COVID-19 Guidance & Resources for Medicaid Beneficiaries

NC Medicaid is working with its federal, state and local partners to ensure Medicaid services continue to be delivered without interruption during the COVID-19 (coronavirus) outbreak. Please continue to check this page for additional guidance and resources for Medicaid beneficiaries. For more information about COVID-19, visit the NCDHHS COVID-19 webpage

Updates (May 10, 2022)

What Can I Do Now?

In preparation for the end of the federal public health emergency, the most important things for you to do are: 

  • Report all changes to DSS.

    • Make sure you do not miss any information about your Medicaid coverage by ensuring your information on file with DSS is correct. This includes your address and any life changes such as income or a change in household; for example, if you get married or divorced.  
  • Check your mail. 
    • Your local DSS will send you a letter about your NC Medicaid or NC Health Choice coverage if any information is needed. It is important to respond if the DSS asks for information.  

Questions and Answers

Tab/Accordion Item

In January 2020, the federal government declared a public health emergency (PHE), or an emergency need for health care services. During the PHE, state agencies are required to continue health care coverage for all medical assistance programs, even if someone's eligibility changes. 

While we do not know when the PHE will end, our federal partners have indicated that states will be given a 60-day notice before formally ending the PHE.   

If you were receiving Medicaid benefits at the beginning of the PHE, your benefits continued even if your Medicaid eligibility expired during the PHE. Now that the PHE is ending, beneficiaries will once again need to go through the eligibility process if their benefits have expired to determine eligibility for Medicaid going forward.  

Per federal guidelines, states will have 12 months to make sure Medicaid beneficiaries are still eligible for coverage. NC Medicaid does not yet know when this process will start but will not cancel or reduce your benefits without making every effort to contact you and assist you through the process. It will be important to watch your mail for more information. 

NC Medicaid wants all eligible North Carolinians to get covered and stay covered. If you are no longer eligible for Medicaid or NC Health Choice, you will receive:  

  • Notice of when your eligibility will end.  
  • Information on how to appeal the end of eligibility. 
  • Information about options for other health care coverage through the Healthcare Marketplace

  • In North Carolina, several non-profit organizations offer free, in-person assistance with health insurance applications. To schedule an appointment, please call 855-733-3711 or go online to NC Navigator Consortium 
  • Those who are not eligible for Medicaid or NC Health Choice may be eligible for health insurance – and help paying for it – through the Health Insurance Marketplace. You can learn more by visiting the Healthcare Marketplace online or calling 800-318-2596.  
  • After completing an application, the Marketplace will tell you if you qualify for health coverage and financial help. 

  • Report all changes to DSS 

    • Make sure you do not miss any information about your Medicaid coverage by ensuring your information on file with DSS is correct. This includes your address and any life changes such as income or a change in household; for example, you get married or divorced.  
  • Check your mail 
    • Your local DSS will send you a letter about your NC Medicaid or NC Health Choice coverage if any information is needed. It is important to respond if the DSS asks for information.  
  • Sign up for email and text updates through ePass or your local DSS and follow us on social media.  

Medicaid and NC Health Choice will keep you up to date through mailing notices, the NC Medicaid Beneficiary webpage, NC Medicaid Beneficiary Portal, emails, text messages and NCDHHS social media. Contact your local DSS to make sure your information is up to date so you will get important updates.  

Current Guidance

Medicaid Telehealth Services Educational Materials

NC Medicaid has released educational materials regarding telehealth services. The goal of these materials is to help beneficiaries feel more confident accessing health care in a virtual format. As the COVID-19 pandemic continues, public health experts warn of a surge in case numbers. Social distancing measures are thus as important as ever. We hope to empower NC Medicaid beneficiaries with the tools to manage their health in safe and condition-appropriate ways to help minimize the risk of exposure to the virus.

Educational Materials include:

  • Introduction to telehealth with content to help patients and family members understand what type of appointments are appropriate for telehealth. - English | Spanish
  • Checklist so beneficiaries can feel prepared to talk to their providers about telehealth appointments. - English | Spanish
  • Internet access information with detailed alternative options if a patient does not have reliable internet access from their home. - English | Spanish

In addition to the checklist and internet access guide, there are also four health needs-specific flyers: 

NC Medicaid Optional COVID-19 (MCV) Testing Program 

If you are uninsured, you may be eligible for help paying for certain COVID-19 (coronavirus) testing, treatment and vaccine costs. To be eligible, you must:

  • Live in North Carolina
  • Be a U.S. citizen or U.S. national or have eligible immigration status
  • Not be covered by Medicaid, Medicare or other health insurance

Complete an application online

Additional resources:

Please note that the processing time for paper applications is estimated to be 2-6 weeks.

Note: If you are uninsured and enrolled in NC Medicaid's limited "Family Planning Only" benefit, you are automatically enrolled in the MCV program.

Resources

  • Find a Vaccine Location
  • Know Your Ws: Wear, Wait, Wash
  • Check My Symptoms (Comprobar Mis Síntomas), a public website that allows people to enter their symptoms to determine if they should consider getting tested for COVID-19. If a test is recommended, they will receive a link to a list of nearby testing sites via email or text.
  • Find My Testing Place, a public website that allows people to enter their county or ZIP code and access a list of nearby testing site locations online. To view in Spanish, users can select Spanish in the yellow box. 
  • For food access, shelter and more: Call 2-1-1 or 888-892-1162; or text COVIDNC to 898211.
  • For 24/7 mental health support: Call Hope 4 NC at 855-587-3463.
  • Why Telehealth in COVID-19? (2:53) Video about the benefits of using telehealth to stay healthy. Click here for a 1-minute version.
  • Letter to Medicaid beneficiaries: English | Spanish. Read about COVID-19, temporary changes in Medicaid, and available resources.
  • COVID-19 Telehealth Information: English | Spanish. Learn how telehealth can help avoid exposure to COVID-19; the types of health care services available through telehealth; and how to talk with your doctor about a telehealth appointment.
  • Keeping Kids Well, Among the many impacts of COVID-19 on North Carolina is a marked decrease in rates of well-child visits and childhood vaccinations. The problem is particularly acute in minority populations, but since the advent of COVID-19, parents across the board have been less likely to be up-to-date on these important medical services. Well-child care includes medical and developmental screening tests and immunizations are critical to avoiding problems such as a resurgence in measles and other communicable diseases. 
  • Long-Term Care Ombudsman Flyer, a resource for families of residents in long-term care facilities. This flyer gives guidance for families on visitation and addressing concerns they may have about a loved one's care in a long-term care facility. An Ombudsman works with residents, families and facilities to resolve grievances. 

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