Allocation of H.R.1 County Supplemental Funds for State Fiscal Year 2026-2027

DATE: 7/2/2026
PAY MONTHS: July 2026-June 2027

ALLOCATION OF H.R.1 COUNTY SUPPLEMENTAL FUNDS FOR STATE FISCAL YEAR 2026-2027
# County Medicaid Beneficiaries % of Total Caseload Total Payment HR1 Funds – Supplemental Amount + Caseload Allocation
1 ALAMANCE 56,153 1.81% $658,793.65
2 ALEXANDER 10,384 0.34% $170,730.92
3 ALLEGHANY 3,365 0.11% $95,883.05
4 ANSON 9,650 0.31% $162,903.83
5 ASHE 7,076 0.23% $135,455.70
6 AVERY 4,385 0.14% $106,759.93
7 BEAUFORT 15,532 0.50% $225,627.18
8 BERTIE 7,210 0.23% $136,884.62
9 BLADEN 13,905 0.45% $208,277.49
10 BRUNSWICK 35,727 1.15% $440,978.77
11 BUNCOMBE 61,312 1.98% $713,807.22
12 BURKE 28,641 0.93% $365,416.43
13 CABARRUS 58,597 1.89% $684,855.52
14 CALDWELL 26,799 0.87% $345,774.07
15 CAMDEN 1,683 0.05% $77,946.85
16 CARTERET 14,427 0.47% $213,843.89
17 CASWELL 7,221 0.23% $137,001.92
18 CATAWBA 46,264 1.49% $553,341.22
19 CHATHAM 12,486 0.40% $193,145.83
20 CHEROKEE 9,222 0.30% $158,339.81
21 CHOWAN 4,268 0.14% $105,512.28
22 CLAY 3,500 0.11% $97,322.63
23 CLEVELAND 36,961 1.19% $454,137.66
24 COLUMBUS 21,225 0.69% $286,335.11
25 CRAVEN 27,903 0.90% $357,546.69
26 CUMBERLAND 136,991 4.43% $1,520,818.51
27 CURRITUCK 4,693 0.15% $110,044.32
28 DARE 6,300 0.20% $127,180.74
29 DAVIDSON 54,798 1.77% $644,344.46
30 DAVIE 10,093 0.33% $167,627.81
31 DUPLIN 20,800 0.67% $281,803.07
32 DURHAM 74,111 2.39% $850,290.75
33 EDGECOMBE 25,824 0.83% $335,377.05
34 FORSYTH 119,192 3.85% $1,331,016.92
35 FRANKLIN 19,772 0.64% $270,840.88
36 GASTON 74,756 2.42% $857,168.78
37 GATES 2,578 0.08% $87,490.78
38 GRAHAM 3,278 0.11% $94,955.31
39 GRANVILLE 16,748 0.54% $238,594.13
40 GREENE 6,554 0.21% $129,889.30
41 GUILFORD 184,853 5.97% $2,031,200.18
42 HALIFAX 20,634 0.67% $280,032.92
43 HARNETT 42,600 1.38% $514,269.76
44 HAYWOOD 19,274 0.62% $265,530.41
45 HENDERSON 23,852 0.77% $314,348.41
46 HERTFORD 8,922 0.29% $155,140.72
47 HOKE 20,790 0.67% $281,696.44
48 HYDE 1,272 0.04% $73,564.11
49 IREDELL 45,878 1.48% $549,225.07
50 JACKSON 11,442 0.37% $182,013.02
51 JOHNSTON 63,304 2.05% $735,049.13
52 JONES 3,083 0.10% $92,875.91
53 LEE 19,354 0.63% $266,383.50
54 LENOIR 24,870 0.80% $325,203.96
55 LINCOLN 20,556 0.66% $279,201.15
56 MACON 10,273 0.33% $169,547.26
57 MADISON 6,263 0.20% $126,786.19
58 MARTIN 8,418 0.27% $149,766.26
59 MCDOWELL 15,407 0.50% $224,294.23
60 MECKLENBURG 349,933 11.31% $3,791,548.81
61 MITCHELL 4,363 0.14% $106,525.33
62 MONTGOMERY 9,039 0.29% $156,388.36
63 MOORE 21,235 0.69% $286,441.74
64 NASH 32,678 1.06% $408,465.43
65 NEW HANOVER 47,354 1.53% $564,964.56
66 NORTHAMPTON 6,742 0.22% $131,894.05
67 ONSLOW 50,610 1.64% $599,685.27
68 ORANGE 21,400 0.69% $288,201.24
69 PAMLICO 3,459 0.11% $96,885.42
70 PASQUOTANK 12,394 0.40% $192,164.77
71 PENDER 18,244 0.59% $254,546.89
72 PERQUIMANS 3,708 0.12% $99,540.66
73 PERSON 12,319 0.40% $191,365.00
74 PITT 61,324 1.98% $713,935.18
75 POLK 4,698 0.15% $110,097.64
76 RANDOLPH 47,113 1.52% $562,394.63
77 RICHMOND 21,680 0.70% $291,187.05
78 ROBESON 66,374 2.14% $767,786.41
79 ROCKINGHAM 30,921 1.00% $389,729.46
80 ROWAN 51,458 1.66% $608,728.01
81 RUTHERFORD 23,213 0.75% $307,534.36
82 SAMPSON 24,512 0.79% $321,386.39
83 SCOTLAND 17,136 0.55% $242,731.61
84 STANLY 19,150 0.62% $264,208.12
85 STOKES 12,789 0.41% $196,376.90
86 SURRY 22,173 0.72% $296,444.21
87 SWAIN 6,570 0.21% $130,059.91
88 TRANSYLVANIA 7,601 0.25% $141,054.09
89 TYRRELL 1,082 0.03% $71,538.03
90 UNION 56,020 1.81% $657,375.39
91 VANCE 23,662 0.76% $312,322.32
92 WAKE 219,504 7.09% $2,400,704.90
93 WARREN 6,495 0.21% $129,260.14
94 WASHINGTON 4,402 0.14% $106,941.21
95 WATAUGA 6,704 0.22% $131,488.84
96 WAYNE 46,174 1.49% $552,381.50
97 WILKES 22,115 0.71% $295,825.72
98 WILSON 31,057 1.00% $391,179.72
99 YADKIN 10,720 0.35% $174,313.89
100 YANCEY 5,083 0.16% $114,203.13
Total 3,094,637 1 $39,000,000.00

ALLOCATION OF COUNTY FUNDS TO SUPPORT COUNTIES WITH INCREASED ADMINISTRATIVE COSTS OF COMPLIANCE WITH FREQUENCY OF ELIGIBILITY REDETERMINATIONS REQUIREMENTS AND COMMUNITY ENGAGEMENT REQUIREMENTS IN THE MEDICAID PROGRAM FOR STATE FISCAL YEAR 2027.

I certify these funds will be used for the intended purposes as specified within the Dear County Director Letter BG-07-2026 SUPPORT FOR COUNTIES’ IMPLEMENTATION AND ONGOING SUPPORT OF CHANGES IN ELIGIBILITY REDETERMINATIONS REQUIREMENTS AND COMMUNITY ENGAGEMENT REQUIREMENTS

County: _____________________________________

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DSS Director Signature                                Date

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County Manager Signature                          Date

On