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Medicaid eligibility certification underway, up to 300,000 in NC could lose coverage

In 2015, Medicaid spending topped $552 billion nationwide. People who receive both Medicaid and Medicare and people with disabilities account for more than half of Medicaid spending.
Katarzyna Bialasiewicz/Getty Images/iStockphoto
The North Carolina Department of Health and Human Services will soon begin Medicaid beneficiary recertifications and officials say some could lose their coverage or have their benefits reduced.

The North Carolina Department of Health and Human Services will soon begin Medicaid beneficiary recertifications and officials say some could lose their coverage or have their benefits reduced.

During the pandemic, a continuous coverage requirement meant almost all Medicaid beneficiaries continued to receive health care and services regardless of changes in eligibility status. This requirement will end March 31.

NCDHHS is working to make sure people who remain eligible for Medicaid continue to be covered and those who are no longer eligible know their potential options, like buying coverage, often at a reduced cost, through the federal Health Insurance Marketplace.

As recertifications take place over the next 12 months, officials say up to 300,000 North Carolinians may lose full health care coverage or see a reduction in benefits. Most Medicaid terminations or reductions could begin as early as July 1, but some could lose coverage as early as May 1.

The recertification process will begin on April 1.

Annette is an award-winning journalist based in Eastern North Carolina. Her career includes professional stops across the Midwest, Pacific Northwest, and Southeast, recently culminating in a 2026 Region 8 Edward R. Murrow Award for Small Market Radio Best News Series for her work on the Camp Lejeune Justice Act Series. Guided by a passion for human-interest storytelling, she focuses on narratives that touch hearts and connect communities. A mother of four and grandmother of two, Annette enjoys reading and creating epic Halloween costumes in her spare time. If you have a story idea to share, please reach out by email to westona@cravencc.edu.