Since March 2020, states were required under the federal COVID-19 Public Health Emergency to maintain enrollment for nearly all Medicaid beneficiaries and their level of coverage regardless of eligibility status. This helped ensure they continued to receive health care coverage during the pandemic. The federal 2023 Consolidated Appropriations Act set a timeframe to resume Medicaid beneficiary eligibility recertifications. NC Medicaid began this process today.
NCDHHS is focused on ensuring people who remain eligible for Medicaid continue to be covered and those who are no longer eligible know their potential options, such as buying coverage, often at a reduced cost, through the federal Healthcare Marketplace.
Over the past few months, Medicaid has worked closely with local Departments of Social Services and other partners to reach as many beneficiaries as possible to explain what to expect and their potential options to obtain health benefits.
Recertifications will take place over the next 12 months and will be conducted based on a beneficiary’s recertification date. Medicaid terminations or reductions could begin as early as July 1, 2023, although some could lose coverage as early as May 1, 2023.