How does NC Medicaid work?

How does NC Medicaid work?

NC Medicaid manages the state’s Medicaid and NC Health Choice health care programs, pharmacy benefits, and behavioral health services. In addition, NC Medicaid oversees community alternatives programs for children and disabled adults, home health care, and helping people transition from nursing homes to live in their own communities—and more.

What are the financial Medicaid eligibility requirements in North Carolina?

What Are the Financial Medicaid Eligibility Requirements in North Carolina? Medicaid in NC can be granted to recipients who are age 65 or older and children/infants 21 and younger. Applicants that may require long-term care, are disabled or blind and are living on low incomes are likely eligible for Medicaid.

What is the difference between Medicaid and NC Health Choice?

Medicaid is the program that provides health coverage to eligible low-income adults, children, pregnant women, seniors and people with disabilities. The program is jointly funded by North Carolina and the federal government. NC Health Choice is our state’s name for the Children’s Health Insurance Program (CHIP).

Is clothing considered a resource for Medicaid in North Carolina?

Clothing, furnishings and primary property are not considered resources. Medicaid benefits eligibility in NC states that a deductible must be paid by the beneficiary if monthly income limits are exceeded. The deductible is based on Medically Needy income guidelines – $242 for single recipients and $317 for couples.

What are the different types of Medicaid beneficiaries in North Carolina?

As a Medicaid or NC Health Choice beneficiary, you fall into one of three categories: . Most beneficiaries receiving Medicaid or NC Health Choice will be required to transition to NC Medicaid Managed Care. This means you must choose a health plan and a Primary Care Provider (PCP).

Can I stay in NC Medicaid Managed Care?

NC Medicaid Managed Care – Exempt Some beneficiaries can choose to stay in NC Medicaid Direct. This means you are not required to choose a health plan and a PCP. NCDHHS – Division of Health Benefits will send you a letter that tells you if you have the choice to enroll.

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