Family and Children’s Medicaid is a health insurance program that serves low-income individuals, children, and parents. For information regarding the different types of Medicaid in North Carolina and to see if you are potentially eligible, visit the Division of Medical Assistance web site at

  • To be eligible for Medicaid, you must be a US Citizen or provide proof of eligible immigration status unless you are only applying for emergency services.
  • You must live in North Carolina and provide proof of residency
  • You must have a social security number or have applied for one.
  • Income and resource limits vary depending on the Medicaid Program and eligibility.
  • Apply online at
  • Apply at Johnston County DSS at 714 North Street Smithfield NC 27577. Applications are taken between 8:00 am to 5:00 pm, Monday – Friday (except holidays)
  • Mail In Application: down for printable applications)
  • Request that an application be mailed to you by calling 919-209-4100

When information is required to complete your FCH Medicaid Recertification, documents must be returned by the due date on the request sent to you. Documents can be mailed in, dropped off using the DSS drop boxes located outside of the DSS building, or dropped off at the inside drop box of building 1.

For more information contact: 919-209-4100

Johnston County Medicaid News!  Currently, Family & Children's Medicaid beneficiaries, who are MAGI (Modified Adjusted Gross Income Methodology) can submit case verifications through their "enhanced" ePass portal (  NEW ~ Now, Traditional Medicaid beneficiaries (such as but not limited to Adult Medicaid - Blind, Disabled, Medicaid (MQB) Qualified individuals...) can submit verifications, utilizing the following "Traditional" Medicaid email:

All inquiries go through the DSS main number:

(919) 989-5300

This includes Food Stamps (FNS), Medicaid, Temporary Assistance Needy Families (TANF), Child Care, Child Protection, Adult Protection, Foster Parenting, Transportation, and more.

Report Child Abuse/Neglect

Monday through Friday 8 am through 5 pm (919) 989-5300.
After hours, weekends and holidays, please call 911 or (919) 989-5000.

Report Adult Abuse/Neglect

Monday through Friday 8 am through 5 pm (919) 989-5000.
After hours, weekends and holidays, please call 911 or (919) 989-5000.

Domestic Violence

Call 911 or (919) 989-5000.