How to Apply for Medicaid in North Carolina2026-04-28T18:19:49-04:00

Apply for Medicaid in North Carolina

Apply for Medicaid in North Carolina

Young mother applying for Medicaid in North Carolina

A Simple Guide for Families

If you’re exploring therapy services for your child, understanding your insurance options is an important first step. Many families we support at CompleatKiDZ qualify for North Carolina Medicaid, which can cover a wide range of pediatric therapy services including ABA (Autism), Speech, Occupational, and Physical Therapy.

Start your application here:

How CompleatKiDZ Supports Families Through the Process

We understand that applying for Medicaid is just one step in a much larger journey. Many parents come to us with questions not just about coverage, but about what their child needs and what to do next.

Our team regularly works with Medicaid families and can help verify benefits, coordinate evaluations, and guide you toward the right services based on your child’s needs. Whether that includes ABA therapy, speech therapy, occupational therapy, or physical therapy, we focus on making the transition from approval to care as smooth as possible.

If you’re unsure where to start after applying, we’re here to help.

What is NC Medicaid?

NC Medicaid is a health insurance program that helps eligible children and families access essential medical and developmental services. It may cover:

  • Doctor visits and hospital care
  • Speech, Occupational, and Physical Therapy
  • Autism services (ABA therapy)
  • Mental and behavioral health services
  • Prescription medications and more

For children under 21, Medicaid often covers medically necessary services that support development and daily life skills.

Who Qualifies for Medicaid in North Carolina?

Eligibility is based on a few key factors:

  • You live in North Carolina
  • You meet income guidelines
  • You are a U.S. citizen or have qualifying immigration status
  • You have or applied for a Social Security number

💡 Good to know: Medicaid expanded in 2023, meaning more families and children now qualify than ever before.

How to Apply for NC Medicaid

Apply Online (Fastest Option)

Apply online through our secure website, ePASSOn the application, NC Medicaid is referred to as “Medical Assistance.”

You will need an NCID to begin your application. An NCID is a secure online user ID and password you set up to access many North Carolina government programs, including NC Medicaid. If you do not have an NCID, follow the on-screen instructions to create your account.

Need help with the online application? Watch this video, or check out this step-by-step guide.

You can also apply for Medicaid through HealthCare.gov.

Apply In Person

Go to your local Department of Social Services (DSS).
To find yours, use this directory or call the NC Medicaid Contact Center at 1-888-245-0179.

Walk-ins are available at all local offices. You can also call to schedule an in-person or phone interview (recommended).

Bring these documents if you have them.

Want to save time? 
Download, print, and fill out an application first.

Need interpreter services? 
Language services are available at Department of Social Services (DSS) offices. To find your local DSS, use this DSS directory or call the NC Medicaid Contact Center at 1-888-245-0179 (TTY Relay Services: Call 711).

Apply by Phone

Call your local Department of Social Services (DSS) to apply over the phone.

How to find your local Department of Social Services:
Use this directory or call the NC Medicaid Contact Center at 1-888-245-0179.

Apply by Mail or Drop-Off

  1. Download, print, and fill out an application.
  2. Additional forms may be needed in certain situations.
  3. Include copies of these documents if you have them.
  4. Don’t forget to sign your application.
  5. Mail, email, fax or bring your application to your local Department of Social Services (DSS).

What you need to apply

It helps to gather a few basic documents ahead of time so the process goes smoothly. Most families are asked to provide proof of identity, residency in North Carolina, and household income.

This might include things like a driver’s license or birth certificate, pay stubs or tax information, and a Social Security number if one is available. If you don’t have everything right away, you can still start the application and provide documents as requested.

You must provide the following:

  • Full legal name and date of birth, for at least one person applying
  • Mailing address, for at least one person applying
  • Your signature on the application (written, voice or digital depending on how you apply)

After You’re Approved: What Comes Next

Once your child is approved for Medicaid, you’ll receive information about your coverage and how to use it. This is the point where many families begin scheduling evaluations, therapy services, or medical appointments.

For children who need developmental support, early access to services can make a meaningful difference. That’s why many providers, including CompleatKiDZ, are set up to help families move quickly once coverage is active.

Taking the First Step

If you think Medicaid might be the right option for your family, the best next step is to apply. Even if you’re unsure, applying allows the state to determine eligibility based on your specific situation.

You can start your application here:
https://medicaid.ncdhhs.gov/apply

And when you’re ready for the next step, CompleatKiDZ is here to support your child’s journey with personalized, compassionate care.

Gather these documents if you have them:

Include copies of these documents with your application if you can. It may speed up the process. Not all documents may apply to you.

Common Questions Parents Ask

Many parents wonder how long approval takes. In most cases, decisions are made within about 45 days, though some applications may take longer depending on the details involved.

Another common concern is whether a child can qualify if a parent does not. The answer is yes. Children are often evaluated separately, and many qualify even when parents assume they won’t.

Parents also frequently ask whether Medicaid covers autism services or therapy. In most cases, it does cover medically necessary services, including therapies that support development and daily functioning.

What should I do after my child is approved?2026-04-28T18:11:52-04:00

Once approved, you can begin scheduling care such as evaluations or therapy services. Many providers, including CompleatKiDZ, can help verify benefits and guide you through next steps.

Can someone help me apply?2026-04-28T18:11:32-04:00

Yes. You can get help through your local Department of Social Services (DSS), community organizations, or healthcare providers who are familiar with the process.

What if I was denied Medicaid in the past?2026-04-28T18:11:12-04:00

You may still qualify now. North Carolina expanded Medicaid eligibility, so it’s a good idea to apply again even if you were previously denied.

Do I need all my documents before applying?2026-04-28T18:10:51-04:00

No. You can start your application even if you don’t have everything ready. The state may follow up with you to request any missing information.

Does Medicaid cover autism therapy like ABA?2026-04-28T18:10:29-04:00

Yes. In most cases, Medicaid covers medically necessary autism services, including ABA therapy, as well as other therapies like speech and occupational therapy.

What does Medicaid cover for children?2026-04-28T18:10:07-04:00

Medicaid typically covers a wide range of services for children, including doctor visits, therapy services, behavioral health care, and developmental support. Coverage is based on what is considered medically necessary for your child.

Can my child qualify for Medicaid if I don’t?2026-04-28T18:09:44-04:00

Yes. Children are often evaluated under different guidelines than adults, and many qualify even when parents do not. It’s always worth applying to see what your child may be eligible for.

How long does it take to get approved for Medicaid in North Carolina?2026-04-28T18:09:25-04:00

Most applications are processed within about 45 days. Some may be reviewed faster depending on how complete the application is. If additional information is needed, the state will contact you before making a decision.

Go to Top