Medicaid Managed Care
Medicaid changes are coming – are you ready?
Medicaid requirements are changing with the House Reconciliation bill (H.R.1), or "Big Beautiful Bill," signed into federal law on July 4, 2025. As a result of the federally mandated changes some individuals may no longer qualify or need to take action to stay enrolled in Medicaid.
Key changes that impact eligibility
- Some non-citizens may no longer qualify for coverage
- Work, train, volunteer and community engagement requirements
- Renewing or recertifying more often
- Federal program funding cuts
- Reduced retroactive coverage timeframes
Don't wait until there's an issue. Take a few minutes to review the eligibility changes.
Need health coverage? You may qualify for Medicaid health coverage.
You may be able to get health coverage through Medicaid even if you didn’t qualify before. Medicaid pays for doctor visits, yearly checkups, emergency care, mental health and more — at little or no cost to you.
Novant Health primary care teams can help patients navigate their healthcare needs and connect with available resources. That’s why you should choose a Novant Health primary care physician with your Medicaid coverage.
You’ll also like our convenient locations, same-day appointments, video and e-visits, and free online tools to manage your health. Taking care of your health is easier than ever at Novant Health.
NC Medicaid covers most health services, including:
- primary care so you can go to a doctor for a check-up or when you are not feeling well
- hospital services when you need to stay overnight (inpatient) or when you can go home the same day (outpatient)
- maternity and postpartum care if you are pregnant and after giving birth
- vision and hearing services
- prescription drug benefits to pay for your medicines
- behavioral health support to help you manage mental health and substance use concerns
- preventative and wellness services to keep you healthy and catch hidden problems early
- devices and other therapies
Use this toolkit to understand upcoming changes
Find trusted resources to understand Medicaid updates and learn what actions you may need to take to maintain your health coverage.
Most people will be able to get health care coverage through Medicaid if they meet the criteria below.
- You live in North Carolina or South Carolina
- Age 19-64
- You are a citizen or have eligible immigration status. Review North Carolina and South Carolina's DHHS sites to review immigration status eligibility. Certain non-citizens may qualify to get health care coverage through Medicaid.
- You live in North Carolina and meet the income limits based on your family size. Check eligibility.
- You live in South Carolina and meet the income limits and/or eligibility requirements. Check eligibilty.
Resources section
- Are you a Novant Health patient with enrollment questions? Contact a Novant Health financial navigator at 336-718-5393 or visit website
- Refugees who have been in North Carolina less than 12 months may qualify for Refugee Medical Assistance Program
- NC MedAssist
- NH Financial Assistance
- North Carolina Department of Social Services
- South Carolina Department of Social Services