NC Medicaid's fiscal year 2025 report says it covers more than 3 million people, including over 685,000 through expansion, and warns federal changes put progress at risk.
NC Medicaid coverage reported statewide
According to NC Medicaid’s Annual Report for State Fiscal Year 2025, the program covers one in four North Carolinians and more than 3 million people. NC Medicaid reports that more than 685,000 people enrolled through Medicaid expansion.
The report presents these figures alongside its discussion of access to behavioral health and substance use treatment. NC Medicaid is the named source for all of the figures and statements in this item.
In the supplied extract, NC Medicaid does not provide county-level figures, demographic detail, or a service-by-service account of the coverage totals. No further breakdown appears in the extract.
Access to behavioral health treatment
NC Medicaid says the program increases access to behavioral health and substance use treatment. That statement appears in the fiscal year 2025 annual report cited here.
The supplied extract does not identify individual treatment types, provider categories, benefit rules, or utilization information. It also does not describe how access was measured or compare access among North Carolina communities.
The report’s point is a broad statewide statement about Medicaid’s role in access, as presented by NC Medicaid. The extract gives no separate total for behavioral health or substance use treatment.
Warning on federal changes
The report warns that federal changes put progress at risk, according to NC Medicaid. The supplied extract does not name the changes, give a timeline, or state which programs or people could be affected.
NC Medicaid places this warning with its coverage and enrollment figures and its statement about behavioral health and substance use treatment access. No further policy detail or projected outcome is provided in the supplied report extract.
What this means for North Carolina patients
For North Carolina patients looking for treatment locally, NC Medicaid’s report identifies Medicaid coverage and expansion enrollment as part of the statewide context for access to behavioral health and substance use care. The directory lists 72 published clinics in North Carolina, which may help people locate treatment options in their area. The report extract does not indicate whether any particular clinic, treatment, or service is covered.
This is general information, not medical advice.
More North Carolina reporting on access & coverage.
This report is educational and is not medical advice. Coverage, availability and eligibility can change; verify details with the named source or your care team.

