Family and Children's Medicaid helps with medical bills such as doctor fees, prescription drugs, and hospital charges. The following may be eligible, depending on the amount of monthly income and resources available to the individual/family, and the amount of medical expenses incurred:
Medicaid for Pregnant Women (MPW) coverage is limited to services or treatment for conditions that affect the pregnancy. If a pregnant woman is covered by Medicaid, her newborn child is automatically eligible for Medicaid up to age one.
Pregnancy Care Management, Medicaid's maternity and child services program, provides formal case management services to eligible women during and after pregnancy and intervention as early in pregnancy as possible to promote healthy pregnancy and positive birth outcomes. Pregnancy Care Management is for the following individuals:Medicaid-eligible pregnant women who:
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North Carolina Health Choice assists children under the age of 19 who do not receive Medicaid or have any other health insurance coverage. Coverage provided is the same as coverage provided for the children of state employees and teachers, plus vision, hearing and dental benefits.
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Be Smart Family Planning (Family Planning Program) extends eligibility for family planning services to reduce unintended pregnancies and improve the well-being of children and families. Ask how you can Be Smart by calling 1-800-367-2229 or by completing and submitting an application to your county department of social services.
Medicaid Managed Care began in June 1996. Participation in a managed care plan is mandatory for a majority of Medicaid recipients in North Carolina. Managed Care provides access to medical services in a preventive manner with reimbursement on a capitated fee basis. Customers receiving Medicaid are enrolled in Carolina ACCESS I or II. Carolina ACCESS brings a system of coordinated care to the Medicaid program by linking each eligible recipient with a primary care provider (PCP).