In North Carolina, as in most states, you must first be over the age of 65, or defined disabled. Assuming not over 65, you must have a governmental agency declare you disabled. This is usually acquired through Social Security Disablity (SSD). In order to be declared as "defined disabled" you should be under the continuing care of a psychiatrist, psychologist or councellor, all must have proper licensure, degree and certification. The longer the documented psychiatric relationship the better the chances. The professional attending you must be your strong advocaate, providing all records, and a detailed affidavit that strongly supports your pursuit of SSD. However, based on what little is stated, your diagnosis will probably be denied. Currently, SSD denials are at an all timne high. Countless others having more severe diagnoses have been denied on the first application.
If over the age of 65, or if in fact you are defined disabled, you must meet Medicaid programmatic limits on income and countable resources. Community based Medicaid programs have a variation in what is required. Generally, however, income over approximately $1,100 per month, and countable assets over $2,000.00 will create ineligibility. The home (if under $500,000), one vehicle, and all personal property are not countable (considered exempt).
If not 65, you probably need the assistance of a Social Security Disability attorney before filing a Medicaid application. While not an SSD attorney, if you are over 65, and can meet the eligibility criteria above, you can probably handle file the Medicaid application witout the assistance of an elder or disability law attorney.
This is a sad case, I'm sorry to hear that. The short answer is you really need to provide more information. Assuming your sister is an adult, and further assuming that she lives with other family members, both of which may not be true, then first, you need to examine whether she has a work history upon which to base a disability claim. If so, then she can apply for Sicial Security Disability benefits, or you can do so on her behalf. If not, then she will have to apply for Supplemental Security Income or SSI. If she is living with others, then she may not qualify no matter how ill she might be, due to income restrictions, but you can try. So long as she receives $1 in SSI, she will qualify for Medicaid. These applications are online at http://www.ssa.gov.
Depending upon her exact circumstances, there may be other programs for which she may qualify. You should contact your local Medicaid office for further assistance. Good luck!
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