Medicaid

Mother with child at the doctor

Medicaid is a medical assistance program that serves children, adults and families.

Medicaid will pay medical bills for people who meet certain eligibility requirements such as income, age or disability. Covered services include hospitalizations, physician services, medications and different levels of care in nursing and residential facilities.

Apply Online Report Changes

A new way to get Medicaid beginning July 1!

Unless you selected your choice of plan before May 15, you've been auto assigned to a plan. But good news! You have until the end of September to change plans if you're unhappy with this selection. 

If you receive care from our Wake County Health & Human Services clinics and wish to continue these services, follow these easy steps to include us in your plan:

  1. Visit ncmedicaidplans.gov and use the "find a provider tool." 
  2. Know the name of your doctor? Select "search by provider." Don't know the name of your doctor? Select "search by organization." 
  3. Type the name of your doctor or organization (Wake County Health & Human Services) in the search and click ENROLL at the location where you want to receive care. 
  4. Log in and follow the instructions to complete enrollment. 
  5. Receive your new Medicaid card and begin using July 1

 

Questions? Visit ncmedicaidplans.gov or call 833-870-5500

Introduction to NC Medicaid Managed Care (English)

Introduction to NC Medicaid Managed Care (Spanish)

Learn about NC Medicaid Managed Care

Do you have Medicaid now and ready to enroll in a Medicaid Managed Care Plan?Enroll in NC Medicaid Managed Care 

NC Medicaid Ombudsman

The NC Medicaid Ombudsman is an advocate for beneficiaries to provide free, confidential assistance to educate and empower people with Medicaid during the change to Medicaid Managed Care. The Ombudsman also connects people to resources like social services, housing resources, food assistance, legal aid and other programs.
NC Medicaid Ombudsman

Learn more about Medicaid Programs

Family and Children’s Medicaid

  • Covers children through age 20, parents and caretakers of minor children under the age of 18, and pregnant women who meet income requirements.
  • Family Planning Program (FPP) is designed to reduce unintended pregnancies and improve the well-being of children and families. Services are provided to eligible persons of any age who are ineligible for all other Medicaid programs.
  • North Carolina Health Choice (NCHC) Health Insurance for Children provides reduced price comprehensive coverage for children six to 18 years whose family income meets certain limits but is too high to qualify for Medicaid.

Adult Medicaid

  • Provides coverage for disabled or blind persons of any age and adults aged 65 or older. There are income and reserve limits for these programs.
  • Private Living Assistance (PLA) Medicaid covers individuals or couples living in their own homes or apartments, or in the homes of relatives or friends.
  • Special Assistance coverage helps pay the cost of care for adults over the age of 18 living in an adult care home, rest home or other assisted living facility.
  • Special Assistance-In Home offers monthly payments to help individuals at risk for adult care home placement to continue living at home.
  • Long Term Care (LTC) Medicaid helps pay for care in a nursing home or intermediate care facility. Learn more about Long Term Care Medicaid.

Community Alternatives Program (CAP) and Program of All-inclusive Care for the Elderly (PACE)

  • Community Alternatives Program (CAP) and Program of All-Inclusive Care for the Elderly (PACE) provide home and community-based services that allow Medicaid beneficiaries who require nursing home care to live safely at home
  • Learn more about the Community Alternatives Program
  • Learn more about PACE

Medicare-Aid for Qualified Beneficiaries (MQB)

  • MQB is a limited assistance program for individuals enrolled in Medicare Part A and/or Medicare Part B.
  • MQB helps pay for Medicare premiums and in some cases, Medicare coinsurance and deductibles.
  • If found eligible for MQB, the process usually takes three to four months to receive coverage. Any premiums deducted from a Social Security check that the State is responsible for paying, will be reimbursed. If Medicaid stops for any reason, Medicaid will no longer pay the Medicare premium.
  • To participate in MQB, individuals must apply for Medicaid first. There is not a separate application process for MQB.

Contact Us

Call: 919-212-7000
Fax: 919-212-7028
Mail:
Wake County Health & Human Services
P.O. Box 46833
Raleigh, NC 27620