North Carolina Medicaid Program

Centers for Medicare & Medicaid Services (CMS) in

Medicaid/Medicare


December 19, 2018

Overview

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.

Administration

North Carolina Medicaid Program is administered by Centers for Medicare & Medicaid Services (CMS).

Program Requirements:

In order to qualify for this benefit program, you must be a resident of the state of North Carolina, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. You must also be either pregnant, blind, have a disability or a family member in your household with a disability, be responsible for children under 19 years of age, or be 65 years of age or older.

In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:

Household Size* Maximum Income Level (Per Year)
1 $16,146
2 $21,892
3 $27,637
4 $33,383
5 $39,129
6 $44,874
7 $50,620
8 $56,365

*For households with more than eight people, add $5,746 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

Application Details

None

Contact:

1-800-662-7030

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