North Carolina Medicaid Eligibility Calculator (2026)
North Carolina is the most recent state to expand Medicaid, on December 1, 2023; adults now qualify up to $1,836 a month, and children in Medicaid up to $4,918 for a family of three.
Verified
Eligibility checklist
A late expansion with strings
The March 2023 law that adopted expansion also told the state to seek federal approval for work requirements, and in July 2025 Governor Stein signed House Bill 546 requiring that application. A trigger law would end expansion coverage if the federal match drops.[KFF][KFF]
| Group | FPL | 1 | 2 | 3 | 4 | 6 |
|---|---|---|---|---|---|---|
| Adults 19–64 | 138% | $1,836 | $2,489 | $3,142 | $3,795 | $5,102 |
| Pregnancy | 201% | $2,674 | $3,625 | $4,577 | $5,528 | $7,431 |
| Children | 216% | $2,873 | $3,896 | $4,918 | $5,940 | $7,985 |
One Medicaid program for children
North Carolina covers children of every age in Medicaid up to 211% of the poverty line, using CHIP funds for the upper band instead of a separate program.[MACPAC] Pregnancy coverage runs to 196%.[MACPAC]
Postpartum
North Carolina approved 12-month postpartum coverage on September 22, 2022, more than a year before the adult expansion took effect.[KFF][KFF] Pregnancy coverage runs to 196% of the poverty line.[MACPAC]
Applying
Apply through ePASS or a county department of social services. The parent/caretaker group alone stops at 33%; older adults have a 100% poverty-level pathway and a medically needy level near 19%.[MACPAC][MACPAC]
Worked example
A married couple in Asheville with no children, both working seasonal tourism jobs, bring in $2,400 a month. That is 133.1% of the poverty line for 2.
| Adult 19–64 | covered | $2,489 |
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