North Carolina Medicaid

North Carolina Medicaid is a health insurance program for low-income individuals and families who cannot afford health care costs. It serves low-income parents, children, seniors, and people with disabilities.

In 2023, North Carolina became the 40th state to expand Medicaid, as a result, many uninsured adults in the state will now be eligible for coverage with higher incomes.

Most beneficiaries are enrolled under NC Medicaid Managed Care  where they choose or are assigned to a health plan and receive care through the health plan’s network of doctors and health professionals.

Under NC Medicaid Managed Care, beneficiaries may enroll in one of several health plan types, including:

1. Standard Plans
2. Tailored Plans
3. EBCI Tribal Option
4. Children and Families Specialty Plan
5. NC Medicaid Direct

FAQ

What is the income limit for Medicaid in North Carolina?

North Carolina expanded who can get Medicaid starting December 1, 2023. Adults ages 19 through 64 earning up to 138% of the federal poverty level, or about $3,142 per month for a family of three, may be eligible. Higher limits apply for children and pregnant women.

What is changing for NC Medicaid in 2027?

Starting January 1, 2027, adults ages 19 through 64 must work, go to school or volunteer 80 hours a month, or have household earnings of at least $580 a month, and must renew every 6 months instead of once a year. People with a disability, parents of children under age 14 and pregnant people are exempt from the work rule. ¹

According to NC Medicaid, those who are not U.S. citizens may lost coverage on October 1, 2026. See our Medicaid work requirement guide for details.

How do I apply for NC Medicaid Online?

Applications may be submitted online through ePASS  which is North Carolina’s web-based self service tool that allows you to submit a Medicaid/NCHC application online.

For a list of doctors for each health plan, call (833) 870-5500 or use the NC Medicaid Managed Care mobile app to find and view primary care providers (PCPs) and health plans.

North Carolina Department of Health and Human Services
Medicaid Contact Center
(888) 245-0179