North Carolina Medicaid Updates

Medicaid health coverage includes no-cost or low-cost doctor visits, annual wellness visits, emergency care, dental care, behavioral health and more. NC Medicaid saw 2 big changes recently: recertification (or renewal) and expansion. 

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During the COVID-19 pandemic, Medicaid participants were automatically re-enrolled instead of having to reapply each year, but that has ended. Since April 2023, participants have to renew their eligibility. If the state has questions, it will try to contact participants by mail, email or text. Anyone who does not respond to the state’s request for information within 30 days will lose their benefits (although they can reapply).

Steps you can take today include:

  • Make sure your mailing address and other contact information are up to date.
    With an enhanced ePASS account, you can update your address and other information for Medicaid online without having to call or visit your local Department of Social Services (DSS) office. Sign up for an ePass account
  • Check your mail
    DSS will mail you a letter if you need to complete a renewal form.
  • Complete the renewal form
    If you receive a renewal form, fill it out and return it right away to help avoid a gap in Medicaid coverage. 

Find your local DSS office.


North Carolina Medicaid expansion went into effect December 2023, and it now covers people ages 19-64 with higher incomes than previously allowed. Even if you did not qualify before, you might be able to get health coverage through Medicaid if you:

  • Live in NC
  • Are between ages 19-64
  • Are a US citizen (there are some exceptions)
  • Have a household income up to 138% of federal poverty line (for example, a single person making approx. $20,000/yr, or a family of 3 making approx. $34,000/yr)   

The best way to apply is online through ePASS, but you can apply in person, by phone or by mailing an application. The processing time for applications can be up to 45 days. Applications submitted online may be processed faster. 

To find out if you are eligible or to apply, visit

How do I know if my Atrium Health Wake Forest Baptist doctor is in an NC Medicaid health plan?

Atrium Health Wake Forest Baptist doctors and hospitals are in the following NC Medicaid health insurance plans:

If you have any questions, please contact your health plan.

Important: If you have a medical emergency, go to the closest hospital emergency room. Atrium Health Wake Forest Baptist hospitals provide services to all patients seeking treatment for an emergency medical condition, regardless of what health insurance plan you have or if you can pay for emergency services.

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