North Carolina runs its program simply as NC Medicaid, with county Departments of Social Services handling the on-the-ground work of applications, casework, and local administration for aged, blind, and disabled coverage.
Applying doesn't require going through a single statewide portal. Residents can use ePASS online, submit a paper application, or work directly with their county DSS office by phone or in person — which means the county office remains the practical point of contact even though NC Medicaid operates as a statewide program. A separate managed-care transition for long-stay residents is also in progress, so it's worth confirming current program status before assuming past guidance still applies.
Sources and official resources
Rules and figures change. Confirm current details with the agency before you act.