Medicaid Recertification Process Resumes

Due to a change at the federal level, on April 1 NCDHHS will begin Medicaid beneficiary recertifications that could result in coverage termination or a reduction in benefits. Since March 2020, under the COVID-19 Public Health Emergency, states have been required to maintain enrollment of nearly all Medicaid beneficiaries and their level of coverage to ensure they continued to receive health care and services through Medicaid during the pandemic, regardless of changes in eligibility status. This continuous coverage requirement will end March 31.

The state’s goal is to ensure 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 Health Insurance Marketplace. To continue Medicaid health care coverage, beneficiaries will work with their county Department of Social Services to update contact information, including correct mailing address, phone number and email. This information can be updated online by beneficiaries by opening an enhanced ePASS account at epass.nc.gov or at their local DSS.  

To review the North Carolina plans on “Report on Plans for Prioritizing and Distributing Renewals”, please click here.