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    updated July 23, 2025
    Parent Focus: Turning 18

    The Basics

    At 18, your child becomes an adult. Around the same time, there might be other life changes, such as high school graduation, a first job, or moving out of the family home.

    As these happen, your child’s benefits might change:

    • Supplemental Security Income (SSI) has different rules for children and adults.
    • Your child can manage their own NC Medicaid benefits and medical care.
    • Some benefits are only for children, so if your child gets them now, they will stop getting them as an adult.
    • Other benefits are only for adults, so your child may start getting them.

    This doesn’t mean your child will be worse off: after turning 18, they may qualify for the same benefits as before and possibly more.

    Getting a job does not mean benefits will stop

    Benefits programs are designed to make sure your child will be better off when working. Your child can get a job and still get the benefits they need as an adult.

    Learn more