North Carolina to Cut Full Medicaid Coverage for Thousands Oct. 1
New federal rules take effect Oct. 1 that end full Medicaid coverage for thousands of North Carolina beneficiaries, shifting many to more limited coverage instead of comprehensive benefits. Affected enrollees include certain populations whose eligibility category or verification status no longer qualifies them for full-scope coverage under the new requirements. Those impacted may still receive some services but will lose comprehensive coverage unless they take specific action after receiving a notice from the state. North Carolina Medicaid is directing beneficiaries to respond promptly to any notices to avoid gaps or reductions in coverage.
State Medicaid agency staff, enrollment assisters, and providers need to prepare for a wave of coverage terminations and beneficiary confusion that could drive up uncompensated care and disenrollment-related appeals.
Managed Care · Finance
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