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NC FAST updates are also available on our Social Services Homepage 

 North Carolina Families Accessing Services through Technology  (NC FAST) was developed as a tool to improve the way eligibility was determined and benefits given for a whole spectrum of services, such as Food and Nutrition Services, Medicaid, Work First and Child Care. The NC FAST program is designed to improve the way the NC Department of Health and Human Services (DHHS) and the 100 county departments of social services conduct business. Wake County economic services are in the midst of multiyear rollout of the NC FAST case management system. NC FAST introduces new technological tools and business processes that will enable staff to spend less time performing administrative tasks and more time assisting families.
While a high volume of applications and technical difficulties are still resulting in delays for users, Wake County staff are working to address the backlogs while switching over to the NC FAST system. Wake County completed the conversion of the Food and Nutrition Services program into NC FAST in 2013 and began taking applications for Medicaid in the new system in October 2013. Conversion of all active Medicaid and Work First cases is ongoing during 2014. 
Here are a few things to keep in mind:
  • If you are eligible to receive benefits, you will receive backdated benefits.
  • We are working to process your applications and re-certifications as quickly as possible, but if it takes longer than expected, you will receive benefits from the day your application or re-certification was supposed to take effect.
  • If you have submitted an application, you do not need to reapply or call, unless you have new contact information or you must submit changes that could impact your benefits.

To apply for benefits:

Clients can currently apply for Food Stamps and Medicaid online via the NC ePASS (Electronic Pre-Assessment Screening Service) website.
ePASS is a secure, Internet-based tool that will enable individuals or families to screen for their possible eligibility from any Internet-connected computer. Currently, screening is available for Food and Nutrition Services (FNS) and Medicaid programs.
If you are an existing or prospective client and would like to learn more about NC ePASS, please review the NC ePASS information provided under the Special Initiatives section of our website.

Interviews with Wake County Assistant Director of Human Services Liz Scott, containing NC FAST video updates.

Frequently Asked Questions

Click on a question to learn more: 

How did WCHS prepare for NC FAST?

How will the implementation of NC FAST affect clients?

When will other WCHS programs use NC FAST?

Why has processing been delayed?

Have you received my application or re-certification? 

Why is my Medicaid re-certification still pending?

When am I getting my benefits/why is my Medicaid or FNS Application still pending?

While my application is pending what can I do if I need medical care?

​I've been told I've been placed on a priority list, how long does that process take?

Whom can I contact for more information?


Q:​ How did WCHS prepare for NC FAST?​
​A: ​WCHS developed a communication plan to assist the community with understanding the impact NC FAST will have on services. 

WCHS has been busy hosting information sessions with community partners, WCHS staff, and other Wake County departments that also serve our clients.

WCHS has been allocating staff across the agency to handle the increase in phone calls, to process the new applications, and to transition existing cases to NC FAST.



​A: ​The goal of NC FAST is to make applying for services easier, faster and more efficient. Clients will be able to access the information and applications they need via the Internet.

Since NC FAST will eventually be implemented across many programs, clients can expect a more consistent process that issues benefits.

Once everything is in place, clients should have the ability to apply for benefits at any location with Internet access.


Q: When will other WCHS programs use NC FAST?
A: ​Food and Nutrition Services has been implemented, and Medicaid and Work First are currently in transition to the new system. To learn more about when other programs will be using NC FAST, please visit the NC DHHS website for details regarding the NC FAST rollout schedule.


Q:  Why has processing been delayed?
A: Due to the large amount of Medicaid applications we have received from the State via the Federal Marketplace during the Healthcare Enrollment Period and the difficulties with the new NC FAST System, Wake County Human Services is currently experiencing a backlog in the processing of Medicaid applications in NC FAST.  We are addressing the backlog of Medicaid applications as quickly as possible.

Wake County has created new positions and has dedicated these and existing resources to address this backlog.  We understand your frustration and appreciate your patience and understanding.

Please keep in mind that resubmitting an application could result in a further delay. You will be contacted only if additional information is needed concerning your application.  Otherwise you will receive notification by mail once a decision has been made on your case.


 Have you received my application or re-certification?


Please contact the Customer Support Call Center via phone at  919-212-7000 or via

 e-mail at to see if we have received your application.


The State received a waiver which allows for active Medicaid cases that are due for re-certification to continue to receive benefits if their re-certification is not processed by the end of the re-certification month. Assuming the client is still eligible, they will not experience a lapse in their Medicaid coverage.


Wake County Human Services provides a list of medical providers that see uninsured patients. 

If the client is pregnant, Wake County has prenatal clinics where they can be seen.  The Prenatal Clinic's number is: 919-250-4701.

We encourage you to see someone if you need immediate medical attention regardless of your Medicaid status.


The priority list is reviewed on a daily basis.  We will make every effort to address the client's application or re-certification as promptly as possible.  Unfortunately, we cannot promise or guarantee a timeframe in which the process will be completed.



​For answers regarding your case status, please contact:
the Customer Support Call Center at  919-212-7000 
or e-mail or


For answers to your questions regarding NC FAST, please contact:
Sharon Gardei, NC FAST County Champion