North Carolina Medicaid

Finding the right answers and information about a complicated topic like Medicaid can mean searching through hundreds of pages at government and private websites. Our editors have compiled this digest of North Carolina Medicaid help and resources to assist in your search.

topics: North Carolina Medicaid: North Carolina Public Health Insurance: medical coverage, centers for Medicaid; Medicaid In North Carolina; Medicaid Assistance information; LA; definition Medicaid North Carolina: North Carolina Medicaid Eligibility: Applying for North Carolina Medicaid: Medicaid: Health Programs for Children: North Carolina CHIP:

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Definitions of Medicaid in North Carolina

Medicaid in North Carolina*

"Medicaid is a health insurance program for low-income individuals and families who cannot afford health care costs. Medicaid serves low-income parents, children, seniors, and people with disabilities.

Medicaid is a little different, depending on who you are and your situation.
What You Can Expect from Medicaid
  • Individuals on Medicaid receive a Medicaid Identification (MID) card, which is their insurance card.
  • There are copayments for some services.
  • Medicaid has several different types of coverage for people with different needs. For instance, pregnant women have a special package of benefits all their own.
  • To receive Medicaid, you don’t have to go through a physical or other type of exam. However, if you are applying because you are pregnant, proof of pregnancy is required. You can’t be rejected for Medicaid because of a health condition you already have. Instead, Medicaid is based on your family’s finances. You do not have to have a medical need.
  • Medicaid managed care provides a medical home if you are enrolled in Carolina Access or Southcare. Your primary care provider will help you get the medical services you need.

*source: North Carolina Department of Health and Human Services: NC Division of Medical Assistance , Raleigh, NC 27699-2501

Children's Medicaid in North Carolina

See the section on this page Health Programs for Children: CHIP: North Carolina

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Medicaid in North Carolina: How It Works; An Introduction to North Carolina Medicaid; What is North Carolina Medicaid?

how to use this data


North Carolina Medicaid Eligibility, How to get Medicaid in North Carolina, Requirements


North Carolina Medicaid Citizenship Requirements


Applying for North Carolina Medicaid


North Carolina Medicaid Offices


North Carolina Medicaid Health Plans, HMO, North Carolina Managed Care


Find North Carolina Medicaid Physicians, Doctors


Children's Medicaid: Health Programs for Children: North Carolina CHIP:


What health care programs for children are available in North Carolina?

Children's Medicaid in North Carolina; Medicaid for Infants and Children (MIC):

North Carolina Medicaid provides health care coverage for children who meet the requirements based on income, residence, and other criteria. Medicaid for Infants and Children (MIC) provides medical coverage for children under age 19. The income limits are determined by the family size and the age of the child(ren) for whom you are applying. There is also coverage for some individuals under Medicaid for Families with Dependent Children; which provides medical coverage for parent(s) or other caretaker/relative with child(ren) age 18 and under in the household and for children under age 21. A pregnant woman may also qualify.

There is an additional program, which is not Medicaid:
"North Carolina Health Choice (NCHC) for Children is a free or reduced price comprehensive health care program for children. The goal of the NCHC Program is to reduce the number of uninsured children in the State to ensure that the population served will be healthy and ready to learn and work. 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."
*source: North Carolina Division of Medical Assistance

What is CHIP?

"Originally created in 1997, the Children's Health Insurance Program (CHIP) is a state and federal partnership that provides low-cost health insurance coverage for children in families who earn too much income to qualify for Medicaid but cannot afford to purchase private health insurance coverage. States have considerable flexibility to establish income eligibility rules for CHIP, but children enrolling in the program must be otherwise uninsured."
source: - Sponsored by the U.S. Department of Health and Human Services. , Washington, DC

North Carolina Medicaid Benefits and Coverage: Medicaid Services


Medicaid Prescription Drugs; Preferred Drug List


North Carolina Medicaid Dental Services; Dentist


Other Health Coverage Options in North Carolina


North Carolina Medicaid and Nursing Homes, Assisted Living, Home Health Care


North Carolina Medicare / Medicaid Dual Eligibles - Medicare Savings Programs


North Carolina Medicaid Waiver Programs


Report Medicaid Fraud in North Carolina


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Cheryl Graham