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18 <br /> What can impact ongoing eligibility? <br /> Recipients of expanded Medicaid (MXP) will be re-evaluated for <br /> eligibility every twelve months to ensure they remain eligible <br /> Changes in circumstance should be reported during the enrollment <br /> period and could result in a re-evaluation of eligibility. These could <br /> include: <br /> — Any change in income or household composition <br /> — Pregnancy <br /> — Medicare eligibility <br /> — 3rd party insurance coverage <br /> ORANGE COUNTY <br /> 16 NORTH CAROLINA <br />