North Carolina Medicaid Eligibility Requirements

If you are looking to apply for Medicaid in North Carolina** then read the information below. Though we try to provide accurate information please note this is for informational purposes. We recommend you contact your North Carolina Medicaid Office to verify these eligibility requirements.

North Carolina Medicaid Overview
Medicaid is for eligible persons who need help paying their medical bills.

North Carolina Medicaid Eligibility
Enrollees must be U.S. citizens or legal permanent residents and live in North Carolina. Non-citizens that would be Medicaid eligible on all factors other than their citizenship status may be eligible for Medicaid to cover medical emergencies, including the birth of a child. Before Medicaid may be authorized, applicants must provide proof from a medical professional stating the treatment was due to an emergency condition.

Medicaid Income Requirements In North Carolina
This information is based on the Federal Poverty Level (FPL). These income guideline standards were effective starting January 1st, 2014.
Children
Age 0-1 210% FPL
Age 1-5 210% FPL
Age 6-18 133% FPL

Pregnant Women
196% FPL

Adults
Parents 46% FPL
Other Adults 0%
Is Medicaid Expanding? No

Documents You May Need
Proof of income
Social security number
Proof of assets
Proof of pregnancy if you are pregnant

Medicaid Coverage In North Carolina
Regular Medicaid: Doctor visits, Hospital visits, Prescriptions, Dental, Vision, Medicare premiums, Nursing home care, In-home care, Mental health care, Most medically necessary services for children under age 21, Personal care services, Medical equipment, and other home health services.

Medicaid for Pregnant Women: Maternity services only. Prenatal care, delivery and 60 days postpartum care, treating medical conditions which may complicate the pregnancy (approval for some services needed), childbirth and parenting classes, family planning, Maternity Care Coordination services.

**The information provided above is a general guideline when applying for North Carolina Medicaid. These guidelines can change from time to time, because of that we recommend that you contact your local Medicaid office in North Carolina to verify the latest eligibility requirments for Medicaid coverage in North Carolina.