MEDICAID
Can I get Medicaid?
Medicaid pays for covered medical and health care services for eligible families with children and for adults who are:
Resources are considered when determining eligibility for most programs. Income limits are based on the federal poverty level and range from 100 to 200% of the federal poverty level depending on the program for which you are eligible.
What is the definition of disability?
As defined by Social Security, it is a physical or mental impairment which prevents an individual from engaging in any substantial, gainful activity, and which has lasted or is expected to last for at least 12 months, or is expected to result in death. To apply for disability benefits, you must apply through the Social Security Administration offices, 1-800-772-1213 or 1-800-325-0778 (TTY).
Where can I get an FL-2 for the nursing home?
You may pick up an FL-2 at the Medicaid reception desk at the Department of Social Services. You may call 798-3460 and request one be sent to you through the mail.
How do I apply for Medicaid?
To make an application, you or someone you trust to represent you, should visit the Department of Social Services in the county where you live. New Hanover County Department of Social Services is located at 1650 Greenfield Street, telephone number is 798-3400. If you are unable to go to Social Services, you may request a home visit. You may request an application to be mailed to you. You are not required to take anything with you when applying; however, it is helpful if you have your Social Security Number, proof of your income and information about your resources (such as recent bank statements for all accounts, insurance policies, health insurance cards). If you are self-employed, your business records and/or tax records would be helpful.
If you receive Supplemental Security Income (SSI), you are automatically covered for Medicaid. You may apply for SSI at the nearest local Social Security Office. You can call the Social Security Office at 1-800-772-1213 or 1-800-325-0778 (TTY) between 7:00 a.m. and 7:00 p.m. for more information.
How can I get a new Medicaid card?
New Medicaid cards are mailed to recipients at the beginning of each month. It may take up to the first 10 business days of the month to receive your card. If you do not receive your card when needed or if you misplace your card, contact your Medicaid worker regarding a replacement card.
Which Doctors or Dentists accept Medicaid?
Medicaid benefits and eligibility vary according to a person's circumstances. Some individuals may be serviced by Carolina ACCESS which is a managed care program that links you with a personal doctor who accepts Medicaid. This doctor is referred to as your Primary Care Provider. If you are not linked by Carolina ACCESS you will need to contact individual doctor's or dentist's offices to see if they accept Medicaid. Your local Department of Social Services may be able to provide the names of doctors and dentists who are known to accept Medicaid patients.
What is Carolina Access?
Carolina Access is a Medicaid managed care program. As a Medicaid recipient you must participate in this program unless you receive Medicaid as a pregnant woman, a child in foster care, a Community Alternative Program (CAP) participant, or you have Medicare.
Will Medicaid pay for my care in a nursing home?
If you meet eligibility requirements, Medicaid will pay for some portion of your cost of care in a long term skilled or intermediate care facility as well as medical expenses.
Will the State take my home if I get Medicaid?
If you receive CAP or are in a long term care facility, estate recovery may apply to you. This means at the time of your death the government may make a claim against your estate to recover the money paid to medical providers on your behalf.
Can I get a check along with Medicaid?
Medicaid pays the medical provider directly. No payment is made to the recipient. Persons residing in Adult Care Homes (often called rest homes) may be eligible for a check under the Special Assistance Program to help pay for their monthly cost of care in the home. Clients who qualify for WFFA get a check and Medicaid.
How do I apply for Health Choice?
You may come to the New Hanover County Department of Social Services to apply or request an application be mailed to you.