Written by THE ASSOCIATED PRESS
Federal regulators have given their final approval for North Carolina to begin offering Medicaid to hundreds of thousands of low-income adults on Dec. 1, state health officials announced on Friday.
The Centers for Medicare & Medicaid Services told the state in a letter Thursday that changes to North Carolina’s Medicaid program to provide expanded coverage through the 2010 Affordable Care Act had been approved.
An estimated 600,000 adults age 19-64 who earn too much for traditional Medicaid but too little for subsidized private insurance are expected to benefit in North Carolina. About half of that total should be enrolled immediately, the state Department of Health and Human Services has said.
“Expanding Medicaid is a monumental achievement that will improve the health and lives of hundreds of thousands of people while helping our health care providers and economy,” Gov. Roy Cooper said in a DHHS news release announcing the approval of the State Plan Amendment, which is designed to show the state is equipped to handle the influx of additional federal funds.
The General Assembly passed and Cooper signed in March a Medicaid expansion law, but a state budget also needed to be approved before expansion could be implemented. A two-year budget law took effect earlier this month.
DHHS had been working so that the enrollment start could be accelerated once the budget law was enacted. Federal regulators received the State Health Plan amendment proposal on Aug. 15, according to Thursday’s letter. Cooper and DHHS Secretary Kody Kinsley announced the Dec. 1 start date nearly three weeks ago.
To qualify for coverage, for example, a single person can make up to $20,120 annually in pretax income, while a household of four can make up to $41,400 for an adult to benefit.
County social services offices will help enroll residents who qualify for Medicaid expansion beyond the first tranche of 300,000 who already have limited Medicaid family planning coverage and will be enrolled automatically. DHHS has created a website with information on expansion for consumers and groups that aims to locate potential recipients.
Photo via AP Photo/Gary D. Robertson.
Related Stories
‹
![]()
Equity in Health Care - December 11, 2025What is the state of health care today, both nationally and here in our community? And what needs to be done to address disparities?

Medicaid Expansion Breakthrough Within Reach in N. CarolinaWritten by GARY D. ROBERTSON After a decade of vigorous opposition, most North Carolina Republicans have now embraced the idea of expanding the state’s Medicaid program to cover hundreds of thousands of additional low-income adults. Legislative approval finally appears within reach. During the General Assembly session that ended July 1, the GOP-controlled House and Senate passed separate, bipartisan measures […]
![]()
Number of Insured Children in NC at All-Time HighThe number of insured children in Orange County is higher than it’s ever been. 95 percent of children living in the county currently have health insurance. That’s all thanks to state and federal programs, according to NC Child. “It’s critical that we preserve the Medicaid program, that we protect the state Children’s Health Insurance Program, and […]

Sen. Graig Meyer Shares Updates on State Budget Impasse, Medicaid, Disaster Relief and MoreAhead of the North Carolina General Assembly reconvening, state Sen. Graig Meyer joined 97.9 The Hill to discuss several topics on his mind.

On Measles, Orange County Wants to Bring 'Immunity to the Community'Later this month, Orange County is hosting a public symposium on measles, part of a push to urge parents to get their kids vaccinated.

After 1 Year, Medicaid Expansion in North Carolina Nears Its Enrollment GoalEnrollment in North Carolina’s new Medicaid coverage has nearly reached the state's goal of 600,000 in half of the time initially projected.

Mental Health, Infant Mortality and Environmental Racism: Takeaways From Orange County's Health Assessment DataEvery four years, the Orange County Health Department embarks on an intensive effort to gather wide-ranging, local health information in its Community Health Assessment, which happened in 2023. One month ago, the health department shared those results and data with residents. The health department published its public copies of the 2023 assessment after surveys, focus […]

Orange, Chatham Communities to Host Public Talks About Opioid Settlement FundingThe Orange County and Chatham County local governments are preparing for community meetings about incoming funding from opioid settlements.

Medicaid Expansion Starts in N.C.; Orange County Officials Share What to DoAfter years of debate and months of planning a rollout across the state, Medicaid expansion is officially in effect for North Carolina.

North Carolina Medicaid Expansion Still Set for Dec. 1 Start as Federal Regulators Give Final OKWritten by THE ASSOCIATED PRESS Federal regulators have given their final approval for North Carolina to begin offering Medicaid to hundreds of thousands of low-income adults on Dec. 1, state health officials announced on Friday. The Centers for Medicare & Medicaid Services told the state in a letter Thursday that changes to North Carolina’s Medicaid program to provide […]
›