How to Apply for Medicaid

Applying for Medicaid can feel overwhelming, especially when you’re already managing care for an adult child. You’re not alone in feeling this way, research titled, “Barriers to Medicaid Enrollment: Who Is at Risk?“ published by the National Library of Medicine shows that over half of potential applicants are unsure about basic Medicaid rules. This guide is designed to cut through the confusion and give you a clear, step-by-step roadmap.

At Covenant Case Management Services, we believe navigating support systems shouldn’t add to your stress. Let’s walk through the process together, so you can feel confident in your next steps.

Four Ways to Apply for Medicaid

Every state offers several ways to submit an application. For those looking into how to apply for Medicaid in NC, these options will connect you directly to the North Carolina Department of Health and Human Services.

1. Apply Online

The fastest and most common method is applying online. You can typically do this through the Health Insurance Marketplace at HealthCare.gov or your state’s specific Medicaid agency website.

2. Apply by Phone

If you prefer speaking with someone, you can call the Health Insurance Marketplace or your state’s Medicaid office directly. A representative can walk you through the application over the phone.

3. Apply in Person

For hands-on assistance, visit your local Department of Social Services (DSS) or county assistance office. This is a great option if you have questions or need help with the forms.

4. Apply by Mail

You can also download a paper application from your state’s Medicaid website, fill it out, and mail it to the address provided.

Preparing Your Application: A Document Checklist

One of the biggest hurdles for applicants is gathering the right paperwork. Being prepared can make the process much smoother. You will generally need copies of:

• Proof of Identity: Driver’s license or state ID card.
• Proof of Citizenship or Lawful Residence: U.S. passport, birth certificate, or Green Card.
• Proof of Residency: A recent utility bill or rental agreement with your address.
• Proof of Income: Recent pay stubs, W-2 forms, or tax returns.
• Information About Dependents: Birth certificates and Social Security numbers for anyone in your household you’re applying for.

What to Expect After You Submit

Once you apply for Medicaid, the review process begins. Here’s a typical timeline:

• Processing Time: It generally takes 45 to 90 days to receive a decision. Applications based on a disability often take longer.
• Follow-Up: The agency may contact you if they need more information, so be sure your contact details are accurate.
• Decision Letter: You will receive an official letter in the mail informing you of your eligibility.

It’s important to remember that eligibility rules differ by state. Even if you are unsure whether you qualify, we always recommend completing an application.

Let Us Be Your Guide

Navigating the Medicaid application is just the first step. The real goal is connecting with services that enrich lives and foster independence. Covenant is here to help your family navigate every step of your adult child’s care. Whether you need support building daily living skills, exploring employment opportunities, or creating a plan for long-term independence, our team is ready to walk alongside you. Reach out to Covenant today to get the guidance and support you need.

If you’re ready for a partner to help you navigate the journey ahead, explore our comprehensive services to see how we can help.