Program will increase access to testing, but legislature should expand Medicaid when they meet this week
RALEIGH – The North Carolina Department of Health and Human Services (NCDHHS) has launched the NC Medicaid Optional COVID-19 Testing program, which will reimburse Medicaid providers for costs associated with COVID-19 testing of people without insurance.
“North Carolina is making COVID-19 testing more available and affordable, and this program will help,” said Governor Cooper. “But the most important way to keep people healthy is to expand Medicaid so 600,000 North Carolinians can get health insurance, which the legislature should do immediately.”
“This new program allows community providers to offer cost-free testing to uninsured North Carolinians. It’s a good step to decrease barriers to testing. However, to help North Carolinians who don’t have health insurance get the full range of care needed for COVID and to access needed preventive care, North Carolina needs to expand Medicaid like most other states have done,” said NCDHHS Secretary Mandy Cohen, MD.
Federal funding will be available to cover 100% of costs directly related to COVID-19 testing, including both viral and serological or antibody tests, through the federal Families First Coronavirus Response Act. In North Carolina, Medicaid-enrolled providers may file directly with NC Medicaid for reimbursement for testing eligible uninsured individuals. Costs for COVID-19 tests will be covered retroactively up to three months if people were uninsured at the time of the test.
To qualify for the program’s testing coverage, people must meet three checks: Live in North Carolina, not be eligible for or enrolled in Medicaid or have other health insurance; hold U.S. citizenship or other legal immigration status as mandated by federal regulations.
The reimbursement program will continue during the duration of the COVID-19 federal declaration of emergency. The NCDHHS website offers resources for individuals and health care providers interested in learning more about or participating in the program.
Since the beginning of the pandemic, North Carolina has worked to remove access and cost barriers to testing while increasing capacity statewide. In addition to coordinating overall testing capacity and supporting providers, NCDHHS has also directly funded community testing sites and events in targeted communities at higher risk of exposure.
NCDHHS recommends testing for anyone experiencing COVID-19 symptoms, as well as for any asymptomatic individual who believe they may have been exposed, especially people from historically marginalized communities. Information about upcoming community testing events can be found on the Community Testing Events page of the NCDHHS COVID-19 website, and testing sites can be located via Find My Testing Place.