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2025-2026 NC Medicaid and Special Assistance Rates

You are here: Home / HOT Topics and Info / 2025-2026 NC Medicaid and Special Assistance Rates

UPDATED January, 2026

Medicaid

  • Monthly divisor: $11,904 (effective 1/1/2026)
  • Community Spouse Resource Allowance (effective 1/1/2025)
    • Minimum $32,532
    • Maximum $162,920
  • Monthly Maintenance Needs Allowance
    • Minimum $2,644 (effective 7/1/2025 and remains until 7/1/2026)
    • Maximum $4,067 (effective 1/1/2026
    • Shelter Standard $794
    • Standard Utility Allowance  $626 (household of 1); $699 (household of 2); $768 (household of 3) (effective 1/1/2026)
    • Dependent Allowance $882 (1/3 of Base)

Special Assistance

  • Base SA Program (Effective 1/1/2026)
    • Maximum SA Rate: $1,397
    • Personal Needs Allowance: $70
    • General Income Exclusion: $20
    • TOTAL $1,487
    • Max Countable Income: $1,486.50 (due to rounding)
  • Special Care Unit Rate (a/k/a “Memory Care”) (Effective 1/1/2026)
    • Maximum SA Spec Care Unit Rate $1,792
    • Personal Needs Allowance $70
    • General Income Exclusion $20
    • TOTAL: $1,882
    • Max Countable Income: $1,881.50 (due to rounding)
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