Amid significant changes to Medicaid laws, the North Carolina Department of Health and Human Services (NCDHHS) is set to host a live fireside chat and tele-town hall on Wednesday, Oct. 14, from 6 to 7 p.m. This event will serve as a platform to discuss the implications of recent federal and state legislation on NC Medicaid, touching on who will be affected by new work and community engagement requirements and strategies for adapting to forthcoming program changes.
Key Participants and Discussion Points
Leading the discussion will be several key officials from the NCDHHS:
- Melanie Bush: Deputy Secretary for NC Medicaid, Division of Health Benefits
- Sarah A. Gregosky: Assistant Secretary and Deputy Medicaid Director for NC Medicaid, Division of Health Benefits
- Gina Hamilton: Deputy Director, Member Operations Oversight for NC Medicaid, Division of Health Benefits
During the fireside chat and tele-town hall, the panelists will address:
- Recent updates due to new federal rules
- Preparations for changes effective January 1, 2027
- Details on the work and community engagement requirement
- Where to access information, resources, and support
Significant Changes Ahead
Due to federal legislative updates, a notable number of non-citizens have lost Medicaid coverage as of October 1, 2026. Further Medicaid changes will commence on January 1, 2027, specifically impacting individuals aged 19 to 64 without a disability. The NC Medicaid website offers insights into what these changes entail, including alterations to eligibility and renewals, and provides resources for support.
For further assistance, individuals can contact their local Department of Social Services to explore health coverage options and understand potential impacts on their care.
Resources for Navigating Change
To aid in disseminating information about these changes, a Know What’s Next toolkit is available. It is accessible in English and Spanish, featuring bilingual materials designed to help communities maintain access to health services. Toolkits are posted on Medicaid.nc.gov/changes (English) and Medicaid.nc.gov/cambios (Spanish).
Medicaid’s Role in North Carolina
North Carolina’s Medicaid program provides essential health coverage, including access to physicians and prescriptions, for over 3 million residents—comprising children, older adults, individuals with disabilities, veterans, and working citizens. In several rural counties, Medicaid supports health coverage for more than half the population.
How to Participate
The fireside chat will be broadcast live on the NCDHHS Facebook, X (Twitter), and YouTube channels, where viewers can pose questions. Additionally, the event will feature a tele-town hall, allowing participants to listen and submit inquiries over the phone. To join by phone, dial 855-756-7520 Ext. 137698#.
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