Apply For Medicaid Raleigh Nc

Nc Medicaid Managed Care

On July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services in a new way called “NC Medicaid Managed Care.” Beneficiaries choose a health plan and get care through a health plan’s network of doctors. Some beneficiaries are remaining in traditional Medicaid, which is called NC Medicaid Direct. Learn more.

Note: Public charge rules that relate to determinations about certain legal resident statuses changed in March 2021. Immigrants should know that they and their families can access many public benefits without concern, if they are eligible, and are encouraged to get information about public charge rules in English or Spanish on the NC Justice Center website.

North Carolina Medicaid Mailing Address

North Carolina Medicaid Street: PO Box 300009State: North CarolinaZip Code: 27622-8009

Apply-for-Medicaid-Online.com is a leading hub that provides the best and most updated information for North Carolina Medicaid and North Carolina state health insurance.

Our users may find new information for North Carolina Medicaid and North Carolina state health insurance, and usually share it with us, helping us help other users. If you find new data for North Carolina Medicaid, we would appreciate if you dropped us a quick message via the contact us page form or the comments form below.

We always make sure to confirm any new information as soon as it is released and publish it for free for the benefits of you and all users who wish to apply to North Carolina Medicaid and North Carolina state health insurance.

This Apply-for-Medicaid-Online.com website was created as a completely independent website that is not affiliated with North Carolina Medicaid, North Carolina state health insurance or any state or federal office, department, agency, board, or commission.

State: North Carolina

North Carolina’s Pace Programs

Programs of All-Inclusive Care for the Elderly currently operate in several communities in North Carolina. To qualify for PACE, you must be 55 or older, live in an area served by a PACE agency, and meet North Carolina’s nursing home level of care standard, and you must be able to live safely in the community with PACE services. If you do not receive Medicaid, you can use Medicare to pay for PACE, or you can pay for the program yourself.

PACE participants receive their services from an interdisciplinary team of professionals like physicians, nurses, and social workers, whose role is to coordinate individualized care and services to keep seniors in their own homes and communities. If you receive Medicaid and participate in a PACE, Medicaid pays for all of the services recommended by your care team. If you are interested in a PACE program, contact it directly to apply. You can find a PACE program in your community here.

Don’t Miss: Ohio Dept Of Medicaid Providers

Apply For Food And Nutrition Services In Nc

North Carolina Food and Nutrition Services are available for all households with limited income and resources. A household may be one person living alone, a family, or several unrelated individuals cohabiting who buy and prepare meals together.Electronic Benefit Transfer cards is an electronic system that replaced paper food stamp coupons with a card. EBT cards can be used at any major grocery stores that authorized as is USDA retailer.

Qualifying For Medicaid In North Carolina

Medicaid is health insurance available to low-income individuals and families in North Carolina. In order to receive coverage under Medicaid, however, you must fit several limits, including both income limits and asset limits.

In order to qualify for Medicaid in North Carolina as a single person and enter into a nursing home, for example, you must make less than Medicaid would pay for a nursing home each month and have less than $2,000 in available assets. As a married person, with both spouses applying for Medicaid coverage, both spouses combined must have less income than the cost of the nursing home, and may have less than $3,000 in assets.

Recommended Reading: Compare And Contrast Medicare Advantage Plans And Medicaid Plans

North Carolina Updates Strongschoolsnc Public Health Toolkit

Sixty percent of North Carolinians over 18 have now received at least one dose of a COVID-19 vaccine RALEIGH: Governor Roy Cooper and North Carolina Department of Health and Human Services Secretary Mandy K. Cohen, M.D. shared updated public health guidance for K-12 schools to follow in the upcoming school year. The most important work

Get Important News & Updates

Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important information. When registering your email, check the category on the drop-down list to receive notices of Medicaid updates check other areas of interest on the drop-down list to receive notices for other types of FSSA updates.

Don’t Miss: Eye Doctors In Fort Worth That Accept Medicaid

Family And Childrens Medicaid

• Covers children through age 20, parents and caretakers of minor children under the age of 18, and pregnant women who meet income requirements.
• Family Planning Program is designed to reduce unintended pregnancies and improve the well-being of children and families. Services are provided to eligible persons of any age who are ineligible for all other Medicaid programs.
• North Carolina Health Choice Health Insurance for Children provides reduced price comprehensive coverage for children six to 18 years whose family income meets certain limits but is too high to qualify for Medicaid.

Earn Rewards On Your Care Card By Doing Certain Things That Help You Stay Healthy

• Earn $25 for completing your Care Needs Screening within 90 days of enrolling with the plan.
• Earn $20 every year for child and adult well visits .
• Earn $10 for each prenatal care appointment you attend .

Eligible CARE Card program rewards may change. AmeriHealth Caritas North Carolina will notify you before the change happens.

Also Check: Missouri Medicaid In Home Services

Nc Attorney General Josh Stein And The North Carolina Association Of County Commissioners Unveil Historic Agreement In The Fight Against The Opioid Epidemic

RALEIGH Attorney General Josh Stein and the North Carolina Association of County Commissioners today unveiled a historic agreement to fight the opioid epidemic. The agreement governs how North Carolina would use the proceeds of any future national settlement or bankruptcy resolution with drug distributors Cardinal, McKesson, and AmerisourceBergen and opioid manufacturers Johnson & Johnson and

Social Services Program Information

03.26.2020- Due to Declaration of COVID-19 Public Health Emergency, NCDHHS encourages potential recipients/recipients to utilize online, alternate and telephone methods for applications and questions. Most transactions can be handled by phone, fax, email or mail. A Drop Box is located to the left of the Entrance Doors for your convenience. Appointments will be scheduled for transactions that cant be handled by one of these methods. Caseworkers will follow-up by phone or email.

ePASS is a quick and easy way for individuals and families to learn about and apply for available benefits and services. Online applications are available for Food and Nutrition Services as well as Medical Assistance . You can learn if you are potentially eligible for Medical Assistance by completing an electronic pre-assessment screening.

to access ePASS

Recommended Reading: If You Have Medicaid Do You Need Medicare Part B

Apply For Food And Nutrition Services In Ncelectronic Benefit Transfer Cards

North Carolina Food and Nutrition Services are available for all households with limited income and resources. A household may be one person living alone, a family, or several unrelated individuals cohabiting who buy and prepare meals together.Electronic Benefit Transfer cards is an electronic system that replaced paper food stamp coupons with a card. EBT cards can be used at any major grocery stores that authorized as is USDA retailer.

Find And View Providers And Health Plans

This website has tools to help you find and view primary care providers and health plans.

Medicaid and NC Health Choice Provider and Health Plan Lookup ToolYou can use the Medicaid and NC Health Choice Provider and Health Plan Lookup Tool to find a PCP. Our provider search will help you find the best PCP for you and your family.

To search for a provider, go to Find a provider.

Health Care Option GuideYou can use the Health Care Option Guide to view health plans. It will help you choose the best health plan to meet your health care needs.

To view health plans, go to View health plans.

Also Check: How To Get Medicaid When You Have Medicare

Medicaid Coverage Of Home Health Services In North Carolina

Home health care can include skilled nursing or therapy services, home health aide services like medication management or bathing assistance, and personal care aide services like meal preparation or cleaning. If you already receive Medicaid in North Carolina for doctor’s and hospital visits, the program will pay for some home health services like nursing, therapy, medical supplies, and equipment. Your doctor must prescribe home health services for you as part of a plan of care for a particular condition.

Medicaid may also pay for personal care services, but only as prescribed by your doctor according to a plan of care, and only up to 80 hours/month. To qualify for personal care services, you must show that you need assistance with your activities of daily living.

Waiver programs. If you have an ongoing need for personal care services, you should apply for assistance from one of North Carolina’s Medicaid waiver programs or its PACE Program . North Carolina’s two waiver programs are Community Alternatives Program for Disabled Adults and Community Alternatives Program/Choice .

To qualify for either waiver, you must be 65 or older, blind, or disabled. In addition, you must show that you meet the nursing facility level of care and that you are at risk of institutionalization within 30 days.

What Is North Carolina Medicaid Number

North Carolina Medicaid number where you can call and speak to North Carolina state health care agent regarding Apply for Medicaid North Carolina is .

North Carolina Medicaid hours of operation regarding Apply for Medicaid North Carolina are Monday Friday 8 am to 5 pm, closed on State holidays , but the best calling hours for North Carolina Medicaid to call regarding Apply for Medicaid North Carolina are 9:00 am to 1:00 pm and 2:30pm to 4:00pm.

Read Also: How Can You Protect Your Assets From Medicaid

What Is North Carolina Medicaid Fax Number

North Carolina Medicaid fax number where you can send fax messages including application forms for North Carolina state health insurance is 1-855-710-1965.

Are you looking for additional information for North Carolina Medicaid and North Carolina state health insurance? Do you need any assistance with North Carolina Medicaid? Please contact us and we will be happy to help you with any Medicaid application related matter.

What Does North Carolina Medicaid Count As An Asset

Qualifying assets may include a variety of investments, funds, and available cash. For Medicaid eligibility, the state will look at:

• Any bank accounts, including checking and savings accounts
• Real estate other than the patients home

If the value of those assets exceeds the Medicaid asset requirements, based on whether you have a spouse or other family relying on your income or support, you may not qualify for Medicaid.

Recommended Reading: How Much Do You Need To Qualify For Medicaid

How Can A North Carolina Elder Law Professional Help

The stress and effort required to fill out a Medicaid application can be draining and take longer than it needs to. From protecting your assets to giving your application the best chance of acceptance, elder law attorneys know the tips and tricks to make Medicaid work in your favor.

• Avoid Penalties Improperly listing asset transfers and gifts on Medicaid applications can result in hefty penalties. By helping you organize your personal information, legal professionals can prevent this from happening.
• Know When to Apply Applying too early or too late may affect how much support you receive. An attorney can help you prepare in advance, maximizing your benefits when it comes time to file.
• Protect Your Spouse Married couples and unmarried applicants are subject to different eligibility requirements. An attorney can structure your application to give you access to all the support you need while protecting your spouses finances.
• Preserve Eligibility Many applicants want to live independently for as long as possible while preserving their Medicaid and Social Security eligibility. Elder law attorneys may be able to restructure your finances so you can remain financially independent and qualify for support.

Not All Assets Count In Medicaid Asset Calculations

While many of your assets, including available cash, may count toward your total asset valuation for Medicaid purposes, there are several assets that may not qualify.

• The vehicle you use on a regular basis
• Irrevocable burial trusts
• Personal belongings
• Household furnishings

Most of the time, your primary residence is also exempt from Medicaid asset calculations. However, in order to be exempt, the value of the home equity must be less than $636,000, and you must also either live in the home or plan to return to the home at some point. The home is also exempt if you have a spouse who is not applying for Medicaid support, and who lives in the home.

You May Like: New York Department Of Social Services Medicaid

Medicaid Coverage And State

Private health insurance covers the cost of substance-use disorder treatment and services to varying degrees. Each insurer has its own policy, and insured individuals will need to refer to the policy of their respective insurance companies to determine the extent of services that are covered. Many women needing treatment, including pregnant women, may have once had private insurance but have lost that insurance. This section presents information for women who are uninsured, women who may qualify for Medicaid insurance, and women who are currently insured with Medicaid.

Medicaid Services for Women and Children

• Medicaid for Infants and Children

Medicaid for Infants and Children provides medical coverage for children younger than 19 years old. The income limits are determined by the family size and the age of the child or children applying for benefits. There is no limit on resources.

• Medicaid for Families with Dependent Children

Medicaid for Families with Dependent Children provides medical coverage for parent or other caretaker/relative with a child 18 years or younger in the household and for children under age 21. A pregnant woman may also qualify.

The family cannot have more than $3,000 in assets such as savings in the bank.

If the family income is above the cut-off and the child and/or family has high medical bills, the family might still qualify for Medicaid .

• Medicaid for Pregnant Women

Medicaid for Pregnant Women covers only services related to pregnancy:

What Is The Medicaid Look

Many people start making plans for their future healthcare needs, including the need to apply for Medicaid, long before they actually qualify. If you plan to apply for Medicaid in North Carolina, understanding the look-back period is essential to preparing yourself financially and recognizing the resource limits you must adhere to in order to qualify. In North Carolina, that means knowing that Medicaid has a look-back period of 60 months prior to your application. A Medicaid planning lawyer can help make sure your Medicaid eligibility is not impacted.

Recommended Reading: Medicaid Missouri Provider Phone Number

What Is The Difference Between North Carolina Medicaid And Medicare

Medicaid and Medicare are two different healthcare programs with different functions and beneficiaries.Medicaid is managed by states and is based on the individual income while Medicare is managed by the federal government and is mainly based on age. Medicare has special circumstances, like certain disabilities, that may allow younger people to get to health program.

Watch this video to learn more about Medicaid, Medicare, and the difference between them:

The Medicaid Penalty Period

If it is assumed that you made a disqualifying transfer with the intent of spending down your assets, Medicaid may assign a penalty period under which you will not qualify for Medicaid benefits because of that disqualifying transfer. In North Carolina, the penalty period is approximately $313 per day or $9,522 per month. The penalty period is based on the amount of long-term care you would have been able to afford, had you not transferred or spent those assets in a disqualifying way.

You May Like: Therapists In Rochester Ny That Accept Medicaid

Family & Childrens Medicaid

Family and Childrens Medicaid is a health insurance program that serves low-income individuals, children, and parents. For information regarding the different types of Medicaid in North Carolina and to see if you are potentially eligible, visit the Division of Medical Assistance web site at

AM I ELIGIBLE?

• To be eligible for Medicaid, you must be a US Citizen or provide proof of eligible immigration status unless you are only applying for emergency services.
• You must live in North Carolina and provide proof of residency
• You must have a social security number or have applied for one.
• Income and resource limits vary depending on the Medicaid Program and eligibility.

APPLYING FOR FAMILY & CHILDRENS MEDICAID:

• Apply online at
• Apply at Johnston County DSS at 714 North Street Smithfield NC 27577. Applications are taken between 8:00 am to 5:00 pm, Monday Friday
• Mail In Application: https://dma.ncdhhs.gov/medicaid/get-started/apply-for-medicaid-or-health-choice
• Request that an application be mailed to you by calling 919-989-5300

FAMILY & CHILDRENS MEDICAID RECERTIFICATIONS AND CHANGES:

When information is required to complete your FCH Medicaid Recertification, documents must be returned by the due date on the request sent to you. Documents can be mailed in, dropped off using the DSS drop boxes located outside of the DSS building, or dropped off at the inside drop box of building 1.

Contact Us

Domestic Violence