---
title: "North Carolina Medicaid Look-Back Period | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/north-carolina/medicaid-look-back-period/
description: "North Carolina's standardized 60-month Medicaid transfer review and its most recently published transfer-penalty divisor."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
North Carolina · Look-Back & Penalties

# North Carolina Medicaid Look-Back Period

Last updated 2026-10-20

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](https://medicaid.ncdhhs.gov/beneficiaries/long-term-services-and-supports/nursing-facilities)
- [U.S. Code: 42 U.S.C. § 1396p (liens, estate recovery, transfers of assets, Partnership disregard)](https://www.law.cornell.edu/uscode/text/42/1396p)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full North Carolina guide](https://fundingltcmarketplace.com/states/north-carolina/)