Applications (in English or Spanish) for this program are available in many different locations including county social services departments, local health departments, and on the Apply for Medicaid or Health Choice Web site.

It is a simple application form, which may be submitted to your county social services department by mail. The form plus any required enrollment fee would begin the application process. This application form can be mailed or taken to your county social services department. Each application will first be reviewed to see if the child is eligible for Medicaid and, if not, then reviewed to see if the child is eligible for NC Health Choice for Children. If the child is found to be eligible for NC Health Choice for Children, the application will be processed and the parents will receive a health card, a benefits booklet and instructions in the mail. Once parents are notified, the child is eligible to receive care. Unlike Medicaid, the NC Health Choice for Children program is limited by the amount of funds that are available. Therefore, it is open only to children on a first come, first served basis. Once the program is full, a waiting list will be taken, so it is in the best interest of the child to enroll as soon as it is possible.

If you would like help filling out the application, call or visit your department of social services in the county where you live. You can find the address and phone number in your phone book under County Government or by calling the North Carolina Family Health Resource Line at: 1-800-367-2229