Medicaid Rules Have Changed

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With a few exceptions, Medicaid beneficiaries have not been at risk of losing coverage since March 2020.  On April 1, 2023, your local Department of Social Services (DSS) will begin checking to see if you are still eligible for Medicaid.  This is known as redetermination. 

DSS will start reducing or terminating Medicaid for those who are no longer eligible.  They will terminate coverage for those that do not return the information needed to determine their eligibility.

You must make sure DSS has your current contact information (address, phone number, etc.) and that you promptly respond to letters you receive about your Medicaid.  Redeterminations will continue on a rolling basis. You will be contacted by DSS between April 1, 2023-May 31, 2024 to determine your eligibility.

What should I do?

  • Contact your local DSS office to make sure they have your current mailing address, phone number, email, and other contact information.
    • Local DSS Offices:
      • Mecklenburg County
        • 704-336-3000
        • Wallace H. Kuralt Centre, 301 Billingsley Road, Charlotte, NC 28211
        • Community Resource Center, 3205 Freedom Drive, Charlotte, NC 28208
      • Union County
        • 704-296-4300
        • 2330 Concord Avenue Monroe, NC 28110
      • Cabarrus County
        • 704-920-1400
        • 1303 S. Cannon Blvd. Kannapolis, NC 28083
  • Watch for mail, texts, or phone calls from DSS and respond promptly. 
  • Create an enhanced E-Pass account (https://epass.nc.gov):
    • View your benefits,
    • Upload documents supporting any changes, like income or household size,
    • Update your information online

You have the right to:

What if I lose my Medicaid coverage?

You have the right to appeal.

If you believe there has been an error, you can appeal that decision. You have 60 days (about 2 months) from the date of the notice to ask for an appeal. If you do so within 10 business days, you can request that your Medicaid be continued while the appeal is reviewed. Call 704-376-1600 and press 2 for more information.

Special Enrollment Periods (SEP) are available for Medicare and Marketplace coverage. 

Individuals who are no longer eligible for Medicaid may be eligible to enroll in Medicare or Marketplace coverage with a special enrollment period.

Health Insurance Navigators

NC Seniors’ Health Insurance Information Program (SHIIP)

  • SHIIP counselors offer free and unbiased information regarding Medicare health care products and eligibility
  • 1-855-408-1212

Free legal assistance may be available.

If you think your Medicaid was wrongfully reduced or terminated, call 704-376-1600 and press 2.

For more helpful resources, visit NCMedHelp.org.