Updated Reviewed by the BenefitKarma editorial team
North Carolina Benefits: Food Stamps (SNAP), EBT, Medicaid & VA Help
Help in North Carolina, made simpler.
North Carolina benefits like Food and Nutrition Services (FNS) and Medicaid can help. Apply for many programs online through the ePASS and NC FAST portal.
If you live in North Carolina, start here.
Pick what you need today, then use the official links to apply. Stuck? The Local Help section further down connects you to people near you.
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Healthcare in North Carolina: Medicaid, CHIP & Marketplace Plans
State Agencies & Contacts
NC Division of Health Benefits
Primary
Administers NC Medicaid
Programs in North Carolina
North Carolina Medicaid
Open year-round
45 days processing
What it helps with
Comprehensive healthcare coverage
Who it's for
Low-income North Carolinians
Benefit Amount
Full coverage: medical, dental, vision, mental health, prescriptions.
138% Federal Poverty Level(2024)
| Household Size | Monthly Income |
|---|---|
| 1 person | $1,732 |
| 2 people | $2,342 |
| 3 people | $2,952 |
| 4 people | $3,561 |
| 5 people | $4,171 |
| Each additional | +$610 |
NC expanded Medicaid December 2023! Adults now covered at 138% FPL.
Asset Limit: No asset test for expansion
Required Documents
- Proof of identity
- NC residency
- Social Security number
- Income proof
Additional Requirements
Citizenship: US citizen or qualified immigrant
Age: All ages now covered
None
How to apply
- Apply online at ePASS
- Provide income information
- Submit documentation
- Receive coverage
Healthcare and Medicaid questions in North Carolina
North Carolina expanded Medicaid, so adults under 65 with household income up to 138% of the federal poverty level qualify regardless of whether they have children. Children, pregnant women, seniors, and people with disabilities qualify at higher income levels. There is no enrollment period for Medicaid — you can apply at any time.
Apply through North Carolina's Medicaid agency online, by phone, or in person at a local office. You can also apply through HealthCare.gov, which routes your application to North Carolina. In many cases the same application covers SNAP and cash assistance. Coverage can be retroactive up to three months before your application if you had medical bills and were eligible then.
Medicaid in North Carolina covers doctor visits, hospital stays, emergency care, lab work, X-rays, prescriptions, preventive care, and long-term care services. Federal rules require coverage of these core benefits in every state. Children enrolled in Medicaid receive comprehensive dental, vision, and hearing coverage. Adult benefits vary more from state to state.
Children on Medicaid receive comprehensive dental coverage, which federal law requires in every state. Adult dental coverage is optional for states and varies widely — some cover routine cleanings and fillings, others cover only emergency extractions for pain or infection. Contact North Carolina's Medicaid agency to confirm what your specific plan covers.
Medicare is a federal health insurance program primarily for people 65 and older and for some younger people with disabilities. Eligibility is based on age or disability and work history, not income. Medicaid is a joint federal-state program based on income. You can have both, which is called dual eligibility.
You may qualify for subsidized coverage through the Health Insurance Marketplace, where tax credits often reduce premiums substantially. North Carolina residents can also look into CHIP for children, which has higher income limits than adult Medicaid. If you have high medical bills, some states have a medically needy or spend-down pathway that counts those costs against your income.
Local Help Near You
We'll show you offices and services in your area.
Need immediate help?
Call or text 211 to connect with local services for food, housing, healthcare, and more. Available 24/7 in most areas.
North Carolina Statewide Hotlines
- • General assistance: Contact your local Department of Social Services
- • Veterans: Contact your County Veterans Service Officer
- • Housing: Contact your local Public Housing Authority
Last reviewed: August 12, 2026
Quarterly updates
Important Notice
BenefitKarma is not a government agency. This page is for educational purposes only. We do not decide eligibility for any benefits or programs. Official program offices make all eligibility decisions. Always verify information with the official program website before applying or sharing personal information.
Common questions about North Carolina benefits
You can apply for benefits and get help in person at your county’s Division of Social Services (DSS) office. Every county in North Carolina has a DSS office that can help you with your application. They can answer your questions about programs like Food and Nutrition Services (FNS) or Medicaid. You can also turn in your paper application there. Find your local DSS office address on the North Carolina Department of Health and Human Services website.
The wait time depends on the benefit. For Food and Nutrition Services (FNS), you should get a decision in 30 days. If you have very little income, you may get help in just 7 days. Medicaid can take longer, often 45 days or more. You can check the status of your application by calling your county's Division of Social Services (DSS). You will get a letter in the mail when they make a decision.
If your application is denied, you have the right to appeal the decision. The denial letter you get from the Division of Social Services (DSS) will tell you why you were denied and how to appeal. You must ask for an appeal before the deadline listed in your letter. You can send your appeal request to your county DSS office. It is a good idea to get help with your appeal from a legal aid office.
North Carolina residents can apply for food assistance through SNAP, health coverage through Medicaid, housing help through Section 8 and public housing, cash assistance through TANF, unemployment insurance after a job loss, and utility help through LIHEAP. Veterans and people with disabilities have additional programs. Most are income-based, and you can receive several at once.
Most North Carolina benefits run through your state's human services agency. You can find the application portal, phone number, and local office locations for North Carolina through the USDA state directory. One application often covers SNAP, Medicaid, and cash assistance together. Unemployment and VA benefits use separate applications through different agencies.
Yes. SNAP and Medicaid are separate programs with separate rules, and receiving one does not disqualify you from the other. Many North Carolina households qualify for both. In most cases you can apply for both on the same application. Getting SSI or TANF can make you automatically eligible for SNAP.
You will generally need photo ID, Social Security numbers for everyone applying, proof of North Carolina residency such as a lease or utility bill, proof of income like recent pay stubs, and proof of housing costs. Immigration documents are required for non-citizen applicants. Missing documents slow processing but should not stop you from applying.
You can request a fair hearing. For SNAP you have 90 days from the date of the decision to request one, and you can do it by phone, in writing, or in person at your local office. An official who was not involved in your case reviews the facts. If you appeal within 10 days, benefits may continue during the review.
No, but eligibility for non-citizens is limited. For SNAP, lawfully present non-citizens generally qualify if they have lived in the U.S. for at least five years, receive disability-related assistance, or are children under 18. Undocumented immigrants are not eligible for SNAP. Children may still qualify even when adults in the household do not.
Unemployment questions in North Carolina
File a claim with North Carolina's unemployment agency as soon as you lose work. The Department of Labor's site at unemployment.gov routes you to North Carolina's filing portal. You will need your Social Security number, driver's license or state ID, and the names, addresses, and employment dates for every employer from the past 18 months. After filing, you must certify weekly or biweekly.
Weekly benefits in North Carolina range from $15 to $350. Your amount is based on wages earned during your base period, typically the first four of the last five completed calendar quarters. Most states replace roughly half of prior weekly wages up to the maximum. These figures are effective as of January 2026.
North Carolina provides 12–20 weeks of regular unemployment benefits within a benefit year. The exact number depends on your earnings history, and some states reduce available weeks when the state unemployment rate is low. Extended benefits may become available during periods of high unemployment.
You generally qualify if you lost your job through no fault of your own, earned enough wages during your base period to establish a claim, and are able to work, available for work, and actively seeking it. Quitting voluntarily or being fired for misconduct usually disqualifies you, though quitting for certain good causes may still qualify.
Yes, unemployment benefits are taxable income at the federal level and must be reported on your federal return. You can choose to have 10% withheld for federal taxes when you file your claim, which prevents a surprise bill. State tax treatment varies — some states tax benefits, others exempt them entirely.
Tools to help you apply in North Carolina
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