
08/20/2025
🚨 URGENT ADVOCACY ALERT for NC Occupational Therapy Practitioners (OTPs) 🚨
The NC Department of Health and Human Services (NCDHHS) has announced proposed Medicaid cuts that will directly impact occupational therapy services across North Carolina.
👉 What’s Changing:
• A 3% reduction in the OT Medicaid fee schedule starting October 1, 2025
• Managed Care Organizations (MCOs) will also see a 1.5% reduction in capitation rates, retroactive to July 1, 2025
• These cuts stem from the Medicaid rebase not being fully funded in the state budget
• ALL healthcare areas in NC face cuts, and some “optional” programs are at risk of elimination
📢 What YOU can do right now:
NCOTA is calling on every OTP to contact your legislators immediately and urge them to:
1️⃣ Fund the Medicaid rebase
2️⃣ Oppose the 3% OT reimbursement cut
💡 Tips for your message:
• Stay professional and polite
• Share YOUR personal story (no patient identifiers, HIPAA safe)
• Explain how cuts impact you, your clients, and access to essential OT services
• Show how OT saves costs by preventing more expensive care
⏰ Deadline: Legislators return the last week of August—we must act NOW before the Oct 1 implementation date!
🙌 Why it matters:
• Medicaid rates haven’t increased in over 20 years
• OT services are essential, not optional—they protect independence, prevent hospitalizations, and reduce long-term costs
• Thanks to YOUR advocacy, OT is facing a smaller cut (3%) than many other services (8–10%). Let’s keep the momentum going!
📩 Need help? Email NCOTAadvocacy@gmail.com.
📢 Share this with 2+ colleagues, friends, or family—anyone can submit a comment!
Together, we are stronger. Together, we can protect OT in NC. 💪✨
https://drive.google.com/file/d/1sh7io3g91K8C_zLwfwv6bzCti-qls-Gg/view?usp=sharing
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