What it Covers

If you get NC Medicaid, it will pay for a broad range of medical services. If you’re not sure if a particular service is covered by NC Medicaid, or if it requires prior authorization, ask your doctor or your NC Medicaid managed care program.

Here is a list of the main services that NC Medicaid provides:

• Alcohol and drug treatment
• Ambulance services
• Behavioral health services
• Chiropractic care
• Doctor/clinic visits
• Emergency room care (ER)
• Family planning services
• Home health care
• Hospice care
• Hospital services (inpatient and outpatient)
• Immunizations and vaccines
• Lab and X-rays
• Medical equipment
• Non-emergency medical transportation
• Nursing facility services
• Physical therapy
• Pregnancy related services
• Prescriptions and medication management
• Transplants and related services

For children under age 21, NC Medicaid also provides:

• Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services
• Dental screening and treatment
• Vision exams and glasses
• Hearing exams and hearing aids

Depending on your circumstances, NC Medicaid may cover some long-term care services, including nursing homes. If you have specific disability-related needs, you should also see whether you can qualify for disability-based NC Medicaid. Contact your local Department of Social Services (DSS) office for more information.