How to Qualify for Medicaid in North Carolina

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Medicaid is a health care coverage program for low-income individuals and families. According to the North Carolina Division of Medical Assistance, one in five individuals in the state receives Medicaid, and the budget for Medicaid is second only to that for public education. If you live in North Carolina and cannot afford health insurance, you might qualify for Medicaid.

Determine if you fall into one of North Carolina’s Medicaid eligibility categories. If you receive cash assistance, are pregnant, over the age of 65, blind or disabled, a child between the ages of 6 and 19, or you suffer from breast or cervical cancer, you may qualify for Medicaid in North Carolina.

Determine if your household meets the monthly income requirements. Most Medicaid programs available in North Carolina require a household income of less than 100 to 200 percent of the federal poverty level. For example, if the federal poverty level for a family of four is $20,000, a family of four seeking assistance must earn less than $40,000 annually to qualify for full Medicaid coverage.

Call your local DHHS office and make an appointment with a caseworker to discuss your eligibility for Medicaid.

Go to the Department of Health and Human Services (DHHS) office with the documents needed to determine your eligibility for Medicaid. Your caseworker may ask for additional documentation, such as your rental or mortgage agreement, bank statements and copies of your utility bills, so bring these documents with you as well.

Appeal the decision within 60 days if Medicaid denies your claim by completing and submitting an Appeal Request Form.