Contact Info

Lisa Sprouse
For questions about your benefits, please call the main number and ask
to speak with a case worker.


Social Services Bldg.
PO Box 338
145 E. Court Street
Marion, NC 28752
Google Map


Monday - Friday
8:00 AM - 5:00 PM



The mission of the McDowell County Department of Social Services is to respectfully assist families and individuals by helping them maintain, and/or enhance their quality of life; to prevent abuse, neglect, and exploitation of vulnerable people in the community.

The Department of Social Services is located on East Court Street in Marion. The Department is responsible for implementing Federal and State human services programs.

People Focused & Service Driven


Income Maintenance Programs

Among Social Services’ income maintenance programs are the work first program, food and nutrition program, low income energy assistance program, medicaid program and special assistance for adults.

Service Programs

Among the service programs, Social Services administers adoptions, adult care home case management, adult services, case management, child support, community alternatives program for disabled adults, adult rest homes, general assistance, guardianship, in-home aide, hospital social work, JOBS program, permanency planning, placement services for adults and children, protective services for adults and children, representative payee, services for the blind, medical transportation and clerical support.

Document Actions
What's New

Changes Coming To North Carolina Medicaid
For many beneficiaries in North Carolina Medicaid is changing to North Carolina Medicaid Managed Care. This means that individuals who receive Medicaid and fall into the Mandatory or Voluntary groups would need to choose a Managed Care Plan with one of the 4 providers serving our area. Those Plan providers are: NC Healthy Blue, United HealthCare, WellCare of NC, and AmeriHealth Caritas.

All plans will provide coverage for the same services that Medicaid covers now, but will also offer other “EXTRA” benefits to their members.

Enrollment Packets have been mailed out to those who are currently receiving Medicaid coverage. If you have received a packet for yourself or someone in your home, it is important that you contact the Enrollment Broker using the telephone number 1-833-870-5500, website, or phone app. We will also have a Broker located at the Department of Social Services Agency during Open Enrollment for anyone that would like to choose their Plan or has questions. The Enrollment Broker will be able to answer any questions and help you choose a plan that will be best for you based on your family’s needs.

Open Enrollment is going on now through December 15, 2019.

The Plan providers will also be attending an event at the Marion Community Building on November 15 from 3-6. This will be a great opportunity to ask questions about each Plan and the benefits that they are offering.

We encourage everyone in the community to take advantage of the Enrollment Broker we have on site at McDowell DSS as well as the upcoming event to get all of the information about the plans in order to choose the Plan that is best for your family.  

Important Changes to Medicaid

North Carolina medicaid will be implementing new changes over the next year. The state will begin sending out information to all recipients so it is imperative that you keep your contact information up to date with your local DSS. If you have a change, please contact your caseworker, or come by the office and complete a change report.

As of July 1st 2018, McDowell County implemented  McDowell County Public Transportation
As of July 1st 2018, McDowell County implemented  a public transportation system. If you need transportation and would like additional information please call 828-559-0744. If you receive full medicaid and need to request a gas voucher or transportation, please call 828-659-0634. If you are needing to fax a referral for medicaid transportation, the number is 828-659-0734.

Epass Tutorial
If you would like more information on epass and how to apply for medicaid or food and nutrition benefits, please click here

Community Resource Booklet

 DSS has identified the need for McDowell County citizens to have access to a community resource booklet to learn more information about what the county has to offer. To view the booklet, please click here.

Children Protective Services
If you have ever wondered what constitutes a child protective services report but didn't know where to look, this information is available via the manual website. To view the CPS manual, please click here.

211 Introduced in McDowell County
McDowell County residents now have access to the United Way's information line, 211. This service is free, confidential, 24-7, and available in any language. 211 is your connection to food, clothing, shelter, child care services, consumer help, counseling, crisis intervention, health care, housing, senior services, support groups and volunteer opportunities. Just pick up your phone, dial 211, and be connected to a live operator that will assist you in finding resources within the community to help you or your family.

McDowell County and Project Lazarus
McDowell County has partnered with Project Lazarus to assist in the fight of drug overdose prevention. To learn more information about this project, please visit the Project Lazarus website.





Personal tools