How much does Medicaid cost in ?

Updated monthly
A combined $20.5 billion in state and federal spending in fiscal year (FY) 2023, the most recent data available. A health insurance program for low-income individuals, Medicaid is jointly funded by both levels of government, with the federal government covering 72.3% of the spending and North Carolina’s state government covering 27.7%. The cost came out to $2,000 per enrollee or $2,000 for every North Carolina resident.
In FY 2022, the latest year of data available, Medicaid accounted for 34.3% of the state's budget (this includes federal funding), higher than the 28.8% average among all states.

$20.5B

combined federal and state spending on Medicaid in North Carolina (FY 2023)

34.3%

Medicaid’s share of North Carolina state government spending (FY 2022)
The $894 billion spent on Medicaid in FY 2023 was the most since the program was created in 1965. FY 2023 spending was up 3.3% over the previous year.

In FY 2023, the federal and North Carolina government spent a combined $20.5 billion in the state on Medicaid.

Medicaid spending by level of government

Medicaid is a state-administered program and one of the largest categories of spending for state governments. In North Carolina during FY 2022, the latest year of data available, Medicaid accounted for 34.3% of the state’s budget. This includes funds that came from the federal government.

In FY 2022, Medicaid accounted for 34.3% of North Carolina state government spending.

Shares of state government spending, including federally funded, by category

About 56.3% of North Carolina’s Medicaid benefit spending in FY 2023 went to managed care. These are payments to private health plans that states contract with to deliver Medicaid services.
Unlike Medicare or most private insurance, Medicaid pays for long-term services and supports like nursing home care and home health (19.1% of Medicaid benefit spending in FY 2023). Medicaid also helps low-income seniors and people with disabilities afford Medicare by covering their premiums and out-of-pocket costs (3.6%).

In FY 2023, 19.1% of Medicaid benefit spending in North Carolina went toward long-term services and supports.

Medicaid benefit spending, by service type

Medicaid spending per enrollee
In FY 2023, state and federal governments spent a combined $9,109 per Medicaid enrollee.
Read more

Keep exploring

Methodology

USAFacts standardizes data, in areas such as time and demographics, to make it easier to understand and compare.

The analysis was generated with the help of AI and reviewed by USAFacts for accuracy.

Page sources

USAFacts endeavors to share the most up-to-date information available. We sourced the data on this page directly from government agencies; however, the intervals at which agencies publish updated data vary.