Eligible applicants must:
� Be a U.S. Citizen or qualified alien
� North Carolina resident
� Have a social security number or have applied for one
� Have income that meets program requirements for one of the following categories:
� Families with children under age 19
� Children under age 21
� Single or married pregnant women
� Children receiving adoption or foster care assistance
� Be currently receiving a check for Supplemental Security Income (SSI), Work First Family Assistance (WFFA), or Special Assistance for the Aged, Disabled or Blind (SAA, SAD or SAB)
� Be uninsured
� Be members of families at or below 200% of the Federal Poverty Limits. The amount of money families can earn and still qualify depends upon the number of people in each family unit.
� Be ineligible for Medicaid, Medicare or other federally sponsored health insurance.
� Pay the enrollment fee if applicable. (Families whose income falls between 151% and 200% of the Federal Poverty Limits must pay an enrollment fee of $50 per child up to a maximum of $100 per family. The enrollment fee must be paid each year.)
This is just a guide. An eligibility worker at the Department of Social Services will assess your individual situation and inform you of your eligibility status.