Health Benefits/NC Medicaid – NCDHHS Policies and Manuals

Health Benefits/NC Medicaid – NCDHHS Policies and Manuals
Health Benefits/NC Medicaid
DHB Forms
Adult Medicaid
Family and Children’s Medicaid
Eligibility Information System – EIS
Director of Social Services Letters
County Playbook: Medicaid Managed Care
Basic Medicaid Eligibility Requirements
Title
Categories
Type
Format
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2024 Basic Medicaid Eligibility Requirements
Basic Medicaid Eligibility Requirements
Health Benefits/NC Medicaid
Manual
pdf
180 KB
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2024 MAGI MEDICAID & MEDICAID EXPANSION INCOME LIMITS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
224 KB
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manual
2025 Basic Medicaid Eligibility Requirements
Basic Medicaid Eligibility Requirements
Health Benefits/NC Medicaid
Manual
pdf
157 KB
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2025 MAGI MEDICAID & MEDICAID EXPANSION INCOME LIMITS
Family and Children's Medicaid
pdf
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2025 NON-MAGI MEDICAID INCOME/RESERVE LIMITS
Adult Medicaid
pdf
145 KB
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2026 Basic Medicaid Eligibility Requirements
Basic Medicaid Eligibility Requirements
Health Benefits/NC Medicaid
Manual
pdf
157 KB
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manual
ADMINISTRATIVE LETTER NO: 01-11, Self Certification For Life Line Link Up
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
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administrative-letter
ADULT MEDICAID TABLE OF CONTENTS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
126 KB
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policy
Attachment – DHB Self-Attestation
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
240 KB
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administrative-letter
CHANGE NOTICE FOR MANUAL NO. 01-05, Case Mix
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
19 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-11, Series # 3 Of Corrections, Additions, Deletions And/Or Updates, & Figures/Attachments Removal
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
31 KB
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CHANGE NOTICE FOR MANUAL NO. 01-14, HCWD Phase III
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
80 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-15, Non-Emergency Medicaid Transportation
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
16 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-15, Non-Emergency Medicaid Transportation
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
16 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-16, Alien Requirements
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
81 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-16, Alien Requirements
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
142 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-17, HCWD Premiums And DDS Address Change
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
28 KB
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CHANGE NOTICE FOR MANUAL NO. 01-17, Medicaid/NCHC Income/Reserve Limit Charts
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
78 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 01-19, Enumeration
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
44 KB
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CHANGE NOTICE FOR MANUAL NO. 01-19, Enumeration
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
170 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-20, 2020 Federal Poverty Level (FPL) Changes
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
108 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 01-20, 2020 Federal Poverty Level (FPL) Changes
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
210 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 01-21, Breast and Cervical Cancer Medicaid
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
190 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-21, Changes Related To 2021 Cost-Of-Living Adjustment (COLA)
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
301 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 01-22, 2022 Federal Poverty Level Changes
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
233 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 01-22, Reasonable Compatibility – Corrections and Additions
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
174 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 01-23, Reasonable Compatibility
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
138 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-23, Reasonable Compatibility
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
240 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-24, 2024 Pickle Amendment
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
150 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-24, MA-3200, Application
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
360 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-25, 2025 Federal Poverty Level (FPL) Income Changes
Family and Children's Medicaid
Change Notice
pdf
266 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-25, 2025 Pickle Amendment
Adult Medicaid
Change Notice
pdf
164 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-26, 2026 Pickle Amendment
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
108 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 01-26, MA-3240 Pregnant Woman Coverage
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
167 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 02-10, LIS Application For Medicaid
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
22 KB
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change-notice
CHANGE NOTICE FOR MANUAL NO. 02-11, Long Term Care Partnership Program
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
35 KB
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change-notice
CHANGE NOTICE FOR MANUAL NO. 02-12, Various Changes For 1/1/12
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
60 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 02-14, FPL Income Limit Changes
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
51 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 02-18, Community Spouse Resource Allowance And Low-Income Subsidy
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
14 KB
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change-notice
CHANGE NOTICE FOR MANUAL NO. 02-19, Aged, Blind, And Disabled Medicaid Table Of Contents And Non-Magi Medicaid Income/Reserve Limits
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
24 KB
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CHANGE NOTICE FOR MANUAL NO. 02-19, Breast And Cervical Cancer Medicaid (BCCM)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
139 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 02-21, Adult Medicaid Table of Content
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
224 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 02-21, Family and Children’s Medicaid Table of Contents
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
225 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 02-22, 2022 Federal Poverty Level Changes (FPL), Cost of Living Adjustment (COLA) Disregard and Low Income Subsidy (LIS) Income Limits
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
182 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 02-22, Money Follows The Person
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
336 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 02-23, 2023 Federal Poverty Level (FPL) Changes,Cost of Living Adjustment (COLA) Disregard and Low Income Subsidy (LIS) Income Limits
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
232 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 02-23, Modified Adjusted Gross Income Budgeting
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
239 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 02-24, Change in Circumstance, Terminations, and Reopening
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
357 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 02-24, MA-2300, Application
Adult Medicaid
Change Notice
pdf
155 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 02-25, 2025 Community Spouse Resource Allowance
Family and Children's Medicaid
Change Notice
pdf
130 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 02-25, 2025 Federal Poverty Level Changes (FPL) Income Changes
Adult Medicaid
Change Notice
pdf
257 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 02-26, Non-Emergency Medical Transportation (NEMT)
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
164 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 02-26, Non-Emergency Medical Transportation (NEMT)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
203 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 03-11, Pregnancy Medical Home
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
35 KB
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CHANGE NOTICE FOR MANUAL NO. 03-12, Update Of Yearly Levels
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
22 KB
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CHANGE NOTICE FOR MANUAL NO. 03-15, Non-Emergency Medical Transportation
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
58 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 03-18, Health Coverage For Workers With Disabilities (HCWD) Premiums
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
25 KB
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CHANGE NOTICE FOR MANUAL NO. 03-18, Revision And Relocation Of Policy: Estate Recovery, Pregnant Woman Coverage, Auto Newborn & Community Alternatives Program (CAP)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
15 MB
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CHANGE NOTICE FOR MANUAL NO. 03-19, Alliant Health Solutions
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
114 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 03-19, Family And Children’s Medicaid Table Of Contents And Twelve Months Transitional Medicaid
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
162 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 03-20, Community Alternative Program (CAP)
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
133 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 03-20, Community Alternative Program (CAP)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
238 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 03-21, Disability
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
271 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 03-21, Reasonable Compatibility
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
365 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 03-22, Money Follows The Person
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
336 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 03-22, Pregnant Woman Coverage
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
234 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 03-23, 2023 Federal Poverty Level (FPL) Changes and the Removal of MA-3255, North Carolina Health Choice (NCHC) Policy
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
256 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 03-23, Recertification
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
285 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 03-24, MA-2352, Change In Circumstance, Terminations, And Reopening
Adult Medicaid
Change Notice
pdf
259 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 03-24, Notice and Hearings Process
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
356 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 03-25, 2025 Federal Poverty Level Changes (FPL) Income Changes
Adult Medicaid
Change Notice
pdf
365 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 03-25, MA-3345 AGE/NAME/MARITAL STATUS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
373 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 03-26, 2026 Federal Poverty Level (FPL) Income Changes
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
147 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 03-26, 2026 Federal Poverty Level Changes (FPL) Income Changes and Cost of Living Adjustment (COLA) Disregard
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
132 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 04-05, County Transfers
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
22 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 04-13, Medicaid Suspension For Incarcerated Beneficiaries
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
82 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 04-15, Non-Emergency Medical Transportation
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
57 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 04-17, Special Needs Trust
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
13 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 04-18, Transfer Of Assets, Home Equity Value And Low-Income Subsidy Limits/Resources
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
115 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 04-19, 2019 Federal Poverty Level Changes (FPL) And Health Coverage For Workers With Disabilities
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
127 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 04-19, Alliant Health Solutions
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
172 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 04-20, Living Arrangement – Amended
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
284 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 04-20, Living Arrangement – Amended
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
296 KB
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CHANGE NOTICE FOR MANUAL NO. 04-21, Beneficiary Fraud and Abuse Policy and Procedures
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
258 KB
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CHANGE NOTICE FOR MANUAL NO. 04-22, Non-Emergency Medical Transportation (NEMT)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
351 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 04-22, Traumatic Brain Injury (TBI)
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
140 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 04-23, Medically Needy Recertification
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
443 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 04-23, Medically Needy Recertification
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
708 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 04-24, 2024 Federal Poverty Level (FPL) Income Changes
Family and Children's Medicaid
Change Notice
pdf
254 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 04-24, MA-2420, Notice And Hearings Process
Adult Medicaid
Change Notice
pdf
257 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 04-25, Medicaid For Former Foster Care Children
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
174 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 04-25, 2025 Maximum Community Spouse Income Allowance
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
166 KB
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adult-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 04-26, Non-Emergency Medical Transportation (NEMT)
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
111 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 04-26, Non-Emergency Medical Transportation (NEMT)
Family and Children's Medicaid
Change Notice
pdf
149 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 05-17, Disability
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
95 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 05-18, Changes Related To 2019 Cost-Of-Living Adjustment (COLA)
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
9 MB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 05-19, Notice and Hearings Process
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
212 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 05-20, Tribal Membership and American Indian Health Service
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
273 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 05-21, 2021 Federal Poverty Level Changes and Low Income Subsidy (LIS) Income Limits
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
227 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 05-22, Non-Emergency Medical Transportation (NEMT)
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
249 KB
Open
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 05-23, Change in Circumstance, Terminations, and Reopening
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
372 KB
Open
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 05-24, 2024 Federal Poverty Level (FPL) Income Changes
Adult Medicaid
Change Notice
pdf
170 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 05-25, MA-2500 AGE/NAME/MARITAL STATUS
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
275 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 06-10, Citizen/Alien Requirements
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
69 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 06-18, Evaluating Local Agency/ DDS Performances, Application Processing-Corrective Action Procedures, Modified Adjusted Gross Income (MAGI), & Transitional Medicaid (TMA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
557 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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CHANGE NOTICE FOR MANUAL NO. 06-18, Qualified Medicare Beneficiaries (MQB-Q, MQB-B & MQB-E), Community Alternatives Program (CAP) And Estate Recovery
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
12 MB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 06-19, Notice and Hearings Process, and Twelve Month Transitional Medicaid
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
217 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 06-20, Tribal Membership and American Indian Health Service
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
371 KB
Open
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 06-21, Beneficiary Fraud and Abuse Policy and Procedures
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
278 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 06-22, Disability
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
427 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 06-23, 2023 Pickle Amendment
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
141 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 06-23, Change of Circumstance, Terminations, and Reopening
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
191 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 06-24, 2024 Low Income Subsidy (LIS) Income Limits, DHB-5179 And Basic Medicaid Eligibility Requirements
Adult Medicaid
Change Notice
pdf
243 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 06-24, Reasonable Opportunity Period
Family and Children's Medicaid
Change Notice
pdf
372 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 06-25, MA-2110 Pass-along
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
282 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 06-25, MA-3205 Post-eligibility Verification
Family and Children's Medicaid
Change Notice
pdf
270 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-04, Certification & Authorization
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
16 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-10, IV-D Sanctions For Non-Cooperation
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
24 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-11, 2011 Medicare Deductible, Co-Insurance, Medicaid ICF/MR, Hospice Rates
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
31 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-13, Certification Periods
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
17 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-15, Spousal Impoverishment Standards
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
12 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-18, Notice And Hearings Process
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
159 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-19, Breast And Cervical Cancer Medicaid (BCCM)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
64 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-21, Program of All-Inclusive Care for the Elderly (PACE) – Amended
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
73 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-21, Program of All-Inclusive Care for the Elderly (PACE) Amended
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
62 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-22, Changes Related To 2023 Cost-Of-Living Adjustment (COLA)
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
370 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-23, Reasonable Compatibility
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
242 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-23, Traumatic Brain Injury
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
166 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-24, Changes Related To 2025 Cost-Of-Living Adjustment (COLA)
Family and Children's Medicaid
Change Notice
pdf
267 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-24, Health Coverage For Workers With Disabilities
Adult Medicaid
Change Notice
pdf
153 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-25, CHANGES RELATED TO 2026 COST-OF-LIVING ADJUSTMENT (COLA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
153 KB
Open
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 07-25, MA- 2301 Post-eligibility Verification
Adult Medicaid
Change Notice
pdf
174 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 08-12, Medicaid Identification Card
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
18 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 08-18, Evaluating Local Agency/ DDS Performances, & Application Processing-Corrective Action Procedures
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
2 MB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 08-21, Alien Requirements
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
266 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 08-21, Alien Requirements
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
320 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 08-23, Estate Recovery
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
177 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 08-23, Estate Recovery
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
259 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 08-25, 2025 Spousal Impoverishment Standards
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
489 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 09-10, Community Alternative Program (CAP)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
23 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 09-15, Disability Determination Services (DDS) Medicaid Unit Contact Information
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
67 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 09-18, Notice And Hearings Process
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
99 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 09-18, Removal Of Policy From The Integrated Manual (IEM) To The Family & Children’s Manual
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
377 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 09-21, Tribal Membership and American Indian Health Services (IHS)
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
136 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 09-21, Tribal Membership and American Indian Health Services (IHS)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
236 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 09-23, State Residency
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
253 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 09-23, State Residency
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
356 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 09-24, Qualified Medicare Beneficiary (MQB) Reserve Limits
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
177 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 09-25, MA-2110 Pass-along
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
224 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 10-03, Application Processing
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
68 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 10-10, Citizen/Alien Requirements
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
66 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 10-18, Change Notice For Manual No. 10-18, Income
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
29 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 10-19, Low Income Subsidy Income Limits
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
22 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 10-21, Family Planning Program
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
258 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 10-21, Family Planning Program
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
258 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 10-23, Medicare Enrollment & Buy-In
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
252 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 10-24, Reasonable Opportunity Period
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
272 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 10-25, MA-2240 Transfer of Assets
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
165 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 11-10, US Citizenship Requirements/Alien Requirements
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
25 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 11-18, Inquiry, Discouragement, Application & Outstations
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
246 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 11-18, Removal Of Policy From The Integrated Manual (IEM) To The Adult Manual
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
99 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 11-19, Introduction To Medicaid
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
157 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 11-21, Changes Related To 2022 Cost-Of-Living Adjustment (COLA)
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
222 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 11-21, Reasonable Compatibility
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
345 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 11-23, Security of Internal Revenue Service (IRS) and Social Security Administration (SSA) Data Information
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
190 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 11-23, Security of Internal Revenue Service (IRS) and Social Security Administration (SSA) Data Information
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
370 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 11-24, Traumatic Brain Injury
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
157 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 11-25, CHANGES RELATED TO 2026 COST-OF-LIVING ADJUSTMENT (COLA)
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
117 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 12-03, Impairment Related Work Expenses & In-Kind Income
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
23 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 12-05, Medicaid Working Disabled
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
17 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 12-09, County Residence
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
19 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 12-18, Removal Of Hospital Presumptive Eligibility And Caretaker Relatives/Kinship From The Integrated Eligibility Manual (IEM) To The Family & Children’s Manual
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
225 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 12-18, Removal Of Non-Emergency Medical Transportation (NEMT) From The Integrated Eligibility Manual (IEM) To The Adult Manual
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
98 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 12-21, Reasonable Compatibility
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
245 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 12-23, Automated Inquiry and Match Procedures
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
175 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 12-23, Automated Inquiry and Match Procedures
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
176 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 12-24, Changes Related To 2025 Cost-Of-Living Adjustment (COLA)
Adult Medicaid
Change Notice
pdf
293 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 13-11, F&C Manual Sections Impacted By Simplification Of Re-Enrollment For MIC/NCHC
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
33 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 13-12, Veteran Benefit Verification
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
22 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 13-18, Alien Requirements, Family Planning Program, Post Eligibility Verification & Managed Care
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
233 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 13-18, Inquiry, Discouragement, Application & Outstations
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
115 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 13-19, Changes Related To 2020 Cost-Of-Living Adjustment (COLA)
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
266 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 13-19, Modified Adjusted Gross Income (MAGI) Countable Income, Non-Countable Income, and Budgeting
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
79 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 13-21, 2022 Pickle Amendment and Nursing Facility Rates
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
176 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 13-23, 2024 Change Related to 2024 Cost-of Living Adjustment (COLA)
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
292 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 13-23, Medicaid Expansion
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
352 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 14-08, Affidavit Of Parentage
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
22 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 14-09, Medicaid Identification Card
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
28 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 14-10, Series # 1 Of Corrections, Additions, Deletions And/Or Updates
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
30 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 14-11, Medicaid Covered Services
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
28 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 14-18, Alien Requirements, Family Planning Program, Post Eligibility Verification & Managed Care
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
103 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 14-23, 2024 Change Related to 2024 Cost-of Living Adjustment (COLA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
266 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 14-23, Recertification
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
164 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 15-03, Transfer Of Resources And In-Home Health Services
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
40 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 15-05, Third Party Recovery
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
25 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 15-11, Series # 5 Of Corrections, Additions, Deletions And/Or Updates, & Figures/Attachments Removal
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
116 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 15-12, Emergency Medical Review Contractor Update
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
21 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 15-19, Community Alternatives Program (CAP)
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
186 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 15-19, Former Foster Care Program (MFC) and Expanded Foster Care Program (EFCP)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
4 MB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 15-23, MAGI Adult Medicaid Expansion
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
354 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 15-23, Medically Needy Recertification
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
164 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 16-23, Medically Needy Recertification
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
371 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 17-23, MAGI Recertification
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
363 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 21-06, Medicare Prescription Drug Benefit
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
33 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 22-08, Financial Resources
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
14 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 23-05, SSI Medicaid
Family and Children's Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
29 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 24-07, DRA Transfer Of Assets
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
66 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 24-08, Health Coverage For Workers With Disabilities
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
62 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 24-10, Third Party Resources
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
36 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 25-07, DRA Transfer Of Assets
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
109 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
CHANGE NOTICE FOR MANUAL NO. 28-05, SSI Medicaid – County DSS Responsibility
Adult Medicaid
Health Benefits/NC Medicaid
Change Notice
pdf
37 KB
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adult-medicaid health-benefits-nc-medicaid
change-notice
DAAS ADMINISTRATIVE LETTER NO. 13-02 DMA ADMINISTRATIVE LETTER NO. 01-13, Medicaid Termination For All Special Assistance Beneficiaries In An Institution For Mental Disease (IMD)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
112 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB -DSS 8110 DESK REFERENCE TOOL
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
403 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER 04-24, Extended Period for Ukrainian Immigrants and Parolees
Adult Medicaid
Administrative Letter
pdf
426 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER 04-25, Returning to Regular Medicaid Policy after the Continuous Coverage Unwinding (CCU) Period Ends
Adult Medicaid
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
603 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER 08-25, Public Assistance Reporting Information System (PARIS Match) Procedures
Adult Medicaid
Family and Children's Medicaid
Administrative Letter
pdf
318 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 01-19, Extension of Eligibility at Recertification
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
202 KB
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adult-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO: 01-20, Attachment 1 – DHB Self Attestation – Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
222 KB
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adult-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO: 01-20, Attachment 2 – ZixMail Instructions for State Appeals – Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
411 KB
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adult-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO: 01-20, Medicaid/NCHC Procedures for COVID-19 – Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
377 KB
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adult-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO: 01-20, Medicaid/NCHC Procedures for COVID-19, Addendum 1 – Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
333 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 01-21, Social Security and VA Cost-of-Living Adjustment (Amended)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
301 KB
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adult-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO: 01-22, Emergency Rental Assistance (ERA)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
378 KB
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adult-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO: 01-23, Changes in Income During Base Period for Modified Adjusted Gross Income (MAGI) Applications and Recertifications
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
389 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 01-24, CONTINUOUS COVERAGE UNWINDING (CCU) PERIOD AFTER COVID-19 PUBLIC HEALTH EMERGENCY (PHE): MEDICAID PROCEDURES FOR THE e-14/100% INCOME STRATEGY WAIVER
Adult Medicaid
Health Benefits/NC Medicaid
pdf
402 KB
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adult-medicaid health-benefits-nc-medicaid
DHB ADMINISTRATIVE LETTER NO: 01-24, Continuous Coverage Unwinding (CCU) Period After Covid-19 Public Health Emergency (PHE): Medicaid Procedures For The E-14/100% Income Strategy Waiver-OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
402 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 01-25, Medicaid Procedures for Asset Verification System (AVS) During the Continuous Coverage Unwinding (CCU) Period-OBSOLETE
Adult Medicaid
Family and Children's Medicaid
Administrative Letter
pdf
218 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO: 02-20, Child Support Guidance Eligibility Verification
Adult Medicaid
Administrative Letter
pdf
134 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 02-21, NC Health Choice (NCHC) Beneficiary at the Age of 19 Procedures and Reports – Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
228 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 02-22, Application Procedures – Authorized Representatives; Social Security Numbers; DMA-5001 Form  OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
530 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 02-23, Medicaid Procedures for COVID-19 – Change to Dually Eligible Procedures
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
250 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 02-24, DSS-8110 NOTICE OF MODIFICATION, TERMINATION, OR CONTINUATION OF PUBLIC ASSISTANCE NOTICE PROCEDURES- OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
179 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 03-19, Hawkins V. Cohen Procedure – Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
272 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 03-21, AMENDED 2: Medicaid/NCHC Procedures for COVID-19 – Unemployment Income, Stimulus Funds/Transfer of Assets OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
452 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 03-21, AMENDED: Medicaid/NCHC Procedures for COVID-19 – Unemployment Income, Stimulus Funds/Transfer of Assets – Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
449 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 03-21, Medicaid/NCHC Procedures for COVID-19 – Unemployment Income, Stimulus Funds/Transfer of Assets Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
441 KB
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adult-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO: 03-22, Hearings and Appeals – Remote Hearings
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
194 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 03-23, Medicaid Procedures for Asset Verification System (AVS) During the Continuous Coverage Unwinding (CCU) Period
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
734 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 04-19, Medicaid Verification Reports
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
68 KB
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adult-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO: 04-20, 2020 Spousal Impoverishment Standards
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
275 KB
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adult-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO: 04-21, 2021 Spousal Impoverishment Standards
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
276 KB
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adult-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO: 04-22, Automated Notices, DSS-8109 Form
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
458 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 04-23, Medicaid Procedures Using Supplemental Nutrition Assistance Program (SNAP) Income During the Continuous Coverage Unwinding (CCU) Period
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
347 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 04-24, Extended Period for Ukrainian Immigrants and Parolees
Family and Children's Medicaid
Administrative Letter
pdf
426 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO: 05-19, Spousal Impoverishment Standards
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
17 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
555 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-21, AMENDED 2, Medicaid/NCHC Procedures for COVID-19 – Allowable Program Changes and Terminations – OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
271 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-21, AMENDED, Medicaid/NCHC Procedures for COVID-19 – Allowable Program Changes and Terminations (Amended) Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
625 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-21, Medicaid/NCHC Procedures for COVID-19 – Allowable Program Changes and Terminations Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
624 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-22, Spousal Impoverishment Standards
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
140 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-23, United States Postal Services (USPS) National Change of Address (NCOA) and United States Postal Services Returned Mail – OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
269 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-24, Emergency Medicaid Procedures for Hurricane Helene – AMENDED- OBSOLETE
Adult Medicaid
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
671 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-24, Emergency Medicaid Procedures for Hurricane Helene – OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
666 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-24, Emergency Medicaid Procedures for Hurricane Helene – OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
666 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO: 05-25, Continuous Eligibility For Children
Adult Medicaid
Family and Children's Medicaid
Administrative Letter
pdf
386 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO: 06-19, ADDENDUM 1, Medicaid Procedures for Hurricane Dorian
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
228 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-19, ADDENDUM 1, Medicaid Procedures for Hurricane Dorian – Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
228 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-20, Attachment – DHB Self-Attestation
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
240 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-20, Medicaid/NCHC Procedures for COVID-19, Self- Attestation and Reports OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
348 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-21, AMENDED, Medicaid Procedures for COVID-19 – Increasing PMLS (Amended) OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
465 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-21, Medicaid Procedures for COVID-19 – Increasing PMLS OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
466 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-23, Continuous Coverage Unwinding (CCU) Period after COVID-19 Public Health Emergency (PHE): Medicaid Procedures – Amended Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
567 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-23, Continuous Coverage Unwinding (CCU) Period after COVID-19 Public Health Emergency (PHE): Medicaid Procedures – Amended 2 – OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
468 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-23, Continuous Coverage Unwinding (CCU) Period after COVID-19 Public Health Emergency (PHE): Medicaid Procedures – Amended Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
567 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-23, Continuous Coverage Unwinding (CCU) Period after COVID-19 Public Health Emergency (PHE): Medicaid Procedures Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
537 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-23, Self-Attestation Attachment-OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
346 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-23, Self-Attestation Attachment-OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
346 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-20, Attachment – ZixMail Instructions for State Appeals
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
428 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-20, Medicaid/NCHC Procedures for COVID-19 – Amended 2 OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
309 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-20, Medicaid/NCHC Procedures for COVID-19 – Amended Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
333 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-21, AMENDED 2, Medicaid/NC Health Choice Application/Recertification/Change of Circumstance Procedures for COVID-19 – Amended 2 OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
679 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-21, AMENDED, Medicaid/NC Health Choice Application/Recertification/Change of Circumstance Procedures for COVID-19 OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
675 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-21, Attachment: NC FAST Batch Exclusion Template
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
xlsx
16 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-21, Medicaid/NC Health Choice Recertification Procedures for COVID-19 Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
603 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-22, Ukrainian Immigrants and Parolees – Amended 2 OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
242 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-22, Ukrainian Immigrants and Parolees – Amended 3
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
500 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-22, Ukrainian Immigrants and Parolees OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
376 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-22, Ukrainian Immigrants and Parolees- Amended OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
478 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-23, Medicaid for COVID-19 Testing Group – Applications
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
344 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-24, Hurricane Helene – Guidance for Unemployment Insurance Benefits (UIB)
Adult Medicaid
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
305 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-25, Victims of Human Trafficking T-Visa Clarifications
Adult Medicaid
Family and Children's Medicaid
Administrative Letter
pdf
244 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 08-20, Procedures for MAGI Deductions
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
244 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 08-21, Afghan Special Immigrants and Parolees
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
381 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 08-22, Application Procedures for Authorized Representatives and Complete/Incomplete Applications – Amended
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
715 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 08-22, Application Procedures for Authorized Representatives and Complete/Incomplete Applications OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
563 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 08-23, 2023 Spousal Impoverishment
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
144 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 09-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Amended – Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
617 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 09-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Amended 2 -Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
384 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 09-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsolete
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
532 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 09-21, Deferred Enforced Departure for Hong Kong Residents
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
263 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 09-22, Modified Adjusted Gross Income (MAGI) Recertification Procedures and Voice Signature
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
457 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 09-23, Retroactive and Ongoing Dually Eligible Applicants/Beneficiaries – Medical Expenses
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
472 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 10-20, Extended Limits of Confinement for Inmate Release Procedures for COVID-19 OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
343 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 10-21, Social Security and VA Cost-of-Living Adjustment
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
280 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 10-22, North Carolina Health Choice (NCHC) Pregnant Applicants/Beneficiaries Who Report Pregnancy
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
137 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 10-23, Health Coverage for Workers with Disabilities – Updated Procedures
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
491 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 10-25, Updated Guidance For The Dss-8110 Desk Reference Tool
Adult Medicaid
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
184 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 11-20, Medicaid COVID-19 Optional Testing Group – OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
291 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 11-22, 2023 Social Security And VA Cost-Of-Living Adjustment (COLA)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
254 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 11-23, Request for NC Innovations Waiver Action Indicator Action Needed
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
309 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 12-20, Program of All-Inclusive Care for the Elderly (PACE)Voluntary/Involuntary Disenrollment
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
243 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 12-22, Prepaid Health Plan (PHP) Notification Of Nursing Facility Level Of Care  Form
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
180 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 12-23, Medicaid Procedures for Requesting Corrections – DSS Support Unit
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
567 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 13-23, Child Support Cooperation and Applying for Other Monetary Benefits Post Eligibility During the Continuous Coverage Unwinding (CCU) Period – OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
314 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO: 14-23, DHB-2187, Notice Of Potential Change in Medicaid Eligibility/ Breast and Cervical Cancer Medicaid (BCCM) And Family & Children’s Medically Needy/Medical Forced Eligibility (MAF/MFE)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
220 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO:02-25, Living Arrangement And Medicaid Suspension/Termination For Incarcerated Beneficiaries
Adult Medicaid
Family and Children's Medicaid
Administrative Letter
pdf
549 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO:03-25, Medicaid Recertification Procedures
Adult Medicaid
Family and Children's Medicaid
Administrative Letter
pdf
188 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO:06-25, 2025 Spousal Impoverishment Standards
Adult Medicaid
Family and Children's Medicaid
Administrative Letter
pdf
168 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO:09-25, Social Security Number Verification Procedures For Auto-Newborns
Adult Medicaid
Family and Children's Medicaid
Administrative Letter
pdf
242 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 01-20, ADDENDUM 1, Medicaid/NCHC Procedures for COVID-19 – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
357 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 01-20, Attachment 1 -DHB Self Attestation – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
222 KB
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DHB ADMINISTRATIVE LETTER NO. 01-20, Attachment 2 – ZixMail Instructions for State Appeals – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
411 KB
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DHB ADMINISTRATIVE LETTER NO. 01-20, Medicaid/NCHC Procedures for COVID-19 – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
377 KB
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DHB ADMINISTRATIVE LETTER NO. 01-21, AMENDED, Social Security and VA Cost-of-Living Adjustment
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
301 KB
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DHB ADMINISTRATIVE LETTER NO. 01-22, Emergency Rental Assistance (ERA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
378 KB
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DHB ADMINISTRATIVE LETTER NO. 01-23, Changes in Income During Base Period for Modified Adjusted Gross Income (MAGI) Applications and Recertifications
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
389 KB
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DHB ADMINISTRATIVE LETTER NO. 01-24, CONTINUOUS COVERAGE UNWINDING (CCU) PERIOD AFTER COVID-19 PUBLIC HEALTH EMERGENCY (PHE): MEDICAID PROCEDURES FOR THE e-14/100% INCOME STRATEGY WAIVER-OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
402 KB
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DHB ADMINISTRATIVE LETTER NO. 02-20, Child Support Guidance Eligibility Verification
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
134 KB
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DHB ADMINISTRATIVE LETTER NO. 02-22, Application Procedures – Authorized Representatives; Social Security Numbers; DMA-5001 Form Obsolete – OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
530 KB
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DHB ADMINISTRATIVE LETTER NO. 02-23, Medicaid Procedures for COVID-19 – Change to Dually Eligible Procedures
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
250 KB
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DHB ADMINISTRATIVE LETTER NO. 02-24, DSS-8110 NOTICE OF MODIFICATION, TERMINATION, OR CONTINUATION OF PUBLIC ASSISTANCE NOTICE PROCEDURES- OBSOLETE
Family and Children's Medicaid
Administrative Letter
pdf
189 KB
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DHB ADMINISTRATIVE LETTER NO. 03-21, AMENDED 2, Medicaid/NCHC Procedures for COVID-19 – Unemployment Income, Stimulus Funds/Transfer of Assets – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
452 KB
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administrative-letter
DHB ADMINISTRATIVE LETTER NO. 03-21, AMENDED, Medicaid/NCHC Procedures for COVID-19 – Unemployment Income, Stimulus Funds/Transfer of Assets – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
449 KB
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DHB ADMINISTRATIVE LETTER NO. 03-21, Medicaid/NCHC Procedures for COVID-19 – Unemployment Income, Stimulus Funds/Transfer of Assets – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
441 KB
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DHB ADMINISTRATIVE LETTER NO. 03-22, Hearings and Appeals – Remote Hearings
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
194 KB
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DHB ADMINISTRATIVE LETTER NO. 03-23, Medicaid Procedures for Asset Verification System (AVS) During the Continuous Coverage Unwinding (CCU) Period
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
734 KB
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DHB ADMINISTRATIVE LETTER NO. 04-20, 2020 Spousal Impoverishment
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
275 KB
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DHB ADMINISTRATIVE LETTER NO. 04-21, 2021 Spousal Impoverishment Standards
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
276 KB
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DHB ADMINISTRATIVE LETTER NO. 04-22, Automated Notices, DSS-8109 Form
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
458 KB
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administrative-letter
DHB ADMINISTRATIVE LETTER NO. 04-23, Medicaid Procedures Using Supplemental Nutrition Assistance Program (SNAP) Income During the Continuous Coverage Unwinding (CCU) Period- OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
347 KB
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DHB ADMINISTRATIVE LETTER NO. 05-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
555 KB
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DHB ADMINISTRATIVE LETTER NO. 05-21, AMENDED, Medicaid/NCHC Procedures for COVID-19 – Allowable Program Changes and Terminations – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
625 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 05-21, Medicaid/NCHC Procedures for COVID-19 – Allowable Program Changes and Terminations – Amended 2 OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
271 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 05-21, Medicaid/NCHC Procedures for COVID-19 – Allowable Program Changes and Terminations – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
624 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO. 05-22, 2022 Spousal Impoverishment Standards
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
140 KB
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administrative-letter
DHB ADMINISTRATIVE LETTER NO. 05-23, United States Postal Services (USPS) National Change of Address (NCOA) and United States Postal Services Returned Mail-OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
269 KB
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DHB ADMINISTRATIVE LETTER NO. 05-24, EMERGENCY MEDICAID PROCEDURES FOR HURRICANE HELENE- AMENDED 2
Adult Medicaid
Family and Children's Medicaid
Administrative Letter
pdf
669 KB
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DHB ADMINISTRATIVE LETTER NO. 06-20, Medicaid/NC Health Choice Procedures for COVID-19 , Self-Attestation and Reports – OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
348 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-20, Medicaid/NCHC Procedures for COVID-19, Self-Attestation for Eligibility Criteria
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
240 KB
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administrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-21, AMENDED, Medicaid Procedures for COVID-19 – Increasing PMLS (Amended) OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
465 KB
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DHB ADMINISTRATIVE LETTER NO. 06-21, Medicaid Procedures for COVID-19 – Increasing PMLS OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
466 KB
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administrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-23, AMENDED 2, Continuous Coverage Unwinding (CCU) Period After COVID-19 Public Health Emergency (PHE): Medicaid Procedures-OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
468 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-23, AMENDED, Continuous Coverage Unwinding (CCU) Period after COVID-19 Public Health Emergency (PHE): Medicaid Procedures – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
567 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-23, Continuous Coverage Unwinding (CCU) Period after COVID-19 Public Health Emergency (PHE): Medicaid Procedures – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
279 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-23, Self-Attestation Attachment – OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
346 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-23, Self-Attestation Attachment-OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
346 KB
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administrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-24, HURRICANE HELENE- GUIDANCE FOR MEDICAID APPLICATIONS IN DISASTER COUNTIES- AMENDED 2
Adult Medicaid
Family and Children's Medicaid
Administrative Letter
pdf
514 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-20, AMENDED 2, Medicaid/NC Health Choice Procedures for COVID-19 – OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
309 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-20, AMENDED, Medicaid/NC Health Choice Procedures for COVID-19 – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
333 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-20, Attachment – ZixMail Instructions for State Appeals
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
428 KB
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administrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-21, AMENDED 2, Medicaid/NC Health Choice Application/Recertification/Change of Circumstance Procedures for COVID-19 – Amended 2 OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
679 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-21, AMENDED, Medicaid/NC Health Choice Application/Recertification/Change of Circumstance Procedures for COVID-19 – Amended OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
675 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-21, Attachment: NC FAST COVID Batch Exclusion Template
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
xlsx
16 KB
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DHB ADMINISTRATIVE LETTER NO. 07-21, Medicaid/NC Health Choice Recertification Procedures for COVID-19 Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
603 KB
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administrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-22, AMENDED 2, Ukrainian Immigrants and Parolees – OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
242 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO. 07-22, AMENDED 3, Ukrainian Immigrants and Parolees
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
500 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO. 07-22, AMENDED, Ukrainian Immigrants and Parolees – OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
478 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-22, Ukrainian Immigrants and Parolee – OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
376 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO. 07-23, Medicaid for COVID-19 Testing Group – Applications
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
344 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO. 08-20, Procedures for MAGI Deductions
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
244 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO. 08-21, Afghan Special Immigrants and Parolees
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
381 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 08-22, AMENDED, Application Procedures for Authorized Representatives and Complete/Incomplete Applications
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
715 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 08-22, Application Procedures for Authorized Representatives and Complete/Incomplete Applications – OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
563 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO. 08-23, 2023 Spousal Impoverishment
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
144 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 09-20, AMENDED 2, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
384 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 09-20, AMENDED, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
617 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 09-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
532 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 09-21, Deferred Enforced Departure for Hong Kong Residents
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
263 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 09-22, Modified Adjusted Gross Income (MAGI) Recertification Procedures and Voice Signature
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
457 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 09-23, Retroactive and Ongoing Dually Eligible Applicants/Beneficiaries – Medical Expenses
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
472 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 10-20, Extended Limits of Confinement Inmate Release Procedures for COVID-19 OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
343 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 10-21, Social Security and VA Cost-of-Living Adjustment
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
280 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 10-22, North Carolina Health Choice (NCHC) Pregnant Applicants/Beneficiaries Who Report Pregnancy
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
137 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DHB ADMINISTRATIVE LETTER NO. 10-23, Health Coverage for Workers with Disabilities – Updated Procedures
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
491 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 11-20, Medicaid COVID-19 Optional Testing Group – OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
291 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 11-22, 2023 Social Security And VA Cost-Of-Living Adjustment (COLA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
254 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 11-23, Request for NC Innovations Waiver Action Indicator Action Needed
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
309 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 12-20, Program of All-Inclusive Care For The Elderly (PACE)Voluntary/Involuntary Disenrollment
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
243 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 12-22, Prepaid Health Plan (PHP) Notification of Nursing Facility Level Of Care Form
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
180 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 12-23, Medicaid Procedures for Requesting Corrections – DSS Support Unit
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
567 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 13-23, Child Support Cooperation and Applying for Other Monetary Benefits Post Eligibility During the Continuous Coverage Unwinding (CCU) Period-OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
314 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINISTRATIVE LETTER NO. 14-23, DHB-2187, Notice of Potential Change in Medicaid Eligibility/ Breast and Cervical Cancer Medicaid (BCCM) and Family & Children’s Medically Needy/Medical Forced Eligibility (MAF/MFE)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
220 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DHB ADMINSTRATIVE LETTER NO: 03-24, 2024 Spousal Impoverishment Standards
Adult Medicaid
Family and Children's Medicaid
Administrative Letter
pdf
158 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINSTRATIVE LETTER NO: 06-24, Hurricane Helene – Guidance for Medicaid Applications in Disaster Counties – OBSOLETE
Adult Medicaid
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
241 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB ADMINSTRATIVE LETTER NO: 06-24, Hurricane Helene – Guidance for Medicaid Applications in Disaster Counties – AMENDED- OBSOLETE
Adult Medicaid
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
243 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DHB-1061 Checklist for Child Medical Evaluation (CME) Reporting
Health Benefits/NC Medicaid
Form
pdf
291 KB
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health-benefits-nc-medicaid
form
DHB-2039 PHP Notification of Nursing Facility Level of Care
Health Benefits/NC Medicaid
Form
pdf
239 KB
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health-benefits-nc-medicaid
form
DHB-2040 Tribal and Indian Health Services
Health Benefits/NC Medicaid
Form
pdf
155 KB
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health-benefits-nc-medicaid
form
DHB-2040B Tribal and Indian Health Services
Health Benefits/NC Medicaid
Form
pdf
189 KB
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health-benefits-nc-medicaid
form
DHB-2043 Third Party Recovery Accident Information Form
Health Benefits/NC Medicaid
Form
pdf
797 KB
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health-benefits-nc-medicaid
form
DHB-2044ia Medicaid Credit Balance Report
Health Benefits/NC Medicaid
Form
pdf
189 KB
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health-benefits-nc-medicaid
form
DHB-2045 Instructions for Completing Medicaid Credit Balance Report
Health Benefits/NC Medicaid
Form
pdf
141 KB
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health-benefits-nc-medicaid
form
DHB-2050 Voluntary Request to Terminate Medicaid
Health Benefits/NC Medicaid
Form
pdf
114 KB
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health-benefits-nc-medicaid
form
DHB-2050esp-ia SOLICITUD VOLUNTARIA PARA FINALIZAR MEDICAID
Adult Medicaid
Family and Children's Medicaid
Health Benefits/NC Medicaid
Form
pdf
18 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
form
DHB-2055 Reimbursement for Medical Transportation
Health Benefits/NC Medicaid
Form
xls
34 KB
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health-benefits-nc-medicaid
form
DHB-2056 Purchased Medical Transportation Costs
Health Benefits/NC Medicaid
Form
xls
83 KB
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health-benefits-nc-medicaid
form
DHB-2060 Request To Leave Transitions To Community Living (TCL)
Health Benefits/NC Medicaid
Form
pdf
144 KB
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health-benefits-nc-medicaid
form
DHB-2190 Internal Inspection Report
Health Benefits/NC Medicaid
Form
pdf
483 KB
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health-benefits-nc-medicaid
form
DHB-2191 Designation of Control Officer for FRR/Beer Reports
Health Benefits/NC Medicaid
Form
pdf
217 KB
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health-benefits-nc-medicaid
form
DHB-2192 SSA Training Form – County Staff and County Contract Staff
Health Benefits/NC Medicaid
Form
pdf
95 KB
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health-benefits-nc-medicaid
form
DHB-2193 Memorandum of CAP Waiver Enrollment
Health Benefits/NC Medicaid
Form
pdf
253 KB
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health-benefits-nc-medicaid
form
DHB-2194 IRC Rules Handout
Health Benefits/NC Medicaid
Form
pdf
139 KB
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health-benefits-nc-medicaid
form
DHB-2195 Documentation of Annual Security Training Confidentiality Form – County Staff
Health Benefits/NC Medicaid
Form
pdf
102 KB
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health-benefits-nc-medicaid
form
DHB-2196 Documentation of Annual Security Training – Shred Contractor Training
Health Benefits/NC Medicaid
Form
pdf
103 KB
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health-benefits-nc-medicaid
form
DHB-2197 FTI Record Keeping Log
Health Benefits/NC Medicaid
Form
xls
30 KB
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health-benefits-nc-medicaid
form
DHB-2198 Log for Destruction of the FRR/BEER Reports
Health Benefits/NC Medicaid
Form
pdf
80 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-2199 Documentation of the Visitation Logs
Health Benefits/NC Medicaid
Form
pdf
45 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-2200 Access Control Log
Health Benefits/NC Medicaid
Form
pdf
45 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-2201 Confidentiality of Safeguard Data
Health Benefits/NC Medicaid
Form
pdf
140 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-2202 Beneficiary Notice
Health Benefits/NC Medicaid
Form
pdf
79 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-4037 Disability Determination Transmittal
Health Benefits/NC Medicaid
Form
pdf
165 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5001N FRENCH AVIS SUR L’UTILISATION DES NUMÉROS DE SÉCURITÉ SOCIALE
Adult Medicaid
Family and Children's Medicaid
Form
pdf
97 KB
Open
Preview
adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
form
DHB-5001N Notice on the Use of Social Security Numbers
Health Benefits/NC Medicaid
Form
pdf
107 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5001N_sp AVISO SOBRE EL USO DE LOS N√öMEROS DE SEGURO SOCIAL
Health Benefits/NC Medicaid
Form
pdf
186 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5002 Important Notice About Your Medicaid or Special Assistance Approval
Health Benefits/NC Medicaid
Form
pdf
768 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5002 Lao ກະລຸນາອ່ານແຈ້ງການສໍ າຄັ ນນີ້ກ່ຽວກັ ບແຈ້ງການການອະນຸມັ ດ MEDICAID ຫືຼ ຄວາມຊ່ວຍເຫື ອພິ ເສດຂອງທ ຼ ່ານ
Health Benefits/NC Medicaid
Form
pdf
201 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5002sp-ia Lea Este Importante Aviso Sobre Medicail o la Asistencia Especial Aviso de Aprobacion
Health Benefits/NC Medicaid
Form
pdf
296 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5003 French VEUILLEZ LIRE CET AVIS IMPORTANT CONCERNANT VOTRE AVIS D’APPROBATION POUR MEDICAID
Health Benefits/NC Medicaid
Form
pdf
203 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5003 Hmong THOV NYEEM DAIM NTAWV CEEB TOOM UAS TSEEM CEEB NO HAIS TXOG KOJ DAIM NTAWV CEEB TOOM KEV TSO CAI NTAWM MEDICAID
Health Benefits/NC Medicaid
Form
pdf
192 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5003 Korean 귀하의 MEDICAID 승인 통지서와 관련된 본 중요 공지사항을 읽어주십시오
Health Benefits/NC Medicaid
Form
pdf
249 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5003 Medicaid Approval Notice
Health Benefits/NC Medicaid
Form
pdf
349 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5003 Vietnamese VUI LÒNG ĐỌC THÔNG BÁO QUAN TRỌNG NÀY LIÊN QUAN ĐẾN THÔNG BÁO PHÊ DUYỆT MEDICAID CỦA QUÝ VỊ
Health Benefits/NC Medicaid
Form
pdf
162 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5003-ia RUSSIAN ОЗНАКОМЬТЕСЬ С ЭТИМ ВАЖНЫМ УВЕДОМЛЕНИЕМ ОБ ИЗВЕЩЕНИИ О ПОДТВЕРЖДЕНИИ ПРОГРАММЫ MEDICAID
Adult Medicaid
Family and Children's Medicaid
Form
pdf
266 KB
Open
Preview
adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
form
DHB-5003sp-ia LEA ESTE IMPORTANTE AVISO SOBRE MEDICAID AVISO DE APROBACION
Health Benefits/NC Medicaid
Form
pdf
134 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5004-ia Buy-In Clerical Action
Health Benefits/NC Medicaid
Form
pdf
201 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5008a Adult Budget Sheet
Health Benefits/NC Medicaid
Form
pdf
183 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5008a Adult Budget Sheet
Health Benefits/NC Medicaid
pdf
183 KB
Open
Preview
health-benefits-nc-medicaid
DHB-5008B Supplement B
Health Benefits/NC Medicaid
Form
pdf
229 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5008c-ia Spouse and Dependent Income Allowance Worksheet
Health Benefits/NC Medicaid
Form
pdf
189 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5008e ABD Medicaid Parent To Child Deeming Budgeting Sheet
Health Benefits/NC Medicaid
Form
pdf
221 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5009 Social History Summary For The Disabled
Health Benefits/NC Medicaid
Form
pdf
146 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5009esp-ia RESUMEN DE HISTORIA SOCIAL PARA PERSONAS CON DISCAPACIDADES
Health Benefits/NC Medicaid
Form
pdf
48 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5016-ia Notification of Eligibility for Medicaid/Amount and Effective Date of Patient’s Liability
Health Benefits/NC Medicaid
Form
pdf
140 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5024 Transportation Assessment Notification
Health Benefits/NC Medicaid
Form
pdf
139 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5024sp Aviso de Evaluación de Transporte
Health Benefits/NC Medicaid
Form
pdf
103 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5026 Notice Of Obligation To Apply For Veteran’s Benefits
Health Benefits/NC Medicaid
Form
pdf
105 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5027 Veteran’s Benefits Verification Letter
Health Benefits/NC Medicaid
Form
pdf
141 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5028-ia Authorization to Disclose Information
Health Benefits/NC Medicaid
Form
pdf
259 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5028esp-ia AUTORIZACION PARA COMPARTIR INFORMACION
Health Benefits/NC Medicaid
Form
pdf
249 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5036 Record Of Medical Expenses Applied To The Deductible
Health Benefits/NC Medicaid
Form
pdf
218 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5043 Verification Form For Self-Employment Income and Expenses
Health Benefits/NC Medicaid
Form
pdf
143 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5043-ia FORMULARIO DE VERIFICACIÓN DE INGRESOS Y GASTOS DE TRABAJO POR CUENTA PROPIA
Health Benefits/NC Medicaid
Form
pdf
175 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5043-ia Verification Form For Self-Employment Income and Expenses
Health Benefits/NC Medicaid
Form
pdf
79 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5046 Notice of Rights/Responsibilities – Medical Transportation Assistance (English & Spanish)
Health Benefits/NC Medicaid
Form
pdf
143 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5046 French AIDE AU TRANSPORT MÉDICAL EN CAROLINE DU NORD (NC) AVIS RELATIF AUX DROITS/RESPONSABILITÉS
Health Benefits/NC Medicaid
Form
pdf
140 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5046 Russian УВЕДОМЛЕНИЕ О ПРАВАХ/ОБЯЗАННОСТЯХ
Health Benefits/NC Medicaid
Form
pdf
137 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5046_Vietnamese HỖ TRỢ VẬN CHUYỂN Y TẾ NC THÔNG BÁO VỀ QUYỀNTRÁCH NHIỆM
Health Benefits/NC Medicaid
Form
pdf
163 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5047 Medicaid Transportation Assessment
Health Benefits/NC Medicaid
Form
pdf
323 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5048 Medicaid Transportation Exception Verification
Health Benefits/NC Medicaid
Form
pdf
326 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5049-ia Referral to Local Social Security Office
Health Benefits/NC Medicaid
Form
pdf
591 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5051 Estate Subject To Medicaid Recovery: Individuals Under Age 55
Health Benefits/NC Medicaid
Form
pdf
238 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5051sp Notice of Medicaid Recovery – People Under 55 (Spanish)
Health Benefits/NC Medicaid
Form
pdf
238 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5052 NOTICE: YOUR ESTATE IS SUBJECT TO MEDICAID RECOVERY
Health Benefits/NC Medicaid
Form
pdf
245 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5052 sp AVISO IMPORTANTE SU PATRIMONIO ESTÁ SUJETO A RECUPERACIÓN DE MEDICAID
Health Benefits/NC Medicaid
Form
pdf
251 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5052sa State/County Special Assistance Beneficiary Estate Subject to Medicaid Recovery Notice
Health Benefits/NC Medicaid
Form
pdf
150 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5052SA-sp Notificación al Beneficiario de la Asistencia Especial Del Estado/Condado Sobre la Recuperación de los Gasto Médicos Pagados por Medicaid
Health Benefits/NC Medicaid
Form
pdf
207 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5053 Estate Recovery – Permanently Institutionalized
Health Benefits/NC Medicaid
Form
pdf
151 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5053sp SU PATRIMONIO ESTÁ SUJETO A RECUPERACIÓN DE MEDICAID
Health Benefits/NC Medicaid
Form
pdf
146 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5054 Estate Recovery – Claim Notice
Health Benefits/NC Medicaid
Form
pdf
165 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5054sp – Estate Recovery – Claim Notice (Spanish)
Health Benefits/NC Medicaid
Form
pdf
139 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5056 Estate Recovery Information Form
Health Benefits/NC Medicaid
Form
pdf
117 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5076 Pregnancy Management Program
Health Benefits/NC Medicaid
Form
pdf
76 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5076 Pregnancy Management Program -Spanish Version
Health Benefits/NC Medicaid
Form
pdf
82 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5078 Medicaid Transportation Monitoring Report
Health Benefits/NC Medicaid
Form
pdf
123 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5079 Breast and Cervical Cancer Medicaid Application
Health Benefits/NC Medicaid
Form
pdf
393 KB
Open
Preview
health-benefits-nc-medicaid
form
dhb-5079sp Solicitud de Medicaid para c√°ncer de seno y de cuello uterino
Health Benefits/NC Medicaid
Form
pdf
404 KB
Open
Preview
health-benefits-nc-medicaid
form
dhb-5081-ia Breast and Cervical Cancer Verification: Screening, Diagnosis and Treatment
Health Benefits/NC Medicaid
Form
pdf
199 KB
Open
Preview
health-benefits-nc-medicaid
form
dhb-5081r-ia Breast and Cervical Cancer Recertification: Screening, Diagnosis and Treatment
Health Benefits/NC Medicaid
Form
pdf
150 KB
Open
Preview
health-benefits-nc-medicaid
form
dhb-5081r-sp-ia Para Seguir Recibiendo Cobertura De Medicaid Para El Cancer De Seno Y El Cancer Del Cuello Uterino
Health Benefits/NC Medicaid
Form
pdf
146 KB
Open
Preview
health-benefits-nc-medicaid
form
dhb-5081sp-ia Verificacion De Evaluacion, Diagnostico Y Tratamiento
Health Benefits/NC Medicaid
Form
pdf
147 KB
Open
Preview
health-benefits-nc-medicaid
form
dhb-5082 Transitional Benefit Report
Health Benefits/NC Medicaid
Form
pdf
185 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5082sp INFORME SOBRE BENEFICIOS DE TRANSICIÓN
Health Benefits/NC Medicaid
Form
pdf
163 KB
Open
Preview
health-benefits-nc-medicaid
form
dhb-5083 Notice of Transitional Benefits
Health Benefits/NC Medicaid
Form
pdf
199 KB
Open
Preview
health-benefits-nc-medicaid
form
dhb-5083sp Aviso De Beneficios Transitorios
Health Benefits/NC Medicaid
Form
pdf
206 KB
Open
Preview
health-benefits-nc-medicaid
form
dhb-5084 Transitional Benefits Good Cause
Health Benefits/NC Medicaid
Form
pdf
149 KB
Open
Preview
health-benefits-nc-medicaid
form
dhb-5084sp Motivos Justificados Para No Haber Entregado A Tiempo Su Informe De Beneficios Transitorios
Health Benefits/NC Medicaid
Form
pdf
136 KB
Open
Preview
health-benefits-nc-medicaid
form
dhb-5087-ia Check List For Breast and Cervical Cancer Medicaid
Health Benefits/NC Medicaid
Form
pdf
192 KB
Open
Preview
health-benefits-nc-medicaid
form
dhb-5087-sp Check List For Breast and Cervical Cancer Medicaid
Health Benefits/NC Medicaid
Form
pdf
91 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5095-ia Medicaid/Work First Notice of Inquiry
Health Benefits/NC Medicaid
Form
pdf
167 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5095sp-ia Aviso De Indagacion Sobre Medicaid/Work First
Health Benefits/NC Medicaid
Form
pdf
261 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5097 Request for Information
Health Benefits/NC Medicaid
Form
pdf
238 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5097 Chinese 資訊請求
Health Benefits/NC Medicaid
Form
pdf
186 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5097 Chinese 資訊請求
Health Benefits/NC Medicaid
Form
pdf
186 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5097 French Demande d’information
Health Benefits/NC Medicaid
Form
pdf
308 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5097 GU માહિતી માટેવિન ંતી
Health Benefits/NC Medicaid
Form
Open
health-benefits-nc-medicaid
form
DHB-5097 Hindi जानकारी हेतुअनुरोध
Health Benefits/NC Medicaid
Form
pdf
302 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5097 Korean-ia 정보 요청
Adult Medicaid
Health Benefits/NC Medicaid
Form
pdf
260 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
form
DHB-5097 Mon-Khmer Cambodian សំេណើសុំព័ត៌មាន
Health Benefits/NC Medicaid
Form
pdf
212 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5097 Mon-Khmer Cambodian សំេណើសុំព័ត៌មាន
Health Benefits/NC Medicaid
Form
pdf
212 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5097_Arabic طلب الحصول على معلوما ت
Health Benefits/NC Medicaid
Form
pdf
181 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5097_Vietnamese Yêu cầu thông tin
Health Benefits/NC Medicaid
Form
pdf
388 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5097Russian Запрос информации
Health Benefits/NC Medicaid
Form
pdf
186 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5097sp-ia Solicitud de información
Health Benefits/NC Medicaid
Form
pdf
206 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5098-ia Your Application for Medicaid is Pending
Health Benefits/NC Medicaid
Form
pdf
21 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5104 Notice of Incomplete Application
Health Benefits/NC Medicaid
Form
pdf
114 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5104 Russian Уведомление о неполном заявлении
Health Benefits/NC Medicaid
Form
pdf
88 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5104sp Notificación de Solicitud Incompleta
Health Benefits/NC Medicaid
Form
pdf
135 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5104Vietnamese Thông báo về đơn đăng ký không đầy đủ
Health Benefits/NC Medicaid
Form
pdf
111 KB
Open
Preview
health-benefits-nc-medicaid
form
dhb-5106 Medicaid Pace Program Referral
Health Benefits/NC Medicaid
Form
pdf
280 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5111 Annuity Verification Form
Health Benefits/NC Medicaid
Form
pdf
115 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5113, Notification of Right to Request an Undue Hardship Waiver (Transfer of Assets)
Health Benefits/NC Medicaid
Form
pdf
149 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5114-ia Request for Documentation for Undue Hardship Claim
Health Benefits/NC Medicaid
Form
pdf
139 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5115 Notification of Right to Request a Demonstrated Hardship Waiver (Home Equity Value)
Health Benefits/NC Medicaid
Form
pdf
163 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5118A-ia Medicaid Transportation Verification of Receipt of Covered Service – A
Health Benefits/NC Medicaid
Form
pdf
36 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5118B-ia Medicaid Transportation Verification of Receipt of Covered Service- B
Health Benefits/NC Medicaid
Form
pdf
41 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5119 Denial of Transportation Request(s)
Health Benefits/NC Medicaid
Form
pdf
101 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5119sp Negación de Solicitudes de Transporte
Health Benefits/NC Medicaid
Form
pdf
101 KB
Open
Preview
health-benefits-nc-medicaid
form
dhb-5121 Determining Potential Medicaid Eligibility
Health Benefits/NC Medicaid
Form
pdf
150 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5122 Community Spouse Resource Protection Worksheet
Health Benefits/NC Medicaid
Form
pdf
124 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5125 Medicaid Transportation No-Show Notice
Health Benefits/NC Medicaid
Form
pdf
80 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5125a Medicaid Transportation No-Show Final Notice
Health Benefits/NC Medicaid
Form
pdf
81 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5125Asp Aviso final: Usted no usó el transporte de Medicaid
Health Benefits/NC Medicaid
Form
pdf
173 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5125B Medicaid Transportation Suspension Notice
Health Benefits/NC Medicaid
Form
pdf
62 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5125Bsp Aviso de Suspensión de Transporte de Medicaid
Health Benefits/NC Medicaid
Form
pdf
122 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5125sp Aviso: Usted no usó el transporte de Medicaid
Health Benefits/NC Medicaid
Form
pdf
169 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5150A PASS-ALONG SCREENING GUIDE
Health Benefits/NC Medicaid
Form
pdf
272 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5150B Screening for Medicaid Eligibility Under the COLA Pass-along
Health Benefits/NC Medicaid
Form
pdf
269 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5152 North Carolina Residency Declaration
Health Benefits/NC Medicaid
Form
pdf
129 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5152sp Declaración de residencia en Carolina del Norte
Health Benefits/NC Medicaid
Form
pdf
110 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5161 Transfer of Asset Below Current Market Value
Health Benefits/NC Medicaid
Form
pdf
125 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5164 Change to PML Request Memo
Health Benefits/NC Medicaid
Form
pdf
207 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5165 PACE Referral Request For A Medicaid Hearing
Health Benefits/NC Medicaid
Form
pdf
159 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5166 PACE Application Report
Health Benefits/NC Medicaid
Form
pdf
194 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5170 Request for Claims Override
Health Benefits/NC Medicaid
Form
pdf
242 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5175 Marriage Verification
Health Benefits/NC Medicaid
Form
pdf
36 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5179 MAABD Eligibility Overview Chart
Health Benefits/NC Medicaid
Form
pdf
156 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5181 5181 Calculating Penalty Period
Health Benefits/NC Medicaid
Form
pdf
250 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5200 Tagalog-ia Aplikasyon para sa Saklaw sa Kalusugan at Tulong sa Pagbabayad ng mga Gastos
Forms in Other Languages
Health Benefits/NC Medicaid
Form
pdf
816 KB
Open
Preview
forms-in-other-languages health-benefits-nc-medicaid social-services
form
DHB-5200 Vietnamese-ia Đơn đăng ký Bảo hiểm Y tế & Trợ giúp Thanh toán Chi phí
Health Benefits/NC Medicaid
Form
pdf
886 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5200-ia Application for Health Coverage & Help Paying Costs
Health Benefits/NC Medicaid
Form
pdf
916 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5200-ia French Demande de couverture santé et d’aide au paiement des coûts
Health Benefits/NC Medicaid
Form
pdf
398 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5200sp Solicitud Para Cobertura de Salud y Ayuda Para Pagar los Costos
Health Benefits/NC Medicaid
Form
pdf
2 MB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5201-ia Application for Health Coverage & Help Paying Costs (Short Form)
Health Benefits/NC Medicaid
Form
pdf
568 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5202 Appendix E Chinese 附录 E
Health Benefits/NC Medicaid
Form
pdf
205 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5202 Vietnamese-ia PHỤ LỤC C – Chỉ định người đại diện được ủy quyền
Health Benefits/NC Medicaid
Form
pdf
168 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5202C-ia Designation of Authorized Representative – Appendix C
Health Benefits/NC Medicaid
Form
pdf
155 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5202E-ia Medical Bills – Appendix E
Health Benefits/NC Medicaid
Form
pdf
215 KB
Open
Preview
health-benefits-nc-medicaid
form
DHB-5202Esp-ia Apéndice E – Facturas médicas
Health Benefits/NC Medicaid
Form
pdf
119 KB
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DHB-5203 Transfer of Assets Evaluation Form Effective 9/1/2025
Health Benefits/NC Medicaid
Form
pdf
228 KB
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health-benefits-nc-medicaid
form
DHB-7058 Investigative Summary
Health Benefits/NC Medicaid
Form
pdf
1 MB
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health-benefits-nc-medicaid
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dhb-7059 Notice Of Change In Overpayment For Medical Assistance
Health Benefits/NC Medicaid
Form
pdf
94 KB
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health-benefits-nc-medicaid
form
dhb-7060 Voluntarty Repayment Agreement
Health Benefits/NC Medicaid
Form
pdf
853 KB
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health-benefits-nc-medicaid
form
dhb-7061 Voluntary Wage Withholding Agreement
Health Benefits/NC Medicaid
Form
pdf
173 KB
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health-benefits-nc-medicaid
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dhb-7063 Medicaid/NC Health Choice Recipient Profile Request Sheet Apr 21, 2021
Health Benefits/NC Medicaid
Form
pdf
298 KB
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health-benefits-nc-medicaid
form
DHB-7078A Application 2nd Party Review Worksheet
Health Benefits/NC Medicaid
Form
pdf
733 KB
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health-benefits-nc-medicaid
form
DHB-7078R Recertification 2nd Party Review Worksheet
Health Benefits/NC Medicaid
Form
pdf
590 KB
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health-benefits-nc-medicaid
form
dhb-7097-ia Recipient Request and Authorization to Disclose Health Information
Health Benefits/NC Medicaid
Form
pdf
175 KB
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health-benefits-nc-medicaid
form
dhb-7098-I DMA-7098 – Additional Information and Instructions Feb 23, 2021
Health Benefits/NC Medicaid
Form
pdf
146 KB
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health-benefits-nc-medicaid
form
dhb-8010 Notice of Overpayment For Medical Assistance
Health Benefits/NC Medicaid
Form
pdf
217 KB
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health-benefits-nc-medicaid
form
dhb-8010sp Notice of Overpayment For Medical Assistance (Spanish Version)
Health Benefits/NC Medicaid
Form
pdf
131 KB
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health-benefits-nc-medicaid
form
DHB-8020-ia Medicaid Eligibility Corrections Form
Health Benefits/NC Medicaid
Form
pdf
323 KB
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health-benefits-nc-medicaid
form
DMA 9006sp Formulario de inscripción en CCNC/CA
Health Benefits/NC Medicaid
Form
pdf
133 KB
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health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER 01-09, American Recovery And Reinvestment Act Of 2009
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
18 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER 03-09, (CCNC/CA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
21 KB
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DMA ADMINISTRATIVE LETTER 03-09, ADDENDUM 1, (CCNC/CA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
19 KB
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DMA ADMINISTRATIVE LETTER 03-09, ADDENDUM 2, (CCNC/CA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
24 KB
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DMA ADMINISTRATIVE LETTER 04-09, Medicaid Card Changes
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
52 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER 05-09, Computer Based Training
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
35 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER 05-09, Computer Based Training
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
35 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER 07-09, ADDENDUM 1, Low Income Subsidy (LIS)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
14 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER 07-09, Low Income Subsidy (LIS)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
14 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER 07-09, Low Income Subsidy (LIS) Application For Medicaid
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
128 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER 07-09, Low Income Subsidy (LIS) Application For Medicaid
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
128 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER DMA-2-2010, (New Procedures For Releasing Tax Intercepts And Changes To The Debtor Detail Screen)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
20 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER DMA-2-2010, (New Procedures For Releasing Tax Intercepts And Changes To The Debtor Detail Screen)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
20 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 01-09, American Recovery And Reinvestment Act Of 2009
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
18 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 01-10, ADDENDUM 1, MQB Budgeting
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
97 KB
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DMA ADMINISTRATIVE LETTER NO: 01-10, ADDENDUM 2, MQB Budgeting
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
20 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 01-10, MQB Budgeting
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
76 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 01-17, Achieving A Better Life Experience (Able Act)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
88 KB
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DMA ADMINISTRATIVE LETTER NO: 01-18, Social Security and VA Cost-of-Living Adjustment
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
11 MB
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DMA ADMINISTRATIVE LETTER NO: 02-05, Administrative Cost Reimbursement – Day Sheet Coding And Reporting On The DSS-1571
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
29 KB
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DMA ADMINISTRATIVE LETTER NO: 02-11, Federal Poverty Level Change Review For Ongoing MQB-B & E Cases
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
17 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 02-12, Referral Of Recipient Fraud To Law Enforcement
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
22 KB
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DMA ADMINISTRATIVE LETTER NO: 02-13, DMA Administrative Letter No: 02-13, Federal Poverty Level Change Review For Ongoing MQB-B & E Cases
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
17 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 02-16, 2016 Federal Poverty Level Changes
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
215 KB
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DMA ADMINISTRATIVE LETTER NO: 02-18, 2018 Federal Poverty Level (FPL) Changes and Cost of Living (COLA) Disregard
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
24 KB
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DMA ADMINISTRATIVE LETTER NO: 02-19, The Work Number Procedures
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
134 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 03 -09, (CCNC/CA)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
21 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 03-09, ADDENDUM 1, (CCNC/CA)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
19 KB
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DMA ADMINISTRATIVE LETTER NO: 03-09, ADDENDUM 2, (CCNC/CA)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
24 KB
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DMA ADMINISTRATIVE LETTER NO: 03-10, DSS ADMINISTRATIVE LETTER PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM-AL-02-10, DAAS ADMINISTRATIVE LETTER NO: 10-07, New Eligibility Information System (Eis) 8125 Other Unearned Income Field
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
15 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 03-11, Automated Terminations Of Mic & North Carolina Health Choice Cases
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
22 KB
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DMA ADMINISTRATIVE LETTER NO: 03-14, Asset Verification System (AVS)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
100 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 03-16, Spousal Impovershment Standards
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
144 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 03-17, Spousal Impoverishment Standards
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
100 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 03-18, Hospital Provider Instructions for Determining Presumptive Eligibility
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
434 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 04-05, Use Of Social Security Numbers
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
31 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 04-07, Transportation Audit
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
47 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 04-09, Medicaid Card Changes
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
52 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 04-10, COMMUNITY ALTERNATIVE PROGRAM (CAP), Community Alternative Program (CAP) County Transfers
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
24 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 04-12, Nemt Vendor Obligations And Policy Implementation Timeline
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
53 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 04-14, Medicaid Recertification
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
98 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 04-16, Obsolete Forms
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
152 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 05-07, Medicare Buy-In Report
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
15 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 05-11, Citizenship/Identity Retroactive Review Requirements
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
61 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 05-18, Spousal Impoverishment Standards
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
153 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 06-03, Addendum 1 CBT Course Update
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
15 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 06-03, Computer Based Training
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
28 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 06-03, Family CBT
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
15 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 06-08, 2008 Economic Stimulus Tax Rebate
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
19 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 06-10, Puerto Rican Issued Birth Certificates
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
11 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 06-18, ADDENDUM 2, Medicaid Procedures for Hurricane Florence
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
100 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 06-18, Emergency Medicaid Procedures for Hurricane Florence Victims
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
50 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-05, Piedmont Cardinal Health Plan (PCHP), 07-05
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
46 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-08, ADDENDUM 1, EIS Code Instructions And Eligibility Policy For All Immigrants Including Iraqi And Afghanistan Special Immigrants
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
62 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 07-08, Iraqi And Afghanistan Special Immigrants
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
32 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-10, DSS ADMINISTRATIVE LETTER PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM-AL-07-10, DAAS ADMINISTRATIVE LETTER NO: 10-14, Authorized Representative Screen
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
134 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-14, Eugenics Asexualization And Sterilization Compensation
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
122 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-16, Addendum 1, Social Security And Va Cost-Of-Living Adjustment
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
2 MB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-16, Social Security And Va Cost-Of-Living Adjustment
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
385 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-19, Social Security and VA Cost-Of-Living Adjustment
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
379 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 08-08, DSS Administrative Letter Performance Management/Reporting And Evaluation Management Pm-Rem-Al-0208 New EIS 8128 Individual Id Combine Process
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
42 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 08-13, ADDENDUM 1, Health Coverage For Workers With Disabilities
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
86 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 08-13, Health Coverage For Workers With Disabilities
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
53 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 09-05, Life Estate Subject To Estate Recovery, 09-05
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
18 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 09-08, ADDENDUM 1, Medicaid Suspension
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
49 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 09-08, ADDENDUM 2, Medicaid Suspension
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
19 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 09-08, Medicaid Suspension
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
50 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 09-10, Medicare Savings Program Resource Limit Increase
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
12 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 09-13, Residency For Adoptive Children Medicaid
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
12 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 09-14, 2101 (F) North Carolina Health Choice Children
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
154 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 10-08, (CCNC/CA Exemptions)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
46 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 10-12, Verification Of Veterans’ Benefits
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
17 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 11-08, ADENDUM, 1 Guidance Regarding Immigration Status, Undocumented Immigrants With Multiple Names And Social Security Numbers
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
14 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 11-08, Guidance Regarding Immigration Status, Undocumented Immigrants With Multiple Names And Social Security Numbers
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
18 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO: 11-13, ADDENDUM 3, Hospital Provider Instructions For Determining Presumptive Eligibility
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
19 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 11-13, Hospital Provider Instructions For Determining Presumptive Eligibility
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
441 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 12-13, Affordable Care Act (ACA) Overview Of Changes To The Application Process
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
93 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 13-13, Mic-1 Children Age 6 Through Age 18, 107% – 133% FPL
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
77 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 14-03, ADDENDUM 17, MQB-E Certification Period Extension To 9/30/08
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
15 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 14-03, ADDENDUM 18, MQB-E Certification Period Extension To 12/31/2008
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
15 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 14-03, Certification Period Extension For Qualifying Individuals (QI1)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
14 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 14-03, MQB-E Certification Period Extension To 6/30/2008
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
15 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 14-13, Medicaid To Former Foster Care Children (MFC)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
82 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 15-04, Enrolled Presumptive Eligibility Providers
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
55 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 15-13, Certification And Authorization Periods For Applications Taken During Open Enrollment
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
14 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 16-13, Affordable Care Act (ACA) Changes To Citizenship And Identity Verification
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
95 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 18-13, Addendum 4, Provider Instructions For Presumptive Eligibility For Pregnant Women
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
19 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO: 18-13, Provider Instructions For Presumptive Eligibility For Pregnant Women
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
187 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 01-08, Use Of Electronic Signatures
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
18 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 01-08, Use Of Electronic Signatures
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
18 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 01-10, ADDENDUM 1, MQB Budgeting
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
97 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 01-10, ADDENDUM 2, MQB Budgeting
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
20 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 01-10, MQB Budgeting
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
76 KB
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DMA ADMINISTRATIVE LETTER NO. 01-11, Self Certification For Life Line Link Up
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
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DMA ADMINISTRATIVE LETTER NO. 01-14, Affordable Care Act (ACA) Overview Of Medicaid Changes
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
90 KB
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DMA ADMINISTRATIVE LETTER NO. 01-15, Spousal Impoverishment Standards
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
184 KB
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DMA ADMINISTRATIVE LETTER NO. 01-17, Achieving A Better Life Experience (Able Act)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
24 KB
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DMA ADMINISTRATIVE LETTER NO. 01-18, Social Security And VA Cost-Of-Living Adjustment
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
11 MB
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DMA ADMINISTRATIVE LETTER NO. 01-19, Extension of Eligibility at Recertification
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
202 KB
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DMA ADMINISTRATIVE LETTER NO. 02-05, Administrative Cost Reimbursement – Day Sheet Coding And Reporting On The DSS-1571
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
28 KB
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DMA ADMINISTRATIVE LETTER NO. 02-08, Policy And Procedures For Program Of All-Inclusive Care For The Elderly (Pace)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
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DMA ADMINISTRATIVE LETTER NO. 02-08, Policy And Procedures For Program Of All-Inclusive Care For The Elderly (Pace)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
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DMA ADMINISTRATIVE LETTER NO. 02-09, Update To Life Expectancy Table
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
95 KB
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DMA ADMINISTRATIVE LETTER NO. 02-11, Federal Poverty Level Change Review For Ongoing MQB-B & E Cases
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
17 KB
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DMA ADMINISTRATIVE LETTER NO. 02-12, Premium Payment Screen
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
30 KB
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DMA ADMINISTRATIVE LETTER NO. 02-12, Referral Of Recipient Fraud To Law Enforcement
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
22 KB
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DMA ADMINISTRATIVE LETTER NO. 02-13, Federal Poverty Level Change Review For Ongoing MQB-B & E Cases
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
17 KB
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DMA ADMINISTRATIVE LETTER NO. 02-15, Title IV-E And Special Needs Adoption Children
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
344 KB
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DMA ADMINISTRATIVE LETTER NO. 02-16, Federal Poverty Level Changes
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
215 KB
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DMA ADMINISTRATIVE LETTER NO. 02-18, 2018 Federal Poverty Level (FPL) Changes And Cost Of Living Adjustment (COLA) Disregard
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
24 KB
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DMA ADMINISTRATIVE LETTER NO. 02-19, The Work Number Procedures
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
134 KB
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DMA ADMINISTRATIVE LETTER NO. 03-07, DAAS ADMINISTRATIVE LETTER NO. 07-10, FAMILY SUPPORT AND CHILD WELFARE SERVICES FSCWS- 06-07, DSS ADMINISTRATIVE LETTER NO. FOOD ASSISTANCE AND ENERGY PROGRAMS 03-2007, (Social Security Administration Data Access In Scc4cics And Online Verification)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
25 KB
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DMA ADMINISTRATIVE LETTER NO. 03-07, DAAS ADMINISTRATIVE LETTER NO. 07-10, FAMILY SUPPORT AND CHILD WELFARE SERVICES FSCWS- 06-07, DSS ADMINISTRATIVE LETTER NO. FOOD ASSISTANCE AND ENERGY PROGRAMS 03-2007, (Social Security Administration Data Access In SCC4CICS And Online Verification)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
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DMA ADMINISTRATIVE LETTER NO. 03-10, DSS ADMINISTRATIVE LETTER PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM-AL-02-10, DAAS ADMINISTRATIVE LETTER NO. 10-07, New Eligibility Information System (EIS) 8125 (Other Unearned Income Field)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
15 KB
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DMA ADMINISTRATIVE LETTER NO. 03-11, Automated Terminations Of MIC & North Carolina Health Choice Cases
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
22 KB
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DMA ADMINISTRATIVE LETTER NO. 03-14, Asset Verification System (AVS)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
100 KB
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DMA ADMINISTRATIVE LETTER NO. 03-16, Spousal Impoverishment Standards
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
144 KB
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DMA ADMINISTRATIVE LETTER NO. 03-17, Spousal Impoverishment Standards
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
100 KB
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DMA ADMINISTRATIVE LETTER NO. 03-18, Hospital Provider Instructions For Determining Presumptive Eligibility
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
434 KB
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DMA ADMINISTRATIVE LETTER NO. 03-19, Hawkins V. Cohen Procedures- Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
272 KB
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DMA ADMINISTRATIVE LETTER NO. 04-05, Use Of Social Security Numbers
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
108 KB
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DMA ADMINISTRATIVE LETTER NO. 04-06 ADDENDUM 1, Notice To Clients of Upcoming Citizenship/Identity Requirement
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
17 KB
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DMA ADMINISTRATIVE LETTER NO. 04-06, Addendum 1, Notice To Clients of Upcoming Citizenship/Identity Requirement
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
98 KB
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DMA ADMINISTRATIVE LETTER NO. 04-06, Outreach To Tell Clients of Upcoming Change
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
14 KB
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DMA ADMINISTRATIVE LETTER NO. 04-06, Outreach To Tell Clients of Upcoming Change
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
15 KB
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DMA ADMINISTRATIVE LETTER NO. 04-07, Transportation Audit
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
47 KB
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DMA ADMINISTRATIVE LETTER NO. 04-10, Community Alternative Program (CAP)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
24 KB
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DMA ADMINISTRATIVE LETTER NO. 04-11, Community Alternative Program (CAP)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
15 KB
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DMA ADMINISTRATIVE LETTER NO. 04-12, NEMT Vendor Obligations And Policy Implementation Timeline
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
53 KB
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DMA ADMINISTRATIVE LETTER NO. 04-14, Medicaid Recertification
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
98 KB
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DMA ADMINISTRATIVE LETTER NO. 04-15, Certification Period
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
9 KB
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DMA ADMINISTRATIVE LETTER NO. 04-16, Obsolete Forms
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
152 KB
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DMA ADMINISTRATIVE LETTER NO. 04-18, DAAS ADMINISTRATIVE LETTER NO. 18-03, Systematic Alien Verification For Entitlements (Save) Paperless Verification Processing
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
186 KB
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DMA ADMINISTRATIVE LETTER NO. 04-19, Medicaid Verification Reports
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
68 KB
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DMA ADMINISTRATIVE LETTER NO. 05-07, Medicare Buy-In Report
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
15 KB
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DMA ADMINISTRATIVE LETTER NO. 05-08, Obsolete & Current Administrative Letters
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
37 KB
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DMA ADMINISTRATIVE LETTER NO. 05-08, Obsolete & Current Administrative Letters
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
37 KB
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DMA ADMINISTRATIVE LETTER NO. 05-11, Citizenship/Identity Retroactive Review Requirements
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
61 KB
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DMA ADMINISTRATIVE LETTER NO. 05-15, Social Security And VA Cost-Of-Living Adjustment
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
385 KB
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DMA ADMINISTRATIVE LETTER NO. 05-19, Spousal Impoverishment Standards
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
16 KB
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DMA ADMINISTRATIVE LETTER NO. 06-03, Addendum 1, CBT Course Update
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
16 KB
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DMA ADMINISTRATIVE LETTER NO. 06-03, Addendum 2, Family CBT
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
15 KB
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DMA ADMINISTRATIVE LETTER NO. 06-03, Computer Based Training
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
37 KB
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DMA ADMINISTRATIVE LETTER NO. 06-06, Medicaid/NCHC Inquiries And DMA Contact List
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
66 KB
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DMA ADMINISTRATIVE LETTER NO. 06-06, Medicaid/NCHC Inquiries And DMA Contact List
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
102 KB
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DMA ADMINISTRATIVE LETTER NO. 06-07, DAAS ADMINISTRATIVE LETTER NO. 07-16, FAMILY SUPPORT AND CHILD WELFARE, SERVICES FSCWS- 09-2007, DSS, ADMINISTRATIVE LETTER NO. FOOD AND, NUTRITION SERVICES AND ENERGY, PROGRAMS 05-2007, (Veteran’s Affairs Match)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
112 KB
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DMA ADMINISTRATIVE LETTER NO. 06-08, 2008 Economic Stimulus Tax Rebate
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
19 KB
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DMA ADMINISTRATIVE LETTER NO. 06-10, ADDENDUM 1, Puerto Rico Birth Certificates
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
19 KB
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DMA ADMINISTRATIVE LETTER NO. 06-10, Puerto Rican Issued Birth Certificates
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
11 KB
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DMA ADMINISTRATIVE LETTER NO. 06-11, Social Security And Va Cost-Of-Living Adjustment (COLA)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
166 KB
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DMA ADMINISTRATIVE LETTER NO. 06-11, Social Security And VA Cost-Of-Living Adjustment (COLA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
166 KB
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DMA ADMINISTRATIVE LETTER NO. 06-15, Unconverted Medicaid Cases
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
51 KB
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DMA ADMINISTRATIVE LETTER NO. 06-18, ADDENDUM 2, Medicaid Procedures For Hurricane Florence
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
100 KB
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DMA ADMINISTRATIVE LETTER NO. 06-18, Emergency Medicaid Procedures For Hurricane Florence Victims
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
50 KB
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DMA ADMINISTRATIVE LETTER NO. 06-19, ADDENDUM 1, Medicaid Procedures for Hurricane Dorian
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
228 KB
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DMA ADMINISTRATIVE LETTER NO. 06-19,Medicaid Procedures for Hurricane Dorian – Obsolete
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
827 KB
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DMA ADMINISTRATIVE LETTER NO. 07-05, Piedmont Cardinal Health Plan (PCHP)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
82 KB
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DMA ADMINISTRATIVE LETTER NO. 07-08, ADDENDUM 1, EIS Code Instructions And Eligibility Policy For All Immigrants Including Iraqi And Afghanistan Special Immigrants
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
62 KB
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DMA ADMINISTRATIVE LETTER NO. 07-08, Iraqi And Afghanistan Special Immigrants
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
32 KB
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DMA ADMINISTRATIVE LETTER NO. 07-10, DSS ADMINISTRATIVE LETTER PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM-AL-07-10, DAAS ADMINISTRATIVE LETTER NO. 10-14, Authorized Representative Screen
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
134 KB
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DMA ADMINISTRATIVE LETTER NO. 07-12, Lifeline/Link-Up
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
54 KB
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DMA ADMINISTRATIVE LETTER NO. 07-12, Lifeline/Link-Up
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
54 KB
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DMA ADMINISTRATIVE LETTER NO. 07-14, Eugenics Asexualization And Sterilization Compensation
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
122 KB
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DMA ADMINISTRATIVE LETTER NO. 07-16, Social Security And VA Cost-Of-Living Adjustment
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
385 KB
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DMA ADMINISTRATIVE LETTER NO. 07-19, Social Security and VA Cost-Of-Living Adjustment
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
379 KB
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DMA ADMINISTRATIVE LETTER NO. 08-04, EPICS
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
28 KB
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DMA ADMINISTRATIVE LETTER NO. 08-04, EPICS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
37 KB
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DMA Administrative Letter No. 08-07, DAAS Administrative Letter No. 07-20, Family Support And Child Welfare Services FSCWS No. 13-07, DSS Administrative Letter No. 08-2007 Food And Nutrition Services And Energy Programs, (Interstate Match)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
46 KB
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DMA ADMINISTRATIVE LETTER NO. 08-07, DAAS ADMINISTRATIVE LETTER NO. 07-20, FAMILY SUPPORT AND CHILD WELFARE SERVICES FSCWS NO. 13-07, DSS ADMINISTRATIVE LETTER NO. 08-2007 FOOD AND NUTRITION SERVICES AND ENERGY PROGRAMS, (Interstate Match)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
46 KB
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DMA ADMINISTRATIVE LETTER NO. 08-07, DAAS ADMINISTRATIVE LETTER NO. 07-20, FAMILY SUPPORT AND CHILD WELFARE SERVICES FSCWS NO. 13-07, DSS ADMINISTRATIVE LETTER NO. 08-2007 FOOD AND NUTRITION SERVICES AND ENERGY PROGRAMS, (Interstate Match) ADDENDUM 1
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
17 KB
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DMA ADMINISTRATIVE LETTER NO. 08-07, DAAS ADMINISTRATIVE LETTER NO. 07-20, FAMILY SUPPORT AND CHILD WELFARE SERVICES FSCWS NO. 13-07, DSS ADMINISTRATIVE LETTER NO. 08-2007 FOOD AND NUTRITION SERVICES AND ENERGY PROGRAMS, ADDENDUM 1, (Interstate Match)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
17 KB
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DMA ADMINISTRATIVE LETTER NO. 08-08, DSS ADMINISTRATIVE LETTER PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM-AL-0208 NEW EIS 8128 INDIVIDUAL ID COMBINE PROCESS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
42 KB
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DMA ADMINISTRATIVE LETTER NO. 08-09, Citizenship Documentation
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
76 KB
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DMA ADMINISTRATIVE LETTER NO. 08-09, DAAS ADMINISTRATIVE LETTER NO. 09-24, ECONOMIC AND FAMILY SERVICES EFS_WF_AL-11-2009, ADDENDUM 1, (Citizenship Documentation)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
28 KB
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DMA ADMINISTRATIVE LETTER NO. 08-09, DAAS ADMINISTRATIVE LETTER NO. 09-24, ECONOMIC AND FAMILY SERVICES EFS_WF_AL-11-2009, Citizenship Documentation
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
76 KB
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DMA ADMINISTRATIVE LETTER NO. 08-13, ADDENDUM 1, Health Coverage For Workers With Disabilities
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
86 KB
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DMA ADMINISTRATIVE LETTER NO. 08-13, Health Coverage For Workers With Disabilities
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
53 KB
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DMA ADMINISTRATIVE LETTER NO. 09-07, Social Security And Va Cost-Of-Living Adjustment (COLA)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
176 KB
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DMA ADMINISTRATIVE LETTER NO. 09-07, Social Security And Va Cost-Of-Living Adjustment (COLA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
176 KB
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DMA ADMINISTRATIVE LETTER NO. 09-08, ADDENDUM 1, Medicaid Suspension
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
49 KB
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DMA ADMINISTRATIVE LETTER NO. 09-08, ADDENDUM 2, Medicaid Suspension
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
19 KB
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DMA ADMINISTRATIVE LETTER NO. 09-08, Medicaid Suspension
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
50 KB
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DMA ADMINISTRATIVE LETTER NO. 09-12, Social Security And Va Cost-Of-Living Adjustment (COLA)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
143 KB
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DMA ADMINISTRATIVE LETTER NO. 09-12, Social Security And VA Cost-Of-Living Adjustment (COLA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
143 KB
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DMA ADMINISTRATIVE LETTER NO. 09-13, Residency For Adoptive Children Medicaid
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
12 KB
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DMA ADMINISTRATIVE LETTER NO. 09-14, 2101 (F) North Carolina Health Choice Children
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
154 KB
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DMA ADMINISTRATIVE LETTER NO. 10-04, ACTS LEIS Profiles And New Screens
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
6 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO. 10-04, AMENDED, ACTS LEIS Profiles And New Screens
Adult Medicaid
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
16 KB
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adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO. 10-08, (CCNC/CA Exemptions)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
46 KB
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DMA ADMINISTRATIVE LETTER NO. 10-12, Verification Of Veterans’ Benefits
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
17 KB
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administrative-letter
DMA ADMINISTRATIVE LETTER NO. 10-13, Social Security And Va Cost-Of-Living Adjustment (Cola)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
234 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 10-13, Social Security And VA Cost-Of-Living Adjustment (COLA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
234 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 10-14, Social Security And Va Cost-Of-Living Adjustment (Cola)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
135 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 10-14, Social Security And Va Cost-Of-Living Adjustment (COLA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
135 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 11-08, ADDENDUM 1, Guidance Regarding Immigration Status, Undocumented Immigrants With Multiple Names And Social Security Numbers
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
14 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 11-08, Guidance Regarding Immigration Status, Undocumented Immigrants With Multiple Names And Social Security Numbers
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
18 KB
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administrative-letter
DMA ADMINISTRATIVE LETTER NO. 11-13, ADDENDUM 3, Hospital Provider Instructions For Determining Presumptive Eligibility
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
19 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 11-13, Hospital Provider Instructions For Determining Presumptive Eligibility
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
441 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 12-08, Social Security And Va Cost-Of-Living Adjustment (COLA)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
170 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 12-08, Social Security And Va Cost-Of-Living Adjustment (COLA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
170 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 12-13, Affordable Care Act (ACA) Overview Of Changes To The Application Process
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
93 KB
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administrative-letter
DMA ADMINISTRATIVE LETTER NO. 13-13, MIC-1 Children Age 6 Through Age 18, 107% – 133% FPL
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
77 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 14-03, Addendum 17, MQB-E Certification Period Extension To 9/30/08
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
15 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 14-03, Addendum 18, MQB-E Certification Period Extension To 12/31/2008
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
15 KB
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administrative-letter
DMA ADMINISTRATIVE LETTER NO. 14-13, Medicaid To Former Foster Care Children (MFC)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
82 KB
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administrative-letter
DMA ADMINISTRATIVE LETTER NO. 15-04, Enrolled Presumptive Eligibility Providers
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
38 KB
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administrative-letter
DMA ADMINISTRATIVE LETTER NO. 15-13, Certification And Authorization Periods For Applications Taken During Open Enrollment
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
14 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02 Addendum 1, Security of Internal Revenue Service (FRR) and Social Security Administration Information (BEER) – OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
16 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02 Addendum 2, FRR/Beer Security – OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
48 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02 Addendum 3, FRR/Beer Security – OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
5 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02, ADDENDUM 1, FRR/BEER – OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
106 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02, ADDENDUM 2, FRR/BEER Security – OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
28 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02, ADDENDUM 3, FRR/BEER Security – OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
33 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02, Security of Internal Revenue Service and Social Security Administration Information – OBSOLETE
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
41 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02, Work First and Food Stamps – OBSOLETE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
72 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-13, Affordable Care Act (ACA) Changes To Citizenship And Identity Verification
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
95 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 17-06, Medicaid Transportation Revisions
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
31 KB
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adult-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO. 17-06, Medicaid Transportation Revisions
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
31 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 18-01, NC Health Choice Cases With EIS Cert. Periods That Do Not Match The BCBS 12 Month Coverage Periods
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
22 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 18-01, NC Health Choice Cases With EIS Cert. Periods That Do Not Match The BCBS 12 Month Coverage Periods
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
31 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 18-03, New Medicaid Profile Indicator And Follow-Up Case Management Report
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
29 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 18-03, New Medicaid Profile Indicator And Follow-Up Case Management Report
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
43 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 18-13, ADDENDUM 1, Provider Instructions For Presumptive Eligibility For Pregnant Women
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
50 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 18-13, ADDENDUM 4, Provider Instructions For Presumptive Eligibility For Pregnant Women
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
19 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 18-13, Provider Instructions For Presumptive Eligibility For Pregnant Women
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
187 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 24-02, New Validation Process For Epics Referrals
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
26 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DMA ADMINISTRATIVE LETTER NO. 24-02, New Validation Process For EPICS Referrals
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
36 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
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DMA ADMINISTRATIVE LETTER NO. 27-01, Subscription To Medicaid Eligibility Manuals
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
32 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
dma-0100 Physician’s Signature for Authorization of Level of Care
Health Benefits/NC Medicaid
Form
pdf
89 KB
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health-benefits-nc-medicaid
form
dma-1049 Cover Letter for LIS Application for Medicaid
Health Benefits/NC Medicaid
Form
pdf
12 KB
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health-benefits-nc-medicaid
form
dma-1050 Notice of Application for Extra Help with Medicare Prescription Drug Costs
Health Benefits/NC Medicaid
Form
pdf
13 KB
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health-benefits-nc-medicaid
form
dma-1051 LIS Verification Checklist
Health Benefits/NC Medicaid
Form
pdf
65 KB
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health-benefits-nc-medicaid
form
dma-1051-ia LIS Verification Checklist
Health Benefits/NC Medicaid
Form
pdf
170 KB
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health-benefits-nc-medicaid
form
dma-1052 Notice of Approval for Extra Help with Medicaire Prescription Drug Costs
Health Benefits/NC Medicaid
Form
pdf
28 KB
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health-benefits-nc-medicaid
form
dma-1052-ia Notice of Approval for Extra Help with Medicare Prescription Drug Costs
Health Benefits/NC Medicaid
Form
pdf
76 KB
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health-benefits-nc-medicaid
form
dma-1053 Medicare Prescription Drug Subsidy Assistance
Health Benefits/NC Medicaid
Form
pdf
45 KB
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health-benefits-nc-medicaid
form
dma-1053-ia Medicare Prescription Drug Subsidy Assistance
Health Benefits/NC Medicaid
Form
pdf
45 KB
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health-benefits-nc-medicaid
form
dma-1054 Report of Approval/Denial of LIS Application
Health Benefits/NC Medicaid
Form
pdf
32 KB
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health-benefits-nc-medicaid
form
dma-2000a County DSS Request for DMA Forms
Health Benefits/NC Medicaid
Form
pdf
100 KB
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health-benefits-nc-medicaid
form
dma-2000h Health Agencies Request for DMA Forms
Health Benefits/NC Medicaid
Form
pdf
158 KB
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health-benefits-nc-medicaid
form
dma-2000x Order Form for NC Medicaid Consumer Guides
Health Benefits/NC Medicaid
Form
pdf
82 KB
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health-benefits-nc-medicaid
form
dma-2041-ia Third Party Recovery Insurance Information
Health Benefits/NC Medicaid
Form
pdf
106 KB
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health-benefits-nc-medicaid
form
dma-2046 Third Party Liability Medicaid and NC Health Choice Billing Guide
Health Benefits/NC Medicaid
Form
pdf
484 KB
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health-benefits-nc-medicaid
form
dma-2053-ia Insurance Company Code Request Form
Health Benefits/NC Medicaid
Form
pdf
89 KB
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health-benefits-nc-medicaid
form
dma-2057 Health Insurance Information Referral Form
Health Benefits/NC Medicaid
Form
pdf
5 KB
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health-benefits-nc-medicaid
form
dma-2069 Health Insurance Premium Payment Program Application
Health Benefits/NC Medicaid
Form
pdf
140 KB
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Preview
health-benefits-nc-medicaid
form
dma-2073 Medicaid Payment Information Request
Health Benefits/NC Medicaid
Form
pdf
28 KB
Open
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health-benefits-nc-medicaid
form
dma-2073-I Instructions for Medicaid Payment Information Request
Health Benefits/NC Medicaid
Form
pdf
17 KB
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health-benefits-nc-medicaid
form
DMA-2188 Chinese 北卡罗来纳州医疗援助司
Health Benefits/NC Medicaid
Form
pdf
306 KB
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health-benefits-nc-medicaid
form
DMA-2188 French AVIS SUR LES PRATIQUES EN MATIÈRE DE PROTECTION DE LA VIE PRIVÉE
Health Benefits/NC Medicaid
Form
pdf
149 KB
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health-benefits-nc-medicaid
form
dma-2188 Notice of Privacy Practices
Health Benefits/NC Medicaid
Form
pdf
137 KB
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health-benefits-nc-medicaid
form
dma-2188sp Aviso De Pr√°cticas De Privacidad
Health Benefits/NC Medicaid
Form
pdf
46 KB
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health-benefits-nc-medicaid
form
dma-2190 Report of Internal Inspection FRR/BEER
Health Benefits/NC Medicaid
Form
pdf
717 KB
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health-benefits-nc-medicaid
form
dma-2191 Designation of Control Officer for FRR/BEER
Health Benefits/NC Medicaid
Form
pdf
656 KB
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health-benefits-nc-medicaid
form
dma-2192 Documentation of SSA Security Training
Health Benefits/NC Medicaid
Form
pdf
680 KB
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health-benefits-nc-medicaid
form
dma-3002 Program Care Coordinator Pregnancy Outcome Report
Health Benefits/NC Medicaid
Form
pdf
112 KB
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health-benefits-nc-medicaid
form
dma-3004 Maternity Care Coordination Letter of Agreement
Health Benefits/NC Medicaid
Form
pdf
31 KB
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health-benefits-nc-medicaid
form
dma-3005 Care Coordinator Appointment Record
Health Benefits/NC Medicaid
Form
pdf
45 KB
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health-benefits-nc-medicaid
form
dma-3006 Care Coordination Record
Health Benefits/NC Medicaid
Form
pdf
165 KB
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health-benefits-nc-medicaid
form
dma-3007-ia Family Care Coordination Plan
Health Benefits/NC Medicaid
Form
pdf
207 KB
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health-benefits-nc-medicaid
form
dma-3016 Care Coordination Narrative Sheet
Health Benefits/NC Medicaid
Form
pdf
44 KB
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health-benefits-nc-medicaid
form
dma-3019 Individual Authorization Form
Health Benefits/NC Medicaid
Form
pdf
47 KB
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health-benefits-nc-medicaid
form
dma-3047 Hysterectomy Statement Form
Health Benefits/NC Medicaid
Form
pdf
139 KB
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Preview
health-benefits-nc-medicaid
form
dma-3050R Adult Care Home Personal Care Physician
Health Benefits/NC Medicaid
Form
pdf
37 KB
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health-benefits-nc-medicaid
form
dma-3055 Family Planning Waiver New Enrollee Letter
Health Benefits/NC Medicaid
Form
pdf
35 KB
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health-benefits-nc-medicaid
form
dma-3055R-I Instructions for Completing the Revised Adult Care Home Personal Care Physician Authorization and Care Plan (DMA-3050R)
Health Benefits/NC Medicaid
Form
pdf
38 KB
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health-benefits-nc-medicaid
form
dma-3057-ia North Carolina Community Alternatives Program for Children Participation Notice
Health Benefits/NC Medicaid
Form
pdf
97 KB
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health-benefits-nc-medicaid
form
dma-3059-ia Sterilization Consent Form
Health Benefits/NC Medicaid
Form
pdf
242 KB
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health-benefits-nc-medicaid
form
dma-3063-ia CAP/C – Physician’s Request Form for In-Home Nursing Services
Health Benefits/NC Medicaid
Form
pdf
36 KB
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Preview
health-benefits-nc-medicaid
form
dma-3065 PCS Medical Attestation for Licensed Care Home Residents
Health Benefits/NC Medicaid
Form
pdf
248 KB
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health-benefits-nc-medicaid
form
dma-3066 PCS for Licensed ACH Residents – Independent Assessment request for New Residents
Health Benefits/NC Medicaid
Form
pdf
231 KB
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health-benefits-nc-medicaid
form
dma-3072-ia Self-Assessment Tools
Health Benefits/NC Medicaid
Form
pdf
273 KB
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Preview
health-benefits-nc-medicaid
form
dma-3073-ia Individual Risk Assessment
Health Benefits/NC Medicaid
Form
pdf
41 KB
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health-benefits-nc-medicaid
form
dma-3085-I- Session Law 2013-306 PCS Training Attestation Form DMA-3085
Health Benefits/NC Medicaid
Form
pdf
33 KB
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health-benefits-nc-medicaid
form
dma-3085-ia Session Law 2013-306 PCS Training Attestation Form May 30, 2018
Health Benefits/NC Medicaid
Form
Open
health-benefits-nc-medicaid
form
dma-3087-ia Service Request for Home and Community-Based Services – PHYSICIANS ATTESTATION
Health Benefits/NC Medicaid
Form
pdf
441 KB
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health-benefits-nc-medicaid
form
dma-3114-I-ia Instructions – Request for Reconsideration of PCS Authorization (DMA-3114)
Health Benefits/NC Medicaid
Form
pdf
274 KB
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Preview
health-benefits-nc-medicaid
form
dma-3114-ia Request for Reconsideration of PCS Authorization
Health Benefits/NC Medicaid
Form
pdf
201 KB
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Preview
health-benefits-nc-medicaid
form
dma-3116-I Instructions – Personal Care Services EPSDT Short-Term Increase-In-Hours Request Form (DMA-3116)
Health Benefits/NC Medicaid
Form
pdf
226 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3116-ia Personal Care Services EPSDT Short-Term Increase-In-Hours Request Form
Health Benefits/NC Medicaid
Form
pdf
526 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3125 Oral Nutrition Product Request Form
Health Benefits/NC Medicaid
Form
pdf
30 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3136-ia Internal Quality Improvement Program Attestation Form
Health Benefits/NC Medicaid
Form
pdf
213 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3136-ia-i Internal Quality Improvement Program Attestation Form – Instructions
Health Benefits/NC Medicaid
Form
pdf
32 KB
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Preview
health-benefits-nc-medicaid
form
dma-3137 Personal Care Services (PCS) ICD-10 Transition Form Jun 01, 2018
Health Benefits/NC Medicaid
Form
Open
health-benefits-nc-medicaid
form
dma-3137-i Personal Care Services (PCS) ICD-10 Transition Form – Instructions
Health Benefits/NC Medicaid
Form
pdf
298 KB
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health-benefits-nc-medicaid
form
dma-3142-ia Abortion Statement (DMA-3142-IA)
Health Benefits/NC Medicaid
Form
pdf
127 KB
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Preview
health-benefits-nc-medicaid
form
dma-3155 HIV Case Management – Medical Home Communication Tracker
Health Benefits/NC Medicaid
Form
pdf
543 KB
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Preview
health-benefits-nc-medicaid
form
dma-3156 HIV Case Management – Continuing Education Hours Approval Form
Health Benefits/NC Medicaid
Form
pdf
684 KB
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Preview
health-benefits-nc-medicaid
form
dma-3157 HIV Case Management Provider Recertification Application Checklist
Health Benefits/NC Medicaid
Form
pdf
213 KB
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Preview
health-benefits-nc-medicaid
form
dma-3158 HIV Case Management Provider Recertification Application
Health Benefits/NC Medicaid
Form
pdf
128 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3158-I HIV Case Management Provider Recertification Application – Instructions
Health Benefits/NC Medicaid
Form
pdf
189 KB
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Preview
health-benefits-nc-medicaid
form
dma-3159 HIV Case Management Basic Training Request Form
Health Benefits/NC Medicaid
Form
pdf
173 KB
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Preview
health-benefits-nc-medicaid
form
dma-3163-ia NC DMA – Community Alternatives Program for Children (CAP/C) Referral Form
Health Benefits/NC Medicaid
Form
pdf
523 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3165-ia Notification of Hospice and Personal Care Services (PCS) Coordination Form
Health Benefits/NC Medicaid
Form
pdf
414 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3171-I Verification of School Nursing – Instructions
Health Benefits/NC Medicaid
Form
pdf
346 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3171-ia Verification of School Nursing
Health Benefits/NC Medicaid
Form
pdf
442 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3172 Private Duty Nursing Employment Attestation Form
Health Benefits/NC Medicaid
Form
pdf
250 KB
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Preview
health-benefits-nc-medicaid
form
dma-3173 Verification of Employment Form
Health Benefits/NC Medicaid
Form
pdf
153 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3201-ia Critical Incident Report – Community Alternatives Program for Children (CAP-C)
Health Benefits/NC Medicaid
Form
pdf
298 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3212-ia NC Medicaid Hospice Prior Approval Authorization
Health Benefits/NC Medicaid
Form
pdf
110 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3350 Prior Approval Form for Lower Extremity Prosthetic Component L5781 or L5782
Health Benefits/NC Medicaid
Form
pdf
25 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3351 Prior Approval Form for Lower Extremity Prosthetic Component L5930
Health Benefits/NC Medicaid
Form
pdf
19 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3352 Prior Approval Form for Lower Extremity Prosthetic Component L5968
Health Benefits/NC Medicaid
Form
pdf
20 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3353 Prior Approval Form for Lower Extremity Prosthetic Component L5980
Health Benefits/NC Medicaid
Form
pdf
19 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3354 Prior Approval Form for Lower Extremity Prosthetic Component L5987
Health Benefits/NC Medicaid
Form
pdf
19 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3355 Prior Approval Form for Lower Extremity Prosthetic Component L5988
Health Benefits/NC Medicaid
Form
pdf
19 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3400 Request for HCPCS Code Addition – Medicaid Home Health Fee Schedule
Health Benefits/NC Medicaid
Form
pdf
601 KB
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Preview
health-benefits-nc-medicaid
form
dma-3504 Notice of Approval of Service Request
Health Benefits/NC Medicaid
Form
pdf
243 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3600 Tocolytic Prior Approval Request Form
Health Benefits/NC Medicaid
Form
pdf
34 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-3611 Dupixent for Asthma
Health Benefits/NC Medicaid
Form
pdf
114 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3701-ia N.C. Health Choice Extended Coverage
Health Benefits/NC Medicaid
Form
pdf
92 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-3701sp-ia Cobertura Extendida de NC Health Choice
Health Benefits/NC Medicaid
Form
pdf
64 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-372-124-ach-ia Adult Care Home FL2 Form
Health Benefits/NC Medicaid
Form
pdf
213 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5001sp AVISO DEL USO DE NUMEROS DE SEGURO SOCIAL Feb 04, 2022
Health Benefits/NC Medicaid
Form
Open
health-benefits-nc-medicaid
form
dma-5004 Buy-In Clerical Action
Health Benefits/NC Medicaid
Form
pdf
204 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5008b-ia Long Term Care Budget Supplement B to DMA-5008
Health Benefits/NC Medicaid
Form
pdf
130 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5008c Spouse and Dependent Income Allowance Worksheet
Health Benefits/NC Medicaid
Form
pdf
51 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5008c-ia Spouse and Dependent Income Allowance Worksheet
Health Benefits/NC Medicaid
Form
pdf
63 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5008e ABD Medicaid Parent to Child Deeming Budget Sheet
Health Benefits/NC Medicaid
Form
pdf
46 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5008e-ia ABD Medicaid Parent to Child Deeming Budget Sheet
Health Benefits/NC Medicaid
Form
pdf
85 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5009 Social History Summary for the Disabled
Health Benefits/NC Medicaid
Form
pdf
25 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5009-ia Social History Summary for the Disabled
Health Benefits/NC Medicaid
Form
pdf
51 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5010-ia Referral for Inpatient Hospital and Intermediate Care Facility in State Mental Hospital/State Mental Retardation Centers
Health Benefits/NC Medicaid
Form
pdf
474 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5011-ia Managed Care Organization (MCO) Health Plan Welcome Letter
Health Benefits/NC Medicaid
Form
pdf
104 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5011a CAP Indicator Letter (Memorandum)
Health Benefits/NC Medicaid
Form
pdf
11 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5012 Managed Care Organization (MCO) Health Plan Transfer Letter
Health Benefits/NC Medicaid
Form
pdf
12 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5020 Notice of Case Status
Health Benefits/NC Medicaid
Form
pdf
77 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5020-ia Notice of Case Status
Health Benefits/NC Medicaid
Form
pdf
58 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5022-ia Eligibility Information System
Health Benefits/NC Medicaid
Form
pdf
160 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5024sp-ia Notificacion de Solicitud de Transporte Jan 26, 2021
Health Benefits/NC Medicaid
Form
Open
health-benefits-nc-medicaid
form
dma-5026 Notice of Obligation to Apply for Veteran’s Benefits
Health Benefits/NC Medicaid
Form
pdf
23 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5027 Verification of VA Benefits
Health Benefits/NC Medicaid
Form
pdf
23 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5031A Verification of Pregnancy
Health Benefits/NC Medicaid
Form
pdf
27 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5032 Presumptive Eligibility Determination Form for Pregnancy – Related Care
Health Benefits/NC Medicaid
Form
pdf
129 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5032-(H) Presumptive Eligibility Determination by Hospital
Health Benefits/NC Medicaid
Form
pdf
522 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5032sp Formulario De Determinación De Elegibilidad Presunta Para Recibir Atención Relacionada Con El Embarazo
Health Benefits/NC Medicaid
Form
pdf
43 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5033 Presumptive Eligibility Transmittal Form
Health Benefits/NC Medicaid
Form
pdf
44 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5033sp Formulario De Transmisión De Elegibilidad Presunta
Health Benefits/NC Medicaid
Form
pdf
121 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5034 Presumptive Eligibility Income Checklist
Health Benefits/NC Medicaid
Form
pdf
149 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5034sp Lista de Verification de Ingresos Para Elegibilidad Presunta
Health Benefits/NC Medicaid
Form
pdf
79 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5035 Presumptive Eligibility Denial
Health Benefits/NC Medicaid
Form
pdf
78 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5035sp Denegacion de Elegibilidad Presunta
Health Benefits/NC Medicaid
Form
pdf
17 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5036 Record of Medical Expenses Applied to the Deductible
Health Benefits/NC Medicaid
Form
pdf
200 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5037 Medical Provider Verification Form
Health Benefits/NC Medicaid
Form
pdf
12 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5039 Right to Rebut Value of Vehicles
Health Benefits/NC Medicaid
Form
pdf
11 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5041 Doctor’s Statement of Due Date
Health Benefits/NC Medicaid
Form
pdf
16 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5042 Mail-In Application, Additional Information
Health Benefits/NC Medicaid
Form
pdf
11 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5042-ia Additional Information Needed for Mail-In Application
Health Benefits/NC Medicaid
Form
pdf
29 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5044 Consent for Release of Information
Health Benefits/NC Medicaid
Form
pdf
22 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5045 Certification of Need For Institutional Care for Individual Under Age 21
Health Benefits/NC Medicaid
Form
pdf
18 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5050-ia Emergency Certification for Medicaid
Health Benefits/NC Medicaid
Form
pdf
73 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5055-ia Third Party Resource Transmittal
Health Benefits/NC Medicaid
Form
pdf
16 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5057 Explanation Of The Effect Of Transfer Of Asset (s) On Medical Assistance Eligibility
Health Benefits/NC Medicaid
Form
pdf
30 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-5057 French EXPLICATION DE L’EFFET DU TRANSFERT D’ACTIF(S) SUR L’ÉLIGIBILITÉ À L’ASSISTANCE MÉDICALE
Health Benefits/NC Medicaid
Form
pdf
111 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-5057 Gujarati સંપિ�(ઓ) ના ટ� ાન્સફરના પ્રભાવની સમજૂતી તબીબી સહાયતા પાત્રતા િવશ
Health Benefits/NC Medicaid
Form
pdf
150 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5057sp Explicación De Los Efectos De La Transferencia De Activos Sobre La Elegibilidad Para Asistencia Médica
Health Benefits/NC Medicaid
Form
pdf
32 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5058 Participating Telephone Service Providers
Health Benefits/NC Medicaid
Form
pdf
19 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5066 NC Health Choice/Medicaid Mail-In Applications – Log
Health Benefits/NC Medicaid
Form
pdf
40 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5066-ia NC Health Choice/Medicaid Mail-In Applications – Log
Health Benefits/NC Medicaid
Form
pdf
32 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5069 Special Health Care Needs Questionnaire
Health Benefits/NC Medicaid
Form
pdf
68 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5069sp Cuestionario para Necesidades Especiades de Salud
Health Benefits/NC Medicaid
Form
pdf
99 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5071i NC Health Choice Designation of Authorized Representative Form
Health Benefits/NC Medicaid
Form
pdf
62 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5071sp NC Health Choice: Designación De Representante Autorizo
Health Benefits/NC Medicaid
Form
pdf
86 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5072i NC Health Choice First Level Review Request Form
Health Benefits/NC Medicaid
Form
pdf
174 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5072sp Explicación Del Proceso De Revisión De Primer Nivel
Health Benefits/NC Medicaid
Form
pdf
62 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5073-ia NC Health Choice – External Second Level Review Request Form
Health Benefits/NC Medicaid
Form
pdf
253 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5073sp Explanación Del Proceso De Revisión De Segundo Nivel
Health Benefits/NC Medicaid
Form
pdf
270 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5086 Request for Access to DHHS Provider Penalty Tracking Database
Health Benefits/NC Medicaid
Form
pdf
70 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5093-ia DAILY RECEPTION LOG FOR MEDICAL AND FINANCIAL ASSISTANCE
Health Benefits/NC Medicaid
Form
pdf
60 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5094 Notice of Your Right to Apply for Benefits
Health Benefits/NC Medicaid
Form
pdf
36 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-5094 French AVIS SUR VOTRE DROIT DE DEMANDER DES PRESTATIONS
Health Benefits/NC Medicaid
Form
pdf
116 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5094sp Aviso de Su Derecho a Solicitar Beneficios
Health Benefits/NC Medicaid
Form
pdf
80 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5096-ia Documentation of Need
Health Benefits/NC Medicaid
Form
pdf
174 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5097-ia Request for Information
Health Benefits/NC Medicaid
Form
pdf
51 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5097sp Solicitud de información
Health Benefits/NC Medicaid
Form
pdf
41 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5098sp-ia Su Solicitud Para Medicaid Esta Pendiente
Health Benefits/NC Medicaid
Form
pdf
85 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5100 Notice of Medicaid Redetermination
Health Benefits/NC Medicaid
Form
pdf
20 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5100sp Aviso De Redeterminación De Medicaid
Health Benefits/NC Medicaid
Form
pdf
20 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5100sp Aviso De Redeterminación De Medicaid
Health Benefits/NC Medicaid
Form
pdf
29 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5101 Notice of Approval
Health Benefits/NC Medicaid
Form
pdf
28 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5102 SSI Denial
Health Benefits/NC Medicaid
Form
pdf
20 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5102sp Negación de SSI
Health Benefits/NC Medicaid
Form
pdf
20 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5103D SSI Medicaid Denial Due to Refusal to Provide Health Insurance Information
Health Benefits/NC Medicaid
Form
pdf
20 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5103Dsp Denegación De Medicaid Por Medio De La Ssi Debido A La Negativa De Suministrar Información Sobre El Seguro De Salud
Health Benefits/NC Medicaid
Form
pdf
20 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5103T SSA Medicaid Termination Due to Refusal to Provide Health Insurance Information
Health Benefits/NC Medicaid
Form
pdf
20 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5103Tsp Cancelación De Medicaid Por Medio De La Ssi Debido A La Negativa De Suministrar Información Sobre El Seguro De Salud
Health Benefits/NC Medicaid
Form
pdf
20 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5105 Adult Mail-In Application Log
Health Benefits/NC Medicaid
Form
pdf
17 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5105-ia Adult Mail-In Application Log
Health Benefits/NC Medicaid
Form
pdf
32 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5108 Provider Transportation Record
Health Benefits/NC Medicaid
Form
pdf
80 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5109 Model No-Show Policy for Community Transportation Systems
Health Benefits/NC Medicaid
Form
pdf
116 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5110-ia Disclosure of Annuities
Health Benefits/NC Medicaid
Form
pdf
26 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5111-ia Verification of Annuities Properties
Health Benefits/NC Medicaid
Form
pdf
82 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5112-ia Informational Notice Regarding Annuities and Medicaid Eligibility
Health Benefits/NC Medicaid
Form
pdf
26 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5114-ia Request for Documentation for Undue Hardship Claim
Health Benefits/NC Medicaid
Form
pdf
134 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5115-ia Notification of Right to Request a Demonstrated Hardship Waiver (Home Equity Value)
Health Benefits/NC Medicaid
Form
pdf
28 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5122 Community Spouse Resource Protection Worksheet
Health Benefits/NC Medicaid
Form
pdf
142 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5124 Medicaid Transportation Provider Documentation
Health Benefits/NC Medicaid
Form
pdf
31 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5124a Medicaid Transportation Provider Documentation Addendum
Health Benefits/NC Medicaid
Form
pdf
84 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5127 Notice of Reactivating The Health Check/Health Choice Program
Health Benefits/NC Medicaid
Form
pdf
55 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5127sp Notice of Reactivating The Health Check/Health Choice Program
Health Benefits/NC Medicaid
Form
pdf
54 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5128 Health Choice Enrollment & Waiting List Notification
Health Benefits/NC Medicaid
Form
pdf
25 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5128sp Registro de Health Choice & Lista de Espera Notification
Health Benefits/NC Medicaid
Form
pdf
44 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5131 FAX Request Form – From County DSS to EOIR
Health Benefits/NC Medicaid
Form
pdf
21 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5132 FAX Request Form – From County DSS to USCIS
Health Benefits/NC Medicaid
Form
pdf
24 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5133 Emergency Medical Services Request for Information
Health Benefits/NC Medicaid
Form
pdf
13 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5134 Emergency Medical Services Request for Missing Information
Health Benefits/NC Medicaid
Form
pdf
20 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5135 Dates of Emergency Services Requested for an Alien
Health Benefits/NC Medicaid
Form
pdf
39 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5141 Medicare/Medicare Part B Enrollment Advisory Letter (Automated)
Health Benefits/NC Medicaid
Form
pdf
27 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5146 Health Coverage for Workers with Disabilities Premium Notice
Health Benefits/NC Medicaid
Form
pdf
28 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5147 HCWD Denial for Non-Payment of Premium
Health Benefits/NC Medicaid
Form
pdf
21 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5148 HCWD Termination for Non-Payment of Premiums
Health Benefits/NC Medicaid
Form
pdf
22 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5149 HCWD Enrollment Fee Notice
Health Benefits/NC Medicaid
Form
pdf
11 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5151 Health Coverage For Workers With Disabilities (HCWD) Medical Information Release Authorization
Health Benefits/NC Medicaid
Form
pdf
11 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5154 County Transfer Letter
Health Benefits/NC Medicaid
Form
pdf
19 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5154 sp County Transfer Letter
Health Benefits/NC Medicaid
Form
pdf
126 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5154-ia County Transfer Letter
Health Benefits/NC Medicaid
Form
pdf
31 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-5154sp-ia CARTA DE TRASLADO DE CONDADO
Health Benefits/NC Medicaid
Form
pdf
120 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5155 Verification of Cash Value of Life Insurance
Health Benefits/NC Medicaid
Form
pdf
18 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5156 Statement of Outstanding Checks
Health Benefits/NC Medicaid
Form
pdf
11 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5157 Notice of Total Countable Resources; Right To Rebut Value
Health Benefits/NC Medicaid
Form
pdf
16 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-5157 SP Notice of Total Countable Resources; Right to Rebute Value
Health Benefits/NC Medicaid
Form
pdf
160 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-5157 Vietnamese THÔNG BÁO VỀ TỔNG GIÁ TRỊ TÀI SẢN ĐẾM ĐƯỢC; QUYỀN PHẢN BÁC GIÁ TRỊ
Health Benefits/NC Medicaid
Form
pdf
179 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5158 INCOME PRODUCING PROPERTY GUIDE
Health Benefits/NC Medicaid
Form
pdf
102 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5159 Statement of Intent to Return Home
Health Benefits/NC Medicaid
Form
pdf
12 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5160 Statement Of Spouse Or Dependent Relative In The Home
Health Benefits/NC Medicaid
Form
pdf
12 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5161 Transfer Of Asset Below Current Market Value Important Notice
Health Benefits/NC Medicaid
Form
pdf
24 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5167 County Analysis – Non-Compliance with Processing Thresholds or Thresholds for Denials, Withdrawals, Inquiries
Health Benefits/NC Medicaid
Form
pdf
383 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5168 Actions Taken On Improper Denials, Withdrawals, Or Inquiries Identified In Monitoring
Health Benefits/NC Medicaid
Form
pdf
177 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5169 Report Card Analysis
Health Benefits/NC Medicaid
Form
pdf
186 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5171 Approval Notice For Retroactive Medicaid Benefits
Health Benefits/NC Medicaid
Form
pdf
12 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5172 Erroneous Authorization Dates of Medicaid Eligibility
Health Benefits/NC Medicaid
Form
pdf
14 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5176 U.S. Citizenship Documentation Birth Certificate Request
Health Benefits/NC Medicaid
Form
pdf
12 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5178 U.S. Citizenship Documentation Desk Reference
Health Benefits/NC Medicaid
Form
pdf
37 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5180 SSI Check Terminated: Information Needed to Determine Medicaid Eligibility
Health Benefits/NC Medicaid
Form
pdf
336 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5182 Notice Of Cooperation In Establishing Paternity And Or Medical Support
Health Benefits/NC Medicaid
Form
pdf
13 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5183 Presumptive Eligibility Log
Health Benefits/NC Medicaid
Form
pdf
27 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5199-ia Medicaid Renewal Request for Information Notice
Health Benefits/NC Medicaid
Form
pdf
374 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5199sp-ia Aviso de pedido de información para la renovación de Medicaid
Health Benefits/NC Medicaid
Form
pdf
282 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-5202 Appendix C French ANNEXE C Désignation du représentant autorisé
Health Benefits/NC Medicaid
Form
pdf
107 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5202A-ia Health Coverage from Jobs – Appendix A
Health Benefits/NC Medicaid
Form
pdf
677 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5202Asp-ia Apéndice A – Coberta de salud de empleos
Health Benefits/NC Medicaid
Form
pdf
241 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5202B-ia American Indian or Alaska Native Family Member (AI/AN) – Appendix B
Health Benefits/NC Medicaid
Form
pdf
37 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5202Bsp-ia Apéndice B – Miembro de la familia amerindio o nativo de Alaska (AI/AN)
Health Benefits/NC Medicaid
Form
pdf
167 KB
Open
Preview
health-benefits-nc-medicaid
form
dma-5202Csp-ia Apéndice C – Designación de representante autorizado
Health Benefits/NC Medicaid
Form
pdf
227 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-5202D Chinese 附录 D
Health Benefits/NC Medicaid
Form
pdf
221 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-5202D French ANNEXE D REVENUS / RESSOURCES
Health Benefits/NC Medicaid
Form
pdf
117 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-5202D Vietnamese PHỤ LỤC D
Health Benefits/NC Medicaid
Form
pdf
162 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-5202D-ia Income/Resources – Appendix D
Health Benefits/NC Medicaid
Form
pdf
702 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-5202DSp-ia Apéndice D – Ingresos/Recursos
Health Benefits/NC Medicaid
Form
pdf
308 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-7010 Reports of Referrals to Law Enforcement
Health Benefits/NC Medicaid
Form
pdf
71 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-7057 Referral For Investigation
Health Benefits/NC Medicaid
Form
pdf
14 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-7098-ia Request and Authorization to Disclose Health Information
Health Benefits/NC Medicaid
Form
pdf
47 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-9001 Carolina ACCESS Complaint Form Instructions
Health Benefits/NC Medicaid
Form
pdf
42 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-9002-ia CCNC/CA – Medical Exemption Request
Health Benefits/NC Medicaid
Form
pdf
60 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-9006 Carolina ACCESS Enrollment Form for Recipients of Medicaid and Health Choice
Health Benefits/NC Medicaid
Form
pdf
70 KB
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health-benefits-nc-medicaid
form
DMA-9006-ia Carolina ACCESS Enrollment Form
Health Benefits/NC Medicaid
Form
pdf
43 KB
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Preview
health-benefits-nc-medicaid
form
DMA-9007 Mail-In Application/Reenrollment Form
Health Benefits/NC Medicaid
Form
pdf
74 KB
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Preview
health-benefits-nc-medicaid
form
DMA-9008-SSI Recipient without Medicare
Health Benefits/NC Medicaid
Form
pdf
63 KB
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health-benefits-nc-medicaid
form
DMA-9009 SSI Recipient with Medicare
Health Benefits/NC Medicaid
Form
pdf
49 KB
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health-benefits-nc-medicaid
form
DMA-9010 County Transfer
Health Benefits/NC Medicaid
Form
pdf
53 KB
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health-benefits-nc-medicaid
form
DMA-9010sp ia Transferencia de condado
Health Benefits/NC Medicaid
Form
pdf
71 KB
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health-benefits-nc-medicaid
form
DMA-9011 Change in Primary Doctor Practice
Health Benefits/NC Medicaid
Form
pdf
53 KB
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health-benefits-nc-medicaid
form
DMA-9012 Primary Care Provider Disenrolls Recipient
Health Benefits/NC Medicaid
Form
pdf
59 KB
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health-benefits-nc-medicaid
form
DMA-9013 Recipient with a Temporary Exempt
Health Benefits/NC Medicaid
Form
pdf
65 KB
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health-benefits-nc-medicaid
form
DMA-9016 CCNC/CA The Benefits of Being A Member-Medicaid
Health Benefits/NC Medicaid
Form
pdf
79 KB
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health-benefits-nc-medicaid
form
DMA-9016 Russian CCNC/CA: ПРЕИМУЩЕСТВА УЧАСТИЯ В ПРОГРАММЕ MEDICAID
Health Benefits/NC Medicaid
Form
pdf
139 KB
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health-benefits-nc-medicaid
form
DMA-9016 Vietnamese CCNC/CA: LỢI ÍCH KHI LÀ THÀNH VIÊN MEDICAID
Health Benefits/NC Medicaid
Form
pdf
146 KB
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health-benefits-nc-medicaid
form
DMA-9016sp CCNC/CA: Las Ventajas de Ser Mirembro-Medicaid
Health Benefits/NC Medicaid
Form
pdf
16 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-9017 CCNC/CA: The Benefits of Being a Member-NCHC
Health Benefits/NC Medicaid
Form
pdf
118 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-9017sp CCNC/CA, Los Beneficios de Ser Miembro-NCHC
Health Benefits/NC Medicaid
Form
pdf
123 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-9050-ia Nursing Home Notice of Transfer/Discharge
Health Benefits/NC Medicaid
Form
pdf
77 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-9051-ia Nursing Home Hearing Request Form
Health Benefits/NC Medicaid
Form
pdf
69 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-9052-ia Adult Care Home Notice of Transfer/Discharge
Health Benefits/NC Medicaid
Form
pdf
85 KB
Open
Preview
health-benefits-nc-medicaid
form
DMA-9053-ia Adult Care Home Hearing Request Form
Health Benefits/NC Medicaid
Form
pdf
61 KB
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Preview
health-benefits-nc-medicaid
form
DSS ADMINISTRATIVE LETTER NO. PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT 07-2013, DMA ADMINISTRATIVE LETTER NO: 05-13, DAAS ADMINISTRATIVE LETTER NO: 13-13, DCDEE ADMINISTRATIVE LETTER NO: 05-13, New NCID Requirement For Client Services Data Warehouse (CSDW) (July 30, 2013)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
157 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
administrative-letter
DSS ADMINISTRATIVE LETTER NO. PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT 07-2013, DMA ADMINISTRATIVE LETTER NO. 05-13, DAAS ADMINISTRATIVE LETTER NO. 13-13, DCDEE ADMINISTRATIVE LETTER NO. 05-13, New NCID Requirement For Client Services Data Warehouse (CSDW) (July 30, 2013)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
157 KB
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Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DSS ADMINISTRATIVE LETTER PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM-AL-08-10, DMA ADMINISTRATIVE LETTER NO: 08-10, DAAS ADMINISTRATIVE LETTER NO: 10-20, New Automated e-lRAAF
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
2 MB
Open
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
DSS ADMINISTRATIVE LETTER PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM-AL-08-10, DMA ADMINISTRATIVE LETTER NO. 08-10, DAAS ADMINISTRATIVE LETTER NO. 10-20, New Automated e-lRAAF
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
2 MB
Open
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DSS ADMINISTRATIVE LETTER PM-REM-AL-06-10, DMA, ADMINISTRATIVE LETTER NO: 05-10, DAAS ADMINISTRATIVE LETTER NO: 10-11, PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT, Information Systems Security and the IRAAF
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
31 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
administrative-letter
DSS ADMINISTRATIVE LETTER PM-REM-AL-06-10, DMA, ADMINISTRATIVE LETTER NO. 05-10, DAAS ADMINISTRATIVE LETTER NO. 10-11, PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT, Information Systems Security and the IRAAF
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
31 KB
Open
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DSS ADMINISTRATIVE LETTER, PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT, PM-REM AL-02-2013, DMA ADMINISTRATIVE LETTER NO. 03-2013, DAAS ADMINISTRATIVE LETTER NO. 2013-05, DSS ECONOMIC AND FAMILY SERVICES ADMINISTRATIVE LETTER NO. 03-2013, DCDEE ADMINISTRATIVE LETTER NO. 01-2013, Online Verification (OLV) Enhancements
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
499 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DSS ADMINISTRATIVE LETTER, PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT, PM-REM-AL-06-13, DMA ADMINISTRATIVE LETTER NO: 04-13, DAAS ADMINISTRATIVE LETTER NO: 13-12, DCDEE ADMINISTRATIVE LETTER NO: 04-13, Information Systems Annual Security Reviews (July 26, 2013)
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
53 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
administrative-letter
DSS ADMINISTRATIVE LETTER, PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT, PM-REM-AL-06-13, DMA ADMINISTRATIVE LETTER NO. 04-13, DAAS ADMINISTRATIVE LETTER NO. 13-12, DCDEE ADMINISTRATIVE LETTER NO. 04-13, Information Systems Annual Security Reviews (July 26, 2013)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
53 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DSS-8110 Change Term Adequate Vietnamese Quyền Lợi Trợ Cấp Y Tế Của Quý Vị Sắp
Health Benefits/NC Medicaid
Form
pdf
194 KB
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Preview
health-benefits-nc-medicaid
form
DSS-8110 CHANGE/TERMINATION ADEQUATE
Health Benefits/NC Medicaid
Form
pdf
133 KB
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health-benefits-nc-medicaid
form
DSS-8110 CHANGE/TERMINATION TIMELY
Health Benefits/NC Medicaid
Form
pdf
121 KB
Open
Preview
health-benefits-nc-medicaid
form
DSS-8110 CHANGE/TERMINATION TIMELY – French
Forms in Other Languages
Health Benefits/NC Medicaid
Form
pdf
150 KB
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Preview
forms-in-other-languages health-benefits-nc-medicaid social-services
form
DSS-8110 Conti Russian Ваши льготы на медицинское обслуживание сохраняются
Health Benefits/NC Medicaid
Form
pdf
172 KB
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Preview
health-benefits-nc-medicaid
form
DSS-8110 CONTINUING
Health Benefits/NC Medicaid
Form
pdf
107 KB
Open
Preview
health-benefits-nc-medicaid
form
DSS-8110 CONTINUING Chinese 您的医疗补助福利将继续发放
Health Benefits/NC Medicaid
Form
pdf
182 KB
Open
Preview
health-benefits-nc-medicaid
form
DSS-8110 Desk Reference Tool
Family and Children's Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
359 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
administrative-letter
DSS-8110 Transitional
Health Benefits/NC Medicaid
Form
pdf
177 KB
Open
Preview
health-benefits-nc-medicaid
form
DSS-8110sp CHANGE/TERMINATION ADEQUATE
Health Benefits/NC Medicaid
Form
pdf
105 KB
Open
Preview
health-benefits-nc-medicaid
form
DSS-8110sp CHANGE/TERMINATION TIMELY
Health Benefits/NC Medicaid
Form
pdf
91 KB
Open
Preview
health-benefits-nc-medicaid
form
DSS-8110sp CONTINUING
Health Benefits/NC Medicaid
Form
pdf
134 KB
Open
Preview
health-benefits-nc-medicaid
form
DSS-8110sp Transitional
Health Benefits/NC Medicaid
Form
pdf
184 KB
Open
Preview
health-benefits-nc-medicaid
form
EIS-1105 STATE DATA EXCHANGE (SDX)
Health Benefits/NC Medicaid
Medicaid Eligibility Information System (EIS)
Manual
pdf
293 KB
Open
Preview
health-benefits-nc-medicaid medicaid-eligibility-information-system-eis
manual
EIS-4000 CODES APPENDIX B – MEDICAID CODES
Health Benefits/NC Medicaid
Medicaid Eligibility Information System (EIS)
Manual
pdf
342 KB
Open
Preview
health-benefits-nc-medicaid medicaid-eligibility-information-system-eis
manual
EIS-4000 CODES APPENDIX E – TRANSITIONAL CODES
Health Benefits/NC Medicaid
Medicaid Eligibility Information System (EIS)
Manual
pdf
72 KB
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Preview
health-benefits-nc-medicaid medicaid-eligibility-information-system-eis
manual
EIS-4000 CODES APPENDIX TABLE OF CONTENTS
Health Benefits/NC Medicaid
Medicaid Eligibility Information System (EIS)
Manual
pdf
285 KB
Open
Preview
health-benefits-nc-medicaid medicaid-eligibility-information-system-eis
manual
FAMILY AND CHILDREN’S MEDICAID TABLE OF CONTENTS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
122 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA- 200 Definitions
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
160 KB
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adult-medicaid health-benefits-nc-medicaid
policy
MA- 300 Confidentiality
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
111 KB
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adult-medicaid health-benefits-nc-medicaid
policy
MA- 400 Introduction to Medicaid
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
32 KB
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adult-medicaid health-benefits-nc-medicaid
policy
MA- 500 Classification
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
112 KB
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Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-1000 SSI MEDICAID AUTOMATED PROCESS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
285 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-1100 SSI Medicaid-County DSS Responsibility
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
240 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2000 NON-SSI ELIGIBILITY REGULATIONS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
47 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2100 CATEGORICALLY NEEDY-NO MONEY PAYMENT
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
21 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2110 PASS-ALONG
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
402 KB
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Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2120 MEDICALLY NEEDY REGULATIONS{ XE “MEDICALLY NEEDY REGULATIONS” }
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
23 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2130 QUALIFIED MEDICARE BENEFICIARIES – Q
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
169 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2140 QUALIFIED MEDICARE BENEFICIARIES – B
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
171 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2150 MEDICAID-WORKING DISABLED
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
24 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2160 QUALIFIED INDIVIDUAL – MQB-E
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
170 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2170 FAMILY PLANNING PROGRAM
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
82 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2180 HEALTH COVERAGE FOR WORKERS WITH DISABILITIES
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
293 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2180 HEALTH COVERAGE FOR WORKERS WITH DISABILITIES – 2019 HCWD Premiums
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
122 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2220 STATE RESIDENCY
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
187 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2221 COUNTY RESIDENCE
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
85 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2230 FINANCIAL RESOURCES
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
856 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2231 COMMUNITY SPOUSE RESOURCE PROTECTION
Adult Medicaid
Policy
pdf
214 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2240 TRANSFER OF ASSETS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
751 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2242 HOME EQUITY VALUE & ELIGIBILITY FOR INSTITUTIONAL SERVICES
Adult Medicaid
Policy
pdf
112 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2245 UNDUE HARDSHIP WAIVER FOR TRANSFER OF ASSETS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
93 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2250 INCOME
Adult Medicaid
Policy
pdf
607 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2251 REASONABLE COMPATIBILITY
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
154 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2251 Reasonable Compatibility Calculator-20% Effective January 16, 2023
Adult Medicaid
Health Benefits/NC Medicaid
Policy
xlsx
12 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2252 2019 NON-MAGI MEDICAID INCOME/RESERVE LIMITS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
134 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2252 2020 NON-MAGI MEDICAID INCOME/RESERVE LIMITS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
130 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2252 2021 NON-MAGI MEDICAID INCOME/RESERVE LIMITS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
131 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2252 2022 NON-MAGI MEDICAID INCOME/RESERVE LIMITS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
132 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2252 2023 NON-MAGI MEDICAID INCOME/RESERVE LIMITS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
147 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2252 NON-MAGI MEDICAID INCOME/RESERVE LIMITS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
147 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2252, NON- MAGI MEDICAID INCOME/RESERVE LIMITS
Adult Medicaid
pdf
149 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
MA-2260 FINANCIAL ELIGIBILITY REGULATIONS-PLA
Adult Medicaid
Policy
pdf
213 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2261 1/3 REDUCTION
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
20 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2262 SPONSOR DEEMING
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
137 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2270 LONG TERM CARE NEED AND BUDGETING
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
533 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2270 LTC Evidence Changes Prior to Eligibility Determination Listserv
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
58 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2270 Prepaid Health Plan Notification of Nursing Facility Level of Care Form
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
128 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2275 PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
277 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2280 COMMUNITY ALTERNATIVES PROGRAM (CAP)
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
187 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2282 INNOVATIONS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
189 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2283 TRAUMATIC BRAIN INJURY (TBI)
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
171 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2284 MONEY FOLLOWS THE PERSON
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
203 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2285 ESTATE RECOVERY
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
572 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2290 MANAGED CARE
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
234 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2295 DISCOURAGEMENT
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
74 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2296 INQUIRY
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
154 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2300 APPLICATION
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
378 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2301 POST ELIGIBILITY VERIFICATION
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
432 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2302 OUTSTATIONS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
145 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2305 EVALUATING COUNTY/DDS PERFORMANCE
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
199 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2306 APPLICATION PROCESSING – CORRECTIVE ACTION PROCEDURES
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
189 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2309 LIS APPLICATION FOR MEDICAID
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
48 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2310 TAKING THE LIS APPLICATION
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
189 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2311 LIS PROCESSING AND CASE MAINTENANCE
Adult Medicaid
Policy
pdf
216 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2312 MEDICARE PRESCRIPTION DRUG BENEFIT
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
117 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2320 RECERTIFICATION
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
300 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2321 MEDICALLY NEEDY RECERTIFICATION
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
294 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2340 CHANGE IN SITUATION
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
227 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2350 CERTIFICATION AND AUTHORIZATION
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
76 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2352 CHANGE IN CIRCUMSTANCE, TERMINATIONS, AND REOPENING
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
246 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2355 MAABD/MQB PROGRAM TRANSFERS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
27 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2360 MEDICAID DEDUCTIBLE
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
294 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2375 CHILD SUPPORT
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
153 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2380 MEDICAID IDENTIFICATION CARD
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
74 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2395 CORRECTIVE ACTION AND RESPONSIBILITY FOR ERRORS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
166 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2395 Medicaid Procedures for Requesting Corrections – DSS Support Unit
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
166 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2400 Additions/Terminations/Changes to Third Party Insurance Listserv (August 10, 2020)
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
124 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2400 THIRD PARTY RECOVERY
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
124 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2410 MEDICARE ENROLLMENT & BUY-IN
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
247 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2420 DHB -DSS 8110 DESK REFERENCE TOOL
Adult Medicaid
Health Benefits/NC Medicaid
Procedure
pdf
681 KB
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Preview
adult-medicaid health-benefits-nc-medicaid
procedure
MA-2420 NOTICE AND HEARINGS PROCESS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
333 KB
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Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2425 COMMUNITY CARE OF NORTH CAROLINA (CCNC)/CAROLINA ACCESS (CA)
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
181 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2430 AUTOMATED INQUIRY AND MATCH PROCEDURES
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
249 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2440 AUTOMATED SOLQ PROCEDURES
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
34 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2450 ENUMERATION
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
166 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2500 AGE/NAME/MARITAL STATUS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
175 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2504 ALIEN REQUIREMENTS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
452 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2505 CITIZENSHIP/IDENTITY SSA DATA MATCH
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
93 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2506 US CITIZENSHIP REQUIREMENTS
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
256 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2507 TRIBAL MEMBERSHIP AND AMERICAN INDIAN HEALTH SERVICE
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
185 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2510 LIVING ARRANGEMENT
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
341 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2525 DISABILITY
Adult Medicaid
Policy
pdf
296 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2531 BLINDNESS – MAB
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
27 KB
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Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2900 BENEFICAIRY FRAUD AND ABUSE POLICY AND PROCEDURES
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
1 MB
Open
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adult-medicaid health-benefits-nc-medicaid
policy
MA-2905- MEDICAID COVERED SERVICES
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
555 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2910 – NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT)
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
649 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2930 2023-2024 County Internal Inspection Schedule
Adult Medicaid
Health Benefits/NC Medicaid
Policy
xlsx
13 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2930 SECURITY OF INTERNAL REVENUE SERVICE AND SOCIAL SECURITY ADMINISTRATION INFORMATION
Adult Medicaid
Health Benefits/NC Medicaid
Policy
pdf
225 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-2940 SOCIAL SECURITY COST-OF-LIVING ADJUSTMENT (COLA)
Adult Medicaid
Policy
pdf
146 KB
Open
Preview
adult-medicaid health-benefits-nc-medicaid
policy
MA-3100 INTRODUCTION
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
382 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3110 DEFINITIONS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
273 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3120 SSI MEDICAID
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
211 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3185 DISCOURAGEMENT
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
117 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3190 INQUIRY
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
133 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3200 APPLICATION
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
388 KB
Open
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3205 POST ELIGIBILITY VERIFICATION
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
324 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3207 OUTSTATIONS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
125 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3217 EVALUATING COUNTY/DDS PERFORMANCE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
227 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3225 APPLICATION PROCESSING – CORRECTIVE ACTION PROCEDURES
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
198 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3230 AUTO NEWBORN
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
235 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3231 ADOPTION MEDICAL ASSISTANCE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
142 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3232 FOSTER CARE MEDICAL ASSISTANCE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
149 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3233-A FORMER FOSTER CARE CHILDREN (MFC) NORTH CAROLINA
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
172 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3233-B FORMER FOSTER CARE CHILDREN (MFC) ANY STATE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
187 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3234 EXPANDED FOSTER CARE PROGRAM (EFCP)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
37 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3235 CARETAKER RELATIVES/KINSHIP
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
181 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3236 MAGI ADULT MEDICAID EXPANSION
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
215 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3240 PREGNANT WOMAN COVERAGE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
263 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3245 PRESUMPTIVE ELIGIBILITY FOR PREGNANT WOMEN
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
124 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3246 HOSPITAL PRESUMPTIVE ELIGIBILITY
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
176 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3250 BREAST AND CERVICAL CANCER MEDICAID (BCCM)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
168 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3260 COMMUNITY ALTERNATIVES PROGRAM (CAP)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
185 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3262 MONEY FOLLOWS THE PERSON
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
216 KB
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Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3263 MANAGED CARE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
216 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3265 FAMILY PLANNING PROGRAM
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
142 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3270 PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
129 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3300 INCOME
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
490 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3305 MAF, MIC, HSF BUDGETING
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
266 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3306 DESK TOOL REFERENCE – CONSTRUCTING THE MAGI HOUSEHOLD
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
168 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3306 DESK TOOL REFERENCE – MAGI COUNTING INCOME CHART
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
103 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3306 DESK TOOL REFERENCE – MAGI HOUSEHOLD COMPOSITION CHART
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
115 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3306 MODIFIED ADJUSTED GROSS INCOME (MAGI)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
422 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3310 REASONABLE COMPATIBILITY
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
390 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3310 REASONABLE COMPATIBILITY CALCULATOR-20%
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
xlsx
12 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3313 SPONSOR DEEMING
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
140 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3315 MEDICAID DEDUCTIBLE
Family and Children's Medicaid
Policy
pdf
298 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
policy
MA-3320 RESOURCES
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
149 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3321 2018 MAGI MEDICAID/NCHC INCOME LIMITS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
doc
126 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3321 2019 MAGI MEDICAID/NCHC INCOME LIMITS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
doc
110 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3321 2020 MAGI MEDICAID/NCHC INCOME LIMITS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
121 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3321 2021 MAGI MEDICAID/NCHC INCOME LIMITS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
122 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3321 2022 MAGI MEDICIAD/NCHC INCOME LIMITS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
122 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3321 2023 MAGI MEDICAID INCOME LIMITS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
224 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3321 2023 MAGI MEDICAID INCOME LIMITS WITH MXP
Family and Children's Medicaid
Health Benefits/NC Medicaid
pdf
107 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
MA-3321 MAGI MEDICAID INCOME LIMITS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
224 KB
Open
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3322 COMMUNITY SPOUSE RESOURCE PROTECTION
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
147 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3325 LONG TERM CARE BUDGETING
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
116 KB
Open
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3326 ESTATE RECOVERY
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
262 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3330 ALIEN REQUIREMENTS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
446 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3331 CITIZENSHIP/IDENTITY SSA DATA MATCH
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
93 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3332 US CITIZENSHIP REQUIREMENTS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
260 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3333 TRIBAL MEMBERSHIP AND AMERICAN INDIAN HEALTH SERVICE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
186 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3335 STATE RESIDENCY
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
190 KB
Open
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3340 COUNTY RESIDENCE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
112 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3345 AGE/NAME/MARITAL STATUS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Policy
pdf
177 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
policy
MA-3355 ENUMERATION
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
170 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3360 LIVING ARRANGEMENT
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
404 KB
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Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3365 CHILD SUPPORT
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
157 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3400 FOUR MONTHS TRANSITIONAL MEDICAID
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
83 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3405 TWELVE MONTHS TRANSITIONAL MEDICAID
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
187 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3410 CHANGE IN CIRCUMSTANCE, TERMINATIONS, AND REOPENING
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
249 KB
Open
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3415 CLASSIFICATION AND EVALUATION
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
44 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3420 MEDICALLY NEEDY RECERTIFICATION
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
321 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3421 MAGI RECERTIFICATION
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
422 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3425 CERTIFICATION AND AUTHORIZATION
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
75 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3430 NOTICE AND HEARINGS PROCESS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
338 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3435 COMMUNITY CARE OF NORTH CAROLINA (CCNC)/CAROLINA ACCESS (CA)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
194 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3500 CONFIDENTIALITY
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
109 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3505 MEDICAID IDENTIFICATION CARD
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
74 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3510 THIRD PARTY RECOVERY
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
120 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3515 AUTOMATED INQUIRY AND MATCH PROCEDURES
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
251 KB
Open
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3520 AUTOMATED SOLQ PROCEDURES
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
22 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3525 MEDICARE ENROLLMENT & BUY-IN
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
233 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3530 CORRECTIVE ACTION AND RESPONSIBILITY FOR ERRORS
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
166 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3535 RECIPIENT FRAUD AND ABUSE POLICY AND PROCEDURES
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
2 MB
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3540 MEDICAID COVERED SERVICES
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
554 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3550 NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT)
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
610 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3560 2023 – 2024 COUNTY INTERNAL INSPECTION SCHEDULE
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
xlsx
13 KB
Open
Preview
family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3560 SECURITY OF INTERNAL REVENUE SERVICE AND SOCIAL SECURITY ADMINISTRATION INFORMATION
Family and Children's Medicaid
Health Benefits/NC Medicaid
Manual
pdf
247 KB
Open
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family-and-childrens-medicaid health-benefits-nc-medicaid
manual
MA-3570 SOCIAL SECURITY COST-OF-LIVING ADJUSTMENT (COLA)
Family and Children's Medicaid
Policy
pdf
149 KB
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family-and-childrens-medicaid health-benefits-nc-medicaid
policy
PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM AL-02-2013, DMA ADMINISTRATIVE LETTER NO: 03-2013, DAAS ADMINISTRATIVE LETTER NO: 2013-05, DSS ECONOMIC AND FAMILY SERVICES ADMINISTRATIVE LETTER NO: 03-2013, DCDEE ADMINISTRATIVE LETTER NO: 01-2013, Online Verification (Olv) Enhancements
Adult Medicaid
Health Benefits/NC Medicaid
Administrative Letter
pdf
499 KB
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adult-medicaid health-benefits-nc-medicaid
administrative-letter
X/PTR – REPORT DISTRIBUTION SYSTEM
Health Benefits/NC Medicaid
Medicaid Eligibility Information System (EIS)
Manual
pdf
148 KB
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health-benefits-nc-medicaid medicaid-eligibility-information-system-eis
manual