Adult Medicaid is a joint federal and state program that helps with medical costs for some people with limited income and resources. Each state’s Medicaid programs differ to some degree, and Medicaid cannot transfer from state to state. Medicare, which differs from Medicaid, is administered by the federal government through the Social Security Administration. Medicare is available for retirees and certain disabled individuals. Additional information is available at http://www.Medicare.gov.
In order to be eligible to receive Adult Medicaid, individuals must be:
- A U.S. Citizen or qualified alien
- A resident of North Carolina and have a social security number or have applied for one
- Age 65 or older,
- Blind or Disabled,
- In need of long-term care,
- Receiving Medicare, or
- Currently receiving a check for Supplemental Security Income (SSI) or Special Assistance for the Aged, Disabled or Blind (SAA, SAD or SAB).
A Social Services eligibility specialist will assess your individual situation and inform you of your eligibility status. For more information, please visit the North Carolina Department of Health & Human Services’ Medicaid Information page.
There are several ways to apply for Adult Medicaid:
- In Person: You may apply in person at Catawba County Social Services (address and map at left). Office hours are 8:00am-5:00pm, Monday-Friday.
- By Phone: (828) 695-5692
- Online: Visit https://dma.ncdhhs.gov/medicaid/get-started to apply online.
- By Mail: Call (828) 695-5692 and ask for an application to be mailed to you.
If possible, please have the items listed below with you when you apply. If you do not have some or all of these items, please apply anyway because it is very important to protect your application date. An eligibility specialist can assist you in obtaining these items and information.
- Proof of Citizenship/Alien Status (birth certificate, passport, certificate of naturalization, permanent resident card, etc.)
- Documents to verify identity (Social Security Card, NC Driver’s License, NC ID Card, etc.)
- A copy of Medicare Card and proof of all other health insurance
- Proof of Residency (2 items such as NC Driver’s License, lease agreement, copy of utility bill, etc.)
- Copy of all pay stubs for last month
- Proof of income, including financial statements or award letters from all sources (Social Security, retirement benefits, pensions, veteran’s benefits, child support, etc.)
- Copy of most recent bank statement (checking, savings, CDs, retirement, 401k, etc.)
- Copy of all life insurance and/or burial insurance policies
- List of all real estate owned or co-owned
- List of all vehicles, mobile homes, trailers, campers, boats, etc. that you own
This is not an all-inclusive list but includes the most requested items.
Three types of Medicaid transportation are available to Medicaid recipients:
- Customers able to transfer independently to and from the vehicle may call the Social Services Medicaid Transportation unit at (828) 695-5608 between 8:00a.m.-5:00p.m. Monday-Friday to reserve transportation services. Medicaid transportation is provided in County vehicles driven by Social Services employees. Customers must be able to transfer independently to and from the vehicle. A three-business-day notice is needed for appointments within Catawba County, and a five-business-day notice is needed for appointments outside of Catawba County. If possible, we will attempt to assist on shorter notice.
- If you are unable to transfer independently into a vehicle or use a wheelchair, we contract with other vendors to provide a lift van to take you to your Medicaid appointments. Call the Social Services Medicaid Transportation unit at (828) 695-5608 to arrange transportation.
- If you own a vehicle or have access to a vehicle, you may qualify for gas vouchers to assist you with getting to your Medicaid appointments. Call (828) 695-2135 for more information about gas vouchers.
Things You Should Know
Transportation is provided to and from your home to your medical appointments that are covered by Medicaid. You have the right to select your own medical provider except when the needed service can be obtained locally and when the chosen provider is not at a significantly greater distance from your residence solely because of personal preference.
If there is a medical reason for seeing a provider outside of Catawba County when the service can be obtained locally, then a referral from a local provider with justification will be required.
We must transport by the least expensive means available suitable to your needs. We take into account individual circumstances when determining what transportation is suitable.
Community Care of North Carolina/ Carolina Access (CCNC/CA) is North Carolina’s Medicaid managed care program. It provides you with a medical home and a primary care provider (PCP) who will coordinate your medical care.
As a CCNC/CA member, you are eligible for all the services that Medicaid covers. Being a member also has the following advantages:
- You can choose a medical home with a primary doctor for each family member.
- You can call your primary doctor day or night for medical advice.
- Your Medicaid ID card will have your doctor’s daytime and after-hours phone number listed on it.
- You may have a care manager who can help you understand and manage your health care.
- You receive regular sick care and well care at your medical home. These services include: yearly physical check-ups, immunizations, pap smears, and prescriptions when necessary.
- Your primary doctor will make referrals to other doctors if you need special care not provided in your primary doctor’s office.
Medicaid recipients may choose to change their PCP and may do so at any time. The change is usually reflected on the following month's Medicaid card, depending on when the request is made.
If you wish to change your PCP or if you have questions regarding Carolina Access, contact your caseworker or Managed Care Coordinator at (828) 874-0682.