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N.C. Medicaid Exceeds Budget Targets While Strengthening Program

Adult helping elderly woman.

Feb. 1, 2018 – North Carolina Medicaid, which ensures that nearly 2 million children, seniors and people with disabilities receive health care, finished the 2017 state fiscal year with more than $86 million in cash-on-hand.

In addition to key improvements to the Medicaid program to combat the opioid crisis and improve overall accountability, it was the fourth straight year for Medicaid to close with savings. 

Since 2014, Medicaid has returned savings of more than $500 million in unspent money to the State Treasury, a result of prudent budgeting, forecasting and day-to-day monitoring and oversight.

The savings are among accomplishments outlined in the annual report on the Medicaid and NC Health Choice programs for state fiscal year 2017, which runs July 1, 2016 through June 30, 2017.

The programs are administered by the N.C. Department of Health and Human Services’ Division of Medical Assistance. Highlights for the fiscal year include:

“We are pleased to share our annual report, which highlights the impact the Medicaid program has on the lives of over 2 million North Carolinians,” said Dave Richard, DHHS Deputy Secretary for Medical Assistance. “The success of our program is grounded in the collaboration with our stakeholder community. We look forward to continued success as we continue our transformation efforts.”

Progress toward the managed care model has provided an opportunity to “create a program that is innovative and highly effective in addressing medical and non-medical drivers of health to improve the health and well-being of North Carolinians,” he said. “We are actively engaged with the federal Centers for Medicare & Medicaid Services to secure approval of our amended waiver request, and are driving the internal change needed to implement this landmark transformation.”

The report also provides overviews of the most highly-used Medicaid programs and services and includes snapshots of families and individuals and how they benefitted from services provided through Medicaid. It describes how:

Medicaid plays a vital role in the lives of many North Carolina families, covering more than half the births and more than half the children in North Carolina, meeting the needs of residents with disabilities and providing quality care to thousands of senior citizens.