Medicaid HCBS Waiver in Raleigh, North Carolina
What is Medicaid HCBS Waiver?
Home and Community-Based Services (HCBS) waivers allow Medicaid to pay for home care, personal assistance, and support services instead of nursing home care. These waivers enable elderly and disabled individuals to remain in their homes and communities while receiving the care they need. Each state administers its own HCBS waiver programs with different names and eligibility requirements, but all share the common goal of supporting aging in place.
In North Carolina, this program is known as North Carolina Medicaid HCBS Waiver. Contact your state agency for details about Medicaid HCBS Waiver in North Carolina.
Eligibility Requirements in North Carolina
| Requirement | North Carolina Standard (2026) |
|---|---|
| Age | 65 or older (or disabled) |
| Income (single person) | $2,742/month |
| Income (married couple) | $5,484/month |
| Asset limit | Typically $2,000 individual; home often exempt |
| Residency | Must be a North Carolina resident |
| Level of care | Must need assistance with activities of daily living |
How to Apply in Raleigh, North Carolina
- Contact North Carolina Division of Medical Assistance at (919) 855-4100 to begin the application process
- Request a functional eligibility assessment
- Gather financial documentation (tax returns, bank statements, Social Security award letter)
- Complete the Medicaid application through your state's portal or in person
- If approved, work with a care coordinator to develop your care plan
Your local Area Agency on Aging - the Wake County Human Services Area Agency on Aging at (919) 212-7000 - can also help you navigate the application process at no charge.
Get Your Application Checklist →Frequently Asked Questions About Medicaid HCBS Waiver in Raleigh
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What is the income limit for North Carolina Medicaid HCBS Waiver in North Carolina?In North Carolina, the income limit for North Carolina Medicaid HCBS Waiver is typically $2,742/month for a single person and $5,484/month for a married couple. Some income may be disregarded in calculations.
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How long is the waitlist for North Carolina Medicaid HCBS Waiver in North Carolina?Waitlist times vary significantly. Contact North Carolina Division of Medical Assistance at (919) 855-4100 for current waitlist status. Some states have open enrollment while others have waitlists of several months to years.
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What services does North Carolina Medicaid HCBS Waiver cover in North Carolina?Covered services typically include personal care assistance, homemaker services, adult day health services, respite care, home health aide services, and skilled nursing visits. Specific services vary by program.
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Can I keep my Medicare coverage while on North Carolina Medicaid HCBS Waiver?Yes. Medicaid HCBS waivers supplement but do not replace Medicare coverage. You may qualify for both programs simultaneously if you meet eligibility requirements for each.
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How are Medicaid assets calculated in North Carolina?In North Carolina, asset limits for Medicaid are typically $2,000 for an individual. Your primary home, one vehicle, personal belongings, and certain other assets may be exempt from this calculation.
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Need Help With the Application?
Download our free application checklist for North Carolina Medicaid HCBS Waiver, or let our Grant Concierge handle the paperwork for you.