What families should know
NC Medicaid’s guidance separates immigration-related changes effective October 1, 2026 from work and community-engagement rules scheduled for January 1, 2027 for some adults ages 19–64. Children under 19 are not subject to the adult work requirement. Eligibility depends on individual circumstances; local DSS can explain how the rules apply to your family.
About the shared pediatric flyer: its instruction to act “before October 1, 2026” is now past. Use current state guidance and the deadlines in your own DSS notices. An adult’s coverage change does not, by itself, determine a child’s eligibility.
Your coverage checklist
- Make sure DSS has your current address and phone number.
- Open every DSS notice promptly and respond by its deadline.
- Ask about an enhanced ePASS account for uploading requested documents.
- If coverage may end or you disagree with a decision, contact DSS promptly about options and appeal instructions.
- Tell your healthcare office if your coverage changes and ask about care and payment options.
Where to get help
NC Medicaid Contact Center: 888-245-0179
NC Medicaid Ombudsman: 877-201-3750
Educational guide from Elite Solution Group — Community Connections · Connecting Communities. Empowering Lives.
Source: NC Medicaid’s official changing-coverage guidance, reviewed October 17, 2026. Rules may change; use the current official page and your individual notice. This guide does not determine eligibility.
Source: NC Medicaid’s official changing-coverage guidance, reviewed October 17, 2026. Rules may change; use the current official page and your individual notice. This guide does not determine eligibility.