A Closer Look at North Carolina’s Implementation of the 2025 Reconciliation Law Medicaid Provisions and Other Changes Amid Medicaid Budget Shortfalls - Scorecard - MDSpire
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A Closer Look at North Carolina’s Implementation of the 2025 Reconciliation Law Medicaid Provisions and Other Changes Amid Medicaid Budget Shortfalls
Clinical Scorecard: Examining North Carolina's Adoption of the Medicaid Provisions from the 2025 Reconciliation Law and Related Adjustments in Response to Budget Deficits
At a Glance
Category
Detail
Condition
Key Mechanisms
Implementation of work requirements, increased data checks, and cost-sharing adjustments.
Target Population
Medicaid enrollees, including ACA expansion group and non-expansion enrollees.
Care Setting
Key Highlights
Guideline-Based Recommendations
Diagnosis
Management
Monitoring & Follow-up
Risks
Patient & Prescribing Data
Medicaid enrollees in North Carolina, including traditional and ACA expansion groups.
Cost-sharing amounts set at $4 per service, with planned increases for certain enrollees starting July 1, 2027.
