Medicaid State Plan Public Notices

Title XIX of the Social Security Act requires that North Carolina provide a plan to administer and manage the North Carolina Medicaid Program. The North Carolina Medicaid State Plan outlines the organization and function of the Division of Health Benefits. It provides amount, scope and duration of services, as well as eligibility requirements.

Medicaid Expansion

• Expansion Eligibility SPA
• Expansion Eligibility SPA Approval

Medicaid State Plan

State Plan under Title XIX of the Social Security Act Medical Assistance Program

NC Health Choice State Plan

Child Health Plan under Title XXI of the Social Security Act Children's Health Insurance Program

Modified Adjusted Gross Income (MAGI)

2015 State Plan Amendment - MAGI 

Medicaid Expansion Alternative Benefit Plan State Amendment

This alternative plan outlines the benefits available to the Medicaid Expansion eligibility group. North Carolina is proposing to provide all individuals who are eligible for expansion with the same benefits provided to current Medicaid beneficiaries.

Alternative Benefit Plan

Alternative Benefit Plan Information - April 2026