Medicaid for Workers with Disabilities

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Individuals with disabilities may receive Medicaid through the Health Coverage for Workers with Disabilities (HCWD) Act (NCGS 108A-66.1).

HCWD provides full Medicaid coverage for workers with disabilities ages 16 through 64. To be eligible, your unearned income cannot exceed 150% of the federal poverty level (FPL).

Those with countable incomes above 150% of FPL must pay an annual enrollment fee. Those with countable incomes above 200% of FPL must pay an enrollment fee and a monthly premium. Medicaid beneficiaries ages 16-20 also are entitled to additional services provided under Early and Periodic Screening, Diagnosis and Treatment (EPSDT).

Family Size 1 2
150% FPL $1,595 $2,155
200% FPL $2,127 $2,874

Your family’s monthly income is calculated by subtracting certain deductions from your gross income. Your county Division of Social Services (DSS) caseworker will calculate your monthly family income.

Your resources may not be more than $25,728. Resources include:

  • Cash
  • Bank accounts
  • Retirement accounts
  • Stocks and bonds
  • Cash value of life insurance policies
  • Other investments


Local Division of Social Services Directory