NC Medicaid now covers people ages 19 through 64
with higher incomes. You may be able to get health care
coverage through Medicaid even if you did not qualify
before. Medicaid pays for doctor visits, yearly check-ups,
emergency care, dental care, mental health and more – at
little or no cost to you.
As of December 1, 2023, most people can get health care
coverage through NC Medicaid if:
You live in North Carolina
You are ages 19 through 64
You are a citizen (some non-U.S. citizens can also get
health care coverage through Medicaid).
And if your household monthly income falls within
the chart below:
Household Size 2024 Monthly Income*
Single Adults $1,732 or less
Family of 2 $2,351 or less
Family of 3 $2,970 or less
Family of 4 $3,588 or less
Family of 5 $4,207 or less
Family of 6 $4,826 or less
*Income limits are updated annually.
Some non-U.S. citizens can get health coverage through
Medicaid. To be eligible you must live in North Carolina and
be a non-citizen with qualified immigration status. Many
people in this category must wait five years before they can
apply for Medicaid (although there are some exceptions, as
explained below).
Qualified immigration status includes:
Lawful Permanent Residents (LPR/Green Card Holder)
Asylees
Refugees
Cuban/Haitian entrants
Paroled into the U.S. for at least one year
Conditional entrant granted before 1980
Battered non-citizens, spouses, children or parents
(“Battered” means someone who has experienced
abuse from a family member.)
Victims of tracking and their spouse, child, sibling or
parent or individuals with a pending application for a
victim of tracking visa
Granted withholding of deportation (a specific situation
similar to asylum)
Noncitizen members of a federally recognized Indian
tribe or American Indian born in Canada
Citizens of the Marshall Islands, Micronesia and Palau
who are living in one of the U.S. states or territories
(referred to as Compact of Free Association or
COFA migrants)
Some of the non-U.S citizens on the list above do NOT have
to wait 5 years to be eligible for Medicaid, including pregnant
women, children under the age of 19, asylees, refugees,
victims of tracking, Cuban-Haitian Entrants, and people
who now have LPR status and who were previously asylees,
refugees, victims of tracking, or Cuban-Haitian entrants.
Also, all non-citizens from the list above who are connected
to the military such as veterans, active-duty military (and
their spouses and children) do not have to wait five years for
Medicaid eligibility. All other non-citizens in the list above
must wait five years from the time of receiving their qualified
immigration status to be eligible for Medicaid.
If none of the qualified immigration statuses listed above
apply to you:
If you are not a U.S. citizen or part of these immigration
categories, but you would otherwise qualify for NC Medicaid,
you may still apply to get emergency coverage that includes:
Payment for the costs of childbirth. Get coverage for
medical costs during labor and delivery. You can apply
up to three months after birth.
Payment for emergency services. Get coverage for the
medical costs of treating an emergency, like a heart
attack, stroke, or serious accident. You can apply up to
three months after the emergency.
To get this emergency coverage, apply for NC Medicaid as
normal — but you do not need to show documentation or
answer questions about your immigration status.
Can my information be shared for immigration enforcement?
Medicaid does not report any information to law enforcement
or Immigration and Customs Enforcement (ICE). Your
information will be kept private and confidential. This
includes information for your family members with dierent
immigration statuses. Your information cannot be used for
immigration enforcement purposes.
You only need to provide immigration status or Social
Security numbers for family members who are applying
for coverage. For instance, a parent who is not an eligible
immigrant could apply on behalf of a child who is eligible.
The parent would not need to provide their own immigration
status. For more information on health insurance eligibility for
immigrants, read this brochure from the NC Justice Center.
Is applying or receiving Medicaid considered public charge?
No. Applying for or receiving Medicaid does not make
someone a “public charge”. It will not aect your immigration
status or your immigration application. Only three benefits are
considered negatively if you are submitting an immigration
application: Supplementary Security Income (SSI), Temporary
Assistance for Needy Families (TANF), and Medicaid only if
used for long-term hospitalization or nursing home care.
Immigration Status and Eligibility
for Medicaid Expansion
All other benefit and health programs are safe to use and
have no impact on any immigration application you file. For
more information on public charge, read this informational
flyer from the NC Justice Center.
Are undocumented immigrants eligible for Medicaid?
Undocumented immigrants are eligible for emergency
Medicaid. However, undocumented immigrants are not
eligible to enroll in federally funded health coverage including
full Medicaid, CHIP, or Medicare, or to purchase coverage
through the Health Care Marketplace (ACA). Undocumented
immigrants are only potentially eligible for emergency
Medicaid or labor and delivery services.
What are emergency Medicaid services and who is eligible?
Everyone is potentially eligible for emergency Medicaid
as long as they meet the income and North Carolina state
residence eligibility requirements (provide proof they live
in North Carolina, such as photo ID with your address,
a utility bill, a lease or documentation of employment).
Undocumented non-U.S. citizens who do not qualify for full
health coverage under Medicaid may be able to get coverage
for emergency medical services. North Carolina has a state
emergency medical review contractor who determines if the
incident is a medical emergency and determines the dates
that Medicaid could cover. The coverage is limited to certain
dates, beginning with the date the medical emergency occurs
and ending with the date the medical emergency is stabilized.
For example, when someone is in a car accident and are taken
to the ER or women who give birth and do not have insurance.
Who is eligible for Medicaid in a mixed immigration status
household?
All applicants must meet state residence and income
requirements. Parents can apply for themselves and/or their
children.
Parents who do not have a valid immigration status, are
eligible for emergency services only.
Their children may be eligible for full Medicaid if they
have a qualified immigration status. This is true even if
their parents do not have qualified immigration status.
If only one family member is applying for insurance or
assistance, only the applicant(s) must provide immigration
status information or their social security number. Other
family members who are not applying do not have to provide
immigration information.
What information do undocumented parents have to
provide if they have children who are eligible for Medicaid?
Parent(s) who apply for their eligible children need to give
the names of all members in their household, their mailing
address, any verification of any income, and proof of state
residency from the parent(s) to determine the child’s
eligibility along with a signed application. Parents do not
need to give immigration information or a social security
number for themselves if they are not applying for Medicaid
for themselves. Medicaid does not report any information to
law enforcement or ICE.
Can people with Temporary Protected Status (TPS) apply
for Medicaid?
No, people with TPS cannot apply for full health coverage
through Medicaid. However, they may be eligible for
emergency Medicaid as long as they meet the income and
North Carolina state residence eligibility requirements.
Pregnant women and children under 19 with TPS are
eligible to apply for Medicaid if they meet all other eligibility
requirements and are not subject to the five-year wait period.
People with TPS can apply for coverage and help paying for
insurance under the Health Care Marketplace (ACA).
Can Deferred Action for Childhood Arrivals (DACA)
recipients get Medicaid?
No. Under rules issued by the Centers for Medicare and
Medicaid Services (CMS), people with Deferred Action for
Childhood Arrivals status are not considered lawfully present
for purposes of health coverage eligibility. People with DACA
are eligible for emergency Medicaid services when needed.
Are farmworkers with an H-2A visa eligible for Medicaid?
Farmworkers with a lawfully present status are potentially
eligible if they are a pregnant woman or child under age 19. All
other individuals are eligible to receive emergency Medicaid
services. People with an H-2A visa can apply for coverage and
help paying for insurance under the Health Care Marketplace.
Are nonimmigrant visa holders (including student, tourist,
work, U visas and many more) eligible for Medicaid?
They are potentially eligible and exempt from the five-
year bar if they are a pregnant woman or child under
age 19. Nonpregnant adults who are 19 and older are
only eligible for emergency Medicaid services. People
applying only for emergency services are not required to
provide documentation of immigration status. People with
nonimmigrant visas who are residents of North Carolina can
apply for coverage and help paying for insurance under the
Health Care Marketplace.
Need help? Schedule a free enrollment appointment with
an expert Navigator. Appointments can be scheduled online
at https://ncnavigator.net/schedule-online or by phone at
1-855-733-3711. Navigators can help with both Health Care
Marketplace and Medicaid applications, and services are
available in 20+ languages.
For more information, visit
Medicaid.nc.gov/immigration.
NC Department of Health and Human Services • www.ncdhhs.gov
NCDHHS is an equal opportunity employer and provider. 04/2024