The 2023 Consolidated Appropriations Act (also known as the Omnibus Bill) was signed into law Dec. 29. 2022 The bill removed the continuous Medicaid coverage requirement from the federal COVID-19 PHE. This means effective April 1, 2023, state Medicaid programs are no longer required to maintain continuous coverage for beneficiaries.

North Carolina began the renewal (recertification) process for Medicaid beneficiaries April 1, 2023. Recertifications will be completed over the next 12 months, as beneficiaries are up for renewal. Recertification could result in a beneficiary’s termination or reduction of benefits. 

The enhanced Federal Medical Assistance Percentage (FMAP) will be reduced on a quarterly basis starting April 1, 2023, until it ends December 31, 2023. The State must meet several requirements to maintain the enhanced FMAP.

Local DSS offices will work recertifications as they are due, according to policy.

Continuous Coverage Unwinding Fact Sheet

End of the COVID-19 Public Health Emergency Fact Sheet

This page was last modified on 04/28/2023