Beneficiaries

Hurricane Helene Recovery

A virtual bulletin board with information and resources for Medicaid.

Learn more

A female physician speaking with a juvenile male patient in a medical examining room.

NC Medicaid Managed Care Children and Families Specialty Plan

NCDHHS Announces NC Medicaid Managed Care Children and Families Specialty Plan.

Read the press release

Tailored Plans have begun!

Behavioral Health and Intellectual/ Developmental Disabilities Tailored Plans (Tailored Plans) started July 1, 2024.

More information on Tailored Plans

Need help applying for NC Medicaid? Find a Medicaid Ambassador

A volunteer Medicaid Ambassador can walk you through the online Medicaid application (ePASS or HealthCare.gov) and answer questions you may have about the application. They cannot complete an application on your behalf.

Find a Medicaid Ambassador near you

Healthy Opportunities Pilots Launch for NC Medicaid Direct Populations

As of May 15, NC Medicaid Direct beneficiaries enrolled in Tailored Care Management are eligible to enroll in the Healthy Opportunities Pilots.

Find out more about eligibility and services

Photo of a man holding a cell phone with the ePASS homepage

What is ePASS?

Update your address and information for Medicaid online! Without having to call or visit your local Department of Social Services. ePASS is North Carolina’s secure self-service website where you can apply for benefits, view case details and renew your Medicaid.

Sign-up for an Enhanced ePASS account!

Notice to Class of Proposed Settlement of Franklin v. Kinsley

This notice has information about a Jan. 13, 2023, court hearing on whether to approve the proposed Settlement Agreement. The Settlement provides important protections for North Carolina Medicaid beneficiaries.

Read the proposed settlement notice

NC Medicaid Managed Care

On July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services in a new way called "NC Medicaid Managed Care." Beneficiaries choose a health plan and get care through a health plan's network of providers. Some beneficiaries remain in NC Medicaid Direct because it provides services that meet their specific needs. Learn more.

Get Started with Medicaid

Find out if you are eligible for Medicaid and learn how to apply.

What Beneficiaries Need to Know About NC Medicaid Managed Care

Answers to questions about NC Medicaid Managed Care

What Beneficiaries need to know about Medicaid Recertification (Renewal)

Information for beneficiaries about Medicaid recertification (renewal)

How to Get a Ride to Your Medical Appointment

Who to call to schedule non-emergency medical transportation (NEMT)

NC Medicaid Enrollment Broker

The NC Medicaid Enrollment Broker provides services to help Medicaid beneficiaries learn about their Medicaid health care options, how to find a primary care provider and enroll in a health plan.

Beneficiary Help Center

Find answers to questions

Administrative Hearings and Appeals

How to request a hearing if you disagree with a denial, reduction, suspension or termination of health services under NC Medicaid.

NC Medicaid Ombudsman

The NC Medicaid Ombudsman helps NC Medicaid beneficiaries understand NC Medicaid Managed Care. They can help Medicaid beneficiaries when they are not able to solve problems with their provider or health plan. They offer free, confidential support and education about the rights and responsibilities of Medicaid beneficiaries.

Note: Public charge rules that relate to determinations about certain legal resident statuses changed March 2021. Immigrants should know that they and their families can access many public benefits without concern, if they are eligible, and are encouraged to get information about public charge rules in English or Spanish (and other languages) on the NC Justice Center website.