Who is Eligible: Infants, Children and Families

Medicaid serves infants, children and families in several ways:

Medicaid for Infants and Children
Medicaid for Families with Dependent Children (for parents or other caretakers)
Medicaid for Pregnant Women
Community Alternatives Programs: For children who need long-term care
Health Check to ensure all Medicaid children receive all medically necessary health care services.
Baby Love: A combination of services designed to help you have a healthy baby.

Your family’s income, the number of people in your family, and the age of your children determine if you or your children qualify.

When you apply for Medicaid, your family’s monthly income is calculated by subtracting certain deductions from your gross income. Certain deductions are given for work-related expenses, child care costs, and court-ordered child support or alimony. The deductions vary with each Medicaid program. Your county worker will calculate your monthly family income.

Medicaid for Infants and Children

Medicaid for Infants and Children (MIC) provides medical coverage for children under age 19. The income limits are determined by the age of the child(ren) in the family.

There is no limit on resources.

If your family income is greater than the amounts listed below, your child(ren) may be eligible for NC Health Choice for Children.

Infants up to age 1: The monthly family income cannot exceed 185% of the federal poverty level.
Children from age 1 through age 5: The monthly family income cannot exceed 133% of the federal poverty level.
Children from age 6 through age 18: The monthly family income cannot exceed 100% of the federal poverty level.

Your monthly countable income cannot be more than the amounts listed below.

Monthly Income Limits: Medicaid for Infants and Children (Effective April 2008)
Family Size	Up to Age 1	Age 1 - 5	Age 6 – 18
1	$1,604	$1,153	$867
2	$2,159	$1,552	$1,167
3	$2,714	$1,951	$1,467
4	$3,269	$2,350	$1,767

Medicaid for Families with Dependent Children

Medicaid for Families with Dependent Children provides medical coverage for parent(s) or other caretaker/relative with child(ren) age 18 and under in the household and for children under age 21. A pregnant woman may also qualify.

Your monthly countable income cannot be more than the amounts listed below.

Monthly Income Limits: Medicaid Families with Dependent Children (Effective April 2008)
Family Size	Caretakers and Children age 19 and 20
1	$362
2	$472
3	$544
4	$594

You cannot have more than $3,000 in assets such as savings in the bank.

If the family income is over the limit and your child(ren) and/or family have high medical bills, you may still qualify for Medicaid and have a Medicaid deductible.

Medicaid for Pregnant Women

Medicaid for Pregnant Women only covers services related to her pregnancy:

Prenatal care, delivery and 60 days postpartum care.
Services to treat medical conditions which may complicate the pregnancy.(some services require prior approval)
Childbirth and parenting classes
Family planning services
Maternity Care Coordination services

A pregnant woman may apply for this program before or after she delivers. A woman who has experienced a recent pregnancy loss may also be eligible.

The monthly family income cannot exceed 185% of the federal poverty level. There is no limit on resources. If a pregnant woman is covered by Medicaid on the date she delivers, her newborn child may be eligible for Medicaid up to age 1 without a separate application.

Your monthly countable income cannot be more than the amounts listed below.

Monthly Family Income Limits: Medicaid for Pregnant Women (Effective April 2008)
Family Size	Monthly Income Limit
2	$2,159
3	$2,714
4	$3,269
(The unborn child is always counted in the family size.)

If you think you may be eligible, see "How to Apply."

Jobs at NC DHHS | Contact the Webmaster | Disclaimer | Accessibility

Updated: July 25, 2008