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2024-2025 NC Medicaid and Special Assistance Rates

You are here: Home / HOT Topics and Info / 2024-2025 NC Medicaid and Special Assistance Rates

UPDATED July, 2025

Medicaid

  • Monthly divisor: $10,317 (effective 1/1/2025)
  • Community Spouse Resource Allowance (effective 1/1/2025)
    • Minimum $31,584
    • Maximum $157,920
  • Monthly Maintenance Needs Allowance
    • Minimum $2,644 (effective 7/1/2025 and remains until 7/1/2026)
    • Maximum $3,948
    • Shelter Standard $794
    • Standard Utility Allowance  $620 (household of 1); $681 (household of 2) (effective 1/1/2025)
    • Dependent Allowance $882 (1/3 of Base)

Special Assistance

  • Base SA Program (Effective 1/1/2025)
    • Maximum SA Rate: $1,359
    • Personal Needs Allowance: $70
    • General Income Exclusion: $20
    • TOTAL $1,449
    • Max Countable Income: $1,448.50 (due to rounding)
  • Special Care Unit Rate (a/k/a “Memory Care”) (Effective 1/1/2025)
    • Maximum SA Spec Care Unit Rate $1,743
    • Personal Needs Allowance $70
    • General Income Exclusion $20
    • TOTAL: $1,833
    • Max Countable Income: $1,832.50 (due to rounding)
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