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 you need 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. Contact your local Department of Social Services (DSS) office for more information.

More Services through NC Medicaid Waiver Programs

People who qualify for disability-based NC Medicaid may also be eligible for NC Medicaid waiver programs. These programs pay for additional services that help people live in their own homes if they might otherwise have to live in an institution, like a hospital or nursing facility.

Read more about NC Medicaid waiver programs. For more information, talk to your local Department of Social Services (DSS) office.