North Carolina Medicaid

Medicaid Amanda Spence

North Carolina Medicaid Manual

This online manual contains the policy used in determining eligibility for Medicaid in North Carolina for the aged, blind, and disabled. Medicaid assists people with the cost of care in rehabilitation centers and skilled care in nursing homes.


Medicaid Application

This printable application can be completed and mailed to county Departments of Social Services in North Carolina to apply for Medicaid. Because eligibility for Medicaid is tied to the amount of assets a person owns and because the timing of an application can be an important factor in eligibility, we highly recommend that you consult an elder law attorney before applying for Medicaid.

Special Assistance Manual

This online manual contains the policy for the Special Assistance program, which covers the cost of care in rest homes and some assisted living facilities. The eligibility rules for Special Assistance are quite different from Medicaid’s rules.


Amanda Spence has assisted hundreds of clients with Medicaid applications and appeals in counties throughout North Carolina. If you’re thinking of applying for Medicaid or Special Assistance, contact Ms. Spence by telephone at (919) 863-4183 or by email at

What Are Advance Directives?

What are advance directives?

Advance directives are legal documents where you tell others exactly what you want to happen under certain circumstances if you become unable to make your own decisions. In North Carolina, we have living wills, health care powers of attorney, and advance instructions for mental health treatment.

Elder Law Resources

Organizations for Seniors:Resources for Seniors – Wake County, NC offers a concise and frequently updated list of support groups for caregivers and they have a PDF that you can download here.AARP homepage – National Association. Members of AARP receive bimonthly magazine. “AARP Magazine” addresses the needs and concerns of the 50+ population, including the 76 million strong baby boom generation. Members also receive the “AARP Bulletin.” The “Bulletin” carries reports about national state legislation and programs affecting older persons. An online version is also available.The National Council on the Aging – National organization. The National Council on Aging (NCOA) is a nonprofit service and advocacy organization headquartered in Washington, DC. The mission is to improve the lives of older Americans.

North Carolina Division of Aging and Adult Services “Our mission is to promote independence and enhance the dignity of North Carolina’s older adults, persons with disabilities, and their families through a community-based system of opportunities, services, benefits, and protections; to ready younger generations to enjoy their later years; and to help society and government plan and prepare for the changing demographics.”

What is Estate Planning?

What is Estate Planning?

Estate planning is the process of evaluating your goals and concerns related to the transfer of your assets upon death and, in come cases, during your lifetime. Estate planning can include professional advisors such as lawyers, accountants, financial planners and others. Estate planning usually results in the preparation and signing of certain documents such as a will, advance directives, and trusts to accomplish your estate planning goals.