| SIS100 Instructions for the SIS Client Entry Form DSS-5027 | Manual | pdf | 1 MB | | manual | pdf |
| SIS101 Services Information System Client Entry Form DSS-5027 Appendix A | Manual | pdf | 238 KB | | manual | pdf |
| SIS200 Instructions for Worker Daily Report of Services DSS-4263 | Manual | pdf | 181 KB | | manual | pdf |
| SIS300 Service Codes and Definitions Appendix B | Manual | pdf | 713 KB | | manual | pdf |
| SIS400 Program Code Definitions Appendix C | Manual | pdf | 189 KB | | manual | pdf |
| SIS500 Repatriation Services Appendix D | Manual | pdf | 16 KB | | manual | pdf |
| PM-REM-AL-01-2011: Services Information System (SIS) ID Number Target to Target ID Merge | Administrative Letter | pdf | 18 KB | | administrative-letter | pdf |
| PM-REM-AL-04-2010: Services Information System (SIS) ID Merge Menu Access Instructions | Administrative Letter | pdf | 19 KB | | administrative-letter | pdf |
| PM-REM-AL 03-2010: Services Information System (SIS) ID Number Merge Reports | Administrative Letter | pdf | 77 KB | | administrative-letter | pdf |
| PM-REM-AL-02-2009: SIS SSN Conversion and Upcoming Changes | Administrative Letter | pdf | 38 KB | | administrative-letter | pdf |
| PM-REM-AL-01-2007: Preparation for Mass Conversion of Case Manager’s Social Security Number to an Alternative Worker ID in the Services Information System (SIS) and Central Registry (CYA) | Administrative Letter | pdf | 176 KB | | administrative-letter | pdf |
| PM-REM-AL-02-2007: Newly Created Menu Screen in the Services Information System (SIS) | Administrative Letter | pdf | 91 KB | | administrative-letter | pdf |
| PM-REM-AL-03-2007: Case Managers with Multiple Social Security Numbers or Alternate IDs in the Services Information System (SIS) | Administrative Letter | pdf | 117 KB | | administrative-letter | pdf |
| PM-REM-AL-04-2007: Newly Created Menu Screen in the Services Information System (SIS) | Administrative Letter | pdf | 173 KB | | administrative-letter | pdf |
| PM-REM-AL-05-2007: NCXPTR Report ‘DHRSYA SYA220 LIST WORKER ID #’ | Administrative Letter | pdf | 77 KB | | administrative-letter | pdf |
| CN-10-2000: Revisions to Program Codes 0 (Valid with Service Codes 011 & 103 for Select Counties) | Change Notice | pdf | 124 KB | | change-notice | pdf |
| CN-09-2000: Corrections to Change Notice No. 7-2000 | Change Notice | pdf | 25 KB | | change-notice | pdf |
| CN-08-2000: Revisions to Service Codes 132, 133, 134 & 135 | Change Notice | pdf | 43 KB | | change-notice | pdf |
| CN-07-2000: Revisions to Multiple Service Codes, Program Codes and Service/Program Code Combinations | Change Notice | pdf | 141 KB | | change-notice | pdf |
| CN-06-2000: Expansion to Program Code Field; Revisions to Program Code 0 with Various Service Codes | Change Notice | pdf | 240 KB | | change-notice | pdf |
| CN-04-2001: New Program Code 11 (Now Valid with Service Codes 574, 575 & 576); Revisions to Program Code N (Valid as of 9/22/2001 with Service Code 215); Revision to Program Code Q (Valid with Service Codes 121, 122 & 123 for Select Counties) | Change Notice | pdf | 17 KB | | change-notice | pdf |
| CN-03-2001: New Program Code 30 IV-B1 (Now Valid with Various Service Codes for Select Counties) | Change Notice | pdf | 137 KB | | change-notice | pdf |
| CN-02-2001: Revisions to Service Codes 011 & 103 (Now Valid with Program Codes 0 & R) | Change Notice | pdf | 121 KB | | change-notice | pdf |
| CN-01-2001: Revisions to Service Codes 572 & 395 | Change Notice | pdf | 128 KB | | change-notice | pdf |
| CN-04-2002: Revisions to Program Code X, R, 0 & 9 (Now Valid with Service 215); Revision to Program Code 7 & 22 (No longer valid with Service Code 215) | Change Notice | pdf | 16 KB | | change-notice | pdf |
| CN-03-2002: Revision to Program Code R (Now Valid with Service Coe 230); Revision to Program Code 0 (Now Valid with Service Codes 104, 105, 212, 241, 293, 331 & 332) | Change Notice | pdf | 15 KB | | change-notice | pdf |
| CN-02-2002: Revisions to Program Codes 5 & 6 (Discontinued with Various Service Codes for Select Counties); Discontinuation of Program Code 11 with Service Codes 574, 575 & 576 | Change Notice | pdf | 18 KB | | change-notice | pdf |
| CN-01-2002: New Program Code 22 (Now Valid with Various, Specified Service Codes for Select Counties) | Change Notice | pdf | 20 KB | | change-notice | pdf |
| CN-02-2003: Revision to Program Code R (Now Valid with Service Code 527) | Change Notice | pdf | 11 KB | | change-notice | pdf |
| CN-01-2003: New Service Code 389 and New Program Code 50; Elimination of Service 321 with Program Code 21; Revisions to Program Code N (Now Valid with Service Code 350) | Change Notice | pdf | 17 KB | | change-notice | pdf |
| CN-02-2004: Deletions of Service Codes 393 & 394; Revisions to Service Code 532 | Change Notice | pdf | 21 KB | | change-notice | pdf |
| CN-01-2004: New Service Code 120; Revisions to Service Code 250 & 532 | Change Notice | pdf | 18 KB | | change-notice | pdf |
| CN-02-2005: Revisions to the SIS Client Entry Form DSS-5027, Section H | Change Notice | pdf | 60 KB | | change-notice | pdf |
| CN-01-2005: Revisions to Program Codes 5 & 6 (Now Valid with Various, Specified Service Codes) | Change Notice | pdf | 94 KB | | change-notice | pdf |
| CN-02-2006: Instructions for the SIS Client Entry Form DSS-5027, Fields 19 & 25 | Change Notice | pdf | 53 KB | | change-notice | pdf |
| CN-01-2006: Deletions, Revisions & Additions to Multiple Service Codes, Program Codes and Service/Program Code Combinations | Change Notice | pdf | 88 KB | | change-notice | pdf |
| CN-03-2007: New Service Codes 017 and 018 | Change Notice | pdf | 39 KB | | change-notice | pdf |
| CN-02-2007: New Program Code 12 (Now Valid with Service Codes 537 & 561) | Change Notice | pdf | 44 KB | | change-notice | pdf |
| CN-01-2007: Discontinuation of Program Codes 5, 6, 7 & 8; Revision to Program Code 12 (Valid with Service Codes 521, 522, 527, 532 & 544 for Select Counties) | Change Notice | pdf | 44 KB | | change-notice | pdf |
| CN-03-2008: New Service Code 559 | Change Notice | pdf | 34 KB | | change-notice | pdf |
| CN-02-2008: New Service Code 319; Revisions to Program Code 12 (Now Valid with Service Codes 541, 542, 543 & 553) | Change Notice | pdf | 46 KB | | change-notice | pdf |
| CN-01-2008: Discontinuation to Program Code A with Specified Service Codes for Select Counties; New Program Code 13 with Specified Service Codes for Select Counties; Revisions to Program Code Y for Select Counties | Change Notice | pdf | 43 KB | | change-notice | pdf |
| CN-02-2009: Instructions for the SIS Client Entry form, DSS – 5027, II. C. Using the Pages of the Form, Page 2; New Service Codes 117 & 118 | Change Notice | pdf | 40 KB | | change-notice | pdf |
| CN-01-2009: Instructions for the SIS Client Entry Form, DSS-5027, III.A. Client Identification, Field 3 | Change Notice | pdf | 30 KB | | change-notice | pdf |
| CN-04-2010: New Service Code 564; Revision to Program Code 15 (Now Valid with Service Codes 541, 542, 543); Discontinuation of Service Code 563 | Change Notice | pdf | 31 KB | | change-notice | pdf |
| CN-03-2010: New Fields added to the DSS 5027; New LINKS Service Codes; New System Edits for Data Entry | Change Notice | pdf | 32 KB | | change-notice | pdf |
| CN-02-2010: New Service Codes 352 & 353 | Change Notice | pdf | 32 KB | | change-notice | pdf |
| CN-01-2010: New Service Code 563 and Program Code 15 | Change Notice | pdf | 33 KB | | change-notice | pdf |
| CN-05-2011: Revision to Service Code 991 | Change Notice | pdf | 32 KB | | change-notice | pdf |
| CN-04-2011: Revisions to Program Codes A, Y & 13 in Regard to the Adolescent Parenting Program | Change Notice | pdf | 37 KB | | change-notice | pdf |
| CN-03-2011: Revisions to Program Code 16 | Change Notice | pdf | 29 KB | | change-notice | pdf |
| CN-02-2011: Revisions to Program Code 23 and Service Codes 210, 215, 219, 220, 228, 229, 330 & 390 | Change Notice | pdf | 27 KB | | change-notice | pdf |
| CN-01-2011: Discontinuation of Program Code 15; Revision to Program Code 16 (Now valid with Service Codes 564, 541, 542 & 543); Revision to Program Code 23 (Now valid with Service Codes 210, 215, 219, 220, 228, 229, 230, 330 & 390); Revision to Program Code J | Change Notice | pdf | 37 KB | | change-notice | pdf |
| CN-05-2012: Deletion of Program Code Z when using Service Codes 320 & 322; Revision to Program Code X (Now valid when using Service Codes 322 & 228) | Change Notice | pdf | 39 KB | | change-notice | pdf |
| CN-04-2012: Revision to Program Codes N & X (Now Valid with Service Code 333) | Change Notice | pdf | 30 KB | | change-notice | pdf |
| CN-03-2012: Deletion of Service Codes 880 & 887; Revision to Service Code 870; New Service Code 437 | Change Notice | pdf | 33 KB | | change-notice | pdf |
| CN-02-2012: Deletions, Revisions & Additions to Multiple Service Codes, Program Codes and Service/Program Code Combinations | Change Notice | pdf | 55 KB | | change-notice | pdf |
| CN-01-2012: Deletion of Program Code X when using Service Codes 002 & 816 | Change Notice | pdf | 28 KB | | change-notice | pdf |
| CN-04-2013: Deletion of Service Codes 396 & 397; New Service Code 817 (Valid for Select Counties when using Program Code L) | Change Notice | pdf | 26 KB | | change-notice | pdf |
| CN-03-2013: Deletion of Service Codes 871 & 873; New Program Code S2 (Valid for Select Counties When Using Program Code 505, 515, 580 & 581); New Program Code RM (Now Valid with Service Codes 890, 891 & 892) | Change Notice | pdf | 30 KB | | change-notice | pdf |
| CN-02-2013: New Program Code 24 (Now Valid with Service Code 120 & 333); New Service Codes 890, 891 & 892 (now Valid with Program Codes FS, HC, MA, PA, SA, T & 9); Clarification on Program Code R | Change Notice | pdf | 37 KB | | change-notice | pdf |
| CN-01-2013: Revisions to Service Code 380, 396 & 397 and Program Code 16 | Change Notice | pdf | 33 KB | | change-notice | pdf |
| CN-06-2014: New Program Code CRF (Valid for Select Counties when using Service Codes 210, 219, 220 & 228); New Program Code HC (Now Valid with Service Code 872); Revisions to Service Codes 340, 341, 343, 890, 891 & 892 | Change Notice | pdf | 151 KB | | change-notice | pdf |
| CN-05-2014: New Program Code IHE (Now Valid with Service Codes 215 & 228); New Program Code CPS (Now Valid with Service Codes 210, 211, 215, 219, 220, 228 & 229) | Change Notice | pdf | 144 KB | | change-notice | pdf |
| CN-04-2014: Clarification to Reporting 75% FFP for Medicaid Eligibility Activities | Change Notice | pdf | 146 KB | | change-notice | pdf |
| CN-03-2014: Corrections to Program Code T with Service Codes 380 & 381 | Change Notice | pdf | 140 KB | | change-notice | pdf |
| CN-02-2014: New Service Codes 340, 341, 342 & 343; New Program Code T; Discontinuation of Service Codes 392 & 395 with Program Codes 2 & HC2. | Change Notice | pdf | 34 KB | | change-notice | pdf |
| CN-01-2014: Deletion of Service Code 564 & Program Code 16; Deletion of Service Code 350, 351 and Program Code 10; Deletion of Program Code 2 When Using Service Code 204; Deletion of Service Codes 879, 881 & 882 | Change Notice | pdf | 31 KB | | change-notice | pdf |
| CN-02-2015: Revisions to Program Code S & S2 and Service Code 505, 515, 567 & 582; New Race Codes in Field 24 | Change Notice | pdf | 148 KB | | change-notice | pdf |
| CN-01-2015: New Program Code IHE (Now Valid for use with Service Code 219); Revision to Service Code 817; Deletion of Program Code 12 When Using Service Codes 521, 522, 527, 532, 537, 541, 542, 543, 544, 546, 547, 553 and 561 | Change Notice | pdf | 139 KB | | change-notice | pdf |
| CN-03-2016: Revision to Program Code S2 (Valid for Select Counties when using Service Codes 580, 581 & 582) | Change Notice | pdf | 140 KB | | change-notice | pdf |
| CN-02-2016: New Program Code COM (Valid for Select Counties when using Services Codes 122, 324, 330, 333, 382, 383 & 390); Revisions to Program Code 9; Updates on the use of Service Codes 890, 891 & 892 | Change Notice | pdf | 148 KB | | change-notice | pdf |
| CN-01-2016: Coding in Preparation for Potential Statewide Implementation of the NC FAST- CSDW-Day Sheet Interface (previously referred to as “Plan A”) | Change Notice | pdf | 150 KB | | change-notice | pdf |
| CN-02-2017: New Service Code 112 | Change Notice | pdf | 227 KB | | change-notice | pdf |
| CN-01-2017: Revision to Program Code Z (Now Valid with Service Code 251) | Change Notice | pdf | 24 KB | | change-notice | pdf |
| CN-02-2018: Clarification to Reporting Medicaid Transportation Purchased Cost | Change Notice | pdf | 212 KB | | change-notice | pdf |
| CN-01-2018: New Program Code ADM for use with Service Codes 750, 752, 753 & 754 | Change Notice | pdf | 246 KB | | change-notice | pdf |
| CN-07-2019: Revision to Program Code S2 (Valid for Select Counties when using Service Codes 505, 515, 580, 581 and 582) | Change Notice | pdf | 115 KB | | change-notice | pdf |
| CN-06-2019: New Service Codes for Other Non-DSS Reimbursable Service | Change Notice | pdf | 123 KB | | change-notice | pdf |
| CN-05-2019: New Service Codes for use by county DSS workers to record time spent as part of disaster relief efforts | Change Notice | pdf | 31 KB | | change-notice | pdf |
| CN-04-2019: Deletion of Service Codes 352 & 353 | Change Notice | pdf | 59 KB | | change-notice | pdf |
| CN-03-2019: Revision to Service Codes 106, 107 and 111 | Change Notice | pdf | 28 KB | | change-notice | pdf |
| CN-02-2019: New Service Code 111 | Change Notice | pdf | 219 KB | | change-notice | pdf |
| CN-01-2019: New Service Codes 106, 580, 581 and 582 | Change Notice | pdf | 33 KB | | change-notice | pdf |
| CN-01-2020: New Program Code for use by county DSS workers to code time on the DSS-4263 Worker Daily Report of Services to Adult Protective Services. | Change Notice | pdf | 117 KB | | change-notice | pdf |
| CN-02-2020: Program Code S2 – 100% SNAP Employment & Training, is now valid with the following Service Codes for Cherokee County | Change Notice | pdf | 114 KB | | change-notice | pdf |
| CN-03-2020: New Service and Program Codes for COVID funding | Change Notice | pdf | 117 KB | | change-notice | pdf |
| CN-04-2020: New Service Codes 889 & 893 for LIEAP CARES funding | Change Notice | pdf | 114 KB | | change-notice | pdf |
| CN-05-2020: Revisions to Service Codes 889 & 893 for LIEAP CARES funding | Change Notice | pdf | 110 KB | | change-notice | pdf |
| CN-06-2020: New Program Code OAC for use with Service Codes 041, 042, and 045 | Change Notice | pdf | 109 KB | | change-notice | pdf |
| CN-SIS-01-2021: Program Code N is now valid with Service Code 750. | Change Notice | pdf | 116 KB | | change-notice | pdf |
| CN-SIS-02-2021: The use of Program Code N2 with Service Code 750 in SIS is temporarily suspended due to technical issues within the County Administration Reimbursement System (CARS). | Change Notice | pdf | 95 KB | | change-notice | pdf |
| CN-SIS-03-2021: SIS100.03 Completing the Form and SIS100.04 DSS-5027 Data Entry Instructions and have been edited to reflect the changes SIS300.09 Definition has been revised with a new definition, SIS400 Program Code Definitions has been revised with a new Definition | Change Notice | pdf | 112 KB | | change-notice | pdf |
| CN-SIS-04-2021: SIS 300.02 Service Code 202 – Protective Services for Adult/Evaluation and Service Code 204 – Protective Services for Adult/Evaluation have been updated to include use with Program Code – MAC – Medicaid Admistrative Claiming. The Program Code description can be found in SIS 400. | Change Notice | pdf | 101 KB | | change-notice | pdf |
| CN-SIS-05-2021: SIS 100.02 Use of the Form has been updated to include revised instructions when using the DSS-5027 form. | Change Notice | pdf | 103 KB | | change-notice | pdf |
| CN-SIS-06-2021: New Service Codes 887 Low Income Household Water Assistance Program (LIHWAP) with Program Code WAP and 893 Low Income Household Water Assistance Program (Services) Part II Only. Appendix B has been edited to reflect the changes above. | Change Notice | pdf | 107 KB | | change-notice | pdf |
| CN-SIS-01-2022: Service Codes 889 and 893 has been revised. | Change Notice | pdf | 110 KB | | change-notice | pdf |
| CN-SIS-01-2022: Appendix B has been edited to reflect the changes above | Change Notice | pdf | 110 KB | | change-notice | pdf |
| CN-SIS-02-2022: Updates have been made to Service Codes 887, 889, and 893 under Section SIS300.07. | Change Notice | pdf | 105 KB | | change-notice | pdf |
| CN-SIS-02-2022: Appendix B has been edited to reflect the changes above. | Change Notice | pdf | 105 KB | | change-notice | pdf |
| CN-SIS-03-2022: Appendix B has been revised and update to incorporate required changes in response to the federal IV-E regulations. | Change Notice | pdf | 141 KB | | change-notice | pdf |
| CN-SIS-04-2022: Appendix B has been revised: New Service Code 205 (APS Essential Services) | Change Notice | pdf | 103 KB | | change-notice | pdf |
| CN-SIS-04-2022: Appendix C has been revised: Program Code ES (Essential Services) | Change Notice | pdf | 103 KB | | change-notice | pdf |
| CN-SIS-05-2022: Appendix A has been revised: Service Code 887 Low Income Household Water Assistance Program (LIHWAP) and Program Code WAP title was revised. | Change Notice | pdf | 269 KB | | change-notice | pdf |
| CN-SIS-05-2022: Service Codes 887 Low Income Household Water Assistance Program (LIHWAP) with new Program Code ARP and 893 Low Income Household Water Assistance Program (Services) Part II only was also revised. | Change Notice | pdf | 267 KB | | change-notice | pdf |
| CN-SIS-06-2022: New Service Code 801 Non E&E Income Maintenance Supervisor and Clerical Support has been added and is valid with program code ADM. | Change Notice | pdf | 263 KB | | change-notice | pdf |
| CN-SIS-06-2022: The use of Service Code 804 has been revised for Non E&E Agency-Wide Administration Staff and is valid with program codes ADM, N and N2 | Change Notice | pdf | 263 KB | | change-notice | pdf |
| CN-SIS-06-2022: Appendix B has been edited to reflect the changes above. | Change Notice | pdf | 263 KB | | change-notice | pdf |
| CN-SIS-07-2022: SIS101.01 – The definition of code 07 under Field 22 Living Arrangement has been revised | Change Notice | pdf | 255 KB | | change-notice | pdf |
| CN-SIS-07-2022: SIS300.09 – The definition of Service Code 330 – Individual And Family Adjustment Services has also been revised. | Change Notice | pdf | 255 KB | | change-notice | pdf |
| CN-SIS-08-2022: New Service Code 113 START Model Services has been added and is valid with new program code STM. | Change Notice | pdf | 256 KB | | change-notice | pdf |
| CN-SIS-08-2022: New Service Code 114 Professional Foster Parents has been added and is valid with a new program code PFP. | Change Notice | pdf | 256 KB | | change-notice | pdf |
| CN-SIS-01-2023: Program Code Health Choice (HC) is now obsolete and has been replaced with new Program Code Medicaid for Infants and Children (MIC). Program Code MIC is valid with service codes 870,872,890, 891, and 892. | Change Notice | pdf | 265 KB | | change-notice | pdf |
| CN-SIS-01-2023: Service Code 870 – Eligibility/Family and Children’s Medicaid definition has been revised. | Change Notice | pdf | 265 KB | | change-notice | pdf |
| CN-SIS-02-2023: New Program Codes Continuous Coverage Unwinding and Medicaid Expansion (CCU) and MIC/NCHC Continuous Coverage Unwinding and Medicaid Expansion (MCU) | Change Notice | pdf | 267 KB | | change-notice | pdf |
| CN-SIS-03-2023: SIS100.01 has been revised to remove the reference to the DSS-5010 form. The DSS-5010 form was repurposed several years ago and is no longer applicable to this section. Appendix B has been edited to reflect the changes above. | Change Notice | pdf | 265 KB | | change-notice | pdf |
| CN-SIS-04-2023: SIS400.02 has been revised to change the title for Program Code MIC from Medicaid for Infants and Children/MIC” to “Family and Children’s Medicaid”” | Change Notice | pdf | 267 KB | | change-notice | pdf |
| CN-SIS-05-2023: New Program Code Medicaid Assistance Expansion (MAE) has been added and is valid with service codes 872,875,890,891,and 892. New Program Code Family and Children’s Medicaid -MA Expansion (MIX) has been added and is valid with service codes 872,890,891, and 892. Appendix B has been edited to reflect the changes above. | Change Notice | pdf | 273 KB | | change-notice | pdf |
