How to Sign Up

There are four ways to apply for NC Medicaid:

• Online using North Carolina ePASS. North Carolina ePASS lets you apply for other programs, like Food and Nutrition Services (FNS) or Work First (WF), at the same time. Note: On the ePASS website, NC Medicaid is called "Medical Assistance."
• Online using HealthCare.gov, an online one-stop shop where you can learn about your public and private coverage options.
• In person at your local Department of Social Services (DSS) office. You can also call them to apply over the phone.
• Using a paper application and faxing or mailing it in to your local Department of Social Services (DSS) office.

No matter how you apply, it is important to know that if you are not eligible for NC Medicaid, you may be able to get private insurance subsidized by the government.

Staying on NC Medicaid

Usually, once you are approved for NC Medicaid, you will continue to get it for 12 months if your situation does not change. If your income, immigration status, residency, or household size changes, let your local Department of Social Services (DSS) office know. You can also use North Carolina ePASS to report changes to your situation if you sign up for an Enhanced Account.

When you report your changes, your caseworker or the ePASS site will tell you whether you will continue getting NC Medicaid or if you have new health coverage options. There should always be at least one health coverage option for your family.