Medicaid

Residents can apply online, in person or by mail. The application requires documents and information about your household that you may need to gather.

Online

Apply online with ePASS. You may need to create an account first. On the application, NC Medicaid is referred to as “Medical Assistance.”

• ePASS

• NCDHHS – Medicaid

  In Person

  Apply in person at Alamance County Department of Social Services (DSS) office. You can also drop off an application at the Alamance County Department of Social Services.

  If you cannot apply online, you can:

• Call (336) 570-6532 and complete a telephone application.

• Submit a completed paper application, to

  319 N Graham Hopedale Rd.

  Suite C, Burlington, NC 27217

  or by fax to (336) 260-8651.

  Gather these documents with you:

  • North Carolina residency

  • Income Statement

  • Birth Certificate

  • Social Security Number

  • Citizenship proof or Immigration status proof

  Fill out the paper application as possible ahead of time and take your documents with you. 

  It can take up to 45 days to process your application. Incomplete applications may take longer.

Learn about H.R.1 and the Federal Changes to Medicaid below:

The Impact of H.R. 1 and Federal Changes to Medicaid | NC Medicaid

New: Possible Changes for United Healthcare Community Plan Members

UHC is in active negotiations with ECU Health in North Carolina in order to maintain in-network coverage for United Healthcare Community Plan Members.
Visit Network Negotiations with ECU Health UnitedHealthcare to learn more about the
possible changes.
New: Wellcare/Carolina Complete Health Merger

NC Medicaid WellCare of NC merged with Carolina Complete Health effective

April 1, 2026. Click here for details Medicaid-Health-Manager.pdf

North Carolina expanded health care coverage to more people.

https://medicaid.ncdhhs.gov/north-carolina-expands-medicaid

Questions about Medicaid Expansion:

https://medicaid.ncdhhs.gov/questions-and-answers-about-medicaid-expansion

Private Living Arrangement (PLA)

• Medical Assistance for the Aged (MAA)—Must be aged 65 or older and meet all income and resource limits.
• Medical Assistance for the Disabled (MAD)—Must meet the Social Security definition of disability, which is have a mental or physical impairment that has lasted for at least 1 year or is expected to last that long or result in death.  Must meet income and resource limits.
• Medical Assistance for the Blind (MAB)—Must meet the Social Security definition of blindness-vision is 20 degrees or less in the better eye, even with a corrective lens or you vision cannot be corrected to better than 20/200 in that eye.  Must meet income & resource limits.

Long Term Care Medicaid (LTC)

 Helps pay for medically necessary nursing home care for a Medicaid-eligible person in a nursing home or an intermediate care facility for those with intellectual disabilities.

The beneficiaries must use their income to pay for nursing home care. Medicaid pays the difference between the recipient’s income and the nursing home rate. The beneficiary retains $70 per month for personal needs not provided by the nursing home. Also, an additional amount may be set aside for a spouse or a dependent living at home; or for special needs such as health insurance premiums and charges not covered by Medicaid.

Community Alternatives Program (CAP)

The Community Alternatives Program (CAP) allows North Carolina Medicaid funds to be used to provide home and community-based services to Medicaid beneficiaries. These services provide both medical and non-medical home and community-based services to prevent or delay institutionalization.

CAP RESOURCES: North Carolina has different CAP waivers tailored to individuals. For more information, contact any of the following organizations. Keep in mind there could be a waiting list.

• CAP for Disabled Adults (CAP/DA) Alamance County Department of Aging — — —-
  
  

  Program of All-Inclusive Care for the Elderly (PACE)

  Assist elders to live safely at home or with their loved ones with the help of a team of healthcare professionals. The beneficiary must reside in the PACE organization’s service area (some areas of Harnett Co aren’t serviced).

  Special Assistance (SA)

  State/County Special Assistance (SA) (Rest Home)

  The SA program provides financial assistance to individuals or couples who wish to reside in a state licensed adult care home, assisted living facility, and other domiciliary facilities. Eligibility is for persons 18 years or older and individuals under the age of 65 must be determined disabled based on Social Security’s definition of disability.

  Special Assistance (SA) In-Home

  The SA In-Home program provides financial assistance for eligible recipients so they may remain in their own home or in a private living setting instead of placement in a facility. The SA In-Home program provides cash payments and requires an assessment by a Social Worker. Eligibility is limited to individuals 18 and older and individuals under 65 must be determined disabled on Social Security’s definition of disability.

  Individuals must apply in person at the local county DSS in the county where they live or where they lived prior to entering a facility. A Power of Attorney or an Authorized Representative may apply for the applicant on their behalf.

  Apply in person at:

  Alamance County Department of Social Services 
  319 North Graham-Hopedale
  Burlington, NC 27217

  To View North Carolina Medicaid Eligibility Criteria visit: https://www.ncdhhs.gov/assistance/medicaid
  To view Basic Eligibility Requirements visit:
   https://policies.ncdhhs.gov/divisional-a-m/health-benefits-nc-medicaid/basic-medicaid-eligibility-requirements/

Medicaid Osbudman:

The NC Medicaid Ombudsman helps NC Medicaid beneficiaries understand Medicaid and NC Medicaid Managed Care. They can help beneficiaries when they are not able to solve problems with their provider or health plan.

To contact the NC Medicaid Ombudsman, call 1-877-201-3750 from 8 a.m. to 5 p.m., Monday through Friday except for State holidays.

Medicaid Health Plans and Programs: Medicaid Health Plans and Programs | NC Medicaid

Medicaid Programs and Services: Medicaid Programs and Services | NC Medicaid

General Eligibility Requirements: NC Medicaid Eligibility | NC Medicaid

Medicaid Enrollment Broker: Home | NC Medicaid Managed Care

Work Community/Engagement Resources:

NC Works Career Center

1247 Jimmie Kerr Rd, Graham, NC 27253 

(336) 290-0730

Reentry Services: Sustainable Alamance

715 N Church St, Burlington, NC 27217 

(336) 213-3505

More Than a Job NC

More Than A Job NC Program | NCDHHS

Work First Family Assistance

FAQ:

Frequently asked questions | NC Medicaid Managed Care

NC Medicaid is required to provide transportation to medical appointments for all Medicaid eligible individuals who need and request assistance with transportation.  Non-Emergency Medicaid Transportation (NEMT) consists of arranging and/or paying for transportation to Medicaid covered services provided by a qualified Medicaid provider (enrolled as a NC Medicaid provider).  Medicaid only pays for the least expensive suitable to the beneficiary’s needs. 

Alamance County DSS will only coordinate transportation for NC Medicaid Direct members.  To apply for NEMT services or to schedule a ride, call (336) 229-2916.  If you receive a recording, please leave only your name and telephone number and your call will be returned. 

For beneficiaries enrolled in NC Managed Care, Prepaid Health Plans (PHPs) are now required to provide NEMT services.  Enrolled members should contact their PHP for transportation assistance.  Below are NEMT contact numbers:

• AmeriHealth Caritas
  • ModivCare (NEMT Broker): 833-498-2262
• Carolina Complete Health
  • ModivCare (NEMT Broker): 855-397-3601
• Healthy Blue
  • ModivCare (NEMT Broker): 855-397-3602
• United Health Care
  • ModivCare (NEMT Broker): 800-349-1855
• WellCare
  • One Call (NEMT Broker): 877-598-7602