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:
- Children through age 20 who live alone, with one or both parents, or with other adults
- Parents caring for children under age 19
- Pregnant women, with or without other children
Medicaid for Pregnant Women (MPW) coverage is limited toservices 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:
- Meet priority risk criteria identified through a standardized Pregnancy Risk Screening by a Pregnancy Medical Home (PMH) provider
- Are referred for Pregnancy Care Management (PCM) by a PMH provider or non-PMH provider
- Are identified through Community Care of North Carolina (CCNC) reports of claims data
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Medicaid Program Information
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.
Download an Application
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.
On July 1, 2021, Medicaid beneficiaries began receiving the same Medicaid services in a new way through NC Medicaid Managed Care health plans. Most beneficiaries will continue to get care from the same doctor but will now be a member of a health plan. Some beneficiaries will not enroll with health plans and will remain in NC Medicaid Direct. A health plan is a group of doctors, hospitals and other health care providers who work together to help you with your health care needs.