How to Apply for Services

If you think that you might be eligible for Food and Nutrition Services and want you apply, you need to:
- Call or go to the local department of social services for an application or ask them to mail you an application.
- Fill out the application as much as you can. Put your name and street address on the form and sign it.
- Return the application back to your local department of social services office.
- Have an interview. You can do your interview over the phone or you can have a friend or relative go to the interview in your place.
- Show the local office important papers such as pay stubs, receipts for rent or mortgage payments, utility bills, child or elder care bills, child support court orders and cancelled checks. Proof of identity and proof of income are also needed.
- After reviewing your application, the local office worker will tell you if you qualify and how much you will receive.
- Call  The Food and Nutritional Services Unit  1-252-789-4430 for other details.

Apply for Family and Children's Medicaid?
You can come to DSS to apply or you can fill out the DMA-5063 Medicaid for Family and Children's Medicaid application, and mail it to Martin  Co. DSS, P.O. Box 809 Williamston, NC 27892.

What will I need to complete my application?
- Pay stubs of the previous month if you, your spouse, or parents are working, Certified Birth Certificate of who is applying (if you do not have them DSS will help you get them).
- Two proofs of residence, (valid NC ID or drivers licenses with the correct mailing address and some type of mail such as an electric bill, water bill, or doctor's bill).
If any other information is needed a Caseworker from DSS will contact you.
Call the Medicaid Unit at 1-252-789-4400 for other details.

Become a Foster Parent?
To be a foster parent, you must meet the following criteria:
- Be at least 21 years of age
- Married or single
- Have a stable home and income
- Complete all required training
- Committed to children
For more information on becoming a foster parent, please contact Nancy Conner at 1-252-789-4460 or email her at nancy.conner@martincountyncgov.com 

Make a Child Protective Services Report?
Martin County Department of Social Services holds the responsibility for accepting reports of abuse, neglect, and dependency of children that have been abused, neglected, or exploited.
To make a CPS report: Citizens of Martin County should report suspected allegations to the agency during working hours 8:00 am - 5:00 pm, Monday through Friday by calling 1-252-789-4460. The call will be directed to appropriate department. After hours, weekend, and holiday reports can be made by calling the 911 operator who will get the “on call” social worker.  DSS provides a social worker 24 hours a day to take down these CPS reports.

Make an Adult Protective Services Report?
Martin  County Department of Social Services hold the responsibility for accepting reports of abuse, neglect, and dependency of disabled adults that have been reportedly abused, neglected, or exploited.
To make a APS report: Citizens of Martin County should report suspected allegations to the agency during working hours 8:00 am - 5:00 pm, Monday through Friday by calling 1-252-789-4460. The call will be directed to appropriate department. After hours, weekend, and holiday reports can be made by calling the 911 operator who will get the “on call” social worker.  DSS provides a social worker 24 hours a day to take down these APS reports.

Find out if I am eligible for CAP/DA?
To receive CAP/DA services, you must live in Martin County and be:

18 years or older
Eligible for Medicaid
Approved for Nursing Home Care
Be at risk of Nursing Home Placement
Maintained safely in the home within the CAP/DA cost limit.
Please be advised that Martin County DSS does not provide CAP/C services
Call the Adult Services Unit at 1-252-789-4460 for other details.

Apply for Work First Family Assistance?
How to Apply:  Applications are taken during the hours of 8:00 am – 5:00 pm Monday thru Friday.
What you will need: 
- Birth certificates
- Social Security cards
- Previous month’s pay stubs
- Health Insurance cards
- Most recent bank statement
- Life insurance policies
- The names, addresses, and date of birth of the absent parent.
Call the WFFA Unit at 1-252-789-4400 for other details.

Apply for Medical Transportation?
How to Apply:  Come to the Services Unit at 222 East Main Street Williamston, N.C. during the hours of 8:00 am and 5:00 pm Monday thru Friday. You may also request assistance via the Medical Transportation Phone Line at 1-252-789-4460.

Apply for Crisis Intervention Program (CIP)?
How to Apply:
- Applications are taken during the hours of 8:00 am and 4:00 pm Monday thru Friday at the Services Unit located at 222 East Main Street Williamston, N.C.  Note the time of cut off for applicants walking in to make an application is 4:00 pm daily.
What You Will Need:
- Past due heating or cooling bill.
- Call the Adult Services Intake Unit at 1-252-789-4460 for other details.

Apply for LIEAP (Low Income Energy Assistance Program)
• There will be no automatic payments made in February anymore to the clients. 
• Applications taken during December 1, 2011 through January 31, 2012 will target: households where ALL members are age 60 or older and households where at least one member is Disabled AND receiving services through the Adult and Aging Program.
• All approved payments will be made directly to the Energy Providers (vendors) rather than to the clients.
• If funds remain available, all other households may apply beginning February 1, 2012 through March 31, 2012.
• Applications are made in our Services Unit at 222 East Main Street Williamston, N.C. from 8:00 am to 4:00 pm.  Note the time of cut off for applicants walking in to make an application is 4:00 pm daily.
• Call the Adult Services Intake Unit at 1-252-789-4460

Apply for Adult Medicaid?
If you wish to apply for Adult Medicaid, you may either visit the local Department of Social Services or you may mail in an application (form DMA 5000).  You may print the application or you may call the local DSS and ask that an application be mailed to you.  Once the DMA 5000 is completed, mail it to Martin County Dept. of Social Services, PO Box 809, Williamston, NC 27892.  The date the mail-in application is received in the agency is the date of application.  Faxed applications and applications received over the internet are not acceptable.   If you have an ongoing Medicaid case and you move into a skilled nursing facility, you do not need to reapply for benefits.  You must, however, contact your caseworker within ten days and report the change.  If you move from into an assisted living facility, you must visit the local DSS and complete a new application.

How to Apply: If possible, take the items listed below with you when you go to the DSS office to apply.
• Certified birth certificates or other proof of citizenship/alien status for each individual applying for Medicaid/NCHC
• Identity documents for each individual applying for Medicaid/NCHC
• Social security cards, social security numbers, or proof that you have made an application for a number from the Social Security Office, for each individual applying for Medicaid or NCHC
• A copy of all pay stubs for the last 3 months
• Copies of all medical or life insurance policies
• A list of all cars, trucks, motorcycles, boats, etc. you or anyone in your household own, including the year, make, model, and vehicle identification number (VIN) for each item
• Most recent bank statements
• A list of all real property you own
• Current financial statements/award letters from other sources of income, such as social security, retirement benefits, pensions, veteran benefits, and child support.
If you are unable to go to a DSS office, you may also print and mail completed Medicaid Applications to your local DSS office, or you may call and ask that an application be mailed to you.  Faxed applications and applications received over the internet are not acceptable.  Some health centers and hospitals have application forms available and may be able to assist you in completing them. 
For more information, please contact Martin County Department of Social Services at 1-(252) 789-4400 and ask for someone in Adult Medicaid