Medicaid for disabilities, waivers, and rides — NC Guide for Peer Support Specialists

Extra Medicaid options cover people with disabilities, long-term care, and home and community services.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

113 Mayo Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask about adult Medicaid, Food and Nutrition Services, energy assistance, or another benefit you need.
Confirm application options, required documents, interview arrangements, and any emergency processing.
Use ePASS where available, keep confirmation, and agree on the next follow-up. Eligibility is assessed by the program.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

414 East Main Street, Durham, NC 27701

Ask about adult Medicaid, Food and Nutrition Services, energy assistance, or another benefit you need.
Confirm application options, required documents, interview arrangements, and any emergency processing.
Use ePASS where available, keep confirmation, and agree on the next follow-up. Eligibility is assessed by the program.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

220 Swinburne Street, Raleigh, NC 27610

Ask about adult Medicaid, Food and Nutrition Services, energy assistance, or another benefit you need.
Confirm application options, required documents, interview arrangements, and any emergency processing.
Use ePASS where available, keep confirmation, and agree on the next follow-up. Eligibility is assessed by the program.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Medicaid for the Aged, Blind and Disabled (MABD) has its own income and asset rules.
NC Innovations Waiver: services for people with intellectual and developmental disabilities. There's a waitlist (the Registry of Unmet Needs), so sign up early.
TBI Waiver: for adults with a traumatic brain injury in certain LME/MCO areas.
CAP/DA: in-home help for adults who would otherwise need nursing home care.
1915(i) services: home and community supports for people in Tailored Plans and Medicaid Direct.
Medicaid transportation: ask the county DSS or health plan, usually a few days ahead.

Last checked October 2026. Amounts and rules change, so confirm with the official source before sharing.

Orange · Durham · Wake, NC · Adults 18+ · Crisis: 988 · Immediate danger: 911