Adult Medicaid

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Adult Medicaid for Elderly or Disabled Adults

Be age 65 or older; or under 65 and unable to work due to a severe disability that is expected to last at least 12 months.
Income includes: Social Security, Veterans Benefits, pensions and other retirement benefits, wages (some income can be disregarded). If monthly income exceeds the amounts listed above, the person must meet a deductible based upon the Medically Needy income limits.
Have resources that are no more than $2,000 for an individual, or $3,000 for a couple. Resources include: cash, bank accounts, second car, retirement accounts, stocks and bonds, and real estate that is not your home. Resources do not include your home, one car, household furnishings, clothing or other personal effects such as jewelry. (The limited Medicaid program MQB-Q (Medicaid for Qualified Beneficiaries) allows resources of $4,000 for an individual and $6,000 for a couple
This is just a guide. A caseworker at the Department of Social Services will assess your individual situation and discuss eligibility requirements.

Applications can be completed by:

Applications and report changes online at https://epass.nc.gov/ or http://healthcare.gov/
Applications can be returned to the agency by:
- Mail to CC DSS PO Box 489, Pittsboro NC 27312
- Fax to 919-542-6355
- Email to ask.dss@chathamcountync.gov
Paper applications can be picked up at our 24/7 self-service center outside our main lobby entrance and can be completed and left in the outside drop box
Telephone applications by calling 919-542-2759 (Medicaid applications taken by phone require an application signature)
In-person at 102 Camp Dr. Pittsboro NC 27312 during regular office hours

Bringing the following items will aid in the application process:

Identification
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
Most recent bank statements
Current statements for any source of income including as Social Security, retirement benefits, Veteran’s benefits or child support
Proof of citizenship and residency

There are several programs offered under Adult Medicaid. Listed below are the most common Medicaid programs for adults.

Medicaid for Older Citizens (MAA) - Medical coverage for people 65 or older whose income is below the specified limits.
Medicaid for the Blind or Visually Impaired (MAB) - Medical coverage for blind or visually impaired people of any age who are blind according to the definition given by the Social Security Administration and meet the specified income requirements.
Medicaid for Disabled Citizens (MAD) - Medical coverage for people of any age who are unable to work due to a disability that is expected to last at least 12 months and meet the specified income requirements.
Medicare Qualified Beneficiary (MQBQ) - Payment of Medicare premiums and copayments
Medicare Qualified Beneficiary (MQB-B or MQB-E) - Payment of Medicare premiums only (MQB-E has a certification from January to December)
Medicaid for Community Alternatives Program (CAP) - Pays costs of in-home nursing care for clients wishing to remain in the home instead of going to a nursing facility.
Long Term Care Medicaid (LTC) - Helps pay cost for care in a facility that primarily provides inpatient medical care.
Special Assistance (SAA or SAD) - Financial assistance and medical assistance for residents of rest homes or adult care homes who meet specified income requirements.
Special Assistance In-Home Project (SA-IH) - Provides a supplemental payment to allow the client to remain in his home instead of going to an assisted living facility.

Have questions, please call our office at 919-542-2759 or email ask.dss@chathamcountync.gov

To submit supporting documents for your Medicaid case, you can upload documents here https://gisservices.chathamcountync.gov/dssdocuments or use the QR code

Submission Portal QR

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