Medicaid expansion adults in North Carolina and Illinois will renew their coverage every six months instead of once a year, starting January 1, 2027. Both states have told members the change is coming, and each has its own definition of who is in the group and its own advice on what to do first. The shift puts coverage at risk from a missed letter twice a year instead of once.
The change comes from federal law. A Centers for Medicare & Medicaid Services slide deck on Section 71107 of the federal law known as H.R. 1 says renewals for almost everyone in the Medicaid adult group move to every 6 months instead of 12, beginning with renewals scheduled on or after January 1, 2027.
What North Carolina is telling members
North Carolina Medicaid says most adults ages 19 through 64 will be recertified every six months instead of once a year. Its script for staff says adults in that range enrolled under Medicaid expansion must renew every six months starting January 1, 2027. The state mailed notices to affected members in June…