¿Qué significa Medicaid para su hijo? (What Medicaid Means for Your Child)
Medicaid es un programa de seguro médico. Existen compañías de seguros que ofrecen distintos planes de Medicaid. Al inscribir a su hijo en Medicaid, puede elegir un plan o ser asignado a uno. Independientemente del plan de Medicaid que tengan, TODOS los niños con Medicaid pueden obtener estos servicios de forma gratuita:
Categories: Medicaid and Medicaid Waivers, Spanish
1915(i) Medicaid Home and Community-Based Services
NC Medicaid’s new “1915(i) services” help you live more independently in your home and community, and give your caregivers the support they need. These services are for people with serious mental illness, severe substance use disorders, traumatic brain injuries or intellectual/developmental disabilities.
Categories: Medicaid and Medicaid Waivers
CAP/C Application Checklist
In order to apply for the CAP/C Waiver, view this checklist for step-by-step instructions from Advocates for Medically Fragile Kids NC
Categories: Medicaid and Medicaid Waivers
Elegibilidad de seguro de salud para immigrantes en Carolina del Norte
Si usted es un inmigrante en los Estados Unidos, es importante que conozca sus derechos al acceso de seguro médico. El grafico que se proporciona en este folleto incluye los estados de inmigración más comunes, documentación común para esos estados, y la elegibilidad para seguro de salud Medicaid y el Mercado de Seguros Médicos.
Categories: Medicaid and Medicaid Waivers, Spanish
Exenciones de Medicaid de Carolina del Norte para Personas con Discapacidades (North Carolina Medicaid Waivers for Individuals with Disabilities)
Las exenciones de Medicaid "eximen" ciertos requisitos federales de Medicaid, como los requisitos de ingresos familiares, para permitir que las personas con discapacidades calificadas tengan acceso a servicios y apoyos especializados que están cubiertos por Medicaid.
Categories: Medicaid and Medicaid Waivers, Spanish
Fact Sheet: Appealing a Medicaid Denial (Chinese)
Categories: Medicaid and Medicaid Waivers
Fact Sheet: Appealing a Medicaid Denial (English)
Categories: Medicaid and Medicaid Waivers
Fact Sheet: Appealing a Medicaid Denial (Spanish)
Categories: Medicaid and Medicaid Waivers, Spanish
Fact Sheet: Early and Periodic Screening, Diagnosis and Treatment
Early and Periodic Screening, Diagnosis and Treatment (EPSDT) is the federal law (44 CFR Subpart B) that states that Medicaid must provide all medically necessary health care services to Medicaid-eligible children under the age of 21. Even if a service is not covered under the NC Medicaid State Plan, it can be covered for beneficiaries under 21 years of age if the service is listed in 1905(a) of the Social Security Act and if all EPSDT criteria are met.
Categories: Medicaid and Medicaid Waivers
Fact Sheet: Tailored Care Management (TCM)
Tailored Care Management (TCM) is a new care management model that began Dec. 1, 2022, for eligible NC Medicaid beneficiaries. With TCM, eligible beneficiaries have a single designated care manager, supported by a multidisciplinary team, to provide integrated care management to address the beneficiary’s whole-person health needs.
Categories: Medicaid and Medicaid Waivers
Family-to-Family (F2F) Health Information Center Fact Sheet (English)
In addition to helping families navigate the special education system, ECAC also specializes in helping families navigate health related systems in NC.
Categories: Disability and Health Condition Specific Information, Guardianship and Alternatives, Health Care in Schools, Housing/Independent Living, Medicaid and Medicaid Waivers, Residential Treatment - Crisis Intervention Services, Special Needs Financial Planning and Financial Resources, Social and Recreation, SSI and SSDI, Transition to Adulthood
Frequently Asked Questions: Affordable Care Act Eligibility for DACA Recipients
People with Deferred Action for Childhood Arrivals (DACA) will be able to enroll in health coverage via Affordable Care Act marketplaces for the first time starting November 1, 2024. This FAQ answers key questions that DACA recipients may have about the enrollment process and addresses other concerns.
Categories: Medicaid and Medicaid Waivers
Has Your Child Lost Their Medicaid Benefits?
Categories: Medicaid and Medicaid Waivers
How NC Medicaid Eligibility Recertification Works
Medicaid recertification (renewal) is the way your information is reviewed to make sure you are still eligible for Medicaid health coverage. It is also called eligibility redetermination, renewal, ex-parté review or case review (all mean the same thing).
Categories: Medicaid and Medicaid Waivers
Immigration Status & Eligibility for Medicaid Expansion
NC Medicaid now covers people ages 19 through 64 with higher incomes. You may be able to get health care coverage through Medicaid even if you did not qualify before. Medicaid pays for doctor visits, yearly check-ups, emergency care, dental care, mental health and more – at little or no cost to you.
Categories: Medicaid and Medicaid Waivers
Lista de Verificación parala Solicitud de CAP/C
Categories: Medicaid and Medicaid Waivers, Spanish
Moving to a Medicaid Tailored Plan?
Call your Tailored Plan to make sure your doctors and specialists are in your network. Tailored Plans are a new kind of Medicaid health plan. If you got a welcome packet and new health plan ID card from Alliance, Partners, Trillium or Vaya, you have a Tailored Plan
Categories: Medicaid and Medicaid Waivers
NC Medicaid Expansion - Questions & Answers
Categories: Medicaid and Medicaid Waivers
NC Medicaid Managed Care County Playbook Reference Guide: Contacts for Beneficiaries
With NC Medicaid Managed Care comes the introduction of new points of contact for beneficiaries, such as the NC Medicaid Enrollment Broker and health plans
Categories: Medicaid and Medicaid Waivers
NC Medicaid State Plan Private Duty Nursing & School-Provided Nursing Hours
Categories: Medicaid and Medicaid Waivers
NC Medicaid Waivers for People with Disabilities
Medicaid waivers allow states to “waive” certain federal Medicaid rules, such as income requirements, so that individuals with qualifying disabilities can access specialized services and supports covered by Medicaid. These waivers are designed to help individuals receive care at home rather than in a hospital or institutional setting.
Categories: Medicaid and Medicaid Waivers
NC Medicaid: Private Duty Nursing
A Medicaid Home and Community-Based Service. Private Duty Nursing (PDN) is substantial, complex and continuous skilled nursing care that is authorized to supplement the care provided by a beneficiary’s trained, informal caregiver. Eligible beneficiaries must live in a private primary residence with at least one trained, informal caregiver who may provide direct care to the beneficiary during planned and unplanned absences of PDN staff. PDN services must be medically appropriate and medically necessary.
Categories: Medicaid and Medicaid Waivers
Non-Emergency Medical Transportation (NEMT) Services - NC Medicaid Tailored Plan.
This service is for people with NC Medicaid to help them get to their medical and mental health appointments. This includes people on the Tailored Plan, a kind of Medicaid health plan. Accessible rides are also available
Categories: Medicaid and Medicaid Waivers
North Carolina Health Insurance Eligibility for Immigrants
If you are an immigrant in the United States, it is important to know your rights to access health insurance. The table that accompanies this flyer includes the most common immigration statuses, common documentation for those statuses, and corresponding health insurance eligibility for Medicaid and the Federal Health Insurance Marketplace (ACA).
Categories: Medicaid and Medicaid Waivers
Questions about Medicaid - Who to Contact
It’s important to know who to contact with your specific questions or concerns about Medicaid. This fact sheet let's you know who you should call and when.
Categories: Medicaid and Medicaid Waivers
Schools and Medicaid - Information and Answers for Families
Categories: Medicaid and Medicaid Waivers, Special Education
Servicios de Medicaid 1915(i) en el hogar y comunidad (1915(i) Medicaid Home and Community-Based Services)
El nuevo plan de “servicios 1915(i)” de NC Medicaid te ayuda a llevar una vida más independiente en tu hogar y comunidad, y le brinda el apoyo necesario a tus cuidadores. Son servicios para personas con enfermedades mentales graves, trastorno grave por uso de sustancias, lesiones cerebrales traumáticas o discapacidad intelectual o del desarrollo.
Categories: Medicaid and Medicaid Waivers, Spanish
Transporte gratuito de ida y vuelta paratus citas médicas cubiertas por Medicaid (Free Round-Trip Transportation to Your Medicaid-Covered Medical Appointments)
Los servicios de transporte médico que no es de emergencia (NEMT por sus siglas en inglés) están cubiertos por tu Tailored Plan (Plan personalizado) de NC Medicaid.
Categories: Medicaid and Medicaid Waivers, Spanish
Understanding Medicaid Fair Hearings
This factsheet explains the federal rules for Medicaid fair hearings (also referred to as an “appeal”) related to eligibility determinations that apply to all states and identifies areas where state practices may vary.
Categories: Medicaid and Medicaid Waivers
What Can Tailored Care Management Do For Me?
Care Management is a choice. If you choose care management, you will have a care management team to help you plan medical care and coordinate supports and services in your life.
Categories: Medicaid and Medicaid Waivers
What Medicaid Means for Your Child
Medicaid is a health insurance program. Different insurance companies offer different Medicaid plans. When you sign your child up for Medicaid, you can either choose or be assigned a plan. No matter what Medicaid plan they have, ALL children with Medicaid can get these listed services for free:
Categories: Medicaid and Medicaid Waivers
