Skip to main content

North Carolina law

Elder Laws in North Carolina.

North Carolina elder law covers Medicaid long-term care planning, powers of attorney, advance directives, guardianships through the Clerk of Superior Court, nursing home resident rights, and Adult Protective Services. North Carolina follows the federal 60-month Medicaid lookback. The Clerk of Superior Court exercises original jurisdiction over guardianships. North Carolina adopted the Uniform Power of Attorney Act in 2017. The state criminalizes elder abuse and financial exploitation under specific statutes.

Last verified: 2026-04-17

State law

Key North Carolina Statutes

GuardianshipN.C.G.S. Chapter 35A

Guardianship of incapacitated adults is adjudicated by the Clerk of Superior Court. Petitioner must prove incapacity by clear and convincing evidence. The Clerk appoints a Guardian Ad Litem for the respondent.

North Carolina Uniform Power of Attorney ActN.C.G.S. Chapter 32C

Effective January 1, 2018. Powers of attorney are presumed durable. Statutory short-form POA available.

Advance Directive for Natural Death (Living Will)N.C.G.S. §§ 90-320 et seq.

North Carolina's statutory living-will form. Permits specification of end-of-life treatment preferences.

Health Care Power of AttorneyN.C.G.S. § 32A-15 et seq.

Authorizes designation of an agent to make healthcare decisions. Must be notarized and witnessed by 2 qualified witnesses.

Medicaid Long-Term Care42 U.S.C. § 1396p; NC DHHS rules

Federal 60-month lookback on asset transfers. North Carolina administers Medicaid through DHHS.

Adult Protective ServicesN.C.G.S. § 108A-100 et seq.

APS investigates reports of abuse, neglect, and exploitation of disabled adults. Certain professionals are mandated reporters.

Elder Financial ExploitationN.C.G.S. § 14-112.2

Criminalizes financial exploitation of an older adult or disabled adult. Felony penalties escalate based on amount taken.

State law

Official Sources

Not Legal Advice

This page summarizes publicly available statutes and rules for informational purposes only. It does not constitute legal advice, and no attorney-client relationship is created by viewing this content. Laws change — always verify with the primary source or consult a licensed attorney in North Carolina.

Next step

Move from state law into guided help or attorney search.

If you want help applying this information to your situation, start with guided help or browse attorneys for this issue in North Carolina.