---
title: "North Carolina Medicaid Long-Term Care | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/north-carolina/medicaid-long-term-care/
description: "How NC Medicaid Direct, county DSS, and the pending long-stay managed-care transition shape North Carolina long-term care coverage."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
North Carolina · Medicaid Program

# North Carolina Medicaid Long-Term Care

Last updated 2026-10-20

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

- [NC Medicaid: Nursing Facilities](https://medicaid.ncdhhs.gov/beneficiaries/long-term-services-and-supports/nursing-facilities)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full North Carolina guide](https://fundingltcmarketplace.com/states/north-carolina/)