North Carolina Medicaid Manual

This online manual contains the policy used in determining eligibility for Medicaid in North Carolina for the aged, blind, and disabled. Medicaid assists people with the cost of care in rehabilitation centers and skilled care in nursing homes.


Medicaid Application

This printable application can be completed and mailed to county Departments of Social Services in North Carolina to apply for Medicaid. Because eligibility for Medicaid is tied to the amount of assets a person owns and because the timing of an application can be an important factor in eligibility, we highly recommend that you consult an elder law attorney before applying for Medicaid.

Special Assistance Manual

This online manual contains the policy for the Special Assistance program, which covers the cost of care in rest homes and some assisted living facilities. The eligibility rules for Special Assistance are quite different from Medicaid’s rules.


Amanda Spence has assisted hundreds of clients with Medicaid applications and appeals in counties throughout North Carolina. If you’re thinking of applying for Medicaid or Special Assistance, contact Ms. Spence by telephone at (919) 863-4183 or by email at