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Medicaid for Family and Children

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 to services or treatment for conditions that affect the pregnancy. Medical verification of pregnancy is required. If a pregnant woman is covered by Medicaid, her newborn child is automatically eligible for Medicaid up to age 1.

Baby Love, 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.

Need More Information?
Medicaid Program Information
What are the eligibility requirements for Medicaid?
What does Medicaid cover?
How do I apply for Medicaid?

In an effort to provide outreach in locations more convenient to families and children, individuals with accounts at the hospital locations may also apply for Family and Children's Medicaid at the following locations:

  • Carolinas Medical Center University Hospital (CMC-University/Main Entrance)
     – Please call 704-863-5621 for Appointment for this location
  • Carolinas Medical Center on Blythe Blvd (CMC-Main / Levine–4th Floor)
  • Carolinas Medical Center Myers Park Clinic (CMC Myers Park–1st Floor)
  • Carolinas Medical Center Northpark Clinic (CMC Northpark–1st Floor)
  • Carolinas Medical Center Biddle Point Clinic (CMC Biddle Point–1st Floor)
     – Please call 704-350-1097 for Appointment for this location 

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
  
The Be Smart program offers free family planning health services to moderate- and low-income men and women in North Carolina who are:

  • Women ages 19 through 55
  • Men ages 19 through 60

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.

Enrollment for 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). Carolina ACCESS Member's Handbook



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