Nervous about looking for or starting work?

What Happens if I have Medicaid and I get a job?

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Some people worry that getting a job might make them lose their Medicaid. That can make them nervous about looking for or starting work. There are also new work requirements for some people on Medicaid. It can be confusing which rules may apply to you. The truth is many people with Medicaid are able to work and still keep their health benefits.

If you're thinking about getting a job, reach out to a benefits counselor before you start working. Everyone’s situation is different. A benefits counselor can explain how a job might affect your Medicaid eligibility and other benefits. With the right support and clear information, you can make the best decision for yourself.

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They will help you find out:

  • What benefits you have
  • What incentives are available to help you go to work
  • How earned income impacts public benefits
  • Reporting requirements for each benefit
  • Resources available to help you save money

Find your local benefits counselor at your local Employment and Independence for People with Disabilities office. If you haven’t participated in vocational rehabilitation services and want to explore work, you can call the Ticket-to-Work Helpline at 1-866-968-7842 or (TTY) 1-866-833-2967 for individuals with hearing or speech impairments.

Plan Confidently with NC Disability Benefits 101

NC Disability Benefits 101 is another resource to learn how work might affect your Medicaid or other disability benefits. This free, online website from the NC Department of Health and Human Services provides easy-to-understand tools and information to help you plan for employment.

Explore frequently asked questions, learn how to avoid common mistakes, and find out how you can save money while working. Visit NC Disability Benefits 101 to start planning your path.
 

How Do I Know if I’m Ready to Work?

Some people believe that things like substance use, health problems, a criminal record, or not taking medication regularly means someone isn’t ready to work. They may also worry that getting a job will cause them to lose their benefits such as Medicaid. These are old and outdated beliefs.

In order to know if you are ready to work, ask yourself, “Do I want to work?” If your answer is “yes,” then you are ready to work. Once you know you're ready, it's helpful to consider the many benefits a job can bring to your life.

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How Will Getting a Job Benefit Me?

Getting a job can bring many good things to life. It can provide a path for independence and fulfillment. Individuals can make more money and feel a sense of pride and accomplishment. It can also help making friends and connecting to your community. Employment can even create a daily routine. 

Trillium members have shared with us the impact employment has had on their well-being. For Chrissy, she found her dream job that gives her joy and purpose. She even discovered a trial work period with help from her benefits counselor! Chrissy was able to find the schedule and job that fit her best. For Melissa, her job helps her connect to her community and help others. She even was awarded Employee of the Year from her workplace! 

These positive outcomes can also help your mental and physical health as well as reduce substance use.

Chrissy's Dream Job

Meet Melissa and Heather

Are there any services to help me with getting a job?

Supported Employment gives people with disabilities guidance through a team of professionals. This team often includes a trained benefits counselor. The Supported Employment team can also help you find a job that matches your interests and needs. They’ll also guide you through how to keep essential benefits while finding meaningful employment. They’ll make sure you have the right support and any accommodation you need to succeed at work.

North Carolina’s Division of Employment and Independence for People with Disabilities helps people with disabilities who want to work. They offer services, support, and helpful tools. Resources include jobseeker services, employer services, an assistive technology program, community rehabilitation services, and more!

Your Tailored Care Manager is another incredible resource for you to call on. They can help you find the right service and supports, such as supported employment services.

Take the Next Step Toward Work

A young woman carring boxes to put them inside Food TruckIf you're thinking about working, know that you’re not alone. You also don’t have to figure it all out by yourself. There are programs, professionals, and resources ready to help you succeed, make informed decisions, and find a job that’s right for you. Whether you’re just starting to think about employment or ready to jump in, your journey can begin today.

Talk to your care manager or reach out to one of the resources listed above. The first step is always the most difficult, but it could be one that leads to more independence, connection, and fulfillment.