Topics Related to Health Benefits (NC Medicaid)

North Carolina’s Medicaid program received a 2022 Medicaid Innovation Award presented by the Robert Wood Johnson Foundation and the National Academy for State Health Policy. The nonpartisan award recognizes states for demonstrating creativity, leadership and progress in their Medicaid programs despite significant public health challenges in recent years.

Expanding Medicaid would ensure access to affordable health insurance coverage for more than 600,000 North Carolinians. It would also increase access to health care— including mental health and substance use services— across the state, particularly in rural communities.

Medicaid postpartum health care coverage will be extended from 60 days to 12 months for eligible people in North Carolina beginning April 1, 2022. Medicaid will also provide 12 months of continuous postpartum coverage to eligible people who are currently pregnant or gave birth between Feb. 1, 2022, and March 31, 2022.

The North Carolina Department of Health and Human Services today announced a major milestone in its innovative Healthy Opportunities Pilot program with 10 people who are members of managed care successfully receiving a food service delivered through NC Medicaid Managed Care.

A new model led by a partnership among Duke University, UNC Health, and the NC Department of Health and Human Services is transforming how to support children’s health and well-being.

To improve the health of Medicaid beneficiaries, and to reduce costs, the North Carolina Department of Health and Human Services is building an innovative health care delivery system with a payment structure that rewards better health outcomes, integrates physical and behavioral health, and invests in non-medical interventions. The effort is part of Managed Care Transformation.

On Jan. 19, 2022, the North Carolina Court of Appeals granted a request from two insurance providers to voluntarily dismiss appeals of their suit over contracts awarded for NC Medicaid Managed Care by the North Carolina Department of Health and Human Services.

The recently adopted North Carolina state budget includes funds to give a one-time bonus to eligible home- and community-based direct care workers and support staff who provide services to Medicaid and NC Health Choice beneficiaries. The budget also includes a provision to implement a home- and community-based direct care worker wage increase for eligible employees who provide services to Medicaid and NC Health Choice beneficiaries.

The North Carolina Department of Health and Human Services published its Olmstead Plan, designed to assist people with disabilities who receive or are eligible for publicly-funded services to reside in and experience the full benefit of being part of day-to-day life in communities alongside those without disabilities. Developed with stakeholders from across the state, the plan’s goal is to divert people from entering institutions and to support those wishing to leave.

Governor Roy Cooper and North Carolina Department of Health and Human Services Secretary Mandy K. Cohen, M.D., today highlighted changes in federal law that make obtaining insurance through the federal Health Insurance Marketplace more affordable and available to more than 100,000 additional people in the state.