Medicaid Application Instructions


Families interested in applying for the North Carolina Medicaid program have several options listed below. Detailed application directions are available by clicking here.

Apply in Person

You may apply at the County Department of Social Service (DSS) in your local County. The county representative may require the following documents to complete your application:

  • Current Bank Statements
  • Current Payroll Stubs
  • List of assets such as real estate and vehicles
  • Identification documents for individuals applying for Medicaid such as genuine birth certificates and proof of citizenship or immigration status
  • Social Security Card
  • Copies of any other insurance or medical policy
  • Recent statements from any other source of income e.g. child support, pensions and retirement benefits

You are not mandated to bring an application form with you. However, printing and filling out as much of the application as you can prior to your visit may expedite the process. An application form can be downloaded by clicking here.

Mail Application

You can also apply via mail by downloading and printing the application, click here to download an application. Fill the details requested and mail the form to your local DSS office. You may also call your local DSS office on 800-662-7030 and ask a representative to mail you an application form. Hearing impaired callers can dial (TTY):877-452-2514.

Please note applications received via internet and faxes are not considered.


Eligibility Requirements

To be eligible for Medicaid you must fall into one of the following categories: a parent, a children, a senior, or a person with disabilities. People with different needs will have access to different services. Using the terms below, follow this guide to determine your Medicaid Eligibility:

  • Aged, Blind and Disabled
  • Medicare Recipients
  • Long-Term Care
  • Infants, Children and Families

In order to receive Medicaid you must also be the following:

  • Be a U.S. citizen or have an eligible immigration status. (If applying for emergency services, you are not required to provide show immigration status).
  • Have a Social Security number (applied for SSN).
  • Live in North Carolina (show proof of residency).

If you are enrolled to receive any of the following benefits, you are eligible for Medicaid:

  • Supplemental Security Income (SSI)
  • Work First Family Assistance
  • Special Assistance to the Blind
  • State/County Special Assistance for the Aged or Disabled (Adult Care Home Assistance)

You usually would not have to get an exam to receive Medicaid. Only if you are apply because of a disability or to prove that you are pregnant.