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  • Writer's pictureEligibilityOneᵀᴹ

North Carolina Medicaid Expansion

North Carolina is set to expand Medicaid after Governor Cooper signed House Bill 76, Access to Healthcare Options, into law. This will make North Carolina the 40th state to expand Medicaid.

The effective date of Medicaid expansion has not been determined as it cannot be implemented until North Carolina’s state budget is approved. But once expansion takes effect, it is estimated that over 600,000 North Carolinians will become eligible for Medicaid coverage and that healthcare access will improve for rural patients, veterans, working families, and patients suffering from opioid and substance abuse.

Medicaid expansion may also help some patients who lost health coverage (after becoming ineligible for Medicaid as a result of the end of the continuous Medicaid coverage requirement) to requalify for Medicaid coverage.

Update from 8/28/23 -

Due to Budget Delay, Medicaid Expansion Will Not Launch on Oct. 1

Helping Your Patients Gain Medicaid Coverage Under North Carolina Medicaid Expansion

Patients may be unaware that they’ve been disenrolled from Medicaid or that the eligibility requirements are changing. They may not realize they need to reapply or that they will now qualify, under Medicaid expansion, when they hadn’t before.

EligibilityOne’s onsite Eligibility Advocates can screen your patients for eligibility and assist them with the Medicaid application or re-enrollment process. We also educate patients on their financial responsibilities and new health coverage. All of our services are free to patients as we are contracted at a performance-based rate with each healthcare facility.

Providing our service to your patients will help ensure that eligible patients are aware that they may qualify for Medicaid, or that they may need to re-enroll, and that their applications are completed fully and correctly. Additionally, our Eligibility Advocates can aid patients in applying for other financial assistance programs that could help cover the cost of their medical expenses and thereby lower your uncompensated care.

Contact us today to learn more about how we can help your eligible patients gain Medicaid coverage under North Carolina Medicaid expansion.



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