Federal Medicaid Changes: What Providers Need to Know

A 2025 federal law, H.R. 1, makes major changes to Medicaid. Many of these changes take effect in late 2026 and 2027. 

This page provides information and resources for NC Medicaid providers. If this does not apply to you, visit New Medicaid Requirements May Affect Your Coverage instead.

Resources for Providers

Documenting Medical Frailty
Draft Clinical Coverage Policy; open for public comment

Resources to Share with Beneficiaries

Toolkit: Know What's Next
Flyers, webinars and presentations to share

New Medicaid Requirements for Beneficiaries
Changes for noncitizens, recertifications and more

The Work and Community Requirement
Who must meet it and how to report

Upcoming Events and Webinars

Back Porch Chat
Nov. 19, 2026, noon – 1 p.m. Register

More training courses, office hours and other events

Past Event Recordings/Materials

• September 2026: New rules for Medicaid: Know What's Next - English (YouTube)
• September 2026: Nuevas reglas para Medicaid: Infórmate sobre lo que viene - Spanish only (YouTube)