How to Apply Medicaid North Carolina

Applying for Medicaid in North Carolina is a process that can be completed online or through the mail. To apply online, you will need to create an account with the North Carolina Medicaid application portal. Once you have created an account, you will be able to fill out the application form and submit it electronically. You can also apply for Medicaid by mailing a completed application form to the North Carolina Division of Medical Assistance. The application form can be downloaded from the North Carolina Department of Health and Human Services website. Once your application is received, it will be reviewed by a Medicaid caseworker. If you are eligible for Medicaid, you will be sent a Medicaid card in the mail.

Eligibility Requirements

To be eligible for Medicaid in North Carolina, you must meet certain requirements. These requirements include:

  • Being a resident of North Carolina
  • Being a U.S. citizen or a qualified non-citizen
  • Having a low income and limited assets
  • Meeting certain age, disability, or family status requirements (For example, pregnant women, children under 19, people with disabilities, and people receiving Supplemental Security Income (SSI) may be eligible.)

Applying for Medicaid

You can apply for Medicaid online, by mail, or in person at your local county Department of Social Services (DSS) office.

The application process typically takes 30 to 45 days, but it may take longer if you need to provide additional information.

Documents You Will Need

  • Proof of identity (such as a driver’s license, birth certificate, or passport)
  • Proof of citizenship or qualified non-citizen status (such as a Social Security card or permanent resident card)
  • Proof of income (such as pay stubs, bank statements, or tax returns)
  • Proof of assets (such as bank statements, stock certificates, or deeds to property)
  • Proof of medical expenses (such as doctor’s bills or hospital bills)
  • Proof of disability (if applicable) (such as a doctor’s note or a Social Security Disability Award letter)

In-Person Application

If you are applying in person, you will need to bring all of your required documents with you to your local DSS office.

A DSS caseworker will help you complete the application and answer any questions you have.

Online Application

If you are applying online, you will need to create an account on the North Carolina Medicaid website.

Once you have created an account, you can start the Medicaid application process.

You will need to provide the same information that you would provide if you were applying in person.

Application Status

You can check the status of your Medicaid application online or by calling the Medicaid customer service number.

If your application is approved, you will receive a Medicaid card in the mail.

Resources

Here are some resources that can help you with the Medicaid application process:

  • North Carolina Medicaid website: https://medicaid.ncdhhs.gov/
  • Medicaid customer service number: 1-800-662-7030
  • Local DSS office: You can find the address and phone number of your local DSS office on the North Carolina Medicaid website.

FAQs

Here are some frequently asked questions about Medicaid in North Carolina:

Question Answer
What is the income limit for Medicaid in North Carolina? The income limit for Medicaid in North Carolina varies depending on your family size and situation. To check if you qualify, you can use the Medicaid eligibility calculator on the North Carolina Medicaid website.
What are the covered benefits under Medicaid in North Carolina? Medicaid in North Carolina covers a wide range of benefits, including doctor visits, hospital care, prescription drugs, mental health services, and vision and dental care. For a complete list of covered benefits, visit the North Carolina Medicaid website.
How long does it take to get approved for Medicaid in North Carolina? The Medicaid application process typically takes 30 to 45 days, but it may take longer if you need to provide additional information.

Eligibility Requirements for North Carolina Medicaid

To be eligible for North Carolina Medicaid, you must meet certain requirements. These requirements include:

  • Citizenship or legal residency: You must be a U.S. citizen or a legal resident of North Carolina.
  • Income: Your income must be at or below a certain level. The income limit varies depending on your family size and composition.
  • Assets: Your assets must be at or below a certain level. The asset limit also varies depending on your family size and composition.
  • Age: You must be under 19 years old, 65 years old or older, or disabled.
  • Pregnancy: You must be pregnant.
  • Caretaker status: You must be a caretaker of a child under 19 years old or a disabled person.

If you meet these requirements, you may be eligible for North Carolina Medicaid. To apply, you can:

  • Apply online: You can apply for Medicaid online at the North Carolina Department of Health and Human Services website.
  • Apply by mail: You can download a Medicaid application form from the North Carolina Department of Health and Human Services website and mail it to the address on the form.
  • Apply in person: You can apply for Medicaid in person at your local county Department of Social Services office.

Once you have applied for Medicaid, your application will be processed. You will be notified of the decision on your application within 45 days.

Income Limits for North Carolina Medicaid
Family Size Annual Income Limit
1 $17,655
2 $23,790
3 $29,925
4 $36,060
5 $42,195
6 $48,330
7 $54,465
8 $60,600
9 $66,735
10 $72,870

Steps to Apply for Medicaid in North Carolina

To apply for Medicaid in North Carolina, you can follow these steps:

Gather Required Documents

  • Proof of identity (e.g., driver’s license, passport, or birth certificate)
  • Proof of residency (e.g., utility bill, lease agreement, or voter registration card)
  • Proof of income (e.g., pay stubs, tax returns, or Social Security benefits)
  • Social Security number or Medicaid ID number (if available)
  • Information about your household (e.g., names and ages of family members)
  • Proof of disability (if applicable)
  • Proof of pregnancy (if applicable)

Choose an Application Method

You can apply for Medicaid in North Carolina in the following ways:

  • Online: You can apply online through the North Carolina Medicaid website.
  • By mail: You can download and print an application form from the North Carolina Medicaid website and mail it to the address provided on the form.
  • In person: You can visit your local Department of Social Services (DSS) office to apply for Medicaid in person.
  • By phone: You can call the North Carolina Medicaid Customer Service Center at 1-888-894-4150 to apply for Medicaid over the phone.
  • Complete the Application Form

    • Fill out the application form completely and accurately.
    • Make sure to sign and date the application form.
    • Attach all required documents to the application form.

    Submit Your Application

    Once you have completed your application, you can submit it in one of the following ways:

    • Online: You can submit your application online if you applied online.
    • By mail: You can mail your application to the address provided on the application form.
    • In person: You can take your application to your local DSS office.
    • By phone: You can call the North Carolina Medicaid Customer Service Center to submit your application over the phone.
    • Wait for a Decision

      After you submit your application, it will be reviewed by the North Carolina Medicaid office. You will receive a decision on your application within 45 days of submitting it.

      Additional Information

      For more information about Medicaid in North Carolina, you can visit the North Carolina Medicaid website or call the North Carolina Medicaid Customer Service Center at 1-888-894-4150.

      Medicaid Eligibility Requirements in North Carolina

      Category Income Limit Asset Limit
      Pregnant Women 138% of the federal poverty level $2,000 for individuals, $3,000 for couples
      Children 138% of the federal poverty level $2,000 for individuals, $3,000 for couples
      Parents 185% of the federal poverty level $2,000 for individuals, $3,000 for couples
      Disabled Adults SSI income limit $2,000 for individuals, $3,000 for couples
      Seniors SSI income limit $2,000 for individuals, $3,000 for couples

      Documents Required for Medicaid Application in North Carolina

      Applying for Medicaid in North Carolina requires submitting specific documents to prove eligibility. These documents vary depending on your circumstances, but generally include:

      • Proof of Identity: Government-issued ID such as a driver’s license, state ID card, or passport.
      • Proof of Residency: Utility bills, rent or mortgage receipts, or a lease agreement.
      • Proof of Income: Pay stubs, self-employment records, or Social Security or Supplemental Security Income (SSI) award letters.
      • Proof of Assets: Bank statements, retirement account statements, or any other proof of financial resources.
      • Proof of Disability (if applicable): Medical records supporting a disability claim.
      • Proof of Citizenship or Lawful Permanent Residency: Birth certificate, naturalization certificate, or Permanent Resident Card (Green Card).
      • Proof of Pregnancy (if applicable): Medical records confirming pregnancy.
      • Proof of Relationship (if applying for children): Birth certificate or adoption records.
      • Social Security Numbers: For yourself and any dependents applying for Medicaid.

      You can submit these documents online, by mail, or in person at your local Department of Social Services (DSS) office. To find the nearest DSS office, visit the North Carolina Department of Health and Human Services website.

      Here’s a summary table of the required documents:

      Document Purpose
      Proof of Identity Government-issued ID to verify your identity.
      Proof of Residency Evidence of your residence in North Carolina.
      Proof of Income Documentation of your income and assets to assess eligibility.
      Proof of Assets Statements or records showing your financial resources.
      Proof of Disability (if applicable) Medical records supporting a disability claim.
      Proof of Citizenship or Lawful Permanent Residency Verification of your citizenship or legal residency status.
      Proof of Pregnancy (if applicable) Medical records confirming pregnancy.
      Proof of Relationship (if applying for children) Birth certificate or adoption records to establish the relationship.
      Social Security Numbers Social Security Numbers for yourself and any dependents.

      Y’all, that’s all there is to it! Applying for Medicaid in North Carolina ain’t no walk in the park, but it sure ain’t impossible neither. If you followed along, you should be well on your way to getting the healthcare coverage you deserve. And remember, if you have any questions or need help, don’t hesitate to reach out to the folks at Medicaid North Carolina. They’re there to help you every step of the way. Thanks y’all for reading, I appreciate it. Stay tuned for more helpful content coming soon, and don’t be a stranger!