- Medicaid is the program that provides health coverage to eligible low-income adults, children, and pregnant women.
- Medicaid Eligibility is determined by DSS.
- Medicaid provides medical, dental and vision insurance.
- With North Carolina’s transition to Managed Care, most recipients work with their selected health plan for information about benefits and coverage (Medicaid Health Plans – https://www.ncmedicaidplans.gov/ )
Family and Children’s Medicaid
- Family and Children’s Medicaid is the program that provides health coverage to eligible low-income families with children and pregnant women.
- NC Health Choice is NC state’s name for the children’s health insurance program (CHIP). It provides health coverage to eligible children in addition to Medicaid.
- Medicaid and NC Health Choice are jointly funded by North Carolina and the federal government.
- Adult Medicaid is a health insurance program for those adults without children under the age of 18 and whose income is below the amount set by the federal and state government.
- Some specific types of Adult Medicaid include:
- Medicaid for the Aged: If you are over 65, blind or disabled, the income limit to receive Medicaid is equal to 100% of the poverty level.
- Long Term Care Medicaid pays for medically necessary nursing home care for patients in skilled or intermediate care facilities for people with developmental disabilities.
- Special Assistance allows an individual to remain in their home for as long as possible with assistance provided by a paid caregiver (vs. placement in a nursing home).
- MEDICARE is a health insurance program managed by the federal government. Eligibility is based on age and for some special circumstances, those with disabilities. Citizens may be eligible to have Medicare premiums covered by Medicaid if their income is between 100% and 135% of the poverty level.
- The Medicaid Transportation program is provided to assure that eligible individuals have the non-emergency transportation they need to medical appointments.
- Medicaid Transportation will be available if the recipient receives a Medicaid covered service provided by a qualified medical provider (enrolled as a NC Medicaid provider). Medicaid only pays for the least expensive means suitable to the recipient’s needs.
- Alexander County uses Greenway and Blue Ridge as transportation companies to assist clients. Alexander County also provides mileage reimbursement for Medicaid clients who have their own vehicle but lack the funds to get them to their scheduled doctor appointments.