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...."
Recipients of the following cash assistance programs are automatically entitled to Medicaid. No separate Medicaid application or Medicaid eligibility determination are required. The cash assistance programs are: • Work First Family Assistance – NC program under the federal Temporary Assistance to Needy Families law that provides cash assistance to families with children. • Supplemental Security Income (SSI) – Federal cash assistance program for..."
Medicaid serves low-income parents, children, seniors, and people with disabilities. There are different types of coverage for people with different needs. Income and resource limits for each of these groups vary..."
Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.
"...The poverty thresholds are the original version of the federal poverty measure... The poverty guidelines are the other version of the federal poverty measure.
Medicaid citizenship requirements Under federal law, all U.S. citizens and certain legal immigrants who meet Medicaid’s financial and non-financial eligibility criteria are entitled to Medicaid. The Medicaid program has long required states to establish that individuals applying for Medicaid are U.S. citizens or satisfy the immigration restrictions.... "
What has changed? In the Deficit Reduction Act of 2005, a new requirement was established with respect to citizenship verification of current and new Medicaid applicants. Citizen applicants were previously able to self-attest their citizenship and identity under penalty of perjury to qualify for Medicaid..... "
You may apply at the County Department of Social Services (DSS) in the county where you live. If possible, take the items listed below with you when you go to the DSS office to apply..."
You may either mail or bring the completed Medicaid Application to the County Department of Social Services (DSS) in the county where you live. This will begin the application process. ..."
North Carolina has 100 counties. Each county has a local Department of Social Services Office. Just select the county that you would like to view phone numbers, physical addresses, and mailing addresses...."
CCNC/CA is North Carolina’s Medicaid managed care program. It provides you with a medical home and a primary care provider (PCP) who will coordinate your medical care..."
If you are enrolled in Community Care of North Carolina (CCNC), also known as Carolina ACCESS (CA), the name, address and phone number for your Carolina ACCESS doctor (medical home) are printed on your card..."
Medicaid Managed Care Enrollees... Medicaid Enrollment in Comprehensive Managed Care Plans... Medicaid Managed Care Enrollees as a Percent of State Medicaid Enrollees"
"There are several ways to find a Medicaid doctor, dentist, or other medical provider. Before you make an appointment, be sure to ask if the provider still takes Medicaid patients..."
Family Planning: Be Smart... Medicaid for Infants and Children... Medicaid for Families with Dependent Children (for parents or other caretakers)... Medicaid for Pregnant Women Community Alternatives Programs: For children who need long-term care..."
The Community Alternatives Program for Children (CAP/C) (also known as the Katie Beckett waiver) provides home and community based services to medically fragile children who, because of their medical needs are at risk for institutionalization in a nursing home..."
The Baby Love program is a combination of services designed to help you have a healthy baby. Pregnant and postpartum women are eligible to receive these services..."
Are you ready to be a mom or dad? Are you ready for another child? Do you think you might want more children? If you answered no to any of these questions, you may qualify to receive birth control methods and health care services for free ..."
If your family makes too much money to qualify for Medicaid but too little to afford rising health insurance premiums, your child(ren) may qualify for NCHC... NCHC covers hospitalization and outpatient care including the following..."
...Your family’s monthly income must be equal to or less than 200% of the federal income limits... If your family’s monthly income is slightly over the income limits listed below, your child(ren) may still be eligible..."
N.C. Health Choice is available only to those children who do not qualify for Medicaid. There is not a separate application for Health Choice. All children who are not eligibile for Medicaid are evaluated for Health Choice..."
You may either mail or bring the completed Medicaid Application to the County Department of Social Services (DSS) in the county where you live...."
...North Carolina Health Choice for Children is a state-designed program that provides health coverage to low-income children under the age of 19 who are not eligible for Medicaid and who have limited or no health insurance..."
"General information about children’s health coverage... - State-based resources, including possible enrollment partners - Steps for enrolling a child in coverage program - Follow-up flyer for parents - Health resources, by county, for children who are not eligible for coverage...
Your child’s coverage will last for 12 months. 60 days before the coverage ends, you will receive a letter asking you for any changes in your family’s residence, income or size. It is very important that you answer these questions and return the forms by the deadline, so your child can keep their coverage..."
How affordable is health coverage for North Carolina’s children? . CHIP eligibility is up to 200 percent of poverty... „X Medicaid eligibility is 200 percent of poverty for children 0-5, and 100 percent of poverty... for children 6-19..."
Thirty-six percent of North Carolina’s children are enrolled in Medicaid... The Medicaid program provides health insurance for over 735,000 low-income children in North Carolina. Medicaid is an indispensable health program providing health insurance coverage"
...The two major federal funding sources for low-income children’s public health insurance are Medicaid and the State Children’s Health Insurance Program (SCHIP). States enjoy some flexibility in their Medicaid programs for children,..."
Most family plans are funded through Medicaid, but a handful of states have waivers to use State Children’s Health Insurance Program (SCHIP) funds to cover parents. ..."
"In North Carolina, there are 1,276,256 families, with 2,231,545 children.
Low-Income Children: 42% (1,032,646) of children live in low-income families (National: 41%), defined as income below 200% of the federal poverty level..."
Individual state profiles..."
...As of October 1998, families who have a total household income that is too high to qualify for Medicaid but too low to afford rising health insurance premiums are able to get free or reduced price comprehensive health care for their children. The new plan, NC Health Choice for Children, provides the same coverage provided for the children of state employees and teachers. ..."
"DMA is working in partnership with Community Care of North Carolina (CCNC) and other community stakeholders including providers, local health departments, and the Division of Public Health, to create a program that provides pregnant Medicaid recipients with a pregnancy medical home (PMH). ..."
Nationally, nearly 17 million nonelderly women— including 10 percent of those living in North Carolina—are covered through Medicaid.1,2 In fact, women comprise the majority (65 percent) of North Carolina’s adult Medicaid beneficiaries...."
Medicaid benefits: Online database"
As of July 2003, 1,177,033 people were covered under North Carolina's Medicaid/SCHIP programs. 1,076,597 of these were Medicaid beneficiaries and 100,436 were enrolled into the separate SCHIP program. In state fiscal year 2003, North Carolina spent $7.4 billion to provide Medicaid services...."
If you need dental treatment, you will need to go to a dentist who is enrolled in the NC Medicaid Program and is willing to provide dental care to Medicaid recipients. Providers who have a "Y" indicated in the "Accepting New Patients" ..."
Dental Referral List by County Significant Medicaid Providers..."
Under the Medicaid State Plan dental benefits are provided to eligible individuals under the age of 21 in compliance with the requirements of Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services..."
The N.C. General Assembly has established income limits, which county departments of social services use in determining eligibility for Medicaid. These limtis are based on the number of persons in a family. If the income of the family is more than the amount set by the General Assembly, there will be a deductible..."
"Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. Health centers provide •checkups when you're well •treatment when you're sick •complete care when you're pregnant •immunizations and checkups for your children •dental care and prescription drugs for your family •mental health and substance abuse care if you need it..."
"North Carolina Federally-Supported Health Centers, 2008"
If you need affordable health care, a Community Health Center may be what you're looking for... Click here to find the health center closest to your address or to see a list of health centers in your state or county/parish..."
"...hand-held guide available that outlines your state’s (North Carolina) public and private health care choices for individuals and groups in almost every demographic profile, as well as offers a reference list of phone numbers and Web sites..."
...As a North Carolina resident, you have rights under federal and state law that will protect you when you seek to buy, keep, or switch your health insurance, even if you have a serious health condition. This guide describes your protections as a North Carolina resident. Chapter 1 gives an overview of your protections. Chapters 2 and 3 explain your protections....."
These are North Carolina Nursing Homes in cities A - Z." In addition to the state directory described above, there are nursing home directories for principal North Carolina cities. A few examples:
A consumer's guide to information and help about assisted living in North Carolina, with a directory of assisted living facilities..."
Directory of North Carolina Home Care Providers and Home Health Agencies, sorted by North Carolina cities. ..."
Medicare-Aid is a free Medicaid program for people who have Medicare and also have limited income and resources. The program can help pay your Medicare premiums, co-payments and deductibles. It is also known as Medicare Savings Program...."
If you are currently receiving Medicare and live in North Carolina, this booklet is for you. In this book you will find information on Medicaid programs that can help pay your Medicare bills. This book will tell you about Medicare Savings Programs, the general requirements, how to qualify, and what the programs cover...."
Si usted actualmente está recibiendo beneficios de Medicare y vive en Carolina del Norte, este libro es para usted. En este libro encontrará información sobre los programas del seguro Medicaid que le ayudarán a pagar sus cuentas de Medicare. Este libro le informará de los Programas de ahorro para personas con Medicare, los requerimientos generales, cómo cumplir con los requisitos y lo que los programas abarcan...."
"The following is a list of all North Carolina 1915(c) Waivers by name - complete with a description, contact information and web link..."
...This list contains information about state-specific Medicaid waiver and demonstration programs. Users can access fact sheets, copies of proposals, approval letters, and other documents related to specific programs..."
"You are encouraged to report matters involving Medicaid fraud and abuse. If you want to report fraud or abuse, you can remain anonymous; however, sometimes in order to conduct an effective investigation, staff may need to contact you..."
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