You may contact the Department of Social Services (DSS) at 704-216-8330 to request an application to be mailed to you, or you may go to the North Carolina Division of Medical Assistance website. You may select from the Adult Medicaid Mail-in, form number DMA-5000, or you may choose the form DMA-5063 for Medicaid for families and children.
DSS cannot accept applications received by fax or email. Your eligibility will be determined by the date of your application. The date of the application is the date a completed, signed, and dated application is received in the DSS in the county where you reside. Once you have completed the application, you may mail the application or bring it in person to:
Rowan County Department of Social Services 1813 E Innes Street Salisbury, NC 28146 Monday through Friday, 7:30 a.m. to 5:00 p.m.
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Basic Eligibility Requirements;
Medicaid or Health Choice may be available to people who are:
You also must:
There are three ways to apply (one application works for Medicaid and Health Choice).
Call Rowan County DSS at 704-216-8330 if other accommodations are required.
Persons receiving Medicaid under the Medicaid for Qualified Beneficiaries coverage group and/or children receiving North Carolina Health Choice are not eligible to receive Medicaid Transportation assistance. To request Medicaid Transportation contact Janice Gray at 704-216-8896.