North Carolina Disability Benefits: Social Security Disability Insurance and SSI

Find out about North Carolina's state supplemental payments, plus how to appeal a denial of Social Security disability or SSI and whether you qualify for Medicaid.

Persons with disabilities who live in North Carolina and cannot work may be eligible for Social Security Disability (SSDI) or Supplemental Security Income (SSI). SSDI and SSI are federal programs that provide benefits to people who meet the Social Security Administration’s (SSA's) definition of disabled. Even though these programs are federal, who makes the disability determination and how much a person can receive in SSI payments differs from state to state. North Carolina does not provide short-term disability benefits.

How Do I Apply for Benefits in North Carolina?

There are three different ways you may be able to apply for benefits, regardless of where you live: by phone (800-772-1213), in person at your local Social Security office (, or online, for SSDI only (

North Carolina's Disability Determination Services

After Social Security decides you meet the basic eligibility requirements (income level or amount of work credits), your application is sent to North Carolina’s Disability Determination Services (DDS) agency. DDS, administered by the Department of Health and Human Services, is responsible for making the initial decisions about whether you are disabled. Here is the contact information:

North Carolina Disability Determination Services
P.O. Box 243
Raleigh, NC 27602
Phone: 919-212-3222, 800-804-5509
Fax: 800-443-9360

For more information, visit the DDS website.

What Will My SSI Payments Be in North Carolina?

North Carolina also pays a supplement to SSI recipients who live in adult care homes, family care homes, or group homes. it's called State-County Special Assistance. (An adult care home is one in which the management provides around the clock and unscheduled care to at least two residents.) If you receive basic care at an adult care home, you can get up to $1,228 per month from the state supplement and SSI combined ($1,182 goes to the facility). If you are in a special care unit for Alzheimer's at an adult care home, you can get up to $1,561 per month from the state supplement and SSI combined ($1,515 goes to the facility).

The state supplement payment is made under the State/County Special Assistance program. For more information, visit the North Carolina Department of Health and Human Services, Division of Aging and Adult Services website.

Am I Automatically Eligible for Medicaid if I Get SSI?

In North Carolina, if you are approved for SSI, you are automatically eligible for Medicaid. Your eligibility for Medicaid will begin the first day of the month you became eligible for SSI benefits and will continue as long as you remain eligible for SSI.

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