanding the principles and tools outlined here, school districts (PSUs) can maximize their ability to provide much needed health services to students, while receiving Medicaid reimbursement for eligible costs.
This site is in the process of adding additional materials and resources.