North Carolina Medicaid Program

Information from Benefits.gov and the North Carolina Department of Health and Human Services

Program Description: Medicaid is a health insurance program for certain low-income and needy people paid with federal, state, and county dollars. It covers more than 1 million people in our state, including children, the aged, blind, and/or disabled, and people who are eligible to receive federally assisted income maintenance payments. North Carolina Medicaid includes Baby Love for prenatal and infant health care, Health Check for children up to age 21, Carolina ACCESS for managed care, and community alternatives to provide home and community care as a cost-effective alternative to institutionalization. Covered individuals are elderly or disabled individuals, children and their parents, persons needing long-term care and some Medicare recipients.

General Program Requirements: Medicaid serves low-income parents, children, seniors, and people with disabilities. There are different types of coverage for people with different needs.  Income and resource limits for each of these groups vary:

To be eligible for Medicaid, you must also:

  • Be a U.S. citizen or provide proof of eligible immigration status. Individuals only applying for emergency services are not required to provide documentation of immigration status.
  • Live in North Carolina, and provide proof of residency.
  • Have a Social Security number or have applied for one.

You are automatically eligible for Medicaid if you receive any of the following benefits:

To receive Medicaid, you do not have to go through a physical or other type of exam. However, if you are applying because you are disabled, a medical exam may be required. If you are applying for Medicaid because you are pregnant, proof of pregnancy is required.

Applying Online

You may apply for Medicaid and NC Health Choice or CHIP online via NC ePASS.  More information about applying is available online at the NC Division of Medical Assistance.

Medicaid homepage: http://www.ncdhhs.gov/dma/medicaid/