Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in North Carolina?
Last verified October 17, 2026 · All North Carolina resources
In North Carolina, the income limit is $1,330/month and the asset limit is $2,000 single. North Carolina's Medicaid for people who are 65 or older, blind or disabled has an income limit of 100% of the federal poverty level, $1,330 a month for one person, and a resource limit of $2,000 ($3,000 for a couple). People with higher income may qualify by meeting a deductible (spend-down). Nursing facility residents generally do not need to meet a deductible, but they pay all their monthly income, less a $70 personal needs allowance and uncovered medical costs, toward their care. Giving away resources can delay Medicaid payment for nursing facility or CAP services.
| Program | NC Medicaid for the Aged, Blind and Disabled (MAA/MAB/MAD): Community Alternatives Program for Disabled Adults (CAP/DA) and nursing facility care |
|---|---|
| Income limit (single applicant) | $1,330/month for a single applicant (100% FPL); people with higher income can qualify after meeting a deductible |
| How income is counted | medically needy spend-down |
| Medically needy spend-down | Yes |
| Asset limit (single) | $2,000 single |
| Asset limit (couple, both applying) | $3,000 couple |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the North Carolina Medicaid waivers that pay for home care.
How to apply in North Carolina (North Carolina Department of Health and Human Services, Division of Health Benefits (NC Medicaid); county departments of social services)
More for North Carolina
Medicaid eligibility by state: other states
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Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
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