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Medicaid

Provides health coverage to low-income people and is one of the largest payers for health care in the United States.

NC Medicaid supports the health and wellbeing of more than 2.3 million North Carolinians, nearly one in four people across our state. At its core, the NC Medicaid program provides critical health insurance coverage for individuals and families with low income but also goes much further in improving the lives of North Carolinians of all ages. That includes supporting medically fragile children, people with severe mental illness, as well as those in adult care homes and nursing homes.

Ways to Apply

Applications can be submitted one of several ways:

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Adult Medicaid

Mecklenburg County administers Medicaid for adults age 65 and over. If eligible, full coverage will pay for most medical needs.  Medicaid is a medical assistance program that pays medical bills for people who meet certain eligibility requirements (such as income, age, or disability) which are based on federal regulations and state law.

Programs for Adults

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Family and Children's Medicaid

Family and Children's Medicaid helps with medical bills such as doctor fees, prescription drugs, and hospital charges. The following may be eligible, depending on the amount of monthly income and resources available to the individual / family, and the amount of medical expenses incurred:

  • Children through age 20 who live alone, with one or both parents, or with other adults.

  • Parents caring for children under age 19.

  • Adults ages 19 - 64. See Medicaid expansion info.

  • Pregnant women, with or without other children.

Programs for Families and Children

NC Medicaid Managed Care Update

To ensure beneficiaries can seamlessly receive care on day one, the North Carolina Department of Health and Human Services (NCDHHS) is delaying the start of the NC Medicaid Managed Care Behavioral Health and Intellectual/ Developmental Disabilities Tailored Plans (Tailored Plans) scheduled for October 1, 2023. A new start date for Tailored Plan has not been announced. Beneficiaries set to receive care through the Tailored Plans will continue to receive behavioral health services and I/DD and TBI supports through their Local Management Entity/Managed Care Organizations (LME/MCOs) and physical health and pharmacy services through NC Medicaid Direct, just as they do today.