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 is Medicaid?

What is Medicaid?

Medicaid is a health insurance program for low-income individuals and families who cannot afford health care costs. Medicaid serves low-income parents, children, seniors, and people with disabilities.

You may be eligible for Medicaid if you are age 65 or older, blind, or disabled. Eligibility for Medicaid is based on your family’s monthly income and the amount of resources you own. To receive Medicaid for the blind or disabled, you must be evaluated by a doctor.

A disabled and/or blind individual may be able to go to work or increase their hours of work and still receive Medicaid.

If you receive SSI, you are eligible for North Carolina Medicaid. You do not need to apply.

When you apply for Medicaid, your family’s monthly income is calculated by subtracting certain deductions from your gross income.  Social Security, veteran’s benefits, wages, pensions and other retirement income are counted.  The deductions vary with each Medicaid program.  Your county worker will calculate your monthly family income.

Medicaid may also help pay for nursing home and care facilities as well as in-home care.

To be eligible for Medicaid, your monthly income and resources must be below certain thresholds.

If your family income and/or resources are over the limit and you have high medical bills, you may still qualify for Medicaid and have a Medicaid deductible.