How to Apply for Nc Medicaid

Applying for North Carolina Medicaid is a straightforward process that can be completed online, by mail, or over the phone. You can start the application by visiting the North Carolina Department of Health and Human Services website or by calling the Medicaid customer service line. To apply, you will need to provide basic information about yourself and your family, including your income, assets, and health insurance coverage. You may also need to provide proof of your identity and citizenship. Once your application is complete, it will be reviewed by a Medicaid eligibility specialist who will determine if you are eligible for coverage. You will be notified of the decision in writing.

Online Application Process

Applying for North Carolina (NC) Medicaid online is a convenient and efficient way to access healthcare coverage. Follow these steps to apply online:

  1. Eligibility Check: Before applying, check your eligibility for NC Medicaid. You can use the online eligibility tool or contact the county Department of Social Services (DSS) for assistance.
  2. Gather Documents: Gather the necessary documents to support your application. This may include proof of identity, income, assets, and residency.
  3. Create an Account: Visit the NC Medicaid application portal and create an account. You will need to provide your name, address, contact information, and a password.
  4. Start Application: Once your account is set up, click on “Apply for Medicaid” to begin the application process.
  5. Application Questionnaire: Answer the questions thoroughly and accurately. The information you provide will determine your eligibility for Medicaid.
  6. Supporting Documents: Upload or mail the required supporting documents to the DSS office. Make sure to keep copies for your records.
  7. Submit Application: Review your application to ensure all the information is correct. Once you are satisfied, click the “Submit” button to send your application electronically.
  8. Application Status: You can check the status of your application online or by contacting the DSS office. Processing times may vary, so be patient.
  9. Medicaid Card: If your application is approved, you will receive a Medicaid card in the mail. This card will allow you to access healthcare services covered by Medicaid.
Medicaid Contact Information
CountyPhone NumberWebsite
Alamance County(336) 570-6300
Wake County(919) 856-7000
Mecklenburg County(704) 336-3000

Note: If you encounter any issues or have questions during the online application process, you can contact the NC Medicaid Customer Service number or visit the DSS office for assistance.

Phone Application Process

You can also apply for Medicaid by calling the North Carolina Medicaid Customer Service Center at 1-888-245-0048.

Here are the general steps to follow when applying for Medicaid via the call center:

  • Gather necessary documents like proof of identity, income, and assets.
  • Call the number and state your intent to apply for Medicaid.
  • Provide personal information, such as your name, date of birth, and contact details.
  • Answer questions about your household situation, including family members and their personal information.
  • Provide financial information, including income, assets, and any medical expenses not covered by insurance.
  • Review and confirm the information provided to ensure accuracy.
  • Submit the application over the phone.

Paper Application Process

The paper application process for North Carolina Medicaid is available for those who are unable to apply online or through the mail. To apply for Medicaid using the paper application, you can either print the application form online or pick up a copy from your local Department of Social Services (DSS) office. Once you have the application, follow these steps to complete it:

  1. Gather the required documents. You will need to provide proof of your identity, income, and assets, as well as proof of citizenship or lawful presence in the United States. A complete list of required documents is available on the Medicaid application form.
  2. Complete the application. The Medicaid application is a long and complex document, so it is important to take your time and answer all of the questions carefully. If you have any questions, you can contact your local DSS office for assistance.
  3. Submit the application. You can submit the completed application in person at your local DSS office or by mail. If you are submitting the application by mail, be sure to send it certified mail with return receipt requested so that you have proof that the application was received.

Once you have submitted your application, it will be reviewed by the Medicaid eligibility staff. You will be notified of the decision on your application within 45 days. If you are approved for Medicaid, you will receive a Medicaid card in the mail. This card will allow you to access Medicaid benefits, such as doctor visits, hospital stays, and prescription drugs.

Tips for Applying for Medicaid Using the Paper Application

  • Start the application process early. The Medicaid application process can take several weeks, so it is important to start early to avoid any delays.
  • Gather all of the required documents before you start the application. This will make the process go much faster.
  • Answer all of the questions on the application carefully. If you do not know the answer to a question, leave it blank and ask for help from your local DSS office.
  • Submit the application in person or by certified mail with return receipt requested. This will ensure that the application is received and processed promptly.
  • Follow up on your application. If you have not heard from the Medicaid eligibility staff within 45 days, contact your local DSS office to check on the status of your application.

By following these tips, you can increase your chances of a successful Medicaid application.

Paper Application Process: Overview Table

Eligibility Criteria

To qualify for NC Medicaid, you must meet specific eligibility criteria based on factors such as your income, family size, and health status. Here are the key eligibility criteria:

  • Income: Your household income must be at or below a certain level set by the federal government. The income limit varies depending on your family size.
  • Family Size: The size of your household affects your eligibility. Medicaid typically covers families with children, pregnant women, individuals with disabilities, and adults who meet specific income requirements.
  • Health Status: Medicaid covers individuals with specific health conditions, such as chronic illnesses, disabilities, or pregnancy.

Documents Required

When applying for NC Medicaid, you will need to provide supporting documents to verify your eligibility. Here are the essential documents required:

  • Proof of Identity: A valid driver’s license, state-issued ID, or passport.
  • Proof of Income: Pay stubs, W-2 forms, or other documents showing your household’s income.
  • Proof of Family Size: Birth certificates, adoption papers, or other documents proving the number of people in your household.
  • Proof of Health Status: Medical records, doctor’s notes, or other documentation supporting your health condition.

You can find more information about the specific documents required and how to apply for NC Medicaid by visiting the North Carolina Department of Health and Human Services website or contacting your local Medicaid office.

Additional Resources



Additional Information

1Gather required documentsProof of identity, income, assets, citizenship/lawful presence
2Complete applicationAnswer questions carefully; seek assistance if needed
3Submit applicationIn person at DSS office or by certified mail
4Follow upContact DSS office after 45 days if no response
NC Medicaid WebsiteOfficial website of NC Medicaid, providing detailed information about eligibility, benefits, and the application process.
Local Medicaid OfficesContact information for local Medicaid offices where you can get assistance with your application and other inquiries.
NC Medicaid Waiver InformationInformation about Medicaid waivers available in North Carolina, which can provide additional benefits and services.

Well, folks, that’s a wrap on your application for NC Medicaid. It’s like you just stepped into a whole new world of healthcare options, where you can breathe easy knowing you’re covered. Remember, this process might have its ups and downs, but with determination, you’ll cross the finish line before you know it. Now, go on and conquer the rest of your day, knowing you’ve taken a huge step towards securing your health and well-being. Don’t forget to check back later for more informative articles like this one. Until then, keep smiling and stay healthy, my friends!