Economic Services
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Medicaid Eligibility Chart

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Family and Children Medicaid

This program helps families or individuals with medical bills such as doctor fees, prescription drugs, hospital charges, and nursing home care.

There are several different types of Medicaid. All have income limits, and some have resource limits. Your caseworker will explain these to you.

1. Persons who are eligible will get a Medicaid card annually. Medicaid can also cover medical bills from the three months before the month you apply.
2. Families with children through age 20. The parent can receive Medicaid if only one parent is in the home and the child is under age 19. Both parents can receive Medicaid if both are in the home, but one of the parents is out of work or has an illness or injury; unemployment and underemployment.
3. Children through age 20 who live with both parents or other adults.
4. Individuals through age 20 who live apart from their parents or other adults.
5. Children under age 1 whose parents' income is equal to or less than 185% of the poverty limit. The limit is higher than for older children. There is no resource limit.
6. Children from age 1 through age 5 whose parents' income is equal to or less than 133% of the poverty level. This limit is higher than for children ages 6 and over. There is no resource limit.
7. Children from age six through age 18 whose parents' income is equal to or less than 100% of the poverty level. There is no resource limit.
8. Pregnant women, with or without other children. The income limit is 185% of the poverty level. There is no resource limit.
9.

Newborn child of a Medicaid authorized mother - Automatic coverage of newborn (M-AF or M-IC)

Medicaid Covered Services

Medicaid Q & A

Adult Medicaid
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Adult Medicaid is a program that helps with medical bills such as doctor fees, prescription drugs, hospital charges, and nursing home care for eligible individuals that are aged, disabled, or blind. Income and resource limits apply. No money is paid to the client. The eligible client receives a Medicaid identification card through the mail to show the health care provider. Medicaid can also cover medical bills from up to 3 months prior to the month of application and in which there is a medical need.

Additional Medicaid Information

Medicaid Covered Services

Medicaid Q & A

NC Health Choice (NCHC)
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North Carolina Health Choice is health coverage that is to be provided under the federal Title XXI program, which was approved by the North Carolina General Assembly, signed into law by Governor Hunt and approved by the United States Health Care Financing Administration (HCFA).  The program was implemented in October 1998, allowing families to obtain health coverage for their children who are otherwise ineligible for Medicaid and not covered by comprehensive health insurance.

Eligibility Requirements

In addition to family income eligibility, children must have been uninsured for two months prior to their application, unless the child has special needs that must be verified by a health care professional.  It must be determined the child or children are not qualified for Medicaid.

Income Guidelines

There are essentially two countable income levels.  If the family's countable income is at or below 150% of the federal poverty level, there is no fee required.  If the family's countable income is at or below 200% of the federal poverty level, there is a fee of $50.00 for one child and $100.00 for two or more children.  See charts below:

Services Covered

Below are some of the covered services provided to recipients of North Carolina Health Choice.  A fee may be required for some services depending on the family's countable income

Hospital Care

Outpatient Care

Physician and Clinic Services

Surgical Services

Prescription Drugs

Laboratory and Radiology

Inpatient Mental Health Services

Durable Medical Equipment and Supplies

Vision

Hearing

Home Health Care

Nursing Care

Dental Care

Inpatient Substance Abuse Treatment and Outpatient Substance Abuse Treatment

Physical Therapy, Occupational Therapy and Therapy for Individuals with Speech, Hearing and Language Disorders

Hospice Care

Special Needs

How to Apply

Applications are available at the Dare County Department of Social Services and various locations throughout the county.  Local health care professionals, and the Dare County Health Department have applications available to be picked up by interested families.  Applications can be made in person or completed and mailed to Dare County Social Services, P O Box 669, Manteo, North Carolina  27954.  For further information, please contact Dare County Social Services at (252) 475-5500.

"Let's keep our children healthy, let's keep them covered!"

Additional NC Health Choice Information

NC Health Choice Covered Services

NC Health Choice Rights and Responsibilities

Work First Family Assistance (WFFA)
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Work First Family Assistance (WFFA) is temporary cash assistance, employment based program. Families found eligible will receive a monthly check, in addition to Medicaid. Eligibility is based on income and reserve.

Emphasis on employment and personal responsibility begin at the application interview and are carried throughout the process.

Individuals are required to sign a Personal Responsibility Contract during the application process. This contract states that the client agrees to:

Reserve limit: $3,000.00
Income limit is based on the number of people included in the check.

Additional Work First Family Assistance Information

WFFA Q & A

Food & Nutrition Services Program
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Food & Nutrition Services Information

Program Integrity
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This program ensures the integrity of economic services programs such as: Work First Family Assistance, Food and Nutrition Services, Medicaid and Low Income Energy Assistance.  If there is a report of suspected program fraud, the worker assigned to this position will do a thorough investigation to determine if someone received benefits they were not entitled to.

To report fraud or abuse, please contact Dare County Department of Social Services at (252) 475-5500.

Care-Line
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Care-Line Information

Low Income Energy Assistance Program (LIEAP)
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Low Income Energy Assistance Program Information