¿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
A Summary of National Medicaid Work Requirements
The 2025 budget reconciliation bill (H.R. 1), signed into law on July 4, 2025, introduces new work requirements, also referred to as community engagement requirements, for certain Medicaid enrollees. The provision makes continued Medicaid eligibility contingent upon participation in work or other qualifying activities. This policy change has significant implications for Medicaid members, state agencies, health care providers, and managed care organizations.
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
Comparación entre la Exención Innovations, el Programa de Alternativas Comunitarias para Niños (CAP/C) y los Servicios 1915(i)
Categories: Medicaid and Medicaid Waivers, Spanish
Comparison Between Innovation Waivers, Community Alternatives Program for Children (CAP/C) and 1915i Services
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 (Spanish)
Categories: Medicaid and Medicaid Waivers, Spanish
實況報導：早期和定期篩查、診斷和治療
早期和定期篩查、診斷和治療 （EPSDT） 是聯邦法律（44 CFR 子部分 B），規定醫療補助必須為 21 歲以下符合醫療補助條件的兒童提供所有醫療上必要的醫療保健服務。即使一項服務不在北卡羅來納州醫療補助州計劃的承保範圍內，如果該服務被列入《社會保障法》的 1905（a） 並且滿足所有 EPSDT 標準，則該服務也可以承保 21 歲以下的受益人。
Categories: Medicaid and Medicaid Waivers
情況說明書：量身定製的護理管理 （TCM）
量身定製的護理管理 （TCM） 是一種新的護理管理模式，於 2022 年 12 月 1 日開始，適用於符合條件的北卡羅來納州醫療補助受益人。通過中醫，符合條件的受益人擁有一名指定的護理經理，並由多學科團隊提供支援，以提供綜合護理管理，以滿足受益人的全人健康需求。
Categories: Medicaid and Medicaid Waivers
家庭對家庭 （F2F） 健康資訊中心情況說明書（英文）
除了説明家庭駕馭特殊教育系統外，ECAC 還專門説明家庭駕馭北卡羅來納州與健康相關的系統。
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
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
移民身份和醫療補助擴展資格
北卡羅來納州醫療補助現在涵蓋19至64歲收入較高的人。即使您以前沒有資格，您也可以通過 Medicaid 獲得醫療保險。醫療補助支付看醫生、年度檢查、緊急護理、牙科護理、心理健康等費用——您只需支付很少或免費的費用。
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 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
北卡羅來納州殘疾人醫療補助豁免
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
北卡羅來納州醫療補助：私人護理
基於醫療補助的家庭和社區服務。 私人護理 （PDN） 是實質性、複雜和持續的專業護理，被授權補充受益人訓練有素的非正式護理人員提供的護理。符合條件的受益人必須住在私人主要住所，至少有一名訓練有素的非正式護理人員，他們可以在 PDN 工作人員計劃內和計劃外缺勤期間為受益人提供直接護理。 PDN 服務必須在醫學上適當且在醫學上是必要的。
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
瞭解醫療補助公平聽證會
本情況說明書解釋了與適用於所有州的資格確定相關的醫療補助公平聽證會（也稱為“上訴”）的聯邦規則，並確定了各州做法可能有所不同的領域。
Categories: Medicaid and Medicaid Waivers
量身定製的護理管理能為我做些什麼？
護理管理是一種選擇。如果您選擇護理管理，您將擁有一個護理管理團隊來説明您規劃醫療護理並協調您生活中的支持和服務。
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