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Family and Children's Medicaid

Medicaid is a health insurance program for families and individuals whose income makes it difficult for them to afford health care. It is a publicly funded program governed by federal and state laws.

Eligibility Information:

Eligible applicants must:

  • Be a U.S. Citizen or qualified alien
  • Live in North Carolina and have a social security number or have applied for one
  • Have income that meets program requirements for one of the following categories: (Current income information can be found here.)

  ○ Families with children under age 19

  ○ Children under age 21

  ○ Single or married pregnant women

  ○ Children receiving adoption or foster care assistance

  OR

  • Be currently receiving a check for Supplemental Security Income (SSI), Work First Family Assistance (WFFA), or Special Assistance for the Aged, Disabled or Blind (SAA, SAD or SAB)

This is just a guide.  An eligibility worker at the Department of Social Services will assess your individual situation and inform you of your eligibility status.

Application Information:

Individuals can fill out an application at the either building of the Orange County Department of Social Services, or ask to have an application mailed to them, which can be filled out and returned to the Department of Social Services by mail or in person. Some area Health Care Providers and your local Health Department also have application forms on hand.

Applications can also be downloaded here.

Bringing the following items will aid in the process of applications:

  • Birth certificates or other legal proof of age for children under age 21
  • A copy of all pay stubs for the prior month
  • Social security cards or numbers for all persons you are applying for
  • Copies of all medical or life insurance policies for all persons you are applying for
  • A list of all cars, trucks, motorcycles or any other vehicles you are anyone in your household own
  • Most recent bank statements
  • Current statements for any other source of income such as Social Security, retirement benefits, Veterans benefits or child support
  • Proof of alien status for applicants who are not US citizens
  • Proof of pregnancy (a statement from your doctor or another health professional) if you are applying for pregnancy coverage.

Programs

There are several programs offered under Family and Children Medicaid. Listed below are the most common Medicaid programs for families and children.

  • Medicaid for Families with Dependant Children (MAF) - Medical Coverage for single parents or couples with children under age 19 in their household, or for children ages 19-20.
  • Medicaid for Infants and Children (MIC) - Medical coverage for children under the age of 19 whose parents income is below the specified limits. Health Check Preventative health care for all children under age 21 who are covered by Medicaid.
  • Medicaid for Pregnant Women (MPW) - Medical coverage for pregnant women whose income is below the specified limits.
  • Work First Family Assistance (WFFA) - A cash payment and Medicaid program for families with children (also known as TANF).

Frequently Asked Questions