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Another thought: do they offer integrated Medicare-Medicaid health plans through health insurance companies in North Carolina? (I looked it up just now but it wasn't clear.) I've found the integrated plans via health insurance providers (e.g., my dad has Humana Integrated Medicare-Medicaid, but there are 6 or so companies he can choose from here in Illinois) to be much simpler to use for all his needs. I direct order his incontinence supplies and other things he needs every month, they bill Medicaid on his behalf. It's been much easier to deal with insurance company customer service reps than the gov't offices.