North Carolina now applies a single, uniform 60-month — five-year — look-back to transfers relevant to long-term-care Medicaid eligibility, under NCDHHS Policy MA-2240.
That uniformity is recent. A September 2025 policy revision eliminated an older 36-month exception that had applied to transfers with a starting point before November 2010, standardizing the review period across transfer types. Trusts and annuities, notably, were already subject to the full 60-month review even before that change.
North Carolina figures
- Look-back period
- 60 months (5 years)
Sources and official resources
- NC Medicaid: Nursing Facilities
- U.S. Code: 42 U.S.C. § 1396p (liens, estate recovery, transfers of assets, Partnership disregard)
Rules and figures change. Confirm current details with the agency before you act.