North Carolina Application for Presumptive Eligibility for Medicaid
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FAQ
Be responsible for a child 18 years of age or younger, or. Blind, or. Have a disability or a family member in your household with a disability, or. Be 65 years of age or older.
Medicaid may help pay for certain medical expenses including: Doctor Bills. Hospital Bills. Prescriptions (Excluding prescriptions for Medicare beneficiaries) Vision Care. Dental Care. Medicare Premiums. Nursing Home Care. Personal Care Services (PCS), Medical Equipment, and Other Home Health Services.
North Carolina is expanding who can get Medicaid starting December 1, 2023. Adults ages 19 through 64 earning up to 138% of the federal poverty line (e.g., singles earning about $20,000/year or families of three earning about $34,000/year) may be eligible.
Presumptive Eligibility for Pregnant Women is immediate and temporary coverage for low-income women who are pregnant and might be eligible for Medi-Cal. Coverage is available for up to 60 days while you apply for ongoing Medi-Cal.
PE provides short-term coverage for a limited set of services, including prenatal care, labs, ultrasound and medications, to reduce barriers to timely care in pregnancy.
Effective January 1, 1995, SSI beneficiaries in North Carolina automatically receive Medicaid. This is the section of the North Carolina Department of Health and Human Services (DHHS) which is responsible for making determinations of disability for RSDI, SSI, and Medicaid. This is the date that the disability began.
