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SAMHSA Grant Terminations — Action Needed

On January 13, SAMHSA notified numerous organizations that their federal grants were terminated. While the full scope is still emerging, the APA estimates that roughly 2,000 awards—totaling about $2 billion—may be affected nationwide.

Programs APA is aware have been impacted include: Garrett Lee Smith, Zero Suicide, Youth Overdose Prevention, Pregnant and Postpartum Women Treatment for SUDs, Mental Health Awareness Training (MHAT), American Rescue Plan Act–funded initiatives, Strategic Prevention Framework (PFS and SPF-Rx), STOP Act, Medication Assisted Treatment (including MAT-PDOA), First Responders–CARA, ATTC, PTTC, System of Care/Children’s Mental Health Initiative, Targeted Capacity Expansion (TCE), and the Minority Fellowship Program (MFP).

At this time, we understand that CCBHCs, 988, and block grants are not affected.

APA is urging Congress to call on SAMHSA to reinstate these programs and continue bipartisan efforts to address mental health, suicide prevention, and substance use care. Please take action by responding to APA’s Action Alert.

If you are aware of other impacted programs—or if your organization has been affected—please let us know.

Reversing the October 1, 2025 Medicaid Rate Cuts

NC Medicaid Standard Plans and Tailored Plans have outlined a process to restore Medicaid reimbursement rates to pre–October 1, 2025 levels as quickly as possible. Any outstanding recoupments related to the October 1 fee schedule changes have been canceled effective immediately.

NCDHHS issued revised fee schedules on January 5, 2026 that reflect both the restored rates and current coding standards. Plans will have up to 45 days to implement them, followed by up to 30 days to reprocess impacted claims. Plans have indicated they intend to move more quickly where possible.

Claims will be automatically reprocessed, and clinicians should not need to take any action at this time. Providers are encouraged to monitor communications from their Standard or Tailored Plan for additional details and timeline updates.

To learn more about the process to reverse the October 1 rate cuts, click here.

Renew Your Membership for 2026

Ensure you continue enjoying all the benefits of NCPA membership for another year! From professional development opportunities and continuing education to statewide advocacy, practice support, and networking with colleagues across North Carolina, your membership keeps you connected to a strong and active psychiatric community. Renew by March 31 to maintain uninterrupted access to these essential resources throughout 2026.

Memberships in both NCPA and APA renew on a calendar-year basis, and dues are billed together for your convenience. Members can pay their dues in one of three ways:

Renew Online: Visit my.psychiatry.org (login required)
Renew by Phone: Call the APA Membership Department at 202-559-3900.
Renew by Mail: Return the paper invoice you received through the mail.