NC Medicaid Eligibility: Now and Maybe

Medicaid eligibility. Just the phrase itself raises so many questions:

Am I eligible? Would I be eligible if NC expanded Medicaid? If NC does not expand Medicaid, does that mean I don’t have health insurance? What exactly is the income limit for a family of 4?

The Medicaid system, like our tax system, is esoteric. So, the purpose of today’s blog is set out some much-needed facts.

First, Medicaid eligibility, as of today, can be found in an extremely detailed, yet hard to understand, chart on the Department of Health and Human Services‘ (DHHS) website.  Click here.  But don’t say I didn’t warn you.

Under the federal health care law, should NC choose to accept the federal dollars, eligibility for government-backed Medicaid may be expanded in 2014 to anyone making below 138 percent of the federal poverty level. Here’s who would qualify:

Family size: Income level

1 person: $15,414

2 people: $20,879

3 people: $26,344

4 people: $31,809

So there is it: The Medicaid eligibility requirements currently and if NC accepts federal dollars.

It is important to note that, on Tuesday, February 12, 2013, Governor McCrory endorsed a measure to prevent major components of the federal health care law from taking effect in North Carolina.  Merely hours after McCrory’s announcement, the measure won easy approval in a House committee.  The full House will consider the legislation quickly.

I will devote another blog to the effects of reform versus expansion.  Today, I only wanted to get the eligibility requirements out.


About kemanuel

Medicare and Medicaid Regulatory Compliance Litigator

Posted on February 13, 2013, in Affordable Care Act, Federal Law, Legislation, Medicaid, Medicaid Eligibility, Medicaid Expansion, NC DHHS, North Carolina, Obamacare and tagged , , , , , , , . Bookmark the permalink. Leave a comment.

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